HomeMy WebLinkAboutBLD2004-00712 BUILDING PERMIT 0
Jefferson County Department of Community Development
621. Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00712 Received Date 11/9/2004
SITE ADDRESS: 451 S BAY WAY Issue Date 12/28/2004
PORT LUDLOW, 98365
APPLICANT: JAMES A BEEBE PHONE: (425)881-2868
PATRICIA M SIEMION
13774 NE 32ND PL
BELLEVUE WA 98005
SUBDIVISION: OAK BAY WATERFRONT TRACTS Block: Lot: TX84+
PARCEL NUMBER: 976800041 Section: 29 Township: 29 N Range: 01 E
CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119
6727 CAPE GEORGE RD
PORT TOWNSEND WA 98368
Contractor's License: SCHWECI001BG Expires: 1/11/2006
PROJECT DESCRIPTION: NEW UNHEATED DETACHED GARAGE
CALL IN FOR THE REQUIRED IN�SPE TONS THAT APPLY TO YOUR PROJECT.
SETBACKS: (.K 3/2/ate
UFFER: e)k 3#5 /;','
Footing: et 0A5
Foundation: &k' 3 2AA-
tOlpi
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : „41i< S 9 05
Framing: OR Si 65 L,9
Plumbing: /��A
Propane Tank/ Lines: IVA
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ae —at- +I na-1 I Vol..
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
SPECIAL CONDITIONS FOR CASE # BLD04-00712
•
1.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
3.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback South Bay Way right-of-way is 20 ft. Minimum side yard setbacks are
5 ft. Minimum setbcak from the top of the bank to the proposed single family residence is
47 ft.
9.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
10.) Lighting fixtures shall be designed and hooded to prevent the light sourcellfn being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
11.) Prior to final building inspection, applicant shall submit a letter from the engineer stating
that the tightline has been constructed to the required specs & requirements as is capable
of handling the stormwater runoff from the single family residence and any other
impervious surface that will be directed into the tightline.
12.) A stormwater plan for a large project has been submitted and approved by the
Department of Community Development. Once the subject permit has been issued the
applicant shall fully implement the provisions of the submitted plan and contact the
Jefferson County Department of Community Development to arrange a schedule to
inspect the property for plan compliance. A Certificate of Occupancy will not be issued
until the Department verifies plan compliance. No clearing for roadways or utilities shall
occur on the project site until clearing necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
13.) A minimum of four(4)parking spaces are required for the single family residence and
accessory dwelling unit(ADU).
I:\F_BLD_Permit_Buildng.rpt 10/29/19
MLA04-00636
OUILDING PERMIT APPLICAAN Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00712 Received Date: 11/9/2004
SITE ADDRESS: ;.;', S BAY WAY
'PORT LUDLOW, 98365
OWNER: JAMES A BEEBE PHONE: (425) 881-2868
PATRICIA M SIEMION
13774 NE 32ND PL
BELLEVUE WA 98005
SUBDIVISION: OAK BAY WATERFRONT TRACTS Block: Lot: TX84
PARCEL NUMBER: 976800041 Section: 29 Township: 29 N Range: 01 E
CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE: (360)385-7119
6727 CAPE GEORGE RD
PORT TOWNSEND WA 98368
Contractor's License SCHWECI001BG Expires 01/11/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW UNHEATED DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: 572 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT: 40
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: F&W Landslide
//�l (�4 3CI
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: p roved/Date
APPPermit $335.25 KAS 11/09/04 68712 R Q V Lam,D
Plan Check $217.91 KAS 11/09/04 68712
State Building Code $4.50 KAS 11/09/04 68712 DEC 2 8 2004
Total: $557.66 Jefferson County Planning
& Building Department
fit. 4,4rGP112�-,,,
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la `� DEPARTMENT'COMMUNITY
DEVELOPMENT
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621 Sheridan Street• Port Townsend •W on 8
360/3/9-4450 • 360/379-4451 Fax "`R�
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www.co.jefferson.wa.us/commdevelopment
Master Permit Application - MLA: V (p3t7
Project Description(include separate sheets as necessary): •
�!I
Tax Parcel Property
•77p Number: � I Size: %237 Gel,F+. (acres/square feet)
Site Address and/or Directions to Property: 4SS ' O(, ea Wati Pori- Luc ((Sre)
Property Owner(s)of Record: 5 ie
Telephone: 4213 S£5I-.245(06 Fax: email: ,
Mailing Address: 15771- -. NE S2t4f) aE*..
Applicant/Agent(if different from owner): `rnlrr M i lief I Telephone: ?Q(o-ASS-3('J I Fax: 91e:6).-4)57'Qe:St/ email:t}m. (...v iiCy1L(1 €
Mailing Address:__P_C).__e2e .__t6eahj2F1Cj (.tom. 9S 124 &)m tit* n d-
What Find of Permit?(Check each box that applies)
[3 Building ❑Variance(Minor,Major or Reasonable Economic Use)
0 Cemolition Permit ❑Conditional Use[C(a),C(d),or C]'"'
Ingle Family 0 Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
0 Modular 0 Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑A ddress ❑ Road Approach _ ❑ Planned Rural Residential Development(PRRD)/Amendments**
0 Propane 0 Plat Vacation/Alteration**
0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions'"`
0 Stor nwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
0 Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
17 Wire less Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Ad/Release of Six-Year Moratorium
*May require a Pre-Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
��� I DESIGNATION OF AGENT
I herebydesi patemy agent in nr-tters relatingto this applicationpermit(s).
9 e�' to act as for permit s .
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and In any attachments,Is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnif) r id hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and
expenses which may in any way accrue against Jefferson County as a result of or In consequence of the granting of this permit
I further agree to provide access and right of entry to Jefferson County and Its employees,representatives or agents for the sole purpose of application
review and any required later Inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: '�a(A KA littAmuz, Date: (D/(1/D4
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA_"Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(;)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility�for adhering to and complying with the ESA. The Applicant has read this disclaimer andnd signs and dates it below.
Signature: (�►,A Vr'Qi LL..( Date: I0/1 i/ 4
G:\PennitCenter\FORMS\DRD FORMS\Master Pennit Application 7-8-04.doc //
OWNER BUILDER STATEMENT 1
The signer of this statement does hereby certify t they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signatw e:_ Date: NOV - 9 2004
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: , - FAX:
SG.tl co(met-- 5tYu4'holn ( ) 3$s'7tt4 :_ ( . r ..
MAILING ADDRESS: `..T2-1 Ceipie / - EMAIL:
CONTRACTOR'S LICENSE �•CL� WAINS
NUMBER: SGHwe.I do( 17 NUMBER
ARCHITECT/ENGINEER: Tom M t�-Gtiet I PHONE ('1 ,)035.3/s1 FAX:(204.)a1S.1•�„ll
l
MAILING ADDRESS: f) gox Q�p �21 ta-1 s O6u � ) m' �EMAIL •L. itcr_Cti c�mica5f.h(-1.
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New X Wood Existing: 0 Sewer
t 0 Add+tion 0 Steel Proposed: Bank 0 Community System
0 Alteration/Remodel ❑ Concrete Total: 0 Height: X Individual System
❑ Repair 0 Masonry 4�r SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: )4 Private well 0 Two Party
Type of Heat: Proposed: 0 Public
Total: () Name of System: (A)C((
If this is a Commercial Prolect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all Items below that apply:
El Und-rground Tank 0 Above ground Tank Size of Propane Tank:
Ll Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove ❑ Other _
Is this appliance being installed in a Manufactured I Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, lank location and size,distances from the propane tank to all property lines,buildings and septic system components,
_including the reserve area.
Square Footage For Office Use Only ,; d ,,,t,,:,,,Y .4r 3 't �, q M �:>.
�s ' TA xM $
Current Proposed I p�n1 I
Main Floor r- ', istency Revi�C <"� i:kn ,j 1 `�., y'z. =ate
i r 1"t tx .r r 2,1,. rr .# ,
2.' Floor fe8 .a *,. ,� '' $ it; :v s rel x
3' Floor Additional Sectioh: =t ;.,�i
Mezzanine: _ i'Iartcheckfee ,� ,
' I(+ x t i. 1 �t cy.
Heated Basement State Surcharge feo' +t { u F , ,<.
v
Unheated Basement +. .zirP'ch*.i - i': • -
-Pot Water RevE wfeef a i,,t ` 4
Other Unheated _ 911/Rd Appp ac l fie f ~}a
t '
, .
Garage/Carport572 TO
Decks ''r ,
• ,Receipt Number.`, x t
Other Cash/Check Number
ESTIMATED COST ' QUIRED) bate: , I .
•Fair market value • all labor and matena foundation to finish :,
2 k _.
G:\Permit Center .O12MS\Master Permit Application 7-8-04.doc