HomeMy WebLinkAboutBLD2004-00720 lla
LDING PERMIT APPLICA MLA04-00641
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00720 Received Date: 11/12/2004
SITE ADDRESS: ,/:c, FERNRIDGE LN
PORT LUDLOW, 98365
OWNER: MICHAEL KLAY PHONE: (831)722-2290
C/O KEVIN CROSS
41281/2 CALIFORNIA AVE SW#195
SEATTLE WA 98116
SUBDIVISION: SOUTH BAY#3 Block: Lot:
PARCEL NUMBER: 995700024 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ GARAGE AND DECK &
A/G 120 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,959
VALUATION 190,290.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 400 SHORELINE:
CONST TYPE: DECK: 208 SETBACK:
BANK HEIGHT: -
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES_ NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 2 Seismic Streams
Total: 3 Total: 2 Flood Way Floodplain
Routing Date: f (n_ � CO Landslide
l C� 1C�7 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: p 1s c• _�C
Permit $1,503.35 BAC 11/12/04 68582
Plan Check $977.18 BAC 11/12/04 68582 DEC 2 1 2004
State Building Code $4.50 BAC 11/12/04 68582 Jefferson County Planning
Potable Water Application $52.00 BAC 11/12/04 68582 & Building Department
Total: $2,537.03 Cthz' n Q- -
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BUILDING PERMIT
Jefferson Coun an Sure t Port Townsend,artment of Community
Development
621 Shend
(360)379-4450 FAX (360)379-4451 11/12/2004
Received Date
PERMIT #: BLD04-00720 Issue Date 12/21/2004
SITE ADDRESS: 60 FERNRIDGE LN
PORT LUDLOW, 98365
APPLICANT: MICHAEL KLAY C/O KEVIN CROSS
PHONE:
321 HIGHSCHOOL ROAD NE#265
BAINBRIDGE ISLAND WA 98110
Block: Lot: 24
SUBDIVISION: SOUTH BAY#3 01 E
PARCEL NUMBER: 995700024 Section: 20 Township: 28 N Range:
PHONE:
CONTRACTOR: OWNER/BUILDER
PROJECT DESCRIPTION: A/ ' GARAGE AND DECK&
G 120 GAL PROPANE TANK
CALL IN FOR THE REQUIRED IN PE TIO HAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: JOGS �` re) ♦ i �i .
Footing: _ 42 /� . f-�P C�,�
Foundation:
Stormwater FINAL App
roval: QS
Underground Plumbing:
Underground Insulation: � m�c��r s. • c _ oQ , ' M:
Shear Wall : /_ / � �� "
Framing: 0/ /
Plumbing: �X6'C
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval ( not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/ Occupancy Approval .
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR ENEWED INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24HOUR HOURS ADVANCE0 pr TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -
HOT LINE AVAILABLE 24 HOURS A DAY
'SPECIAL CONDITIONS APPLY -SEE REVERSE
• •
SPECIAL CONDITIONS FOR CASE # BLD04-00720
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
3.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
4.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
6.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
7.) A Stormwater Site Plan Narrative 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from Fernridge Lane right-of-way shall be 20 feet. Minimum rear and
side yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setback
shall apply.
13.) 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.
14.) Lighting fixtures shall be designed and hooded to prevent the light source from 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.
15.) A minimum of two (2)on-site parking spaces shall be provided for the single family
residence.
•
16.) The driveway shall be constructed as such that stormwater runoff shall be ected to the
county roadside ditch and not impact neighboring properties.
17.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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r"cc.. ° co�� JEFFERSO JNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT �OV 1 2 �� i +�„ 1
621 Sheridan Street • Port Townsend •Washington 98368 _ ,
360/379-4450 • 360/379-4451 Fax
O www.co.jefferson.wa.us/commdevelopment ; t C t T
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�`S�ING�' j (� � � �t,,l :!,l
Master Permit Application MLA: 04 f-6 41
Project Description(include separate sheets as necessary):
Tax Parcel Property
Number: 9 9 s" 7 0 O 0,2.,y Size: (acres/square feet)
Site Address and/or Directions to Property: 1St Fern riolv, 0t., Po Nit L.u.PI o w k'o,• c 2736S—
Property Owner(s)of Record: M t clevAeL Kicky
Telephone: 831 -7Z Z - ZZ. Fax: WM- email: PM
Mailing Address: d-/o Kev1w Cro Si L//,2,$%1., £K I, �c,rn,., Ave SW t I q s" S'c 4J/ 1.1c,, y P6
Applicant/Agent(if different from owner): Kev/c C to CS, /J cj,"A--
Telephone:20G-786—S'7/y Fax: 2-0(a,-6S" /c/3 email: /'//-)
Mailing Address:
What kind of Permit? (Check each box that applies)
XBuilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
Single Family ❑ Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular El Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
'&Address 14 Road Approach ❑ Planned Rural Residential Development(PRRD)Amendments**
" Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
El Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/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:
C DESIGNATION OF AGENT
I hereby designate Kea'rt, ('SS / /�e 4-- to act as my agent in matters relating to this application 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,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys 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. /f
Signature: ?��—�—r 4 at Date: //—/0 -ay
The action or actions Applicant wilt 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(s)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 and signs and dates it below.
Signature: ; y_`^rfi c/
---4Date: //"/C> —o
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
4 I.OWNER BUILDER STATEMENTell
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be asssuutiningthe'resporisibllity of the General Contractor for the proposed project.
Signature: / < - Date: 1/—to -ay
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Ni/1- ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: ') ' NUMBER
ARCHITECT/ENGINEER: WQS}.SDUrU( Sl�h I` �J' �PHONE (%o)Acf) g 3FAX:(36,0 ac ) , (�zb
MAILING ADDRESS: /U Cio U NE 5' r. k /7/51,.✓..? ' y Abe,
iivs, iys-.2_ //i�3;� tAC1, y83y6
ject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New )(Wood Existing: Sewer
❑ Addition ❑ Steel Proposed: - ---. Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2. Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 3 Public
El tc,4-r c_ ( 1-11--(,) Total: 3 Name of System:
NOV 1 2 2004 Oly^sfK l,/..I seer
If this is a Commercial Project You must answer the following:
Number of Parking Spaces: Current: ; r. ; 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:
❑ Underground Tank "[Above ground Tank Size of Propane Tank: /20 I
❑ Heat Stove 0 Cook Stove 0 Woodstove ' Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/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, tank 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 �w,,m▪ `1�
Current Proposed Amount �� , "�14,,.
Main Floor Q �y Conststancy Review ��/+/� -*, G L,.- .e- �.
! i ♦ ra 43t i t t rr 5
2""Floor A/�� Base fee: C •`,}r�." fi�'*=` '`
3`°Floor ^! �� ,Additional Section ,1• -,\ '�`
i/ `sz t iiMezzanine: Plan Check fee: Y fir.,,,A14-'i.,,,`,A*,'Zfr'FiNk•kf;',,,-.91":-
/".... ,,!,.. .�
r� 5
Heated Basement State Surcharge fee:` "i.,j�}� k 4. '
• l r 't▪ wit`,'a 1;'� �* .,
Unheated Basement Pot Water Review fee: " W *`firms _
911/Rd
N k q,I.,n Appt ach fee: ` t ` ` . 4.Other Unheated �,
Garage/Carport y UV TOTAL: $ 2162 <ye °4� , "'.,rt
Decks e pp
.Z Oct? 5 Receipt Number: ,grjCi'Z,. ,,,
Other IN - h/Check Number:
ESTIMATED COST(REQUIRED) •O � ate: t"-, . 45 i ; ,f .
•Fair market value of all labor and materials foundation to • II --I' y2 v -
UD
v o Initials: plvvn[, *'•
w Of
G:\PennitCentcr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc