HomeMy WebLinkAboutBLD2004-00724 = UILDING PERMIT APPLIC/ION MLA-00645
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00724 Received Date: 11/15/2004
SITE ADDRESS: "'.\, HEMLOCK CT
PORT TOWNSEND, 98368
OWNER: GERALD W WALSH PHONE: (480)818-1603
CYNTHIA L WALSH 6l45 et, Svo€R -%Ot4 SER NGs 6Woo t10$0
�w t`/ AZ $c52oL
SUBDIVISION: KALA POINT#10 Block: Lot: 307
PARCEL NUMBER: 965000354 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLES1150LF Expires 6/6/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE AND DECK ALSO
A/G 120 GAL. PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,901
VALUATION 186,320.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 576 SHORELINE:
CONST TYPE: DECK: 100 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: KALA PT PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: 2 Seismic Streams
Total: ,3 Total: 2 Flood Way Floodplain
Routing Date: ! F&W Landslide
i Q� ppv.7 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,480.95 BAC 11/15/04 68586
Plan Check $962.62 BAC 11/15/04 68586 APPROVED1
State Building Code $4.50 BAC 11/15/04 68586 DEC 17 2004
Potable Water Application $52.00 BAC 11/15/04 68586
Jflffp•c,^•• ^^unty Ptannlnr,
Total: $2,500.07
,_ .. ,J ortlr.
1
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00724 Received Date 11/15/2004
SITE ADDRESS: 31 HEMLOCK CT Issue Date 12/17/2004
PORT TOWNSEND, 98368
APPLICANT: GERALD W WALSH PHONE: (480)818-1603
CYNTHIA L WALSH -APT. #1100
6745 E SUPERSTITION SPRGS BLV
MESA AZ 85206-4315
SUBDIVISION: KALA POINT#10 Block: Lot: 307
PARCEL NUMBER: 965000354 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License: KELLES1150LF Expires: 6/6/2005
PROJECT DESCRIPTION: NEW SFR WI ATTACHED GARAGE AND DECK
ALSO A/G 120 GAL. PROPANE TANK
CALL IN FOR THE;EQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
UFFER:
Footing:( I -I Z-o` �I c,o,zJ f4oJ,s9
Foundation: .L oily W/ c(5;s,) i,,<—1-2-0,'"
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : E'Cr(I_ (--iIte;
Framing: - 2.
Plumbing / 00 ,
Propane nk/L
Insulation 41 r'd
Sheetroc : / (-05-/
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 5/f f f-'Dc
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 ARE # BLD04-00724
1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
2.) 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.
3.) A Medium Stormwater Plan 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.
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.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Setback from Hemlock Court right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
9.) 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.
10.) 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.
11.) A minimum of two (2)on-site parking spaces is required for the single-family residence.
12.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
illipr
OWNER BUILDER STATEMENT
The signer of this statement does hereby Certify �,- are the
tlr�be Owners of the parcel referenced herein,that they are not licensed
Signature:
for the proposed-project contractors and that
Date:
NOV 5 20Q4
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER:
.+-ra, ` .,�,!�w tal v«; PHONE:// p ( _ FAX:
MAILING ADDRESS: ( JAW) 3�5""'t `-� ( ) -385- /E'S(0,
CONTRACTOR'S LICENSE + �i . • EMAIL:
NUMBER IC. ! L F WAINS
ARCHITECT/ENGINEER: Li�p NUMBER _
MAILING ADDRESS: a.1C,' ', \i2CkAf iais PHONE
(3C0a ) 'a8$'Ca?30FAx:(
Emit.
•
Vie :-....,
Llihiliew
❑ Addition o lam: .:- Existing:o - Type of Sewage Disposal:
❑ Alteration/Remodel 0 Steel Proposed: _ Bank 0 Comm
❑ Res it 0 Concrete Total: Height: 0 Community System
S 0 Demolition Other: SEP-P c7=„
Type of Heat: ❑ E Bedrooms:
Water Supply:
P�La� S
Proposed: 0 Private well 0 Two Party
�T (L t _ 0 Public
Total:
Name of System:
!G/•c rt o,• , t.-i
ffthtsisa . .':Commercial Pro ect u must answer.the followin :
um
Number of Parking Spaces: Cent:
Number of occupants(includes owners,tenants,employees,Proposed: Number of op Parki S
IBC Occupancy ployees,etc) Current Spaces:
IBC Type of construction: Proposed
ff this is a Pro ne'Tank and/or !lance Installation Will you have Food Service? yes / No
Q Underground Tank mark all Items below that.a "1 •
►bove ground Tank Size of P
.Heat Stove Cook Stove 0 Vy ropane Tank: f � ���z�oodstove R Fireplace Insert 0 Hot W Tank 0 Pellet
Is this a fiance bein installed In a•Man ufactiured/;Mobile Home? Yes / Stove ❑ Other
When applying permitfnra; to install a
lines,tap bor and dinstall as�m propane
tretank you mustalso submit a site.plan showing all of the buildings,
Melt/din• the reserve area. propane tank to all properly lines,buildings all property
S•uare`Foota• ''�P'S rlr , # k A` andsepticsystem components,
' - :Pro••. ;°-96 ,5� --s - 4 y-tm. • -r- At
Main Floor .�,� z'l'*:„ t kt,f �`,, -r t' is'" "°" . r; �'� ` `� `
2 !'loot I D I10. d6dtr c3 ywFk s 2y Zy a a
Y � �� >�,- � a g,'43^t
3 F ®k' 1.�t i5.i�.�;� sa_ `ri, Ott S' ,� ..�r s"'.f-'T�7�'S'z '�"`s:�'
Floor �to�c <,�X k � .'4�•�"if NK c5� -a :3 ,�>� '„-r 4,s,t ,�l-z.:
cue +x-. - ,, -:�.i r am.
mezzanine:
�' .4;;;V°}i lI ,tt 4 Mom, _ :A=7F-4
1•I.N. `C_=� �"..
-" Basement .,,,,„ ,.. r „ ,• r . •,:-iVI, t y• Aai J-.`,: ?�t�y Tit y t ,� s�w'•,'"� ' .:
• 1 - _ i f u9 i _
S�uf. ,` �r�. $�y"'�7'�4v y➢ti ! z� Sit � --.p �'�`�.� f, -e�$a�J.,�ox"3
Unheated Basement
,��: 1 ��;>. °; � j ' `<- �
� r
- � „sc « a x,
'17
u` xk t4' � * �sOther'Unheated s . a V�4' . .y�CV t- "+� YfV' n r5n .iSs�'cryy L _T . J C . • S• i� /T?.eyA - S;1 ✓ Y Y .� >P'� 2 V> 44 .4 4 ,*r� �rGarage/Carpo� ''+ , Yi l�. 1 t`fk wW:S3 ; GpiaM 3£ E,LVt sE' '>7 tt' a tr& ait k 4i -'r4r -tf yD�(S r r Ma... •,,-, - ..4 7.1,z .. 5 y ,�y{e
T.
-
00
r
ESTIMATED COST �.f� �" x
(REQUIRED) .< rAl
Drell t�..Y.ry cis ti� ��'�3"� �3 * ��� +:'s ���a..a����ss '. '
•Fair malt!value labor and materials foundation to finish . � t;"4, ,;r "' �;- `K t .-ss: s k.,-
1 1 .- - . fi 1,1 i.R --,-i a. a -, - r.-`E4.^ c13.d''�a'-a �r: ..
f'" -'' FF� �" t j . ,�5-� s" -tee. 3
G:\PesmitCrnber\FORMS\DRD FORMS\Master Permity •
Application 7-8-04.doc
—
47 # -° JEFFERS•COUNTY
4' , DEPARTMENT OF COMMUNITY DEVELOPMENT
`- 621.Sheridan Street•-Port Townsend::Washington 98368 `
360/379-4450 • 360/379-4451 Fax NOV0 www.co.jefferson.wa.us/commdevelo m 1 5 2004
(...
p ent
•
Master Permit Application
I Ai�r ��-
ML �- .
Project Description (include separate sheets as necessary):
ii, I C"�.3 -3I /-C.-vL t f -741 1\.1•'( 12f ....„t > ,J^)c-t,,
Tax Parcel Property
Number: 7io �b 0 '.2,.GSiz �f'. C
(acres/square feet)
Site Address and/or Directions to Prop
erty: IA tm ' r,:1 _ lrt-pk, 0 !t.er
Property Owner(s)of Record: 6-)ZN LC LA) PN L.S 1
Telephone: 84- g $ I(r90' _,.4z,. ix
Mailing Address: 4 S""[ email:
L.�iai �rtie�b ►�1 Z 5
Applicant/Agent
(if different from owner) .t , �r ki
Telephone: z �S' '��r 5 I ��(�'-�S ��a G.• ,
Fax: •"5 e 5• li 1 ' email:-Waiting Address: 'lA.o v `Llp�„� --- ''`
What kind of Permit?(Check each box that applies)
ttYBuilding 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or CI**
rsioSiicgle Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached
❑ Manufactured Home 0 Special Use(Essential Public Facilities)**
O Modular 0 Boundary Line Adjustment
❑Commercial* ❑ Short Plat**
0 Change of Use ❑ Binding Site Plan**
❑Address 0 Long Plat**
o Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments--
�?ropl arte`� ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management ❑ Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination SPAAD g
❑Temporary Use ( ) ❑ Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*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 hereby designate t -',t4` r DESIGNATION OF AGENT
J -,.k4 t l-71,42 ) I).:j t. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE -"AL.. 0('(JI II)/
" � , Date: `i_7_p 4-
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 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 inspe 'ons.Acr- s and right of entryto this property
hours. A.eA..-It
, � P PertY shall be requested and shall occur only during regular business
Signature: ‘„,../
Date: 1i-I.-0 4-
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
action(s)even if you are in compliance with the Jefferson County development code.Thesindividual
a
and non-transferable for d ering to and complying with the ESA. The Applicantts acknowledges that andhe,she s it holds sibelow.
Signature: Applicant has read this disclaimer signs and dates it below.
Date: ii-1.-0'-
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc