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Home My WebLink AboutBLD2004-00734 0 B • UILDING •PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00734 Received Date 11/22/2004 SITE ADDRESS: 1431 CAPE GEORGE RD Issue Date 01/6/2005 PORT TOWNSEND, 98368 APPLICANT: BRADLEY D PLOOF JACQUOLYNE A PLOOF PHONE: (360) 301-1424 PO BOX 767 PORT TOWNSEND WA 98368 SUBDIVISION: GAGLIARDI LARGE LOT Block: Lot: 3+ PARCEL NUMBER: 001185003 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK CALL IN FOR THE REQUI ED,1NSPECTIONS THAT APPLY TO YOUR PROJECT. SE1 BACKS: ,� ;//7 - UFFER: 0.4/11— ToFooting )Z-/,-/-c2r- A6t -sDC�r< �,Founda Z4 Z� 2-1 t�StormwL Approval: Cr-6' Cam./A; '/S/ Gt ii6d61:j ,'/,�1-. Underground Plumbing: '9 Underground Insulation: Shear Wall : Framing: (Q _?; -0..*" Plumbing: (9 -').a,-gal Propane Ta k/Lines: (o.49/1'A Insulation: p— ':) Sheetrock: Crg- g-2-06 Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ,t t-1 95 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 "SE # BLD04-00734 1.) For septic use this SFR counts as 240gpd as required in WAC 246-272. No future ADU allowed on this septic system. 2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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.) The proposal shall meet BMP T5.30 "Full Dispersion", with less than 10% effective impervious surface, greater than 65% of the site maintained as native vegetation, and vegetated flow paths a minimum of 100 feet. 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 impervious surface coverage is 25% of the parcel. Impervious surface is defined as a surface area that creates a barrier to the entry of water into the soil in comparison with natural conditions prior to development, or that causes water to run off the surface in greater quantities or at an increased rate of flow in comparison with the flow prior to development. Common impervious surfaces may include roofs, driveways, patios, packed earth, and oiled surfaces. 7.) The building height is not to exceed 35 feet. 8.) Minimum setback from Cape George Rd right-of-way is 20 feet. Minimum side and rear setbacks are 5 feet. 9.) A minimum of two (2)on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 SJILDING PERMIT APPLICA1N MRLA04 00653 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00734 Received Date: 11/22/2004 SITE ADDRESS: 1431 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: BRADLEY D PLOOF PHONE: (360) 301-1424 JACQUOLYNE A PLOOF PO BOX 767 PORT TOWNSEND WA 98368 SUBDIVISION: GAGLIARDI LARGE LOT Block: Lot: 3+ PARCEL NUMBER: 001185003 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW SFR W/ATTACHED GARAGE ALSO A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 948 VALUATION 193,630.00 ADD'L: 234 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 840 HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 357 SHORELINE: CONST TYPE: DECK: 168 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 2 Seismic Streams Total: 1 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: y. /Date Permit $1,520.15 KAS 11/18/04 68753 Plan Check $988.10 KAS 11/18/04 68753 JAN - 6 2UC5 State Building Code $4.50 KAS 11/18/04 68753 Potable Water Application $52.00 KAS 11/18/04 68753 Jefferson County Planning Total: $2,564.75 & Building Department COOL,Din '�.Y,oliA< V f- GO 17 SON 11 i , ~ ., ;` f ` �!t ��Sk. co,� JEFFERSON 1NTY ' i i I r=.\ ' 'l� ' [ DEPARTMENT OF COMMUNITY DEVELOPMENT i _ E i i ti 621 Sheridan Street • Port Townsend •Washington 98368 �'.' I .!: NOV 1 B 2004 i �, 360/379 4450 • 360/379-4451 Fax gS,�NG�O www.co.jefferson.wa.us/commdevelopment • Master Permit Application MLA: CYA--(4)53 Project Descriptioni (include separate sheets as essary: �7 t ti 1 h� i c. j i,i wt cry. e`,i 6�i.t e_.r `lit vt e t t)�6-7'�`7 : (41 " . Cam.' Tax Parcel 1 Number: COram : Property j g-5-61 23 Size: 5 6//fr.,...) (acr square feet) Site Address and/or Directions to Pro t f ` 11 1 Property Owner(s)of Record: r- ' E D. t&c Telephone:jj 0--.30[- [t-{ i( Fax: email:' V , _.._- I w C. Mailing Address: Ft.BCC"7b,,.--7 a. 1;a.v+`v ,e t� l C-A 61 Ki:(<; h'.avkr:.t t.kr,.w e-&)h •-e )u.. Applicant/Agent(if different from owner): - Telephone: Fax - email: Mailing Address: !.� Wh3t'kind of Permit?(Check each box that applies) r-rtullding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Dgmblition Permit ❑ Conditional Use[C(a), C(d),or C]** In�le F 0 Discretionary"D"or Unnamed Use Classification B-G-arag Attach Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufa ome ❑ Boundary Line Adjustment 0 Modular ❑Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** 1 ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDYAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ 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 0 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: DESIG ATIONTbr AGENT I hereby designate 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 f the a purpose of application review and any required later inspections. and ritiht,of entry to this property shall be requested and shall occ only ring regular business hours. f / 1 Signature: /` Date: The action or actions Applicant will undertake as a r 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 endanger species regarding your action(s)even if you are in compliance wi Jefferson County development code.The Applicant acknowledges th t he, a or it holds individual and non-tra able responsitty/for'a 'ng to and complying with the ESA. The Applicant has read this disdai er a sigand dates it below. Signature: - / z U , L r/ ng ` ,- Date: G.\PerrntCenter\FORMS\DRD FORM'S\-Mjassis.PLit Application 7-8-04.doc 0 OWNER BUILDER STATEMENT • t !7 �,-:-M..- , ,i r Et r t�~4 e L_ The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they arg note Uce iSed contras tofs.aad.that _ t 1, i 1,i they will be assumin the responsibili the General Contracto5 focthe proposed project. / I ,-, j NOV ''i Signature: came- C (I Date: /*//O 6 Ir 8 t''',, E t • (2.c.. ,er.„.‘.. , / GENERAL CONTRACTOR OR MANUFACTU' D HOME INSTALLER: PHONE FAX r t, r ,!w Y 1 ) 4 MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE W NUMBER: AINS NUMBER ARCHITECT/ENGINEER: /r PHONE ( ) FAX ( ) MAILING ADDRESS: ,/J/ EMAIL Pro ect Type: FrameType: Bathrooms: Shoreline: Type of Sewage Disposal: Project ,,O ood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: F� Bank ❑ mmunity System ❑ Alteration/Remodel ❑ Concrete Total .,✓ Height- Individual System ❑ Repair ❑ Masonry .•, S 1'Permit#5 /J(J0Lj V irs ❑ Demolition ❑ Other: Bedrooms: W ter Supply: Existing: Se'Gal: (Private well ❑ Two Party Type of Heat: (El Proposed: —�— ❑public i t n�- Lt1'Od TOT Name of System: If this is a Commercial Project 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 a d/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tankove ground Tank Size of Propane Tank: fd Q/ ❑ Heat Stove ❑ Cook Stove oodstove ❑ Fireplace Insert ❑ Hot W er Tank ❑ Pellet Stove 0tther Is this appliance being installed Manufactured/Mobile Home? Yes I No Jai r`t--,'X'"Ve��( 'ti l-a,-"r' When applying for a permit to install a propane tank you must also submi e 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 ForOfficoUse`bnly Current Proposed Amount Main Floor f g,S r1 _ I Consistency Rerlievi(;gqg C) 2""Floor t ' ,,rr✓ u lA 1 Base fee: G, o e i5 r r 3f0 Floor A' `� I itional Section: " VI- Mezzanine: Plan Check fee: 9 log t ID Heated Basement atuo gtatiSurcharge fee: 4,5o Unheated Basement Pot Water ReVioW tee: :, • (6D mil) Other Unheated 911/Rd Apprbath fee: Garage/Carport y� TOTAL: $ y J;I 3Decks r.,_,.:k ,,,3,/ ,, Receipt Number: Other 3 9,83.5i cash'Check Number: l • 1 0 ESTIMATED COST(REQUIRED) -J Date: g(Dt1 .Fair market value of all labor nd materials foundation to finish cl-f7-50 C r Initials: �3laact.ht G:\PermitCenter\FORMS\DRD FORMS\Master Permit Appl`c3hexi7-6-b4.doc