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HomeMy WebLinkAboutBLD2004-00745 dlUILDING PERMIT APPLICAIJN MLA04-00664 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00745 Received Date: 11/29/2004 SITE ADDRESS: ( ,` MT CONSTANCE WAY PORT LUDLOW, 98365 OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: 70 BREAKER LN PORT LUDLOW WA 98365-9766 SUBDIVISION: OLYMPIC TERRACE DIVISION 1 Block: Lot: 8 PARCEL NUMBER: 978800008 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ ATTACHED GARAGE AND DECK & A/G120 GALLON PROANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,782 VALUATION 268,293.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 555 SETBACK: DECK: 270 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 3 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain Routing pate: %` � F&W Landslide c�1 I __K f'\� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,940.15 BAC 11/29/04 68769 APPRc \IED State Building Code $4.50 BAC 11/29/04 68769 Potable Water Application $52.00 BAC 11/29/04 68769 DEC 2 2 20C4 Total: $1,996.65 Jefferson County Planning & Building Department T • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00745 Received Date 11/29/2004 SITE ADDRESS: 181 MT CONSTANCE WAY Issue Date 12/22/2004 PORT LUDLOW, 98365 APPLICANT: PORT LUDLOW ASSOCIATES LLC PHONE: 70 BREAKER LN PORT LUDLOW WA 98365-9766 SUBDIVISION: OLYMPIC TERRACE DIVISION 1 Block: Lot: 8+ PARCEL NUMBER: 978800008 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License: PORTLAL994L8 Expires: 5/2/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE AND DECK & A/G120 GALLON PROANE TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. )EI BACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 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 IRE # BLD04-00745 1.) 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. 2.) A Small Parcel Erosion and Sediment Control 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Minimum setback from Mt. Constance Way right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 8.) 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. 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.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 11.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's)shall not be allwed in the MPR-SF zone. 12.) In order to avoid significant adverse impacts to soils and water, natural vegetation shall be maintained in open spaces; provided that removal of diseased and dangerous trees, selective thinning of vegetation and limbing of trees for view enhancement, shall be permitted provided the health of the tree is not jeopardized and such activities are in accordance with recommendations provided by a qualified forester or similar professional. 13.) The lot is subject to Notice to Potential Purchasers as identified on the face of the recorded Olympic Terrace Division 1 Subdivision. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 S0Nco _ H , rr (~r r rr' i O ,�w4' d JEFFER I COUNTY , 1 ' • '- ` !r.... ,E t{O ' `11 DEPARTMENT OF COMMUNITY DEVELOPMENT -� -f21 Sheridan Street•Port Townsend Washington 98368 --1,.'', ! ";'li �Q��/ 2004 360/379-4450 • 360/379-4451 Fax 1 w . p� ww.co.jefferson.wa.us/commdevelopment .. 87N 11 Master Permit Application LA� A — � MLA: -(-0( 4 6.1 _..._ Project Description(include separate sheets as necessary): A/e& s/izgfe WrAtilly residence- w/a/f'ae`ied ewaye.. Tax Parcel PropeR - Number: 9 78 - g 0 0 -00 8' Size: 2 Z, 0 6 y (acres/ quare Site Address and/or Directions to Property: 7 /07/ ( rO 7tVice tf.),2 , Ar.7/ L 0/�0a) Vr ��,3 i S Property Owner(s)of Record: hell" IS/ow ASSoeh2*.c ZZ L- Telephone: C.360) y27 210 Pax:-.(3 o)+y ?• 2S22 email: Mailing Address: 70 orea#� La oie I Are I DW/ aiR 9634$ Applicant/Agent(if different from owner): NM Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) SKBuilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** dSingle Family 0 Discretionary"D"or Unnamed Use Classification 'Garage Attached/Detached 0 Special Use(Essential Public Facilities)** ❑Manufactured Home 0 Boundary Line Adjustment ❑Modular ❑Short Plat** ❑Commercial* 0 Binding Site Plan** ❑Change of Use ❑ Long Plat** El Address 0 Road Approach ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** D Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment D 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: DESIGNATION OF 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 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 provi a fid right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir at s 'p ccess and nigh entry to this property shall be requested and shall occur only uring ular business hours. Signature: L.--- - ,/ / Date: /2-' L` 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 n violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if y re lb with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe ble lily d� ri,i tg a d complying with the ESA. The Applicant has read this disclaim r and7ynd dates it below.�G:\PtCenter\FORS\DRD FORMS\Master Permit Application 7-8-04.doc 12:18 FAX 3604372522Ah PORT LUDLOW ASSOCIATES ioJC PERMIT CENTER 12007 IP 07 8 OWNER BUILDER STATEMENT .--.- -_. _ .._ The signer of this statement does herebycertify that they r d I ' ' j _ fY �E the Owners of the parcel referenced herein that They are not ioettaeq s end that Ihertilltem gu traflheiGeneralC ntn orf r`he ,r;. 1,....__ Pmle�- ,, . + Signature: Date: _ t 2004 GENERAL CONTRACTOR OR MANUFACriIREC)HOME INSTALLER: PHONt=: l ,apt Zid%a' 4$$Dciate$ I C _1/ (360 ) V 7 .2/o/ two i y,37-,2szz, MAILING ADDREss: 7o heater .thee ApfLL[Q4 a EMAIL: CONTFiACrdR's LIcENst' 98345 WAINS NumeER: �o/d?TLIPL 9F5`4 � NUr•,�ot:R - ARCHRECT/ENGINEER: finch Woo y-I9 PHONE ( ) - FAX:( ) - MAIUNQ ADDRESS: - C laT 3, famed. e ) EIMAIL Pm jertType: --^-Ft mire hype: • - a -Bathrooms: . . - Shoreline: . Type of Sewage Dispoasal: 'New V Wood Existing; �- ii'Sewer • ❑ Addition 0 Steel Proposed_ 3 Bank C Community System ❑ Alteration/Remodel ❑ Concrete Total: _3 Height 0 Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply:: Existing: - Setback: 0 Private welt 0 Two Party Type of Heat: Proposed: 2 fifa e 11.7, t Total: 2 VIDubiic Name of System: 0145 ___/9rvii4Pn6 f. - if this Is a Commercial Protect vgu must )§WOf t)Le 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: WM you have Food Service? Yes / No If this Is a Primal*a Thnlc d/or ApplianceInstallation permit,mark ail items below that apply: 0 Underground Tank Above ground Tank Size of Propane Tank /20 gqrz ❑ Heat Stove 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 Other Is this appliance being Installed in A Manufactured/Mobile Home? Yes 1 No When applying far 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 rr'.O, 'e`Use Only '.4 .x h "� w,�,,pp�g,� , Current Proposed -1 i 'r t t �'� $ oun .. ) - :-:. ` '' ram" +�- Main Floor �� yc-Y-- �s �"�� V ��-� _'� 4y1 }� u nSr 4 �tX Z,, r F %I yy �+ T.?t_ S E I ..�y1 1 Y tE\.1� 'C.."'AVt. -s" `fie �., 4�} ZG '° 2 Floor Base fee: ,t,_� L r *^ w n -�' • r -.ram '_ a- '• 31° x(• ,Y'` a ,r..+ye .x I P T 'E, 3 Floor `f : Mezzanine: 1 , ' '.. 4 , it' x> ' r ] t om. Heated Basement -r. 7; K� - a } k �s ,a` »Unheated Basement �' : ,:� �' � sx9 L.7"-..., .`'+i'5.::,. - $ .tr ..t '. .ice -r( 'r¢"$ - Pot' ate :,rL . M,. ... k -0 r > .ate ,-,HAS ,- OtherUnheated rx� �� $ -S_ 911/Rd App ee for k,,, Ga .age/ i -& $T 5 �� �S� l TOTAL ,�, YT'i''w al t K v .1 ce ?2„*�\'M- -[ ' .2 1,lh Receipt Num: -2v t Fy vF yr 4' .as„y-are. 4. :: Other r x � ,s 4y , . .�'� ,, _ �_ Cash/Check Number ,. ;• i fv +:• t„i, c }urti ''-it r • ,t ESTIMATED COST(REQUIRED) ,D — ,( ; , 1 ��h en .Felr market value of of labor and materials k'undatlonlollnkh �b n(1 , 4 F$}4 -,.i. ..,,, ,„ : �r`w::?,45 $# pi t ...30�/ V 7 L"I o�.�� .te als: -S r "i;4 tG-ik i.:. "�" '�% _� m tf @may.4 t...�' ���f.Y-N G:\P fCeaoiz\FORMS\DRD FORMS\Master Peanit t ppli®tion 7-8-04-doc imuliallellsallsollialOSIMMINIMIlloll MT CONSTANCE WAY BLD04-745— PLA Approvals Req'd Prio to Final Inspection EP („0011Cga Z O IV SIPZ DPW