HomeMy WebLinkAboutBLD2004-00766 04-
•UILDING PERMIT APPLICA•N MRL Review Ty
680
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00766 Received Date: 12/6/2004
SITE ADDRESS: 131 FLEET DR
PORT LUDLOW, 98365
OWNER: PORT LUDLOW ASSOCIATES LLC PHONE:
70 BREAKER LN
PORT LUDLOW WA 983659766
SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 94
PARCEL NUMBER: 990600394 Section: 8 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 DESCRIPTIOI NEW SFR W/ATTACHED GARAGE &
A/G 120 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,830
VALUATION 157,250.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 612 SHORELINE:
CONST TYPE: DECK: 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: i7'ôtC F&W Landslide
(� r �1.2 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: APPROVED
Permit $1,436.15 BAC 12/06/04 68816
Plan Check $933.50 BAC 12/06/04 68816 JAN 1 0 2005
State Building Code $4.50 BAC 12/06/04 68816 Jefferson County
Total: $2,374.15
& Building Department g
Coligiun u' -
V
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00766 Received Date 12/6/2004
SITE ADDRESS: 131 FLEET DR Issue Date 01/10/2005
PORT LUDLOW, 98365
APPLICANT: PORT LUDLOW ASSOCIATES LLC PHONE:
70 BREAKER LN
PORT LUDLOW WA 983659766
SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 94
PARCEL NUMBER: 990600394 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365
Contractor's License: PORTLAL994L8 Expires: 5/2/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE &
A/G 120 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: W t -2$-c ��
UFFER: ( -Z--per 4-6
Footing: -0 t- /S s
Foundation: of( LdleondiZiDris 3/2/
5
Stormwater FINAL Approval: z/r
Underground Plumbing:
Underground Insulation:
Shear Wall : 1/iyoS
Framing: Ok 5744
Plumbing: DJ( Os' id/&v1Q Lars
Propane Tank/ Line
sk7 fRrzAgfr
1ivE a */nS- /Ar1 6C /.�oR4# ZAIE OK 0 S
Insulation: eg W/ in
Sheetrock: 5/4 05
Septic Sytem Final Approval If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/ Occupancy Approval: DK-1!'o r c',na.( a/yoS,
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 AlISE # BLD04-00766
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.)
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.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) APPLICANT AND/OR CONTRACTOR SHALL CONTACT JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT (DCD)AT 360-379-4457 TO
SCHEDULE A SITE VISIT WITH THE PORT LUDLOW DRAINAGE DISTRICT,
DEVELOPER/OWNER, AND DCD PRIOR TO ANY LAND DISTURBING ACTIVITY BUT
AFTER FOUNDATION IS STAKED.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
1.1/17/2004 11: 55 3503794451 JEFF CO DCD PAGE 02
11/16/2004 16:8S FAX 3604372E PORT LUDLOW ASSOCIATES* JC PERMIT CENTER IQJUU2
feritilik\
N..v°- 91/
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
-.I a•Sberidin Street'.P :Townsend.�a/aleshingtoto 98366
kkir
360/379-4450 . 360/379-4451 Fax
rxo�p� www.coJefferson.wa.uslcommdevetopment //p4 (83D-S4-
Master Permit Application MLA:
Project Description(includes to sheets es nece�ery):
W Sf� / septa
r res/17es1C Gl il a'c,44?' gerAO9
Tax Psmel- Properly✓ .
Number: 9'90 — lv 00 J 91 _ Size: O,2/5" quare feet)
Sits Address and/or O1nacbons 10 Property: /3 /ez/>".J _ 0r- a'/ a)19 98J 6.3-
Property Owner(s)of Record: Ion _/iLt sass'74 /LC-
Tetepbonei (36 0) 43 7 J/D/ .•. - ..arc-,..-{,34 0) y3 7 25Z 2 email: ,
Mailing Address; O .15L-44i4 Lone, 4�rt- Gvdli,u, a18......?8& 6
Appilcant/Agent(if different from owner);
Telephone: Fax: - _ email:
Mailing Address:
What kind of Permit?(Check each box that applies) -
M"Bulldng e, 0 Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit p/d,7 cjQ�QC / /f 30-" 0 Conditional Use[CO),C(d),or Cl"*
a'Single Family ✓ U Plecretlonery"D"or Unnamed Use Classifioatlon
IR/Garage Attached/Detached O Special Use(Essential Public Facilities)*"
0 Manufactured Home 0 Boundary Line Adjustment
a Modular a Short Plat et
D commends)* ❑ Binding Site Plan'
O Change of Use ❑Long Plat'
❑Address ❑Road Approach_ n Planned Rural Residential Development(PRRD)/Amendments"
o Propane n Plat Vacation/Alteration'*
a Allowed''Yes'Use Consistency Analysis U Shoreline Master Program Exemption/Permit Revisions'
❑St rrnwater Management ❑Shoreline Management Substantial Development"
a site Plan
rApproval Advance Determination(SPAAD)" o Shoreline Management Variance
0 Wireless Tey leleoommunication" U Jefferson Coe 0 unPlan/UDC/Land
ShoreflnCe Mnaster Program Amct endment
CI Forest Practices Act/Releeee of Six-Year Moratorium
*Mgr require a Pro-.11FPncarlon Conference "Requlrei I Pre-Appl oadon 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 matter's relating to this application for permit(*).
OWNER$IG ATURE - Date:
8y/atgnlne this application form,the owner/agent attests that the information provided herein.and in arty attachments.Is true and cornett to the beet of
Ns.her or ire knoetedge. Any material falsehood or any omission of a material tad made by the owner/agent with respect to this application packet
' may result In this permit being null and•oold. -
I further agree to save,indemnify and hold harnll/ea Jefferson County against all ffabiilriss,judgments,court costs,reasonable attorneys fees and
expenses which may in any way accrue against Jefferson Cau*as a rat of or In consequence of the granting of this permit,
I fudhar agree to provide access and right of enby to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Access and dole(gentry to this property shall be requested sago shalt occur only during regular business
hours.
6lgnatuns: ,. Date:
The action or actions Appricant will undertake as a result of the lawance of thie permit may negatively ktrpact upon one or more threatened or
endangered epedes and Gould lead to a potential`take"el an endangered spades as those terms alle defined In the federal law known as the
letelangered Species Ad'or"ESA,'Jefferson County makes no assurances to the applicant Itrat the actions thst will be undertaken because this
permit has been issued will not violate the ESA, My individual.group or agency can tee A lawsuit on behalf of an endengened spades regarding your
actions)even if you are In compliance with the Jefferson County development code.The APescant admowfedgee that he,she or it holds Individual
and none rsnsferable reaponelbifity for adhering to and emptying with the ESA. The Applicant has read this diedakner and atgns and dates It below,
Signature: - Date:
•
G_\Peemiu cavetwORtht5\4RD FORDdSV4 rer Puiufr Application 74-04.doc
11/17/2004 11: 55 3603794451 JEFF CO DCD PAGE 03
IL 11/16/2004 16:56 FAX 36043725. PORT LUDLOW ASSOCIATTES• JC PERMIT CENTER IJUUa
f _.--- —
a OWNRR BUILDER STATEtaiiNT
The signer of this statement does hereby certify tat they am the Owners of the parcel reterenced herein,that they are not licensed contractors and that
- thayo let nnaTher d T+l21"r,enotatOsneadorfort°OtapasedWifed:
Slgntilure: — Date: -
GCNGRAL COMPACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX
xi, L oVocv /islpria. S t _ � GGGg{ do) f37- 0/0/ (340) X3 -2622
EMAIL:MILINGADDROISS: l ar DIN
CcNTRACTOR'S LICt8NBE ,,,,,e- 98'34, WA1NS •
NUMBER: DIQTL/IG g9 L g NUMBER
MCHrrECr/ENGINFER: -_ ›d 0-2.,, '20-SL PHONe ( ) FAX:( )
MAILING MOR661A: EMAIL _ y
i— --- _
Shoreline: Type of Sewage DISpoSa(,
Protect Type: 4�Munle tape: moms: 4' p'Sewer
6l New by Wood Existing:
o Addition ❑ Steel Proposed: = Bank 0 Community System
O Alterrtlon/Remodel 0 Concrete Total: , Height. O Individual System
R Repair 0 Masonry SEP Parma o
p Demolition d Others Bedrooms;, Setback
Water Supply:
Existing: 0 private well ❑ Two Party
Type of Heat: Proposed: EX Public
Total: - Name of System:, ),V S J'•I
HAI,Is a C9mme5jall Protect you frinatjuswer tl)e follow n(ng
Number of Parking Spaces: Current— Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current imposed
IBC Occupancy: IBC Type of construction: WIll you have Food Service? Yee (J10
,f this is a Propane Tank and/or AnoIi ri a Installation ortttit ruar'Ic a j Items b*lnw If RePW.
o Underground Tank rd'Above ground Tank Size of Propane Tank: /S) ,
O Heat Stove Cook Stove 0 Woodstove 0 Fireplaos Insert ❑ Hot Water Tank 0 Patel Stove 0 Other
once led - Me o ? Yea I No
When applying for a permit to Install a propane Tank you must also submit a silo plan showing ell of the buildings,ell property
fines,tank location end size,distances from the propane tank to all property lines,buildings and septic system components,
Including the reserve area. 7 �.:; ;e '
,�s�.;..-• 'ram,. •�17 ^atf l b ';'/i^'I:�%.'�. ?!.'_IFy. : 1,• of• ri;.•';:I
.l rx�i� �.;Y 6 & '1
proposed i� i .j ` �� t11='•.'/. j ; .,;H11. �i, .i r�� r ill, tlr'- lt r•�r�r�:c.•,I,. 'Tr:l f•�:�_,�'•,•
C'►Irrrgllt f -5 Yr S\r.•I J. 1air{' --•ni'.
''�,f y .♦Z Mh. y. ?'n p�'•� •ir3 � b:'� �9::r:{,r•�r,';�: �:�.. `�
Main Floor 4,' "1 e,�I,'IJ, 4,.. 11:;,x,1.r. -a c'pd;3` i„ 1 7
`�,,1 Y�n: �7'i'w�y�fl�� �' ~ I��� !� HI.��I{�'{.lt�t�tu'{�I IT_.J�.«L4.11,..,�•
1 °,jYL
t 1 r rye ,rtin 1 � �Hr 1 �I .�" t��j]�F4 l� 1 rt }ft it 'yf. ` y
2RO"Floor __'' •
v I,,+ .}h p, yls '_r` J �t I�,:� , I ..�Lrer��L.4�r i ..` '1 1��%'/
( ry r y` rk 1• 1 , . ( s C`iry�f r� ti45. V,...J,
,�.r,i. -,:7C ..sit:'!yJti i`• q, ilM1 , •
1V ,:'r,�r, I �C 1 i, I 0 .LI.r !' �•Z'•r'•: 1r ..
3 Moor I �dt .v . ti1°'� p t. "y�at T I �ii�,.'rit';;•;s;.` ./
v 7a�• �!� lt
��� �.}4�.r.M •� . �..._�t4l�anine: !�'^"rJl�'14 � �la>,Elt1 y,431''�i'v ..�4A�' r,:�l. i.i�(. 'i��''h��1.�'� �'�1'� t$^ -63" -v L-.4 l` „s b�;: 7 Il`' E:t.Fi ..yip ,x,�;i;1.,',hb..•.4
Heated Basement '', u.M.it' . 1aii"/4t9,,,,,,,tr t , rl el. ,1�,i0K.:�y,:,,,
e. qV'� 0i, ! �/
may.. �,; 1�i 1 r, ,.yy14_ 'il,F� '� ` .$1Y. t.p i•-'4o 1'I. l
—4— "V ,,tw•" • fr� ,V�.,�. ay .4 %,,ili o,.,n H,G',I.:d:n s..•iuf .1 yrr �:
�1' tify , tS .;:�' ,�-.J..; eG ra�twt. ,+' 1::•'•
�i�t` 1r 9� I/i'C n �1 '�•!'�� 1 IJr .1.. If J'r',V+t;:n..
Unhea Basemen! I' e 1,�7. {�n :1 J,•, 1'-,r ref•' • ..u; =.'µ.r...,ry;
i9 b7. Y, 1 p k x 'r. r'r •;', �ir 0?!•!. Yij;!niti• :.'
�s, !t. i'��S .^ ,��:�d��'v '.. �,'a�i.lira;:�..s,....:� .: c.,
' �� V'�. ��•''�' ''�' ':?.;; .n+,lr,9 .J rru+.�",f;r"y
Oilier Unheated $_ - : ) 1 �16i :-r'-. �•.f,,..11.to. in S�i,�"Lrt$/1:'V1 1
14YF�,,�.'„ 1•,4 .;J�; t:'�
I.,s, .re sr451711Y1► rr.tt,..J.06 v'' 'o 3..tta?„ l)-4 J ,iy -
rare eRXi rt i 1•. F Y,• j ',�••i'it.!`' r ,I, i)':4J, 7;.= rya..:.. T.ILi?EAY,i".•'Y "t
9 4 .'111e;:� ' _,k-'Y,;' -ft}-.�!' ( t yl'}vhr .,x xrlw" r1
't7 �� , , , r y , r r s_. 0 ",,YI�4i f` 3?' YriS :f r
1--
Decks $_ 44i. . R'f��'111' I'�+PPtiV y^..r�-&I.. ` er., ^ O
j. .- r� 1 fir, r , 7 O y
Other nle y (p 1r .. .1 r J lei 1N41 I lr°'3 :
n • 1ii11J ,y 5.i1 't i l ) ra'1•
:4r�l'''rrwliir r�,1.,t � ti;��y"�'-1 ,�l #i'��•l E;'.•'' • � s
e611MA D COST(REQUIRED) f f; 'i'i':z,•, tic 3 O I /0 /0 O ~
*r ale Market value of ell labor and materials!bwrdation to mash ,lii;,:' t ;°? ...L..; �. �s' J. k:_....
Qy� i . .itr (0,i r ''�i,, Yt��f��; ;1:,.?
/5 ,'� 2.'��D, o� ..1 ' •....5 -. •.; 41�' `"�:i L7 tl.?4,;.,• YIR,54 '' I;ig1;t1 f;;.-rig:?•V,:i•^,„S
�,mac• • .., . - •a: 't r . •rt•.
G\Pt:one-400x\FORMS\DIM FORMS\MasMc 1'cmut Application 7-8.04doc .
N cod. JEFFERScOUNTYt e
!44...t' DEPARTMENT OF COMMUNITY DEVELOPMENT == �' O�.S�
-.621 Sheridan Street__•.Port Townsend Washington 98368
1360/379-4450 • 360/379-4451 Fax
DEC - 6 2004
,. iwww.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA .. o
•
Project Description(include separate sheets as necessary):
Afea) sale i si/4 r-es/derare w/a/laehed rake-
Tax Pa&l PropeRy
Number 990 - DO -39y Size: O. 2 ((acre quare feet)
Site Address and/or Directions to Property: J 3/ F/ee Dr:1 4,-z/ (io%ui, w/T- 993 6 S
Property Owners)of Record: /dirt'1Id/ow Associa les LLC
Telephone: (340)y.7-2/OJ Fax-.:(3i o)�Y� �• 2522 email:
Mailing Address: 7D er a er L4ia¢.f i0�p-e I /owe aA 9634S
Applicant/Agent(if different from owner): •1//4
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
lilt uilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit El Conditional Use[C(a),C(d),or C)**
'Single Family Cl Discretionary"D"or Unnamed Use Classification
MiGarage Attached/Detached Cl Special Use(Essential Public Facilities)**
❑ Manufactured Home Cl Boundary Line Adjustment
❑ Modular 0 Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address 1/Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendrments**
1Propane 0 Plat Vacation/Alteration**
❑Mowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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:
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 provide a an 'ght of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requi ter • ns. ss and right of entry to this property shall be requested and shall occur only ring r ular business
hours. , k
Signature: � Date: /.? ( i7 .
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 lake'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 ate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if y In lance///with the Jefferson County development code.The Applicant acknowledges that he she it holds individual
and non-t ansfe .• i-. i 1 / Bring `and plying with the ESA. The Applicant has read this disc imer a sic) nd d tes it below.
Signature: �` —- Date: Z
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc