HomeMy WebLinkAboutBLD2004-00820 llt
IU ILDING PERMIT APPLICA N MReview00714
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00820 Received Date: 12/23/2004
SITE ADDRESS: PARKRIDGE DR
PORT TOWNSEND, 98368
OWNER: CONNER L DAILEY PHONE: (360) 379-0802
CYNTHIA I DAILEY
3464 SHERMAN ST
PORT TOWNSEND WA 98368-4838
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 45
PARCEL NUMBER: 999900145 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: NELSON CONSTRUCTION INC PHONE: (360)385-3062
31 COMBS PL
PORT TOWNSEND WA 98368
Contractor's License NELSOCI972C1 Expires 6/8/2003
REPRESENTATIVE: RICHARD E NELSON PHONE:
31 COMBS PL
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,792
VALUATION 180,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: F&W Landslide
\ ( i ��� Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,441.75 BAC 12/23/04 68834
Plan Check $937.14 BAC 12/23/04 68834 APPROVED
State Building Code $4.50 BAC 12/23/04 68834
Potable Water Application $52.00 BAC 12/23/04 68834 FEB - 3 2005
Total: $2,435.39 Jefferson County Planning
A & i'Iinajie artme$
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00820 Received Date 12/23/2004
SITE ADDRESS: 1014 PARKRIDGE DR Issue Date 02/3/2005
PORT TOWNSEND, 98368
APPLICANT: CONNER L DAILEY PHONE: (360) 379-0802
CYNTHIA I DAILEY
3464 SHERMAN ST
PORT TOWNSEND WA 98368-4838
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 45
PARCEL NUMBER: 999900145 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: NELSON CONSTRUCTION INC PHONE: (360)385-3062
31 COMBS PL
PORT TOWNSEND WA 98368
Contractor's License: NELSOCI972C1 Expires: 6/8/2005
PROJECT DESCRIPTION: NEW SFR
CALL IN FOR THE :. QUIR�DNSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 9 as-
UFFER: ' (.c�cos Wog'
Footing:frii9 oe•-
Foundatio � 2//7/05.
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insula on:
Shear Wall :~x�..`% / _~-
Framing: (,
Plumbin `f ,
Propane nk/Lie
Insulation��'
•
Sheetroc .•
Septic Sy =m Fina Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approva �3-
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 CA, A BLD04-00820 •
1.) The road approach permit (RAP04-00334) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff at 360-385-9159 for the road approach inspection.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Setback from Parkridge Dr. 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.) 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.
10.) 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.
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.
13.) The subject property is located in the proximity of the Jefferson County International
Airport (JCIA). The JCIA is a public, general aviation airport with a hard surfaced
3,000-foot, 12,500-pound weight bearing capacity runway. JCIA experiences frequent
landings and take-offs. Structures located in the proximity to the airport will, to varying
degrees, be subject to noise and vibration from aircraft during take-off, landing and
approach activities.
14.) The category III wetlands located on site are less than 10,000 sq. ft. and are not subject to
wetland protection standars (buffers) per UDC 3.6.9(2). However, wetlands on site shall
remain in their natural state.
15.) No public access to the adjacent Janis Bulis Preserve is allowed without specific
permission from the Jefferson Land Trust.
16.) The 50-foot wide buffer adjoining Kale Point division, Janis Bulis Preserve and Old Fort
Townsend State Park shall remain naturally vegetated.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
401,14i."°N
a JJEFFERSOI••UNTY 4110
DEPARTMENT OF COMMUNITY DEVELOPMENT
`
621 Sheridan Street • Port Townsend •Washington 98368 s
360/379-4450 • 360/379-4451 Fax
4, ,I;
1 O� www\\,......
.co.jefferson.wa.us/commdevelopment DEC 3 2004 i
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Master Permit Application MLA: Q f -i( I i.
Project Description(include separate sheets as necessary):
iV S
Tax Parcel
ty
Number: 999-900- 14 S T Pro Size: 5 51AC A3a1 b140 (acres/square feet)
Site Address and/or Directions to Property: PAQ. Cs pe. .4- .,,,,
Property Owner(s)of Record: VWI CV vyr is 1 it
Telephone: 1--3641.)-319-osoa• Fax:
email:
Mailing Address: l4-- GIYCdc b, VY•aC. y4 Taw mc.hd V • 9$ 684
Applicant/Agent(if different from owner): tC
�' E. Nel vl des Nelsoti Co►4s-1.vu(4-loh
Telephone: i"TJI)O-ems- J(o'1 Fax: email:
Mailing Address:at Combs to e tr-Viow W WO
What kind of Permit?(Check each box that applies)
Auilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ emolition Permit ❑ Conditional Use[C(a),C(d),or C]**
yrASIngle Family ❑ Discretionary"D"or Unnamed Use Classification
arage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑phange of Use ❑ Long Plat**
K Address EN4oad Approach Cl Planned Rural Residential Development(PRRDyAmendments*"
❑ Propane ❑ Plat Vacation/Alteration**
■ • lowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
•.I-tormwater Management ❑ Shoreline Management Substantial Development**
'='te 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:
1- A' DESIGNATION OF AGENT
I hereby designate " C'4 E• YV c.6611 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE X �� /5 rL G . ,(f -(,e Date: x / /3L? d L7
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 whi may in any way accrue against.:fferson .unty as a result of or in consequence of the granting of this permit
I further a ` r vi ss ht o , •Jr on County and its employees,representatives or agents for the sole purpose of application
review an a �ns- /i►►II, of entryto this r
hours. /� �� property shall be requested and shall occur only during regular business
Signatur A e qd. N\ Ks NL4stm CoNsA.rUC‘'t(ln Date: la- I8 -O4
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 des Act"or"ESA."Jeffe unty makes no assurances to the applicant that the actions that will be undertaken because this
permit has issued will not Vol S ' dividual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s) e m on County development code.The Applicant acknowledges that he,she or it holds individual
and non- i' complying with the ESA. Thg Applicant has read this disclaimer and sig and dates it below.
Signatur 1/ -1‘)Oovi Cou iltkek\0 iA Date: t I- 1 8-04--
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
OWNER BUILDER STATEMENT Ill
The signer of this statement does hereby certify that ey are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumin the responsibility of the General Contractor for the proposed project.
Signature: N Date:
DFC 2 3 2004
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
R►c`hara G. U elsoh (1kS 11eboii C i-ruc-hot.,) L-(3O ) -385-366), ( )
MAILING ADDRESS: )I Combs OS +lace ()o t Tow e,0 wa. EMAIL:
CONTRACTOR'S LICENSE � r WAINS
NE����� �
NUMBER: I NUMBER
ARCHITECT/ENGINEER: Laurie. L . Stevalr+ .... . PHONE ( 3 )S$S-t I4Z FAX ( )
MAILING ADDRESS: I(ce')4- V�4Y1 a t I ¢� �Ve• •T. EMS
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:. a,
j�New Wood Existing: 0 Sewer �4(
❑ Addition ❑ Steel Proposed: 2/Z Bank ❑ community System ��' t�i.t
O Alteration/Remodel ❑ Concrete Total: 'Z VZ- Hei t: dlndividual System f 0,
O Repair ❑ Masonry ! SEP Permit# O4-Ds i
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ rivate well ❑ Two Party
E'Type of Heat Proposed: 3 E'Public
t'&—kC wA\I (ec eY5 Total: 3 A NamµoffSystem:
P j
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
Including the reserve area.
Square Footage 1=oc'OffiaUse Only T ? � '; '�'� �k' �� .
Current Proposed , a .
Main Floor + tevte C-r `` -`` I
2"t'Floor �Ay ' Base fee: ° ,
°
3f0 Floor t additional Section: 0 =• ;
. g -WE y c
Mezzanine: Nl� ''Ian Check. fee ,1 � , � A h ,�i
Heated Basement ` t `{.44 ' '=,4` _ ' j
N ���uni:harge fee: y$,�!,',�
j d
Unheated Basement N ^ Pot Water Review fee > ,,, :;r �` "t.�.
Other Unheated 911/RdApproach fee � t ' ' r '� `'i
h,�r� a sj` ''�.
Garage/Carport0 TQ - , a'' E`" f: kr 4.t 4``,4y,,,,t„:1:.
' :
1 4. 1M
Decks hbh� Receipt Number + �` ', �„ k�� �'r•.
Other Cash/Check Number ,' "" '° 'Itr,4,3 -0,w y `'�'4•
,:,.::
ESTIMAT QUI Date: "� � `+x i v X-
•Fair et v e f all labor and mated foundatio o finish a,. - , r , f
8/�, ° Initials: M -4• n tea. e•
G:\PemritCenter\FO . Master Permit Application 7-8-04.doc