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Home My WebLink AboutBLD2005-00007 IRUILDING PERMIT APPLICAAN MRLA05 00004 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00007 Received Date: 1/4/2005 SITE ADDRESS: 33 WELLINGTON CT PORT TOWNSEND, 98368 OWNER: SHERRY L MOCH PHONE: (360) 379-2998 1105 ROSECRANS PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT#4 Block: Lot: PARCEL NUMBER: 965000072 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: RON MELHEIM CONSTRUCTION PHONE: 360-385-9478 PO BOX 988 PORT TOWNSEND WA 98368 Contractor's License RONMEC*994QL Expires 11/13/2003 REPRESENTATIVE: RON MELHEIM PHONE: (360)385-9478 PO BOX 988 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE, DECK & A/G 500 GALLON OIL TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,890 VALUATION 210,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 112 SHORELINE: CONST TYPE: GARAGE: 683 SETBACK: DECK: 342 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: KALA PT 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: F&W Landslide /6 0 5 • Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,615.35 BAC 01/04/05 68878 APPROVED Plan Check $1,049.98 BAC 01/04/05 68878 State Building Code $4.50 BAC 01/04/05 68878 JAN 2 7 2005 Potable Water Application $52.00 BAC 01/04/05 68878 Jefferson County Planning Total: $2,721.83 0 : Buil s ing De artmen I SON �� f �O� JEFFERSON.UNT1( '� ` ' DEPARTMENT OF COMMUNITY DEVELOPMENT ' - iii6,..4 `.4 621 Sheridan Street- Port Townsend -Washington 98368 JAN ` 4 2005 360/379-4450 - 360/379-4451 Fax 44 O� www.co.jefferson.wa.us/commdevelopment SNG�S . „ti - Master Permit Application r - MLA: " Q5 7 - . Project Description(include separate sheets as necessary): • , • S%, ecmv3 ces%de.Rc-cam Tax P reel QGZ /� ProLr a , Number: _l( �-G' - 0 1 a Size: s &1 c q , (acres/s quare square feet) Site Address and/or Directions to Property. 3-3\\101\t,�}•an �-k- RT Property Owner(s)of Record: h�C c'j L Lk c kl Telephone: 0 3i_ g q $ Fax: email:S`('V 183a ).Urn Mailing Address: k \1 .c o cc, •s be 0AJ 1Q.. q 9 Applicant/Agent(if different from owner):{ s'eon ( fle.\\ ir. " Telephone: 31110 3g'q4 12 Fax: email: Mailing Address: X q .�-" V 4N 9 8a cos What kind of Permit?(Check each box that applies) • %Building . ❑Variance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit ❑Conditional Use[C(a),C(d),or CJ** [ngle Family ❑ Discretionary"D"or Unnamed Use Classification @t" 3arage(Attached)/Detached 0 Special Use(Essential Public Facilities)** ❑Manufactured Home 0 Boundary Line Adjustment 0 Modular 0 Short Plat** ❑Commercial* 0 Binding Site Plan** 0 Change of Use 0 Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments-* El Propane ❑ Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑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 (N le.L eArs. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE MONK-) Date: / -31.0 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 fad 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 a , . ..uired later inspe' .., _Access and rightof entry to this property shall be requested and shall occur only during regular business hourSigna. �,�` WCi,„ Signature. �`* 9 1 a _ a\ /0.3/_0 f`� II . Date: 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 your action(s)e e if you are in compli with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-, . "-. - responsibili eeng to and complying with the ESA. The Applicant has read this ' imer and signs and dates it below. Signature: A Date: � --3 -Q G:\PermitCentcr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc ilOWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: • RAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: e.,,F.; oh cYle -�1. �on >:'l.J. --‘o h e tao)3�sS'•9 y7 K ( ) MAILING ADDRESS: �i Cy .T�O11SCn a_ CONTRACTOR'S LICENSE 2S O 1 n WAINS NUMBER: ��Tx\ex._ 4.cq q 7 L NUMBER ' . ARCHITECT/ENGINEER: PHONE ( ) FAX:(4 ) MAILING ADDRESS: • _ ' ' ' EMAIL Prpject Type: Fra9e Type: Bathrooms: Shoreline: Type ype of Sewage Disposal: New ood Existing: ❑ Sewer „ ..�-? ❑ Addition ❑ Steel Proposed: Bank 0 Community System • i ` 0 Alteration/Remodel ❑ Concrete Total:. Height: lf Individual System ❑ Repair ❑ Masonry N( SEP Permit QO —00179 ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: ' Sethack;, o Private well ,0 Two Pa T of Heat: Proposed: ,ll�l'Public �' {W4 %\eR.. Total: N TV ame of S tem: ' tl 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 0 Above ground Tank Size of Propane Tank: 0 t L 7„$ G a L ' / e ir ❑ Heat Stove 0 Cook Stove "Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /® 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 Off"ceUse" 1nl r S t, e�;,,[s03 ,At Current Proposed • x. z... -ir.'" ,r, Main Floor -° Cost it0tfav if: ' •'.- �1 ri.'t' s< as x 1890 .1 4 a , � � ,, ,w�)� 2ru Floor ..-.• +. :`.._ .r r`=".a ',4" '� •,*' Z r 3 Floor :Additional ' Mezzanine: • .- r • :� ti�ti v, n, s ,f4 Heated Basement ' ,:' t ""f� Unheated Basement mu(i%1. l t a4 \ - ;'" ' -. area ...�.,Fs r .-.-- Other Unheated i f'" Garage/Carport ' `.,. ,a.,x R 1, i• ll Vi;it d w :* 9 : 3 C T4 ▪a j Decks 6%3 EI..3 16 • a:0 , ; . }p � r r p. .: ALA Nunes :;- ;` v `` 1 pc: Other (tC ._ 3 -,as► 1r„-s r.: OS•-•‘-'....6 ;Z:,;','Z' ., -,:-;;. ,:..g: ,, `. l�,l • Y �4 _ '�r J t S q lam' .. ESTIMATEDCOST(REQ ) c ti ?i ,1 , Yr4r ' x •Fair ma value of all labor and ma ' Is foundation to finish Y r ti`; iY ' 1 ag o` 00 0 . BAN . F : � .S ai 7 GAP S\Master Permit Application 7-8-04.doc v . • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00007 Received Date 01/4/2005 SITE ADDRESS: 33 WELLINGTON CT Issue Date 01/27/2005 PORT TOWNSEND, 98368 APPLICANT: SHERRY L MOCH PHONE: (360) 379-2998 1105 ROSECRANS PORT TOWNSEND WA 98368 SUBDIVISION: KALA POINT #4 Block: Lot: 75 PARCEL NUMBER: 965000072 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: RON MELHEIM CONSTRUCTION PHONE: 360-385-9478 PO BOX 988 PORT TOWNSEND WA 98368 Contractor's License: RONMEC*994QL Expires: 11/13/2005 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, DECK & A/G 500 GALLON OIL TANK CALL IN FOR THE, UIR IN PECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 23 UFFER. ' �/23/a b Footing: _/27/6 Founda ion:tiV/r_DN4<.- 4<' 'S-- Stormwater FINAL Approval:p 4, -�'do` Underground Plumbing: Underground Insulati n: Shear Wall : ; -& O. Framing. , S' Ss"Os- Plumbi g: jam— hie -7-7U oKg4-s—A4/ `' Propane a�f nk/ Lines: Insulation: lalitz-“,LA/asp Sheetrock: (9 'k�'cP Septic Syt m Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: /-`>j! _,-', _ c/O 9/zz/ eK," 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 BLD05-00007 • 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.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) MANDATORY MEASURES FOR AN AT RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 7.) 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. 8.) A Stormwater Plan for a MediiProject has been submitted and approvedthe 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) There is a 20 foot setback from the edge of the right-of-way for Wellington Ct(P178). There is a 5 foot side and rear setback from property lines. I:\F_BLD_Permit_Buildng.rpt 10/29/19 1.--0_./G-_I , ...--- ...,.ici f 5h r /Yl o • N. .. . _ _ . A,..f i, a, __II. . ,o,,,,,„t.,,..k._ \ _ .• _ µ....,,-. 1 -- —a _ _ L.0° te--),0 ., az59 1 g- �"NtC U I ER_ICSEN•'.II/ lit fGNJt.. / f • mmok ��1, d srosu d i 1 1 (v-�i- .n .4 — i ...a. % _...— --V— l 0 \ \ M,,, \it :({. ;a, \ - '141.C4.- \ c'-', (-:.. '1(.1' ---'-- cs- r \ 1 # \ � ; is \ . o 4 �. v \ i\c„„, ,04) „1/4 z . .. ,„, _� t \ 0 .4, — 1. :-(.1‘ 3 - r a Y ,,?, Y i \ fQ 1.c, l IC. - r \ , �o111 o. • Al _ a \ i ...$IIe \ 1.�. ��r WASyi• 1 lyi Ca 0-2111 • J. rt_ ••• .. 1 °kr. ''.'1.Oh \ • \‘11. ,: . , .,.. . Irk j� 5100259 - ' / op.- BERNT PAUL ERICSEN �1 ar IC i..S'Cb DE IGNER 1/ I, '.. `�!. ALIMILVOMILVISWINA.W6.11.1040i!V. EXPIRES , ,.:, .1A. ,.. it ? t._ ; • .j)rcil41(- -k- 1G 4u,r I-o JAN 2 5 2005 a-Ceom bra -e 110,1436 A- Ye a. t,.►o•� _ _,__ . . a ‘ .e-t C-i r'Gt 1,t111 1Et/* - ,s'a,me_,