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Home My WebLink AboutBLD2005-00053 •UILDING PERMIT APPLICAAN ML ReviewTy 050 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00053 Received Date: 1/27/2005 SITE ADDRESS: PORT LUDLOW, 98365 OWNER: HAROLD MOE PHONE: 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 360-437-2740 SUBDIVISION: PORT LUDLOW NO. 1 AREA 4 Block: Lot: PARCEL NUMBER: 990400409 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: 360-437-2740 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 7/21/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ GARAGE - STOCK PLAN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,470 VALUATION 153,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 528 SHORELINE: CONST TYPE: DECK: 140 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 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 G p�/Q Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,290.55 BAC 01/26/05 71305 Ppr1 ®\ /�^ g`� Plan Check $838.86 BAC 01/26/05 71305 �/ �/ State Building Code $4.50 BAC 01/26/05 71305 MAR — 1 2005 Potable Water Application $53.00 BAC 01/26/05 71305 Jefferson County P►annim Total: $2,186.91 & Building Department 4t/ Sca.voi oil? • e BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00053 Received Date 01/27/2005 SITE ADDRESS: 12 CASCADE LN Issue Date 03/1/2005 PORT LUDLOW, 98365 APPLICANT: HAROLD MOE PHONE: 360-437-2740 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 1 AREA 4 Block: Lot: 9 PARCEL NUMBER: 990400409 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: 360-437-2740 104 MATS VIEW TERRACE PORT LUDLOW WA 98365 Contractor's License: HAROLMCC74N3 Expires: 7/21/2006 PROJECT DESCRIPTION: NEW SFR W/GARAGE -STOCK PLAN CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: �},K 7/7 D5 y/ UFFER: 2,‹ 9/'7 O5 Footing: 4,e / iønS ///45,11i1 Foundation: DIC �r 4 -1 c- b Stormwater FINAL Approval: OK 6/30/5, Underground Plumbing: Underground Insulation: Shear Wall : L5( OA'S,- Framing: 6'ZZ-o/ Plumbing. 6-Li-0 ' Propane Tank/ Lines: j 6-22,-@S Insulation: Sheetrock: I,�3. '5( 5)./EFr ,Oek S# ?21J4Lw D/K 6 3°05,01 Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: l -0o r - V•i i..I ./DS# 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 BLD05-00053 111111 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 Stormwater Site 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.) MirGimum setback from Cascade Lane 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 allowed in the MPR-SF zone. • I:\F_BLD_Perm it_Bu i ld ng.rpt 10/29/19 • OWNER 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 iesponsibili of G�thee General Contractor for the proposed project. Signature: - ,f' "Z `2 --Date: � 2 5"=t JAN 2 6 2005 �, GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx 1-1�.rDi ,' ate (;m1�trit _ (3G-� ) �(?�� yo ( )`�3�- ��5 MAILING ADDRESS: )1/1t� IJV Ie ��,w,�fr� 64 EMAIL. V'1G�.i3Oit:101L`1�: �'da 4. &ri CONTRACTOR'S LICENSE l �tX V ! WAINS NUMBER: 4 j r ck..i . 07 f 01 7/2.I(G'S NUMBER TZM 0 fq ARCHITECT/ENGINEER: .vr"+ 1.1 b ON PHONE ( ) r" ) AX:( ) MAILING ADDRESS: TALI/� ~�� C�< a D l/o r St }�u t�S g CfA-r,`1 '� i EMAIL VPr 'ect Type: Fra Type: Bathrooms: Shoreline: Type of Sewage Disposal: New iWood Existing: .f wer g ❑ Addition ❑ Steel Proposed: Z- Bank Community System ❑ Alteration/Remodel ❑ Concrete Total: _ 2. Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well 0 Two Party T e of Heat: Proposed: 2 public Re) p 4/ Total: _ ,3 Name of System:UILjifl/26 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 Ira-Above ground Tank Size of Propane Tank: 2— / 2 Cj ❑ Heat Stove 18'Cook Stove ❑ Woodstove Fireplace Insert 18-Hot Water Tank ❑ 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 line s,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area. _ Square Footage For Office Use Only f� z r, Current Proposed 4 4._ r - , k` Main Floor r�?b C}. �U Consist. ncy Review: , -w1'-. �$_ ,��. 2Nu Floor Base fee: x4 �� .. .; ` "* ` .**:#- � r € i 3 Floor ljk_dddien 'S�cfo7r i Mezzanine: --.^ i s Plan C�ieck fee: ✓' Heated Basement State Surcharge fee: fin t Unheated Basement Pot Water Review fee: f:3 . , Other Unheated 911/Rd Approach fee: r�r-' `r � A..� :1'5 4Ju' 1-p' �� Y ++J;;4 1,--,:4 Garage/Carport 5-1 l TOTAL: $ 1 Decks i CI O _ -Receipt Number: i. Other E5Cash/Check Number:: ESTIMATED COST(REQUIRED) Dater = " •Fair market valve of all labor and materials foundation to finish f / /--- 3/ 00b Initials: ________________________________5 G:\PemutCenter\FORMS\DRD__FORMS\Master Pe nut Application 7-8-04.doc �¢Soiv cor, JEFFERSON*UNTY 1 zi ' `A DEPARTMENT OF COMMUNITY DEVELOPMENT ' ` `4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax kq • p� www.co.jefferson.wa.us/commdevelopment JAN 2 6 2005 `S�ING _j - Master Permit Application MLA: 0 ` ` 'ou Project Description(include separate sheets as necessary): - Tax Parcel /, Number: "l1 U- 400 -gel J Pro See 1 (acres/square feet) Site Address and/or Directions to Property:+ Lod' '1 Ltr2Cae1C., 1n Po L.ud(oka` WA 4 s h, 1 Property Owner(s)of Record: 1-i(�, J((l M t)i Telephone: 0 L 31-� .`19 0 Fax: �ajc t');�1' 8 b4 'y email: IVY tk:.6I �-'�' .ear Mailing Address: (0 4 )' It1l9 fir lt�.f ) 1 zj 1L 1 L(.(/ ) 1)U 11) 4 f'S 415 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) VBuilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ gemolition Permit ❑ Conditional Use(C(a),C(d),or C]** ingle Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use / ❑ Long Plat** EW ddress i�Road Approach ❑ Planned Rural Residential Development(PRRD)Amendments** (3Propane ❑ 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 ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference "G11,1j-K. - Please identify any other local, state or federal permits required for this proposal, if known: • DESIGNATION OF AGENT I hereby designate /t "-- irk_ to act as my agent in matters relating to this application for permit(s). i •OWNER SIGNATURE Z% / L?� Date: /-- `•—c,f 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later,inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. �--` Signature:--__` / IC�C c Date: / .._-2 " G's 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)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe b responsi 8ity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and-dates it below. Signature: &� �7� Date: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc