HomeMy WebLinkAboutBLD2005-00075 oILDING PERMIT APPLICATION MLA05-00083
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00075 Received Date: 2/10/2005
SITE ADDRESS: MT CONSTANCE WAY
PORT LUDLOW, 98365
OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365-9766
SUBDIVISION: OLYMPIC TERRACE DIVISION 1 Block: Lot: 31+
PARCEL NUMBER: 978800031 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 05/02/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE, DECK AND ENTRY
ALSO A/G 120 GAL PROPAME TANK - STOCK PLAN 04-19
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 271,601.00 MAIN: 2 782
CODE EDITION: 2003 ADD'L: HEAT TYPE: HTP
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: 119 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 Date: / F&W Landslide
of/-1 C)-J Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,956.95 KAS 02/10/05 71347
State Building Code $4.50 KAS 02/10/05 71347
Potable Water Application $53.00 KAS 02/10/05 71347
Total: $2,014.45
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02/02/2005 11: 41 36037 jiii451 JEFF CO DCD PAGE 06/11
LUDLO
02/07/2005 14:27 Fel 36043725 POR W ASSOCIATES Ai
PERMIT CENTER I�010/011
111
DT3 /
ON CO JEFFERSON COUNTY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
-. Virk=,v. v.tiff,S1seridan&meL+.Part,.T4Dvnsend_-Washingtoi 98368---
4, 360/379-4450. 360/379.4451 FOX 5 he i ,'/ate * o y-/9
OttQ www_co,jeffersnn.wa.us/commdevelopmont 0 T— 3 .../�„a-c ,',n •
Master Permit Application MLA; (Dc,_ S3
Project Description(Include separate sheet*as neceseAy).^
i✓egi 51 g/e...60�f I-es d "/4 flyrra _
l Tax Pa Prope -
Number: 9��' - 7DO- 03/ Size, -32, 9 3 8- ( a/squa re feet)
Site Address and/or Directions to Property:,, I X 14- , ),7S r r 1%61/ fj r!'ff,.4 5-
Property Owner(;)of Record: Art 11.0/,10 Ass.c,i2t.. 44e _. _
Telephone: 0. - • ram.. �f )Y3 ...5 ,E 2 email;
Mailing Address: L
�Q e,Q a/A.J f I , z,[itq 9134,5
Applicant/Agent(if different from owner): 4/4 . .
Telephone: Far email:
Mailing Address: -
u
What kind of Permit?(Check each box that applies)
retuilding o Variance(Minor,Major or Reasonable Economic Use)
ID Demolition Permit D Conditional Use(C(a),C(d),or Cl*_
'Single Family 0 Discretionary'D'or Unnamed Use Classification
!b®arage Attached/Detached 0 Special Use(Essential Public Facilities)"
❑Manufactured I-lome 0 Botrndery Line Adjustment
O Modular 0 Short Plat**
o Commeroial'r o Binding Site Plan"
p ange of Use / a Long Plat"'
dress rrRoect Approach 0 Planned Rural Residential Oevelopmerd(PRRoyAmendments'4
NPane ❑Plat VaoatiorvAfteration"
0 Allowed 'Yes'Use Consistency Analysis d Shoreline Master Program Exemption/Permit Revisions**
CI$bormvrater Management 0 Shoreline Mar►aaernent Substantial Development'•
❑Site Plan Approval Advance Determination(SPAAD)* a Shoreline Management Variance
I]Temporary Use 0 Comprehensive PianAJDC/tand Use District Map Amendment
O Wireless Telecommunication* ii Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of elx--Year Moratorium
*May resin a Pis—Application Oon,F roeoe +'Regurrec fj pacaeton Conference _
Please Identify any other local,state or federal permits required for tills proposal,If known:
DESIGNATiON OF MEW
I hereby designate _, to ad as my agent in matters relating to this application for permit(**),
OWNER SIGNATuae Date:
By/agates this application Soria,Ilro owner/agent attests that the Information provided herein.And In any attadunenta,le true and correct loth.;e best of
his.her or Ire►nowledge. Any material falsehood or any omission of a material tact made by the ovwielYagent with respect to this application packet
may molt in lhts permit being null and tett
I farther agree to'save,indemndlyend hold harmless Jefferson County against all liabilities,Judgments,court costs,reasonable attorneys fees and
extremes which may in any'way accrue against Jefferson Comity as a result of or in consequence of the granUng of Ha pent
I killer agree bit pvvide Access and light of entry do Jefferson County and its employees,representatives or agents for the sole purpose or application
retie v and an required later inspections.Access and
Y reG sPe right of entry to this propertiy shall be requested and shall Occur only duriAg Motu
hours.
Signature: • T Dale:
The seam or actions Applicant will undertake as a nesttat of the issuance of illa permit may negatively impact upon one or mom threatened or —
sorianoered species and could lord to a potential lake-of an endangered species as those terms are defined in the iwdwat law known as the
EEAtdengered Species Mx'or'ESA:Jefferson County makes no amuranees to the applicant that the*alone that will be undertaken because this
permit has boon Issued will not violate the MA, Any individual,group or agency con the a lawsuit on behalf of en endangered species regarding your
adkm(s)even If you are in compliance with the Jefferson County development code.The Applicant acknowledges that he.she or it holds individual
and nonamnslixable responsibility for adhering to and complying with the E8A The Applicant hoe read this disclaimer and signs and dates it below.
agna one ., , _ . Date:
CaWormir C ectcr\FOEMS\DRD FORMS\Masdt Pewit Application 7-8-04.doc
t02; 03f2005 11: 41 3603794451 JEFF CO DCD PAGE 07I11
02/07/2005 14:28 FAY 3604372522 FORT LUALOW ASSOCIATES PERMIT CENTER I�Ultiutt
DINER BUILDER STATEMENT 40
y -r^,
The signer of tits statement does hereby certify that they are the Owners of the parcel referenced herein.that they are not licensed contractors rand eta
Ihey4illittralMarninglaittstsspciazabllItyliftheeeneral Coat toriorlhspraposedp " F E B 1 0
Signakire. - Data'
J
GENlML CONTRACTOR OR MANUFACTURED HMI INs rAu rft PHONE: FAX;
t �4 sDpiatA ZIC (. 0 ) 4.o?-3i_0r ()lib ) V37-2522. ,
MAILING 7o ,�?ateriane,A.•i-,f �P,'W.; yA EMNL:
CoNrRAcTOR•S LICENSE 98365 WALNS
NOMEIER: /'DATl9L 9?*44i._ NuMBER -
ARCHITECT/ENGINEER: SA ran - ' ./ — PHONE ( ) FAX:( )
MAILING ADDRESS: (DT~2. e*Ii, wiZ34 EPt
u.
pruiectType , .Freon —'-OathrO.Ort+s> , . 'Shoreline: • .Typo of Sewage DIspoSta1:
V New ta'Wobd Existing: — g'we •
O Addition ❑ 'Steel Proposed: , .' Bank O Community System
O Alteration/Remodel ❑ Concrete Total: q. Height: ❑ Individual System
o Repair 0 Masonry SEP Permit# ,
O Demolition 0 Other:— Bedrooms: Water Supply:
Existing: -&- - , Setback: ❑ Private wen ❑ Two Party
Pr
T of peatoposed: a Fa/Public
Ems. f*4z""le nio Total: 2 Name ofSystem: OW$1"
If this Is a Commercial Projei ypju must an wpr the foltawltlex:
Number of Parking Spaces; Cun'ront: Proposed:__ Number of WA Parking Spaces;
Number of occupants(includes owners,tenants,employees.etc) Cement Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
titbit)le a Propane Tan IC d/or 1 Installation permi lttlark all Items below that apt,
o Underground Tank Above ground Tit* Ewe of Propane Tank: /7 •�0. .
❑ Heat Stove Li Cook Stove ❑ Woodstove 8/Replace Insert 0 Hot W Tank 0 Pellet Stove U Other
kitkisuallipira Installed Ina Man Gtut e„Us ��0 2 Yes
When appying fora penult to Install a propane tank you nMOS!also subml a site plan showing all of Me buildings,all properly
Ilnaa,tank location and sire,distances from the propane tank to all property linos,buildings and septic systemoomp rants,
Including the reserve area. -
CIii "1.. y.. "f:J�lr' y,:i'• p: 'fry ,� ''1•
Current Propose" '^ ,uz,. v .�,1•,:.a' r,;, ... w.,.a.,. •,
Main Floor — -- 1,4 s. , .� �::, ,•. '';:�:: ;•r:
1.:S-.bsr,. r�,�• Wr!'r.',,.,v.:a.�"•: •!":i:;t!r.r::t"• A rl�, •i•
Z'a'Floor F+'' ii lr.?,._ c �gY 1 • .}'J�s':; gJ_�'f,�, ;l a;: J }'{,'
'�.�5 J 3F'• y Tr.:.'i';'�.' t}r. -•:[oa7.r„+'.• err r:- cK.P •
h7 'n ii},' e: °,,r`'�e Ji4l�aC��:M�:�'a'^s,4+Ti+'``'`!•-:,�::'.
3 Floor age,
't(��• I' > l,l'! chi,,,. „4. 'F••.
47 :: _ .' • J'�,o."..;k7L3 1. .•A•:11 F:.•,:.i:••�'• tq ;,_
�4��_1 Z..:,a����"�'��'r%}�lt;:,. .•'::. � l
Mezzanine: • `�I'1 tj:7`{pF i�� b ff...01 ,. ;.•�}�r zry } 1'
• +' J' or�.ti411: L Ci ,.. l r'•: �••-�• •^-f
1P•:. :!lr.Y.i�aJ. .���+tii::r��+�':11�d:rt•:.T'l•. .5'_�i
t.. '�r�'.�W,�.^-, ,r'.•' fir' "F"�V1. !{�,,:11.• .._ ;;t7
:ti '. I 4'""u is;,r
Heeled Basement !'!re 11 1 S, 4r i' 1-n2?SNP:!
�';• g +i•: +Ca LY__ ! Nt'..I';dr`J.�'...Ilwr•"..-f.:n••`i;:Li:,..if•...Jt".
Unheated Basement �— e f•,f1_7.•�iJ,r "�;� �Y^'r;+f�`•1"sl': fr.. . -c:..F ��
`���iy 4�`{r�;.��pY.�•ff,Lte: ••' �L,S.T,`:•�a,y.�r�i�r�y..y{ yf�Rt•'':1:`; .n: i'•', . It'��.i 'rid .ti
_ Ys7�• .'4) �>r .•W_.4'.n,J�li� i....ti:�'.�e. .nl:bJ[ltii; ✓r1
I,.....;b'4 I.IF,'• 1' • .1-,a;• .,1 t 4 f::V-1 V,',:r .i••.,, -
Olher Unheated 3 ?i' F r r: '. 2 1 :Ys
i/ / cif Soo• k'•ko / :i yr•ii,i�iff.j:w"ai.,, Y
.�..,`/ei�',ww (''717) i:h�.c L�,.,a�ek��l4�i�`. .�.:31�r.' ?�".i.n.::'��..;.:'. �'
t Qr�n♦pl t t C w •3g 3NYP ,, ' ,,, .. �iTi7,,,.4 )'r 0 i.s iwt � '11� '' �] Pi:
5' J uQ 1,,., yy ` r ^ 4 iflre'n .•:KIfrr. r'- i 4ili C a N4•
1.:•'• ' r 4r
Other r • 1 C f'ra ! 1 •'••at " a.Urio- r''I": 5,'•°'.1'r'.I• i; _
.. .:z 'rVP,..-
�:ram �:•- ;G;• >,'.7. ...:J:_�:•.; . u•..r '. ,
Elf MA COST UI^ ?r'•'�'••• , 1'at' :..:c:_:.,�:::ti'' - I: '. a / 'Gs
.P airmerkel value of all labor and otiala Foundation to finish R , ,• ';L' , '_;k..•..'i:�::;'; : -4Y•
trier � "` i%',ti w ,,�p "�. ,-..;.;I,:.I.J,':'
t3: 07;3I4,9` 2
�Perndaraoncc�PbRM5W1tD FORMS pw�e Application
escriptive Approach—Simple For
For the Washington State Energy Code (2064.6.econd Edition)
Climate Zone 1
Site Information Building Department Use Only
Lot: (9'm/2/ 7rroce 2i✓. 4 /c t -3/ Permit#:
Address:s� /V� �f?S/p oee GOaf Notes:
/O
City: r L L /as vv
State: /,()d Zip: 9(393 t S
Contact: ✓e( Eilag9pr
Phone: (sec) V.37- 2./0/
Phone 2:
Fax: (340) Y37— 25ZZ
Table 6-1
PRESCRIPTIVE REQUIREMENTS°'1 FOR GROUP R-3 OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U-Factor Wall Wall Wall Slab4
Arealo Door9 Vaulted Above Into Ext4 On
Option %of Floor Vertical Overhead" U-factor Ceiling Ceiling; Grade Below Below Floors Grade
Grade Grade
IV. Unlimited
Group R 3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
Occupancy
Only
See the code text for footnote references
This project complies with the following:
✓ The project is a single family residence or duplex.
✓ The project is wood frame OR all of the insulation is interior or exterior of the framing.
✓ All building components meet the requirements listed in Table 6-1,Option IV.
✓ The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
❑ 602.6 Exception 1.One door,that is 24 ft.2 or less,that does not meet the standards is allowed.
Location of the door taking this exception 111,9
❑ 602.6 Exception 2.Doors with a U-factor of 0.40 allowed without calculations,Option IV only.
Location of the door(s)taking this exception Ai/A
WHOLE HOUSE VENTILATION ,
Fresh Air Intake: Choose One
❑ Window Ports (l Wall Ports Integrated w/Forced-Air Heating System
This last option requires a 6-inch diameter dud to the return plenum with a damper that regulates flow at 0.35 ACH MIN to 0.50
ACH MAX,and an automatic timer to the fumace fan.
Location of Whole House Fan: Choose one:
ice+ Central Bathroom n Central Hallway n Other
WSUCEEP02-141 Prescriptive-Simple Form-Climate Zone 1 12/23/2002
MT CONSTANCE WAY BLD05-75 -
PORT LUDLOW ASSOCIATES LLC
ea
Approvals Req'd Prior
to Final Inspection
SEP
RAP
ZON
SIPZ
DPW