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BLD2005-00089
• , CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD05-00089 SITE ADDRESS: 740 RAINIER LN Issue Date: 04/7/2005 PORT LUDLOW, 98365 Final Date: 01/10/2006 APPLICANT: NORTH SOUND NO 1LIMITED PARTNERSHIP PHONE: 206-786-5714 C/O KEVIN CROSS 321 HIGHSCHOOL RD NE#265 BAINBRIDGE ISLAND WA 98110 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 67 PARCEL NUMBER: 990700067 Section: 17 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & A/G 120 GALLON PROPANE TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 01/10/2006 �2�' 67/(, / �� 42`� ' �%�'Z-fit ) /J64 Building fficial Signature Date I:\F_BLD_Occupancy.rpt 10/29/19. • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 • (360)379-4450 FAX (360)379-4451 PERMIT#: BLD05-00089 Received Date 02/16/2005 SITE ADDRESS: 740 RAINIER LN Issue Date 04/7/2005 PORT LUDLOW, 98365 APPLICANT: NORTH SOUND NO 1LIMITED PARTNERSHIP PHONE: 206-786-5714 C/O KEVIN CROSS 321 HIGHSCHOOL RD NE#265 BAINBRIDGE ISLAND WA 98110 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 67 PARCEL NUMBER: 990700067 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: WEST SOUND DEV OF BAIN. ISLAND PHONE: (206) 786-5714 321 HIGHSCHOOL RD NE#265 BIANBRIDGE ISLAND WA 98110 Contractor's License: WESTSSD966R2 Expires: 12/22/2006 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: OK 4/oS UFFER: /✓o Footing: OK 9/-e4S' Foundation: Dk W/&id S//oS Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : I 8/z/U5'. Sheathing: J Framing: 22,E e/z9/oS 0W Plumbing: dK BAz9/OSA Propane Tank/ Line : / S* Insulation: ©le/, eejl / Sheetrock: OX 'Was Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: O -c'o,- .et/6 1tb/oh. 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, BLD05-00089 1.) 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. 2.) 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. 3.) 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. 4.) 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. • 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) 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. • 7.) A Stormwater Narrative 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than two (2) unlicens7or inoperable vehicles shall •.,, p be stored on any lot less than•one-half acre unless totally screened from view of neighboring dwellings and righ'Is=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 §uch 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). 10.) Maximum lot coverage is not to exceed 45%. 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.) Minimum setback from Rainier Lane right-of-way shall be 20 feet. Minimum side and rear yard'setbacks shall be 5 feet. 13.) 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. 14.) 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. 15.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the MPR-.SF zone. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 17.) All stormwater from patios shall be dispersed of on site. The driveway shall be at such a grade as to allow the stormwater to enter into the county road ditch and shall not be allowed to drain onto neighboring properties. Vegetation within the 20 foot front yard setback shall be retained as much as practicable. 18.) The lot is subject to plat conditions as recorded on February 25, 1974 under AFN 221956. • • • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 •UILDING PERMIT APPLICAIN MLA05-00093 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00089 Received Date: 2/16/2005 SITE ADDRESS: 740 RAINIER LN PORT LUDLOW, 98365 OWNER: NORTH SOUND NO 1LIMITED PARTNER PHONE: 206-786-5714 C/O KEVIN CROSS 321 HIGHSCHOOL RD NE#265 //¢X 955 ,-/0/5 BAINBRIDGE ISLAND WA 98110 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 67 PARCEL NUMBER: 990700067 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: WEST SOUND DEV OF BAIN. ISLAND PHONE: (206) 786-5714 321 HIGHSCHOOL RD NE #265 BIANBRIDGE ISLAND WA 98110 Contractor's License WESTSSD966R2 Expires 12/22/2006 REPRESENTATIVE: 712 4 ,22`aie.iL2 97 1 39 2 PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE & A/G 120 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,884 VALUATION 233,050.00 ADD'L: 536 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 575 SHORELINE: CONST TYPE: DECK: 110 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES_ NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 4 Seismic Streams Total: 3 Total: 4 Flood Way Floodplain Routing Date: F&W Landslide /z-3/©� � Shoreline Aquifer / Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: w �� e Permit $1,744.15 BAC 02/16/05 69098 H ake/ED Plan Check $1,133.70 BAC 02/16/05 69098 State Building Code $4.50 BAC 02/16/05 69098 APR - 7 2005 Potable Water Application $53.00 BAC 02/16/05 69098 Jefferson County Planning Total: $2,935.35 &Building Department Rug 28 04 07: 05p • p. 2 yf 6 i . \ a. . .1. 1 . ___ r • '0p .-- '. ...5' •-/ W X () P • 1 \ . . r rj‘ 'I , Crr�_ 1y� � � � l c vVXG � <pi ott D IS -el ---:---. _IF .40 ' N_ 1) v_,,t 71_(." . ___- -----:-.-77---7:-..------------ 1 .) 1- 0 ......_ _.. . . ____ , 1 . _;_. _.: ._... ... ......._ _ _. --kt,.. -I 1 , ��D aye ' ,c�,c3o�' bv.t L la r=� t�P, �, 1 r , ...:i...L....... , _ i 1 1 _1 r i `k), i AtA,-. 0.t", :Z _ i , % g„r2y-40"t7 -c-x' i \ 1 ?;, 1 Cr r2,4,04 PocJi- ta6rA-1111° r-r P k • N vtx..2.4102., " , c....0(0,0, 67...n1/4.-.-- 5 -3:1 0 -1---rer . ,, v ot si--;.-kP 1 c„,,e. ) . 1co --ia)., ? t 0 _` t 1 tic, 1 _'-- c 1 \ LIAR 2 3 2005 ' -. i,goN c06. JEFFERSON JNTY , DEPARTMENT OF COMMUNITY DEVELOPMENT t + `'4 621 Sheridan Street • Port Townsend •Washington 98368 FEB 1 6 20�5 360/379-4450 . 360/379-4451 Fax f .qt, 0 www.co.jefferson.wa.us/commdevelopment �3IN i , , ,; ,,,, Master Permit Application MLA: OS q3 Project Description(include separate sheets as necessary): Tax Parcel Property Number: `% U -7 D D 0(07 Size: (acres/square feet) Site Address and/or Directions to Property: 43 Q-%.c�.2._/- L. Property Owner(s)of Record: t'1O I I-, S e" J It / 4,,,,s.,4,, P -)-n.rrl. I, Telephone: 2 0 6--7 66—S7/y Fax: z D C.- t31/453---/o/3 email: Mailing Address:a%) ge,...-. Crum 3Z1 H/•yl sc 1,„o/ /t.ci /'//5 *142.45- 8s,.,C,.,J5, ,fc/t./ 4J ss,, , Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) g Building 0 Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** g Single Family ❑ Discretionary"D"or Unnamed Use Classification y 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** 'J Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDYAmendments** 'Propane ❑ Plat Vacation/Alteration** ❑Mowed"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 0 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: 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 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:—" -- 6 w,,cr,/ ',IN.—c.v./ Date: 2—/e/—0 3— 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 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: v..< r,„ N1^.w � Date: 2. `it/--o;- G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • 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 responsibility of the General/,Contractor for the proposed project. Signature: �c... / 4-- / Date: Z --/Y "'- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: G PHONE: FAX: West Soar.) I<i(R to f 0%J..ft- ,i 13�,�b r-, 1f/,---,./ (20c. ) -786 S7/(-/ (2-6) ,53 «,.3 io MAILING ADDRESS:32.i N/ghrt o l ',pcIIZo, D.2, 0., S$tL EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: i'Ve64'SS D o110 b R 2 NUMBER ARCHITECT/ENGINEER: Mc.r•sk m t;h h< jfs4.,..v,, e ,Jr„ PHONE (3(e) ,cq-7,)13 g :( ) MAILING ADDRESS: Py O. R v>, yt 0 Kt A..5,r /J . "l F 3 1-7 Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: gt, New X Wood Existing: 'Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: ty Height ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms 1Water Supply: Existing' ( ;'• t i Spt14ck t p Private well ❑ Two Party Typeof Heat• Proposed: )I L: ' ` I ._ _._,; 1 'S Public Total. • Name of System: E ` ' F EB 1 6 2005 r If this is a Commercial Proiect you must answer the following: !-._.Number of Parking Spaces: Current Proposed ! Number of ADA Parkin g Spaces: Number of occupants(includes owners,tenants,employees,etc)'f7rrnent ' (' `.*oposed 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: 0 Underground Tank liC Above ground Tank Size of Propane Tank: /e o ❑ Heat Stove ❑ Cook Stove ❑ Woodstove K,Fireplace Insert ❑ 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 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 For Office Use'Only .,,z T 1 x N ,e'WIM� * "4" V44t X.. Current Proposed t, , ,i„ Main FloorConsistency .H � r Review: �a,� � °�x . M Base fee: i , 4 2 Floor ..53/o L tVT•`i' `'{ 5 r r V .,;H 3`°Floor ' ° ', ` `JI � Plan Check fee: �`� ''" K Mezzanine: t � �» ,� x f 1133.7C), Ems.., ., x Heated Basement Surcharge fee: \.� '� � ', ...._ .. .• ../t� 4: ram'. h '.tom F y t4 Unheated Basement -Pot Water Review fee: 1' Jam'' `--- , '` fr �. a Other Unheated - 911/Rd Approach fee: 1' rf� TOTAL: $ 3l 65 . ,it g r , :- K, Garage/Carport S `�!Z 7�� i ,; 3 t Decks 1 1 U `Receipt Number* 10g0 .., '-• Othero h/Check Number• �t Z Y � 6.7; K')� `. 't.I M�i� i x.. �s F'ty faq kij ' t l..ESTIMATED COST(REQUIRED) „ Date: x' ,,, .Fair market value of all labor and materials foundation to finish Initials: 17O,0o6 G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc