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Home My WebLink AboutBLD2005-00108 ItILDING PERMIT APPLICATIN ML v Reviewiew T Ty115 ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00108 Received Date: 2/24/2005 SITE ADDRESS: WREN CT PORT LUDLOW, 98365 OWNER: JOHN S SCHMIDT PHONE: SANDRA M SCHMIDT 6265 CENTER RD CHIMACUM WA 98325-9785 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: PARCEL NUMBER: 990500013 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: DEER MEADOW HOMES PHONE: 6265 CENTER RD CHIMACUM WA 98325 Contractor's License DEERMH1984NN Expires 8/15/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE, DECK & A/G/120 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,809 VALUATION 187,502.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 576 SHORELINE: CONST TYPE: DECK: 500 SETBACK: 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: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide Z Z?/&SShoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,486.55 BAC 02/24/05 71524 APPROVED Plan Check $966.26 BAC 02/24/05 71524 State Building Code $4.50 BAC 02/24/05 71524 MAR 2 2005 Potable Water Application $53.00 BAC 02/24/05 71524 Total: $2,510.31 Jefferson County Panning Building D partment BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-001 08 Received Date 02/24/2005 SITE ADDRESS: 21 WREN CT Issue Date 03/28/2005 PORT LUDLOW, 98365 APPLICANT: JOHN S SCHMIDT PHONE: SANDRA M SCHMIDT 6265 CENTER RD CHIMACUM WA 98325-9788 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: + PARCEL NUMBER: 990500013 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: DEER MEADOW HOMES PHONE: 6265 CENTER RD CHIMACUM WA 98325 Contractor's License: DEERMH1984NN Expires: 8/15/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, DECK & A/G/120 GALLON PROPANE TANK CALL IN FOR THE REQUIRED 1N PECTIQNS THAT APPLY TO YOUR PROJECT. SETBACKS: ( ( />/, l'.:' t, / UFFER: AL Footing: 'TPA 6Z:gm Foundation: APPrge'A b 8Y F. B. 6-1?'05 Stormwater FINAL Approval: €91( t/ive^'-A. ( rerx,cc.J>.,,,.' zyiy(z.,,- Underground Plumbing: Underground Insulation: Shear Wall : IY< f9/t/DS /V/ Sheathing: / Framing: DE frli.4.745 Plumbing: OK // QS ii.E.Atet 9�/ld6(' 1 Propane Tank/ Lines: L4u6s 5# Insulation: ��d�1s 410Aaar� Pzit-i�►s A i//os aite•466 &k /t1124407A. a/�/3 9�,5*- Sheet rock: �i-r ,vim Ss""_}4-l'�,c° �El A7,e 'A ' 9/21/ 5- Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 2-,t. '-...r CA) i OS be 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 P • SPECIAL CONDITIONS FOR CAt BLD05-00108 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.) Minimum setback from Wren Court&Osprey Ridge Drive rights-of-ways 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_Permit_Buildng.rpt 10/29/19 ON 't ' i co& JEFFERSONIgUNTY -`. ___ . _ i , ! ' 1.4 DEPARTMENT OF COMMUNITY DEVELOPMENT ! i i; I, 621 Sheridan Street• Port Townsend •Washington 98368 F E B 2 4 2005 1 it 360/379-4450 • 360/379-4451 Fax I vq c$ www.co.jefferson.wa.us/commdevelopment SNG�S 1 Master Permit Application MLA: uC) - I l Project Description(include separate sheets as necessary): j y N E:11. 1 ) '?IN t-- ,E l t�1l-`1' 12€S t Det•(,&- O./ iht /11 c��f 6c tiv y - Tax Parcel Property n p Number: vl I 0 j cv f-3 ca 13 Size: 17 i 000 .t — (acre uare feet Site Address and/or Directions to Property: 6.0 o F DS Pt P--1 p&- _ De_ . U-, G—N c. ' Property Owner(s)of Record: )/k J I\7 '5C-t*tnn,C7'T f n - V f jM€S -4\1C-- • Telephone: bo -7 3 2- P-(�� Fax: _ / email: t 9L(T`L.0 o t_i! -t`i, t..f Mailing Address: ,2.(0�, Cc i i ►O c r41 tib est , (O32 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building ❑Variance(Minor,Major or Reasonable Economic Use) Dpemolition Permit ❑Conditional Use[C(a),C(d),or C]** Single Famj ❑ Discretionary"D"or Unnamed Use Classification f'Garage Attached)/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufacture ome ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** •� 'ddress Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** Propane ❑ Plat Vacation/Alteration** El Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** El Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance El 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: DESIGNATION OF AGENT I hereby designate ka 111' C,kc,l-wG-t I I)T to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: `— i `67- 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 rovide,a d rightret entry Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r ired er spections.Access right of entry to this property shall be requested and shall occur only during regular business hours. 1 Signature: i Date: "I("t— The action or actions Applicant will undertake as a r utt of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"hake"of an endangered species as those terms are defined in the federal law known as the "Endangered S. 'es Act"or"ESA."Jeffers° County makes no assurances to the applicant that the actions that will be undertaken because this permit has bee . 'II n ate the ES . Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if • :re liance with th Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe ., - "-. ibi i f he'n to and complying with the ESA. The Applicant has read this dis aimer a d sign es it below. Signature: + Date: �" I —0 G:\PemtitCenter\FORMS\DRD FORMS\Master Permit plication 7-8-04.doc • 1 111) OWNER BUILDER STATEMENT 11 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 11 they will be assuming the responsibility of the General Contractor for the proposed project. 1 Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: D 6t - Mc-15126W Ftt5 4- C, - ( ) 30 i - 9-166— ( ) MAILING ADDRESS: EMAIL: h LlT2--s Oil_`t Icy J _ Co CONTRACTORS LICENSE WAINS mil, NUMBER: -.j2-,M '_I a LI Ni NI NUMBER ARCHITECT/ENGINEER: 'Bo i L I1>c"rL S S 1(,-/J (T'RCU?PHONE (`3 b0) 373-'7 o l3 FAX: ( 3‘v ) MAILING ADDRESS: 1 I ILW -,. 1'�N( . iz-j �,�,1ge St,pi, 1C4f-lL-t2, OO''((�33'' i,.s� qb3 i b Ci�=- Pr Type: F9me Type: Bathrooms: Shoreline: T of Sewage Disposal: New Wood Existing: Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: '?,-- Height: ❑ Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Dtpe of Heat: Proposed: 4 Public - -t�c R t s- Total: '^L Name of System: ( -1(N1 PI t-- -'f1?-t 4— - . 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 appl ,❑ derground Tank Above ground Tank Size of Propane Tank: :_ -'�_ J 0 He lat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot - 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 Foe-Office lUid Only `; T nri; sIP<-..', Current Proposed Amounts i ' /� Via; 4. Main Floor Q/ ik Consistencyfteview _"dg ,;: 21441'Floor Base fee: j- 3ro Floor — Additional Section: i Mezzanine: ,.----flan � �., _ °fee: ��"� Heated Basement Statgt? iarge fee: �ffB 2 4 20G�5 I ..1,- 11• 00 Unheated Basement Pot Water Review fee: �� - k ,— ' � ' Other Unheated fe9 n1 Garage/Carport 9710 51�,(J� TOTAI_t ` Q 1 Li tJ` .51 1 Decks - `'o V e,, Q 6 J 1115,c Receipt Number: d/5 d_ Other Cash/Check Number: . r; 7 ESTIMATED COST(REQUIRED) ai,50,.,,,,,..: ,- .F it market value of all labor and materials foundatsh I. 4 �) go r 000 Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc