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Home My WebLink AboutBLD2005-00110 I ILDING PERMIT APPLICATIS MLA05-00121 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00110 Received Date: 2/25/2005 SITE ADDRESS: 21 FINCH LN PORT LUDLOW, 98365 OWNER: PHILLIP W CLIFFORD JR PHONE: 360-437-2440 21 EAGLE VIEW LN PORT LUDLOW WA 98365 SUBDIVISION: BRIDGEHAVEN DIV 6 Block: Lot: 12 PARCEL NUMBER: 935400012 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: HOMES BY BLAKE PHONE: (206) 915-2165 14831 228TH ST SE SNOHOMISH WA 98296 Contractor's License HOMESB*983RU Expires 12/31/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDING TO EXISTING GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 14,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 440 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: F&W Landslide op /03 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $237.25 BAC 02/25/05 71487 APPROVED Plan Check $154.21 BAC 02/25/05 71487 State Building Code $4.50 BAC 02/25/05 71487 MAR I 1 2005 Total: $395.96 Jefferson County Planning & Building Department BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00110 Received Date 02/25/2005 SITE ADDRESS: 21 FINCH LN Issue Date 03/11/2005 PORT LUDLOW, 98365 APPLICANT: PHILLIP W CLIFFORD JR PHONE: 360-437-2440 21 FINCH LANE PORT LUDLOW WA 98365 SUBDIVISION: BRIDGEHAVEN DIV 6 Block: Lot: 12 PARCEL NUMBER: 935400012 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: HOMES BY BLAKE PHONE: (206) 915-2165 14831 228TH ST SE SNOHOMISH WA 98296 Contractor's License: HOMESB*983RU Expires: 12/31/2006 PROJECT DESCRIPTION: ADDING TO EXISTING GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 2k 0055V UFFER: lvux�E Footing: &lf— S1 T 1 Foundation: c$( S/j7/o5/J Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : ` E' `) Sheathing: Framing: ,,occur,. e"A's �i?a Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ok /8/."- HEALTH DEPARTMENT AND PUBLIC WORKS APPR• AL 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 CAE t BLD05-00110 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.) The-project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 3.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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). 6.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 7.) The building height is not to exceed 35 feet. 8.) Setback from Finch Lane right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 9.) 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. 10.) 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. • • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 cr.t fIn CO `.,._. _ if ,a uJ , C� 4 1 Z r .c ,7,1a ►, .i>,ecy) y 2 i c; (\.: , ko *..., \.0 _____ - �/ �-� w � . .� i Lk,, r 0 \-, cv ?-%( /' C.: .4) / / N,,.t. ›• ''!.) R 6-4\ a o cn � w �. o AO H CC w Lo-"' fq- 750 Sl ?-"r AePP a 'wa H CI 0 "'-'r LoT 1�. °tL' G B6\9G-t- f\ t ` in III 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: Date: 1-E B 2 5 2005 GENERAL CONTRACTOR OR MAII ACTURED HOME INSTALLER: PHONE: FAX: t)I, MAILING ADDRESS: '% ��` �t �j`t=ra�4� �7� t�I. E_.w�1k:K-�= EMaL: CONTRACTOR'S LICENSE �1 :} V �, is) :3L `j WAINS NUMBER: rl O )i':..") 'i� 7 c -- (..,. NUMBER ARCHITECT/ENGINEER: V t R . (--f ` PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ Ne ❑ Wood Existing: ❑ Sewer ddition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: ,y Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Bedrooms: pp y: `q -/7 ❑ Demolition ❑ Other: Water Su Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 0 f tri Total: t Name of System: t-)/ti) i 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 ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ 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 FpeOfflce'UseOnly Current Proposed Amok t III ., , , .Main Floor Consistency Review: x 2ND Floor Base fee: . �G, q 3 ,'} , c� 3f 3 Floor Additional Seaton. , Mezzanine: Plan Check fee: • k,4 a Heated Basement StataeSSurcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: , ti- 3 Garage/Carport s `� (.) (L f C) (0 314. TOTAL: $ r4. {p Decks r�f Receipt Number: 0 f a ;' Other Cash/Check Number: 9 ESTIMATED COSTIREQ RED) Date *Fair market value of all labor and materials foundation to finish 1 4 e C co—` Initials: jl -r . G:\PemvtCenter\FO \DRD�F,QK�iS\Mastec Per�i�it Application 7-8-04.doc ;.. ON0O6 JEFFERSON CANTY • \ r�; ``4 DEPARTMENT OF COMMUNITY DEVELOPMENT q 621 Sheridan Street• Port Townsend •Washin�t on 98368 360/379-4450 • 360/379-4451 Fax F E B 2 5 2005 gSNG�p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 F 1Qi Project Description(include separate sheets as necessary): -9-c)C10 C-- e'''�'\ e^ x rSiIRriC% C"4 % Tax Parcel (,, 2 Property n , c C (acres/square Number: '� )5��% \ �� i Size: '�i ��`-�(., i I ( q feet) Site Address and/or Directions to perry: \ t,t.�,�( -\ �. i)`., i,, ` L._-U�� €. Property Owner(s)of Record: 1 \\i~L--1 `.�% ' L\�\`111 C\ k\--(--fit `�' Ji- Telephone: <(,-C% ) ?4-1 C� ` Fax: email: Mailing Address: 43 _ t t\ -Y‘ l_\-1 (-3-C L�,Okt i:r L 'le el '?,c= Applicant/Agent(if different from owner): PM(A _'[is .C:c C,'l€> C F-k 0 - s-1 B' . Telephone: :�c, 41 t S \(9.., Fax: email: Mailing Address: `iL> \1 b`e0c--k, 0 tj (--ev L.-v 0(v`--; --it.-)'a+ 3c--5---- 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 C]** ❑ Single Family El Discretionary"D"or Unnamed Use Classification Ct'>;arage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat'"' ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions*" ❑ Stormwater Management O Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment El Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment 0 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 . I\---) yC C r - " _'? to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE J ( ' 4. ' ` -" Date: .(1 By signing this application form,the owner/agent tests 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 falseh 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 a ' and right of entry to Je rson Cqunty and its employees,representatives or agents for the sole purpose of application review and any requir late inpections.Accl.ss a ght of/eqtry to this property shall be requested and shall occur only during regular business hours. - ' Il Signature: Li , Date: 7 •> f 4.iV_ (' ' G. 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/ndividual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re i pliance with the Jefferstitp County development code.The Applicant acknowledges that he,she or it holds individual and non-trarlge es� ibilityifor ad eAtig tt and gbrtt� plying with the ESA. The Applicant has read this didaime�td�/signs and-dates it below. Signature: '� _ Date: L i �1i ,4 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc IM. -0 M D f f ., tt m 6', �j' G �1 \ Cf.g(v \5'0 0 k iI F - \ m ��Yr c/p aCY o lsLDiri06c_V 3 �� 1� mon CA v D C) 4" r �� m E m ICJ W ct n O • n cf, r z a m G cn _ / c o z . m z c 3 CO m p -_ 7J O • -n m z cn 0 z 14\1\ -mv o C7 al Cl > t( e F 0 73 GI cc►y ` 4: 1 ran 'iO I\! C� (-----) s T �m o ,t, t m am * O a. o •0 .41 m O O Zi/) zy , r co* oe r=-, v m I:Im '_ ii c O * • m o$ * o c r__-_i fji_i 0 ,...mi MO area rn TIN -I- '-- eCP coenag * ;oo v * v ill