HomeMy WebLinkAboutBLD2005-00112 lit
ILDING PERMIT APPLICAT R Review AO yp1e23
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00112 Received Date: 2/25/2005
SITE ADDRESS: CARNEGIE AVE
PORT TOWNSEND, 98368
OWNER: MERIDIAN MTG INVESTORS FUND II PHONE:
605 5TH AVE S STE 850
SEATTLE WA 98104-4438
SUBDIVISION: IRONDALE Block: Lot:
PARCEL NUMBER: 962115123 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301
605 5TH AVE S STE 850
SEATTLE WA 98104-4438
Contractor's License MERIDGL973BG Expires 1/7/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE
•
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,214
VALUATION 125,850.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: . OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 464
CONST TYPE: SETBACK:
DECK: 140
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD 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
-121 C CgOj Shoreline Aquifer
Forest: Commercial Rural
Type Amount.Paid Bv: Date: Receipt: API5 p roved/Date
Permit • $1,139.35 BAC 02/25/05 71555 OVED
Plan Check $740.58 BAC 02/25/05 71555 MAY 10 2005
State Building Code $4.50 BAC 02/25/05 71555
Potable Water Application $53.00 BAC 02/25/05 71555 Jefferson County Planning
Total: $1,937.43 I 8 g Department
•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00112 Received Date 02/25/2005
SITE ADDRESS: 193 N CARNEGIE AVE Issue Date 05/10/2005
PORT TOWNSEND, 98368
APPLICANT: MERIDIAN MTG INVESTORS FUND II PHONE:
605 5TH AVE S STE 850
SEATTLE WA 98104-4438
SUBDIVISION: IRONDALE Block: 151 Lot: 10-14
PARCEL NUMBER: 962115123 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301
605 5TH AVE S STE 850
SEATTLE WA 98104-4438
Contractor's License: MERIDGL973BG Expires: 1/7/2007
PROJECT DESCRIPTION: NEW SFR WI ATTACHED GARAGE
CALL IN FOR THE EQUI D INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: S'1 .
UFFER:
Footing-- _ `/c.cwh s�z/a1-
Foundation (o -(3 -�
Stormwat 'FINAL Approval:
Underground Plumbing:
Underground Insulation: c,�
Shear Wall : MI,- ('J✓ "�-JLa', U MIT- 'FliJISN 6.14 t0G 4 i►2oo..., osa silt"'" igt,y-ZR4y
Sheathing:
Framing: p k , ,r4 Np/fin.•,5 8/!/o'' Jr
Plumbing: ,Ok ci/c'si'1(Zzi/exf,,5 h/9/65 A/
Propane Tank/ Lines: l r*,4k ,9/0 5- /
Insulation: 4)q[LS $-/Io-a&
Sheetrock: v
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: /0 7-'os`'
HEALTH DEPARTMENT ND 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 CAI# BLD05-00112 •
1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
2.) 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.
3.) 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.
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 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.
6.) A Medium Stormwater 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
•
8.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on!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).
9.) 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.
10.) The building height is not to exceed 35 feet.
11.) Setback from N. Carnegie Ave. 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.
12.) 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.
13.) 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.
14.) The road approach permit(RAP05-00050) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this-residence. Contact the Department of Public Works at 360-385-9160 for the final
road approach inspection.
15.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
16.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
SON C "5 x -I .. .:
, 4 OO,. JEFFERSON OUNTY _,,
ti ' DEPARTMENT OF COMMUNITY DEVELOPMENT -P�' '- t3 (a-1-4e�(Ga��
621 Sheridan Street • Port Townsend • Washington 98368 ,r SU c z 833
itoor360/379-4450 • 360/379-4451 Fax I
p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ` 6 S t I2.3
Project De§ ptio nn(include separate sheets as necessary):
e.
Tax Parcel Property
Number: q(9Z !IS- 113 Size: ( 2( ( (acres/square feet)
Site Address and/or Directions to Property: aXX 7..1, rike__,m__AG ]t_ (-)p-F- /1-0 D vpruiAtic
Property Owner(s)of Record: ^FIZ ()f(-
Telephone: 2()(9 VA CA301 Fax: ZQ(, (oZt ct"Y2) email: key 1PO4eridio.t,. 9repvtjQid-LA.^
Mailing Address: COQS'-A"jr <-, f-rr, tt;fq i ' --rr L../4 qP1 o4--
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
Zhat 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]**
j4Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* 0 Binding Site Plan**
❑ Change of Use 0 Long Plat**
X Address ✓ I Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
$ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
0 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
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 attorney'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:-Acecss an ' t of entry to this property shall be requested and shall occur only during regular business
hours. - ,,/
Signaturk---te a' Date: i{QZ/05—
nis
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-transferable re ponsibility for adhering to-a complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: - Date: Z432/(6-'
-
C:\Documents and Settings\mochii\Desktop\Master Permit Application 7-8-04.doc
III F. _,_. ..,._.._. c. /Z-
OWNER BUILDER STATEMENT 1
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. 1 ', pMfrnl. Z i#� tl3J
Signature: Date: I.
,l
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: Arco, I6....ITt1 PHONE: ` FAX:
- ae-1 p likk') G25f N F 1&c..9 -1 4 K9Z1 t�,,DD .1 ^ )C921 G' O
v
MAILING ADDRESS: l0� ��_�� �f��4�� EMAIL: ke�T^@u.terlk)<itelfifyttnPek6•
CONTRACTORS LICENSE WAINS
NUMBER: .21 GI 9-3.3(2— 1/It lug NUMBER
I
ARCHITECT/ENGINEER: '"',�i+O� / PHONE ( D)G)Gt..-5 ��^� FAX:(apD)�s 5,-
MAILING ADDRESS: A EMAIL dtLlc �tvk tt7JJ.4 t_c:ILAA
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
g New Mood Existing: 0 0 Sewer
❑ Addition 0 Steel Proposed: 7 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total Z. Height: idividual System
❑ Repair ❑ Masonry SEP Permit#
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 9Setback:
0 Private well ❑ Two Party
Type of Heat: Proposed: 2 Public
e c C. �O(cec��rt Total: Z /- Name of System: r3:
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:
I Underground Tank i Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank I Pellet Stove i 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 Tor Office Use Only M;4
Current Proposed t- Amount ,
Main Floor Consistency Review
2Nu Floor Base fee: it f t
Ct. 35"
3`0 Floor Additional Section:ii '.
Mezzanine: = Plan Check fee: 1 .
CfeD
Heated Basement `r,:= State Surcharge fee:
Unheated Basement Pot Water Review fee: F?Met
Other Unheated 911/Rd Approach fee: 47.00
Garage/Carport TOTAL: $ 21 b�L4Z
Decks `\\. T O\'l�"f Receipt Number: /I may ' J
Other ' Cash/Check Number:
Lt5I2-,
ESTIMATED COST(REQUIRED) Date: •Z./zsloc
.Fair market value of all labor aadtsaakarial undation to finish
c
cg /, Initials: e
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
Feb-02-05 02:33pm From-Meridian Grl f Companies 2066219750 • T-205 P.002/003 F-286
Lai /2—
OWNER BUiI-DER 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: Data:
GENERAL CONTRACTOR OR MANLH ACTuREo HOME INSTALLER: ATTpJL lesivrri . PHONE: FAX:
•
f"3, 4`Vr IlkAY-Z.%DAAll .4t7.5lk\c f Et aQ 12:LP)COZI�`^ 1 rAD)e92 I cj co--
O
MAILING P CRESS: (A� 7,p.-� S.. ) EMAIL: l'p.c`I� uvlPri6vavjei frycui ,Np•
CONTRACTOR'S LICENSE • WAINS
NUMBER: 1,-A 1061,_,C{I' ,G•• 1 A i le _ NUMBER
ARCHITECT/ENGINEER: ■q 11-1„t0v.-3 PHONE (x110(9)(i3-,e1-1 FAX:( p) z !`��s,35r
MAILING ADDRESS: EMAIL d.c ,..r,Pw.•.�l-1,Ls.- - t�� �
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New X..VVood Existing: 0 Sewer
O Addition 0 Steel Proposed: Bank 0 Community System
U Alteration/Remodel R Concrete Total: 2_ Height: .individual System
O Repair U Masonry 44/Lk SEP Permit# •
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 9 • Setback: p Private well I:1 Two Party
Type of Heat: Proposed: -2- Public
EI c C.,'Wzi 3 Aft r Total: 14A- ame of System: -"Qsp
If this Is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of gp@ Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
I13C Occupancy: IBC Type of construction: . Will you have Food Service? Yes / No
If this Is a Propane Tank andlor Appliance Installation permit,mark all items below that'apply:
1 Underground Tank I Above groUnd Tank Size of Propane Tank: _
1 Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove 1 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 n r ll I wt '�I';11 1111ll, I'1 i 1 'Y I 1 I Ir a i I 4 Fn
� 1� 1 � �F � I l , iIIi�1�l#�P'IlIl�l�r��,lll 1 rl�' II, 1
` ,l �, I h I r I II I n J, i,IirIIlL,,1,„II
Current Proposed �pl UI I,I'I{Il�lllllilllll��hl ll l I I�I III i l' kill '��.I' �I ,
L I ILI II 1 ,Y I'II 1 Ilir
it
Main Floor Pm`• •W p I ;IIII a a'
tzi , r'►1 9q. ,I.,1�' ;I -, 1 ill ;p l�' ',VI, 11alill ry_�,G311 III ��I
2""Floor ,-�P( l'flVdlI�tthir l l�Iell� �I�It�I�Ilig I� EI G4910i1 '1 �4 i 11.111 It I 139'
31cl Floor l;.it 111110l ltiltlifl�lhi i �I{tllill��l� lV�i ��ll l r' 1l:l+.0 II II �I� ��:
Mezzanine: , ^1u y, ,, 1,' ; 1I 1 II Ii'I ''1 �'II' I ,I 11 I!t�Il.i;li71�11;�r,!IIIIlllii 1 ,I'1'II It `7�0•
,, I 1 ,II{I � I�', ! i ,�1 ,
Heated Basement Ip 11,1i .,;�� �!I'!'111
�.SIN 1J;i,r;,il 1 I'l ,i1 11l111 I I ' I So
I 1:Id4' ° 'I I'iii'.;vi0111li,Ji.11 11 111l'I.I III`0,!„�I-fill�I III IIE�1�: Q��
Unheated Basement I !l�'1!;:rilOtIll I f i'Iir�le:;illlllll p! ^41:1111� 1i6q�! i i. U'1 ,
cul a 11
Other Unheated q I' tE 1a 11�' f `I `''I'11 TI 1 1 ` '11 '1141II1�11 1 61�
Garage/Carport ' , '!• ,Iil III,„ li I.'1, �I Il;,j.t ,,II I, ,' II, i�'ill j'��
�Ay��l1f�1��' �1A �� �a��9�9,I1 '�Ilr!��IIINII�A��NGIII!��X1I ,1 If"1;�.I Ir ;( pj
!` - 1 IV��1 . IG d i1!,,II I .ill In l .:111,,IL11J1 r, iiWltRllYN11 1'L,lllll!,1•1'il`,111,,ll:l1llf l ���111 e �M '�
Decks �A �\ ^�a^.� pJ I p1l II L 1 „ l I III ��,I I I t," I, !'I , I 1,II IC IC'.I
1 \V 3,N '�.�� `i#t y i� Ill�l�l 1, � 111 I II, fill'I�.ly� � ,I I I; IIlll;l'I ll'�;11,`Ilyllll; !'.: I! '.
_ Il Ir ll 1J1111"II,fI IALI 1.1 I M l d�I,AII,IIIII 1, L 1111, �''I I,Ih Li' a
other lur V I
gT r L,� ,
1, >"' 11, I�Pf I� ,� u• 1Itl,I'pp1 II��I11 r II11�I I I}I I!gII Hill I`I� 11 1111111111111 11L1' � 1111 ,l e
1 I1"i1L}111 14 1111111'i 1;11, «`1 III,III gl ,I nit 1 l4,1l l'IILIq 1', 1''1,1 111111�1 :,P Ili 11 '. .
ESTIMATED COST(REQUIRED) +� tI I 1111,i ' IRI 1. u II p, ; I F1 ,I. .II i 1 Ial I q
'Ifs t1p'.flI 1 rh11�'„IIII,; 1 L.11II;11 III ,''N IIII I I1 I Illli I `
•Falr •
market value of all and ma foundation to finish l 1 r lvl l i j., I� h III�1i O.I h��'r'`'I,'!p i111`I i III��I l 11�r ,I.����i ��I I I,II I f1
II ' �Jfu „11; I p , i,„:
Q l i I ;Ill 1 F 1511.„I,0 ;III II II,API:11 1h11 d{i FI P11 ll�i'I II:i 4.11:„i l,';-' 11�1 1 , 41,i 11'I. ,I
� CJJV lL, i�'.i_ 1„,,I�.��1111..,,III,11,111 I. I'o 14,,,I!i;l�!u!,,,III,,,),ihoc!,iq,1,allilrrli,! IIN ,,�� U lot,,,,,,,,,.In'..1 I I '410 f�l,l•b.pl�lllq a •
C:\Document and Settings\mocnil\Desktop\Master Permit Application 7-8-04.doc