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Home My WebLink AboutBLD2005-00182 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00182 SITE ADDRESS: 201 ROBIN LN Received Date 03/25/2005 PORT LUDLOW, 98365 Issue Date 04/12/2005 APPLICANT: WILLIAM C HULINGER JEAN HULLINGER PHONE: 360-417-0141 771 STRATTON RD PORT AANGELES WA 98363 SUBDIVISION: BRIDGEHAVEN DIV 8 PARCEL NUMBER: 935900017 Se Block: Lot: 17 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: SFR ADDITION TO EXISTING GARAGE CALL IN FOR THE REQUIRED IN PECTIO S THAT APPLY TO YOUR PROJECT. SETBACKS: OS UFFER: Footing: O S Foundation: O 5 /a G Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: �5 Plumbing:_�, , Cfi��» 5 71 Propane Tank/Lines: Z/,) Insulation: -- 1: •4 dt '` Sheetrock: OA, _ Pow r& 7 �, / Septic Sytem Fina Approval (If not on sew )/' Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPRO'/AL RE UI D 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 CILDING PERMIT APPLICAN MLA05-00177 Jefferson County Department of Community Development Review Type: 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00182 Received Date: 3/25/2005 SITE ADDRESS: 201 ROBIN LN PORT LUDLOW, 98365 OWNER: WILLIAM C HULINGER JEAN HULLINGER PHONE: 771 STRATTON RD PORT AANGELES WA 98363 SUBDIVISION: :"'InkltigA4tN DIV 8 Block: Lot: 17 PARCEL NUMBER: 935900017 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION SFR ADDITION TO EXISTING GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 13,500.00 MAIN: 1,432 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 72 SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: iz__„/ Type Amount Paid By: Date: Receipt: Approved/Date Permit • $1,189.75 BAC 03/25/05 71586 Plan Check $773.34 BAC 03/25/05 71586 APPROVED State Building Code $4.50 BAC 03/25/05 71586 Potable Water Application $53.00 BAC 03/25/05 71586 APR 111005 Total: $2,020.59 Jefferson County Planning ksL427 g Departrnent Amennummi SPECIAL CONDITIONS FOR CA # BLD05-00182 • 1.) The west parcel boundary abutts a parcel that is designated Commercial Forest. A 250 ft. building setback is required from the property boundary adjacent to Commercial Forest. The size of this existing lot does not allow a setback of 250 ft. The new structure shall maintain the maximum setback possible. The minimum rear setback is 50 ft. to the proposed deck. 2.) 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. 3.) 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. 4.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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). 7.) 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. 8.) The building height is not to exceed 35 feet. 9.) Setback from Robin Lane right-of-way is no less than 20 ft., side setbacks are no less than 5 ft. and the rear setback is no less than 45 feet(adjacent to Commercial Forest). If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 10.) 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. 11.) 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. 12.) A minimum of two (2)on-site parking spaces is required for the single-family residence. I:1F_BLD_Permit Buildng.rpt 10/29/19 SON c = It: I I ,, ! l ,�.t, r;�'g �64 JEFFERSO(JUNTY ,, `1 r 1 '�' ' DEPARTMENT OF COMMUNITY DEVELOPMENT r ; �' _ MAR 2 5 2005 ,l, , 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax I �q O$ • www.co.jefferson.wa.us/commdevelopment i STNGZ 'l CFCs-.C " 'J Master Permit Application MLA: 06--- t17 Project Description(include separate sheets as necessary): tftitOst (i i Ao0i-rtoN To 6-4e2 ,-€_. _ Tax Parcel Property Number: (acres/square feet) Site Address and/or Directions to Property: z. K , ; 4,1 .,-1=ii;,Sr;:- t.:,,N,., L:;_5,,,,,; n Property Owner(s)of Record: :, +--i A V c.. . fi-- i-1. - ' r 1') 1 `-- tP6 _ is 6� Telephone: ? S '-/'7 r cf.( Fax: email: , Mailing Address: -2 i ' —I'' r7: 1 r C.° 7 , i 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) El Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** 'Single Family ❑ Discretionary"D"or Unnamed Use Classification (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** ❑Address 17 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 ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* El 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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: ) ' ' ) ) 1- _ - 1 ,; Date: i 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: -) if- _ fI r.,_ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r. • OWNER BUILDER STATEMENT • The signer of this.statement domhereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be asst ng theexes bility of the General Contractor for the proposed project. Signature: - ,;.�, ' •/_i `./ %ker; e Date: : j l"?./ , GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE MARWAINS NUMBER: 2005 NtitvIBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: E IL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New V Wood Existing: o ❑ Sewer of Addition ❑ Steel Proposed: -z Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: y Individual System ❑ Repair ❑ Masonry SEP Permit# s ci,.f 5- - ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: o Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 'z-. Public Total: 2_ Iv h Name of System:B ea r.C f i41\ k1>".P, _e IA' ty ram.dr; If this is a Commercial Proiect you must answer the following: N h___ 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 tg Above ground Tank Size of Propane Tank: k�C C- Heat Stove X Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /,No j 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 Current Proposed Amount • Main Floor Consistency Review: �- - ,1- gsLiso.96 41.00 2N0 Floor Base fee: 3`0 Floor Additional Section: ______—, Mezzanine: Plan Check fee: 1 1 ,3,r Heated Basement State Surcharge fee: `{ Unheated Basement Pot Water Review fee: '0 tQO Other Unheated 911/Rd Approach fee: It grill Wcs- Garage/Carport TOTAL: $ ? 103 , Decks C o7.ocf Receipt Number: 7( L$ Other St 7 6 Cash/Check Number: t O n ESTIMATED COST(REQUItjE�) S,^ -. Date: �j(2- 10S— •Fair market value of all labor a materials foundfinish Initials: ?,e G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc