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Home My WebLink AboutBLD2005-00196 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00196 Received Date 03/31/2005 SITE ADDRESS: 4235 EAGLEMOUNT RD Issue Date 05/18/2005 CHIMACUM, 98325 APPLICANT: CLIFFORD L LEIDER PHONE: 360-732-7097 4235 EAGLEMOUNT RD CHIMACUM WA 983258760 SUBDIVISION: COUNTRY RIDGE Block: Lot: 1 PARCEL NUMBER: 801045001 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: SHINE CARPENTRY SERVICES PHONE: 360-437-0146 DAHAN THOMPSON 122 MOONDANCE LN PORT LUDLOW WA 98365 Contractor's License: SHINECS967QB Expires: 11/2/2006 PROJECT DESCRIPTION: NEW DECK FOR WORKSHOP CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBAC KS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathin Framing _10:2`{--off Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval/v oZ`-l. 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 CAPE t BLD05-00196 • 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) 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. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Eaglemount Rd is 20 feet. Minimum setback from the edge of Blue Mountain Rd easement is 20 feet. Minimum setback from the eastern parcel boundary is 100 feet. Minimum setback from the southern parcel boundary is 250 feet. Environmentally Sensitive Areas further impact sebacks. I:\F_BLD_Permit_Buildngspt 10/29/19 lit UILDING PERMIT APPLICA' N MLA05-00194 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00196 Received Date: 3/31/2005 SITE ADDRESS: 4235 EAGLEMOUNT RD CHIMACUM, 98325 OWNER: CLIFFORD L LEIDER PHONE: 360-732-7097 4235 EAGLEMOUNT RD CHIMACUM WA 983258760 SUBDIVISION: COUNTRY RIDGE Block: Lot: 1 PARCEL NUMBER: 801045001 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: SHINE CARPENTRY SERVICES PHONE: 360-437-0146 DAHAN THOMPSON 122 MOONDANCE LN PORT LUDLOW WA 98365 Contractor's License SHINECS967QB Expires 11/02/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DECK FOR WORKSHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 3,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 120 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: . Total: Routing Date: Type Amount Paid By: Date: Receipt: A ��rgp�v�Qa� Permit $83.25 BAC 03/31/05 71748 � Plan Check $54.12 BAC 03/31/05 71748 State Building Code $4.50 BAC 03/31/05 71748 MAY 1 2005 Total: $141.87 r\ Jefferson County Planning & Building Department _ Z. �, Vy. ir`i ' �r, -- , i `t' F - Cr) v n ` ;n l, ct • ?� i Y Vr (...ii j t:.. CD cu ul F '; ti''' u -�rt ii 3:,,;,' t' lk. r , -1----,—. —1---t-as co e 1 2a CL .i‘ < D 1 a) S rn 1 _vk Lil Z re LO ._ 1 m 0 la} � Q isi ! �Q M m -i W tll. . T. Q \_ C7 o r ..,:,___t_l . :,.. * ),..4, 1 a H __, inZm N N` >! I' Z W > w P:� i ; (I, I Z 0 F- ,0 it 1 1 U. 5 t i -I ' 1 1 9 0 R A \ i i ,,01 -1s \ 333 ®JIN I ® A, 1 ca y I G lit \ mad = I— !L Z -21‘ i 0 _ _ — ` C> CO rl P- / a . 9 3 ``(( /� ,l� 1 N t* IOC)...I . ik 1 1 I .' -5k4-' i` ,,,c;:'-,i-r II I IC s• • 0 ..0 q) — Z '11 a _ ., _._.. • _ ,- I -..) cz. LI . r —I a: ...1 ' c),: e ,t2)-13 ?-..,;—, cr, t-.. .Nc rs> ...,...- , 0 L.crs = Ln E :t . 1 i - _ • C .4--.. i. 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JEFFERSON CUNTY j DEPARTMENT OF COMMUNITY DEVELOPMENT `41 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/com'>tdevelopment -- S�N�rS Master Permit Application MLA: vl Project Description(include separate sheets as necessary): MAR 3 1 2005 \k4 E,c- Tax Parcel Property - Number: J - �;� O l Size: (acres/square feet) Site Address and/or Directions to Property: L- " 5 �--r'�U` �,��,� � i i..�(\N oN\ Property Owner(s)of Record: ( , Telephone: (pcD a - cirri Fax: email: Mailing Address: c_,/k-rc\F Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) q Buildings ❑Variance(Minor,Major or Reasonable Economic Use) ❑ 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 0 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 ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* LI 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 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 inspect .Access and right of entry to this property shall be requested and shall occur only during regular business hours. _ Signature: , Date: 11 I l O 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 mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf I r f ns'bility or h to nd complying with the ESA. The Applicant has read this disclaimer nd sig s and dates it below. � Signature: — A ,� Date: �� G:\PermitCenter\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: • Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: S i-1=to E- \ \2-Y ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply. Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: [7 Public Total: Name of System: 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: [1 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 -For Office Use Only Current Proposed Amount Main Floor Consistency Review: 2Nu Floor a fee: + c. `5,aJ - 3`1 Floor A ditior4l Sectiijon: Mezzanine: P n Ch'ck AO II 3 1 2005 i Heated Basement to Surcharge fed: � Unheated Basement P Water Review fee: - Other Unheated 911/Rd Approach fee: t.� 5 r\1 Garage/Carport TOTAL $ 1 qt. %'- Decks v a.t% c6at, Receipt Number f ,��I g Other Cash/Check Number: ESTIMATED COST(REQUIRED) "S;cc. .vc� a11� *Fair market value of all labor and materials f ndation to finish -•---~- — \J + tA • G3 Initials: ! (.,- G:\PexmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc E til , 7,3 i 5 r, 1 r rif:-.._ e ,p ,,,,,' ov . fib"(1 H -n i cp --, 7 : f . /1-1 C� _ 0 - _, 0 4 tsi — (L-C-- ,r‘) I.S So; 'i y, 1 p ., — 10 i_, 5. 1 . I' r. .4_,.3. \ , i i DT3 -0 7- \ g-i rc 2: )-&, iz.>_,_4 46ir..)-: Nr I� 'yor ..?ieP. `" v -42 ' . . • z , 41) ^c J .).. . .dam 0 t, ___ \41- ) it i- /PON\,„,. H . i (--- ,, ,, I, .1 * ./ i m :,.. 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