HomeMy WebLinkAboutBLD2005-00200 •
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00200 Received Date 03/31/2005
SITE ADDRESS: 302 HAADA LAAS RD Issue Date 06/13/2005
PORT TOWNSEND, 98368
APPLICANT: JEFFREY A PEDERSEN PHONE: (818) 448-3751
SUZANNE KNILL
7811 SHADY COVE AVE
BURBANK CA 91504-1036
SUBDIVISION: Block: Lot: T64+
PARCEL NUMBER: 001062029 Section: 6 Township: 30 N Range: 01 W
CONTRACTOR: MOMENTUM CONSTRUCTION PHONE: 360-344-4000
608 F ST
PORT TOWNSEND WA 98368
Contractor's License: MOMENC969QC Expires: 11/3/2006
PROJECT DESCRIPTION: NEW SFR
CALL IN FOR THE REQUIRED)NSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: c `1 co,
UFFER: v
Footing.{ -71 S
Foundationpt._ ?- 5 K jStormwateINAL Approval:
Underground Plumbing:
Underground sulation:
Shear Wall • 1 ( ') 7�6 i u F 't 1�,, b?
Sheathing: J I -)7't-'
Framing: ,2,-21--bl,(,P
Plumbing:),G-4.3' ,3' 2 Z1-66(rh
Propane Tank/ Lines:
Insulation: ,4t4 i9L die z/ oG� (,t,/At-LS VAJ1'-T?'C 313A
Sheetrock: /
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approva: -t l7-E7 7
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
ItILDING PERMIT APPLICATIN MRLA05 00195 eview Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00200 Received Date: 3/31/2005
SITE ADDRESS: 302 HAADA LAAS RD
PORT TOWNSEND, 98368
OWNER: JEFFREY A PEDERSEN PHONE: (818) 448-3751
SUZANNE KNILL
7811 SHADY COVE AVE
BURBANK CA 91504-1036
SUBDIVISION: Block: Lot: T64+
PARCEL NUMBER: 001062029 Section: 6 Township: 30 N Range: 01 W
CONTRACTOR: MOMENTUM CONSTRUCTION PHONE: 360-344-4000
608 F ST
PORT TOWNSEND WA 98368
Contractor's License MOMENC969QC Expires 11/3/2006
REPRESENTATIVE: CHRIS LUPTON PHONE: 360-344-4000
REBECCA LUPTON
•
PROJECT DESCRIPTIOr NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 856
VALUATION 132,400.00 ADD'L: 468 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 35 SHORELINE:
CONST TYPE: GARAGE: SETBACK: 150
DECK: 431 BANK HEIGHT: 100
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
1
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,178.55 BAC 03/31/05 71749 APPROVED
Plan Check $766.06 BAC 03/31/05 71749
State Building Code $4.50 BAC 03/31/05 71749 JUN 1 3 2005
Potable Water Application $53.00 BAC 03/31/05 71749
Jo •rs II County Planning
Total: $2,002.11 Oil. (X; g Department
fi. ' - F
FROM : Jeff a Su IIIPHONE NO. : 818 767 2253 •ar. 29 2005 07:42PM P2
mar 29 US U1 :5yp
, C
601-
06. JEFFERSON COUNTY
r- �. DEPARTMENT OF COMMUNITY DEVELOPMENT T
f� 621 Sheridan Street•Port Townsend-Washington 98368
3601379-4450. 3601379-4451 Fax
otter www.cojefferson.vra.us/comnidevelcarrleht
Master Permit Application MLA: _ CA
Project Description(include separate sheets as necessary):
A new SEAcCte -PQi,/,,t ty 11,Dr
Tax Parcel J Property
Number: 66 l O Cr 2 0?Jt --Size:/1 I•15 aloes (acres/square feet)
Site Address and/or Directions to Property: 3O'2-. 1 as dL L-a06 P4. . Po(Jr1:19 evrice fizi
Property Owner(s)of Record: J e ire,y Pe d er S e n 0,r1A Su knit l
Telephone; 53 ttg. 4 Li 6,315 I Fax: email: ( o o 3 a f3 Co ro.c a sh-,'lei'
Mauling Address: 13 I t s kacty Go vz. /.✓¢. 3u rba n k . GA 61 15 04
Applicant/Agent(If different from owner): Cf'►es5 of Re-t"ee t-'prom NEoc'te"I t rn C,;.rrtSf-rNGh-e✓"
Telephone; 3 b o 34 LI-f-1 v O o Fax: email:i riot:obec C a e%Qk'u k eel.net
Mailing Address: 6 u% c S} 17.0(Jr Ti,t,u A Surd 1rIA al.q 1747 q
What kind of Permit?(Check each box that apples)
fit Building 0 Variance(Minor.Major or Reasonable Economic use)
0 Demolition Permit 0 Conditional Use(C(a),C(d).or C]"
ACSingle Family 0 unary'D or Unnamed Use Classification
0 Garage Attached!Detached 0 Special Use(Essential Public Fealties)"
C Manufactured Home D Boundary Line Adjustment
O Moduter U Shot Plat"
11 Commercial'' 0 Binding Site Plan"
0 Change of Use C Long Plat"
0 Address 0 Road Approach C Planned Rural Residential Development(PRRD)/Amendments"
❑Propane a Plat Vacation/Alteration"
C Mowed`Yes"Use Consistency Analysis CI Shoreline Master Program Exemption/Permit Revisions"
❑Stormwrater Management 0 Shoreline Management Substantial Development"
G Site Plan Approval Advance Determination(SPAAD)' 0 Shoreline Management Variance
0 Temporary Use U Comprehensive Plan/UOC/L.an1 Use District Map Amendment
❑Wtreleas Telecommunication ❑Jefferson County Shoreline Master Program Amendment
0 Forest Pracices Act/Release of Six-Year Moratorium
May require a Pm-Application Conference ""Requires a Pas-App5cattee Conference
Please identify any other local,state or federal permits required for this proposal,if known:
DESIGNATION OF AGENT
t hereby designate C ill'I S 0( Re 4oeccek LA I)Tt yt to act as my agent in matters relating to this application tot perm$(s).
OWNER SIGNATURE Date: 31.f/b 4]
By signing gliS appeeaeon form.tie agent attests that the information provided mein.and in any attachments.Is true and correct b the best of
his,her or Ws knowledge_ Any material falsehood or any omission of a material fact made by the owner/agent with respect to this apptiodion packet
may relit*in this permit being null and void.
i Renner agree to save,indemnify and hold harmless Jefferson County against al fADRtles.judgments.oanxt ousts.reasonable attorneys fees and
ergwncec whidr may in any way accrue against Jefferson County ern e rebuff of or in coriorrei c rw of the granting or this perms.
I further agree to provide access and right of entry to Jefferson County end Its employees.representatives or agents for the sole pupoao or applkyyon
review and any required tater inspections.Access and right of entry to this property shall be requested and shall onaur Only during regular business
hours.
Signature:_...___)4k:: 2/____gi Date: 3/J /05
The action or acbonns Applicant will undertake as a result of the iasuance of this permit may negatively Impact Wan one or more threatened or
endangered species and could lead to a potendai lace-of an endangered species as time terms are defined in the federal law known as the
'Endangered Seeders Act"or"ESA.'Jefferson County snakes no a uranses to Sas applicant that tic actions that will be undertaken because this
permit has been issued vote nor violate the ESA Artyr individual.group or agenk.7 can Ma a lawsuit on behalf of an
*diorite)event you are in compliance with the Jefferson County development code.The Applicant a monad operas regarding in died your
ual
and norktensferaele responslaity for ad, hering to and mnphying with the ESA The Applicant has read wis disclaimer and or that he.she e holds i s It below.
Signature: ) (4 Z ----- st6+>s enth dates It befow.
Date: 7
— :?4-11 —rr\Pe rnirCedreAPORAS\Drtn FORMS\MAIL,Permit Application 7.8-,4.dvc `_ I
11 r_
► ! MAR 3 1 —5
FROM : Jeff & Su al PHONE NO. : 918 767 2253 "tar. 29 2005 07:42PM P1
HAP` M U5 u. uup
OWNER BUILDER STATEMENT
The signer of this statement does hereby oerlify that they are the Owners ot the parcel referenced herein.that they are not licensed oontactprs and that
they v i1 be assuming the responsiiidy of the General Conbeelor for the pnopobed Protect
Signature: Date:
GENERAL Cavr ,.crop OR MANUFACTURED HOME INSTALLEIC PHONE:. FA)C
Mo,m- m Ca_n.5tru Ci I o it. (3b0) 3H4- t000 ( )
PAImerGADDRESS: 6og i $r , PT lnlik 41%349.e chris6ecca e speakeasy •ref
CONTRACTOR'S LICENSE WAINS
NUMBER: MOM ENL 0164 c C. Ntwiecn _
ARcrrrrECTSENGtnr 7r - P►+orE( ) FAX( )
MAILING ADDRESS: EMI
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
bf New Z.Wood Eydsfew 8' 0 Sewer '� •,. /
❑ Addrlion 0 Steel Proposed Bark ❑ Community System } y
m
O Alterationliaeodet ❑ Concrete Total- - Height )it'Individual System r
0 Repair 0 Masonry i 0 0' SEP Permit*
O Demolition 0 Oilier Ems. -9 Setback le private 0 Two Party Y !
Type of Heat ProposedC — ❑ Public
g l e? +r-r zi Total: — °1 150. Name of System
If this is a Comm of Proi4Oyouu must answer the fiainjr:Number of Parking Spaces: Current Proposed Number of MA Parking Spaces:
Number of occupants(includes owners,tenants.employees.etc) Currant Proposed
lee Occupancy: IBC Type of construction WM you have Food Service? Yes I Ng
If this is a Propane Tank and/or Aparance on_stemtlt,meek all tames below that sooltr-
C Underground Tank n Above ground Tank Size of Rogues Tank_
❑ Hee*Stove ❑ Cook Stove 0 Woods-we 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other
Is tits appliance being Metalled M a Manufactured I kt4Mle Home? Yes 1 No
When appfyhl fj bra pent*as instal a propene tank must also submits site plan showing all a fie buildings,al properly
!Snell,tank bcaeon are size,distances runt the p.vpane tank to as property Sees,buldint s mad sep&Ec system cwnpwtenfs,
i the reserve area.
Square Footage ,Vet 0 6ce Use Only.
Currant Proposed , _ • %itiiotiltft_ ; .
Main Floor �f7 t0 55C �ReV MIC
3'Floor •::Additional So on:
Mezzanine: Plan Cbe de fee r' /,
(IC /J _�
.
Heated Basement •
. .a •tt ete - .4'JD
unheated sat 1: 411% c °
Other Unheated gtl1 :•;- • ,r. ,
GeregofOarpoct (3�T/1L:!
S5 ti
Decks
35 ,.r:�5 ,l.•+� r_:
ESTIMATED ) Dam: 1p
.Fats value dof labor founautfan to gu1nk :• ' 2' �': '. • ' • ..1
G:\PerrnirCenterN.140112ASNEAD P4RbLS\Mawr Permit Application 7-044.doc _ "�
MAR 3 1 20"s
I
�.
SPECIAL CONDITIONS FOR CASE # BLD05-00200 •
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 landslide hazard area 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.) 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.
7.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan.
8.) As per the approved Eagle Plan signed May 31, 2005, the applicant shall retain all known
perch trees and conifers >/=24 inches diameter at breast height(d.b.h.). The applicant
shall also retain >/=50% of pre-clearing or pre-construction conifer stand with diameter
distributions representative of the original stand (>6 feet tall). Windowing and low limbing
of trees is acceptable provided no more than 30% of the live crown is removed.
9.) 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/otother 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.
10.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
111/
11.) 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.
12.) 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.
13.) 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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).;
16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
17.) The building height is not to exceed 35 feet.
18.) Setback from private access easement 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.
19.) 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.
20.) Lightirlg•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.
21.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
•
•
•
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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