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Home My WebLink AboutBLD2005-00205 OJILDING PERMIT APPLICATIONML Review Ty 03 Review Type: : Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00205 Received Date: 4/6/2005 SITE ADDRESS: 24 MACHIAS LOOP RD PORT LUDLOW, 98365 OWNER: BARRY BULLARD TRUSTEE PHONE: 360-437-7798 BULLARD LIVING TRUST 24 MACHIAS LOOP PORT LUDLOW WA 98365-9704 SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 95 PARCEL NUMBER: 990400491 Section: - 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI HEATED ADDITION TO EXISTING RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 461 VALUATION 37,400.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: Prop: Total: 3 Total: 2 Routing Date: '1/Co 0 C Type Amount Paid By: Date: Receipt: Approved/Date Permit $522.55 BAC 04/05/05 71781 ® Q `' .X Plan Check $339.66 BAC 04/05/05 71781 State Building Code $4.50 BAC 04/05/05 71781 JUN - 7 2005 Total: $866.71 Jefferson County Planning Department t' 15 Foe_ • 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00205 Received Date 04/6/2005 SITE ADDRESS: 24 MACHIAS LOOP RD Issue Date 06/7/2005 PORT LUDLOW, 98365 APPLICANT: BARRY BULLARD TRUSTEE PHONE: 360-437-7798 BULLARD LIVING TRUST 24 MACHIAS LOOP PORT LUDLOW WA 98365-9704 SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 95 PARCEL NUMBER: 990400491 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: HEATED ADDITION TO EXISTING RESIDENCE CALL IN FOR THE REQUIREDJNSPECT •NS THAT APPLY TO YOUR PROJECT. SETBACKS: ex L/LO5d • UFFER: lb Footing: t2 ,6/i.c/D$ Foundation: '?' "its - 14--, Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: , Frming: el iJ/Cc!?nfi�.Ic.16 g/i r5 Plumbing: QA p#, Propane Tank/ Lines. Insulation: G'A /z/ c-" Sheetrock: C ' a + Septic Sytem Final A proval'(If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: L°k goi— trirlcc,1 Z/$/06A 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 CS A BLD05-00205 • 1.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 2.) 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). 3.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 4.) The building height is not to exceed 35 feet. 5.) Minimum setback from Machias Loop Rd right-of-way shall be 20 ft. Minimum side and rear.yard setbacks shall be 5 ft. 6.) 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. 7.) 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. 8.) Per MPR Code Section 3.17, Accessory Dwelling Unit(ADU) shall not be allowed in the MPR-SF zone. 9.) 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. • • • • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 erv, csoN c JEFFERSON CONTY • } DEPARTMENT OF COMMUNITY DEVELOPMENT ` 4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax APR 5 L5 .gS,xING�O www.cojefferson.wa.us/commdevelopment Master Permit Application MLA: (r) --Q3 Project Description(include separate sheets as necessary): ,67,J//Cf.r(/ (!_5(c e.v4.-c_.4r'_ 'Add, / ,,it ir, e);isAF /2., CA-Y1C�C.. Tax Parcel (--Pic Property Number: TO c )y/ Size: (acres/square feet) - Site Address and/or Directions to Property: 2 'f Uc-ck i as L r e ; Y,`6 r Lvc1/e ; LJ A > '3 L S Property Owner(s)of Record: e.s-rt &) i3L//g s Telephone: ‘'?EC" '/,31•- 1.7`l6' Fax: email: bet Y6:%/ 3E-C! GT- cl-c!•c_.c•,c, Mailing Address: 2-'1 i e,e.toe:.s Le. is R•4- Luc/%Ji�; C,.,3t4 g7e34.S- Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) fit Building ❑ Variance(Minor,Major or Reasonable Economic Use) 0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** DI Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)'* 0 Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** 0 Commercial* ❑ Binding Site Plan** Cl Change of Use ❑ Long Plat** Cl 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*" 0 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 designat 't tJQ Cl I-t-rwt-1 r' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE I, ! -�.0%,.e--�4'_x Date: '17- f c` 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 inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. CT /�. C` _ Signature: - 1� -JLII ' - Date: `�/5/i�5` 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 compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- sferabl�r nsibility for dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: -:-.� Date: q/5/L'i` G:\PermitCenter\FORMS\DRD FORMS\Master Pemut 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 assurrege resp�onsibili the General Contractor for the proposed project. Signature: ++,. •.x:O-O Date: q I /c' APR 5 2005 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: - i Z IJ;t -�`r-,z w-is,L i rt..,( ' ( ) ( ) 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 '1 Wood Existing: 2 iC Sewer yI. Addition ❑ Steel Proposed: c Bank Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# Bedrooms: ❑ Demolition ❑ Other. Existing: 3Setback: Water Supply: ❑ Private well ❑ Two Party Type of Heat: Proposed: C Q4 Public if?_,-,./- !?...IA ) Total: •3 Name of System: Oil'HPP,c L..;l..k./1 51'—-- 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 1 For Office Use Only Current Proposed Amount Main Floor �� ` /,y�' J��j 02 Consistency Review: •Gt 2Nu Floor i / Base fee: C-.5 / 5a fo 3° Floor / Additional Section: _....------ Mezzanine: ( Plan Check fee: 3 3( te r/Heated Basement 1 State Surcharge fee: Gj0 Unheated Basement 1 Pot Water Review fee: TCOJe• Other Unheated 911/Rd Approach fee: t5 5. Garage/Carport 5-'q / I TOTAL: $ Cl ( 5.1 I Decks Receipt Number: t 1 f`1 6 ( Other I Cash/Check Number ��5/I ES ATED ST(REQUIRED) sii, Date: • it market value all labor and mat " tan to finish - / yac 31,xo i+ �6. q 2ca • jL1 6,,Y)0".1 Initials: 4"/ G: eern\titC i RMS\DRD FORMS\Master Permit Application 7-8-04.doc c y es v >b • n V) m ilP b o '<n o � I kOg ��"'' till :C7 T N 10d36T33s E 80 • i � ;Z - U = �Cn I = � M O pp rnHrol O ; rriZ z N a r ms► Z Dcn _ � MOn El) Z v a N - • _ say co pv a vi„ 1.,,,t.s.,0,„, ..-.17-.7-. , g , /:/•\. > „,03-.1 • ,' le\ i • c Lam, ,_.:_I I a m Ds_ t �/ rn • Z c. -n �� v O r-1 �( it c'�r �7� % m �' N m e ' T rIV N n O fit 0 v 0 3w / -I � ,� Z � HZ I � 0 y� � -aO � rn0 • I -� m m • co 70 ,011 H O ac. O Am 2Z v • Z TIG Co -1 N T cn 4 r � .. :-1 m k --I oa o mP 3 �^ Z m o m i a o � ; I til Z �� Vw• 1 m - m tn fn o n Mi CA OR L IIv 4 n 70 a � o ' i m � • ' -�i N. I I. .7 �� h► nrrl O Z rn :0 �Y a N M QR m rn \SS o F. 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