HomeMy WebLinkAboutBLD2005-00259 MILDING PERMIT APPLICATI J MLA05-00251
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00259 Received Date: 4/26/2005
SITE ADDRESS: BALDWIN LN
PORT LUDLOW, 98365
OWNER: PORT LUDLOW ASSOCIATES LLC PHONE:
70 BREAKER LN
PORT LUDLOW WA 98365Q766
PORT LUDLOW NO. 2
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 990600108 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365
Contractor's License PORTLAL994L8 Expires 5/2/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW SFR W/ATTACHED GARAGE ALSO
120 GALLON A/G PROPANE TANK - PLA STOCK PLAN #04-18
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1.955
VALUATION 193,281.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5-1HR GARAGE: 516 SHORELINE:
CONST TYPE: DECK: 250 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:,
al 4,-.1._,/
Type Amount Paid Bv: Date: Receipt: approved/Date
Permit $1,520.15 BAC 04/26/05 71896 1O- L7^ /E D
State Building Code $4.50 BAC 04/26/05 71896 f �J 1/
Potable Water Application $53.00 BAC 04/26/05 71896 JUN 2 2 2005
Total: $1,577.65 efferson County Planning
& Ru" , / •partment
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• •
BUILDING PERMIT
Jefferson County Department of Community Development
•
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD05-00259 Received Date 04/26/2005
SITE ADDRESS: 133 BALDWIN LN
Issue Date 06/22/2005
PORT LUDLOW, 98365
APPLICANT: PORT LUDLOW ASSOCIATES LLC
70 BREAKER LN PHONE:
PORT LUDLOW WA 983659766
SUBDIVISION: PORT LUDLOW NO. 2
Block: Lot: 8
PARCEL NUMBER: 990600108
Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC
70 BREAKER LN PHONE: (360)437-2101
PORT LUDLOW WA 98365
Contractor's License: PORTLAL994L8 Expires: 5/2/2006 360-437-2522
PROJECT:DESCRIPTION: NEW SFR W/ATTACHED GARAGE ALSO
120 GALLON A/G PROPANE TANK - PLA STOCK PLAN #04-18
CALL IN FOR THE REQUIRED INS ECT ONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Ok 7//4
UFFER: Ok 2// jS U"
Footing: nK 2/#5 g/
Foundation: 0./ASL�
Stormwater FINAL Approval:4kyrkr.3Arw-. 7 2r,_sq,FfJ
Underground Plumbing:
Underground Insulation:
Shear Wall : F t-r,c- ok- k• 191.,r<�
Sheathing:
Framing:
Plumbing:
Propane Tank/ Lines:
Insulation: (sK j��l� �� /�,�11s)
Sheetrock: •
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: —c/gin x/ii/s �f
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
d
• •
SPECIAL CONDITIO
NS FOR CASE A BLD05-00259
1.) ThO road approach permit(RAP05-00101) 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.
2.) Stock plan foundation approvals shall be limited to the prescriptive foundation
requirements of the IRC and R-404.1.4 foundations outside the scope of this section shall
be designed and engineered SITE SPECIFIC per IBC.
3.) 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.
4.) The.development will be serviced by public water and a well will not be utilized. If a well is
required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ
conditions.
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire,.safety, health or sanitary hazard.
7.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The,building height is not to exceed 35 feet.
9.) Setback from Baldwin Lane 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.
10.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
11.) Per MPR Code Section 3.17, Accessory Dwelling Units (ADU's) shall not be allowed in the
MPR-SF zone.
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.) A Stormwater Site 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.
•
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I:\F_BLD_Perm it_Bu ildng.rpt
10/29/19
•
4,4).¢SONo"\ `VD- lJ
JEFFERSOt�U y • (�L Z_ 9/_ 8�
DEPARTMENT OF COMMUNITY DEVELOPMENTelk
7 621 Sheridan Street•P t :Tow/isend Washington 98368
a. , ,1 360/379-4450 • 360/37 -4451_Fax_. _ _ fps E jo�Q� #D'/ ��
QS, N��O www.co.jefferson.wa.us/I mrr development �___ -f
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O T / E/Pv, f�
Master Permit Application _-
MLA: 5 -a5
Project Description(include separate sheets as necessary):
/t / • e f, .. I -Siie e- ev 4 Lie l,j- , • drAR •e¢-
Tax P. eel
Prope
Number: 9 90-aCj0_ /0 ,
Size: e /Z
Site Address and/or Directions to Property: 8 7 /n/u)/ D (aeres/square feet)
Property Owner(s)of Record: _ , , - O _ '• - LLC - / �'� - 9, 3 , S
Telephone: (340) 5e37-2fo ,fax: O)y.3 - 2, 2 Z
Mailing Address: email:
Applicant/Agent(if different from owner):
°w g G
Telephone: Fax
Mailing Address: - email:
What kind of Permit?(Check each box that applies)
VBuilding
O Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
Single F • ❑Conditional Use[C(a), C(d),or Cj**
leGarag
Single j Detached ❑Discretionary"D"or Unnamed Use Classification
❑Manufactured Home ❑Special Use(Essential Public Facilities)**
El Modular ❑ Boundary Line Adjustment
❑Commercial* ❑Short Plat**
o Change of Use 0 Binding Site Plan**
13'ASJdress t3 Road ❑Long Plat**
8-Propane Approach ❑Planned Rural Residential Development(PRRDyArnendments**
❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Allowed
Stormwater Management ❑Shoreline Master Program Exemption/permit Revisions**
❑Site Plan Approval Advance Determination SPAAD ❑Shoreline Management Substantial Development**
❑Temporary Use ( ) ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
Cl Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference *: _
Please identify any other local,state or federal permits required forth this p oposalc if known Conference
I hereby designate DESIGNATION OF AGENT
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 attorneys 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 pro ' e and 'ght of entry to Jefferson County and its employees,representatives or agents for the sole u
review and any it I t i s 1,.. .Ace'sand ' ht of entry to this purpose of application
hours. property shall be requested and shall occur onl during ular business
Signature: '--
Date: - Z.r 41
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 endangeredare knownederal law
"Endangered Species Act-or"ESA."Jefferson County makes no assuran to the applicant that the actiondefins thatwill in the be be undertaken be as cause 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 li "ce with the J erson County development code.The Applicant acknowledges that he,she or it holds Individual
and non-transferable po b i ri d Plying with the ESA. The
Signature: 71" Applicant has read this disdai r artd-s' ns a...A dates it below.
Date: 2 S
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
Jtt-1- l;U DUD
o4/19/2005 20:+39 FAX 3604372524 PORT LUDLOW ASSOCIATES PERMIT CENTER PAGE 05
�1 oos
tr '- 7 OWNER BUILDER STATEMENT
The signer Of this stabsment does hereby certify that they are the Owners of me parcel referenced hetNn the �( N� 8
a+er►a Bt a theCerketel Oontraeterfor,the Y arti st tractors and that
Signature
Date:
GENERAL •
TRACTOR OR MANUFACTURED HOME INSTALI
•• + r14 lrrJ 1 sea, / IGC ER: FAX:
MAILING AnoR f - ' ' ''• Oa) ; Ewa.:
�/3?.?'a/ (3io) V37-ZS2 Z
C ONTRACTpR's UEENEE M+(IL
Nt>Met rs; I�a TLC, 9 % $ 98.�`5 NUMBER -
ARotirrecr/EHaM>tER: „ ,_ 'kr) • 0 -/;
MAIL IND AooREss: 0 T- at PHONE ) FAX ( )
atm.
tie New
,,Fa�nte•Type: • eathr'ooems:-..''. , Shoreline:'- •
Wood F g �� Type of Saw�e diapoaeal;
Cl Atiditlon 0 "steel Proposed: '-'z olSflwer
O RepairRe• Alteration/Remodel D Concrete Total: 2 Height' o individual-
13 Community System
❑ Demolition O ()then Bedrooms: Bank
— W*t r System
Existing: ,�^ Sefp War Supply:
of Host Proposed: 2 W'Put>nc well ❑ Two Party
"'/° Total: _2
Name of System: OLU5 Z"
Commercial Protect yo wee t atlswar the fAunwrran
Nurtr6er of Parking Spero— Current*2.
Number of occupants Proposed:—
ocupa is(Includeg owners,tenants.employet3S,etc) Current���ParkingShe'^--
IBC Occupancy: IBC Type of construction: - proposedServe
. Proven,Tank or WYI you have Food Service? y / Ne
igigiouvraganaitallitemuitefabfitinek
❑ Undary�rvtrnd Tank Above ground Tank Size of Ptvpane Tank: 2 D❑nosHeat Stove d Cook Stove• ❑ Woodstove I] Fireplace Insert 0 Hot Water Tank 0 eltet Stove q Other
applying for a n a Yes / No
Weer,tank location o and permit distances propane
om n e tank you must also submit a site plan showingall of the buildings,
Indmiss, the teaowa Steal, propane tank W all properly Sites but/conga a!!proper.
Square Pootag+� err 4.-;t:: M` �. `, n�s and tic s antan ,
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Main oleo ;ss,:r•> '„i..0••,.;, ..<-4:.. •r:;'`.▪ :u x,> 'a .=,. " Tla, " .1 �+ ' .. ;'2 tiv' ,
Floor _ ': :."•., :,I ;...L. a e .".~°AQ d�''+ C1 r,'rn' 4Asa i��•"t:. ;.r. ''u :c gin^ '., •�i•.•. :- c,,' tir. ... ' ,'a..d' .1':
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Mezzanine: `.,'}.. "R'. ;i:�,,,'�''-"�p.w.T`rJ... 1:••.L'•`'`,*£,''i�!;�Y;{�,,,,. •'. •a�'C`''•, ,, 1-jty';
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.FORM3\DRA FORLBM9ter Pe itAPP�atroa 7-a04d oc