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Home My WebLink AboutBLD2005-00209 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00209 Received Date 04/7/2005 SITE ADDRESS: 115 EAGLE VIEW LN Issue Date 04/22/2005 PORT LUDLOW, 98365 APPLICANT: BLAKE EGENES LLC PHONE: 206-915-2165 290 N BEACH DR PORT LUDLOW WA 98365 SUBDIVISION: BRIDGEHAVEN DIV 6 Block: Lot: 29 PARCEL NUMBER: 935400029 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: HOMES BY BLAKE PHONE: 206-915-2165 290 N BEACH PORT LUDLOW WA 98365 Contractor's License: HOMESB*983RU Expires: 12/31/2006 PROJECT DESCRIPTION: NEW SFR& 250 GALLON A/G PROPANE TANK CALL IN FOR THE REQUIRED NSPECTIOI3S THAT APPLY TO YOUR PROJECT. SETBACKS: Oik' s/u/ _5- U FFE R: DA! 74e,5,, Footing: OK 5/i4 �f r '- ati Foundon: S dLc Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : LPL. '-'-i?-0 i Sheathing: ::4:- m-( < F'i Framing: (S+ e /S .c` �f. Plumbing: a, 04/2SL��K' Propane Tank/ Lines: _, -xr 6,A mli ,eMae' dk $/1/ps Insulation: e24' g/g,5/ Sheetrock: y�/ ps Septic Sytem Fin I prov-1 (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: OK -gar e �} //60.SCt� HEALTH DEPARTMENT AND PUBLIC WORKS APPROV AL 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 CI * BLD05-00209 111/ 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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).. 4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) The building height is not to exceed 35 feet. 6.) Minimum setback from Eagle View Ln right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 7.) A minimum of two (2) on-site parking spaces are required for the single family residence. 8.) A stormwater plan for a medium project 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. • • I:\F_BLD_Perm it_Bu ildng.rpt • 10/29/1999 •ILDING PERMIT APPLICAT N MLA05-00208 • Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00209 Received Date: 4/7/2005 SITE ADDRESS: EAGLE VIEW LN PORT LUDLOW, 98365 OWNER: BLAKE EGENES LLC PHONE: 290 N BEACH DR PORT LUDLOW WA 98365 206-915-2165 SUBDIVISION: BRIDGEHAVEN DIV 6 Block: PARCEL NUMBER: 935400029 Section: 9 Township: 27 N Range: 01 E Lot: 29 CONTRACTOR: HOMES BY BLAKE 290 N BEACH PHONE: 206-915-2165 PORT LUDLOW WA 98365 Contractor's License HOMESB*983RU Expires 12/31/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR & 250 GALLON A/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 140,000.00 MAIN: 734 CODE EDITION: 2003 ADD'L: 522 HEAT TYPE: PRO OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 156 SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 4 i l(f-.'t iti-x) Type Amount Paid By: Date: Receipt: A P P am' V E r, Permit $1,217.75 BAC 04/07/05 71858 1 1 �''�V Permit $791.54 BAC 04/07/05 71858 APR 2 2 2005 State Building Code $4.50 BAC 04/07/05 71858 Potable Water Application $53.00 BAC 04/07/05 71858 Jefferson County Planning &Building Department Total: $2,066.79 o- 'S Or, JEFFERSOI�COUNTY (4:.:-, ON---6T":\\\ Ill i ea DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend!.Washington 98368 ---_-- 1 �y 360/379-4450 • 360/379-4451 Fax' :4 C www.co.jefferson.wa.us/commdev lopment-• - -- l ShnNW. 1 r { Master Permit Application • --' - 7 2005ML A: k_t, - ;IN(� , ; Project Description(include,separate sheets as-pecessary): i t C' A', --' k-• t si" j Tax Parcel l t Property Number: ( ,,). c.- (7 1 t 7 (. ,t IC(( Size: t C.,(_:C (acres/square feet) Site Address and/or Directions to Pro e -----i- r- P_ttY: _ \`lf 1�1Z-�'�'`Y', � c'''.,i:-.)(,_-if-, i ' ieri Property Owner(s)of Record: :(\1. �- �c t _`t i )' Telephone: .;`'€ :t t"' - (C, Fax: email: , Mailing Address: )tk-1( f ( :`t. t-ic_`1 i i..i S. , `.,. L.... .t( , .... r( `-i_-.i t, ) Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) p-Building ❑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 ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** p Address El 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)* ❑ 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 cces and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir ter spections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. - Signature: �y Date: t`((p( t.),'D 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 i liance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra sferable r ns' ili'for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ._ _. ._____.___- Date: 4�(�: I C�? G:\PermitCenter\FORMS\DRD FORMS\Master Pennit 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: i C ), -) ( ) MAILING ADDRESS: / { 1 9 �`�e k--\", v)' 1, t ti', !C' EMAIL: CONTRACTOR'S LICENSE 'f L-_ .;, ,_, WAINS NUMBER: i l c=c. NUMBER ARCHITECT/ENGINEER: F .i ' PHONE ( =.' ) ( ) MAILING ADDRESS: 4. - .. ""i EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: N New . Wood Existing: _ _ ❑ Sewer ❑ Addition ❑ Steel Proposed: ? Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _2 Height: ❑ Individual System ❑ Repair 0 Masonry SEP Permit#S�'t' -'-.3'Xx.,_,I? O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 2 Public I—� A Total: <L 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: O Underground Tank .Above ground Tank Size of Propane Tank: 2`j ❑ Heat Stove ❑ Cook Stove ❑ Woodstove h. 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 E. Amount Main Floor C_ Consistency Review�, 2Nu Floor „� Base fee: - , ru q 9�-076. l i App .0 7 2305 i s ?��, �� 3 Floor Additional Section: 1 ; Mezzanine: Plan Check fee: 1r1(11 `34 Heated Basement State Surcharge fee: 1 () Unheated Basement Pot Water Review fee: 7. CD Other Unheated L 911/Rd Approach fee___, i 1 Garage/Carport TOTAL $ d g f/ `n - 6":'`=`C(3 .•\Cc. -\ , ,KC- 1 g,I,S Receipt Number: '-.0 3 Other Cash/Check Number: ri, ESTIMATED COST(REQUIRED) '3 Date: I c�- •Fair market value of all labor and mafe`ria�s foundation to�finish (c(. Li I"1l C) J M' . Initials: G:\PemiitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r0 _fijo n --Q z 5 D rn o U. 0 c P 0 `I- `-i I[ ea i 0 z , ____i L*-----) 0 C to vt _ , —4-7 ‘ a1 r-- 7,,,, ce,' _ _ _ ,. s 0 1, , * , ‘er.t-- , 0 0 o _1 „., 3 __ _ __ ___________________ CI 1 fir . irCi (8 c) ) ' - int(,, 1 / 1 "o co o t z S C' e--)` D ('-:< ",`:)t--) t._ ON ^ N r• Qv `GU ' � -( z ` , c� rKL .•` rl"� C W A O i� iiU Yt ^Z . y Y/ i —0 c) , ' <'\--- ,7 , 1 -__ f cj . , ... , . i _, _ _..,.. 0 I.) ______ ,, , (..) . ,, , , . . 441 N V.