HomeMy WebLinkAboutBLD2005-00215 • s
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
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(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00215 Received Date 04/8/2005
SITE ADDRESS: 104 HERITAGE LN Issue Date 04/20/2005
PORT LUDLOW, 98365
APPLICANT: GARY C KORNISH PHONE: 360-437-9862
DINAH J KORNISH
104 HERITAGE LN
PORT LUDLOW WA 98365-9232
SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: Lot: 27
PARCEL NUMBER: 998500027 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: SBC CONSTRUCTION INC PHONE: 360-732-7530
PO BOX 1228
• PORT HADLOCK WA 98339
Contractor's License: SBCCOC1961JT Expires: 4/26/2006
PROJECT DESCRIPTION: ENCLOSE EXISTING PORCH, ADD NEW COVERED PORCH
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation: Z>K 4,0S
Shear Wall :
Sheathing:
Framing: i.,L//CZA✓12 -26- e2 ss-
Plumbing:
Propane Tank/ Lines:
Insulation: nip- 6-23-- s
.Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: /2// -4or- �D /g-1,1/005
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL QUIRED 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.
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HOT LINE AVAILABLE 24 HOURS A DAY
• SPECIAL CONDITIONS APPLY - SEE REVERSE
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SPECIAL CONDITIONS FOR CASTE t BLD05-00215
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.) 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
9.) Maximum lot coverage is not to exceed 45%. 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 Heritage Ln right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft. If an EWSA is present then the stricter setback shall apply.
12.) Per SEction 3.107 of the Port Ludlow MPR Code, accessory dwelling units (ADU's) shall
not be allowed in the MPR-SF zone.
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.
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
MILDING PERMIT APPLICAT MLA05-00210
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00215 Received Date: 4/8/2005
SITE ADDRESS: 104 HERITAGE LN
PORT LUDLOW, 98365
OWNER: GARY C KORNISH PHONE: 360-437-9862
DINAH J KORNISH
104 HERITAGE LN
PORT LUDLOW WA 98365-9232
SUBDIVISION: TIMBERTON VILLAGE PHASE I Block: Lot: 27
PARCEL NUMBER: 998500027 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: SBC CONSTRUCTION INC PHONE: 360-732-7530
PO BOX 1228
PORT HADLOCK WA 98339
Contractor's License SBCCOC1961JT Expires 4/26/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ENCLOSE EXISTING PORCH, ADD NEW COVERED PORCH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 85
VALUATION 9,500.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 83 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 3
Prop: Prop:
Total: 3 • Total: 3
Routing Date: 'i
11\ t) ) (pi,'
Type Amount Paid Bv: Date: Receipt: v /Date
Permit $181.25 BAC 04/08/05 71866 A V E D
Plan Check $117.82 BAC 04/08/05 71866
State Building Code $4.50 BAC 04/08/05 71866 APR 2 0 2005
Total: $303.57 Jefferson County Planning
&Building Department
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44,¢,goN cod, JEFFERSON RUNTY
el DEPARTMENT OF CO MUNITY_DEVELOPMENT
`.(1 621 Sheridan Street • ort Townsend •Washington 98368
0. _ 360/379-4450 • 360/ 9 1-Fax
�qS, �O� .www.co.jefferson.wa.us/ mdevelopment
APR _. 8 2005 1 '
Master Permit Application MLA: .�� l
Project Description(include separate sheets as n ssary): ,rl e f ess S C' ?S I'S Ti AJ Cr {Pof QV • } o!z' 37 /C?[
'`I ei,_ P"'^Ct r Cv el n e0'7`'e d `7o ex;ST;.7 . ore A /.5 7c;S r;n-4- t�.ee c3»^as �n7�y ti a ,
Tax Parcel p 9 el b perty / 7'
Number: [ 5 00 Zl/7 Size: Sto 5 / Sg,/ (acres/square feet)
Site Address and/or Directions to Property: /O y /7 e ; i' f' Lr1,. QQy,T L0 d 64) CV 4Q ?d365
Property Owner(s)of Record: GAS`/' C C. -{r D/��N �T KO R N/S'�/ /
Telephone: 3 ) ' `f 3 7^ ?S'G., Fax: 36 0 143 7^ Y�6� emaii:4karn;sh � �!
Mailing Address: S'2.,.w,N� t
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
,'1 Building
❑ Demolition Permit CI Variance(Minor, Major or Reasonable Economic Use)
❑ Conditional Use[C(a), C(d),or CI**
rageFami ❑ Discretionary"D"or Unnamed Use Classification
Detached 0 Special Use(Essential Public Facilities)**
❑ Ma factured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
0 Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
0 Address ❑ Road Approach 0 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)* 0 Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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:
N 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 re ired later inspections.Access and ht of entry to this property shall be requested and shall occur only during regular business
hours. f��'�v�"''
Signature: ' C
�/ �i� L Date: J
The action or actions plicant 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-transfers responsibility for dhering to and complying with the ESA. The Applicant has read this disdj�imer and signs and dates it below.
Signature: C l Date: 1/7 7/mop .
G:\PeimitCenter\FORMS\ RD 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 6 C cfSrligtrld '1'; One (30 ) ( ) _
MAILING ADDRESS: •a 8 o e 2)1' Vb - gira,,Ac EMAIL:
CONTRACTOR'S LICENSE 74 , / V37 I WAINS
NUMBER: 56 C C O // O 5; A-', NUMBER ,
RCHITECTENGINEER'
• l Pin r7 SC"2V PHONE (3aes ) 277,,�33J FAX:(.c 0 )3 7 F^ 1 3 47
MAILING ADDRESS: k.it s`C h ,A.m. f r. 7-0.,6 4 EMAIL nCh74 Wits^:7AS 6,i.Sou2.? , Cam
Project Type: Frame Type: Bathrooms: Shore ine: Type of Sewage Disposal:
❑ New K Wood Existing: 3 N A- kj Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
Q Alteration/Remodel ❑ Concrete Total: 3 Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 3 Setback: LI Private well ❑ Two Party
Type of Heat: Proposed: ,fit Public
pt^me.2 r,r 're j(kt" Total: 3 Name of System:dt.rs"AC
If this is a Commercial Proliect 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 Cl Cook Stove ❑ Woodstove ❑ Fireplace Insert Li Hot Water Tank CI 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:
1)44 IS
2NU Floor Base fee: C'
J
3`d Floor Additional Section:
Mezzanine: Plan Check fee: t t+ 1 `1
Heated Basement State Surcharge fee: -
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee: , I
C t i i r',C
Garage/Carport TOTAL: $ I a Q CJ
Decks 1 'APR 8 9005 )
eceipt Number: I f � (�:
Other dash/Check Number: - -
acR1c,
ESTIMATED-COS'flREQUIRED) Date:
•Farr paeT value o7•all labor and materials foundation to finish
Vi: —
q 5 00, )
'15c>S. I I Initials:
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Voice (360)379-8338 Fax(360)379-1327 henry@designsbysouza.com