HomeMy WebLinkAboutBLD2005-00235 !UILDING Reviewiew T Ty 229
PERMIT APPLICA N ML Review Ty I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00235 Received Date: 4/15/2005
SITE ADDRESS: RAVEN RD
PORT TOWNSEND, 98368
OWNER: MATHIAS & GILLETTE LLC PHONE: 360-385-7493
479 N JACOB MILLER RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 002124020 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,208
VALUATION 100,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 576 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date: l..j / C Cj / O5
erc,P;
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $993.75 BAC 04/15/05 72912 APPROVED
Plan Check $6,645.94 BAC 04/15/05 72912
State Building Code $4.50 BAC 04/15/05 72912 MAY 2 2005
Potable Water Application $53.00 BAC 04/15/05 72912 Jefferson Count Planning
Total: $7,697.19 • d. Department
I
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD05-00235
SITE ADDRESS: 68 RAVEN RD Issue Date: 05/25/2005
PORT TOWNSEND, 98368 Final Date: 7/27/2007
APPLICANT: MATHIAS & GILLETTE LLC PHONE: 360-385-7493
479 N JACOB MILLER RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 002124020 Section: 12 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no j
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/27/2007
I:\F_BLD_Occupancy.rpt 10/29/19
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00235 Received Date 04/15/2005
SITE ADDRESS: 68 RAVEN RD Issue Date 05/25/2005
PORT TOWNSEND, 98368
APPLICANT: MATHIAS & GILLETTE LLC PHONE: 360-385-7493
479 N JACOB MILLER RD
PORT TOWNSEND WA 98368
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 002124020 Section: 12 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: Qt--yi"0 6-
Footing: -7//2/ '
Foundation 3-49$'
Stormwater FINAL Approval:
Underground Plumbing:
Underground sula 'on• •
Shear Wall : 37 p!.
Sheathing: /46
Framing: , b
Plumbing. /7/2°L1J/6 rk/0/4/-50y '
Propane Tank Lines: /A O7 L1,40k ?&r i I,�r�'35 .41e MA/44Y
Insulation:("MAX ± C044q,44 ,9 /,ye25.
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval: •
Zoning Final Approval:
Final/.Occupancy Approva. 7 27 0
HEALTH DEPARTMENT D P BLIC 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 CR A BLD05-00235
1.) Only one residence is allowed on this 360gpd septic system, (no future ADU)
2.) 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.
3.) 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.
4.) 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."
5.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
6.) 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.
7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from Raven Road right-of-way is 20 ft. Minimum setback from Meadow
Road right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Environmentally
sensitive areas further impact setbacks.
13.) 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.
14.) 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.
15.) 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.
16.) A minimum of two (2) on-site parking spaces are required for the single family residence.
•
I:\F_BLD_PerrnitLBuildng.rpt 10/29/19
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��gsoN cow JEFFERSON•LINTY _.
,� DEPARTMENT OF COMMUNITY DEVELOPMENT ---
` 621 Sheridan Street • Port Townsend •Washington 98368
A d'' 360/379-4450 •• 360/379-4451 Fax APR 1 5
q O WWw.co.jefferson.wa.us/commdevelopment
S'�NGrS
2005
Master Permit Application CO, 1 1
Project Description(include separate sheets as necessary): s,ft: p m .-_ Ram", CL�i21Nci—Gbll�lJjrN f-ir+L
nary-lK1 FIB , 12oa jd RE5,LNGE
Tax Parcel Property
Number: OD 2-12-4 O Z 2/�GR£� (acres/square feet)
Site Address and/or Directions to Property: (St) RAVEN Rol jp
Property Owner(s)of Record: fI tHIP s Gil( 1-LC, PA y1 GillBette Mil-NA-wk.
Telephone: 385-7't13 301-27(aS Fax: email: //(',icrk 0 OLypipv ,N
Mailing Address: 47/ i f• iAcor4 maim. RdPoRT"ToviNSFnib 1/0/15[{ g8348
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
[i1 Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a), C(d), or C]**
frr Single Family 0 Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
0 Modular ❑ Short Plat*''
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
,l7Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
je'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
0 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 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. /� �-}- pA �(
Signature: pcoA .� - 1 C,.. .z., M lQ sh 11 4 _ Date: T —/4 — 0 S
UUU
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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: �7/, 1a� '�d� Wit >Jlr=b nl]�G'W. Date: 4 —1 4--- b
r
G:\PemutCenter\FORMS\DRD 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(the�'are not li .. e i cdntr�c�«s and time, I
they will be assuming the responsibility of General Contractor for the proposed project. 1 ,
Signature: i), Date: — 05-
` 1 r l PR 1 5 i ;E
,
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: !:.`' ! r '' FAX: `
MAILING ADDRESS: EMAIL: —J
CONTRACTOR'S LICENSE WAINS f,_1` �-C
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
;a' New 2' Wood Existing: ❑ Sewer � /""
❑ Addition ❑ Steel Proposed: (*le Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: tt Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit# (')p--> -tl k
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: CPV Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: Li Public
E-� ,I�� Total: OW Name of System:it7;.
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:
Ii Underground Tank ❑ Above ground Tank Size of Propane Tank:_
❑ Heat Stove [i Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes I 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:
2ND Floor Base fee: q t 7
3ro Floor Additional Section:
Mezzanine: Plan Check fee: s �-� .
6. Y
Heated Basement State Surcharge fee:
LcC
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee: k ,i,.y,CO
Garage/Carport 57 l . 13511,
,3 .32, TOTAL: $ Cfi 2:1
Decks Receipt Number: _2--7 Cj ( 2
f
Other Cash/Check Number. t
ESTIMATED COST(REQUIRED) Data: I /-
•Fair market value of all labor and materials"fBUlidatio�to finish !Lc
("# f 06 k j lnitlals: P ,,0.2
V,.r
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G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc