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HomeMy WebLinkAboutBLD2005-00241 ItUILDING PERMIT APPLICA•N MRLA05 00237 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00241 Received Date: 4/20/2005 SITE ADDRESS: 42 CLIPPER LN PORT LUDLOW, 98365 OWNER: MORRIS G HURD PHONE: 253-691-3933 GAYLE K WOLFE 4600 16TH ST E Q107 FIFE WA 98424 PORT LUDLOW NO. 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990700025 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: REALTY HOMES INC PHONE: 253-926-6330 1308 ALEXANDER AVE E FIFE WA 98424 Contractor's License REALH1984CN Expires 2/15/2006 REPRESENTATIVE: GAYLE K WOLFE PHONE: 253-691-3933 4600 16TH ST E Q107 FIFE WA 98424 PROJECT DESCRIPTION NEW SFR W/ ATTACHED GARAGE l C <q tL)O ) /2*//1#0r TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,567 VALUATION 234,798.00 ADD'L: 695 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: • 528 SETBACK: DECK: 832 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date.q / 25 Type • Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,749.75 BAC 04/20/05 72955 APPROVED Plan Check $1,137.34 BAC 04/20/05 72955 State Building Code $4.50 BAC 04/20/05 72955 JUN 2 a 2005 Potable Water Application $53.00 BAC 04/20/05 72955 Jefferson County Planning Total: $2,944.59 & • • epartment 1 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00241 SITE ADDRESS: 42 CLIPPER LN Received Date 04/20/2005 PORT LUDLOW, 98365 Issue Date 06/29/2005 APPLICANT: MORRIS G HURD GAYLE K WOLFE PHONE: 253-691-3933 4600 16TH ST E Q107 FIFE WA 98424 SUBDIVISION: PORT LUDLOW NO. 3 PARCEL NUMBER: 990700025 Block: Lot: 25 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: REALTY HOMES INC 1308 ALEXANDER AVE E PHONE: 253 926-6330 FIFE WA 98424 Contractor's License: REALHI984CN Expires: 2/15/2006 PROJECT DESCRIPTION: NEW SFR W/DECK, ATTACHED GARAGE& 120 GALLON A/G PROPANE TANK CALL IN FOR THE REQUIRE/ IN�S PEC ONS THAT APPLY TO YOUR PROJECT. SETBACKS: e 8 2643- UFFER: /! Footing: Q4C&/2f/pS Foundation: Dk 8/z%c 1- Stormwater FINAL Approval: Underground Plumbing: IS Underground Insulation: Shear Wall : F5 i-5J J'ea s ak $8/e56W Sheathing: Framing: e>K4/CO-,tI:ZiOh /0-71S Plumbing: iy_/„ /1 Propane Tank/Lines: WOOF /2`/'S4 Insulation: Zae /ZAh.5 Sheetrock: bX /27/2_'/s /�vr4-over- �11,,E�7.eLJRGL5 D� /2//�,5 Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: dX 4r-ice Fri Q6 ru HEALTH DEPARTMENT AND PUBLIC WOR 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. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR CA!A BLD05-00241 • 1.) The road approach permit(RAP05-00066) 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.) 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. 3.) A Stormwater 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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). 6.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 7.) The building height is not to exceed 35 feet. 8.) Setback from Clipper 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. 9.) 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. 10.) 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. 11.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 12.) Per MPR Code Section 3.107, Accessory dwelling units (ADU's) shall not be allowed in the MPR-SF zone. I:\F_BLD_Perm it_Bu ildng.rpt 10/29/19 4111 .4,'P'' c0r'�L JEFFERSON SJNTY i DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 4. 360/379-4450 • 360/379-4451 Fax �` ING`1'O www.co.jefferson.wa.us/commdevelopment APR 2 CD25 (;l Master Permit Application MLA: Project Description(include separate sheets as necessary): Fcv' Si 7f 22si411 44, /,/-/aG6yN gct Tax Parcel " Number: ) .- 76,e, _.e.,), z5— Property Size: (acres/square feet) Site Address and/or Directions to Property: ,P e/„9,v4ayL Property Owner(s)of Record: L , a K )f ``dly it) � Sri s 7i Telephoner 4'/ - ; Fax. Mailing Address: y�f ��— n — email: Applicant/Agent(if different from owner): Telephone: Fax: email:Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Fa ❑ Conditional Use[C(a), C(d),or C]** Garage Atta I Detached ❑ Discretionary"D"or Unnamed Use Classification ❑Manufactured Home ❑ Special Use(Essential Public Facilities)** ❑ Modular ❑ Boundary Line Adjustment ❑ Commercial* ❑ Short Plat** ❑ Change of Use ❑ Binding Site Plan** ❑ Long Plat** 0 Address ❑ Road Approach Propane pproach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis Ill Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan ❑ Shoreline Management Substantial Development** Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑ Temporary Use g Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest 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 proposal, if known:Conference I hereby designate _DESIGNATION OF AGENT �/' ��1�11" to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � /��, ,�C ) ='�^"' _ Date: c9d 11 S_' 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 fad 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 attorney'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 :ztur e//'1s 7,0._.1s.�.4-94-t� } Date: \ 001/45 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 in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable pongibility for adhering to and plying with the ESA. The Applicant has read this disclaim ran signs and dates it below. Signature. / �%Gk-2<,. Date p et- - i G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 110 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: 20 2ciori GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: /�NLZ/�C//� � /o ,a'e � ( ?5 ?Q (; 330 ( • ) . - MAILING ADDRESS: /3a" A/N,-a4Id 'y4✓c? EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FM:( ) MAILING ADDRESS: EMAIL Pr jest Type: ?fame Type: Bathrooms: Shoreline: Type of Sewage Disposal: A New Wood Existing: ewer ❑ Steel Proposed: _ Bank ❑ Community System Total: CI Addition , 3 Hel ht: CI Individual System ❑ Alteration/Remodel ❑ Concrete //-9 SEP Permit# ❑ Repair ❑ MasonryBedrooms: - Water Supply: ❑ Demolition ❑ Other: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: Public Total: 3 Name of System: If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: TypeWill you have Food Service? Yes / No IBC of construction: If this is a Propane Tank and/or Appliance Installation permit,mark all items below that ap Iv Underground Tank Above ground Tank � / Size of Propane Tank: / c L) ❑ Heat Stove i(Cook Stove ❑ Woodstove >l Fireplace Insert /Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No linhes to kllocation and si e,distances froma the ne tank you must also submit a site lthe propane tank to all property lines,buildings and septic system componentan showing all of the buildings,all s including the reserve area. for Office Use Only I ISquare FootageAmount Current Proposed Main Floor _ ��11 �G a�bnsistency Review: /6 6 7 1401 50. se fee: dQ 2Nu Floor ( � 1 1 , 15 6 3f0 Floor Additional Section: ,----._.. - Plan Check fee: 1 '�� ,34 32.4 0 Mezzanine: I O Heated Basement State Surcharge fee: .9 -- Unheated Basement Pot Water Review fee: €3-1 t Other Unheated � ) • ?IA 1 �; 911/Rd Approach fee: r rt `cyefe�lpfc� 3 �:; 33 cGaragekarport c- C� q44�� TOTAL $ 31 COI Decks a f t.y.o�`IR eip�umber: a 155 v ', •mash/ eck Number 3,335 Other 'A. . .I • 0,/ ESTIMATED COST(REQUIRED) �'�" °�' `9'0 l .Fair market value of all labor and materials foun.• •' .finish Alz1 �s. /' E C)� 00 0 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc C:\ !ortn'.1 C1--‘1"--z-4 ad fe,oper 24:2;ve.. 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