HomeMy WebLinkAboutBLD2005-00315 VUILDING PERMIT APPLICAN MLA05-00303
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD05-00315 Received Date: 5/13/2005
SITE ADDRESS: 43 CEDAR COVE RD
BRINNON, 98320
OWNER: DONALD D HATLER PHONE: 360-683-6967
CLARA HATLER
256 LESTER WAY
SEQUIM WA 98382 SUNNY SLOPE
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 997200005 Section: 11 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
•
PROJECT DESCRIPTIOP NEW SFR W/ 149 sq ft of HTD STORAGE &
A/G 250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 672
VALUATION 104,793.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: 672 HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 149 SHORELINE:
CONST TYPE: GARAGE: SETBACK: 110
DECK: 311 BANK HEIGHT: 20
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS: •
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: .(:{)
Type Amount Paid By: Date: Receipt: Approved/Date
Permit • ' $1,021.75 BAC 05/13/05 73074 APPROVE_
R 0 \// E_
Plan Check $664.14 BAC 05/13/05 73074 /'�r
State Building Code $4.50 BAC 05/13/05 73074 JUL 2 1 2005
Potable Water Application $53.00 BAC 05/13/05 73074
Total: $1,743.39 Jeffe on County Planninc.
`�. : a Department
Foe_ Peer? S A
0 41110
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00315 Received Date 05/13/2005
SITE ADDRESS: 43 CEDAR COVE RD Issue Date 07/21/2005
BRINNON, 98320
APPLICANT: DONALD D HATLER PHONE: 360-683-6967
CLARA HATLER
256 LESTER WAY
SEQUIM WA 98382
SUBDIVISION: SUNNY SLOPE Block: Lot: 8
PARCEL NUMBER: 997200005 Section: 11 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/ 149 sqft of HTD STORAGE
AGE &
A/G 250 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED IN�SPE NS THAT APPLY TO YOUR PROJECT.
SETBACKS: , X1/4 05!UFFER: D,k 9/2 ' i,.,y, Al.
Footing:" VASE 7 ' pEC F13_ 8/3* 'PNASc'1r 4k'/ D., 94' V
,
Foundation:jam(' / , /
Stormwater FINALpproval:
Underground Plumbing:MS OK 9-a.0-0,5-
Underground Insulatio V -- -l3
Shear Wall : OK, G/ .i
- l3- 06
Sheathing:
Framing: 2/ -711rP'6
Plumbing: ' ?1lv'0-b r-%
Propane Tank/Lines:
Insulation:qi-i2.4 -¢/)
Sheetrock: .0k ra/2.Septic Sytem Finalr `knot on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval. R-f!� E-7 %�.-redk-«w
HEALTH DEPARTMENT D 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
•
SPECIAL CONDITIONS FOR CS # BLD05-00315
1.) 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.
2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
4.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
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.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
7.) 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.
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 y 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.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Setback from Cedar Cove Rd. (C243909) 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.
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.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
16.) The standard setback for residential structures, including common appurtenant structures
such as garages and workshops, shall be thirty(30) feet or one (1) foot for each foot of
bank height, whichever is greater. This setback shall be measured from the bank's edge
when the bank's height exceeds 10 feet. When the bank's height is less than 10 feet, the
setback shall be measured from the ordinary high water mark. The setback shall not
exceed 100 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
an.,,,,4
g$oiv ff JEFFERSONUNTY110
DEPARTMENT OF COM NITY;DEVELOPMENT
621 Sheridan Street• Po Tov'vnsend •Washington j9 368
360/379-4450 • 360/379 51 �X
�� O� www.co.jefferson.wa.us/ omm evelopment i!t
�rx MAY 1 3 2005 Lt
Master Permit Application
:____ MLA: ( °
Project Description(include separate sheets as nece spry): ,
A rile- F*ei-i/i f // /Vv77l -
Tex Parcel S Property
9
Number: 7 :c2 0000 — f Size: *:`/ — quare feet)
Site Address and/or Directions to Propert t�`r11 ,j,`43 Cedd An C°tic, /j i/A I,L,ti
Property Owner(s)of Record: G,v,a-it .1. L .A a H.11 fi_e vz
Telephone: 360 & L, `7 Fax: S Om e_ email: c�.u,,, / e i t D �'
�y � f,2c- G.. off r,��Cr,
Mailing Address: ,2 'L N_ Te;L w Ay 5 c- i;,,t r yt ,U fl c S'3 -• !
Applicant/Agent(if different from owner): / `5 /v1c
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
I)3 Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
Single Family ❑ Discretionary"D"or Unnamed Use Classification
0 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**
❑Address ❑ 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 wh'ch.,Lnay in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further a ree to provide a nd rig t of entry to Jefferson County and its employees,representatives or agents for the sole u
review an an re uir lat 9 purpose of application
q e�d pegi ns Access n ri ht of en _to this property shall be requested and shall occur o y du. g regular business
hours. t
Signature: , ' 6— �Date: 0 / Op6126--
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 ee 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)e n if you are' +-.,o -Phan wi e efferson County development code.The Applicant acknowledges that he,sh or it holds individual
and non-tra sferable re4q 1 bill fq&adh _ o-and complying with the ESA. The Applicant has read this disclaim and s' ns and dajtts it below.
Signature: ' i: �� L / c,L
Date: , ; i • ,,..(/
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
0 OWNER BUILDER STATEMENT III
The sign of this statement, hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be' ssu ng th `t; ponsi ili of the ntractor for the proposed project.
Signatur : � `� Date: 5_e j
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New X Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: 4. o` Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: /. Height: IV".Individual System
❑ Repair 0 Masonry SEP Permit#;ep rtti/- 0O5"35.'
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: X Private well ❑ Two Party
Type of Heat: Proposed: :X ❑ Public
2%tve iif.I a 4-- Total: 2_ lit) c r Name of System:
Peet; pv N e
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:
❑ Underground Tank ,KAbove ground Tank Size of Propane Tank: .. --O
,p4 Heat Stove 1$- Cook Stove 0 Woodstove ❑ Fireplace Insert X 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 , i;Amount
Main Floor Consist4hoy Rev iil:i, s s s /1 i
2N0 Floor I 3ase,fee:
3`a Floor Additional a l
on:
Mezzanine: Plan Check fee: 1 I i I
Heated Basement State`Surcharge fee: ,
7 t,
Unheated Basement Pot Water Revievii'fee:' c
ck
Other Unheated 911/Rd Approach fee: ,�. :-f 1
Garage/Carport TOTAL $ I c 3 `
r-'i
Decks q / 7 Receipt Number: ` 'IOther - Cash/Check Number:
H IF�-l c( S-_le>o dl 'e: /Y re
ESTIMATED COST(REQUIRED) li t'1 d(t/j,Date: C" ,� j c
•Fair market value of all labor and materials foundation to finish=�- 'i' [�`
iy` ) 7.- I t
C I 'lb- :-3 I � tials: (. I,-,) 1
\ t
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04-doc
-,q \ ,
4., a- iir..
. ... ... ...
1.4
.....i ,,
r n
.0 0 \ . ')
N'44 :: ,:44i ''' .,%,
.3' A
_ )__, it i ,1 (A .,,.
Oo
r\ ,
_c ' '� /' ,
.
-� „`' *
iitte,,_ _ , .
x4k A , . .. .. _ . , ,„,
, `
l
\
ram- i }
Gam'
1�
w
.. s W
, — — --,-....— - t\ is, :..`,,ilki', I tt i i
1 itv -97Y/7 .3.,ik.. -s, • -. l' k r•Z's.ii ••<' ,,,
'''''', : . ..
i/a
.\$ � 1., _.....,�,. � y.._{ (J�l. ' � �� is l. ,�\k+ Ti :
� } �
••t, p
, ,\ ,,,,,,
, i ,,,-/. ,.., \k , --.. „....
S. ,,r - i 4' i ...t t, 4 .., ' 1 ''.' I
0.4)11
• -,,,,,,• 4:,,,,, ,,..
TT
u'` Vy t
\ I^\ I S-
,tlic._,
N. � + /" {
, r IN ' II
,,
w '
-# \ s:1i: / /,14 IN, ..,_
, t IV 4,iw' \\. N kt it N .-(. ,‘
\I ;* ,x
i , `kt, r\'
,1/44
4,1 ti \ !IIt
ti
---1---- — 4‹: 1 , , iLkI\ ,
'A 4 ":4
�t ti `y '''.
` -1