HomeMy WebLinkAboutBLD2005-00317 •UILDING PERMI� Review TyAPPLICA•N ML Ty 304
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMITV: BLD05-00317 Received Date: 5/13/2005
SITE ADDRESS: 902 WOODLAND DR
PORT TOWNSEND, 98368
OWNER: MICHAEL J MC ARDLE PHONE: 602-576-2215
• KATHLEN J MC ARDLE
18611 N22NDST. # 58
PHOENIX AZ 85024 WALTHEW'S ACRE TRACTS
SUBDIVISION: Block: Lot: 11
PARCEL NUMBER: 930400019 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: SUNRISE CUSTOM CABINETS PHONE: 360-427-2448
CHUCK RUTHERFORD
70 E HEATHERWOOD CT
SHELTON WA 98584
Contractor's License SUNRICCO61J5 Expires 4/21/2007
REPRESENTATIVE: CHUCK RUTHERFORD PHONE: 360-427-2448
70 E HEATHERWOOD CT
SHELTON WA 98584
PROJECT DESCRIPTION NEW SFR
TYPE OF WORK RES SQUARE I-OOTAGE:
TYPE OF IMP NEW MAIN: 1,488
VALUATION 250,000.00 ADD'L: 1,076 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GAR
CONST TYPE: DECK E 464 SETBACK: 20
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS:. BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 3
Total: 2 Total: 3
Routing Date: • 4
• L' rat f zaw
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit . $1,833.75 BAC 05/13/05 73127
Plan Check $1,191.94 BAC 05/13/05 73127
State Building Code $4.50 BAC 05/13/05 73127
Potable Water Application $53.00 BAC 05/13/05 73127
Total: $3,083.19
•
01/14/2005 18 3603794451 JEFF CO DCD PAGE 02
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May 20. 2004
Mr. Peter Runyon
Department of Community Development
621 Sheridan Street
Port Townsend, WA. 98368
RE: Permit#13I_,D05-3 17
Tax Parcel #93-0400019
Property: 902 Woodland Drive, Port'l'ownscnd. WA. 98 368
Dear Mr. Bunyon:
Per our telephone conversation we wish to cancel the above-referenced permit
due to the fact that a sudden family emergency has arisen that requires our immediate
attention here in Arizona. It is necessary for us to cancel all plans for this project at
this time.
Since it is our understanding that our contractor. Chuck Rutherford, has not yet
submitted the`'Storm Water Management" information required to start any work
on this permit we would greatly appreciate it if you could refund our permit
application fee at your earliest possible convenience. (Our check#482 in the
amount of$3,539.06 just cleared our Bank of America account yesterday.) •
Thank you so much for your prompt phone call; please call one of us back
as soon as you talk to your supervisor with regard to the amount of this refund.
Very truly yours, 1 / l
Kathleen J. McArdle,owner
of record
"A"
Michael J. McArdle,owner of record
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• • •
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JEFFERSON COUNTY MAY 2005
4 DEPARTMENT OF COMMUNITY DEVELOPMENT
•
621 Sheridan Street • Port Townsend • Washington 98368
`��iTNG'�'4 360/379-4450 . 360/379-4451 Fax
http://www.cojefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA# 05 '30 PROJECT/APPtfC'MCrITAME: �7 oC /i,DUOL,,,,,,Q ].),'2 r V6
/g,er ;7 cv.A6 E:ru D, WI
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel . ,C 3 acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet �4 /5'4/X' sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation,and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry,
and salal;herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
7 Does the project convert 3/a acres or more of
Construction site for structures ill 9C T sq/ft native vegetation to lawn or landscaped areas?
v
Drainfield,septic tank,etc. c0 sq/ft Circle: Yes ( No 1
Well, utilities,etc. Yl) /6 sq/ft Does the project convert 2 Y2 acres or more of
native vegetation to pasture?
Driveway,parking,etc. (7 O sq/ft
C," Circle: Yes No
Lawn, landscaping,etc. sq/ft
Other compacted surface,etc. / ( O sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance r 9c � �. � sq/ft Cut Fill (cu/yd)
[over]
stormwater talc worksheet—REV.10/1/2003 1
111
• • •
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS-IMPERVIOUS SURFACE
NEW EXISTING t./....,Structures(all roof area) ,�lI C 1 sq/ft Structures(all roof area)(� sq/ft
Sidewalks J/(2O sq/ft Sidewalks sq/ft
Patios /v f i9 sq/ft Patios _sq/ft
Solid Decks l L164 sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway (60611,G'(_ sq/ft Driveway . - sq/ft
Other sq/ft Other sq/ft
Total New 3 '3 e) sq/ft Total Existing h sq/ft
/ -
TOTAL NEW+TOTAL EXISTING* -. `J d9 sq/ft *This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: f/./ %
Does the site have 35%or more of existing impervious surface? Circle: Yes No
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
, attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium"projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
__________i
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the inf rmation provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with t full knowledge and consent of all
owners of the affected property.
MAY i' �/ 2005 n
rr
G5
, , \ - L______
(LANDO ER OR AUTH1RIZED R RESENTA E SIGNATURE) , r' .s r)N c h+-I l 1,t' (D TE)
PT" nS 7,( agd z ,;k1 .,11:57-. <, � _`
stormwater caic worksheet-REV.10/1/2003 2
11/
•
��¢�oiv t^o�� JEFFERSOAUNTY r 1 w,n
DEPARTMENT OF COMMUNITY DEVELOPMENTkil r
�' ` `-4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax MAY 13 2005
�q 5' www.co.jefferson.wa.us/commdevelopment
`SHIN��
Master Permit Application SPR-
M A:
Project Description(include separate sheets as necessary):
5/.4/ LL= r "/Azt 01-sro-e i--/0/174- P -- Ile o - egie Go'Q 4 E
Tax Parcel Q Property 4 //sue
Number: 93 QyeO 0 `I Size: . s3 d , 5 / �_
1' ' 1 �-• (acres`�uare feet)
Site Address and/or Directions to Property: To a 10000L4Iue DR,vg o'er / a j,(/N:EAh7,11✓4,9 3('
Property Owner(s)of Record: n1/e/i4�4. V 4C4T HLL ',J -7'• A l C/ Q.aLE
Telephone: /-Da[)5 AP-� (2Z/$ Fax 00ci)97/- 0/��( email: {��/e/dSUi119(�oX•OS-.
•
Mailing Address: / go7// Nb • at?i-i 4.77 /A.5� I///D,e;/J/1, 4;2 • p`5-�Y
Applicant/Agent(if different from owner): Elti C(C rti 711E kPO R D
Telephone: (3(20) '-L, 1- a21/432 Fax: (3 4,,t) 43a.- (94/ email: N on)
Mailing Address: -TO 41W ,4?/r)DoP ( Oc(1er 5-HE/-1-0A-, t04, 9c 5-TV
What kind of Permit?(Check each box that applies)
04 Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
L Single Family ❑ Discretionary"D"or Unnamed Use Classification
Ci,Garage Attached Detache ❑ 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:
, E P-i c: l i,:e•V/'►/ t-- I 33 L./k'2 5 0q3- Coo -7 -2
//�� DESIGNATION OF AGENT
I hereby designate (f 14 t1� �L/1f/L-L/="2 D to ac yr70-/.79t ma relating to this application for permit(s).
OWNER SIGNATURE (5:1 jj.,47 Lill ( a:„.7" .4/ Date: - „Z-
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 e this pr rty s II be re sted and shall occur only during regular business
hours.Signature:' n�/ Date: r ,2 U s.
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-transferab respo ibili for adhe' to and complying with the ESA. The Applicant has read this disclaimer a d signs and dates it below.
/ 61/ 3/
Signature: Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
•
• OWNER*DER STATEMENT
The signer of this statement does hereby certify that " are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the respon iblity of the Gene f propo 1 project 1
Signature. • 1,7 - i` ate: ,-. ' 02 'p J—
•
1 i I MAY 1 3 2005 I I
GENERAL CONTRACTOR OR TALtER: PHONE: . PAX:-- - . i
,QH Li Uc1 RUPf-IEi2/-c-er0 &,71/�054. (1 i, C"a ,,vtrs) (?G',) �/,2 7' i 4Va7 (3 o ) '`f2.i-QiLL J
MAILING ADDRESS: 7 v I-/i 0 rye-ell/pc, LP.,0 we,:„5/1e, .7.-,7 1,1, EMAIL: PJ L'M1,L
CONTRACTOR'S LICENSE VJ,4 .9 3-et WAINS
NUMBER: c5 UMg' L�e ) 6/�"�-- /d NUMBER
ARGNFT€C'r/ENGINEER: PHONE (L 7 ) FAX'( )
�-�J2ti C,Z4c.�. 7'I-lr,m PS��Al .y� :�L-!�`I�? 3/vu /�6-0�,.�4:
MAILING ADDRESS: 19 O . 04)1 n700� 5/iL 7 r-dA2 EMAIL i 7
r Ms"g/
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New yst Wood Existing: "'r ❑ Sewer
0 Addition ❑ Steel Proposed: ,- /// Bank ❑ Community System
I 1 Alteration/Remodel ❑ Concrete Total: a ' ,2 Height:/} �'Individual System
11 Repair ❑ Masonry SEP Permit# `?'z-/-'/.)3-Nov
LI Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 3 �' Public
/-e-I�i t Ic Total: 3 Li Name of System: r*U 1' 1
/-/EW?' Pc/in 1!) d(-N. •,T[,rTElc'S Cs Al ('al a Iv r y
If this is a Commercial Project you must answer the following: 1 4
Number of Parking Spaces: Current: Proposed: 1 umber of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: _ IBC Type of construction: _ill you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permitymark—all items below that apply:
[.1 Underground Tank ❑ Above ground Tank / Size of Propane Tank:
i I Heat Stove ❑ Cook Stove ❑ Woodstove l eplace Insert ❑ Hot Water Tank ❑ Pellet Stove Li Other
Is this appliance being installed in a Man ured/Mobile Home? Yes / No
When applying for a permit to ins propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size Lances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only
I Current Proposed Amount
r—Main Floor tW i3374• Consistency Review: 4
2 Floor Ai f,`, Base fee: f333.-tc---
4,074 q ea
3` Floor Additional Section:
Mezzanine: Plan Check fee: l I.q
i -n
Heated Basement State Surcharge fee: Cf .S
Unheated Basement Pot Water Review fee: 87.00
Other Unheated 911/Rd Approach fee: l�
Garage/Cacpeft •
31
- � TOTAL: $ 6� l R
Decks 1�4'7` ( X % Receipt Number: t�1
"7
Other �r .�r� sh/Check Number: Lt%7
ESTIMATED COST(REQUIRED) Date:
Gr :
•Fair market value materials foundation to finish V v
)• Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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