HomeMy WebLinkAboutBLD2005-00323 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00323 Received Date 05/20/2005
SITE ADDRESS: GOLIAH LN Issue Date 07/22/2005
PORT LUDLOW, 98365
APPLICANT: HAROLD MOE CONSTRUCTION, INC. PHONE: 360-437-2740
104 MATS VIEW TERRACE
PORT LUDLOW WA 98365
SUBDIVISION: PORT LUDLOW NO 2 AREA 2 Block: Lot: 83
PARCEL NUMBER: 990600283 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: 360-437-2740
104 MATS VIEW TERRACE
PORT LUDLOW WA 98365
Contractor's License: HAROLMC074N3 Expires: 7/21/2006
PROJECT DESCRIPTION: NEW SFR W/ATT GARAGE, 48 s.f. PATIO, PORCH 42 s.f. &
A/G 120 GALLON PROPANE TANK
CALL IN FOR THE RE IRED IN PEC IONS THAT APPLY TO YOUR PROJECT.
SETBACKS: J /DJ4$'
UFFER: A/v
Footing: t LJ3/ Hu!4o /49/050 4
Foundation: OK fl/21r!''
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : Ext. Ok i2/i/0S,4g
Sheathing: L
Framing: %1// fla:1411.v nK tl4/e'6-gl DI; //23/04
Plumbing: O //20,411/
Propane Tank/ Lines: /,irL.005 /z�Zz03
Insulation: LA NA Dk ,/2 bL // ' AiQ Sic. D/C i/zsfr
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: Qk . . �/p Oci/ce
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIR D PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
• MAL05-00306
rsUILDING PERMIT APPLICAN Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00323 Received Date: 5/20/2005
SITE ADDRESS: GOLIAH LN
PORT LUDLOW, 98365
OWNER: HAROLD MOE CONSTRUCTION, INC. PHONE: 360-437-2740
104 MATS VIEW TERRACE
PORT LUDLOW WA 98365
PORT LUDLOW NO 2 AREA 2
SUBDIVISION: Block: Lot: 83
PARCEL NUMBER: 990600283 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: 360-437-2740
104 MATS VIEW TERRACE
PORT LUDLOW WA 98365
Contractor's License HAROLMCC74N3 Expires 7/21/2006
REPRESENTATIVE: CHERYL HILBERT PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ ATT GARAGE, 48 s.f. PATIO, PORCH 42 s.f. &
A/G 120 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE: iy „0$
TYPE OF IMP NEW MAIN: -1 385-,
VALUATION 130,000.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5-1HR GARAGE: 576 SHORELINE:
CONST TYPE: DECK: /yS--944,�4 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
I I �-
Type Amount Paid By: Date: Receipt: Approved/Date
Plan Check $755.14 BAC 05/20/05 73088 APPROVED
State Building Code $4.50 BAC 05/20/05 73088
Potable Water Application $53.00 BAC 05/20/05 73088 JUL 2 2 2005
Permit $1,161.75 BAC 05/20/05 73088 Jefferson County Planning
Total: $1,974.39 & : •partment
�
_Fen_ S `
SPECIAL CONDITIONS FOR CASE t BLD05-00323
1.) 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.
2.) A Revised Stormwater Site Plan dated July 1, 2005 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
5.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) The building height is not to exceed 35 feet.
7.) Minimum setback from Goliah Lane right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
8.) 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.
9.) 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.
10.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
11.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed
within the MPR-SF zone.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify than are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be at-cttming the responsibility ofthe General Contractor for the proposed project.
Signature:'' ,�(i t .*S--" Date: _ <--l y 6:7 5
GENE CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX
�it�� lct 14 ��, �t (2 `C51—x7LO ,0)4f3T1-°al,
MAILING ADDRESS: 10 Lf itot --5 t t�I, I fl I it a, f i- EMAIL: 11 �;� e (t(4 4,1( . mi' -
CONTRACTOR'S LICENSE '�"" �•► YL� WAINS �� "
NUMBER: + RO 1CO +NS NUMBER
1 ARCHITECT/ENGINEER: „,,r l l I,, // PHONE ( O) 3g- 33FAX:( )
MAILING ADDRESS: TAT/D r •J-Ptflk
T /� EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:(�""J_ g
New Wood Existing: Sewer
o Addition ❑ Steel Proposed: '2- Bank pep mmunity System
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: ■ Individual System
❑ Repair 0 Masonry SEP Permit#
Bedrooms:
❑ Demolition 0 Other Water Supply:
Existing: _ Setback:
Type of Heat: Proposed: i — ❑ Private well ❑ Two Party
fgs Public /
Ne,� Total: Name of System: /rtI1
If this is a Commercial Proiect 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 'Sd`Above ground Tank Size of Propane Tank: I 20
❑ Heat Stove ❑ Cook Stove 0 Woodstove ,';Fireplace Insert 0 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 fi{}rFOffice UseOnly � ,� ~ tF
Current Proposed 1 t a 4
Main Floor r � � t r
2"u Floor r ���9/ � Lf sr ~��` �;
VC
e- - r}''
3`d Floor r nal Sectiofi :
Mezzanine: .r.,_az__.1 4.
. . , P ., :iO4.,,,,.1- ,:-
lan Choc.., ..,..„kf ;
.. , .. -.-
Heated Basement pr > lox .,
' � e
Unheated Basement aWate
\s�i5��� V j'h' V1T Y
Other Unheated 'i fee,` _ 'f'z. . ,,,� 1-' 1,,,...;
Garage/Carport //'ill*
ao � :/ J ..a �; ,. �. r t i ?,rt t �3
Decks �(1s,, A. _ / t]{���jj� y `rg� r> T.
Other (� �'�( p y�f�. y z-Øq
f o �. \ LI Z Q j j .Cisf -. -...:t Mures; ¢ , ,
ESTIMATED C T r' a., ` r� ,'; , , .,
•Fair ma -ofeltrabii d iia`�tterial nda' xx r
l.7 ZAn l \* r Y
G:\PemiitCenter\FORMS\DRD FORMS\Master Pennit Application 7-8-04.doc
40'" ON c06, JEFFERSON C'LINTY ., ,
' DEPARTMENT OF COMMUNITY DEVELOPMENT ' r~ L '
1illik
621 Sheridan Street• Port Townsend • ashington 8368
360/379 4450 •• 360/379 4451 Fax ffsomdlopment I5 ; j
Master Permit Application ! MLA! _, a
Project Description Include se crate plieets as sssqry / // • Q
T �ryu�
ax Parcel h Property _ G�C/
Number. 11C (� �i�,�Li ', Size: - i 3; 7 5' , (acr square fe)
Site Address and/or Directions to Property:I Le I- 33 6t/it. LiA errf— L IfiA- et g 36s
Property Owner(s)of Record: V i4t Ate&
Telephone: L{?j1- '`E G Fax: C6 emai:iY a j2lLl ha e_.p.'I c spisii-
-r � �'g �
Mailing Address: I DI-I Mit t5 V}t?,ta? i Ya t'mAl- Lt six c1A W Pr ti (c.) I
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
iI hat kind of Permit?(Check each box that applies)
Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
iSingle Famil ❑ Discretionary"D"or Unnamed Use Classification
")Garage Attached Detached ❑Special Use(Essential Public Facilities)**
IIII] Manufa e 0 Boundary Line Adjustment
❑Modular 0 Short Plat**
❑Commercial* 0 Binding Site Plan**
[1 Change of Use 0 Long Plat**
Address bRoad 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 0 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:
i�op DESIGNATION OF AGENT
I hereby designate Loa ii 1 NiIT{ 17�,r I to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE,` -� -i' rh_.(,i--e 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 arrpss 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.Arrless and right of entry to this property shall be requested and shall occur only during regular business
hours. J r� / y `
Signature: ���`�F urLE--'�r5/ f -' t-,t Date: �/-- /J - C3 -...
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 responsibility fora ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .. a,- ,(4.17'"/ /�t�'.2--`C Date: - K- 6
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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