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HomeMy WebLinkAboutBLD2005-00312 41113UILDING PERMIT APPLICAIN BLD05-00312 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00312 Received Date: 5/12/2005 SITE ADDRESS: 401 TALA SHORE DR PORT LUDLOW, 98365 OWNER: JOSEPH W HUNT PHONE: 360-437-0865 FRANCES J PASLEY 401 TALA SHORE DR PORT LUDLOW WA 98365 TALA SHORES #3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 998200349 Section: 15 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2007 REPRESENTATIVE: BEN PENNINGTON PHONE: 425-743-1555 �. 16521 HWY99STEC tom, LYNNWOOD WA 98037-3161 PROJECT DESCRIPTION NEW POLE BLDG TYPE OF WORK GAR Al/ SQUARE FOOTAGE: TYPE OF IMP NEW • 1 VALUATION _-L•usi. r ',;,0 MAIN: CODE EDITION: 2003 4,1C,ADD'L. HEAT TYPE: OCCUPANCY: ,Ljv HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 1,296 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: • WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: • Exist: Prop: Prop: Total: Total: Routing Date:/ / /Q3 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $451.85 BAC 05/12/05 72983 APPROVED Plan Check $293.70 BAC 05/12/05 72983 State Building Code $4.50 BAC 05/12/05 72983 JUL 2 6 2005 Total: $750.05 Jefferson County Planning & Building Department • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00312 Received Date 05/12/2005 SITE ADDRESS: 401 TALA SHORE DR Issue Date 07/26/2005 PORT LUDLOW, 98365 APPLICANT: JOSEPH W HUNT PHONE: 360-437-0865 FRANCES J PASLEY 401 TALA SHORE DR PORT LUDLOW WA 98365 SUBDIVISION: TALA SHORES#3 Block: Lot: PARCEL NUMBER: 998200349 Section: 15 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License: TOWNCPF099LT Expires: 4 iOE;7660 PROJECT DESCRIPTION: NEW POLE BLDG CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: Dk "Is Lvz ear z qii Z, s OA) ./TE fz/2/DS*(f1 p 3,gck 4,2.) UFFER: / Footing: Joe tt IFprN z7k (PUMP Ades error to 411•90hQz 6zg3) iz/3d/ac Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: 0A' le-ofiali60A ih/&L Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: (n HEALTH DEPARTMENT AND 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 CASE # BLD05-00312• 1.) No Footing or curtain drains are to be installed within 30' downslope of the drainfield area on the west side of the building. 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 landslide hazard 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.) 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. 8.) 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. 9.) 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. 10.) 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. • 11.) The project shall comply with Construction Stormwater Pollution Prevention PP) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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). 14.) 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. 15.) The building height is not to exceed 35 feet. 16.) Setback from Tala Shore Dr. 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. I:\F_BLD_Perm it_Bu ildng.rpt 10/29/19 Jefferson I oimt a'tment of Co mm Ifty Development iicv v co�� • Sheridan Street, 8[3 ownsend WA 88366A1370-4450 a, 821 o App oOc ? ©� HIN Building Type: Project Type: Frame Type: ❑ Single Family New ❑ Wood Garage Attached eta hta d ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition Other: 3Sf RI nia ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing. ❑ Sewer ❑ Community System ❑ Electrict • Proposed: Proposed: Individual System ❑ Woodsto ❑ Propane Total: Total. If not sewer,fill out the following: 0 He p ❑ Conventional ❑ Alternative ther Permit# SEP Water Supply: Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Office Use For Office Use Only Main Floor Consistency Review 2ND Floor Base fee 3rd Floor Plan Check fee Htd Basement State Surcharge fee Unhtd Basement Subtotal Garage/Carport /Z /b Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL Industrial Receipt# Other Cash/Check# Initials MAY ' 2 2005 // Date Estimated Cost, 2 1 , V i 7 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark �/ ft. Bank Height �/� ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of to the applicant's operty 4 r structure shall be requested and shall occur during regular business hours. Signature: — Date: I Zl l 6 /0 i OVER ► G:\PermitCenter\FORMS\BLDG FORMS\Bl,DPermit Application.doc 01/08/2004 II 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: GENERAL CONTRACTO OR MANUFACTURED OME INSTALLER: PHONE: FAx: T�w/k oew 600 i'rt .s1- rr.t.�� (11 ss 2S >+ 7�{3- (s (105 ) 7K l6�� MAILING ADDRESS: VS i.I 140,1 q' s t, T-, G EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: To0A2c Pi:o4z `T- NUMBER ARCHITEGl ENGINEER -/irl Devi/pit I I I PHONE (Lta 5 ) ',(g(_g o( FAX:( ) MAILING ADDRESS: 1 no .,(i tit,--,-St- Sd:4c (0(s t�0),;(/MAIL Ivo.7.2 m Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X. New 0 Wood Existing: ❑ Sewer L Addition ❑ Steel Proposed: Bank 0 Community System Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System Repair ❑ Masonlyn 1 SEP Permit# Demolition Y- Other: v Bedrooms: Water Supply: Frgo—A_ Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I 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 Amount Main Floor Consistency Review: -4 9 2—Floor Base fee: 1 1 • 48 3fd Floor Additional Section: Mezzanine: Plan Check fee: Qc\ Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated •11/Rd Approach fee: `4 • �_„ Garage/Carport tg C6 `JJ 015461a TOTAL: $ 7 ` l 05 Decks Receipt Number: '1 c 93 - Other Cash/Check Number: y� ESTIMATED COST(REQUIRED) Date: MAY 1 2 2005 ��a5 Fair arket value of all labor and materials foundation to finish ( f01��� t / 6 0 Initials: - . C:\Documents and Settings\mochil\Desktop\faster Permit Application 7-8-14.doc " ¢BON (,O • •• w� JEFFERSON COUNTY y: DEPARTMENT OF COMMUNITY DEVELOPMENT i `' " `4 621 Sheridan Street • Port Townsend •Washington 98368 4, . 360/379-4450 • 360/379-4451 Fax MAY j 2 qS`�NO O www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: O,j/ 3( — Project Description(include separate sheets as necessary): 00. Ntw?de �trzit- 1kNo\ Tax Parcel Cp Property r Number: l i 6aod 3�'�c Size: J dQ acre quare feet) Site Address and/or Directions to Property: 0 i Ta 1 i.k, S�arc Dr • Port" 1-U)JO(A/ Property Owner(s)of Record: J 0 C. N vy - Telephone: CO3 -`(37-0 'LS Fax: email: Mailing Address: q O( T 0.I:a, S'i.ere r a P,r I. I. I bid, "/ . ct, 'i CS Applicant/Agent(if different from owner): r 6,. l c.0,.•:os ..--- Telephone: t{2S- ? 'tJ- (SSS Fax: '"l S-7iiz i6q( email: Mailing Address: 16-CLA ff..1 1 S'v.4 C `Iv,r, �- L� ' 7' 1ip! What kind of Permit?(Check each box that applies) �1�� )Building E Variance(Minor,Major or Reasonable Economic Use) C Demolition Permit Conditional Use[C(a),C(d),or C]** • Single Family = Discretionary"D"or Unnamed Use Classification %Garage Attached 1.__Dtacl-....._2, Ci Special Use(Essential Public Facilities)** • Manufactured Home = Boundary Line Adjustment ❑ Modular = Short Plat** • Commercial* Binding Site Plan** ❑ Change of Use S Long Plat** Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane = Plat Vacation/Alteration** ▪ Allowed"Yes"Use Consistency Analysis Shoreline Master Program Exemption/Permit Revisions** $V Stormwater Management = Shoreline Management Substantial Development** • Site Plan Approval Advance Determination(SPAAD)* = Shoreline Management Variance Temporary Use I Comprehensive Plan/UDC/Land Use District Map Amendment Wireless Telecommunication* 1 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 D€,Yt f e inItioft. / to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 14 /T" Date: S /2 loS ip••49(.07--- 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 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 re I d later insp t' ns.Access and right of entry to this property shall be requested and shall occur only/ôç ing regular business hours. [� / p Signature: iiw/VL Date: -1 ` J 0 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 viola,- he ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if are in complia`.-with th Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf le responsibilit i�r adher' g to and complying with the ESA. The Applicant has read this di�clailne�and sjgns and dates it below. 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