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HomeMy WebLinkAboutBLD2005-00299 IUILDING PERMIT APPLICAITJN MLA05-00290 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00299 Received Date: 5/10/2005 SITE ADDRESS: 220 DUNSMUIR RD PORT LUDLOW, 98365 OWNER: JAMES W AMENDE TRUSTEE PHONE: 360-302-0156 NORMA T AMENDE TRUSTEE 220 DUNSMUIR RD PORT LUDLOW WA 98365-8737 SOUTH BAY#3 SUBDIVISION: Block: Lot: 14 PARCEL NUMBER: 995700014 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC RIDGE INC PHONE: 360-302-0156 15940 LINDSEY LANE POULSBO WA 98370 Contractor's License OLYMPRI986NA Expires 8/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW DETACHED GARAGE - noplumbing/unheated TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 7,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 288 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: ' BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: CI( • Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $139.25 BAC 05/10/05 73112 APPROVED Plan Check $90.51 BAC 05/10/05 73112 State Building Code $4.50 BAC 05/10/05 73112 JUN 2 1epart 2005 Total: $234.26 Jefferso& ounn County Planning ment Pba- Faces • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 • (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00299 Received Date 05/10/2005 SITE ADDRESS: 220 DUNSMUIR RD Issue Date 06/21/2005 PORT LUDLOW, 98365 APPLICANT: JAMES W AMENDE TRUSTEE PHONE: 360-302-0156 NORMA T AMENDE TRUSTEE 220 DUNSMUIR RD PORT LUDLOW WA 98365-8737 SUBDIVISION: SOUTH BAY#3 Block: Lot: 14 PARCEL NUMBER: 995700014 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC RIDGE INC PHONE: 360-302-0156 15940 LINDSEY LANE POULSBO WA 98370 Contractor's License: OLYMPRI986NA Expires: 8/1/2006 PROJECT. DESCRIPTION: NEW DETACHED GARAGE - noplumbing/unheated CALL IN FOR THE REQUIRED INSP CTI S THAT APPLY TO YOUR PROJECT. SETBACKS: � /S/K q� f UFFER: Footing: ak G)/e/3sa_14oirs (IA .St-t18 ) 05 Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : ` 1 ( f���._ Sheathing: Framing: ' Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ' 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 CAI A BLD05-00299 ,Y. 1.) 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. 2.) 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. 3.) 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." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) 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. 6.) 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. 7.) 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. 8.) 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. 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 property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). O • 11.) The project shall adhere to theSest 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 anddrainage 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.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Dunsmuir Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks are 5 feet. If an ESA is present, then the more stricter setback shall apply. 17.) 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. 18.) 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. • • • I:\F_BLD_Permit_Buildng.rpt 10/29/19 APPROVED al - ( stor Pc4.5' SITE PLAN..._ _ rn.`14_atec • ____ JUN 2 0 2005 rm - E, - 0 ,--, ---___ ----- - Er - iEFFERSO OUN Fp - F 0 I DEPT.OF - LOP - , FIR -Frtsa , , In i SIGNATUR : , 41. - 4a1 i_JP C i\ i tifi. - Nub 10'0 , DI lesi , P---- _. D3. Ds*d I -----. -- - __ _ / / ---------______, 9Lis . I06. goer. DI. 5tair.I Proviz / , , / licmdrit . D4D15: V2*gp ., i I Do. rero% 0 ! L___ , atm 0 , 0. i to).00,s,i, 4_4. # / It. timel go DI2. Nan-f,ail ill ' t . °. ' do, /. De. 4'meg noill/ v ------ 4• ivutatet / 05. '''' Moan i' 6 ' - ' , / 0 D . 22 X 30 i' -' 0 71 56.6 nal / 6/ De. Fur?na _ l.' , r / if9 OM I 4'carte ,' D20. ,440= ,1(42 ° _ ,/ 021 V?61113 , \ `1/4'Ll,1,0i, POO a / s / G22. hsulate 1 I , , AO , .e. 0, .ss„ ____________ I , E E / --1 N. 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Raise Thi Rev.MX rrimi • .. . ma. mi......... • OWNER BUILDER STATEMENT • The signer of this sta :+ ent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass, n. he responsib'lity of the General Contractor for the proposed project. ignature: _ 6i �t;Z2;e!vre--6 Date: 2 GENE ff L CONTRACTOR OR MANUFACTURED� HOME INSTALLER: (PPHHO�NE: /� FAX: MAILING u SS:-) V - Li-C-/ /, / Ci aF t V ) o&- —04 (2 "�/6 ) f J 7 7'Q2 —9 170 C.�^,��U{„ C,I,,Y� G MJ1F'(') /I, MAIL: /7✓ t CONTRACTOR'S LICENSE '' / WAINS � `� " [(l it NUMBER: (4/190 96?64,. ,l< NUMBE R U F _ (�(— -,0 6.-- ARCHITECT/ENGINEER: / / 7j /-l": /!/ J PHONE �l2 ) G � Jtar '( ) MAILING ADDRESS: _V EMAIL Pr9ject Type: Frame Type: Bathrooms: Shoreline: Type-of Sewage Disposal: New „.,, E�Wood •.• -Existing: Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel N. _r -te/,1t1 =--- Total: �)-- Height:_ ❑ Individual System ❑ Repair l"` 4, i i te..f \�s 4 t l; - y S SEP Permit# ❑ Demolition ,i i ■ .��.- - oms: Water Supply: ! s tl 9 Setback: ❑ p' ate well ❑ Two Party Type of Heat: I ° MAY 1 0 2005 ' ed: Total: --p , c�` blic ._._0 'mil Name of System: JEFfrn �CtJUfv 0. [NT o If this is a Commercial Pec g_ Number of Parking Spa..- ."current: Prsed: Number of ADA Parking Spaces: Number of occupants(includgb„pyvners,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 ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove Cl Fireplace Insert ❑ 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 Amount Main Floor Consistency Review: tiq 2ND Floor Base fee: `77 <ZS- 3`"Floor Additional Section: �.- Mezzanine: Plan Check fee: qo --( ,._ ,,, , Heated Basement State�Surcharge fee: r Unheated Basement Pot Water Re view Other Unheated 911/Rd ,......./".Approach fee: crag Carport 1 � � /<-O r:) O e TOTAL $ -2_ ; ,`��C.7 Decks `v 0 Receipt Number. ID(( Other Cash/Check Number: ESTIMATED COST(REQUIRED) D> • r-'-- •Fai aik a7TTh r and materials foundation to finish (L /©� initials: G:\P- ter\FO�I MS\DRD FORMS\Master Permit Application 7-8-04.doc (,,'"-c,:scasi-c"›. 4i 4Z. JEFFERSON CC TV li Wi t�_DEPARTMENT OF COMMUNITY DEVELOPMENT 0 ,Iii `4 621 Sheridan Street• Port Townsend •Washington 98368 { 360/379-4450 • 360/379-4451 Fax i11 AY 1 C 'j ' p) www.co.jefferson.wa.us/commdevelopment t i t., �`�bi7N�� Master Permit Application C -: �� ^"x Project Description ' dude separate sheets as neeccessary): / p 6 AA, ae,bis -r;:f"-- Tax Parcel 9(7- 700 a (/"7— PropertyL Number: Size: /ro()( a_ (acres/square feet) G> Site Address and/or Directions to Property: ,� u v� r e� �tn� ( i - c4J u Property Owner(s)of Record: Cis— •t- i1.4 oil . /:7 ekcite Telephone: YOa -oK F-, Fax: �� email: Mailing Address: l,( '"0 CL C G :,, lik X-p (,,1.. Applicant/Agent(if different from owner): C.7 ,e / Telephone: �� 4-- ��Ol� Fax: SYr 3c-/ email: -ej c c7fi�/,„,,, . Keel„, Mailing Address: �-e,, Ci« r „lam - What kind of Permit?(Check each box that applies) 1uilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ElGarage Attached/ etacher� ❑ Special Use(Essential Public Facilities)** CI Manufactured Home �� ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address LI 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: - v � / DESIGNATION OF AGENT I hereby designate 0/y�j�ie /�/GIS6 C/• I' /4 tto act as my agent in matters relating to this application for permit(s). OWNEr2 URE ,SIGNAT 7 ,oez „,... /( fA Date: "ZAZ-/Z . By signing this app,li6ation 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 k9e4uledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in ffiis 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 pride 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 Signat�u�re /c"--- ��Z Date: .(1��� s—� S The action 6r 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 y are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual a do transfe a e responsibili for ring to and complying with the ESA. The Applicant has read this disclaim and si s and dates it below. Signature: �`��LW L�f�6ae� Date: Z45,_<- G:\PemvtCe0 t'er\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc