HomeMy WebLinkAboutBLD2005-00307 BUILDING PERMIT APPLICATION MLA05-00297
Jefferson County Department of Community Development Review Type:
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD05-00307 Received Date: 5/11/2005
SITE ADDRESS: 581 RHODODENDRON LN
BRINNON, 98320
OWNER: JOHN LE MASTER
LESLIE LE MASTER PHONE: (360) 796-0510
PO BOX 551
BRINNON WA 98320
SUBDIVISION: PLEASANT TIDES
Block: Lot: 39
PARCEL NUMBER: 988500038
Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: TERHUNE CUSTOM HOMES
PO BOX 3125 PHONE: (360) 681-8898
SEQUIM WA 98382
Contractor's License TERHUCH984MA Expires 7/1/2006
REPRESENTATIVE:
PHONE
PROJECT DESCRIPTIOt NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 201,809.00 MAIN: 1,845
CODE EDITION: 2003 ADD'L: HEAT TYPE: HTP
HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES: 1
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 617 SHORELINE:
DECK: 931 SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: 5 VF
Type Amount Paid Bv: Date: Receipt:
Permit Approved/Date
$1,564.95 BAC 05/11/05 73121 APPROVED
Plan Check $1,017.22 BAC 05/11/05 73121
State Building Code $4.50 BAC 05/11/05 73121 JUN 2 8 2005
Potable Water Application $53.00 BAC 05/11/05 73121
Total: $2,639.67 Jefferson County Planning
J4Bu' partment
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Received Date 05/11/2005
PERMIT #: 581 BLD05-00307 RHODODENDRON LN Issue Date 06/28/2005
SITE ADDRESS: BRINNON, 98320
PHONE: (360) 796-0510
APPLICANT: JOHN LE MASTER
LESLIE LE MASTER
PO BOX 551
BRINNON WA 98320 Lot: 39
SUBDIVISION: PLEASANT TIDES
Block:
PARCEL NUMBER: 988500038 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: E E CUSTOM HOMES
PHONE: (360) 681-8898
3
P BOX
SEQUIM WA 98382
Contractor's License: TERHUCH984MA Expires: 7/1/2006
PROJECT DESCRIPTION: NSFR WIATT GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: --- !
UFFER:
Footing: ale-
Foundation. '/'4
Stormwater FINAL Approval:
Underground Plumbing:
Underground nsulation:
Shear Wall :
Sheathing: /D Lo vs
Framing: K,
Plumbing:'
Propane Ta k/ Lines: �� b l aQ$ ��
Insulation: 4 , - �� t -' � "
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: rr��
Final/Occupancy Approvali w"JP AV,
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL US UBE PROPERLY RENEWEfIRED PRIOR TO FINAL '
THIS PERMIT IS VALID FOR ONE YEAR OR IT
BUILDING INSPECTION HOT-LINE 379-4455.
Hours CAL 24 a mR 4IN ADVANCE TO SCHEDULE IN
Office m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE REVERSE
•
SPECIAL COND
ITIONS FOR CAA BLD05-00307
l new
1.) To help prevent seawater from istonel Island, Indian Island landward into a nd within 1/4 mile off any
development activity on Ma
marine shoreline shall
required
COASTAL &AT RISK SIPZ:
runoff onsite.
2.) VOLUNTARY MEASURES
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 beso it slo ly. watering
2. Water collected from Storm water and roof catchments may
been treated to meet drinking water
n and gardens.er Unlesso crtchment water oss connections allowed between the potable supply and
standards, there shall be no
impounded water. ro ert shall not be used for watering of lawns
3. Water withdrawn from wells on each p p Y
and/or gardens.4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
p Y
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
uf water onsinten intended
ion tom be ee austive, but rather
is intended to be illustrative of the types
3.) VOLUNTARY
a flow REStOF COASTAL &AT RISK SIPZ:
1. Installation of
er.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
4.) MANDATORY MEASURES FOR COASTAL SIPZ:application, applicant must utilize
1. For proof of potable water on a building permit
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative
syste aba water subj y be used s pro the
potable water or an individual well may be used as proof
following requirement: submitted with
a. Chloride concentration of a laboratory-certified well water sample
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water. list maintained
5.) The property owner shall comply with Water Conservation Measures (per
by the UDC Administrator).
6.) The nt shall adhereent during to
the
construction.gement BMPs shall Practices
ddress permanent measures es to stormwater,
erosion and sediment du g
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems. bythe of
7.) A Stormwater Site Plan has been submitted and approved Departmentfshall
Community Development. Once the subject permit
n has and been issued
the Jefferson heapplicant Countyh
fully implement the provisions of the submitted p
Department of Community Development to arrange a schedule to inspect the pe y for
plan compliance. A Certificate of Occupancy will not be issued until the Departmentthe
verifies plan compliance. No clearing for roadways or uutilitieSesdh shall occur on on and project
site until clearing necessary for the installation of temp ry
control measures have been completed.
8.) Outdoor residential storage shall
e maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
I be on plot less
inoperable vehicles shall
stored on and
Not more than two (2)unless
ss totally
hose screened
ment
9.) applicable performance and development
than one-halfy acreSu h screening
creen nail shall meet alapp view of keneipt, ma shall in keeping ment
t
scan of-way. Such sere 9
standards specificshall meet the requirements of Unified Development
to the district in which the storage is or more unlicensed or inoperable
Co character of ctio area. Screening
Outdoor storage of thirteen (13)
Code (UDC) Section 6. specified as an automobile wrecking
prohibited except in those districts where In no case, shall any
vehicles is
and and allowed as a Permitted Use in Table 3-1 of the UDC,
yard such junkstorage salvage)Y
shall meet the requirements of UDC Section 4.10.andd vehiclesbe stored in an Environmentally Sensitive Area
such unlicensed or inoperablee is defined as amount
(ESA). e is not to exceed 25%. Lot coverage is defined
ete, ed.
10.) Maximum lot coverage tops,es roof driveways,impervious surface is which
ot tocexceed 35 feet. shall be 20 feet. Minimum side
11.)2 The building heightright-of-way 12.) Minimum setback from Rhododendron Lane rig feet(20') in height from the
and rear yard setbacks shall be 5 feet. integral part of a building or structure.
Exterior lightinggrade,
for excepting uses shall notg elan dt twentyr
13.) rade, when such lighting
finished gis encouraged. prevent the light source from being
Ground level es shalling designed and hooded to reer The source
r brightness of
d
14.) Lighting fixturesfrom
moutside e de th
ro ect completion shall not adversely affect the
all lighting,
visible duringu fro cnstrction and after
p of the property. mil
all lighting, rights-of-way. family
ro erties or adjoining
shall bew provided for the single
use iofn surrounding on-site parking p
15.) A minimum of two ( )
residence.
10129119
I:\F BLD_Permit_Buildng.rpt
J
SQzv c
JEFFERSON COUNTY i
DEPARTMENT OF COMMUNITY DEVELOPMENT n
MAY 1 1 2C.�5
621 Sheridan Street • Port Townsend •Washington 98368
E7 360/379-4450 • 360/379-4451 FaxIsEzaN �— -
O http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 7 _.-✓"1 �/ PROJECT/APPLICANT NAME: \Jl- \4'` l�s� 1(� '_0 Ub1C1_S•
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
CA_ l C-, ice v C.0
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
Mtn
4. Describe the existing soils. Indicate soil type on the site map.
5. Describe the existing site hydrology(i.e.,drainage; behavior of water on the site—above,below,and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each.
rt
6. Describe any excess levels of noise generated by the proposed use or activity: A 1 r n V V L' 1J
�/A
STORMWATER PLAN
.; •1 tY JUN 2 7 2005 —
's
Sto mwat JEFFERSOh O TY
stormwater site plan template-rev.1CV1,2003 Required DEPT.OF �r 1 DE .LOPI ENT) 5
�1 SIGNATUR �,0,`J�JJ
i
13. Describe the water quality system.
(A
MAY 1 1 20f5
14. Describe the conveyance system analysis and design. (,:PT nr �.;;; , .
c -
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
Y- 5,\.04.K
17. Describe the proposed surfacing material.
CC\A 1'1C C? y GUI •
"
18. Describe methods for restoration of the site.
19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals
here.
•
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
stormwater site plan template—rev.10r1/2003 7
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets. x 3`°
/ ` + !, n� t t'
MAY 1 1 LOUD
9. Control Pollutants. t > ;' ry,t `
t
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices(BMPs).
12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
- 3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
tip
stormwater site plan template—rev.10/1/2003 9
3: 22PM •RHUME CUSTOM HOMES : SEQUIM, WA . No. 0287 P. 2
....,,, N. . Ei= COUNTY
DEPPARTMENTTMENT OF COMMUNITY DEVELOPMENT
I D
. ,- 621 Sheridan Street•Port Townsend•Washington 98388
' 360/379-4450• 360/379-4451 Fax
wow.co jefferson.wa.us/commdevelopment
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
C n5-brtiC4-
Tax Parcel Property
•
Number. Sin_ (acres/square feet)
Site Address and/or Directions to Property: ( ../1� (� A/1D�, �—_ 520
Property Owners)or Record: •
Telephone: - - • Fax:
email:
Mailing Address: • _
Applicant/Agent(if dAtiietefrt Wan owner):Tel VIAL t�t�� YYl 5\—
Telephone:_,7-)(P9: (0 I ?Re`R�1 Fatc3EcaQ-leR/-7' Gi email:
MalingAddrese: -t`l . r,1C ,kes e • , l _A •' 5( ?` 2-
What kind ofPermit?(Check each box that applies)
Xt4uidkrg U Variance(Minor,Mejor or Reasonable Economic Use)
11 Demolleon Permit U Candidbnei Use jC(a),C(d),or q*"
).sl�k Ferro U DiernBtionary"C"or Unnamed Use Ciaaeifieetlon
U Garage Detached U Special Use(Essential Public Faaaties)"
U Manufactured Flame U Boundary line Adjustment
U Modular U Short Plat••
U Commercial* • u Binding Site Plan'••
U Mange of Usti U Long Plat**
U Address I Road Approach U Planned Rural Residential Development(PRRD)LArriendments'•
U Propane U Plat Vacation/AReration"'
U Allowed"Yes"Use Consistency Analysis •
U Shoreline Master Program Exemption/Pe:me Revisions"*
U StomtwaterManagement U Shoreline Management Substantial Devebpmerd**
u Site Plan Approval Advance Determination(SPAAD)• U Shoreline Management Variance
U Temporary Use u Carprettenetve PtanlUDC/land Use District Map Amendment •
U'Ylfiralese Telaoonanurneei n- U Jefferson County Shoreline Master Program Amendment
U Forest Frmcdices Ad/Release of Six-Year Moratorium
May require a Pre-Application conference "Requires a Pre-Application Conference
Please Identify any other Idcal,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(e)-
f?MTls2 SrGt ig7uRE Date:
—
By signing this application form,the ownedagent attests that the information provided herein,and in any attachments,is true and correct to the beet of
his,her or it's knowledge. Any material falsehood or any orriaske 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 Sabilibes,judgments,court costs,reasonable attorney'a fees and
expenses which may in any way accrue against Jefferson county as a instill of or In consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson Countyand Its employees,
yees,representatives or agents for the sole purpose of application
review and any hkecl nspectione,Access and right of entry to this properly shall be requested and shall occur only during regular business.
hours.
Blowout Y Dale•��� `Q 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 apedes end coold lead to a Potential'take clan endangered species es those terms are defined In the federal taw known as the
'Endangered Species Ant'or ISM Jefferson County makes no assurances to the applicant that the actions that wilt be undertaken because this
pennd has been Issued will not violate the ESA, Any individual,group oregency can file a lawsuit on behalf of an endangered species regarding your
eciion(s)even If you ere in fiance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tranaf n - for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dales a hetuw-
SiDnatum- Data: 7 1
G1Dea»rs and Sondes Veechg\Deekrap\Masker Pit Applietina 7-5-04.doc
stay, 2, 2005 3: 22RM I LRHUME CUSTOM HOMES : SEQUIM, WA No. 0287 P. 3
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 contraclore and that
they will be assuming the responsibility of the General Corrhadorfor the proposed project.
Signature: Dale:
GENERAL CoNTRArnnR O PHONE: 2. ,t FAX:
—fi r ht..t_V c: .Siw o1 1O i Er (0A1-13C19
MAILING ADDRESS: -tom X 1�. �v1.0 Bee EMAIL:
CONTRACTOR'S LI E WAINS
NUMBER: -v V\-"•O__Y\CV3u mr"/` NUMBER
ARCHITECT/ENGINE ' . r`X,r,,-‘,A' PHONE( ) FAX:( j
MAILING ADORES& � EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: of Sewage Di
New Wood Existing: / U Typewer sposal. •
J Addition U Steel Proposed: Bank U Community System .
,J Alteration/Remodel U Concntte Total: Height U Individual System
Repair ❑ Masonry SEP Permit#
J Demolition u Other. Bedrooms: �,r Water Supply: •
• Existing: Setback: U Private well U Two Party
Type of Heat Proposed: U Public
A��•p Total: Name of System:
If this is •'-""'•- ial Pr - you must an the folkrwin :
N r of Par: g s: t: Pr eel: um r of ADA Pa • Spaces:
bar of o•• s(hdud tens em ees,etc) --------
!IBC Ocou.,• : IBC Type of ruction: Will lave Food Sery Yes I No
If this tea Propane Tank and/or Apaliance Installation mart,stark all items bejolY that apply;
1 Underground Tank I Above ground Tank Size of Propane Tank
I Heat Stove I Cook Stove I Woodstove 1 Fireplace Insert 1 Hot Water Tank I Pallet Stove I Other
1s this lance - installs - ufactur de Homes Yes /
pplyf par o f 11 a pm tank a�� pia a g a1w111 l e�bu ,all pro
Un wad slza:di enc m the propane tank to all p lines,buildings 8 s is.
Including the reserve area.
' Square Footage For Office Use Only
Current Proposed Amount
Main Floor ' Consistency Review:
fa'Floor t Ur -f a�
,----- Base fee:
3' Floor I r hJ
- Additional Section:
Mezzanine:
Heated Basement Plan Check fee:
i Hilt aa
Unheated Basement State Surcharge fee:
y:
Other Unheated Pot Water Review fee:
Garage/Carport ,! ° I.IJQ
Dec,, 1`la Lo q Rd Approach fee:
q't t l 1
al 1- �a is l TOTAL: $ j_ -
Other
\-eTt-mac ZO 1 'I Receipt Number. `+' !
ESi1MATED COST(REQUIRED) - l "I a
'Fait market value of el labor and materials foundatfpn k Cash/Check Number: '
-11 t-1`3,oc_:10 _
apt s5a% . D
Date:
C\Uenn ra sad Sdrinv\utoant\Dktop\Mnat r Pconit t i ,,,n l•-a Di dor.
Initials:
- w
/ 9�ti
\• /Y
7
vArtsc
a� Ny V( •.
- .`, 47
14A)�LYN
� .q N. \ s%
--z:\
...„(..._„:„:\
0 \ k \
\ -r' RES TING \•.
a +� DRA N LLD •
I
O /
Oz� OM
m� X
r
2 /, o
oso I 1
------
tit ulg Y -��m
a
N zN I
!� Q \ (POE
r 0
1.\.'" \ [77 777 . IL.
CD
..,,,\ °-\>
1 '
....- 0 \
Oh \ I;<.
K.)oiDz
\-17
n� 0 co
z rn
cn-{r�7 p1 cr r c- RT 1--/
1)
0rno>x-,D70E7oz> �' m K
N 4 tr o m m f-1-1 cn n tv
Ozui ���p ` I" IA 1 -Q
t-�**�Ddr _ s' SIDEYARD SET
-BACK
• Ziji° BACK
- 10 o 1S_81`
o0 ow°r- 1 _ NS �7�20„�
N0a , _
O� pZ� 10' DRAINAGE EASEMENT -
00 o r�
rnX
W "
0
,) z 4
1.g
O
rto
I aC
! Z till
tiC
/ 9'I,
\• /Y
7f-on
c ,(41G
4-\ N\ \\
\ 2, 0 /4,
oLS' /2\••
C '_ \ k \ \
\.. °if-N.\
•.
-7° c\•\ \ ,
RESEv
O -I- DRAINF ELD
\ I
0
rX
rn-
D1� s � o i I
N j!; 1
10
mcl
(Do Iu2
S\ °-
130 \ iii/773 - •
.� \ z� 0 ° I> tw
° - \3rn 7
--\,../,‘ \
O
y iv
kc) IU Z
x is
z co
01-Ir-0Cp01`-� (f) hl rrr
NrnO>�°DOn — 7 ICu� U-t
O7C1-4�Z I> �N\ -4
�_ OZ/uZr n N
Oiz�'-PI -- In t
���o rrt'-�, �' SIDEYAR - I \
oD rn - SET
DAC
Otip3 _ v Xr .
= O1 OZ� _ (O' DRAINAGE— `tip �,
O O ,- cs, EAS --EN 7- . ' _
3
Zrn
O
Z.
O
• o4 c- � 4
CD o _tom_ z ''d ----- ---,
CD A v -� O
C '
v
! �. $f 0 ) a d o
\ ._, , _, - i
I
� Y