HomeMy WebLinkAboutBLD2005-00359 •
BUILDING PERMIT APPLICATION MLA05-00337
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00359 Received Date: 6/2/2005
SITE ADDRESS: 91 ATTITUDE LN
PORT LUDLOW, 98365
OWNER: STERLING C COUCH III PHONE: 360-437-1344
KATHLEEN BARNARD COUCH
PO BOX 65486
PORT LUDLOW WA 98365 MIDKIFF SHORT PLAT
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 968700127 Section: 16 Township: 28 N Range: 01 E /
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DEMO ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: ./ _ 0
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit - $49.00 BAC 06/02/05 73237
State Building Code $4.50 BAC 06/02/05 73237 '��AR
1 ®�
Total: $53.50
JUN 2 8 2005
1 Jefferso 1 County Planning
g Department
fir,
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DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00359 Received Date 6/2/2005
SITE ADDRESS: 91 ATTITUDE LN Issue Date 6/28/2005
PORT LUDLOW, 98365
APPLICANT: STERLING C COUCH III PHONE: 360-437-1344
KATHLEEN BARNARD COUCH
PO BOX 65486
PORT LUDLOW WA 98365 3
SUBDIVISION: MIDKIFF SHORT PLAT Block: Lot:
PARCEL NUMBER: 968700127 Section: 16 Township: 28N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, STERLING C COUCH III PHONE: 360-437-1344
if different: KATHLEEN BARNARD COUCH
PO BOX 65486
PORT LUDLOW WA 98365
PROJECT DESCRIPTION: DEMO ADU
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR
THE EXPIRATION DATE IS 6/28/2006.
REQUIRED INSPECTION:
FinalApproval:
B/9/o s G /
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
•
SPECIAL CONDITIONS FOR CASE#BLD05-00359:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on June 15, 2005 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Osprey/Great Blue Heron.
2.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
3.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
4.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23,
2002)that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater
sources within 1000 feet.
5.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson
County.
6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate
water quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
8.) 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.
• •
9.) 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.
10.) 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.
11.) 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.
12.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
13.) The applicant is proposing to create or add 0 square feet of impervious surface and 0
square feet of land disturbing activities.
14.) 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.
15.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i).
16.) The site plan as submitted with the demolition building permit application on June 2, 2005
has been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated June 26, 2005 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
17.) This approval is for a demolition of ADU only. Any future permits on this site are subject
to review for consistency with applicable codes and ordinances and does not preclude
review and conditions which may be placed on future permits.
18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
I
19.) 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).
20.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) The building height is not to exceed 35 feet.
22.) Minimum setback from Attitude Lane right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
23.) 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.
24.) 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.
25.) The lot has been designated as MPR SF4:1 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
26.) A building permit (BLD05-0360)to replace an existing ADU will be issued simultaneously
with the demolition permit of the existing ADU (BLD05-0359). A building permit
(BLD05-0361)to add a garage, convert existing garage to heated laundary room will be
issued with the two listed permits.
27.) The lot was created through the Midkiff Short Plat on January 25, 1982 under AFN
276424.
28.) The lot is served by Port Ludlow water and sewer.
29.) Per email dated March 15, 2004 from Jeff Davis, WDFW biologist, Osprey are no longer a
priority species. The application was not sent to WDFW for Great Blue Heron review as
this is a replacement of an exisitng ADU in conjunction with an existing SFR.
I:\F_BLD_Permit_Propane.rpt 10/29/19
��¢,SOiv nor,. JEFFERSON COITY •
' l'' DEPARTMENT OF COMMUNITY DEVELOPMENT
`4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�qS�-I.NGS Off' www.co.jefferson.wa.us/commdevelopment
1-!1)5(
Master Permit Application MLA: d! _
Project Description(include separate sheets as necessary):
Tax Parcel !� Property
q
Number: 9 -7d V — /� 7 Size: Q-J c`S i? jr/' � (acres/square feet)
Site Address and/or Directions to Property: 9/ /417 7Z e L # v>'/,I G�//Jr;/af a 783C'5
Property Owner(s)of Record: Sa.,1 /ce tee") Luc,(-�
Telephone: 3 S�
C,v if y Fax: 3(v ` g7_ /?)KS" email:jam,`w e /ems,e!,„,cd..,
Mailing Address: / ) /X G.cyR 4. /n 7 L`a l / /41,41 9.8-341-
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
-uildi ❑Variance(Minor,Major or Reasonable Economic Use)
emolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ 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:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 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 attorney's fees and
expenses which may in any way accrue against Jeff r County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Acce and right of entry to this property shall be requested and shall occur y du. g regular business
hours.
Signature: Date: Z 2 V 6
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 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 complian w.(ith the Jefferson County development code.The Applicant acknowledges the, he or it holds individual
and non-transferable responsibility r adhering to and complying with the ESA. The Applicant has read this diSd ' era d signs and dates it below.
Signature: Date: CA 7j 2 dd r
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
111111 •
OWNER BUILDER STATEMENT
The signer of this statement does her by certify that they are the Owners of the parcel referenced here' ,that they are not licensed contractors and that
they will be assuming the responsi 'ay of the General Contractor for the proposed project
Signature: Date: (D/ Z 26C �
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ❑ Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: Bank 0 Community System
O Alteration/Remodel 0 Concrete Total: Height: LI Individual System
❑� ❑ Masonry SEP Permit#
molition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: LI Private well ❑ Two Party
Type of Heat: Proposed: I i 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: .
LI Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove 0 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 Revieyc:_, A O� -fir
2N0 Floor Base fee: 4
3`°Floor Additional Section:
Mezzanine: Plan Check fee: ;...----.,
Heated Basement State Surcharge fee:
Unheated Basement Pot-Water Review fee: .i,eye
Other Unheated 911/Rd Approach fee:
Garage/Carport TOTAL $ 53 .50--
Decks -
Receipt Number: 13 a 3 t
Other Cash/Check Number: / 03
ESTIMATED COST(REQUIRED) Date: /_ /a /��
•Fair market value of all labor and materials foundation to finish e j
Initials:
•
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