HomeMy WebLinkAboutBLD2005-00360 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00360 Received Date 06/2/2005
SITE ADDRESS: 91 ATTITUDE LN Issue Date 06/27/2005
PORT LUDLOW, 98365
APPLICANT: STERLING C COUCH III PHONE: 360-437-1344
KATHLEEN BARNARD COUCH
PO BOX 65486
PORT LUDLOW WA 98365
SUBDIVISION: MIDKIFF SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 968700127 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADU
CALL IN FOR THE REQUIRED INSP CTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
O/ 7/ /D5 ��,eA�� o $/Gt/asr
UFFER: / f�40
Footing: OR 7/S/OS 7'.a44y 4 4'/� g/g os f
Foundation: Df 7,' 05p/ 1 kAU 0g B//i 05 k
Stormwater FINAL Approval:
Underground Plumbing: dk .(4 fy9/as
Underground Insulation:
Shear Wall : 6.t /ty,'-_./us v*
Sheathing:
Framing: ta Lc coolib fan (Q.4014E.f�.grAtkooite 4A-r--)/4/25*
Plumbing: OK /z/i//Q3G
Propane Tank/ Lines:
Insulation: tO$),-pSi* 412 S,VAL- vK 1012416'4W
Sheetrock:Asnots O /0/25",f1 CB,eeu rur par 40-14pr-
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:Final/Occupancy Approval: 2k -P'Gr— /4G 41-
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 t BLD05-00360
1.) 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.
2.) 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.
3.) 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.
4.) 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.
5.) 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.
6.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
7.) 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
•
9.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on�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).
10.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from Attitude Lane right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum setback (per submitted site plan) from shoreline to
ADU is 100 to 150 feet.
13.) 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.
14.) 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.
15.) A minimum of two (2) on-site parking spaces shall be provided for the ADU.
I:\F_B LD_Perm it_Bu ildng.rpt 10/29/19
BUILDING PERMIT APPLICAAN MLA05-00337
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00360 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 ADU •
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 1,249
VALUATION 111,006.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: 1,249 #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 500 SETBACK: 150
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: ^-
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: Q 1 (Q/ /D S
/
Type . Amount Paid By: Date: Receipt: Approved/Date
Permit $1,060.95 BAC 06/02/05 73236 APPROVE1
Plan Check $689.62 BAC 06/02/05 73236
State Building Code $4.50 BAC 06/02/05 73236
Potable Water Application $53.00 BAC 06/02/05 73236 JUN 2 2005
Total: $1,808.07 efferson County Planing
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c:soly cw\ JEFFERScOUNTY
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A DEPARTMENT OF COMMUNITY DEVELOPMENT
�' '- '"G 621 Sheridan Street• Port Townsend •Washington 98368 JUN - 2 2005
360/379-4450 • 360/379-4451 Fax
'�qs, p� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: '
0 ')- 3�fi _3
Project Description(include separate sheets as necessary):
Tax Parcel G� / Property
&Number: ! 70 O / ,J 5J ,?3'9/9 (acres/square feet)
Site Address and/or Directions to Proope /ty: / vie 4.,tic Z A-, 4)4 <J136'5—
Property Owner(s)of Record: S/ Ji 4, 1 A-4 my(e* Cm)c `
Telephone t v /j 3 7—/3 V /� Fax: .'R 4r) K 3 7/,?YJ email:fj4L,jeS/fie/.Carl.
Mailing Address: Po dox 6 lrc?f- G,o/(d-1J, (.�.JIQ '/36�_
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What-icind of Permit?(Check each box that applies)
,uilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI**
ngle Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home 0 Boundary Line Adjustment
0 Modular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
0 Address 0 Road Approach 0 Planned Rural Residential Development(PRRDyAmendments**
❑ Propane 0 Plat Vacation/Alteration**
CI Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
LI 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 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 try to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. and right of entry to this property shall be requested and shall occur o duri regular business
hours. i /
Signature: _ Date: 4 2- Z Ud_(
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 th SA 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 ith the Jefferson County development code.The Applicant acknowledges that he he r it holds individual
and non-transferable responsibility f adhering to and complying with the ESA. The Applicant has read this disd ier nd ' ns and dates it below.
Signature: Date: CY Z 2 )
G_\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
iOWNER BUILDER STATEMENT •
i
The signer of this statement does hereby certify f they are the Owners of the parcel referenced he in,tha ey are n licensed contractors and that
they will be assuming the responsibility of the ral Contractor for the proposed project.
2 vo-S
Signature: / Date:
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: Fra a Type: Bathrooms: Shoreline: T�,°°f Sewage Disposal:
ANew Wood Existing: 'Sewer
❑ Addition ❑ Steel Proposed: —i---- Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: H' 4 ei$t: ❑ Individual System
LI Repair ❑ Masonry SEP Permit#
I Demolition ❑ Other: Bedrooms: • Water Supply:
Existing: Setbac : ❑ Pdvate well ❑ Two Party
T e of He t: Proposed: ublic
Z----- Total: Name of System: Qiyyrt�Jlc_
c_a lsa '
If this is a Commercial Protect 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:
❑ Heat Stove Ll Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank LI 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 �� I �1
r�.Consistency Review:
2ND Floor t Base flee: 1066.9
/ Q.O�
3rd Floor Additional Section: fQ '
Mezzanine: (
Plan Check fee: /o_��•
Heated Basement z, State Surcharge fee: . .JO
Unheated Basement /2 1148
�68` Pot Water Review fee: .----,
1
Other Unheated 911/Rd Approach fee: I ' O 9 I Q 1
( a3Camort
1 � 5 TOTAL: $
Decks r
Receipt Number: D,
Other (171 itocs-Irj(( C h/Check Number:
ESTIMATED COST(REQUIRED) ate: �
*Fair market value of all labor and materials foundation to finish f -,
y//D/46 Initials:
�
G:\PernutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc e
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