HomeMy WebLinkAboutBLD2005-00361 •UILDING PERMIT APPLICA1 Review N M T0337
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00361 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 DESCRIPTIOP ADDING GARAGE, CONVERTING EXISTING GARAGE TO HTD
LAUNDRY RM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 21,577.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 150
CONST TYPE: GARAGE: 500 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT: 10
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 3
Prop: 0 Prop: 0
Total: 3 Total: 3
Routing Date:62/62/05
•
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $349.25 BAC 06/02/05 73236 APPROVED
/
Plan Check $227.01 BAC 06/02/05 73236
State Building Code $4.50 BAC 06/02/05 73236 JUN 2 7 2005
Total: $580.76 J ' : son County Planning
►,,:�Iding Department
FM— Q ., ,. A
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00361 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: ADDING GARAGE, CONVERTING EXISTING GARAGE TO HTD
LAUNDRY RM
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
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: (; ��i"""l/
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 A BLD05-00361
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 any 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 to shoreline shall be no less than 30 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
Sterling Clay Couch, III, CPA's, PC
CERTIFIED PUBLIC ACCOUNTANTS
Wednesday, September 19, 2007
Jefferson County Department of Community Development
621 Sheridan Street
Port Townsend, WA 98368
Attn: Lisa
Dear Lisa:
Please cancel the building permit BLDG05-00361. This project was never started
and we have decided cancel the permit.
As a note, the correct site address should be 101 Attitude Lane.
Sincerely,
Sterling Clay C u , , CPA
MEMBER: AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS&WASHINGTON STATE SOCIETY OF CERTIFIED PUBLIC ACCOUNTANTS
7446 OAK BAY ROAD * P.O.Box 65486 ° PORT LUDLOW,WASHINGTON 98365
OFFICE: (360)437-1344 * FAx: (360)437-1345 ° E-MAIL: CPAIW,IRSHELP.COM
Any tax advice included in this written or electronic communication was not intended or written to be used,and it cannot be used by the
taxpayer,for the purpose of avoiding any penalties that may be imposed on the taxpayer by any governmental taxing authority or agency.
III
riNikoe,„
sox c JEFFERSOOUNTY
ea DEPARTMENT OF COMMUNITY DEVELOPMENT •
v > 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
q�, 0� www.cojefferson.wa.us/commdevelopment
SUN — 2.
2005
Master Permit Application MLA: 0_5 - 33-1
Project Description(include separate sheets
. } as necessary):
, C ( 4 r,.v� , CAPail 7`6 - 441' + / t ..
04 -,e
t
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Tax Parcel
Property
Number: / "E"? Ju,>1 7 Size: c,,grime, r;,, „2 "--9, 7 (acres/square feet)
Site Address and/or Directions to Property: . to 47,7 n,--4 44, , ,.-/ / : 91 -
Property Owner(s)of Record: C c'..:t.-r•1 8 is -a-/ (-, r 43, , 4. ,
Telephone: - i' ' /-- /...'V 4/ Fax - f r /= I- I?4-7.S-- email:..a` L.
< n' .r,f rit wef t C if'i_.
Mailing Address: .,) 1-., 3. '4 s t /-'7s Z'f,. /i:>,,, e ,i.. !k _ ;-
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
.dBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑Single Family__ Cl Discretionary"D"or Unnamed Use Classification
Et'Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑Short Plat**
❑Commercial* ❑Binding Site Plan**
❑Change of Use El Long Plat**
Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)IAmendments**
❑Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management El 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* IJ 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 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 tferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Access a right of entry to this property shall be requested and shall occur only during regular business
hours. r //
Signature: * `\....., Date: 4( /,.,r : e'.,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 species and could lead to a potential lake"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 you are in compliance the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ✓ Date:
1 G:\PermitCenter\FORMSDRD FORMS Permit Application 7-8-04.doc I
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1
• 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 General Contractor for the proposed project. J
Signature: .%' Date: G' 7,2 . C`
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:i Shoreline: TY o of Sewage Disposal:
New X. Wood Existing: _a ,.0 Sewer
Addition ❑ Steel Proposed: _ _ Bank ❑ Community System
Alteration/Remodel ❑ Concrete Total: _ 3 Height: ❑ Individual System
❑ Repair ❑ Masonry ( 1 4, /0 1 SEP Permit#
Water Supply:
❑ Demolition ❑ Other: Bedrooms: PP Y:
Existing: ,:S Setback: 0 Private well 0 Two Party
T._ �f ue . Proposed: _ —d . )aI-' ublic
! Total: _ Name of System: t`y .r),k.r �.
fig;/ 1 ,, .-
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 ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert Li 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 4,. ,r ,-;2,3(2c, Consistency Review: ►,` � k\-- ^______
2""Floor Base fee: A. 3 49 a 5
3fd Floor Additional Section:
Mezzanine: Plan Check fee: a-1 el t
Heated Basement State Surcharge fee: ' c
/ , 1. . /f�t �
r,1 t.
Unheated Basement Pot Water Review fee: _
Other Unheated 911/Rd Approach fee: T
/Carport, r TOTAL: $
-----.— iliisco sgo. ico
Decks 161 'l 01 a Receipt Number '3 a3 c434
Other
" — Cast>IlC:heck Number.
OST RE UIRE �' Date: '�
4A' i 'O Cc 1 IS AIN ... 2 M5 (.0 0 3(62
ESTIMATED ( Q D) �(0-/��
•Fair market value of all labor and materials foundation to finish
j Initials: - - _
/:',:,:.:/,, if:cdFtit _ —
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc