HomeMy WebLinkAboutBLD2005-00377 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00377 Received Date 06/10/2005
SITE ADDRESS: 64 TIMBER MEADOW DR Issue Date 06/29/2005
PORT LUDLOW, 98365
APPLICANT: STEPHEN C BEUBY PHONE: 206-328-4469
FAYE BEUBY
CMR 426, BOX 1305
APE AE 92613
SUBDIVISION: TIMBERTON VILLAGE PHASE II Block: Lot: 39
PARCEL NUMBER: 998500039 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365
360-437-2522
Contractor's License: PORTLAL994L8 Expires: 5/2/2006
PROJECT DESCRIPTION: CONVERT UNHTD BASEMENT TO HTD SPACE
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: OX /*5 y
Plumbing:
Propane Tank/ Lines.
Insulation: Dk ØV� 5
Sheetrock: Q"17 -)R -0 5 FT
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: OK -4,r. (1,vol Cie) q/,q/D 1'
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
I:\F_BLD_Permit_Buildng.rpt 10/29/19
*BUILDING PERMIT APPLICAi ION BL v
Reviewiew T Ty 377
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00377 Received Date: 6/10/2005
SITE ADDRESS: 64 TIMBER MEADOW DR
PORT LUDLOW, 98365
OWNER: STEPHEN C BEUBY PHONE: 206-328-4469
FAYE BEUBY
CMR 426, BOX 1305
APE AE 92613 TIMBERTON VILLAGE PHASE II
SUBDIVISION: Block: Lot: 39
PARCEL NUMBER: 998500039 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365
Contractor's License PORTLAL994L8 Expires 5/2/2006
REPRESENTATIVE: JEFF EVANGER PHONE: Wo2
70 BREAKER LN
PORT LUDLOW WA 98365
PROJECT DESCRIPTIOP CONVERT UNHTD BASEMENT TO HTD SPACE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 41,000.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: 1,161 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 131 # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGEDISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS:- BATHROOMS:
Exist: 3 Exist: 3
Prop: 2' • Prop: 1
Total: 5 -. Total: 4
Routing Date: j (i ,(2 — 7-)
(( Lf, vv.
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $846.75 BAC 06/07/05 73256 APPROVED
Plan Check $550.39 BAC 06/07/05 73256
State Building Code $4.50 BAC 06/07/05 73256 JUN 2 9 2005
Total: $1,401.64
efferson County Planning
& 6 ng artment
r .
• •
4
JEFFERSON COUNTY
Mr J ,. DEPARTMENT OF COMMUNITY DEVELOPMENT
440
Al -•wrr7 , ._ ___\
621 Sheridan Street• Port Townsend •Washington 98368
4i` 360/379-4450 •• 360/379-4451 Fax
http://www.co.jefferson.wa.us/commdevelopment/
I'!:I'1 G
Stormwater Calculation Worksheet
MLA# Pit3 PROJECT/APPLICANT NAME: „..O,L.(,/ vl' /€'. '
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land,use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E.,SITE1
Size of parcel r /' acres �/ An acre contains 43,560 square feet. Multiply the acreage by this figure.
fr
Size of parcel in square feet � TO sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and
non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry,
and salal;herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for.
Does the project convert'/,acres or more of
Construction site for structures sq/ft native vegetation to lawn or landscaped1 areas? ,
Drainfield,septic tank,etc. sq/ft Circle: Yes
6 No /
Well,utilities,etc. sq/ft Does the project convert 2 Y2 acres or more of
native vegetation to pasture?
Driveway, parking,etc. sq/ft
Circle: Yes
Lawn, landscaping,etc. sq/ft
Other compacted surface,etc. / sq/ft Indicate Tot .Volumes of Proposed:
Total Land Disturbance i/CJ sq/ft Cut Fill (cu/yd)
[over]
stormwaler cal°worksheet.doe.-REV.10/12/2003 1
I i
• •
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS—IMPERVIOUS SURFACE
NEW EXISTING j
Structures(all roof area) sq/ft Structures(all roof area) 2 l(, sq/ft
Sidewalks sq/ft Sidewalks _ / sq/ft
Patios sq/ft Patios T sq/ft
Solid Decks sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway sq/ft Driveway D sq/ft
Other sq/ft Other _ '' sq/ft
Total New sq/ft L Total Existing 3 Z/ sq/ft
TOTAL NEW+TOTAL EXISTING* 3Z( 7 sq/ft *This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v. REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: %
Does the site have 35%or more of existing impervious surface? Circle: Yes No
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent Is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium"projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the a cted property.
4/e/:
../...___
(LANDOa
RUT O IZED RESENTATIVE SIGNATURE) (DATE)
•i,-„ I 0 f1;V ( I` I" ,,,, l,.Yr'r"fl;. . ; , ,, i) .
stormwater calc worksheetdoc—REV.10/12/2003 2
' 40/06/2005 12: 25 3603794 51 JEFF CO DCD PAGE 02
06/06/2005 12:20 FAX 3004372< PORT LUDLOW ASSOCIATES• JC PERMIT CENTER 4,JUUL
i
JEFpERON COUNTY
fYc' DEPART ENT OF COMMUNITY DEVELOPMENT
621 Sheriy4 an Street• Port Townsend Washington 9836$
380/379-4�450 • 360/378-4451 Fax
.o www.co.jeferson.wa.us/commdevelopMent
Master Permit Application MLA: 04-00340
Project Description(Include separat4 sheets as necessary);
To complete the unfinished basement at 64 Timber Meadow Dr-, Port Ludlow, WA 98365
Tax Parcel • Properly
Number: 998500039 Size; 6,844 s.f. (fs/square feet)
Site Address and/or Directions to Property: 64 Timber Meadow Dr. , Port Ludlow, WA 98365
Property Owner(s)of Record: Stephen C. & Faye Beuby
Telephone: (206)328-4469 (iEdith Hader, daughter) email: scbeuby@beehtel.com
Mailing Address: CMR 426, Bo* 1305, APO, AE, 09613 Alt P1 (707)344-6405
Applicant/Agent(If different from twner):,Jeff Evan.Rer, Port Ludlow Assoc late s LLC
Telephone: (360) 437.-21011 Fax: (360) 437-2522 amid evanger@port1udlovasso:late s
Mailing Address: 70 Breaker Lane, Port Ludlow, WA 98365 corn
1 - -
What kind of Permit?(Check eachl box that applies)
T auliding ❑ Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit i 0 Conditional Use(COI),C(d),or C]"
O Single Family I r.1 Discretionary"D"or Unnamed Use Classification
❑ Garage Attached I Detached t 0 Special Use(Essential Publlo Facilities)"
. ❑ Manufactured Home 0 Boundary Line Adjustment
❑ Modular i 0 Short Plat**
• Commercial' 0 Banding Site Plan"
0 Change of Use • ! Cl Long Plat"
❑ Address t Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments'*
O Propane 0 Plat VadatlonlAlteration'"
O Allowed"Yea"Use Consistency Analyis 0 Shoreline Master Program Exemption/Permit Revisions"
• 0 Stormweter Management I ❑ Shoreline Management Substantial Development"
0 Site Plan Approval Advance Determination(SPAAD)' ❑ Shoreline Management VerianCe
El Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
fJ Wireless Telecommunication' C Jefferson County Shoreline Master Program Amendment
O Forest Practices Act/Release of Sb.Yitar Moratorium
. "May require a Pre-Apprlcafroh Conference **Requires a Are-Application Conference
Please Identify any other lonaM,state or federal permits required for this proposal, If known:
I Jeff 1~vaii er PIA DESIGNATION OF AGENT
hereby designate ,��g o to act as my agent in matters relating to this application for permit(s).
OWNERait.
SIGrygTItRE o 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 Sold.
I further agree to aeve,indemnify and held harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys 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 ac a rldht of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requir t I s io . es a right f entry to this property shall be requested and shall occur o y d frig regular business
house. 0 c
Signature: Data:
The action or actions Applicant will undertake as suit 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 bean 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 ar - •y p nce with the Jefferson County development code.The Applicant acknowledges that e,s e or It holds individual
and non-transferabiI es."/,1 h "rig mplying with the ESA. The Applicant has read this disolei�t��er4ed rnd dates it below.
Signature: Date:
C:\Docunnentn and Sattinge\niochil\Deikrop\Muter Permit Application 7-8-04.doc
' 0t/06/21305 12:25 36037 51 JEFF CO DCD PAGE 03
06/06/2005 12:20 FAX 3604372 PORT LUDLOW ASSOCIATES JC PERMIT CENTER 4003
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 wit be assuming the responsibility df the General Contractor for the proposed project.
Signature: Date:
' GENERAL CONTRACTOR OR MANUFAC-tURED HOME INSTALLER: PHONE: FAX:
Port Ludlow Associates LLC ( 360) 437-2101 ( 360)437-2522
MAILING ADDRESS: 70 Breaker, Lane, port Ludlow, WA 9834!w++L
CONTRACTOR'S LICENSE 65 WAINS
NUMER: PORTLAiL9 9 4L8 NUMBER
ARCHrrECT/ENGINEER: Stock Plan 532/53.3 PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Prattle Type: Bathrooms: Shoreline: Dipe of Sewage Disposal:
❑ New Cr Wood Existing: 3 iii,Sewer
O Addition ❑:Steel Proposed: Bank 0 Community System
[( Alteration/Remodel 0 Concrete Total: 4 Height: 0 Individual System
O Repair 0 Masonry SEP Permit#
❑ ❑emolition 0:Other. Bedrooms: Water Supply:
Existing: 3 Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: 2 Z Public
Ejec. Heat Pump Total: 5 Nerneofsystem: OWSI
I this Is a Commercial Projecty_o11 mustanswertha fellowjna;
Number of Parking Spaces: Cuneht: 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
Jf this is a Propane Tank and/or Apnlisnce Installation vomit.mark all items below that aaalvz
t Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Wobdetove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
b tills aDtiallance being Installed lk a Manufactured I Mobile Home? Yes I 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. i fir,.,'r; n
Square ootagA �^ + fI1 ,i q # Ii }�t � ;I{ I iA.ti•ta,
Current Proposed ;'�ril',� s 1 , t' �•i`,, � ,�W.
Main Floor t 's iTir :t tl , t 1 J�,Nu lc
1,815 1 : ift: 13ia-,,�l�L s,,, itiliff,417
4 r1,1i aII A 1
2 Floor743 „ �� 'i . ,n•lr n r {r i
3 Floor - ;�:, t 6 r,, ��,., y
0 1044f 11 gilrfirjr,
i,i t's! Drl :'
Mezzanine: +i,;cps-0'itr)j_ k r,jn ° I.I yea ,I s
o s; 1�5 ;1 ill ,ia' a` ;;,, l 3°1
,
Heated Basement ',1 --i. 5° ,,..-'
• I :411iL.4 �'irdl.N. r4. iiif O 'Ad!!i . 'is >
Unheated Basement 'E:,911 • 1i� l' fir ValIVrk rp t f 't,, g
10140
Othe Unheated :411 I Flx=if�' a n`x�"f,,j'�,k"�h ' i,'s ,�+° +k I "liPiit'F' - g
(Storage) 13 r,0$ xs , 111 �I{, i l ,'' 6>3iV 'iifllit/i)' till A
Oarege/Carport itp r ��rE kli'0!{ y 1' �`Yt j' f rV i f l'ti' a-F -
475 "S `i1a,. ' K 1� t �� ogii ' s6i . �r�Li i
Decks 56 �11 rtl, ,P1r,l li liti4, I. i'i' i r' ;' PLIl)i'riill ' i. '
Other i � tgS}, �t r in1 i q
il, f: ; It i !1;� ''ih l.i0 41,r%fir'1,I.`�j' Ar ) l' i t , ,{4 �hl � t"F id
ESTIMATED COST(REQUIRED) f, i , �,�.,,
� E i' ,,, ti It';rub, � Sz,r,
-Fair market value of all labor end rneterl'alafoundationtofinish ' I,te, '1� ft+�l,it ;;rI j.t }i,,, l.•; ''-. th
h�
41 000.00 i i iii�: � ,i}.' ' ��' w. ° I�" it P +
- LIP, ri• ..._•.'a ''I ..fi6'3 ,,,, 't�.r .4 .- 'E.)ki:i'; iL
C:\Documents and Settings\mochii\DeektopV taster pewit Applicvdan 7-8.04.doc