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HomeMy WebLinkAboutBLD2005-00381 • BUILDING PERMIT APPLI ION MRAOW Typ3e55 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00381 Received Date: 6/9/2005 SITE ADDRESS: 280 RHODODENDRON LANE BRINNON, 98320 OWNER: RONALD HOLSMAN PHONE: (206)842-0693 10141 CITATION CT BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: T 57 PARCEL NUMBER: 502151003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: PACIFIC POINTE DEV CO INC PHONE: 206-842-0693 10141 CITATION CT BAINBRIDGE ISLAND WA 98110 Contractor's License PACIFPD101 DK Expires 5/16/2006 REPRESENTATIVE: RONALD HOLSMAN PHONE:206-842-0693 10141 CITATION CT BAINBRIDGE ISLAND WA 98110 PROJECT DESCRIPTION DETACHED GARAGE WITH STUDIO/OFFICE & DETACHED BREEZEWAY TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 99,513.00 ADD'L: 994 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: THER: 240 CONST TYPE: GARAGE: 1,229 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: 32 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: 1 Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Permit $993.75 BAC 06/09/05 73265 Plan Check $645.94 BAC 06/09/05 73265 State Building Code $4.50 BAC 06/09/05 73265 JUL 2 8 2005 Potable Water Application $53.00 BAC 06/09/05 73265 efferson County Planning Total: $1,697.19 f &B ' i •l artment BUILDING PERMIT 4110 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00381 Received Date 06/9/2005 SITE ADDRESS: 280 RHODODENDRON LANE Issue Date 07/28/2005 BRINNON, 98320 APPLICANT: RONALD HOLSMAN PHONE: (206)842-0693 10141 CITATION CT BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: T 57 PARCEL NUMBER: 502151003 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: PACIFIC POINTE DEV CO INC PHONE: 206-842-0693 10141 CITATION CT BAINBRIDGE ISLAND WA 98110 Contractor's License: PACIFPD101DK Expires: 5/16/2006 PROJECT DESCRIPTION: DETACHED GARAGE WITH STUDIO/OFFICE & DETACHED BREEZEWAY CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: O/( PER 3- iewe L/NE irY Old `eoior gerze ////�f UFFER: Footing: pjr7Ei21GQ FGO7Iu OStri OK /O7//1S g Founda on: /,',2/5=� Stormwate FINAL Approval: Underground Plumbing: aktDA:0 SLr1B PI MRrut Ok Underground I sulation: Shear Wall :Mao op[°r4icrice rrevt s oED�00 ' &-KT `//z5� Sheathing: / 5 / ,Z1``D Framing: �/ ctr lcr�O+.�as �St'e��s / / 6,-LZ-oe. Plumbing: 6 -22 Propane T k Lines: '" - Z-06 €t ' f -0 Insulation: G.jgt4D L.Z/ci4.,s- 4 z.e*.z. t K 7 c az Sheetrock: 7 ,2 I "b1) W 11--, - ® 7/z aG gi Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 1--5—0 G f72- 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 CS A BLD05-00381 • 1.) 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. 2.) 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. 3.) 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. 4.) 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. 5.) 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. 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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). • 9.) Maximum lot coverage is not t•ceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Setback from Rhododendron Lane right-of-way is no less than 20 ft., side and rear setbacks are no.less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 12.) 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. 13.) 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. 14.) As per the approved Eagle Plan signed by the applicant on October 15, 2001, the applicant shall retain all known perch trees and conifers >/=24 inches diameter at breast height (d.b.h.). The applicant shall also retain >/=50% of pre-clearing or pre-construction conifer stand with diameter distributions representative of the original stand (>6 feet tall). Windowing and low limbing of trees is acceptable provided no more than 30% of the live crown is removed. I:\F_BLD_Permit_Buildng.rpt 10/29/19 • I .,?.. ON C . , 4i t.t h iC. r' ',:: , . t y 06. JEFFERSON COUNTY ' ` W �� �a DEPARTMENT OF COMMUNITY DEVELOPMENT ~' �\ '.<M 621 Sheridan Street • Port Townsend • Washington 98368 i ! am 4• 360/379-4450• 360/379-4451 Fax + ` 9 ZC...; Is NG�O www.co.jefferson.wa.us/commdeveloprnent I Master Permit Application MLA.- __ ID , Project Description incl de separate�heets as necessary): ��rpy): Tax Parcel Gitti E Number: 5�Z £�3 Property I�' Size: 2--I (acres/square feet) Site Address and/or Directions to Property: 2. 1-I ` e h ne _ L� 7.,n 4 n)yt ,,,xj ZD Property Owner(s)of Record: _ � ��V Y�`i 'W Telephone: 90 6 al-7— ©6' Fax: email: r_• _ le CO-31 Mailing Address: (o 14i r (DyU Gj ,)/t Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Whai.kind of Permit?(Check each box that applies) wlding ❑ Variance(Minor,Major or Reasonable Economic Use) • Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification rs-enrage Attached/Detached ❑ Special Use(Essential Public Facilities)** 2 Manufactured Home ❑ Boundary Line Adjustment E. Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** Propane ❑ Plat Vacation/Alteration** F'Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** Stormwater Management g 4 be'6 -(9rEJ'1 ❑ 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 0 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. 61,,,'LE AA#1/4y ,' C. do><it/cox6 Fr�1.r'i5) SI A:ols t- Cap DESIGNATION OF AGENT I hereby designate (��� CD 4 I c l ./ YU 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 try to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required lat r inspections cess and right of entry to this property shall be requested and shall occur onl during regular business hours. r6 .r Signature: — Date: 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 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 ith the Jefferson County development code.The Applicant acknowledges that ,she or it holds individual and non-transferable re ..nsi... herin complying with the ESA. The Applicant has read this disclai an ig send dates it below. i Signature: i ,, Date: C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • • OWNER BUILDER STATEMENT l`.`„'`, �t:' I ; - ` ``` ` C r .\ The signer of this statement does hereby certify that they are the Owners of the parcel reference itereitl,that they are not hcensecfcon4ractor9and that they will be assuming the responsibility of the General Contractor for the proposed project. l i Signature: Date: I — 9 n i r I GENERAL CONTRACTOR�/O)RR MANUFACTURED HOME INSTALLER: //yJ� PHONE. ': ;r�r; FAX' Pa.-a tc c, Y i ■/J� / �n�,//�' to 60. ( I L.Li t ,, l: . / .:.) / i: MAILING ADDRESS: i ( l r �kft CT n EMAIL: e D�I\CI6 CONTRACTOR'S LICENSE lP) 1�J Ekev 1 WAINS � � NUMBER: O C NUMBER ARCHITECT/ENGINEER: ' PHONE ( ) FAX:( �nb ) Z., ,6 MAILING ADDRESS: EMAIL ��YY// Pro' ct Type: Frarpe Type: Bathrooms: Shoreline: Type of Sewage Disposal: New _. Wood Existing: U Sewer Addition ❑ Steel Proposed: I Bank LI Community System • Alteration/Remodel ❑ Concrete Total: Height: ✓Individual System • Repair U Masonry 3 z_ SEP Permit# Ot L3G ) • Demolition E Other: Bedrooms: Wat�e Supply: Existing: Setback: , ..-"Private well Ui Two Party Type of Heat: Proposed: Public 'l V/ 1Firnrcl.nA.1 - Total: !1Ae Name of System: f li- eff. r - NA- " If this is a Commercial Proiect you st a swer the following: Number of Parking Spaces: Current: Proposed Number of ADA Parking Spaces: Number of occupants(includes owners,tenan ,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: I Underground Tank I Above ground Tank Size of Propane Tank: I H• eat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I 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 Review: 4.J .00 2Nu r 1e � Base fee: a'l 5 l c- 3`d Floor Additional Section: ......--/ Mezzanine: Plan Check fee: f _L R fs. Heated Basement State Surcharge fee: "�6 r Unheated Basement Pot Water Review fee: T1 oO� Other Unheated 911/Rd Approach fee: Garage/Carport 17,2_' 23ii1.6'A (It�ici TOTAL: $ Decks Receipt Number: 137_1276 Other CQ(.*L t W Ae t& geto Cash/Che Number: ESTIMATED COST(REQUIRED) `-N I, Fair market value of all labor and materials found . r ,�/n .307 fq (o '10 �� Initial • (°- � C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc ;:k' „p MX,J ` rY Y 1 Ja ;, Zia"j. a�* {,''' t,..4"t 6J,,,,{ °5 L' td.�@ 17i >6,, 'F 1G. h, ,V ,' 5 X.4•4 tt,'•r'4•• v4'261.�'�` ti�4, '''•Yrk-$iti..:1>w 5 Li ". A`" / '¢ Cyr ` t`_.. '."tf�,I.^trrr`"It I,W�- + ° �¢R r'' n-,4.< 4 bN .p ' «� ' 1FrA ' 1 �."-.b. 1 - tspyt i,r "C t1rs 1>+ rt r4>ra � rs r1u�* a � r1r$ zaf�ti �f °MvyM S it rI rr .44 a °C• 5 r 4 <4t < r, .,a >'1i�.>E r I , F,,1 I,1,t..f"'' `�. "'4t ".,4y1-VA''4. N >� IJ t ;. O 5 $1 } wl4•4\•. 5 .. 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