HomeMy WebLinkAboutBLD2005-00396 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00396 Received Date 06/13/2005
SITE ADDRESS: 1221 LEMONDS Issue Date 07/21/2005
QUILCENE, 98376
APPLICANT: STEVEN G CARUSO PHONE: 206-406-4647
JANET P CARUSO
PO BOX 519
EDMONDS WA 98020-0519
SUBDIVISION: Block: Lot: T4+
PARCEL NUMBER: 601032006 Section: 3 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR &
A/G 250 GALLON PROPANE TANK
CALL IN FOR THE IUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 9 0�
UFFER:
Footing: 24_, 9—21 -OS
Foundation q -21 -0s
Stormwater FINAL Approval:
Underground Plumbing:,, ci -'30 •-0-4
Underground Insulation:
Shear Wall : Err S o _ VzS/lL5,
Sheathing: Dli( // /OL <
Framing: k,4)/nn awl 313/IoL 1
Plumbing: , o�'o / //
Propane ank/ Lines: T7tNK`L{`�.(_,r^/ 1/®9/06 /NT"C-/A//�)K.- �OWO6
Insulation: V 4,h-a 6 -f r L`
Sheetrock: /
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: f /2-'iJ6
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 CAI# BLD05-00396
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 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 25%. 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 Lemonds Drive right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum setback from shoreline top of bank shall be 45 feet per
submitted site plan.
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 single family
residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
BIDING PERMIT APPLICATIOP MLA05-00368
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00396 Received Date: 6/13/2005
SITE ADDRESS: 1221 LEMONDS
QUILCENE, 98376
OWNER: STEVEN G CARUSO PHONE: 206-406-4647
JANET P CARUSO
PO BOX 519
EDMONDS WA 98020-0519
SUBDIVISION: Block: Lot: T4+
PARCEL NUMBER: 601032006 Section: 3 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NEW SFR &
A/G 250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,151
VALUATION 333,505.00
CODE EDITION: 2003 ADD'L: HEAT TYPE: PRO
OCCUPANCY: R-3 HEAT BASE: 1,420 HEAT TYPE:
OCCUPANCY: UNHEATED: 616 # OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK: 45
DECK: 200 BANK HEIGHT: 2
SEWAGE DISPOSAL: �„""
WATER SYSTEM: 9PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date: /„//�/a00,_5
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,309.75 BAC 06/13/05 73366
P
Plan Check $1,501.34 BAC 06/13/05 73366
State Building Code $4.50 BAC 06/13/05 73366 JUL 2 1 2005
Potable Water Application $53.00 BAC 06/13/05 73366
Je erson County Planning
Total: $3,868.59 Bui # 1 arrruent
.114.A.- I 4
is
MR S r A
¢soly •co6� JEFFERSON CO
f ,A DEPARTMENT OF COIAMUNITY DEVELOPMENT \
1 ` '<I 621 Sheridan Street • Port Townsend •Washington 98368
360/379- 450 • 360/379-4451 Fax
q O� www.co.jefferson.wa.us/commdeveloprnj 1 3 20,05
Master Permit Application MLA: 05 - IE3(oY
Project Description(include separate sheets as necessary): �—
_/ -- f x-�tLb tJ SruX(L F' i . ttSE >'4 '
Tax Parcel ( 1 U.Z C 2(./ Property
Number: (,C3 i t2` . C�13 J 1 (�?,7- CX-)2 Size: Z' u d/(n 3/ C' ��(acres/square feet)
Site Address and/or Directions to Property: t ZZ I Lg(Y1C)NS - ) („Q,t4 I I L t i I WA 9S�-,7(
Property Owner(s)of Record: S1 'J��' GA P--.I.t.S�
Telephone: ZOL 4 -4 -7 Fax: 42- 7 7+- 4-17 C email: _`nCei f�U.ScaL'Ce,mc c s r t
Mailing Address: V:O- 19 poi DS/ Cc i d1 E c�7 )
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
XBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
14 Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
Single Family 0 Discretionary"D"or Unnamed Use Classification
jrage Attached/Detached ❑ Special Use(Essential Public Facilities)**
0 Manufactured Home 0 Boundary Line Adjustment
❑ Modular 0 Short Plat*`
❑ Commercial* 0 Binding Site Plan*'
❑Change of Use ❑ Long Plat**
❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)IAmendments**
Propane 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions*'
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
El Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use 0 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 provid and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requir spections. rrcess and right of entry to this property shall be requested and shall occur only during regular business
hours. ( j
Signature: "ice -l/�2,L-�' -- Date: V(0/'5
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 i 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 a complian 'th the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe sibility dhering to and complying with the ESA. The Applicant has read this disda er signs and dates it below.
Signature: Date: (C) (�J
G:\Peni itCenter\FORMS\DRD FORMS\Master Permit Application 7-8.04.doc
OWNER BUILDER STATEMENT
s,ie sign of this s nt does hereby certify that thWe the Owners of the parcel referenced herein,that thOre not licensed contractors and that
they will be assum' res '`ity of the General Contractor for the proposed project. /c >
Signature: _.47 —1 Date: '/1 U
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
_ ( ) ( )
MAILING ADDRESS: EMNL: J U l\ 1 3 2005
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER I
ARCHITECT/ENGINEER: PHONE ( ) FAX:( , )_ i
MAIUNG ADDRESS: EMAIt..
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New l Wood Existing: 0 Sewer
0 Addition 0 Steel Proposed: S Bank 0 Community System
0 Alteration/Remodel 0 Concrete Total: 5 Hesght:, Individual System
0 Repair ❑ Masonry L SEP Permit# SEPCj--vc C.
)4, Demolition 0 Other: Bedrooms: Water Supply
Existing: Setback: '. Private well 0 Two Party
Type of Heat: Proposed: ,
c pet Aid...._ Total: .3 1-' Name Pu of
f - 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 j Above ground Tank Size of Propane Tank: - •
0 Heat Stove ❑ Cook Stove (Woodstove 0 Fireplace Insert ), Hot Water Tank ❑ Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /
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 a s Amount` "�+ "' ''"�'S+ a.," ;j
Main Floor 1 ;
2 Floor I 'Base fee:. „Dr `/•5
3-Floor _ Additional Section: i
Mezzanine: t 1 -
Plan Checee: 4- t`
Heated Basement t . 14idstateSurchargefeo 1 ..-,:',,,""--Ti_.--,.;. "!- -•ARC`,., .�,.°
t I A c . 1, , y ���5'"'P ',� -,F '
Unheated Basement r W r�.
Other Unheated ;
$t1/Rd'Appj ach fee: r.,-' 4"r 1**2---,-,, Sl_ 21 5,.
T A4 + v T+y `
4.
Garage/Carport k-. r
r t
Decks NtlfI11�K" n � � r
2� '1 1 3 .-
Other Number ,, . 4 • y}
:i',.f,,:::;•',,:aig. ..,.-- - ',7,',,.1":'•'.-?y'.
ESTIMATED COST(REQUIRED) i Date: A r: S.:
.Fair market value of all labor and materials foundation tb finishx z ;T,, t
G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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