HomeMy WebLinkAboutBLD2005-00400 BUILDING PERMIT•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00400 Received Date 06/14/2005
SITE ADDRESS: 15 WHITE ROCK LN Issue Date 07/14/2005
PORT LUDLOW, 98365
APPLICANT: JOHN F LYNCH PHONE: 360 437-4028
SHARON B LYNCH
4123 PARADISE BAY RD
PORT LUDLOW WA 983658240
SUBDIVISION: Block: Lot: T 7
PARCEL NUMBER: 821262009 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN &CONST PHONE: (360)437-9344
BILL IRWIN
PO BOX 545
CHIMACUM WA 98325
Contractor's License: PARADBD141KW Expires: (Pg/16679344
PROJECT DESCRIPTION: NEW Garage - NO Heat& NO Plumbing
CALL IN FOR THE REQUIRED INSPE IONS THAT APPLY TO YOUR PROJECT.
SETBACKS: d.N)0S/D1
UFFER: Ajb /
Footing: 4k 8//05,
Foundation: UK BIIB/off 0,11
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: Ok /a/9/405"
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ', _c - na I I 4 DS ,
HEALTH DEPARTMENT AND PUBLIC WORKS APPROV L 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 CM t BLD05-00400 •
1.) No plumbing has been reviewed or approved for this structure by Environmental Health.
Any proposed plumbing will require additional review.
2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) 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.
9.) 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.
10.) 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.
11.) MANDATORY MEASURES FIPCOASTAL 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.
12.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
13.) 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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).
16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
17.) The building height is not to exceed 35 feet.
18.) Minimum setback from Paradise Bay Road and White Rock Lane rights-of-ways shall be
20 feet. Minimum side yard setbacks shall be 5 feet. If an ESA is present, then the more
stricter setback shall apply.
19.) 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.
20.) 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.
21.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
1110
• MLA05-00373
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00400 Received Date: 6/14/2005
SITE ADDRESS:
PORT LUDLOW, 98365
OWNER: JOHN F LYNCH PHONE: 360 437-4028
SHARON B LYNCH
4123 PARADISE BAY RD
PORT LUDLOW WA 983658240
SUBDIVISION: Block: Lot: T 7
PARCEL NUMBER: 821262009 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: PARADISE BAY DESIGN &CONST PHONE: (360)437-9344
PO BOX 545
CHIMACUM WA 98325
Contractor's License PARADBD141 KW Expires 3/29/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW Garage - NO Heat & NO Plumbing
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 12,256.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 520 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: Total:
Routing Date: ,+/fs (o
Type Amount Paid By: Date: Receipt: Approved/Date
State Building Code $4.50 RAC 06/14/05 73374 APPROVED
Plan Check $236.11 RAC 06/14/05 73374
Permit $363.25 RAC 06/14/05 73374 JUL 1 4 2005
Total: $603.86 Jeffers° unty Planning
& B ildi partment
r' illik
g„ CoJEFFERSNU •DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 - 360/379-4451 Fax
44 0 www.co.jefferson.wa.us/commdevelopment JUN 1 4 2005
�'IN40
Master Permit Application MLA: Cb-3-13
Project Des 'pcon include separate shee as ecessa
4
Tax Parcel > '" �-s tr
Number: 8-G- I.J Property �t �„+ (�7 q�are �
Site Address and/or Directions to Pro rty: kO L TA") -�A,
Property Owner(s)of.RR�ecord: VirN t 'f.,h. �' "
Telephone: (9 7�'' Fax: O . k' email:
Mailing Address:
Applicant/A t if different fr in owrter): ''i ((, 14t3ti0 ( 1 COL,- {��'�. LC''
Telephone: J ('(� Fax:°4 O- 7 � ail.
Mailing Address: 4 9-ir 111( 1/�`� /A)l3 is
I
What kind of Permit?(Check each box that applies)
❑ Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C)**
❑ Single Family 0 Discretionary"D"or Unnamed Use Classification
H.-Garage Attached Detach ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Hom ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration*"
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑Stomiwater 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 loca to or federal permits required for this proposal, if known:
r' D NATION OF AGENT
I hereby designate to act as my agent in matters relating to this applicatio for permit(s).
OWNER SIGNATURE Z/Y` Date: .0, / dS—
By signing this application form, owner/agent attes th t the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any erial falsehood or y mission of a material fact made by the owner/agent with respect to this application packet
may result in this permit bein II 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 a e against Jefferso County as a result of or in consequence of the granting of this permit.
I further agree to provi acce n right of ry efferson County and its employees,representatives or agents for the sole purpose of application
review and any required) r i nd right of e to this property shall be requested and shall occur only during re lar business
::ure:
-J Date:
The action or actions Ap scant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species a d lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Spe ' Act"or"E "Jefferson County s no assurances to the applicant that the actions that will be undertaken because this
permit has been i will not vi ate the SA. y' drvidual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in co ance with Je rson County de elopment code.The Applicant acknowledges that he,she or it holds individual
and non-transferable resei i for ad ri d comp) in ' the ESA. The Applicant has read this disclaim r a sin and dates it below.
Signature: Date: 24 of
G:\PermitCenter\FORMS FORMS\Master Pe Application 7-8-04.doc
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 the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANU `3
ACTURED O INSTALLER: PHONE: FAX:
1tsir 16 Ns-riw .ot) > 37-6 �( C �) 3Z Z
MAILING ADDRESS: VIC- t L/Vl EMAIL:
CONTRACTOR'S LICENSE / WAINS
NUMBER: �,�- 3,$�- 1,4( NUMBER
ARCHITECT/ENGINEER: A,.)� v A- �,-jy j j to PHONE (�j�)_— '5AX: ( )
MAILING ADDRESS: `4-l1 A.,,w,campy pt, ^f W AIL l',p
Pro t Type: Frarpe. Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Tr'Wood Existing: ❑ Sewer
D Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: 5IhJ [ vidual System
❑ Repair ❑ Masonry SEP Permit# Off- '
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback:
C IY iivate well 0 Two Party
Type of Heat: Proposed: , 1 ❑ Public
i
Total: Name of 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 ❑ Above ground Tank Size of Propane Tank:
Heat Stove ❑ Cook Stove 0 Woodstove Cl Fireplace Insert ❑ Hot Water Tank 0 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 Consistency Review: 49
2ND Floor Base fee: 3/ 3 P
3`a Floor Additional Section: lC� -
Mezzanine: Plan Check fee: 30 I j✓
Heated Basement State Surcharge fee:`` i 50
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Gara Carport , �t- /1 ) TOTAL; $ (.:Q 5�C L
Decks (73 3 74
Receipt Number.
Other / Cashca AIMS
[
ESTIMATED COST(REQUIRED) Date:
*Fair market vat of all labor and materials found Pion to finish 1 f T I ��
�`"V/`IY 1 Initials(________ lc
-
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