HomeMy WebLinkAboutBLD2005-00434 CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD05-00434
SITE ADDRESS: 193 VIEW RIDGE DR Issue Date: 08/2/2005
SEQUIM, 98382 Final Date: 6/30/2008
APPLICANT: RAWLEIGH C ELLSWORTH PHONE: 206-459-6220
ARLA K ELLSWORTH
411 NORTH 6TH ST/PMB 1138
EMERY SD 57332-7007
SUBDIVISION: EAGLE CREST DEVELOPMENT Block: Lot:
PARCEL NUMBER: 948400008 Section: 34 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/ ATT GARAGE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/30/2008
1:\F_BLD_Occupancy.rpt 10/29/19
f
410
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00434 Received Date 06/28/2005
SITE ADDRESS: 193 VIEW RIDGE DR Issue Date 08/2/2005
SEQUIM, 98382
APPLICANT: RAWLEIGH C ELLSWORTH PHONE: 206-459-6220
ARLA K ELLSWORTH
42837 SE HWY 42, PMB 1138
EMERY SD 573327007
SUBDIVISION: EAGLE CREST DEVELOPMENT Block: Lot: 8
PARCEL NUMBER: 948400008 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR W/ATT GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 'GA6rS ! xa5 Qr„
UFFER: �-Z1-5('g•Pj �/
Footing:
Foundation: `°`�� • q-J-1,-p]
6
Stormwater FINAL Approval Z_/O . 7-o,r
Underground Plumbing: !� T/c•ter- ,y IGo0p SHew Toc(1To.1Acobi4C_l 0-7-es-
Underground Insulation:
Shear Wall : 4,kr r iaR -SHE�ie jJ 7/310,01
Sheathing:Framing: Sc .c a-t .e1.ed le to r1vsn, etenkinto / C 524/.06.
Plumbing: d)/1r4-Q .1-,&A4 11K Z/144#-
Propane Tank/ Lines: 7
Insulation: Wig g- - c t ((T R-32‘ Pik)/ R30
Sheetrock:bk--
Septic Sytem Final Approval ( not on sewer):
Road Approach Final Approval:
Zoning Final Approval: C
Final/Occupancy Approval: (0 7j U"J (f 2
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 CAP A BLD05-00434 •
1.) 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.
2.) 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.
3.) 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."
4.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
5.) 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.
6.) 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.
7.) A Stormwater Site Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
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 View Ridge Drive right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum rear(east) yard setback shall be 25 feet per recorded
plat. 25 foot buffer shall remain in natural condition. If an ESA is present, then the more
stricter setback(s) shall apply.
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 singlemily
residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
IIP
UILDING PERMIT APPLICA•N MRLA05 00406 eview Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00434 Received Date: 6/28/2005
SITE ADDRESS: 193 VIEW RIDGE DR
SEQUIM, 98382
OWNER: RAWLEIGH C ELLSWORTH PHONE: 206-459-6220
ARLA K ELLSWORTH
42837 SE HWY 42, PMB 1138
EMERY SD 573327007 EAGLE CREST DEVELOPMENT
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 948400008 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR W/ ATT GARAGE 140 60117ito( -e_
-*Lr(s7 01 12w-3.f 4 Qwe _
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,961 .••` �'
VALUATION 243,245.00 7ADD'L: HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,996 SHORELINE:
CONST TYPE: DECK: 867 SETBACK:
V S BANK HEIGHT:
'Oa SEWAGE DISPOSAL: ALT 101 ''�` 230
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: r1/L' CVV7
Type Amount Paid Bv: Date: Receipt: APPROVED
Potable Water Application $53.00 SLE 06/28/05 73455 P PR \ /
State Building Code $4.50 SLE 06/28/05 73455 �/ C
Plan Check $1,170.10 SLE 06/28/05 73455 AUG - 2 2005
Permit $1,800.15 SLE 06/28/05 73455 Jeffer aunty Planning
Total: $3,027.75 &`^ ► Department 9
A _ J ,k ��
44 NA- ' vykipCaJ 4-'ora Pcr,v, II
* Aco ve. -Decg..
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R2C2liED
JUN - 6 2006
JEFFERSON COUNTY REVISION TO STROMWATER SITE PLAN
DEPT.OF COMMUNITY DEVELOPMENT_ TEMPLATE DATED AUG. 2, 2005
Permit # bld 05-0434 jefferson county dcd
Revision requested do to insurfficent dirt to back fill foundation during
construction on north side of home. Per item 18 on stromwater site plan
area around house was to be hydroseeded by the end of september 2005.
This was accomplished per plan.
1. Request removal of appro. one foot of soil from the northwest
corner of noted property. This would cosist of and area roughly
100' x 100' . This is in the same area as the existing
stromwater retention pond, but does not alter existing pond
area.
2. Area where soil is tobe removed and area tobe back filled are
marked and labeled on stromwater site development plan.
Area to be distrubed to be replanted with grass by the end of August 2006.
Thank You
R. Chuck Ellsworth
\fTS-E-1
APPROVED
STORM WATER PLAN
JUN - 6 2006 Storm water PIS
Requir
JEFF U TY��
DEPT.OF C .I i sVi LOPINF T
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I Vti 4..fferson County § . 2 ? _ § 11TLE: SITE DEVELOPMENT LOT 8, VIEW RIDGE DRIVE /
R - . .: L
Approval Block oNt,
GARDINER. PARCEL 948-400-008
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DRAINAGE AND EROSION CONTROL DETAILS
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fferson County a4-Till-E: SITE DEVELOPMENT LOT 8, VIEW RIDGE DRIVE
Approval Block 4 fiIA • : GARDINER. PARC
EL CEL 948-400-008
2 DRAINAGE AND EROSION CONTROL DETAILSN w +� �i CLIENT:
1�� 0• u' C110 C k ELLS wo '_1" ij
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/,�� o , JEFFERSON $JNTY (' ! �„ (: �'�
DEPARTMENT OF COMMUNITY DEVELOPMENT ,t
`� iy I
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360 -4451 Fax 1 JUN 2 8 2005 ''."f
&qs °'" www.co.jefferson.wa/379us/commdevelopment
BIN i.________
;,.;y _;__
Master Permit Application MLA: ®6--"7' }-
Project Description(include separate sheets as necessary):
Tax Parcel ? , , r Property `�
Number: Y,, V(i�;1 ,� � / Size: -�(i (.)3 I+ ,ES (acres/square feet)
Site Address and/or Directions to Property: , 7 3 t/, L, ) ;/ 11)(-;-E [)/Z-O'
Property Owner(s)n of Record: Ail(Ai uc -�-a-(-1 , , 4 f`\-t Lf - k' ELL_S �,Z}f>a /....,
Telephone:.U(,a 5 j 4_, Z Z.c..:> Fax: email: t.. [,-E u.4 = Q/a�u Cam`%c:C � L' f
Mailing Address: 0 043 bQ X 3 5 ::7 "//h ktict_ gs^.�Z
Applicant/Agent(if different from owner):
��C '
Telephone: Fax: email:
Mailing Address:
Mat kind of Permit?(Check each box that applies)
leBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ emolition Permit ❑Conditional Use[C(a),C(d),or C]**
ngle Family ❑ Discretionary"D"or Unnamed Use Classification
arage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ 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*"
❑ Stormwater 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
EJ 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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Access and right of entry to this prope II be reque ' and shall occur only during regular business
hours. // %i7 ,
Signature: i f-e` c/' .. �'/ "' Date: J t/
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 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 with the Jefferson County development .The Applicant acknowledges that he,she or it holds individual
and non-transferable _'ty for adhering to-and complying with they l he Applicant-has ant has read this di aimer and si ns and dates it below.
Signature: C4 �'c +� �' -• ., �.� c__' tr',1�. , „"s. . r; .,. Date: ;rr
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT i
The signer of this statement does hereby certify that y are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be min the r i of Contractor for the proposed project.
Signature: Date: ' o " y r
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( f FAX:
n tAD 0(\ ( ) .1 ti.:. JUN 2 lr 2005 i
MAILING ADDRESS: c/Ja i ..--. 1` EMAIL:
CONTRACTOR'S LICENSE WAINS -- -- =
JEFt r:CON uiu._
NUMBER: `� NUMBER DEPT. OF CO3\ ',"1,t, 1, v-f
ARCHITECT/ENGINEER: w"2 PHONE ( ) FJC )
MAILING ADDRESS: 1.1-4;iela.CiDi'" COT _�.n, \
EMAIL "_
Pr ect Type: F Type: Bathrooms:
!Bathrooms: Shoreline: Type
of Sewage
Ner New !$/Wood Existing: 0 Sewer Disposal:
❑ Addition ❑ Steel Proposed: 71• Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 1► Height: ❑ Individual System
O Repair ❑ Masonry SEP Permit# 0 3.--c(5:30,5
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: V Private well 0 Two Party
Type of eat: Proposed: 2'' [] Public L�i U c JC
Total: Name of System: I
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 0 Woodstove 1l Fireplace Insert ❑ Hot Water Tank [1 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 (9 i agi ccie'ConsistencyReview: 4 `0 1
214u Floor *Crgilotir: Base fee:
3 Floor Additional Section: ;
Mezzanine: Plan Check fee: _T � ' \1
Heated Basement State Surcharge fee: �� �� � f
Unheated Basement Pot Water Review fee: 96
Other Unheated t4(Valk
� ca or4 •i' 911Ext ti 0 6-
Garage/Carport (l 9� 410451 TOTAL: $ 31'D• is
,
Decks 1 ('y6 Receipt mbar: 73({5
Other 0' h/ k Number.It,A5, 11144
ESTIMATED COST(REQUIRED) 7 r /
•Fair market value of all labor and materials foundation ni
�JC / �S
'�—` S 327 ‘ Initials: ((
pie}, ReVcsio+n -(0 r5 Oen
G:\PernitCenter\FORMS\DRD FORMS\Master emit App• a ' .dot ! '