HomeMy WebLinkAboutBLD2005-00458 WILDING PERMIT APPLICATION R�A�05-428
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00458 Received Date: 7/14/2005
SITE ADDRESS: MT CONSTANCE WAY
PORT LUDLOW, 98365
OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: 437-2101
70 BREAKER LN
PORT LUDLOW WA 983659766
OLYMPIC TERRACE DIVISION 1
SUBDIVISION: Block: Lot: 1-15
PARCEL NUMBER: 978800015 Section: 21 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: PHONE:
PROJECT DESCRIPTIOP NSFR W/ATT. GARAGE & NG 120 GAL PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW VALUATION 24; 'C015-.58r,�/�AIN: 1,859
CODE EDITION: 2003 ADD'L: 765 HEAT TYPE: EEE
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: #OF STORIES: 2
CONST TYPE: 5N OTHER: 84 SHORELINE:
CONST TYPE: GARAGE: 673 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 3
Total: 2 Total: 3
Routing Date:
ri r) V6--
Type Amount Paid By: Date: Receipt: Approved/Date
Potable Water Application $53.00 SLE 07/14/05 76176 APPROVED
Permit $1,856.15 SLE 07/14/05 76176
State Building Code $4.50 SLE 07/14/05 76176 AUG - 2 2005
Permit $0.00 SLE 07/14/05 Neff• -t . ounty Planning
Plan Check $0.00 SLE 07/14/05 Di'Q ai Department
Total: $1,913.65 4 air
Re- v=usrA
•
BUILDING PERMIT
Jeffe County pm
621rson Sheridan De Street art, Portentof TownsendCommunity, WA 98368Development
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00458 Received Date 07/14/2005
SITE ADDRESS: 311 MT CONSTANCE WAY Issue Date 08/2/2005
PORT LUDLOW, 98365
APPLICANT: PORT LUDLOW ASSOCIATES LLC PHONE: 437-2101
70 BREAKER LN
PORT LUDLOW WA 983659766
SUBDIVISION: OLYMPIC TERRACE DIVISION 1 Block: Lot: 15+
PARCEL NUMBER: 978800015 Section: 21 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: NSFR W/ATT. GARAGE &A/G 120 GAL PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 61e 7c'+yzi, S
U FFE R: e)k /D/z- /C,'
Footing: 6K jl►/z,/pr,
Foundation: 6k /�►/, //ci% �
Stormwater FINAL Approval. l/eyr/i,V`c,6f/C SIDS,
Underground Plumbing:
Underground Insulation: /
Shear Wall : Exf $H�r�2 OK l�veAz
Sheathing:
Framing: /4/ne2PFt,mte_ de/0G/0s,'i DX/ lTi.,it#1 bin.,�irFP �2.X.a Dcerr,�s�&444eAles- i)V
Plumbing: /US OK 06/04.� ���"""
Propane Tank/Lines: Air /Rzejg /,..as DK ga/04�Insulation: AZS�A�dk. 7�/i%L L11iv/LsZf/G/g44#( ✓Aug-Po&,tests J
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: eV-Far 0 �#1 -If
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE a .IRED 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
1111 •
SPECIAL CONDITIONS FOR CASE A BLD05-00458
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.)
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.) 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.) A Small Parcel Erosion & Sediment Control 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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).
11.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Minimum setback from Mt. Constance Way right-of-way shall be 20 feet. Minimum side
and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter
setback shall apply.
14.) 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.
15.) 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.
•
16.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
17.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed in
the MPR-SF zone.
18.) Construction within this plat may be subject to truck route and work hours restrictions
designated and enforced by Jefferson County Dept. of Public Works. All construction
activity shall be conducted between the hours of 7:00 a.m. and 6:00 p.m.
19.) Stock plan foundations approvals shall be limited to the prescriptive foundation
requirements of the IRC and R-404.1.4. Foundations outside the scope of this section
shall be designed and engineered SITE SPECIFIC per IBC.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
0 7- iS
X-1,erilic,4
SON c JEFFERScOUNTY .
I 4' ` DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street•.PortTownsend Washington 98368 ---
360/379-4450 • 360/379-4451 Fax
p www.co.jefferson.wa.us/commdeveloprnent
'�iS'�p ,S,•o% ai>ay e
Master Permit Application MLA: 1 S ' Z
Project Description(include separate sheets as necessary):
Meal siirgle fa#1 15 ces-deor-e, a,/azgat_halatz.
Tax P cel Prope
Number: 97 - aoo - 0/5- Size: / , 6 3 (awes/square feet)
Site Address and/or Directions to Property: ? /7' 60,s!!l,7r'c_ id (tot 41/5), Cow t zztnipu.), We 983S
Property Owner(s)of Record: A r e lad/Dal AssoC',a zIes Lie
Telephone:_ 3b0� rj/3?- >Fax: :{;?4o)y3 - 2522 email:
r Mailing Address: �D 463 er Lame., PDr.f Aaa/o&, thn 9113o$
Applicant/Agent(if different from owner): N/A
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
III/Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
['Single Family ❑ Discretionary"D"or Unnamed Use Classification
V'Garage Attached Detached 0 Special Use(Essential Public Facilities)**
❑Manufactured home 0 Boundary Line Adjustment
❑Modular ❑Short Plat**
❑Commercial* O Binding Site Plan**
O Change of Use ❑ Long Plat**
di I�Address dRoad Approach O Planned Rural Residential Development(PRRDyAmendments**
'Propane ❑Plat Vacation/Alteration**
O Allowed"Yes"Use Consistency Analysis O Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management O Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* O Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
D Wireless Telecommunication* []Jefferson County Shoreline Master Program Amendment
O 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 , : • -••..tion ern vided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any. fqi afmatgtial f�ct made by the o ent with respect to this application packet
mayresult In this L tt ''+permit being null and void. ( 1 :1 t•. „ U
I further agree to save,indemnify and hold harmless Jeffe • r n f
against all liabilities,judg ts, rt costs,reasonable attomey's fees and
expenses which may in any way accrue against Jefferson • 14y ass a result of or in consequence of ranting of this permit.
I further agree to pro 'de accessiand right of entry to Jeff- . an l em�i4ee2Q Ares ' tiyyttor agents for the sole purpose of application
E::
d anyreq rr I r i spe 'ensAccess and right. entry this property shall be requ ted a shall occur I duri
y regular business
: /� / FF T em „niiHry Dale: ' 17 +.
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 y pliance with the Jefferson County development code.The Applicant acknowledges that he, or it holds individual
and non-transf r le sit or ng tp and complying with the ESA. The Applicant has read this disdai er an signs and dates it below.
Signature: E � ' Date: �E' c,S
r
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
I
• OWNER BUILDER STATEMENT lT • 07 /5--1
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
1'eywipbe a. ring a responsi ty�f ttie Geroerai Contractor forihe proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
/ort" l'd%& ,s$Dc:ates I C (36o ) y3? 2/o/ (36o ) V37-25zz
MAILING ADDRESS: 70 bea4er 4nne,fc,t luai/dw, toe EMAIL:
CONTRACTOR'S LICENSE ,p pp�f D 9RZ4 WAINS
NUMBER: /�O/G TL�L % / /�.(J 1 onsisten0y Review: nr ` '�x'a�* f i"
ARCHITECT/ENGiNEER: 4; E, ▪ `
;:8alsef�e rig . f MAILING ADDRESS: fLd-P/4/2.775• E/e✓• D S, R
a
`" &`^ *�Additional Section: � }°Pmlect Type: forme Type: 84
V New V Wood E) `Plan Check fee: e L
❑ Addition 0 Steel Pr
❑ Alteration/Remodel ❑ Concrete =State Surcharge fee:
❑ Repair 0 Masonry ;� d'
❑ Demolition ❑ Other: 1t Water RevEew_fee: y ` :r
Ex:
, '
Type of Heat: P 911/Rd Approach fee: r ' : Y w .
elec. TIei. ioam,d. _ ..�� � a.i''i
y<_ x�x
i TOTAL
el:
_ _ .N 2 t '',
If this is a Commercial Project you must answer the fol:Receipt N air: •
�� is ,▪ ,
3.
Number of Parking Spaces: Current Pg • Ch Number: �` ` " ` ''�3''z `•. i'�
Number of occupants(includes owners,tenants,employee'' ,4 ce`
' - p k ;
IBC Occupancy IBC Type of construction Dade 1 ��t u irk
If this is a Propane Tank and/or Appliance Installation \� , z "▪ ', r � ` �
0 Underground Tank t;�Above ground Tank Initials: 2 r� • ''�„' " ., t 4
❑ Heat Stove 0 Cook Stove El Woodstove ❑ Firepi.
Is this appliance being installed in a Manufactured/Mo
When applying for a permit to install a propane tank yo
lines,tank location and size,distances from the propar
Including the reserve area.
,, -, ' " �f .. -i , 5 iSquare Footage or a
Current Proposed 4
~�
llMin ' y 9 ((JV�?a .'� ��fi }- A �' `t ,
J r - �+ . 'Yr3 fiM1 1 _ 1
3 Fk>dr 'i f 3z�� eo ,er wi.e ,wt"t `r`
Mega nine: '� t� E_4 e• m k. 1114` * r �,a� 1
JEFFERSON G(Tf.TFTTY i ., j- .4 '', `t —
•
p
Heats LBas IrOila,...•ls;'v ut,,,rk( Y"m1-NI ' t r -; t. r�3, e (D
Unheated Basement ._ , fi l-., ' t ? r' ,,-; "� - v .1` ` Q (�
t A,F ,, a a r ,Atik.- m,„ -a 'k ,� "I,W
"Jy// si;.�"�=� xS.1. +'.�3,eq�`a `�-.�-�,...acc.._-b'; 'h. ���
ih R 11'.i•g ai ry Q�f� �M
Other nhe t �� /�� P x` ..,.tF .`_. ;� s��1 ft as �,7�
'( .57`oray e a `' �, U J
Garage/Carport — �3 '_ - , � < 1.' :� �5 ' ` J
Decks _ p ; '" � �'
> w «tf;4� 'vgy4,e: , ''- _..l rrs. ie'f,, 3 Y7A-t .• sty, tt-�s tN ta3
Other — r s 4RLt4h'f' / y€ a�� Yes i0. t rri 1, > v
�' A-5,:f,Zvfi p,i o _.: .. °�}�-ad'.4' i• �' ''ili ��i�� '`'F 4"� �': "`'an'k'Airr
ESTIMATED COST(REQUIRED) 4- �, *4 ' t▪' *`r ;� ,, e.t e.
•Fair market value of all labor and materials da tom- r A, .w '
z, .4 i. ,,yy eta r« o�`d� ,i.i..€,.NCii' 1" t�`.c.�. �s �
G:\PlimitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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APPROVED L _ Li ,21,0 01' 5I '. i4,
sITE PLAN
JUL272005 ( CO
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JEF
DEPT.OF C M D N
SIGNATURE: ( N ) r-4 r. �,
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Stormwat .
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APPROVED
's STORMWATER PLAN
Stormwat
Requir JUL 2 7 2005
Cs)
JEFFERSON COUNTY JEFFERSON('O N
STORMWATER MANAGEMENT DEPT.OF O.j Ii' be, F•.i S•MENT
SMALL PARCEL EROSION AND SEDIMENT CONTROL* 1111 dant . ,i�,►
EROSION AND SEDIMENT CONTROL WORKSHEET % v
Property Owner: Port Ludlow Associates Telephone: 437-2101
Address: 70 Breaker Lane, Port Ludlow, WA 98365
Assessor's Parcel Number: 978- g00"0/5 •
Building Permit or Septic Permit Application Number(if applicable):
Brief Project Description: New Single Family Residence W/ attached garage.
Site Location: ? /7zt. s/a,7ce_ aJQs,,
Person Responsible for BMP Installation and Maintenance: Jeff Evange r
Address: Same as above.
) Telephone:Sallie. as above
1. Describe/check the Best Management Practices (BMPs) that you will implement during land
disturbing activities or construction to control erosion and prevent sediment from entering water
bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or
roads. Please check the measures you plan to implement and show their approximate location on
the site plan. You may also propose measures other than those listed. Attach additional sheets,if •
more space is required.
•
[] Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized construction access by applying quarry spans, ballast,or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from Stormwater
• Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
[] Minimize the extent of land disturbing activity and preserve existing vegetation.
Preserve buffers of well-established vegetation between disturbed areas and property
boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife
habitat areas,landslide or erosion hazard area,etc.).
L. �-- •
SPESC Instructions—Short Form �v
Revised July 17,2002 I' ill
3 JUL 1 4 2005
EROSION AND SEDIMENT CONTROL WORKSHEET
[] Phase clearing so that only areas that are actively being worked are uncovered.
[] Start and complete land disturbing activities and stabilize the site between April 1
and September 30. Stabilization means that disturbed areas will have well-established
plant cover or be landscaped to minimize erosion.
[>1 Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between
October 1 and March 31 and within 7 days between April 1 and September 30.
[ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material
approved for this purpose.
[ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads,
and property lines.
[] Place gravel base on roads,driveways,and parking areas after clearing and subgrade
preparation.
[j Protect adjacent properties and water bodies from sediment deposition:
[] Place straw or hay bales in ditches and drainage ways down slope from areas
of land disturbing activity to filter runoff before it leaves the project site or enters
water bodies.(See attached illustrations from Stormwater Management Manual.)
[] Install a filter fence down'slope from areas of land disturbing activity to.filter runoff
before it leaves the project site or enters water bodies. (See attached illustration from
Stormwater Management Manual.)
[X Regularly inspect and maintain all BMPs especially after storms events.
[] Describe other erosion and sediment control Best Management Practices. Be specific
as to design and specifications.
Site is very flat with sanely soils . So I believe the above.
measures will be sufficient,
r. )
) to ' L r,i
SPESC Instructions—Short Form I i
Revised July 17,2002 f JUL 1 4 2135
I
EROSION AND SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized(seeded,landscaped,apply gravel base
to roadways,etc.)
Areas that are distrubed will be landscaped with natural
type vegetation and lawn to property line
•
3. Describe how runoff from impervious surfaces will be.controlled (disperse to vegetated areas to;i�-`.::�. .•-
infilttate,dry well,infiltration trench,route runoff to existing drainage facilities,.etc.).
)
All impervious surfaces will he run to roof drains and
catch basins as designed into the plat requirements.
J U L 1 4. 2035
SPESC Instructions--Short Form
Revised July 17,2002
5
EROSION AND SEDIMENT CONTROL WORKSHEET
4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing
and grading, construction, installation of drainage facilities, landscaping, etc.) and Best
Management Practices.Describe proposed maintenance of BMPs.
After excavation the soil Piles will be covered and. silt
fence will be installed, Silt fence will be left in
Place until we are ready to landscape and all roof drains/
catch basins are in. Landscaping will. be installed as •
early as possible on the exterior of the building when -
all exterior concrete work is completed:6.
li 1 The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwa ff'T will notify the Jefferson County for inspections as req ' d
Signature •er gent Date
75) I ' ij1
JUL 1 4 2005 E
SPESC Instructions--Short Form .-
Revised July 17,2002 l ,