Loading...
HomeMy WebLinkAboutBLD2005-00481 4OUILDING PERMIT APPLICAIN MRLA05 0eview 0pe443 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00481 Received Date: 7/22/2005 SITE ADDRESS: 203 OLD BEAVER VALLEY RD PORT LUDLOW, 98365 OWNER: KIMBERLY A COTTIER-HOLT PHONE: 360-732-4874 LELAND R. HOLT 203 OLD BEAVER VALLEY RD PORT LUDLOW WA 983659230 SUBDIVISION: Block: Lot: T19 PARCEL NUMBER: 821182009 Section: 18 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: /U PROJECT DESCRIPTIOr Detached Garage'1Q(/ Heat TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 0 VALUATION 10,500.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,008 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date: r-/ a /o 6_1) Type Amount Paid By: Date: Receipt: /� pprROV E 1; Permit $377.25 SLE 07/21/05 76275 „ Plan Check $245.21 SLE 07/21/05 76275 AUG 1 , 2005 State Building Code $4.50 SLE 07/21/05 76275 Total: $626.96 Jefferson County Planning &Building Department ! • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00481 Received Date 07/22/2005 SITE ADDRESS: 203 OLD BEAVER VALLEY RD Issue Date 08/17/2005 PORT LUDLOW, 98365 APPLICANT: KIMBERLY A COTTIER-HOLT PHONE: 360-732-4874 LELAND R. HOLT 203 OLD BEAVER VALLEY RD PORT LUDLOW WA 983659230 SUBDIVISION: Block: Lot: T19 PARCEL NUMBER: 821182009 Section: 18 Township: 28 N Range: 01 E CONTRACTOR: PROJECT DESCRIPTION: Detached Garage unheated CALL IN FOR THE REQUIRED INSPECTJDNS THAT APPLY TO YOUR PROJECT. SETBACKS: O, ,,a-,,,, .�p� UFFER: Y� ' Footing: VtL F ' L°' — �/� LLC / A rr SDK. 01/44L# Foundation: ©eid/Qlfe/640II 7105, Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : OR. 7115/02 Sheathing: Framing: Ok, �/Siej� Plumbing: l U Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: / Final/Occupancy Approval: DX tar t'ur1a- I 7�Sd4 HEALTH DEPARTMENT AND PUBLIC WORKS APPR AL 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 CASE t BLD05-00481 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements apply if plumbing is proposed. 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 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 identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the detached garage. 8.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed detached garage. 9.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 10.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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). 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setbcak from Old Beaver Valley Rd right-of-way is 20 ft. Minimum setbcak from Beaver Valley Rd right-of-way is 35 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks. 16.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 • 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 responsibili o the General Contractor for the proposed project. Signature: r(i�-ee(� (19---1( Date: /7•- LA / — 0 5 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: ' Bathrooms: ,--\ Shoreline: Type of Sewage Disposal: A New ,l( Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete T , Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# 97--,)L('-( ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total Name of System: 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: CI Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ 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 2Nu Floor Base fee: 3�y 7 .ehs- . 3`0 Floor Additional Section: _ ` Mezzanine: Plan Check fee: di r ail Heated Basement State Surcharge fee:' `'� Unheated Basement Pot Water Review fee: Other Unheated --9 1/Rd Approach fee: Garage/Carport / S L ?�t /04 (431."15t. TOTAL $ t q c Decks %a7 Receipt Number. Other Cash/Check Nul erg 1 2005 30/4 ESTIMATED COST(REQUIRED) Date: 10W/ Ofr•Fair market value of all labor and materials foundation to finish iS' L) Initials: cNT G:\PematCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r.v,goly cow JEFFERSON£NTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT ;\ `.4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax qs IiIN p'" www.co.jefferson.wa.us/commdevelopment JUL 21 2005 Master Permit Application MLA: 0 5"' 91�raT ; Project Description (include separate sheets as necessary): -d Tax Parcel Property t} Number: 2 / 1 ',2- 009 size: 6.(t .3/ 3 i_-- b. 9'L) (acres/square feet) Site Address and/or Directions to Property: )u 3 C j L 6 t .cr.J e r V:it I 7 U P t.- �-�i;i,: t r('j 3 6 Sr Property Owner(s)of Record: k i ro.b e e f/ A . e r; +i e v-- I—I 0 lt- i-r' I cr re.e tt- t-to (/- Telephone: 3 h 0 '7 3 2- L( ,1 '/ Fax: email: , i't y rucc r & o t ype t- Z U;ti, Mailing Address: ,to3 C>l4 I:i to a e y. Vcc tIe 7 t?Q P T-. L L.Le 1OL.-, ci•8 3 G Applicant/Agent(if different from owner): 4,4 b C°,% Hr e Telephone: 3 b c; - '1 3 2- -i 0'? Fax: email: h us h cr., ut'y p IAA.. cti vt I Mailing Address: I `fi t ()[tl �1'%- i ,� �c�� hie,/ R�_c P/ L L h I— 96.3E S" What kind of Permit?(Check each box that applies) I Building ❑Variance(Minor, Major or Reasonable Economic Use) El Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑Single Family 0 Discretionary"D"or Unnamed Use Classification Garage Attached/Detached 0 Special Use(Essential Public Facilities)** bi 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 El 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 local, state or federal permits required for this proposal, if known: N DESIGNATION OF AGENT I hereby designate Co0 tt" I.e?v- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE eik -e r au-L './ 1 -` 1,1,),-CeiLt%T -J Date: '7 - (R '' 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 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 property shall be requested and shall occur only during regular business hours. y� / Signature: o� CG & R t i_ J q A ( ii' / Date: 7-1( c-t i 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 code.The Applicant acknowledges that he,she or it holds individual and non-trap ?-ble resp/�onsi li fo adhering o and mplyin with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: pre (x.=,d i2 �� 4t;.2-.7`-I Date: / - / c'' G:\PemritCenter\FORMS\DRD FORMS\Master Pemilt Application 7-8-04.doc 0 rcc1;1 Z > C / NI& , > 73 0 m 11110 Qr_./ -LQ41 III +te/NomemrA 9 W • q • • ,-, ,,,. m • • > , ✓ . , ,. , • ':k 1 1 ' . r,-l'i - ( I' .. - - • ' 73 ; co ! cn ..,, . ---- . , ,I . , . . i 1 i • f e'r 8 i , ,, (2_5, _ , ,, ..........:_..,, „A.,„ - ,1 - ..._ .c.) /(:' llI , .,>//-/ .)0 i • 1 9 I '/ ,/ -N*4 1,;// , ?p, v., a,,,,, 2 i ••.; , , ., ; '`iC / / Ce 00 7 r.) —(..cy 1 --ye-go , / , / I / I , ' i , n / ,(- A‘J i NI I , ?) 1 ! , , , ...._ , ,f _..1 k, 1, //, +1 / c.A \(/ 7't\- , i ..-- /I I ,-- 1 „,'"' / /-' 1 ,.. „ k.0\ / / / fo. I V' ,/ • „ i / // > , t/ , ,1 ,,,-,08( i c , , m 1 ( L to Z -- i z.,.?° C7 , // l tki 0 4P- 1 rri , v )4 ddc - ., • I ° cn 1 1 I cie I ..,._ -12 -- J ' At/ ' 4- • ---------1 .- . ‘Irr-Q "61(11' :` _ 0 -!, , - I ilkfrr, ' Z -, 1 ;, ,,,i -ii, -, b ' .014 rn • .1,' ' 's r, rrr I> 0,-1- co h 2' .,,, --, , c•-.4 --4 / (3-, 73 . 0 4 •A -• ,. iih zt' at - 1' .. I 4-• ' '• ,2 c, 2 6 = "6 - g --s- 73 • -‘t. 1 7 , CX2- C 9 I - /Z.6 .i.t.- CD * 0 •.. ' i‘ • tr( Ss? , °0 i ---- h)f. _..,( 98 _, 1101 70--i CD Z - 7r I V -1 4-4 Ocl 1:1 ji 4 ,8 ' , 73 V G2dc'is . 0)1 A Tv Ts -112 I / co - • ) -)12 :i> I ' i (.4.440d-PAd., ,J 2t _ 1 J 7. H " i 0"4.-01? -1 i ( 0 /VvI _Lti4 .9,3/1 \./, 1 VjnitiA/ 4.)1476P Tre7C0d0i.d/ 14, Old • E ...h.- . 0 ... \ , .. • 51/ cn . f-r., ..,., g-r1;1 PT" .., =.3 M. C.04 CZ) ' • ir 11.1 C i•.1 f""' CZ Xi G.) Olb t ...41 i 8 , Po e.... ••••./, tri P:11 , '' • ‘... , ....i. ., r' • C, S47^ t" _....0111.1* '.. 4 ' g C-71 0 ef i tv . Z rn —d . . _........- —.--. %b. .