HomeMy WebLinkAboutBLD2005-00567 BUILDING PERMIT APPLICAltN MLA05-530
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00567 Received Date: 8/31/2005
SITE ADDRESS: 20 MAPLE LN
PORT LUDLOW, 98365
OWNER: WILLIAM B STREAM PHONE:
LOIS F STREAM
PO BOX 65193
PORT LUDLOW WA 983650193 NORTH LUDLOW BEACH
SUBDIVISION: Block: Lot: 9+
PARCEL NUMBER: 976500008 Section: 4 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 PARADBD^41KW Expires 3/29/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ADDITION TO SFR
(REMOVING ONE BEDROOM AND ADDING ONE BEDROOM)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 633
VALUATION 69,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 1
Prop: 1 Prop: 1
Total: 2 Total: 2
Routing Date: I�
1 7 )
Type Amount Paid Bv: Date: Receipt:
Potable Water Application $53.00 SLE 76605 ��
State Building Code $4.50 SLE 76605 DEC .o 2005
Plan Check $504.89 SLE 76605
Permit $776.75 SLE 76605 Jefferson County Planning
& Building Department
Total: $1,339.14
Calla^ � gQs2
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00567 Received Date 08/31/2005
SITE ADDRESS: 20 MAPLE LN Issue Date 12/20/2005
PORT LUDLOW, 98365
APPLICANT: WILLIAM B STREAM PHONE:
LOIS F STREAM
PO BOX 65193
PORT LUDLOW WA 983650193
SUBDIVISION: NORTH LUDLOW BEACH Block: Lot: 9+
PARCEL NUMBER: 976500008 Section: 4 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: (Ng/0379344
PROJECT DESCRIPTION: ADDITION TO SFR
(REMOVING ONE BEDROOM AND ADDING ONE BEDROOM)
CALL IN FOR THE REQUIR D INSP CTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ldi�C 41 b 04
UFFER: A4
Footing: ate 716/04
Foundation:X 2/0 oL/
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : Art SAEA.e elk .004,
Sheathing:
Framing: 0o/D,4 R
Plumbing: &R9�P Svr�-.�r a 3/22/04/. a 3/30kL,
Propane Tank/ Lines:
Insulation: Alps&AL_ OK 3 2. Dd fi,:kv (,61.;IA: k c:/'"r,
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: < --f t -fir.a.-! el.-e oz
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL R QUI D PRIOR TO FINAL INSPECTIC
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 INSPECTIOI
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 A BLD05-00567•
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.) 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.
7.) 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.
8.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative
buffer setback of 100 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed SFR addition.
9.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed SFR addition.
10.) A permanent physical separation along the boundary of the stream 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.
11.) Stream 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."
12.) 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.
13.) VOLUNTARY MEASURES '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.
14.) 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.
15.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
16.) 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.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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).
19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
20.) The building height is not to exceed 35 feet.
21.) 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.
22.) 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.
23.)
24.) Confirmation that one of the bedrooms has been removed and that the structure is a
maximum of 2 bedrooms shall be verified by the building department and documentation
provided to the Health Department prior to final.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
iOWNER 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 MANUFACTURED HOME INSTALLER: PHONE: FAX:
'(::2,6 t:z.„4, 1,4r, ' (13 C:C is--) .;i- Z�-c_ r t (.T./ ('60 ) 27'3 7 `i'3 � -''. ( ) `/3
MAILING ADDRESS: �? `. v(j
ri�'� �ri-1 rM/Sc vj;�t 'Al � EMAIL:
CONTRACTOR'S LICENSE - CI 1, 3 - 5 WAINS
NUMBER: r A t 1 >j? 13 14'I k.t,L, NUMBER
ARCHITECT/ENGINEER: ,Lti'I,t t? t C D it>a:,,�i c,I2.4'` ,.' / (ix 1 PHONE ( ')to ) _.54 (
MAILING ADDRESS: (,;C,6; l:�00 tc v/e L. 'T EMAIL ,, ,
-
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Li New PI Wood Existing: _ / ❑ Sewer
(-1 Addition 0 Steel Proposed: / Bank Li Community System
Li Alteration/Remodel 0 Concrete Total: ` Height: dividual System
Li Repair ❑ Masonry r- -( / SEP Permit# `1y --I(3
t 1 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: — 7--- Setback: fa--Pr1vate well 0 Two Party
—
T e of Proposed: y ❑ Public
Total: 0 .� Name of System:
kr4t&: r pilot ?-'
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 LI Above ground Tank Size of Propane Tank: �V`'
C] Heat Stove Li 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 —
`u Rb AS Consistency Review: 49 .00
2-Floor _ Base fee:
Floor 3`d 17L.7C
r , r! ;Additio i ection: '.
Mezzanine: 1' — Plan Check fee: �j
,L 1 Heated Basement I I
i;
i f J AUG 3 0 2e su�Cbiar�e flee: 4-so
Unheated Basement _ Pot Water Review fee: 31`00
ILri L'` , CLUiii.1
Other Unheated DEPT. 0=CCMML+ !T4 L:V l/Rd, r ch fee: r.---"
Garage/Carport
e c/ 7,- TOTAL: $ (1.422.. I t Decks -
Receipt Number: 1/_f O�
Other Cash/Check Number: �VV���o
ESTIMATED COST(REQUIRED) Date: [.d� 2-
•Fair market value of all labor and mate - .•n.a ion o %1 36(if,
`* .-i C, ,, Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
mismw
SON c [1 1 r r:-. ! ` `
y) 1,
Arik& JEFFERSON NTY . ---i 1
E DEPARTMENT OF COMMUNITY DEVELOPMENT �'
+-' 621 Sheridan Street• Port Townsend •Washington 98368 ; AUG 3 0 2O D r '
360/379-4450 • 360/379-4451 Fax
� p$ www.co.jefferson.wa.us/commdevelopment ; - - --- -_.- -.
SANG
Master Permit Application MLA: 0% ' Cad-_ _.
Project Description(include separate sheets as necessary):
A-0D ( T/C .'/ i'
Tax Parcel . Property
Number: `/ i C- 5 16 CM 6r Size: 2. 6 5 (acres/square feet)
Site Address and/or Directions to Property: -z'71 ��a'�I ss-LT yc;� +g F+ S i it T/C iv 7-6, X r r4/-'c i, i fit--
Property Owner(s)of Record: '1,i J . L'"f-+"Si .,A 1---(
Telephone: 3 7 / Z—(f. Fax: email:
Mailing Address: i. e' 1; x l 3.l `i(4
Applicant/Agent(if different from owner): 1'4 r-71 /) 1>i- R.4< C i.-/S.
Telephone: ,--f 3 1 -c/ z `/y Fax: email:
Mailing Address: / ' C% ::�L/i3- C/f/4ii-1 c c'ir/ t /} `:›P 3 2 5—
What kind of Permit?(Check each box that applies)
I 3uilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* Cl 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
❑ 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 ^ � ;D,ate:_ ._�� —G
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. ss a d right of entry to this property shall be requested and shall occur only during regular business
hours. I
;(' S• ignature 1(---Date:
Date: J c)-S—(5.g
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 t e J erson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable-responsibility for er and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
,, Signature:c� � 41 n , - � Date: -, — y.S
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
SITE DATA
LOT 51ZE:
103018.24 SF
BUILDING FOOTPRINTS:
EXISTING 6ARA6E
8g1.00 SF
EXISTING RESIDENCE
12g2.26 5F
EXISTING OUT BUILDING
152.00 5F
PROPOSED ADDITION
652,50 SF
FOOTPRINT TOTAL
TOTAL % COVERAGE 2.88%
IMPERVIOUS DEVELOPMENTAL COVERAGE:
ROOF OVERHANGS (EXISTING) 3403.46 5F
EXISTING DECK SURFACE 482.60 SF
EXISVIN6 DRIVEWAY 10024.03 SF
EXI5VO DECK Ig2.00 SF
PROPOSED ADDITION bbb.44 5F
NEW DECK MASTER SUITE
TOTAL IMPERVIOUS SURFACES 141g0.50 SF
TOTAL % GOVERAGE 14.54%
NO
23.4q'
\\
S I TE PLAN
5GALE: I"=10'-O"
LEGAL DESGRIPTION
LOT g, LUDLOW BEACH TRACTS, 60VERNI-PENT LOT5,
SECTION 4, TOWNSHIP 28N, RANGE I EAS' WILLAMET
MERIDIAN CITY OF PORT LUDLOH, JEFFER50N COUNTY,
WASH I NGTON.
SITE ADDRESS: 20 MAPLE LANE
PORT LUDLOW, WASHINGTON g8365
PARCEL NUMBERi gl6 500 009, pEgMIT # g`p
05-0567
JERM111% Coov BCD
FRONT SE APPDXIMATE LOCATION
SETBACK OF WELL HOUSE
5' SIDE
SETBACK
NOTE: THERE IS ONLY 880.44
55GUARE FEET OF ADDITIONAL
IMPERVIOUS SURFACE
LOT B
SINGLE FAMILY RESIDENCE
EXIST'& '
314.817_PROPERTY LINE ` — DRIVEWAY
- — / —_�
EXIST'G
GRAVEL v
I
210'-OJ'2"
\ = LI I'I
O\RAOE/ / EXIST'& PRIMARY I.I
\ DRAIN FIELD I
h EXIST'&
C LOT OUT BUILDING
51NGLE FAMILY RE5IJENGE
Olp
Q/ RESIDI
\ a0
/ 100' SETBACK FRO;
20' FRONT DRAINFIELD5 / p
/ SETBACK
456.05' PROPERTY LINE /
5' SIDE
/ SETBACK /
/ 100' SETBACK
FROM STREAM
25.00' LOT 10 /
SINGLE FAMILY RESIDENCE
=NGE
i
i
I
5' SIDE I
�- — SETjAGK 1
— I
1
I 1
APPROX TOP I
OF BANK
I
APPROX HIGH �I
WATER MARK
I
EX�ST'G ROOF
—�— EX15T'6 DEGK I
I I \
1
30' SETBACK \
. TOP OF BANK 1
�l I
ISTAKING LINE II
y2 • 30 I
I I
1
PROPOSED I APPROX TOP 1
ADDITION OF BANK 1
J PROPOSED 1
NEW DECK I 1
1
50' SETBACK I 1
TOP OF BANK
5' SIDE
SETBACK
DESINATED RESERVE AREA
Stormwater BMP's
Required
APPROVED
SITE PLAN
DEC 19 2�05
DEPT. OF C
SIGNATURE:
� 1
5' SIDE
SETBACK
I
L
n (
Q
_'
E
U
I\I�/II
•
o
Z
U
d
UO
UW
N
�
O
Z
0
0
T
�� I
a
D
O
o
a
O
�
_
H
3
w
3
Z
�
~
3
Al
J
(p
—>N
: ,-,
66J
W
0
0
00
M
O
o0
�
O
O
0
O
0
cM0
(D
v
O
I
A
NW
1�
Z
DRAWN A.Raab
DATE a/T/2oo5
SHEET
A1.1