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HomeMy WebLinkAboutBLD2005-00571 • 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 #: BLD05-00571 SITE ADDRESS: 363 BLUE RIDGE RD Issue Date: 09/28/2005 PORT TOWNSEND, 98368 Final Date: 9/18/2007 APPLICANT: TONI GARDNER PHONE: 554 ROANOKE DR MARTINEZ CA 94553 SUBDIVISION: DISCOVERY BAY RIDGE DIV IV Block: Lot: PARCEL NUMBER: 001305029 Section: 30 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW CABIN W/CARPORT ALSO A/G 120 GAL PROPANE TANK 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 9/18/2007 Fa_p + v►1r1 ►r1C) ►c.t CU c1- I � -CD-7 Building Official Signature a,3h1L 5ch_cAt Date I:\F_BLD_Occupancy.rpt 10/29/19 III BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00571 SITE ADDRESS: 363 BLUE RIDGE RD Received Date 08/31/2005 PORT TOWNSEND, 98368 Issue Date 09/28/2005 APPLICANT: TONI GARDNER 554 ROANOKE DR PHONE: MARTINEZ CA 94553 SUBDIVISION: DISCOVERY BAY RIDGE DIV IV PARCEL NUMBER: 001305029 Block: Lot: 29 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PETE DUFFY PHONE: (360)379-6977 PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License: BLUEHCC109D8 Expires: 8/19/2006 PROJECT DESCRIPTION: NEW CABIN W/CARPORT ALSO A/G 120 GAL PROPANE TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: cm Footing: Foundation: 2 Stormwater FINAL Appr val: Underground Plumbing: / -/ os v 16-o6 Underground Insulation: b-(..-od Shear Wall : Sheathing: Q, Framing: 1-2. V' Plumbing:0, t/-2t-Dc Propane Tank/Lines: . (fl-c.Wei Insulation:_; t efi • Sheetrock. 2 Air ©' Septic Syt- Final Approval (If not on sewer)` _ Road Approach Final Approval: 4 A Zo •.. Final Approval: 401P•ccupancy Approval: HEALTH DEPARTMENT AND PUBLIC WO KS 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 V 'WILDING PERMIT APPLICAT MLA05-00534 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00571 Received Date: 8/31/2005 SITE ADDRESS: BLUE RIDGE RD PORT TOWNSEND, 98368 OWNER: TONI GARDNER PHONE: 554 ROANOKE DR MARTINEZ CA 94553 DISCOVERY BAY RIDGE DIV IV SUBDIVISION: Block: Lot: 29 PARCEL NUMBER: 001305029 Section: 30 Township: 30 N Range: 01 W CONTRACTOR: BLUE HERON CONSTRUCTION CO PHONE: (360)379-6977 PETE DUFFY PO BOX 718 PORT TOWNSEND WA 98368 Contractor's License BLUEHCC1C9D8 Expires 8/19/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW CABIN W/CARPORT ALSO A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 471 $� VALUATION 56,000.00 ADD'L: 139 HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 216 SHORELINE: CONST TYPE: DECK: 60 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUD -- BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: 1 Type Amount Paid By: Date: Receipt: Approved/ ate Plan Check $445.74 SLE 08/31/05 76500 A F ;; Permit $685.75 SLE 08/31/05 76500 State Building Code $4.50 SLE 08/31/05 76500 Potable Water Application $53.00 SLE 08/31/05 76500 Jeffers;; r Plannjq Total: $1,188.99 & Buildiny uepartment .'4�v`SON cOp. JEFFER�OUNTY0 rki `\ IA DEPARTMENT OF CO 1 DEVE QPMEN� " , . '" 621 Sheridan Street• bt-t�i' . • -::• �. g g1 �` 621 Sheridan • 360/3 6-4,-1 Fax if .y G p ' www.co.jefferson.wa.0. coirmde E !i s AUu�"� 12005 �j' Master Permit Application _ - _ . ..._.� MLA: CCD'-�J Project Description(include separate sheets as necessary), >!- n Ak .' ctkri,y p); mac"-,'" r ft,'ci:fe,'- i4rJ4C; s�-SL 7it7c-syS) /r, ' ar"r y ctC'Tax Parcel Property i Number. C ' l` 3 6 jl- L'>,,;c-caSize: (acres/square feet) Site Address and/or Directions to Property. L` -- I,': � C)e s.cove'it 'e-17 Pi 049e, D I V. IV. Property Owner(s)of Record: —' >r,Z i,//7e7- Telephone:c(2 5 22-q— "2...6 37 Fax email: 't�tcrc1 7( ear-Hi/I-4_,cc c f- Mailing Address: 5 5 y F�cti 1 C7C-_.[= D r /�1A P"f t/7<z, CATY5c3 ✓ Applicant/Agent(if different from owner): /--I dlst cd {fie tc Ar -t'ar t erA ft. Telephone: 3 .C�. 3'79 C c 0 Fax 3CvC% "3. � i '63 2.47, email: /'".b-E.rc„ cr.!). ci j4'rh�i.�S,rir� Mailing Address: 7/I 'TA YL�.f �r ,° R-T''TZji..)A,`,�- %da r„t t le S E 6 J J What kind of Permit?(Check each box that applies) i?{Building Li Variance(Minor,Major or Reasonable Economic Use) u Demolition Permit U Conditional Use[C(a),C(d),or Cj`* ' Single Family u Discretionary"D"or Unnamed Use Classification u Garage Attached/Detached U Special Use(Essential Public Facilities)*" u Manufactured Home u Boundary Line Adjustment u Modular U Short Plat** u Commercial* U Binding Site Plan** U Change of Use '/i u Long Plat** Li Address VRoad Approach U Planned Rural Residential Development(PRRD)/Amendments** (Propane u Plat Vacation/Alteration*" Li Allowed"Yes"Use Consistency Analysis u Shoreline Master Program Exemption/Permit Revisions** u Stormwater Management u Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* u Shoreline Management Variance Li Temporary Use u Comprehensive Plan/UDC/Land Use District Map Amendment u Wireless Telecommunication* u Jefferson County Shoreline Master Program Amendment u 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 C `r....YO1. Ail to act as my agent in matters relating to this application for perrrtit(s). r OWNER SIGNATURE ..LJ ,t .1,<"/ Date: Ej°_je-x - By signing this application form,the /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 i ouas. ,`�� / Signature'-.A7' / �.Gr / Date: jam``----- The action or actions Applibent 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-transfefable bility far ad o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatu rr �.1-/resi �,i7 Date: 'i/oVe r- J V C:\Documents and Settings\mochit\Desktop\Master Permit 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 Ncensed 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: -''.oc- �,(2.6,l\e/ C L%l y^51 f u(7 f is t�\y' (•3� ,) 6 J.3 _i.S S ( ) MAILING ADDRESS: <j c'i � 1 I 7�L S'r f I ,ti,A eig 36.1?EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: pC,UEHGCI-!G k U � NUMBER ARCHITECT/ENGINEER: t 1 Aral t T�C'- PHONE (:5 )3 l q EG`7,� ):3,�f L��,� i�'t�l uv�� �r 1 �- -; FAX:(: : , ,�. �.,� � MAILING ADDRESS: 7t'G! -%s_7 t t t'T i'/ e e 3:8 EMAIL t'�f.= 0 8 44e�, vier Pect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: k New 6/Wood Existing: - i4• r ❑ Addition ❑ Steel Proposed: / Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: i Height: ❑ Individual System ❑ Repair ❑ Masonry ❑ Demolition ❑ Other- Bedrooms: WatteP rSuppy Existing: ---- Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ____ public Total: ► Name of System: u Lr) 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 Tao and/or Appliance Installation permit,mark all items below that apply: I ,Jnderground T9nk ,,,Above ground Tank Size of Propane Tank: /20 e7a.,t Heat Stove Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank I 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 Usg 9nly Current Proposed : 1I 'VI I I. `p Amount Main Floor 44 6:1 et_ olygjstgngy Rgt ...++\ 2/11 CP 2 Floor i Bas( L ',0 1 ii �L L ^ j� 31°Floor dditjo l Section: l Mezzanine: I;11 IIz AUG 3 1 2005 Pl1n Check fee: Heated Basement State Surcharge fee — L. 430 34. (05 Unheated Basement Pot Water Review fee: ' - (6cl Other Unheated 'NRd Approach fee: t Garage/Carport I E/L. i 'Q3. (� Decks //" �I. P TOTAL: $ I �1 l . `t 0 C 14 Receipt Number: VI f,�5,, Other t Cash/Check Number: Vr (,�, ESTIMATED COST( t RED) 41Date: - .Fair mat*et valuePaN lapor ar-W,materials foundation to Wish C C 'I Initials: C:\Documents and Settings\ -\Desktop\Master P ' Application 7-8-04-doc 0 III II---r------6---I SPECIAL CONDITIONS FOR CASE # BLD05-00571 1.) This one bedroon SFR counts as 240gpd on the approved 480 gpd septic system leaving room for 240gpd/2 bedrooms additional. 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.) 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. 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 25%. 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.) 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.) Minimum setback from Blue Ridge Road 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 setbacks shall apply. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 o �s rn 20 ER si § nA !s' g o SR • :11 g sR 2 lc 3R 8 F14 g (N iii p g g P 2 12. g li hr 1: ig rin § 2 C5 g R c-,1 ' C5 12 ;5 Si 8 iE PR :.! -4 ' FR 6 N . gi I . 1.6 e. ril 0 (s, .1= 6 � 6 0 P7gMi 'llFAr—igg L,r1 M ).-1 6 ,z5 91 '-ti i - en El g ',2t 5; mi El' " ii Eds"--v ,- pa - .-e--, A � ° �rt - 4.011 Cis �` , 7.. ' D 0 :° . VO - tr �I< � � Ste z -C‘,,,1-'" .." / o _ „fit` _ ( Q,,I' 1 --,_ WAII CZzt . L.) / ,'' .� -1.:.). iiro ran O p rn - rna o 'A ,, . rn l C, • Alik xi X D r x .. r`.. OZ -NIC� � (' ' ram, , • �1 "6� 5. IV ii do +rnD orn ` am po - 71 :5- C7)". ri II'S i A \\ Ho \:, c.....„ .... ,,,,..„, ,,._.,., 6 6 M M 73 a `7�, u aW 0 > ` NN -n 0, O � -I rn0410rn & cA0 -1 CAOCA-A OOOO -4 A O z U ,M"p ab A.,. o eQ `' ,y j0- o Oti• . , —1111111Sr-4•7o, / ..• ! N "tl 171 akh. 0 01 ,(4)2 V, ) ai% _....\\ ..n r., , all Xi Ilr T--I3 ii 61°)''''')- 8 Vbw 4 y n � Ao rn /� t eI .) El rn — i 0 (11 —�� \ ` ( t at- x rnp xt ___ ..___ -_ . _ 3 il A . . o 7) o —GD d __ rn D R u l I zD < 1'W` liMit . %lid -n m C3 r- rz rn�X nDO NrnSI --I 0 7)rn � � =_ D O-d A z 0 11 0 6' _ -0 0 °�9� 0 = OOOD � C3rn Q ('N N....1.26 71 N l N p ? L. Chi 7C > 73 p jmay , a �. � AC\ 6 3 pi N sol°48`25°E yyrn _� s' O o 1 I BEDROOM RESIDENCE FOR: RIGHARD BERG ARCHITECTS — , P.C.P.G. �'� TDNI C>�fi�DN�R SITE P G L FLAN PO T TOWN STREET D N Ig�6 FOXRIDGE GOURT PORT TOWNSEND,WA 18368 to PHONE, (5601 S1q-0090 FAX! .oye 24WALNUT GREEK, GA g45g7 LLD 05-51mp sn MLAl05-63 Li a Po,,_ Ira