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HomeMy WebLinkAboutBLD2005-00617 •UILDING PERMIT APPLICAON MLA05-00574 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00617 Received Date: 9/23/2005 SITE ADDRESS: 134 SAN JUAN DR PORT TOWNSEND, 98368 OWNER: LARRY D COUPE PHONE: 360-379-1246 LAURA C GALLO 134 SAN JUAN DR PORT TOWNSEND WA 983689440 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: 5 Lot: 37 PARCEL NUMBER: 938400536 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDITION & REMODEL EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 553 VALUATION 51,378.00 ADD'L: HEAT TYPE: E- CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: GARAGE: 128 SHORELINE: CONST TYPE: DECK: 12 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 0 Total: 3 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: � �/�� State Building Code $4.50 SLE 09/23/05 76643 r r F Plan Check $427.54 SLE 09/23/05 76643 DEC I 2005 Permit $657.75 SLE 09/23/05 76643 Total: $1,089.79 Jefferson County Planning & Building Department toc Ac. • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00617 SITE ADDRESS: 134 SAN JUAN DR Received Date 09/23/2005 Issue Date 12/19/2005 PORT TOWNSEND, 98368 APPLICANT: LARRY D COUPE LAURA C GALLO PHONE: 360-379-1246 134 SAN JUAN DR PORT TOWNSEND WA 983689440 SUBDIVISION: CAPE GEORGE COLONY DIV 3 PARCEL NUMBER: 938400536 Section: 12 Township: 30 NBIock:Range: 02 Wt' 37 CONTRACTOR: PROJECT DESCRIPTION: ADDITION & REMODEL EXISTING SFR CALL IN FOR THE QUIR D NSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: - Underground Insulation: Shear Wall : -2- Sheathing: , Framing: ttriA6 c.00K r fiG►we/z ire*-., Plumbing: y y Propane Tank/Lines: Insulation: ��. Sheetroc : Septic S m anal pproval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PU LIC WORKS APPROVAL REQUIRED PRIOR TO`� r THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED L INSPECTION 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 S CONDITIONS FOR CIE A BLD - SPECIAL 05 00617 1.) The development will be serviced by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 2.) 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. 3.) 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. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) 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. 11.) 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. 12.) Setback from San Juan Dr. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 13.) A minimum of two (2) on-site parking spaces is required for the single-family residence. I:\F_B LD_Perm it_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 respond iof,e moral Contractor for the proposed project Signature: i : = Date: - C-734'v GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: � PHONE: FAX: MAILING ADDRESS: . ( ) ( ) CONTRACTOR'S LICENSE EMAIL: NUMBER: i � .�WAIN$ 1NUMBER ARCHITECT/ENGINEER: MAILING ADDRESS: MAIL ( ) FAX:( ) 1 _ . IL Project Type: 'v t yp Fram 'Type: Bathrooms:-❑ New • Wood Shoreline: Type of Sewage Disposal: Addition '� Existing: ❑ Sewer 0 Steel Proposed: o Bank % Alteration/Remodel 0 Concrete Total: Height ❑ Community System O Repair 0 Masonry .S Individual System ❑ Demolition ❑ Other: Bedrooms: SEP Permit# Existing: Water Supply: Type of Heat: Proposed: Setback: 0 Private well ❑ Two Party��a"' Total: Public Name of : If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current Proposed:_- Number of ADA Parking Number of occupants(includes owners,tenants,employees,etc) Current Spaces: IBC Occupancy: Proposed Pa cY 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 ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert e of i Hot Wa ee ank:r 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 ro lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system compop nents, nest including the reserve area. I Square Footage For,Offiice Us O Current ` F:` a �r Proposed t �� '� �" ^�3t aft:,..� � jc Main Floor • , } max. 2rvu Floor °' ,�.; ?'` _'S�a+t�y t � ,,s s .. fee 5r�9 �. ▪ t- a�-..... a 3`d Floor - 1P?it 4 s .aua-3 * f • additional' _ �'� is ' �C'i'SG ,, -•or } Mezzanine: x ., "fin Check fee: = �_ ��,. a s , •T Heated Basement `• ,1. , f" x fy��a �tateSurcFtarge fee: ,, _ �- m `� j z ;m' 1� Unheated Basement Pot WaterRevie.` � ��� `*'w fee: -;,' - �'� ��� Other Unheated? s+ ,�� ; i h �„ , • 'z 91•1/Rd Approach fee ° !t Garage/Carport t � /� �' 4, n' R :; �� s,�t s tf" x .J 3 �t t TOTAL , �`: <;" 4k � ova llii, Decks e, - fw t= � z , cc; I 2 �j.� Rec pt Number: { /rh as Otherl�b .?, w '.t, �� s t«. 4 F — -- • Cashi/Chack:Number. '�, 6: ,�;n, da,, ESTIMATED COST(REQUIRED) ��� fi •, ''' ; .Fair market value of all labor and materials foundation to finish r44 f ", �'E76' Initials. • e' - .i•'!,'.,,;,.,...,•:, b G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc `,`¢,hw co JEFFERSOUNTY __ .. . ....i. . .. ____. __ ________:_. `�/ �V 'w � DEPARTMENT OF COMMUNITY DEVELOPMENT { � 621 Sheridan Street • Port Townsend •Washington 98368 S 360/379-4450 • 360/379-4451 Fax 1 p' www.co.jefferson.wa.us/commdevelopment _ i �'SBTN MLA: 0 y Master Permit Application Project Description(include separate sheets as necessary): xl �< S�rl /?tf`i 4)CZ /IL EA.ISiIA-( S"r-0 "7. .) a- ,�l ,�i�lC-�i,` mac'_ G.�l•S///i f � r Property Tax Parcel Size: Il, .� `ar= (acres/square feet) Number: 9r 8 --4-(CC)`- ,45 ) / Site Address and/or Directions to Pro/petty: /. `/ ,j4n-`J C` L , Property Owner(s)of Record: L.9/?d? (-c=t;PPi 44 74 ',',.4 �"4��c, hone: C�.'��) .i�i= /Z y Fax: email: (e6 c pc 6,..ciz-iik,, al ,-,ix.,,( ,, Telep _ Mailing Address: (7'i S9c_ JL.'-1/L ! Pi t i Peer ApplicantlAgent(if different from owner): email: Telephone: Fax: Mailing Address: What kind of Permit?(Check each box that applies) ❑Variance(Minor,Major or Reasonable Economic Use) ti( Building ❑Conditional Use(C(a),C(d),or C]** ❑ Ingle Familyon Permit ❑ Discretionary"D"or Unnamed Use Classification ©'Giaglg ❑ Special Use(Essential Public Facilities)** ❑Garage Attached/Detached ❑ Boundary Line Adjustment ❑Manufactured Home p Short Plat** Cl Modular ❑ Binding Site Plan** ❑Commercial* ❑ Long Plat*" ❑ Change of Use Approach ❑ Planned Rural Residential Development(PRRD)/Amendments*"' ❑Address ❑ Road ❑ Plat Vacation/Alteration** ❑Propane ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Allowed"Yes"Use Managementstency Analysis ❑Shoreline Management Substantial Development*" ❑Site Pl a Approval ❑ Shoreline Management Variance ❑Site Plan Advance Determination(SPAAD) ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Temporary Use❑Wireless Telecommunication ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium **Requires a Pie-Application Conference *May require a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal,if known: DESIGNATION OF AGENT for permit(s). I hereby designate to act as my agent in matters relating to this application Date: OWNER SIGNATURE ments,is true and correct to signing this application foAny material falsehood or any omisssts that ion o information material fact.mmade by the owner/ gent with respect to this application packet e best of his,her or it's knowledge. Any ma may result in this permit being null and void. ts, I further agree to save,indemnify a nod a against a�harmless County as aresutt of gainst fl or in lities,judgments,consequence of thegranburt�'ng of th sopermitattorney's fees and expenses which may in any way I further agree to provide a ss and right of entry to Jefferson County and its employees,,rrepresentatives and shall occur for the ey ole during purpose ser of application liccaation review and any required I r inspecti AcCP/s and right of entry to this property .--- hours. �� Date: �/-J�! ' `� Signature:, 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 acknowledges fan endang that ngered speci,she or it regarding al your action(s)even if you are i mplian 'th the Jefferson County development code.The Applicant and non-transferable r nsibili or h 'ng to and complying with the ESA. The Applicant has read this disclaiTerand signs and dates it below. 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O I 0O r \\ CC�II 0 oI `/ I V n Q , C Z� (.),1 O W O S :.• 00 = (--) CD-a (D 0 ao a n •NO '0 ltp .-o 2-0x3-0 SLIDER, a 0- 5-Ox4-0 SLIDER, L 2-2x6 HEADER 2 2x10 HEADER _- , -j .', T(oo N O1 Cl' J CO Fri H 1 PERMIT 4* BID DESIGNED BY: SHEET 4 0 COUPE/GALLO AD D ITI O \ LARRY D. COUPE, P.E. C 0 6 1 134 San Juan Drive PORT 134 STOWNSEND,AN JUAN DRIVE 98368 I LO 0 P LA f\ Port Townsend, WA 98368 (360) 379-1246 Irrr'� 'nr`,- '^-' „- .. T'V , 938-400-536 rn x V-) --1 ---i , m z rn I"' 0 v rii x rn -a * z > rn c z x X 0 --4 Z rrl i rn 2z) rn rD c_ 0 r-: rn ("" c' z •,-• > -s 73 z :0 -I rn 0 z K rn 0 r 0 . 1)I rrAtl :-: 0 m - - r0--i I1 1 I -if..i'n.'. >0z(L ...1 v\1i ... •G—1 Vr ) . y / 7 . 27 40 . //// 30 1 ) .-- - - 1 (f) - 0 t k . / t 61 -0 V) r. cl ).. i :.--' - \ ,s, s .. ., ... rt:/....,,..„, 17;11;. p _ _1dr _ > z 1-- 0 --I -0 . 0 -.(' 7) pa 1 c, ,c3 [,\ \ \ \PA., T) - 1 /1 (g. 1 r, 0 x) z ..- 0 / \ \ -\ •g\\ v '`' _ '. 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POr4 A ♦i rn X 7) -i -+ rn Z rn X 0 _'_4 rnC -i m Z m C/) Z � m Z X rn QQQr X to m c_ O (7) -i 1 Z 1:1-1 --1 C n o �? i I crni) � rpOzrn� mO 0 I f' m -I C� CJ M m b co H I Clsi I fTl 1 I i 1 i i ___ 127.1 ► 40"E __ I f `° ' 1 0 > X . 00 . : i-- ' 7Z) 1 - O 0 \\ \\ ',X It" I ' I f s + ou..." 0m / /. i if I (71 I ``' / iI I � 1 , m\ \,, ,. , \ 5(r) . . , i co ' ,/ /0,/,i,i/-4./ , 1'f1i,,I--,„-s1_--,-_-1-..J..,.)... ... ...,, ,,,,, . icb f7 ,:., onz ,6 I,:'.„, '/,..4.....4 .:.,,<•,, A A/ / . / / , co / Ii 1 - , i' / / I i ✓ 1 ■N 1 / .. Q� T' \ / I 1 I \ i 0 L rrjOf-----{ 1 ` , / I f ' �' ` •.26' NO'54+40++E i 1 I -+4_......_....... 3 ' I � � x" 0 QU.i (11 0 cam 1 i ( c H- a (" z U) 0 p - ( ) .� Q 0 -n V) Z ---I 1 �, � m co m m nZ j z7 � V a C7 mc) 1 I D Q ii I 1 O C Q r r I ! TlO { O m ' ft N . 0 sac.A Y �" O Fri ,,.r r y QmQ ZCnr --I N -1rnZ . m > n -i0 m Zmu� C� ►^- corm— Zmm 073 -D '-� ,.r ' R -< ZQ Ojn , iO_ ]ice . "V f? Q = DZ O Tr, .s aA _ -I c,,, rn D "`. ►�motr -i0Z —1Zr D m W*� Z+ r -. r'n 1 m C u Q tJ) —I" -< G'� r 0 ZtoV O <�.:f, �a Z r 1 A --i m rem N Cas i77Q f ZOo j —' GoQ r A O t'� 0mm0 -( 1 ,,, 1,.� Z o Q r- m co o v) vi c C:. a 0 nrn T7 ,.._ 0 _ r PERMIT `�I.D (�, �, t, �> Q U1 n,-, Q Z CD Z T rn 0 Ott) i x) • rn i [[ pp(� qs m ;A) r --i DESIGNED BY: SHEET 1 CO ,, E/CALLO ADD ITS Q LARRY D. COUPE, P.E. 134 SAN JUAN DRIVE SIT_ D LAN 134 San Juan Drive PORT TOWNSEND, WA 98368 Port Townsend, WA 98368 (360) 379-1246 938-400-536