HomeMy WebLinkAboutBLD2005-00623 9UILDING uN PERMIT APPLICAT MLA05-00568
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00623 Received Date: 9/26/2005
SITE ADDRESS: 691 PIONEER DR
PORT LUDLOW, 98365
OWNER: HAROLD T BRUNSTAD PHONE: 360-834-2330
1820 NW COLUMBIA SUMMIT
CAMAS WA 986078067
PORT LUDLOW NO. 2
SUBDIVISION: Block: Lot: 28
PARCEL NUMBER: 990600328 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: T 6 E D TE itv PHONE:
PHONE:
REPRESENTATIVE: Pref' L' Ceekt - HD4- S PHONE: U Aac,
(cif /O(o
PROJECT DESCRIPTIOr FOUNDATION. -RAGE AND
BREEZEWAY.
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP n'ek AIN:
VALUATION 3,t`t• ADD'L: HEAT TYPE:
CODE EDITION: 200 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER: 264
CONST TYPE: GARAGE: 516 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
I / / 6
Type Amount Paid By: Date: Receipt: A Approved/Date
State Building Code $4.50 SLE 09/26/05 76693
Plan Check $99.61 SLE 09/26/05 76693 FEB 10 2006
Permit $153.25 SLE 09/26/05 76693
Potable Water Application $53.00 SLE 09/26/05 76691 ti Jefferson County Planning
Building Degas-anent
Total: $310.36 C \
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BUILDING PERMIT
Jefferson County Department of Community Development 774- 12.'1�
621 Sheridan Street, Port Townsend, WA 98368 l[
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00623 Received Date 09/26/2005
SITE ADDRESS: 691 PIONEER DR Issue Date 02/10/2006
PORT LUDLOW, 98365
APPLICANT: HAROLD T BRUNSTAD PHONE: 360-607-6618
1820 NW COLUMBIA SUMMIT
CAMAS WA 986078067
SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 28
PARCEL NUMBER: 990600328 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
(Q(, -(e 10w o�
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PROJECT DESCRIPTION: FOUNDATION ONLY FOR RELOCATION OF GARAGE AND
BREEZEWAY.
CALL IN FOR THE REQUIRD INSPECTIO S THAT APPLY TO YOUR PROJECT.
SETBACKS: CO-- ".21-40-
UFFER:
Footing: Ofti. W Co,,.p 1 — 1 -64 ..
Foundation: 6 Ivfrir SAME_ eciotfr 41z 3 4 /E4I 61) ou 0-5/1
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : bK b/�dL
Sheathing:
Framing: t)x 7/5/ `.
Plumbing: AO
Propane Tank/ Lines:
Insulation:
Sheetrock: ' ; -;( (;6 F
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: Q,' f 'Afr,‘ /
HEALTH DEPARTMENT AND PUBLIC WO S PPR 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 # BLD05-00623
1.) 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.
2.) 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.
3.) VOLUNTARY MEASURES OF 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.
4.) 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.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
9.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
•
11.) Exterior lighting for residential uses shall not exceed twentyfeet 20' in hei ht from( ) g the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) 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.
13.) Minimum setback from Pioneer Drive right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet and minimum rear(Wheeler Drive) shall be 20 feet from edge of
right-of-way.
14.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed
within the MPR-SF zone.
I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999
(,?:50N----6.c.
JEFFERSON COUNTY
0
' �`� DEPARTMENT OF COMMUNITY DEVELOPMENT
�' i `d 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
qs ---"+ -- --4..3Yt(-)6
p'� www.co.jefferson.wa.us/commdevelopment �� � ~�� �
87N�
Master Permit Application MLA: 0 - 56 8
Project Description(include separate sheets as necessary): ik.! r w — ;
Tax Parcel A / Property
Number: 9 7 D Co D �2 g Size: .. 3 2 . (acres/square feet)
Site Address and/or Directions to Property: 6 /p 4-o A6Q1-0
Property Owner(s)of Record:
Telephone: d " ez i- g z z o Fax: 36 0 9 a7 email:
Mailing Address: 0 Ni7 60
Applicant/Agent(if different from owner): ,
Telephone: .D - .f Z 7" le' Fax: �-887-/f 74 email:P,E;-g E�6g
Mailing Address: 71,-n .O& / }71� tD )LO /,14b
9 ii— a awc, g,T. /ier
What kind of Permit?(Check each box that applies) rl/
XBuilding O Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a), C(d),or CJ*'
Ingle Family y 0 Discretionary"D'or Unnamed Use Classification
)A Garage , r Detached 1Tc,uA:zl v4✓ CfreAy ❑ Special Use(Essential Public Facilities)**
0 Manufactured Home 0 Boundary Line Adjustment
❑Modular 0 Short Plat**
0 Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments**
❑Propane 0 Plat Vacation/Alteration--
0 Mowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
0 Stonnwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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 Oe-- 4 U.0 to act as my agent in matters relating to this application for permit(s).
Y, OWNER SIGNATURE Date:
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 fad 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 attomey'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 -. 'j_. . ter inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. 11r..//11P.
•
Signature: 0'� Date: /7 0
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 axle.The Applicant acknowledges that he,she or it holds Individual
and non-transferal;:'•-•.ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer a d signs and dates it below.
Signature: � / - Date. • /7 " 0 S
\Pcmud:cntcrAFORMS\t)Rm)FOItMS\Master I'cmvt Application 7-8-04.,itx
'&Y122;2005 10:V.71 3b03/044b1 0 JEFF CU DUV Fi:111.4—,04
t-----
OWittF_Ft filltilLtER.sTATEMENT
IT/F gigner of If**alert-pent cktel hereby oeftfy that they ere the Gionoce co the panel opierenced herein,that they ore not liceo9ect contractor*and'flat
they%Ma be new Ity oi the General Contractor tor the proposed project. _
signature:
GENERAL CONMACtOPt DR MANUFACTURED HOME INSTALLER: PHONE: Fax:
( ) ( )
.. .
NiAittroG At,OfiE6S: FAANL:
CorirnAcron's Licews€ WAiNS
NuveCn: NumeFn
1 AncrirrEc-r/ENcaima: Pilaw( ) FAX:( )
MAILING ADDRESS:
EMAIL
Pr1e0 TVIZNIt : Frame Type: Bathrooms: Shoreline: Type of Swivel rairposat:
• o NE•vd IZE Wood ExiSting: 0 Sewer
0 gtE101 Proposed: Bank 0 Community System
Ake Ftemodel '0 Concrete Total-, Height 0 Individual System
D fiePsit 0 Masonry SEP Permit#
D Demolition D Other: Bedrooms: Water Supply:
Erdadnp: Setback: 0 Primate weN 0 Two Party
Type of Heat -- — Proposed: — 0 Public
Total: Name of SyStem:
If ttil ,Oornmerclal Prefect eau must answeritaMbArdpix, ...---,.
Number of Parking Spaces: Current Proposed; Number of • 'Srdes tj
i
4f, 1
^ mber of occirpaM (In dudes cludes owners.tenants,employees,etc) Current
ZEC Occupancy: IBC Type of oonststiction: WIN you have F ? Yfti_tig
If this la a t I r rsp 2 6 2005 i
D Underground Tank CI Above ground Tank Size of Propene Tank:
o tient Stove 0 Cook Stove Cl Wood31ove n Fireplace insert n Hot Water Tank a Pellet stove a Other
is pus«pauance Doing 11110110ktaLlaistrufactured i Ilaabita Home? Yes / No
When epplytng Ow a porrnft to Install a marina tank you must also submit a aka plan show*,all of the buildings,aft pioperty
fines,tank location and size,distances from the propane tank to all properly lines,boildingsOnd step*system cernfonenilfi.
including the rreetva area,
Squally rootage ''VOil1ffitiotlimil'Oli!V , :..TarT"'...."'"777T'i•-• 47:'',';7,,"
Currant Proposed siiii4!:.'''...,, :..',,.;.-s,!:!,'•,,,Ii:•' i.,•;., ',- ,- (Proposed ,", , . . '. • '' .' 4,i,t4,i.:4,142:;,0,;I
'NfMn Floor .., .tle•!!1*.""elvit*t . '.., •,'-,' ik'4.,:.eff•••';'N''.:,.4
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Mezzanine:Heated Basement . Plan Chock fee ' ‘C\( ,111' q 4' ( Os
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Unheated Basement
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Chuck tibtintizetz . ' ,-'.::.:,. : -.,:',...":'`i, s?7.,t.---,7\ '.:,:i."
ESTIMATED COST(REQUIRED)
oFoir morleat value ne ali labor and matiViais bun ';. • ; : *—-
tC0`00 I5?,'M' 7,0) Ithalitt.• ,. , . •
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