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HomeMy WebLinkAboutBLD2005-00632 • BUILDING PERMIT APPLICATTN MLA05-00585 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00632 Received Date: 9/29/2005 SITE ADDRESS: 223 MIDDLEPOINT RD PORT TOWNSEND, 98368 OWNER: FRANK WELLE PHONE: 360-385-4054 PO BOX 1206 PORT TOWNSEND WA 983680906 SUBDIVISION: Block: Lot. PARCEL NUMBER: 001061009 Section: 6 Township: 30 N Range: 01 W CONTRACTOR: # O Ee / pI Lag PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 160,000.00 MAIN: 1,875 CODE EDITION: 2003 ADD'L: HEAT TYPE: HTP OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 580 SHORELINE: CONST TYPE: SETBACK: DECK: 525 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: 9loaIo5 Type Amount Paid By: Date: Receipt: APPR° Potable Water Application $53.00 SLE 09/29/05 76700 ' State Building Code $4.50 SLE 09/29/05 76700 NOV - 1 2005 Plan Check $991.74 SLE 09/29/05 76700 Permit $1,525.75 SLE 09/29/05 76700 Jefferson County Planning Total: & Building Department $2,574.99 ''cOQ9o.y -6-..,e-e-2-k • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX. (360)379-4451 PERMIT #: BLD05-00632 Received Date 09/29/2005 SITE ADDRESS: 223 MIDDLEPOINT RD Issue Date 11/1/2005 PORT TOWNSEND, 98368 APPLICANT: FRANK WELLE PHONE: 360-385-4054 PO BOX 1206 PORT TOWNSEND WA 983680906 SUBDIVISION: Block: Lot: T 49 PARCEL NUMBER: 001061009 Section: 6 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE WITH ATTACHED GARAGE CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: //-`/ UFFER: Q ' Footing:,�4..//- Y O5 '-1 Foundation: /f-' -O5s ,9f— Stormwate FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Apia sus Aer FL-L.96+4 Li 1p- y-9'-QC Sheathing: !/ • 7 Framing: Md.. t tjli. y. Ii- 15--0 5W I stun"7-i-30-O,b 4'i..?#(.4.),a204 G/,uJr II if�Plumbing: 4� GG 1/3/4dV Propane Tank/ Lines: /}r Ji ,5 44 3/41L Insulation: i,�5�.. 4 4A)L ? r'U .' �--h �b Sheetrock: lo_2q-per ��!!! Septic Syte; Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 10-2q 44' HEALTH DEPARTMENT i ND PUBLIC WORKS 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 SPECIAL CONDITIONS FOR CASE A BLD05-00632 • 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 gard ens.ens. Unless catchment water has been treated to meet drinkin g 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 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. 6.) A Medium Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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 o•y 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 25%. 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 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. 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.) Setback from the private access easement 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. 14.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 15.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 CONcO�`� JEFFERS COUNTY • ,DEPARTMENT OF COMMUNITY • ___621 Sheridan Street • Port Town Vslir�gti �83 '""1, . 360/379-4450 • 360/379-4451 F � �— —'kali ?N0`�0 www.co.jefferson.wa.us/commdevgl Irent SEP292005 h L ,'► Master Permit Application ` Project Description(include separate sh ets as ilec ary): M • ; � 5 J �I LE — � - _ �� t`r� � �t �S � � E--1 ;�c- -- - ...__.___-._____- Tax Parcel Number: (��� ` }Ln(�� Property Size: A C R (acres/square feet) Site Address and/or Directions to Property: ,. Z 3 �-j t t> D L V f�c)/ ! j Property Owner(s)of Record: K. �� Ell Telephone: ,7 .L) .4/ 3---- Fax: Mailing Address: Po email: Applicant/Agent(if different from owner): Telephone: Fax: Mailing Address: — email: What kind of Permit?(Check each box that applies) wlding ❑ Demolition Permit ❑ Variance(Minor,Major or Reasonable Economic Use) gi gle Fami ❑ Conditional Use[C(a),C(d),or C)** arage ttached Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufact me ❑ Special Use(Essential Public Facilities)** Cl LI Modular Boundary Line Adjustment ❑Commercial* 0 Short Plat** ❑Change of Use ❑ Binding Site Plan** ❑Address 0 Long Plat** ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments*' Iit'F'ropane 0 Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* g 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference **Requires a Pre-Application Please identify any other local, state or federal permits required for this proposal, if knower Conference I hereby designate DESIGNATION OF AGENT to act as my agent in matters relating to this a plication for permit(s). OWNER SIGNATURE y — Date: 9/,2 g 0_5-- 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 attomey's fees and expenses which m ny way accrue against Jefferson County as a result of or in consequence of the granting of this mit. I further a to provide ccess and right of entry to Jefferson County and its employees,representatives or agents forthe sole review d any requir later inspections.Access alright of en this propertyll sole purpose of amass hours. _ 1� shall be requested and shall occur only during regular business Signature: &.S(495--"---- Date: 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 be will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered action(s en if you re in compliance with the Jefferson Countydevelopment code.The a species regarding your and n -transferabl res risibility f adhering t and P Applicant acknowledges that he,she or it holds individual ._ g c with the ESA. The Applicant has read this c ir-ler a d sign�nd dates it below. Signature: -- Date: �jZ.a f 0 S G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 11 1111 • OWNER BUILDER STATEMENT The signer of 's tement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will ssumi the responsibif of the neral for the proposed pprro ect. Signature: - Date: !1 2-41 fl... 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: ;VNew Cu--V-ood Existing: 1 i v I i Sewer ❑ Addition ❑ Steel Proposed: Bank LI Co riunity System ❑ Alteration/Remodel ❑ Concrete Total: 7.- r Height: i ndividual System [7 Repair [_] Masonry SEP Permit# 'i_5---2__3 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ( Private well ❑ Two Party Type of Heat: Proposed: 7— n Public n E A T rt.)i`-i r'' Total: 2, Name of System: 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 a /or Appliance Installation permit,mark all items below that apply: // ti Underground Tank Above grind Tank Size of Pjopane Tank: , ,/7 J ❑ Heat Stove [Cook Stove VI Woodstove ❑ Fireplace Insert V Hot W nk El Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes .NJo 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. I Square Footage For'Office Use'Only Current Proposed Amount(2 C,� //- `-Con stem iew' IL: ( t L� ""� 4(1. 0()Main Floor l 6.Z -- i—I I�8 Orjai d 5 E 2""Floor Base fee: , i 7 : i �j 7 �j 3fd Floor ' Additional:: Sectipn: 5EF' 1 9 2005 'J ..: Mezzanine: Plan Check fee:----- (i 14 Heated Basement State Surcharge fee:.. / _SD Unheated Basement Pot Water Review fee: C 1 DD (32V11- Other Unheated 911/Rd Approach fee: �' 13 (r‘' Garage/Carport S 0 t 7�i„�0 �O TOTAL $ f `' SM t t J lS1 ,i' �) ecei t Number: r-t ,r7/ Decks ���� a`3�`1 a p f tl� Other ash/Check Number x, -- � 1 4 ESTIMATED COST(REQUIRED) 1 41A 1 bA• o Date: Q� .Fair market value of all labor and materials foundationtom f Initials: 160) o oo G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 3 m r 4a m • ar ' .1) Ato \ , ----4,- p(3 . . )1,... far rokt etq il IC/ k4. . � Cti 1 -c w X) .......\- "' �, +mane .. °' R r. rn 4. g_i_.-' )9 6; 'N tir/ j m \\ N .>,,,,, ,.....\ 'Cr 090:-C": ,..2,tr ,:k;r-- ...... . 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