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HomeMy WebLinkAboutBLD2005-00633 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00633 Received Date 09/29/2005 SITE ADDRESS: 40 W SPRUCE ST Issue Date 02/22/2006 PORT LUDLOW, 98365 APPLICANT: JOSEPH J CHESLEDON PHONE: 360-437-2809 51 W ALDER ST PORT LUDLOW WA 983659784 SUBDIVISION: PARADISE BAY ESTATES Block: 8 Lot: 10+ PARCEL NUMBER: 983400810 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW ADDITION TO EXISTING RES & FOUNDATION UNDER EXISTING STRUCTURE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ir-t-e OK 4f i q/6h. 4'' UFFER: 6(1 44 // 4/ Footing: FiASE- I ok J�q`OL l�7 Foundation:P4ASF1J Dl� /Q/OGfipieratDI; 31-z5io Stormwater FINAL Approval: L/j/.\ -cowl Ole_ -3/2_3/o7Y Underground Plumbing: Underground Insulation. Shear Wall : C,K //lz77�i Sheathing: Framing:4/FIhigA-fz 4 S/BfoL lSK Aly4tig.dgf Plumbing: OTC N/26/44. Propane Tank Al Lines: '1 Insulation: A/P SEAL DI( L/lz0 aL1 441./s Oie WA-7/6G P Sheetrock: �� / L v" Septic Sytem Final App ov I (If n t on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: -gar Vb 4/5/G7/HEALTH DEPARTMENT AND PUBLIC WORKS APOVAL REQ IRED 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 1 alt UILDING PERMIT APPLICION MLA05-00584 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00633 Received Date: 9/30/2005 SITE ADDRESS: 40 W SPRUCE ST PORT LUDLOW, 98365 OWNER: JOSEPH J CHESLEDON PHONE: 360-437-2809 51 W ALDER ST PORT LUDLOW WA 983659784 PARADISE BAY ESTATES SUBDIVISION: Block: 8 Lot: 10+ PARCEL NUMBER: 983400810 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW ADDITION TO EXISTING RES TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 140 VALUATION 26,000.00 ADD'L: 295 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: ��y�J BEDROOMS: BATHROOMS: a( " V,,�,� . Exist: 1 Exist: 1 (J 6y�" 1� TPotal: 10 Prop: � l/� Total: 1 Total: /' Routing Date: , ,-N 73 10 S ( 1 Type Amount Paid By: Date: Receipt: rov d/Date Potable Water Application $53.00 SLE 09/30/05 76647APO IOVED State Building Code $4.50 SLE 09/30/05 76647 Plan Check $280.57 SLE 09/30/05 7E647 FEBaa 2006 Permit $431.65 SLE 09/30/05 7E647 Jefferson County Planning Total: $769.72 Building�Dep�artmen ` xl," om "P 10.) The project shall comply with l!struction Stormwater Pollution PreventionNPP) 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. I:\F_BLD_Perm it_B uildng.rpt 10/29/1999 SPECIAL CONDITIONS FOR CA" # BLD05-00633 1.) 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. 2.) 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. 3.) 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. 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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). 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Minimum setback from W Spruce St right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 1 • 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 the r pon b"ity of the General Contractor for the proposed project.Signature: /(/� l )L C A- Date: _ 67-2/-QC— I GENERAL CONTRACTOR OR MANUFACTURED HOME I $TALLER -- _--- "PHHONE` FAx: MAILING ADDRESS: 1: r EMAIL: CONTRACTOR'S LICENSE I I` ` •{ WAINS NUMBER: �' %Li 2 L NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: [_ EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 11 New e- Wood Existing: 1 ❑ Sewer I I Addition [:I Steel Proposed: Q- Bank ❑ Community System 5.11- Alteration/Remodel Li Concrete Total: I Height: Individual System L h �-- i Repair ❑ Masonry ' SEP Permit# -1O3 1 Demolition Bedrooms: [] Other: Water Supply: Existing: I Setback: [1 Private well I I Two Party Type Proposed:e of Heat: '&. Public � 'erL� Total: I n'a_ 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 and/or Appliance Installation permit,mark all items below that apply: I1 Underground Tank ❑ Above ground Tank Size of Propane Tank: i 1 Heat Stove t1 Cook Stove [1 Woodstove LI Fireplace Insert 1 Hot Water Tank [I 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 /1/41 Amount Do F -- Main Floor Consistency Revie • �a3 14o t_t3q•20 Act_a0 2""Floor S7.b Base fee: 4-Loc a 95 VM 43( LC- `Tr 10.4-0 3`°Floor Additional Section: Mezzanine: p, r .Ov P- Check fee: Heated Basement - rte Surcharge fee: 4 �y� Unheated Basement Pot Water Review fee: g 1 �,\V Other Unheated D 911/Rd Approach fee: .. --------. Garage/Carport TOTAL: $ gsz .1 Z Decks l0!74/s Receipt Number: •7 G'Gilt-"'7 Other PUU$JDA- ioN U PoelL Cash/Check Number: Ext YCI 0 cs 2 'Z ESTI ATED COST _QUiREp) Date: CI(2S L 119. •Fai/.rk:AI = . :nd a ''te /s foundation to finish I. tz:16 ' 47. Initials: Vile ...., "2 1)49-15% TN) G:\Pemv Tiger\FO I P RD 4 u' S\Master Pem .da 1 .¢,gON L,O • w 6 JEFFERSON C�NTY , {. �, w�� ' a DEPARTMENT OF COMMUNITY DEVELOPMENT ; i i _ , 1 `' `d 621 Sheridan Street• Port Townsend •Washington 98368 � -.`\ ', ' ' 360/379-4450 • 360/379-4451 Fax i SEP 2 a �� It 4,0 www.co.jefferson.wa.us/commdevelopment � ' Master Permit Application MLA: p: ! , Project Description(include separate sheets as necessary): APPI^(l d • i�X1SCIN6,. +c:: , . -�.��;.. .. Tax Parcel 9 f '3 4 0 0 Q \ 0 Pro Size:Property Number: C1 3 DOD (acres/square feet) Site Address and/or Directions to Property: y\ Si?K u C,'c., S'C, 0q,i G...U.�i,4,\/1 1 VA/ 9 S 3(, 5 Property Owner(s)of Record: J O5 cc.P!\ C,,A S 1..4.DO W. Telephone: 4 Y1-- 2456t Fax: email: Mallirry Adrimss:.-1 1_ ‘V vt.~J-, 51 . .!•A'r__‘....,-kfl LOW , VI'IA. n ? . 5 - _......-_ .. Applicant/Agent(if different from owner): b 1="SA Ca tap '-- `A, S QSA.) Telephone: ' 3"9. F)33c1 Fax: 31-4. \3 Z- email: Mailing Address: \141.1 Sv.1AIA OIv 446_, "Por..T -To wtJS4..Np. NA)ICI, 983io What kind of Permit?(Check each box that applies) at Building ❑ Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ti Conditional Use[C(a),C(d),or Cl** [b Single Family 17 Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ 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 sis ❑ 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 t to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE tiGc I/\ ( _ d------ - Date: 9 —2_6 —6) By signing this applicati 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 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 hours. �'_ Signature: c. Date: ( — �-1 n U 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 code.The Applicant acknowledges that he,she or it holds individual and non-transferable r nslbili for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature ( JA � Ut fir_ Date: / ._2 Co US s , i G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc .„ •\. .. \ (-- kt -\\J 1 ,-1-. \ \ • _ , 14 !PcrIN 133e:I1S 30 eIdS is �n. -5 R 2 NI��I�1N��J L_ _ i, $ y c il _ ,, 6%;.. N1 '„ III h 4 1,41 0 a QM AINf03 NOSiliillC a7c. ti o N o 3 in 0 ° ? 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[11 I z �-- - / O O N _ nl ' rti I O ii X1 Q -i 4'-10" ± II GS. - 05 063 ti JEFFERSON COUNTY i r 1 C' z in Z � 6'_ "" I / r 13 o �_— rn �r O o I o r I I 70 n` m Cr, O- mI L_-n o 0 1 i) N CJf <000 ..... 0 Fi n o 3/OX3/4 I rn SLDR 0 3'-by2" 27 / / I I D i m Design: by iSouza IM JOSEPH CHESLEDON N g ; ; 40 Spruce Street • 1 164 Swanson Ave Port Townsend, Washington 98368 REMODEL Port Ludlow, Washington 98365 Voice (360)379-8338 Fax(360)379-1327 henry@designsbysouza.com I r "0 rn� � I ii po 0 I O7ZI rf F. r rn { I O rn r O XI 13 I I z / / /4-8 / 5 -4 1 -8 I I Ox3/o I SLDR 5/ R ox4/o SLD L— -I- \ —I I 0 14 -IO 0 ) 03 II o I \ o -- � 3 O N X I \ C� X I-U� rn - I X 0 v, 0 73 1 p d < n (I) N.) vT 1-4 -\—. - \ 4 D0 o_ -,. _ _ I I I \ I 4'-O" 5/ox4/o SLDR — _i _ / I I I I I- -0 rn � rn0 I Vrn , WI L:::-?) L _I I _ N r� I (D. r. o `--7-1 PERMIT # BID - � iI __, -� - 0 5 0 6 3 3 z r rnrn I JEFFERSON COUNTY BCD D m s g s: by :Souza JOSEPH CHESLEDON ivA REMODEL Port LuSdlow, Wash nruce tgton 98365 N164 Swanson Ave Port Townsend, Washington 98368 Voice (360)379-8338 Fax(360)379-1327 henry@designsbysouza.com