HomeMy WebLinkAboutBLD2005-00654 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00654 Received Date 10/11/2005
SITE ADDRESS: 220 SHINE RD Issue Date 11/2/2005
PORT LUDLOW, 98365
APPLICANT: THOMAS H GISKE PHONE: 972-679-1034
FLORENCE A GISKE
6517 CYPRESS PT
PLANO TX 75093
SUBDIVISION: R SHAW SHORT PLAT Block: Lot: 4+
PARCEL NUMBER: 821333023 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884
PO BOX 1110
SUQUAMISH WA 98392
Contractor's License: WHITEJG952DN Expires: 3/15/2007 #100
PROJECT DESCRIPTION: ADDITION REMODEL&NEW UNHEATED ATTACHED GARAGE 41/ 4
CALL IN FOR THE REQUIRED INSPECTIONS TH T APPLY TO YOUR PROJECT. 1 ���� Ir !' d
SETBACKS: 14EWkrtNEQARE*DIC 0I j651W- gAR-146E OIL l2/B/o5 f 'Jew - _Og
UFFER: 1%1c Ne e9? /9/�� - �(
F: 0r
ting: 814 OK 1 B o5 OK Iz nits
? OK g oG 611
Stormwater FINAL Approval:
K�
Underground Plumbing: OK 17/fit5 ,, 4*,
Underground Insulation:
Shear Wall : AK 3/15/14 ok 3/(sloe! \Ace s/js/66 fr
Sheathing:
Framing: Z- e 3/q 4171141)
AK SIz. it
Plumbing: OK 4, /)a. 0� p�,,
Propane T k/ i s: N 04-47/ Oz /Os&444e.Insulation: �K 412111 6Ue, (*5,1�d6 1e$ . DL�S
Sheetrock: OK 4//3�4t
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: /�
Final/Occupancy Approval: ' 4G r -0 s nctl 10/36/L36
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO ICI AL 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
UILDING PERMIT APPLICAN MLA05-00610ReviewType: I
Jefferson County DepartmentAf Community Development
621 Sheridan Street (%Port Townsend, WA 98368
PERMIT #: BLD05-00654 Received Date: 10/11/2005
SITE ADDRESS: 220 SHINE RD
PORT LUDLOW, 98365
OWNER: THOMAS H GISKE PHONE: 972-679-1034
FLORENCE A GISKE
6517 CYPRESS PT
PLANO TX 75093 R SHAW SHORT PLAT
SUBDIVISION: Block: Lot: 4+
PARCEL NUMBER: 821333023 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884
PO BOX 1110
SUQUAMISH WA 98392
Contractor's License WHITEJG952DN Expires 3/15/2007
REPRESENTATIVE: WHITEY JOHNSON PHONE: (360) 779-9884
PO BOX 1110 (360) 598-3308
SUQUAMISH WA 98392
PROJECT DESCRIPTION ADDITION,REMODEL & NEW ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP MAIN:
VALUATION 150,000.00 ADD'L: 1,339 HEAT TYPE: GAS
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 510 SHORELINE:
CONST TYPE: DECK: 400 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 3
Prop: 0 Prop: 1
Total: 2 Total: 4
Routing Date:
ID1 �a �o
Type Amount Paid By: Date: Receipt: Q (� V �)PPR e'E
Potable Water Application $53.00 SLE 10/11/05 77126 • 1
State Building Code $4.50 SLE 10/11/05 77126 NOV - 2 2005
Plan Check $827.94 SLE 10/11/05 77126 Jefferson Coup p
Permit $1,273.75 SLE 10/11/05 77126 _ &BuildingDe a fanning
Total: $2,159.19 P rtment
41
SPECIAL CONDITIONS FOR CE * BLD05-00654
1.) 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.
2.) 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.
3.) MANDATORY MEASURES OF HIGH 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.
4.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
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.
O •
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 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.) Minimums setback from Shine Road right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum rear(shoreline) setback shall be 30 feet from top of
bank.
14.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
15.) The proposal was reviewed for consistency with the Shoreline Management Master
Program Section 3.402.5 and found to be consisten. The proposal is (1) a single family
residence, (2) does not exceed 35 feet in height, (3) does not involve over-water
construction and is located landward of the OHWM, (4) and meets all required setbacks
as set forth in said SMMP.
16.) PRIOR TO FINAL ON BUILDING - Barriers are required around septic tank and pump
chamber to protect from parking and driving.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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1 1 2005 !Li ji, 65 -(0 I D
Master Permit Application I
Prefect ° ( separate S'I-G
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Property Owner(*)of Record:- _Or i S - Ltd b •
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Telephone: �l-7�:-7__ Fax:3 '2L
Malang Andreas: `l -�� txnsa
AppucantrAgent(Ifdittansm frcn _1a •
Telephone: Fax:::
Mating Address: ,e, C - �Rt_ U ,drape
What kind of Permit?(Check each box that wiles)
❑BuWmp
tJ Damnation Permit
n variance(minor.Maw or Reasonable Economic Use
o Situ F ; ;, ❑Conditional Use(C(a).C( .or Cj« )
0 Garage F ___ *''!1 Detached 0 D�aotionary"Cr or Untanned Use
0 Modular 0 Use(Essential Public Peonies)Classification
Boundary line Adjustment
°Commercial• 0 Short Pre(''
Change of Use 00 Binding Site Plan"
Propane—=_0 Address 0 Reed/pprugct► Lena Plat
0 -----,' p p�ysd Rural Residential Cleuebpment(PRRDYArnendme
0 ed'Yes'Ua9 Consistency Analysis acation/NreraCnq
Sbarltvraoar0 amine Master Program Exe rrprwNPomul Revisions"
0 wireless Telecommunication 0 Ste Plan APproval Advance��PII Temporary the
��Valance ern"
O Fowl Pracioes Act/Release OIOa.e of 8b1'Y 0 Jefferson County�r Program enP,District Map r sentry
"A"a h
Plena identify any other lees!,stab or federal permits required s.
r!for this proposal,If known:
l AGENT
herebydesignafs •� �..,,a • r ,. .�,I,r to act,� i my agent in matters relating b ads . don for
Data:
his,
°K tads,�tArrri en%Vw,O" aunt aqua that the afoot rgon provider!herein.and in
et
th result in this permit being null end void.
° °rOo of a mama tit nude by 4w owrMry respect to eta app�Irtre and correct to p beast o d
a0�to save.kideapMh and hied bombes
e�wesI r gee nnyde waymotes h mom County sgalrest RR Elabiless,
t hie 'r woo b aid ins scions and against Jefferson Cout4r ea a result d a oawq lee d Me costs, Sys lees and
►lpht Ot usby to 4' 0 d was erzol
w at+0 am k►sped�os.Moms and and b employees,representatives or agents for the sole purpose d epYncafOrt
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Applicant We unoartake vie a tesup of ate endue/me id speckle and ooukt load b s palladia! 'of en �+anoe d vide pe ae may n�+reM defied in M one or mo w kno n as t or
"End has angered Species Ad Of'ESA.'Jefferson County makea ndangered apces totee as bo ihe de g leans are defined is tnt Ow the aCICO'.flat wi remora taw known bq as the
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Permitammo)even n Issued WA not violate he Ma Any or agency can lsrrauk on barred at an `�`species��usc no
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na dates a wow_
Date �°
GAP4..ieGouo\rcomuS D2D ROMS1M.xo,Pw..u<
Avp&soaoa 7.e-04Eoc
• •
The signer of this statement does hereby certify that they are the Owners d 1he parcel referenced herein,that they are not licensed contractors•)nd that
they will be assuming the responsibility of the General Contractor for the proposed project
Signature: Date:
GENERAL CONTRACTOR PHONE: FAX(_ '( itl:/)ft� I i t ra j, 1.x:.-/713 2.—ct i3. C'C r-' t W C. , ' �0) ; 0 't tom)) /t9 E 3c ,
MAILING ADDRESS: J e ,•� i 1 0 ,L 1.7:.f ,5(vvi i,,,_\ u) EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: (I-)1-f"1 r-r ,1 i 4!' I:,J NUMBER U O Z hi'Q 1'j/
ARCHITECT/ENGINEER: r PHONE ( ) FAX:
( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
f�
O New jai' Wood Existing: '3 0 Sewer
g Addition 0 Steel Proposed: 1 Bank ❑ Community System
O Atteration/Remodel ❑ Concrete Total: 4. Height: O Individual Sysjprr
O Repair CI Masonry l L, rsV a P- SEP Permit# -l—LI
O Demolition 0 Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed:
,d Public
;, (1 (� Total: ��' Name of System: Pt)1)11-1
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 Ta k and/or Appliance Installation permit,mark all items below that apply: 1
O Underground Tank AI Above ground Tank Size of Propane Tank: 1%_ '- — tom'SrG'
O Heat Stove 0 Cook Stove 0 Woodstove Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove .rif Other FU C24JAe r
Is this appliance being installed In a Manufactured/Mobile Home? Yes /®
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 r Office Use Only - -
Current Proposed .Amount' ,; t
Main Floor ' ncy Review.
I'+ l r ,q �1
2Nu Floor a Cg e L� [ �K! E
1iuoi4 �:
3f0 Floor • ..7. II Section
Mezzanine: a ,a :f oci 1 1 2o05_ . ..
/
Heated Basement --,1 -- State fee:
Li /*--0
Unheated Easement Pot Wat RevieW fee: G ry.
Other Unheated _.v ✓ -fi-rY C ' 911/Rd Approach fee; - f j
1-1
Garage/Carport l
! /0,2 i ac ;x� TONAL z1]]a�, l 9
Decks - /300, 0
v[7C'J (DR Number.
Other cash/Check Number.
ESTIMATED COST(REQUIRED) l
•Fair market value of all labor and materials foundaGnr�t I �' b
Y
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