HomeMy WebLinkAboutBLD2005-00752 tILDING PERMIT APPLICA Re viewview N M Re
Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00752 Received Date: 12/5/2005
SITE ADDRESS: 890 NO NAME RD
PORT LUDLOW, 98365
OWNER: KENNETH R MERRITT PHONE:
JANET MOORE
PO BOX 884
PORT HADLOCK WA 983390884
SUBDIVISION: Block: Lot: T23+
PARCEL NUMBER: 821063024 Section: 6 Township: 28 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW POLE BLD- NO PLUMBING/ L HEAL C r)
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 10,820.00 MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE: �,C f I L f\I
OCCUPANCY: U_1 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: 672 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: A FAi;t f cestV E tD
State Building Code $4.50 SLE 12/05/05 77476
Plan Check $126.92 SLE 12/05/05 77476 DEC o? 1 2005
Permit $195.25 SLE 12/05/05 77476
Jefferson County Planning
Total: $326.67 & Building Department
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00752 Received Date 12/5/2005
SITE ADDRESS: 890 NO NAME RD
Issue Date 12/29/2005
PORT LUDLOW, 98365
APPLICANT: KENNETH R MERRITT
JANET MOORE PHONE:
PO BOX 884
PORT HADLOCK WA 983390884
SUBDIVISION:
Block: Lot: T23+
PARCEL NUMBER: 821063024
Section: 6 Township: 28 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS
3546 THORNDYKE RD PHONE: (360)437-1219
PORT LUDLOW WA 98365-8229
Contractor's License: SOUNDBS027NM Expires: 8/19/2006 0-437-1218
PROJECT DESCRIPTION: NEW POLE BLD- NO PLUMBING - UNHEATED
CALL IN FOR THE REQUIRE IN EC NS THAT APPLY TO YOUR PROJECT.
SETBACKS: �� /�3O O/,G!�
UFFER:
Footing: POST 1-01-46 /,3/144
04171
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: d!( /2470,4. /
Plumbing: !/'
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: " -At- -7v., / ��/.6,,
HEALTH DEPARTMENT AND 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 # BLD05-00752 •
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) A geotechnical report dated April 15, 2005 prepared by Northwestern Territories, Inc. was
submitted in conjunction with this application. The report addressed the stability of the
geologic hazard area and concluded the site is suitable for the proposed residential
development, provided the recommendations in this report are incorporated into the
design. The report recommended "that the proposed home, garage and septic system be
located on the east half of the property, at least 30 feet east of the line where the slope
increases from approximately 10 degrees to approximately 20 degrees, which is about the
400 foot contour line".
The report also made the following recommendations:
"1. It will be necessary to maintain ground cover on the slopes and on the flat areas in
order to reduce erosion from surface runoff. Existing bare areas and any future bare
areas that develop should be revegetated. Native deep-rooted vegetation that requires
little or no irrigation would be the most beneficial. Please consult the enclosed
publications for further information.
2. Heavy irrigation or other activities that would contribute large quantities of water to the
soil should be avoided.
3. Surface runoff from hard surfaces such as roof, driveways, walkways and patios should
be controlled and routed to a drainage control device such that surface water discharge to
adjacent properties does not significantly exceed predevelopment conditions. It may be
feasible to control release this water to the existing natural drainage swale with quarry
spalls or perforated pipe.
4. Surface water should not be allowed to flow freely down the face of the slopes and
cause erosion of the slopes and/or conveyed to a safe discharge area, possibly into the
swale mentioned above.
5. Silt fences or other sediment control devices may be needed during construction so that
sedimentation to adjacent properties does not significantly exceed predevelopment
conditions.
6. Drainage control devices should be maintained in good working order and inspected at
least once a year.
7. All drainage control features should conform to the current regulations that apply to the
development of this property and be constructed in accordance with standard engineering
practice in order to insure that surface water discharge or sedimentation to adjacent
properties does not exceed predevelopment conditions."
Northwestern Territories, Inc. submitted a supplemental letter dated November 4, 2005
stating, "The use of a technique that accomplishes the same sheet flow characteristics as
T5-10 in sloped wooded or grassy area is consistent with the April 15, 2005 Geo-technical
analysis."
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
•6.) The applicant shall permanent y separate the boundary of the Landslide
Buffer from the remainder of the subject property through installing logs,trees,a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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).
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) 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.
14.) 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.
15.) Setback from No Name Rd. right-of-way is no less than 20 ft., setback from SR 19
(Beaver Valley Rd.) right-of-way is no less than 35 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.
16.) The applicant shall follow all of the recommendations as stated in the Geotechnical Report
prepared for this site by Northwestern Territories, Inc. dated April 15, 2005 and their
supplemental letter dated November 4, 2005.
17.) No plumbing has been reviewed or approved by the Health Department for this structure.
I:\F_BLD_Perm it_Buildng.rpt
10/29/1999
� oiv
� JEFFERSO UNTY
•
41Ir DEPARTMENT or COMMUNITY DEVELOPMENT
� ' 621 Sheridan Street• Port Townsend•Washington 98368
��, 360/379-4450. 360/379-4451 Fax
Cx
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 09 - 0 2J
Project Description /V
(include separate sheets as necessary): f, r
CGt/f�trkc��e cT v2`/�X ar Y ' pc�e. 17 �1 ;ttra�p Perty e) d Y_/k u PIL) \�1 ✓1/y
Tax Parcel PLro
Number b/.1 I U ,3 1.%.4`i Size: 3,11 acreysquare feet)
Site Address and/or Directions to Property: ?q o Al. N�„„ IQo i P, f e
Property Owner(s)of Record: Ken M e r r,1t
Telephone: 3 a e - 3 ci - 9 ci y► Fax: email:
Mailing Address: t X«<i I v k, titi II_ CIS' 3.D`r
Applicant/Agent(if different from owner): 5 c L"<i (3 ,l i,„3 5 y s Fe,.s 7 it c.
Telephone: 3 6 v ._-i 3'7-i t rt Fax: 3 66, y 3 7 - r z / email:
Mailing Address: 3s ye The.-tidy kr RCL.f , ��:; r I-�dloti.. , ,,t.'A c 3 4,5-
What kind of Permit?(Check each box that applies)
t�Building 0 Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a),C(d),or C)**
❑Single Family 0 Discretionary"D"or Unnamed Use Classification
'Garage Attached DQached) 0 Special Use(Essential Public Facilities)**
❑Manufactured Home 0 Boundary Line Adjustment
❑Modular 0 Short Plat''*
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑Long Plat**
❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRD}Amendments**
0 Propane 0 Plat Vacation/Alteration**
0 Mowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑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 s`C,t„ei ;3,;,Ici,\ 5. 5 t r.K, inc.c_ to act as my agent in matters relatingto this application for
/ PP� permit(s).
OWNER SIGNATURE Date: / C
f .
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 Ws knowledge. Any material falsehood or any omission of a material fact made bythe owner/agent result in this permit being null and void. agentst this application Packet
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys 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. right of entry to this property shall be requested and shall occur only during regular business
hours. j
Signature:__-
Date: /
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 activances 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- `ferable r A•bility for adhering to and complying with the ES The Applicant has read this disclaimer and signs and dates it below.
Signature` � — _ Date: j )-=�
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
OWNER BUILDER STATEMENT •
The signer of this statement does hereby oerti that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ar-siiming the responsibility of the General Contractor for the proposed project.
Signature: _ Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
sortnsl Q+„ieI,n:s5J,Ste ,N5 •Vic ( 3i'c ) `1.3"7 - / l � ; ( 36•c, ) 437 -fz �fr
MAILING ADORESS: 1 EMAIL:
,3. Yv �c r,i d y k e'_ Re ci
CONTRACTOR'S LICENSE Pc t LudI4. , IV ciY34's- WAINS
NUMBER: S U u,V L.)t3 S t�:i. 1 N 1`'I NUMBER
ARCHITECT/ENGINEER: PHONE (..0 3 )5-`J9- 17 2.1 FAX:(5 03 )58 - ,7..1 5-
A Illgace. i=nCJincer ;_e
MAILING ADDRESS:A 7c,, A1 a r 1<C T j t• tint• , St e 4 s,:i s,., O R `i 7 3 0 1 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
9' New [a- Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: Height [Individual System
O Repair 0 Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: @' Private well 0 Two Party
Type of Heat: Proposed: P 0 Public
Total: Name of System:
If this is a Commercial Prolect you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces:
Number of occupants(indudes 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.
❑ Underground Tank 0 Above ground Tank Size of Propane Tank:
O Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 Other
Is this appliance being Installed in a Manufactured I 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 properly
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area. �1.�
Square Footage ,, Office Use Only 4i - fir•vas } f -'' �(' l• a
-_d
Current I Pr'OpOSYd � �`�� a+S.G '�` .f� -� .+FK . Y.N•F~ �; � � ;�
Main FloorFti X4 f �-- �+z . T 12* y ,� r -
L Floor 3` v.Y�' -,r+ Y-'�t-,,-y ,S.s' ,1:,:* i 'f.� •... �� _
t a
sc ...-(e �v r , � v.,,i :,),:,A-;,,,,--..,,,,-.,-,,- �<5."raE 'X ''F`i.2' 4
3°Floor ka t vim l h �,) -Se 4,�h V•_ yy �, ,s "� -_r • '^r sa z
c: i � :0 -;• t .ttk+c+4} F Y- F ,"4,--
Mezzanine:Mezzanine: " 4q x ;.ft,�aya 'an ee -4,``7-'`z ,t �i --.
r $ s. .. _.ram e '*d '•r 4,y,, : -- ;:
Heated Basement i •tG-i y ' 4 {` ?rttAR TG%i
Unheated Basement ,,,- , . v r ,„ki „ ., ,y , ' 1- -, 4 o
K'rp £-f t"�t- `'( .+ .t ...'t\.vT..,K:f%{.,. tea. ; 't " }� ,
tYI+r' a' C l Y` <Other Unheated r 1 ,s ,� -.= T *,. as _ „c;,.., ` k• r . , ^� rs ', 'tb x s� `h K ' i'C 1y G � dfi .4 ,
Garage/Carport s. -�* a� t ''W � S
Decks icy ,-,›-Sr:
-A` 4.4 �Y'1.`Y ate. E. T .3+ il,. +yf�'
' + i K E 4 r` 4 Sti r d+ k t ' Ivk ti -t"'!'r� 5
Other ` l G�.N1bi Wr r Ly = ." ti
1. 1, R om ` + �'
ESTIMATED COST(REQUIRED) Date. '' , ,-,± �, • °, ,
•iFair market vat 8bor lty+ foundation to finish ,�t }' h .
l 0, 8 a 0,0 6 inttlak 4 k '"fit . Ni-4-1' �v^�I,... , , L
G:\PemmtCauer\FORMS\DRD FORMS\Muter Peanit Application 7-8-04.doc