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Home My WebLink AboutBLD2005-00753 BUILDING PERMIT APPLICAAN MLA-05-00704 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00753 Received Date: 12/6/2005 SITE ADDRESS: 61 MONTGOMERY LN PORT LUDLOW, 98365 OWNER: GAYLE CORNELISON PHONE: SUSAN EARLE 1889 GRANT PARK LN LOS ALTOS CA 940246908 PORT LUDLOW NO 2 AREA 1 SUBDIVISION: Block: Lot: 63 PARCEL NUMBER: 990600161 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501 PO BOX 65437 PORT LUDLOW WA 98365 Contractor's License LANDECD022JT Expires 3/25/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP REMODEL - MOVING INTERIOR WALLS & ADDING 68SQ.FT OF COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 68 VALUATION 14 60100 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-1 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: GARAGE: CONST TYPE: DECK: 68 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: la\V 0()Q Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,228.95 SLE 12/05/05 77479 A P P R O V P , Plan Check $798.82 SLE 12/05/05 77479 State Building Code $4.50 SLE 12/05/05 77479 DEC 628 2005 Permit $24.00 SLE 12/05/05 77479 Jefferson County Plannint, Total: $2,056.27 & Building Department ! • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00753 Received Date 12/5/2005 SITE ADDRESS: 61 MONTGOMERY LN Issue Date 12/28/2005 PORT LUDLOW, 98365 APPLICANT: GAYLE CORNELISON PHONE: SUSAN EARLE 1889 GRANT PARK LN LOS ALTOS CA 940246908 SUBDIVISION: PORT LUDLOW NO 2 AREA 1 Block: Lot: 63 PARCEL NUMBER: 990600161 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: LANDER CUSTOM DESIGNED HOMES PHONE: (360)437-2501 PO BOX 65437 PORT LUDLOW WA 98365 Contractor's License: LANDECD022JT Expires: 3/25/2006 PROJECT DESCRIPTION: REMODEL - MOVING INTERIOR WALLS &ADDING 68SQ.FT OF COVERED PORCH CALL IN FOR THE REQUI INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: /Al/ UFFER: /vA Footing: / O GOIYql " S f 154r Foundation: roartucs ate_*I'M, Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: j iv/G6.ra/- AYR Aims l 'n Has Berra s owaese R em iq a7g' Plumbing: .2-t it L-js-c(v4V, 47(.1_ Propane Tank/Lines: �l Insulation: /4s-Zjj 1- 1) -7 Hid SFAc 4K 1/4167A/ Sheetrock: 1-z^L'-tg7 Septic Syte Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: /1 Final/Occupancy Approval: �/c -fur -I ink I 3/2 ed8IRED /:dress 42GS4e42$ OB 3� HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL I EQ 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 COE A BLD05-00753 • 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.) 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. 3.) 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." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area 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. 6.) 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. 7.) 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. 8.) 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. 9.) 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. 10.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). • 11.) The project shall adhere to test 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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). 14.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) 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. 17.) 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. 18.) Minimum setback from Montgomery Lane right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from shoreline is greater than 92 feet as identified on the approved site plan dated December 27, 2005. 19.) 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. 20.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the MPR-SF zone. 21.) The proposal was reviewed for consistency with the Shoreline Management Master Program Section 3.402.5 and found to be consistent. The proposal is (1) remodel and covered porch to a SFR, (2) does not exceed 35 feet in height, (3) does not involve overwater construction and is located landward of the OHWM, (4) and meets all required setbacks as set forth in said SMMP and the MPR Code. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 1,,V ,1 Val -J'Y.i 1„,ii • tii C G JEFFERSON COUN-W- I!: ' �!". �_ �" TH ''t r 4 �; I3 DEPARTMENT OF COWAN* EVELOPMENT_~ ,, . ,, I ' , ; .", 621 Sherkan Street •• Pcitt7Jv rtsend•• t1Yas n —-b368 �,,.•�.y`' 36a/'379-4450 • 60/379•-44E1'FaxpEC — 0 NU ;� p wvrw.co.Jefferson.wa.usicommdeve!oprnent �x Master Permit Application MLA: 5 '1 01 Protect Description(include separate sheets as necessary): /,�,:1�/N, S%= C c�L/'L 4Z� (}("r`._'—' ' 7 ,...',t 1 s 4 `U LA �f ,' � - Tax Parcel qQ �" Pro a /z'' / Number -P [Q (2 00 1 {c? l Size: (aaesisq re feet) Site Address andler Directions to Pi cperty: t r 1, 0r1}-3„ 0.-,�1-•r`l. -s- , Li_t 0 , I) g t-+-.q q Property Owners)of Record: (-i a. C Orn L jn c-1 4 c:t c '��, F r. 1 P_. Telephone; Fax:!_ _ em?;I: Mating Address: I$8 9 Lei►'Cr✓; - Pt( L.A\. , 1..o5 Al*Cc, (t .!,�- ci t 2..4'``� AppliicantfA ent(if different from owner): ,4y t Per s(•o't r)$_.SA__q Yl Q.4 E4n,412.,,cTelephone'_�3��:_Z�( - _,..a.W 1 Fax: 31aOcAii t.•t 2)')- Z-i OS— wrest ) d.e.--62 a E3 p en•(..401 Mailing Address: ?Q 'J0 Lee ct(3'1_4 eork• lhct(c7U' t v.3A 9 2 3(aS— —._._ rhat kind of Permit?(Check each box that aprrties)Ftuildin9 _i Variance(Minor Major or Reasonable Ecanontic Use) i Demolition Permit e Conditional Use{C(a),C;cl).or C)'" ? Single Family 7 Discretionary'TY or Unnamed Use Classification J Garage Attached t Detarehed U Special Use(Essential Pubic Facilities;" :J Manufactured Horne e Boundary Lute Adjustment i Modular le Short Plat'- 1.i Commercial• el Binadirg Site Plan " ti Change of Use .-r Long Plat'• Ie Address . ._ `.Road Approarh____-_ ____ r i Planned Rural Residential Development tPRRDjJA,rnerxlmeres L Propane I] Plat VacatioNfixeralion'• i i Allowed"Yes"Use Consistency Anatysis I; Shoreline Mister Program Exemption Permit Revisions•" Ii StormwaterManagement ❑ Shoreline Management Substantial Development"' i Site Mar,Approval Advance Determination(SPP.Ati " IA Shoreluie Management Variance ❑ Temporary Use = Comprehensive Plan/UDC/Land Use District Map Amendment l t 'v Jire+ess Telecommunication• Jefferson County Shoreline Master Ptngrare Amendment LT Forest Practices Act/Release of Six-Year Morateriun-m "May require a Pre-Application Conference "'Requires a PrnApplieaiton Co,ftrence Please identify any other local,slate or federal permits required for this proposal,if known: �t -- DESIGNATION OF AGENT` - �I Hereby designate t `J rri ;;}�{Me l to act as my agent in matters relating to this application for permit(s). elts1I OWNER SIGNATURE __ �.�-r Date //7/77c�,C__ , By sigring this application form the ownertagent attests that the information provided herein,end in eery attaottments is true and correct:e the best of 1 his,her or it's knowledge. Any material falsehood or any omission of a material lac!made by the auner/agent with resoeci to this application packet may result in this permit being null and void. I further agree to save,indercr:ity and hold trarmiess Jefferson County against all liabilities,judg:rents,court costs,reasonable artomey's lees and expenses which may in any',my accrue against Jefferson County as a result of or in consequence of the granting or the permit. I tenter agree to provide access and right a.'entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later insppe .ewress and right of entry to this property shall be requested and snail occur only during regular business tours, _ Signature: �,l�Lc � Date: ////7/J�` The act;'n ar actions Applicant unit undertake as a retealt of the issuance of this permit may negatively impact upon one cm more threatened or — ertdatgered species and could lead to a potential"take"of an endangered species as those tens are defined in the federal law known as the `Endangered Species Act"or"ESA"Jefferson County makes no assurarioes to the applicant that the actions that will be undertaken because this cecmit has teen issued will riot violate the ESA Any individual group or agency can tie a'ewsuit on behalf of an endangered species regarding your hones)even it you are in oompli nos weftthe Jefferson County development code.The Applicant acknowledges that he she or ft holds individual and non-Iran mete respone' i ij for ertng4o anti emptying with the ESA. The Applicant has read this aistleimer and below.signeand dates it below. r Signature: 2< - --- Dale ��-/.fir _J fee tkeur''.ent and.F.Yrres\mrclul\Desktop\Heron Ycrmjr A plemien 7-8-04.1 _ I • OWNER BUILDER STATEMENT :.---- ------ .771 The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein thatahey V)'' reraot Il sed cpniractors and that they will be assuming the responsibility eneraof the Gl Contractor for the proposed project. '"-"� '-" _ _.i— Signature: ��% Date: DEC5 2005 , GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fps: Lcue\&Q '- Co5 ,DeSi vie. 4-6(v.rzs (36o) 431 -zs- N (3100`E3--) --2_11Z)S-' MAILING ADDRESS: P Q Bvx eo c'L ukci/ EMAIL: D�- CONTRACTOR'S LICENSE 'i t �O�} `� ' t a '�` l �%✓� •Cb!✓1 WAINS NUMBER: N ( W 3 NUMBER J E.CO O aa./�,T NUMBER ARCHITECT/ENGINEER: t e k pa,{-r'c $ `t"1' PHONE 7224 (20� MAILING ADDRESS: C t ��5 EMAIL ( ) y Z` �7 F �SI l(o ax-knb�,dr, lslc._r.d,WA Project Type: Frame Type: Bathrooms: Shoreline: Ty of Sewage Disposal: )Wood Existing: . )ewer ❑ Addition ❑ Steel Proposed: ___9__ Bank X Alteration/Remodel ❑ Concrete Total: — ❑ Individual System El Community System ❑ P Re air —.�— Heigh`❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: Type of Heat: Proposed: ❑ Private well ❑ Two Party Total: X Public Name of System: for. LN d t,ot..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 Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I 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 . Amount Main Floor 3 �. 044; Consistency Review. 2""Floor AlL t-- 4 L� CD Base fee: lad 3fa Floor Additional Section: .<<g.. Mezzanine: Plan Check fee: Heated Basem t r. d C� 3o, iKe�pd`Z I--- /s0 State Surcharge fee: Unheated Basement Pot Water Review fee: ti �� • Other Unheated 911/Rd Approach fee: Garage/Carport r �15�I n TOTAL: $ x a , al Decks !� ��+++ Receipt Number: 11 `I -1 9 Othe444 r U _ Cash/Check Number: T ESTMAED COST(REQUIRED ( U +�� Date: �� .Fair market value of all labor and materialsyndation to finish 01C^' -Q ViInitials: > merits and Settings\mochil\Desktop\Master Permit Applic 'on 7--0.doc�O /e- G9 101 - l.'da2Pd- z ON MO-ionfl .L Od • v� �i° AO 6910090bb ( ZIasHf N 1Nno $7, X .L Z et, 27dVs O ww im• . HJ ON Oil ny O V eD NV1d ails,,..., r, ,, o • /� y .0 O V >1 2:J c, 0, . z, .i ›P gt 4 , Zi.,..n cm Ae\ )".Z V3 C9r 44 c-) ell i Ow \\\\ lemi ,::- V .0.4. 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