HomeMy WebLinkAboutBLD2005-00766 *BUILDING PERMIT APPLIC•ION MLAO5 007722
Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00766 Received Date: 12/14/2005
SITE ADDRESS: 61 PATHFINDER LN
PORT LUDLOW, 98365
OWNER: DAVID L BLESSING PHONE: 360-437-9426
NANCY B BLESSING
61 PATHFINDER LN
PORT LUDLOW WA 983659629 PORT LUDLOW NO. 2 AREA 3
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990603169 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION REMODEL&ADD GUEST BATH&WORKSHOP
(500 SQ FT OF HEATED & 440 SQ FT OF UNHEATED)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 500
VALUATION 130,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 440 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 1 Prop: 1
Total: 3 Total: 3
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date E 1
Potable Water Application $53.00 SLE 12/13/05 78755
State Building Code $4.50 SLE 12/13/05 78755 MAY 5 2006
Plan Check $755.14 SLE 12/13/05 78755 Jefferson County Planning
Permit $1,161.75 SLE 12/13/05 78755 tOuilriin.ri Department
Total: $1,974.39 CfsQ J•c\
111110 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00766 Received Date 12/13/2005
SITE ADDRESS: 299 FLEET DR Issue Date 05/4/2006
PORT LUDLOW, 98365
APPLICANT: DAVID L BLESSING PHONE: 360-437-9426
NANCY B BLESSING
61 PATHFINDER LN
PORT LUDLOW WA 983659629
SUBDIVISION: PORT LUDLOW NO. 2 AREA 3 Block: Lot: 169
PARCEL NUMBER: 990603169 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: RIGGS CONSTRUCTION PHONE:
PO BOX 3
PORT GAMBLE WA 98364-0003
Contractor's License: RIGGSC*028RW Expires: 5/2/2008
PROJECT DESCRIPTION: REMODEL&ADD GUEST BATH&WORKSH•P
(500 SQ FT OF HEATED &440 SQ FT OF U HEATED) &,Dc ncj�
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PR0JECT.
SETBACKS: DIIC S/C'EL%
UFFER: /W A
Footing: Ok 7 5 '
Foundation: % -oa.,
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : Br; 5 6DEs Mew 441ziGED,.oes aK 7/S/o,4/ of 07141.,
Sheathing: Off'/// 1/ I fit
Framing: �.�,A`4� �� '', ib �/F F2AMIOG 7IiS/AG/ 6K 9/i,��q:
Plumbing: " Ol'< 0164
Propane Tank! ines:
Insulation:. X<tiJ \ '"' 06 'ieSrvAL Ok 91 alb/ 11614605 Dkll#
Sheetrock: ,. - . _ , fz .. s :.:rt=•r ' 2,/ 4(;= - /so— ' Z� �1
Septic Sytem Fina Approva U be obtained befor- final if s ructur- can be _ empted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: �� 4 T t t 1 i/� dG p`1
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIO TONAL 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 CA, BLD05-00766 S
1.) 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) 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.
7.) 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.
8.) Minimum setback from Pathfinder Lane right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
9.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed
within the MPR-SF zone.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
.0_,SON c JEFFE N •C •iiilmit PO OUNTY
(144‘...„... DEPARTMENT OF COMMUNITY DEVELOPMENT I'1 1 621 Sheridan Street• Port Townsend • Washington 98368 1
4. !' 360/379-4450 • 360/379-4451 Fax
NO,Sp www.co.jefferson.wa.us/commdevelopment - ,`N.
Master Permit Application MLA: mLY 0s- "Ila
Project Description(include separate sheets as necessary):
i�t W k C i 7 -(. 'i C A i�2 (?�.., ', - i.�it D ht: t, i--Zp 7-i-4 41\,D (r._ c: i- te---S tt 0(' _
Tax Parcel - 0 Property _ Z
Number t f C 4'C '5 i/p4 Size: t 6-1 (f C.0 t- c (acres/square feet)
Site Address and/or Directions to Property: (i, t t' 't li F t hi 7E L lv i Pc l_'T L.t_,GL '<•
Property Owner(s)of Record: PA V i 7 '- N A t.i e r 5 Lzc`,`3 s r (r
Telephone: 5(t( 4 S•7 rt 4 Z(r Fax: email:
Mailing Address: 4 I i)ii-rt-t i----i N7C.e. t.-iv r PCk' i,t,()t.t/.,` t t.,_'/-k e(S . 47
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
❑Building ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ D.arnolition Permit ❑ Conditional Use[C(a),C(d),or C]**
ILIV8ingle Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular El Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ 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* El 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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 attorney'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 inspectio Access and right of entry to this property shall be requested and shall occur only during regular business
hours. ,/ ( 'i/
Signature: ,�I �`t '` PLC '1- �_ Date: t JJ /C'<' _.
The action or actions Applicant will undertake as a result of the issuance of i:his 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 complianc with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfpa a resp3xl'sibility adhe h to and complying with the E:3A. The Applicant has read this disclaimer and signs and dates it below.
Signature: % t4 i-f.( /. i. e)It 1-4-1. y Date: t Z /f 3/0 5—
C:\Documents and Settings\mocha\Desktop\Master Permit Application 7-8-04.doc
* 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 licerg con>]raors'andthat
they will be assuming the responsibility of the General Contractor for the proposed project. I
Signature: Date:
•
i
,.LOPMEtiT I
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
c E. 0 E'r t-bt r Kt ED ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Typo of Sewage Disposal:
❑ New EVWood Existing: 2 ewer
❑ Addition ❑ Steel Proposed: I Bank ❑ Community System
❑ Alteration/Remodel Li Concrete Total: =5 Height: ❑ Individual System
❑ Repair Cl Masonry SEP Permit#
Bedrooms: Supply:
❑ Demolition ❑ Other: � Water
Existing: T_ Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 1-' ublic
C i R.tei Total: ?i
Name of System: C'LYGu f'(C
t-itAr �k i�i j-) GA ' -
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 Amount
Main Floor a,? ConsistencyReview:
iCtCC` `)C�i gLigi5i 41
C9J
2""Floor Base fee:
3fd Floor Additional Section: �� (/(, �. ��
Mezzanine: Pan Check fee: 4131.___
Heated Basement State Surcharge fee: /
'7 - o
Unheated Basement Pot Water Review fee: 0)
Other Unheated 44 C 911/Rd Approach fee:
roa3o,10 Rev i-eu)
Garage/Carport --4C ,()57, 3 9
'�'(,0 � TOTAL: $ �
Decks Receipt Number: '7g"7!ss _per - c�:; ge
Other Cash/Check Number: 11
ESTIMATED COST(REQUIRED) Date: �S2�
.Fair market value of all labor and materials foundation to finish 11(13/w
( 3( (��, Initials: / I
C/
9Docan�ts and Settings\moc}v7\DesL-top\Master Permit Application 7-8-04.doc
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