HomeMy WebLinkAboutBLD2005-00783 BUILDING PERMIT•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00783 Received Date 12/23/2005
SITE ADDRESS: 58 N MAPLE ST Issue Date 04/3/2006
PORT HADLOCK, 98339
APPLICANT: DARYL RUDOLPH PHONE: 360-732-7178
PATRICIA RUDOLPH
PO BOX 698
CHIMACUM WA 98325
SUBDIVISION: GARFIELD'S ADDITION Block: 3 Lot: 11
PARCEL NUMBER: 952800305 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: MC FADIN & DAVIS INC PHONE: (360)379-1175
1095 TREMONT ST
PORT TOWNSEND WA 98368
Contractor's License: MCFADDI969MA Expires: 7/1/2006
PROJECT DESCRIPTION: NSFR W/ATT GARAGE
CALL IN FOR THE EQUItfEP INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: q Ot�
UFFER: /s/D.6
Footing: c f/S/OG
Foundati n: , -/f t 1 10k
Stormwater FINAL Approval:
Underground Plumbing: 417
D i�
Underground Insulation:
Shear Wall :0 IasrAk. $cvcki►,36 t-i3^IL--roP of 5HE-Ae&VAL-1.. PEE -aAa dl<To(.4vBz ALL.Bur--rOP;(;)(.6" P
Sheathing:fir'
k/u.�d 0/04,4`
Framing:k,{NOt- 4tooc-rwok.niv .b(JG.S..ir Ai.cRjettw7v1.),ti,rr.Joi ?- .r Ec.c_c[,r",$ G-6-06
Plumbing: —G—(2 —0‘.
Propane Tan / Lines:
Insulation: ,Q, pL Ak / pA d oK /s/o7
Sheetrock:J/1-51'�s (,P 2 O //3—Fx
Septic Sytem Final Approv I MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ?Qr- coKkdra-ccs, S'y2.1 -06
HEALTH DEPARTMENT AND PUBLIC WO KS 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 C. t BLD05-00783 •
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.) 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.
4.) 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.
5.) 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.
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.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4111
9.) 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).
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from Irondale Rd right-of-way is 30 ft. Minimum setback from N Maple
St right-of-way are 20 ft. Minimum side and rear setbacks are 5 ft,
13.) A minimum of two (2) on-site parking spaces are required for the single family residence.
I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999
•
BUILDING PERMIT APPLICAf ON ML ReviewTy 740
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00783 Received Date: 12/23/2005
SITE ADDRESS: N MAPLE ST
PORT HADLOCK, 98339
OWNER: DARYL RUDOLPH PHONE: 360-732-7178
PATRICIA RUDOLPH
PO BOX 698
CHIMACUM WA 98325 GARFIELD'S ADDITION
SUBDIVISION: Block: 3 Lot: 13&14
PARCEL NUMBER: 952800306 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: MC FADIN & DAVIS INC PHONE: (360)379-1175
1095 TREMONT ST
PORT TOWNSEND WA 98368
Contractor's License MCFADDI969MA Expires 7/1/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,331
VALUATION 120,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: 428 SHORELINE:
CONST TYPE: DECK: 288 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: a./a3lo5 025._
Type Amount Paid By: Date: Receipt: APPROVED
Permit $1,105.78 LYK 12/23/05 77279
Plan Check $718.38 LYK 12/23/05 77279
APR 2006
State Building Code $4.50 LYK 12/23/05 77279
Potable Water Application $53.00 LYK 12/23/05 77279 Jefferson County Planning
&Building Department
Total: $1,881.66Cek. �/
-fie.r ,sac-L
fdQ -uo. JEFFERSO COUNTY Ir _ — a,____
' ..; DEPARTMENT OF COMMUNITY DEVELOPMENT ,
,` 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
1 www.co.jefferson.wa.us/commdevelopment DEC 2 �(?�r
Master Permit Application PP MLA: C S -1 1:6
Project Description(indude separate sheets as necessary):
___ =`fit ' �,1-
;
iJEu-) --�ivt✓t-3-rcA+.— r«.JST ,L, lcT?J
Tax Parcel "I S?--ff«:s .. ram Property __ , p
Number: (tcZ-tjc�•- j<;, `? KSrv,',(L. ,r Fl^. r,ifJC' ize: i t -, (acres/square res/square feet)
Stte Address and/or Directions to Property: j6)T r,,,L) - , �, R,, i ks__,k4 (5.0 [:) tivicw.ate; e.t , .7 .16-N
Property Owner(s)of Record: PA 1 L ,`z rAKAC.i A 2 - i-!
Telephone: SCL -73Z -71'7c?, Fax: k/A email: N!{i
Mailing Address:?.v 7-,t>X e_al'a is um keia A YVI, WA GJv-:;2 5
Applicant/Agent(if different from owner): M`�A-'tit,) 7)A0IS . COC, ,firt 'Ft)ITN)
Telephone:_74,6-1 ---?-;79 •t)Tic Fax: e "--,`•3` -3' 77. email: i�e ill\Gsara,r)ci,ViS•LC-PA
Mailing Address 1 09 4 I f;aM 0 r.)3 i, V.'i. uu,A 9 P3 2�;3
What kind of Permit?(Check each box that applies)
'Building ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ CternOlilion Permit ❑ Conditional Use[C(a),C(d),or C]**
lit Single Family ❑ Discretionary"D•or Unnamed Use Classification
Garage Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ 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**
❑ Stater IMarimgement ❑ Shoreline Management Substantial Development**
• Site Plan Approval Advance Determination(SPAAD)* 0 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 c _r ' 1(-.,(, 'tAA'.-1--- 17 it..) to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE (_ )' =/ 6 �1 Date: 1 VI9 v-&
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 reed later inspettlona. ccess and right of entry to this property shall be requested and shall occur only during regular business
hours. ( (, �!
Signature: i�n.�rl j I \. ��L� Date: i�19[/tU
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)ev you are in li snce wit a fferson County development code.The Applicant acknowledges that he,she or it holds individual
and non ans rable respol/�Si ili f i eeng and complying with the ESA. The Applicant has read this disclaimer a signs and dates it below.
Sig nature 7 v l j',J ' Date: /�j ::3
t
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
• 0
OWNER BUILDER STATEMENT
The signer of this statement does • ners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the r —-
Signature: _-
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
.Ni`=FAc'ir3 s1Av6r-%'NC-,, (fit )37`) `/17 ' ( )mat -(--/77)
MAILING ADDRESS: 1 J 1 I 'r=T,.1Md:h)r, `�\ , t. i. vJA EMAIL: i r> - :t% 4d)i/?da1P`-:i('.Yl r'/
CONTRACTOR'S LICENSE WAINS
NUMBER: M(- Ai7D t �•, MA NUMBER �j<` �7�
ARCHITECT/ENGINEER: r 1re_r_ i'�ale PHONE (jam )743,5 it,FAX:
MAILING ADDRESS: c{6jr t tMA':-vlvS't .}j,uhts EMAIL 0r c..6i. cad crtyf.j1-,Yd.
Project Type: Frame Type: Bathrooms: Shoreline: Ty
pe of Sewage Disposal:
)1 New Wood Existing: 0 Sewer
❑ Addition ❑ Steel Proposed: 1-- Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: ^,- Height: ' Individual S�ste�m y
❑ Repair 0 Masonry 11A SEP Permit# A-S1^,T-AltAc i
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: / 'Public
iT�IL3.d'Q.. -E'R i r Total /7 Name of System: FAA,;•)
this rmrnercial Protect you must answer the following:
Number of Parkin • ument: Proposed: /iA Number of ADA Parking Spaces:
Number of occupants(includes owners, s,employees,etc) Current Proposed
IBC Occupancy: IBC Type of constru 'en• Will you have Food Sery Yes / No
itfthis is a Propane Tank and/or Appliance Installation perm',madt II items below that a v
I Underground Tank i Above ground Tank Size of Propan
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I H a Tar nk I e I Other
Is this appliance being installed in a Manufactured/Mobt! oe H"me?�Yes/ No
When applying for a permit to Install a pro you must also submit a site plan showing all of the buildings, rty
lines,tank location and size,d" es1rom the propane tank to all property lines,buildings and septic system components,
including the re ery .
Square Footage For Office Use Only
Current Proposed Amount
Main Floor /7 - e S to e�•(Q-YConsistency Review:
1 CI
fluFloor I Base fee:
1105 •`jr
3rd Floor Additional Section: 1
Mezzanine: Plan Check fee: 3�
Heated Basement State Surcharge fee: f
SO
Unheated Basement
Pot Water Review fee: 8 -1 .
Other Unheated 911/Rd Approach fee: dil
Garage/Carport lo/oil.
'.S' 1 4 TOTAL: $ t l t , 3
t �f fn zigo (0 -)G .If Receipt Number: 777711 a r]Q
Other ce Cash/Check Number:
io3 i53 3039
ESTIM' D) Date:
market value of all labor and m erials foundation to finish h p 1 I�a, �
. hiitials: I i
C: mngs\mochii\Desktop\Master Permit Application 7-8-04.doc
DEC 2 3 2005
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THE DRAWINGS AND PLANS SET FORTH ON THIS SHEET AS INSTRUMENTS OF f
1..-- _ -c, z
ii ,
SERVICE ARE AND SHALL REMAIN, THE PROPERTY OF EZEKIEL MCFADIN, -Tk (..
ti
DESIGNER. WRITTEN DIMENSIONS ON THIS DRAWING SHALL HAVE PRECEDENCE
OVER SCALED DIMENSIONS. CONTRACTOR SHALL VERIFY ALL DIMENSIONS, ' m
. c--3 .?,
CONDITIONS, ETC, PERTAINING TO THE WORK BEFORE PROCEEDING. THE - -t ri-1
--r-1 „
N., —n
DESIGNER MUST BE NOTIFIED OF ANY VARIATIONS PROCEEDING. THE DESIGNER c...0 rrt
MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR . =I C) zo I
CONTRIBUTIONS SHOWN ON THESE DRAWINGS. ANY SUCH VARIATION SHALL BE (=,
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RESOLVED BY THIS OFFICE. r (xi = ...I
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BONDED FOUNDATION • FRAME •FINISH
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-,..._( • U• Cn (1 ci) A › McFADIN
0 03 INSURED
i z ..< Ph: 360-379-1175 Cell: 360-643-3425
-(. - 11 , . • Fax: 360-385-9772 WA# MCFADD1969MA
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