HomeMy WebLinkAboutBLD2006-00063 •UILDING PERMIT APPLICA4N MRLA06-00p063
e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00063 Received Date: 2/15/2006
SITE ADDRESS: 41 AMES LN
PORT LUDLOW, 98365
OWNER: JASON WHITE PHONE: 360-437-1102
81 EVANS LN
PORT LUDLOW WA 983659600
PORT LUDLOW NO 1 AREA 3
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 990400303 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: SOUND CONSTRUCTION PHONE: 360-437-9970
80 EVANS LANE
PORT LUDLOW WA 98365
Contractor's License SOUNDC*1410Q Expires 9/10/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE - NO HT, NO PLMB
't A okh_- o k >-N oa (2.4) t 2 o Pc f ?ro 9 n Q.—
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 792.00 •`r-if MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: 1-¢ tp 792 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date:
Type Amount Paid Bv: Date: Receipt: A! / F
Permit $307.25 LYK 02/15/06 79112
Plan Check $199.72 LYK 02/15/06 79112 MAR aU 2006
State Building Code $4.50 LYK 02/15/06 79112 Jefferson County Planning
Total: $511.47 & 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 #: BLD06-00063 Received Date 02/15/2006
SITE ADDRESS: 41 AMES LN Issue Date 03/20/2006
PORT LUDLOW, 98365
APPLICANT: JASON WHITE PHONE: 360-437-1102
81 EVANS LN
PORT LUDLOW WA 983659600
SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 3
PARCEL NUMBER: 990400303 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: SOUND CONSTRUCTION PHONE: 360-437-9970
80 EVANS LANE
PORT LUDLOW WA 98365
Contractor's License: SOUNDC`141OQ Expires: 9/10/2007
PROJECT DESCRIPTION: NEW DETACHED GARAGE - V/OLt614-I0MMBnpc 414EATri; IA) 120
CALL IN FOR THE REQUIRED IN PECTIONS THAT APPLY TO YOUR PROJECT. 1"fdppAps-TA
SETBACKS: J' ii'/OG /
UFFER: DZ /' / •..
�� ua
Footing: 7 2..6 44 a x a/6 facf/A14A tole I 1 -ji)Trfz- 2- Dlorn)
Foundation: 1 k A iAc ia,63 �r���.D1 /a/.s/o4. ,IVorE:lrkoP
Stormwater FINAL Approval: P4 '1)c AR-ct<N,o /2IAf8/Aix IP
Underground Plumbing: GW ///2.q/,1 I LcNc "T '
Underground Insulation: a
Shear Wall : k 1.0Yr`> c.f. i1-1�1
Sheathing:
Framing: ///.31�,,,
Plumbing: /V50/7
Propane TanV Lines: tN' QQv,SS•1 iI - v tl iS -0
Insulation: k Iz-.i1L �.(/ /3Do7 21 y,�/us �K sy cg .08 eiciii44S ak. I �tofrii
Sheetrock: �� /2A7 1 /
Septic Sytem Fina Apr al MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:Final/Occupancy Approval: d .4 .- -f t n' co 444,8
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 CA? t BLD06-00063 •
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 Ames Lane right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
9.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
I:\F_BLD_Perm it_Buildng.rpt 10/29/1999
(,":"..; ON
w OOa JEFFSON COUNTY . I[ 1Ci':1200.'.-E6
D
' DEPARTMENT OF COMMUNITY DEVELOPMENT
` `4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax FEB 1
�q O� www.co.jefferson.wa.us/commdevelopment
S'�NCS JEFFEFiS N CQ
M —
Master Permit Application MLA: a&-i
Project Description(include separate sheets as `'
° N\WCA
Tax Parcel Cl //`` SS5111pely)\.\N
t J J
Number: ,�C ' "��� �0
S¢e: .31,L. l�t-' ` (acres/square feet)
Site Address and/or Directions to Property: 4) Apc S L , PO fk i I ii y] `d t A r\
Property Owne )of Record: 0— r t�
Telephone: 3 L t! • ;',, Fax: - email: ,
Mailing Address: - ,. '►-.p`;,
•Applicant/ t(if different from owner): j� :v�t� r• c c. hl;
Telephonec 5 C 6) L 3 7- CIC\10 Fax: email:
Mailing Address: g k L ^S \,-ci„(,.rL R a,/k ‘..... ‘„\e,ot,.D moo\ et a26 S
What kind of Permit?(Check each box that applies)
('Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
n Single Family ❑Discretionary"D"or Unnamed Use Classification
W/Garage Atta / tached ❑Special Use(Essential Public Fealties)**
❑Manufactured H ❑Boundary Line Adjustment
❑Modular ❑Short Plat--
❑Commercial* ❑ Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑Planned Rural Residential Development(PRRO)/Amendments**
❑Propane ❑ Plat Vacation/Alteration**
❑Mowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Stomtwater Management ❑Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
p 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 ( y to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE r .ey., 4- 41��- Date: �, t
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 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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: .."`".. .r 1`,- 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 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 compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility-for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .✓.r, Date: _ — /.../ . <�r(
G:\PermitCenter\FORMS\DRD FORMS\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 licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: (A- A-A:7- Date: .'---) -/`-/ - 6 -6
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PliONE: FAX:
Ltv -cter7 p c )
MAILING ADDRESS: <g. %.,^N.,..S_\-. v‘t tkl(k 1,4kkEekt..J- W‹,
CONTRACTOR'S LICENSE WAINS
NUMBER: C--)L1\1\C\ Ci \IA ‘00 NUMBER g_:,X‘), OC ( IC) ( 007
ARCHITECT/ENGINEER: PHONE ( ) FAx ( )
MAILING ADDRESS: EMI..
Project Type: F'nine Type: Bathrooms: Shoreline: Type of Sewage Disposal:
V New Ill' Wood Existing: 0 Sewer
O Addition 0 Steel Proposed: /91- Bank 111 Community System
O Alteration/Remodel 0 Concrete Total: 2. Height: 5/Individual System
O Repair 0 Masonry SEP Permit# R 3-- i 99
Bedrooms: Water Supply
0 Demolition 0 Other:
Bdsting: 2- Setback: 0,Private well 0 Two Party
Proposed:
Type of Heat: z co'Pubic
kit IQ,.f Total: ,2 Name of System:
i
Pt)P-:(i.ti Oa Mr Ili/PA/I/1Z.
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces:
Number of ocaipants(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: k.---lort1 tnov\re-
El Underground Tank )K Above ground Tank Size of Propane Tank: )c:: 0 6 0\\lOie\
li Heat Stove 0 Cook Stove LI Woodstove Li Fireplace insert U Hot Water Tank CI Pellet Stove 0 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. 1 514 ,
Square Footage F9rsOfficeils4 Only - .; ..:. -.., ,...-- ,-',..4.::: ,VIkr:“.;-k-i.' v .,7
Ap!QtInt
Current . , ,. _, " :- ..:-_ '‘ ....:•,:.: -'.. ''''
Main Floor
„... ,, ,,4, ..4
513a0:friek
(4:37-1* 15'-',...:1: ''''-.f)-C:',..'.''''''ci t),I,•,,.'' .--‘ -3(48.
3"i Floor .-_*: .. . s.Allitaloni.iltectiOn;- r3' '-:. •';`,..' '-''. •.', - :.1-W.:'.,' '---• - -:. ' -- 51 OD
0 '‘ .-- ' t.-'. - :.r.V.OVIC411.. .:, -: .ri.;1--`-'-- . - • •
Mezzanine: .a. PIM Ctitick fee: ' . - . •-,I. -1-1-.'h1"/. qq .- I D\227.13
49' ' '• •
Heated Basement ' - State-S*660E00*i*- .--.7 ' - -'-'
A(
Unheated Basement ,191tiViit*
/ C:10 *11 :::''-:7-i''-'-';:'.':'-:f.J.,'7_.-'....,1:'','_1-1'.7,, r-4;.'!if;-'',4,.r40i3O,• ':::
te
eY- ' ' . '
Other Unheated j itti . ' -d-Mikiiiiii Tee- . , • ,-,...,.=:;,';-41Z-444, --...'.-&-- V .t.-7.1..4?.-'Garage/Carport !It!,Y:;-,':74. ,..:-.!F
fia( 792, ' .., ,,) .:, TOTAL: $ ri:',..:
:::_.•;-. ,,1 as7;•
'--jlece11)t.i4In64i - ' ' '-. ';-• lf --
Cc Ai.-(4 lt)Z- 1132- .-: , . , . . • ,., ..,..,. _ .
Other . , . .-. ' !,:.4shipiecic Number: I• '' ..,:.: '.t:1- C,Q
ESTIMATED COST(REQUIRED) Date: . - . -,, :---. - - t - II
of.Fair market value all labor and materials foundation to finish
-ie (-),6--7 , Initials: ---
G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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