HomeMy WebLinkAboutBLD2006-00093 i •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00093 Received Date 03/3/2006
SITE ADDRESS: 121 MACHIAS LOOP Issue Date 03/31/2006
PORT LUDLOW, 98365
APPLICANT: JOHN P ORCHANIAN PHONE: 360-437-9355
CINDY A ORCHANIAN
121 MACHIAS LOOP
PORT LUDLOW WA 983658704
SUBDIVISION: PORT LUDLOW NO 1 AREA 5 Block: Lot: 10
PARCEL NUMBER: 990400510 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: BILLS CUSTOM CARPENTRY PHONE: 360-765-0674
PO BOX 876
QUILCENE WA 98376
Contractor's License: BILLSCC954LH Expires: 6/8/2007
PROJECT DESCRIPTION: ADD TO LIVING RM
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: J
Footing:?, �l7/e c�
Founda := �` �q .//j/Qb
Stormwater FINAL/Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : to///OL I
Sheathing:
Framing: �✓�( G'andfia., Arr /-locE5pratlun -Tina i76-j-Rioras-0/44,
Plumbing:
Propane Tank/ Lines:
Insulation: fL L[�qc�S L�,�-i�i,U6 4 10ie 5 -i z .��8�a4 Afr
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 'A' „parr iimj /pia 2-
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL E UIR 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 rn. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE REVERSE
IILDING PERMIT APPLICATTN MLA06-00091
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00093 Received Date: 3/3/2006
SITE ADDRESS: 121 MACHIAS LOOP
PORT LUDLOW, 98365
OWNER: JOHN P ORCHANIAN PHONE: 360-437-9355
CINDY A ORCHANIAN
121 MACHIAS LOOP
PORT LUDLOW WA 983658704 PORT LUDLOW NO 1 AREA 5
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990400510 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: BILLS CUSTOM CARPENTRY PHONE: 360-765-0674
PO BOX 876
QUILCENE WA 98376
Contractor's License BILLSCC954LH Expires 6/8/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ADD TO LIVING RM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 100
VALUATION 20,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 260 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 3
Prop: 0 Prop: 0
Total: 3 Total: 3
Routing Date: ki
Type Amount Paid By: Date: Receipt: A PV E r
.
Permit $321.25 LYK 03/03/06 79179
Plan Check $208.82 LYK 03/03/06 79179 MAR 31 2006
State Building Code $4.50 LYK 03/03/06 79179
Total: $534.57 Jefferson County Planninc
Building Department
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SPECIAL CONDITIONS FOR CASE A BLD06-00093
1.) 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.
2.) 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.
3.) 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.
4.) 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.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
9.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Exterior lighting for residential uses shall not exceed twenty feet (20') in heigh•rom the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) 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.
13.) Minimum setback from Machias Loop right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
14.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed
within the MPR-SF zone.
I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999
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0a� JEFFERSON COUNTY MAR "
rik
ii DEPARTMENT OF COMMUNITY DEVELOPMENT r_
621 Sheridan Street • Port Townsend• Washington 98368 ``' {
360/379-4450 • 360/379-4451 Fax
q, e0� www.co.jefferson.wa.us/commdeve]opment 4
Master Permit Application MLA: 0(P — "1 I
Project Description(include separate sheets as necessary):
,q/ , r oAl re? G I v/iii Rti4
Tax Parcel .' jf Property v E
Number: /J 0 7 t( ' — 5 /V Size: + 7 G- (acres/square feet)
Site Address and/or Directions to Property: l L_-/ MAC y 1 11 1j .-c..,, � f'G&,e I Lc.'f) 7 LtJ
Property Ow r(s)of Record: ,TC'%f l2 vi- C%/VO 3/ c 4.;e Aiti//IA/
Telephone:3�0-- 3 7 1- 3 '5 Fax:
email:
Mailing Addr= .
liirlr Agent 1 f different from owner): G4//L G//3!✓i ,:i , 6 Al Z,
e-. one: -0.- 7 v 5 -- c'LJ Fax: email:
Mailing Address: f C� /3G�'7 76 0 �'G L l v
WhALldnd of Permit?(Check each box that applies)
uilding ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretiona
❑ Garage Attached/Detached Discretionary"D"or Unnamed Use Classification
❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
El Modular ❑ Short Plat**
❑ Commercial* C] Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address I Road Approach CI Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis Cl 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* ❑ 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:
s DESIGNATION OF AGENT
I hereby designate ix ( to act as my agent in matters relating to thi appli tion or permit(s).
,
OWNER SIGNATURE b d/7-11-- --1,4-4-0---"-------" Date: 3 3
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 attomey'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 any requir" nspections ss and right of entry to this property shall be requested and-shall occur only during regular business
hours. / /
Signature: / Q�
Date:
The actio- 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 a Jeffe :on County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfers le onsibility onsibility for ad r' g tor,.. complying with the ESA. The Applicant has read this disci mer and igns and dates it below.
Signature: �� r!s„"'L
Date:
�
C:\Documents and Settings\mochil\Desktop\Master Pen-nit: �i""cation 7-8-04.doc
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OWNER BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they arV��ce�c.4;,�,�oors and that,
they will be assuming the responsibility of the General Contractor for the proposed project. ! Fllffll
Signature: Date: _
I
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
/3i 4L 5 6'4'4;e'l ',?RPt 1/r/2- A ( t.t) ) 764-G'fs`7/ ( )
MAILING ADDRESS: pl.)/jc'T e 7 6 4-2/,,,ii L..� ' h/4 EMAIL:
CONTRACTOR'S LICENSE 41 3 /6 WAINS
NUMBER: /5jLL C_<_ 5-4 H-
. `7 L NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frape Type: Bathrooms: Shoreline: Type Sewage Disposal:
❑ N� le-Wood Existing: EA-Sewer
4YAddition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 _ Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well C Two Party
Type of Heat: Proposed: G% blic
Total: ,2)_ Name of Systema /Vf
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 U• nderground Tank I Above ground Tank Size of Propane Tank:
i H• eat 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 p f, /6,0 s,0�� Consistency' Review: 1 J 2 • C7 U
2""Floor `� G Base fee: 3 a J
3fd Floor Additional Section:
Mezzanine: Plan Check fee: a08 • O
Heated Basement 676
7 / State Surcharge fee: Li ,S o
Unheated Basement Pot Water Review fee: ,,.,(
Other Unheated 911/Rd Approach fee: �U
Garage/Carport to p l• 5
3 ?j(p TOTAL: $
Decks 4 -i� 1 --el
/ / 7 ' Receipt Number:
Other I
Cash/Check Number: I
ESTIMATED COST(REQ 15,091.20 Date: 31 6/
.Fair ` ue oT a7f 1 a
�t'!
s foundation to finish
� U (.7, Initials:
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc