HomeMy WebLinkAboutBLD2006-00133 BLD06-00133
WILDING PERMIT APPLICATIN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00133 Received Date: 3/22/2006
SITE ADDRESS: 243 S BAY LN
PORT LUDLOW, 98365
OWNER: JAMES W FRYKLUND PHONE: 360-437-7801
243 S BAY LN
PORT LUDLOW WA 983659562
LUDLOW POINT VILLAGE DIV 1
SUBDIVISION: Block: Lot: 31
PARCEL NUMBER: 969400031 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI REPLACE & EXPAND DECK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 15,321.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N GOARAGE:THER: 300 SHORELINE:
CONST TYPE: SETBACK:
DECK: 350
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: AP It'll d/ '.
Permit $265.25 LYK 03/22/06 80865
Plan Check $172.42 LYK 03/22/06 80865 APR I a 2006
State Building Code $4.50 LYK 03/22/06 80865 Jefferson County Planning
Total: $442.17 &Building Department
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•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00133 Received Date 03/22/2006
SITE ADDRESS: 243 SOUTH BAY LN Issue Date 04/12/2006
PORT LUDLOW, 98365
APPLICANT: JAMES W FRYKLUND PHONE: 360-437-7801
243 SOUTH BAY LN
PORT LUDLOW WA 983659562
SUBDIVISION: LUDLOW POINT VILLAGE DIV 1 Block: Lot: 31
PARCEL NUMBER: 969400031 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REPLACE & EXPAND DECK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 6-pl'7-0ti ci
UFFER:
Footing:h .)7�6b Qj
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : U
el‘
Sheathing: 011'
Framing: bKw�«vaitig_4(✓Psr cask m tour d0 r• .{ 1 B
Plumbing: (/
Propane Tank/ Lines:
Insulation:
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: /') 4'or 4,Na' Lk/IPQAL
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 CASE # BLD06-00133
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.) MANDATORY MEASURES FOR AN AT RISK 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 requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
3.) MANDATORY MEASURES OF HIGH 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.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
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 est Management Practices (BMPs) to contitormwater,
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.) The building height is not to exceed 35 feet.
10.) Minimum setback from South Bay Lane right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Deck and other structures shall be erected landward of the
identified "building setback line" identified on the recorded plat. The revised site plan
dated April 4, 1006 identifies a setback of 64 feet from the edge of the proposed deck to
the high tide line.
11.) 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.
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.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) 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.
15.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
16.) Additional Restrictions as stated on Supplemental Declaration of Covenants, Conditions
and Restrictions for Ludlow Point Village Division 1:
Article 4.2 - Docks, Piers, Floats, and Moorage Buoys: Construction of docks, piers, float
and mooring buoys may only be PERMITTED on Lots 20, 21, and 22. NO DOCKS,
PIERS, FLOATS OR MOORING BUOYS SHALL BE PERMITTED on or adjacent to any
other Lots.
Article 4.3 - Buidling Restrictions: There shall be no construction of any buildings,
structures, shelters or dwelling units seaward of the residential setback line as set forth on
the recorded plat...
Article 4.5 Restrictions on Vegetation Removal near Shoreline...4.5.3 Native shrubs,
plants or trees shall be utilized for plantings seaward of the residential setback line as set
forth on the recorded plat.
I:\F_BLD_Permit_Buildng.rpt 1 0/29/1 999
` . oiv o06 JEFFEi2SON COUNTY , . „ {. �. . 7a D.
A DEPARTMENT OF COMMUNITY DEVELOPMENT
f' ` ' 621 Sheridan Street• Port Townsend•Washington Ira
fri2�a�
_ 360/379-4450 • 360/379-4451 Fax K
<y �0� www.co.jefferson.wa.us/commdevelopment
s�Nez JEFERSO � �1! ! J
Master Permit Application • e i l aq
Project Description(include separate sheets as necessa ):
"% . - 2t it) EA.77 77A/6 E-(-K (3k% R E/I.,4 cc et)s TH pE<I�. g oe� #-z
Tax Parcel �/
g
Property
Number: f `�0 tr.:73 Size: /00 X.2 1y (acres/square feet)
Site Address and/or Directions to Property: 0-11 3 S 0 N 7 N 8/4 y b./A/t
Property Owner(s)of Record: -a-ft►vl E 5 FA_y k L u,JJ)
Telephone: 360 -w3 7-7 g°'f Fax: 3 too - 93 7— ?go/ email: FA yK LN'Ji)L CABLe5/'E
Mailing Address: .5d9 Mk' G
Applicant/Agent(if different from owner): S/9
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies) j
g Building O Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit �E �£ci� 0 Conditional Use[C(a),C(d) or CI**
Single Family - ' • 0 Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached O Special Use(Essential Public Facilities)**
0 Manufactured Home 0 Boundary Line Adjustment
0 Modular ❑Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑Long Plat**
0 Address ❑ Road Approach 0 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 0 Comprehensive Flan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May requite a Pre-Application Conference **Requires a Pre-Appffcation Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate cat/ F Gti L Lu`�' �, to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE�� �/�,/ � Date: / 1/ 5/ 4'S
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 acrx.ce 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. •.% and right of entry to this property shall be requested and shall occur only during regular business
hours. c"?
Signature:4r)L•vri.& Date: �-/.5��'
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 responsi 'ity for ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ( 'g,,vi. , ,: Date: 71/ -4 a
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
411
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 respgosibifity J General Contractor for the proposed project.
.
Signature: ,1z,,., •7('t,� ,l • l" - _ Date: /�f f%C
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Twe of Sew
New w Wood Existing: Se Disposal:
❑ Addition ❑ Steel Proposed: Bank ❑ CommunityS
O Alteration/Remodel ❑ Concrete Total: Height: dulSystem
System
❑ Repair H Masonry SEP Permit#
❑ Demolition ❑ Ober: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed: Public
Total: o, "Name of System:
f oj,l A-4<PG OGrW
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:
O Underground Tank ❑ Above ground Tank Si7P of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank O Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a penult 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 -oor O�aa ar y + ;
� ' y � Y3
Current Proposed Amount,. ,;.. a,,� , ',
Main Floor ConsisferlcyReview: ' "' "._ ' fi?.'" ',-
Y �,
2""Floor .1 „o i , ft:r(.-Base fee: / c
3`"Floor At('D;(A-)
4dditiol ai'Sectioti: !1
MAR 2a2006
Mezzanine: Gluck fee:.. .
JEff
lit �l ",(1. -.r
Heated Basement J Ef f E PS I N C TINT �.EP � g�: i i
Unheated Basement o-
Other Unheated 0-PI/Rd Afifigaohlee l
Garage/Carport TOTAL: $
Decks 1 r. ;..-,;.,,YF
Other - fr
'
ESTIMATE Dt COS (REQUI )
•Fair market value of labor and materials foundron to fnislr ����, •�►;
S' o (:- L50 �,ahl. _,i.
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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2 0 243 SOUTH BAY LANE 2958 NW 19TH STREET REDMOND, OREGON 97756
R 7C PORT LUDLOW, WAHINGTON
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