HomeMy WebLinkAboutBLD2006-00202 i MLA06-00187
SILDING PERMIT APPLICATI�"ild Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00202 Received Date: 4/21/2006
SITE ADDRESS: 82 SKIFF LN
PORT LUDLOW, 98365
OWNER: JOHN W WEAVER JR PHONE:
ELIZABETH WEAVER
PO BOX 65331
PORT LUDLOW WA 98365-0331 LUDLOW POINT VILLAGE DIV 3
SUBDIVISION: Block: Lot: 1&2
PARCEL NUMBER: 969700001 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: SOLI TERRY ARCHITECHTS PHONE; (206) 222_60M
ERIC TERRY
605 LK WASHINGTON BLVD E -STUD
I4E A-rc_v —
PROJECT DESCRIPTIOP NEW 192 SQ FT OFFICE/STUDIO/OUTBUILDING - U
NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW V2.%
VALUATION 8,000.00 4'"- AIN: EIZL�rtL
CODE EDITION: 2003 HEAT TYPE tlhh
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
GARAGE: 1920 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
•
Permit $153.25 KAS 04/21/06 81081
Plan Check $99.62 KAS 04/21/06 81081 JUN a 2006
State Building Code $4.50 KAS 04/21/06 81081
Jefferson County Planning
Total: $257.37 & Building Department
Gllaksa,y,12-3106 bit C k\A. !hc--r.e.ao.e r I 1 141 441 LS
t,,)o1.*., 2 50 CO
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00202 Received Date 04/21/2006
SITE ADDRESS: 82 SKIFF LN Issue Date 06/21/2006
PORT LUDLOW, 98365
APPLICANT: JOHN W WEAVER JR PHONE:
ELIZABETH WEAVER
PO BOX 65331
PORT LUDLOW WA 98365-0331
SUBDIVISION: LUDLOW POINT VILLAGE DIV 3 Block: Lot: 1&2+
PARCEL NUMBER: 969700001 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW 192 SQ FT OFFICE/STUDIO/OUTBUILDING -HEATED - NO
PLUMBING
CALL IN FOR THE REQUIRED INSPECT S THAT APPLY TO YOUR PROJECT.
SETBACKS: OK /.;'
UFFER: / go
Footing: 8 arr flax (4/a/"* -7'witiftEriAVO
Foundatio d 9 b.4 a/i`laA46xolxs Nor
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : >r►aciD!Ok 17/5/61/
Sheathing:
Framing: OIC 007 1
Plumbing: jetath, g4E7:504,4( WA
Propane Tank/Lines: /O
Insulation: Le 44 c;t- L 4jfr77 P /)K We.:7#
Sheetrock: J,X L/i! or' !
Septic Sytem Final Approval M ST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: �jh ,..2.—AA,/ htio-
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL QUIRED 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 t BLD06-00202 •
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.) A revised stormwater site plan dated June 15, 2006, prepared by Soli Terry Architects,
has been submitted and approved by the Department of Community Development. Once
the subject permit has been issued the applicant shall fully implement the provisions of the
submitted plan and contact the Jefferson County Department of Community Development
to arrange a schedule to inspect the property for plan compliance. A Certificate of
Occupancy will not be issued until the Department verifies plan compliance. No clearing
for roadways or utilities shall occur on the project site until clearing necessary for the
installation of temporary sedimentation and erosion control measures have been
corn pleted.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) Not more than two (2) unliceed or inoperable vehicles shall be stored only 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 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) Minimum setback from Skiff Lane right-of-way shall be 20 feet. Minimum side yard
setback shall be five feet. Minimum rear setback(shoreline) shall be 35 feet as identified
on recorded plat and submitted site plan.
12.) 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.
13.) 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.
14.) The building height is not to exceed 35 feet.
15.) 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
li - BUILDER STATEMENT • t
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 t e General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALL_ . PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
,New Wood Existing: Sewer
D Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete 'total:
CI Individual System
O Repair ❑ Masonry ( �- SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: [1 Private well 0 Two Party
Type of/Heat: Proposed: Public
IR, 1p , Total: C : Narne of System:
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:
❑ Underground Tank Li Above ground Tank Size of Propane Tank:
I 1 Heat Stove ❑ Cook Stove ❑ Woodstove n Fireplace Insert r1 Hot Water Tank ❑ Pellet Stove I 1 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review:
Other Heated Base fee:
_ da31a 1 �.L;� �o c.0
,, :r, .r�
Mezzanine k it I _ Additional Section: «------_1
Heated Basement Plan Check fee (( --
Unheated Basement (As ..9 .�b State Surcharge fee: �r ��•��
g 4 . `�C0 _
Other Unheated l: COUNTY
Pot Water Review fee:
IEffk E
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee: 9,5`1 .5 1 115. 50
Other f f�..�l u(6.L ^t ifl"/e t Cf, TOTAL: $ -
Receipt Number: % 1 DI
Cash/Check Number: by
ESTIMATED COST RFQUIRED -- Date: j j r
•Fair�market value or all and mate oundatio i -� c} l lip
0cp A _ 33' 1� Initials:
G:\ e itCen r\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
SON
• ' 1cOr, JEFFERS•COUNTY III
0 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�gS, N00'� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 0 lei I S 1
Proj ct Description(include separate sheets as necessary):
/ % tt , j q2- ~s-f-- 94FG (Aiij ig c - -K, �--7i-c0i0 36 y6 qA ,r l4i;)
< Property _
Tax Parcel Number: j 7 cr,Gc",I Size: (��0j 0 5F . (-,dacres/square feet)
Site Address and/or Directions to Property: Z --( '-/ , TG9 -T ptc , C{;,'--
Property Owner(s)of Record: 0./(71 , t)l'WI iC•'61-1 `I LY4
Telephone: Fax: email:
Mailing Address: J 82_I ?'J� t L/ 7c / i1t C(.4 7B72
Applicant/Agent(if different from owner): F '1(C 1-{Z.X -'Sc)Z..( / G�.. -7 / -2e 7 7 C--r-t-',
Telephone:26 Co - '22--..5K-Ac Fa:OG-(0) 2 2 --5C-'`5l "
email:.- c//d--/ cc2f / 'A'�G Ago.'/ i
Mailing Address:fi--C>. 5 1-4 Lk ASS(. Ex y('� � 5 i--rrz Z/L44-. l' "// F.
dc� .
What kind of Permit?(Check each box that applies)
LI Building Tr�r�('�`' It ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit F,� _ill. It 4 li ❑ Conditional Use[C(a), C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home 9 rt. El Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use fl NI R f 14 t,UuAi 1 1 ❑ Long Plat**
❑❑ Address Road r � 'iI �IVV I I Lux ❑ 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)* 0 Shoreline Management Variance
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
I1 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 s C TT e(, " ` `to act as my agent in matters relating to thi applica" n/f"or permit(s).
OWNER SIGNATURE (, •
� ?'-7i -�' `, Date: -' L'
By signing this application form,the owner/agent attests that the inffrmation 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 inspection -Access and right of entry to this property shall be requested and shall occur only during regular business
hours. . - —
Signature: z�, ( -- --c__--t Date: Z c^
The action or actions Applicant will undertake as a restdt'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 Jeffers County development code.The Applicant acknowledges that he,she or it holds individual and non-
transferable responsibility for adhering to ing-with-the-ES*--The Applicant has read this disclaimer a ' ndates it below.
Signature: 2_.__t Date: 1/2//c C
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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