HomeMy WebLinkAboutBLD2006-00224 bMLA06-00214
BUILDING PERMIT APPLICAT. Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00224 Received Date: 5/2/2006
SITE ADDRESS: 1031 LUDLOW BAY RD
PORT LUDLOW, 98365
OWNER: STEVEN R ROGEL PHONE: 253-983-9353
CONNIE R ROGEL
12020 NYANZA RD SW
LAKEWOOD WA 984991440 LUDLOW BEACH TRS 2
SUBDIVISION: Block: Lot: 21&22
PARCEL NUMBER: 969000022 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/15/2007
REPRESENTATIVE: BRIAN MCLOUGHLIN PHONE: 360-301-3923
PO BOX 310
CHIMACUM WA 98325
PROJECT DESCRIPTIOI NEW FENCE APPROX 260 SIB FT
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 75,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
5\2 otc,
Type Amount Paid By: Date: Receipt: Afrove
d/Date
Permit $818.75 LYK 05/02/06 81138 V` _ dir
Plan Check $532.19 LYK 05/02/06 81138Y IS'State Building Code $4.50 LYK 05/02/06 81138 2006
Total: $1,355.44 Jefferson County Planning
&Building Department
Cep. ,
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00224 Received Date 05/2/2006
SITE ADDRESS: 1031 LUDLOW BAY RD Issue Date 05/19/2006
PORT LUDLOW, 98365
APPLICANT: STEVEN R ROGEL PHONE: 253-983-9353
CONNIE R ROGEL
12020 NYANZA RD SW
LAKEWOOD WA 984991440
SUBDIVISION: LUDLOW BEACH TRS 2 Block: Lot: 21+
PARCEL NUMBER: 969000022 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
PO BOX 100
CHIMACUM WA 98325
Contractor's License: TOLLEBI977N9 Expires: 3/15/2007
PROJECT DESCRIPTION: NEW FENCE APPROX 260 SQ FT
CALL IN FOR THE REQUIRED INSPE TIO S T T APPLY TO YOUR PROJECT.
SETBACKS: nk 1/3
UFFER:
Footing: '-"F, 5-f oK ei'AgAL
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
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: I tI C
HEALTH DEPARTMENT AND PUBLI 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 A BLD06-00224 •
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.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed single family residence.
4.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed single family residence.
5.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
6.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
7.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan dated July 2, 2004 by WDFW.
8.) 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.
9.) 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.
10.) 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.
11.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
III
12.) 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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).
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The fence shall be located on the property boundary or within the property boundary.
Under no circumstances shall the fence be placed within the county right-of-way.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
•
�4�4S0N COS JEFFERSON COUNTY • _
ti `'\q DEPARTMENT OF COMMUNITY DEVELOPMENT ,! i (,n L , T
`4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
Is. 0V www.co.jefferson.wa.us/commdeveloprnent MAY - 2 2006
1XTN
Master Permit Application MLA: a) -c2)4
Project Description (include separate sheets as necessary):
S7b S7 �. ,;l 6 0 /
Property
Tax Parcel Number: OOU (52,2 c00 C ) Size: I.(c7 AC, ,(erg ,4 (acres/square feet)
Site Address and/or Directions to Property:/6,if D 3 t' t.-U.L�(,O(_ep /
Property Owner(s)of Record: -rE_vJ.J C NN(p J r pt,E L
Telephone: 7, s 3 0183 3.S Fax: 2 55 9 8 3 ( 5 email:CoAlN/£.R101�7 E 44' �"')4/G.,c
Mailing Address: l2.020 /\1AVA )ZA �A Sty , I;�.Ac.ELocini , u-)P1 el gy 9
Applicant/Agent(if different from owner): 'j .l pi-e..) IMC l ,)u �}t L.f t
Telephone: 30(• 39 Z'") Fax: '- •037[ email:`peicC-@ c ypeA .co I4
Mailing Address: 1°0 ¶OfC `31 b e t{l vo A-C.t-C 41 LOA C31 2:i32 S
Wt kind of Permit?(Check each box that applies)
Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use (Essential Public Facilities)**
0 Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
0 Change of Use ❑ Long Plat**
❑Address l l Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 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 Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment
0 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:
g r-,l ` DESIGNATION OF AGENT
I here.bydesignate ` ._ &J (AC L to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE '.. -ez.. )
> �t x-- Cc-e 4A_ Date: — / b 6
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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature:, Q—n54
_2 Date: Jam// /O !.'h
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 t e ESA. The Applicant- s read this disclaimer and signs and dates it below.
Signature: `— t- Date: }�1 / /
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• •
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.
Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
T L-1 -€,c v /Suic-I s is 1AJC • (g60) 17,080 (3 D) ?-32• 4-Fo81
MAILING ADDRESS: 1D `'S' )( I Dot O EM I IM 4(', e 9is32 EMAIL: pie Al L i C9L y p ) ,GUM
CONTRACTOR`S LICENSE WAINS
NUMBER: �p t-.LfL G}-n-N 9 NUMBER
ARCHITECT/ENGINEER: MOM /£tLeS pO/�tf� (�/.`rpQP�I.(}NE ( / (,3. / FAX: (2QG)%-6j3r2,
MAILING ADDRESS: 2.0n-0I &/ sf �//), SGJ �C ��`�1p/l JX?' -�� MILL Mhic. us,00yarfA)4/Cle2/,UL),co✓)
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ❑ Wood Existing: ❑ Sewer
,❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: • ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well II Two Party
Type of Heat: Piuposed. ❑ Public
Total: Name 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 ❑ Above ground Tank Size of Propane Tank:
I Heat Stove ❑ Cook Stove Cl Woodstove C] Fireplace Insert ❑ Hot Water Tank Li Pellet Stove I 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: j
2n°Floor Heated Consistency Review: (�- ��,y F
l a)3
Other Heated Base fee:
Mezzanine Additional Section: - '
Heated Basement Plan Check fee: ICi
Unheated Basement State Surcharge fee:
Other Unheated Pot Water_Review fee:
31-11
Garage/Carport SUBTOT
Decks C_ 911/Rd Approach f •
Other TOk AL: $ ` LI-L(
Receipt Number: 31 i '?)c3
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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FrOm:11-19WT ENGINEERING, INC. 1206 463 2578
EUlsport Fpgineering, Inc,
20501 81st Ave SW
E
Vashon, WA 98070
206.463,5311 (p)
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206.463,2578 (P)
Project: Thomas/Roget
Dater 3.31.06
Scatel 1/2'=1'-O'
DetalU W.I. Fence $uoeort
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PILE CAP BELOW
WROUGHT IRON FENCE(TYP)
STONE VENEER
(2)#4
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(4)#4(GR 60)-VERT. —
#3 TIES AT 12- OC
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03/31/2006 15:45 #176 P.002
SQUARE PILE CAP
SQUARE CONCRETE CORE
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Ettlsoart Engineering, Inc,
20501 81st Ave SW
Vashon, WA 98070
206.463,5311 (p)
206,463.2576 (F)
Project: Thomas/Roget
Date; 4.3.06
Scatel 1/2'=1'-0'
Detalt: W.I. FREE STANDTNG WALL
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13 TIES AT 12" OC
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04/03/2006 17:32 #178 P.002
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JEFFERSON COUNTY DCD
BUILDING PLAN REVIEW
R' APPROVED AS SUBMITTED
0 APPROVED AS NOTED
0 ��R��E��J��EC,TED
Date Z":L._'y Reviewer V� I
NOTICE: Plans are approved excepting
any errors or omissions. All work must
pass Inspection In conformance with
all applicable codes and regulations.
0"Ct the Building Department
at 379.44W prior to making char9es
or revisions to the approved plan
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