HomeMy WebLinkAboutBLD2006-00348 JILDING PERMIT APPLICAAN MLLA06-003329
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00348 Received Date: 6/19/2006
SITE ADDRESS: 905 BYWATER WAY
PORT LUDLOW, 98365
OWNER: LEE ELLEN TERRY PHONE: (360)437-7755
8825 SO 228TH ST
KENT WA 98031
WHITE ROCK COVE TRACTS DIV II
SUBDIVISION: Block: Lot: 19+
PARCEL NUMBER: 821265031 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: THOMPSON CONSTRUCTION PHONE: (360)385-0681
JOE THOMPSON
101 HILLER DR
PORT HADLOCK WA 98339
Contractor's License THOMPC*98700 Expires 07/13/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ADDITION/REMODEL
CARPORT, EXERCISE RM, BEDROOM, BATHROOM, EXPAND LIVING
RM
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 731
VALUATION 230,000.00 ADD'L: 1,334 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 649 SHORELINE:
CONST TYPE: DECK: 84 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 2
Prop: 1 Prop: 1
Total: 2 Total: 3
Routing Date:
Type Amount Paid By: Date: Receipt: AL,Approved/nDeb
ED
Permit $1,721.75 KAS 06/19/06 83564
Plan Check $1,119.14 KAS 06/19/06 83564 J(J1 il
State Building Code $4.50 KAS 06/19/06 83564
Jefferson Cet�nty ppnnniny
Total: $2,845.39 & 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 #: BLD06-00348 Received Date 06/19/2006
SITE ADDRESS: 905 BYWATER WAY Issue Date 07/14/2006
PORT LUDLOW, 98365
APPLICANT: LEE ELLEN TERRY PHONE: (360) 437-7755
8825 SO 228TH ST
KENT WA 98031
SUBDIVISION: WHITE ROCK COVE TRACTS DIV II Block: Lot: 19+
PARCEL NUMBER: 821265031 Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: THOMPSON CONSTRUCTION PHONE: (360)385-0681
JOE THOMPSON
101 HILLER DR
PORT HADLOCK WA 98339
Contractor's License: THOMPC*S8700 Expires: 7/13/2007
PROJECT DESCRIPTION: ADDITION/REMODEL
CARPORT, EXERCISE RM, BEDROOM, BATHROOM, EXPAND
LIVING RM
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: (< J/q/jam '
UFFER: a • - - %• /Jn
Footing: 4k
Foundation: (9, R'7`'h. •.4
Stormwater FINAL Approval: fiv)fiEr rizjiiZ 9p70/,X 0,e B,B/i6 i ,-f Q/te a
Underground Plumbing:
Underground Insulation:
Shear Wall : Off. 4/i4/L :I
Sheathing:
Framing: elf( / / L /
Plumbing: /4 /0 D -
Propane Tank/ Lines: /_, a, ., � E -- . LIPSS AL / OK 2 -'1 st'- II • ataii-
Insulation: 1 /- .T AO _ . D ! _ g , i , .
Sheetrock: /D-)7-t'6
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: OR 6r- e jb RAL/67
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL R 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 CAI IPA BLD06-00348
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.) 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.
3.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) Minimum setbacks from Bywater Way and Alpine Ct right-of-way is 20 ft. Minimum
setback from the edge of all ingress, egress and utility easements are 20 ft. Minimum
side and rear setbacks are 5 ft,
8.) 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.
9.) 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.
10.) The building height is not to exceed 35 feet.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
rIS° .
• -9N oOc,. O' COUNTY
JEFFERS
4 \� IA DEPARTMENT OF COMMUNITY DEVELOPMENT
`4 621 Sheridan Street• Port Townsend •Washington 98368
4 360/379-4450 • 360/379-4451 Fax JUN 9 20 S
,q , o.0 vvww.co.jefferson.wa.us/commdevelopmenr
Permit Application , , MLA: Q(D 309
Project Description(include se arate sheets as necess ary):
�iv,47.A -e"-.4,/revtT X sc-/Zccm/� . ,J G/b-/.v6-.9;tt;7,/4704, l3'caxGar,'t/, b ,li�f/7-4e-e4,74.7 .
Property
Tax Parcel Number: ea,26, O3 j Size: 5,,,2/ ye,e_6-5 (acres/square feet)
Site Address and/or Directions to Property: 9OS nYlzeed7F3C it4ly /c.cr4ti,ai,w W,4¢ `?k 3
Property Owner(s)of Record: L;EE" 6" Tediri '
Telephone: 360. `/37-7 73` Fax: 2 53 _. i5V-/92/ email: L. TE744),&C'-95c4i)r
Mailing Address: S82S` So 22e-72 Sr ,l 07- u4/ j'gio3/ 6-4,$"-cr.CO0P7
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
i Building i Variance(Minor, Major or Reasonable Economic Use)
i Demolition Permit I Conditional Use[C(a),C(d),or C]**
)C Single Family i Discretionary"D"or Unnamed Use Classification
i Garage Attached/Detached i Special Use(Essential Public Facilities)**
i Manufactured Home I Boundary Line Adjustment
i Modular i Short Plat**
i Commercial* i Binding Site Plan**
i Change of Use i Long Plat**
i Address i Road Approach i Planned Rural Residential Development(PRRD)/Amendments**
i Propane i Plat Vacation/Alteration**
I Allowed"Yes"Use Consistency Analysis i Shoreline Master Program Exemption/Permit Revisions**
i Stormwater Management i Shoreline Management Substantial Development**
i Site Plan Approval Advance Determination(SPAAD)* i Shoreline Management Variance
i Temporary Use i Comprehensive Plan/UDC/Land Use District Map Amendment
i Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment
i Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre-Application Conference **Requires a Pm-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and i ,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 thener/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 ter inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. ___--
Signature: ..,,,,/ /i Date: 6//06
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 respons lity for adhering to and complying with the ESA. The Applicant has read this disclaimer and spns 9nd dates it below.
Signature: ----� 2. Date: G// 6
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\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 asssumin the responsibility of the General Contractor for the proposed project. j 1
Signature: ems/ ,:, , Date: ‘///OEa 2uU6
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
Joe -T.voobeSO'i (36o) 383--0 6 j ( _ ..) , ti x . . .
MAILING ADDRESS: /01 171/e-4,Ek bit PT.myz Lecx EMAIL:
CONTRACTOR'S LICENSE cie fr33J WAINS
NUMBER: 735'0/rlro 97$70 Go NUMBER
ARCHITECT/ENGINEER: , c—iohtdie. .44e (SrE�t 4e_44NDDW3•(,)DHONE (36o) 77O-6'79.s-FAX:( )
MAILING ADDRESS: 6 y/v >s-T_dAve Si--- cat yd•,p"A- /40 gerS-/3 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New Q Wood Existing: 2 ❑ Sewer
X Addition ❑ Steel Proposed: / Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 'Individual System
❑ Repair ❑ Masonry /4 SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: / Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: i �(Public
/
�?¢of,,q oee«,,,t,� Total: Z � Name of System:
"279 bi9-o':'
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:
1 Underground Tank *Above ground Tank Size of Propane Tank: 2 SD ‘Actcss x s77.d6-)
I Heat Stove I Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank i Pellet Stove )K Other F.c 5j voA."-
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No '`fr``7`1‹e fon'"4)
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 .� , 73 ,PS ,i r, H Bid App Review: / hh
2f°Floor Heated r�8 I �� Consistency Review:
Other Heated f l is ? 1�55,00
Base fee: t {I e)1'15
Mezzanine Additional Section:
Heated Basement Plan Check fee: I\ARh li A-
�}
Unheated Basement State Surcharge fee: `, '5^
Other Unheated Pot Water Review fee:
� ��`�
5�ti�4 _
Garage/Carport �4 1 15 �*C0 SUBTOTAL ./obb( 3ci
Decks 107 gt 1-t 1 I.DU 911/Rd Approach fee: 45
` t e`
Other TOTAL: -$ d- ND-5 , _
i.
Receipt Number: C6 5504
Cash/Check Number: LAO5-0�
ESTIMATED COST(REQUI Date:
.Fair market v a ba or an als undation to finish .-1
C. 1 0 IN,
2 3(:), poz), 00 Initials:7 to
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