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HomeMy WebLinkAboutBLD2006-00432 RILDING PERMIT APPLICAT N MLA06-00417 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00432 Received Date: 7/25/2006 SITE ADDRESS: LARSON LAKE RD CHIMACUM, 98325 OWNER: AUBREY L PALMER PHONE: (360) 302-1251 ELIZABETH C PALMER 1522 LARSON LAKE RD CHIMACUM WA 98325-9728 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 801151004 Section: 15 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW ADU WITH DECK AND 102 SQ FT COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 1,250 VALUATION 100,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 102 SHORELINE: GARA CONST TYPE: DECKLE' 280 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: an I�c� Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $993.75 KAS 07/24/06 83745 Plan Check $645.94 KAS 07/24/06 83745 k...1 State Building Code $4.50 KAS 07/24/06 83745 AUG 3 2006 Potable Water Application $55.00 KAS 07/24/06 83745 Total: $1,699.19 Jefferscin & Building t;epartment 7 - • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00432 Received Date 07/25/2006 SITE ADDRESS: 1522-A LARSON LAKE RD Issue Date 08/3/2006 CHIMACUM, 98325 APPLICANT: AUBREY L PALMER PHONE: (360) 302-1251 ELIZABETH C PALMER 1522 LARSON LAKE RD CHIMACUM WA 98325-9728 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 801151004 Section: 15 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW ADU WITH DECK AND '102 SQ FT COVERED PORCH CALL IN FOR THE REQUIRED INSP CTIO THAT APPLY TO YOUR PROJECT. SETBACKS: OK $j2/ Oz UFFER: 4, B/2//6•4 ,,� Footing: ?'�Elmera. ZG5 0 `24/4 �iT tze fear-hues AK 9/04, Foundation: pK 9/5/41 'an CC_V\4(-1D -k2 -C Stormwater FINAL Approval; l� ,) .4W.pc4„ f/14/ )C. tO -t L e;b Underground Plumbing: ,t1/A Underground Insulation: /J A /2 Shear Wall : c2 6/67 Sheathing: N/A U Framing: F atawuArc a� 4// 06�,1 a< Z5/o? Plumbing: I -t(.-O 1 Propane Ta / Lines: A) A Insulation: . . r _- _. O� / iv 07j' D ,Ir_ ! , - _- / , .eA, Sheetrock: j ' 2/ D7/ Septic Sytem Final A' proval MUST be obtained before Final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: e Cc) f-6-4,AQ C3---IS—C17 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 t BLD06-00432 • 1.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty(50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 2.) 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. 3.) 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. 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 2 unlicensed or inoperable vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor 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 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 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 setback from ingress/egress easment rights-of-ways shall be 20 feet. Minimum setback from adjacent RR 1:20 zones shall be 5 feet. Minimum setback from commercial forest lands shall be 250 feet. 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the accessory dwelling unit. 12.) The existing and ongoing agriculture activites on this parcel are exempt from standard stream and wetland buffers per UDC Section 4.3.2. I:\F_BLD_Permit_Buildng.rpt 10/29/19 • 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 assumv the responsibility oo eneral ,ontractor for the proposed project. Signature: .., ' : ,, _ / ' --. v Date: GENERAL CONTRACTOR O^ 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: Type of Sewage Disposal: �' New ''Wood Existing: ,Sewer ❑ Addition ❑ Steel Proposed: 2 Bank Height: `❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2, 544gdividual System -'Frrt.rs ❑ Repair ❑ Masonry __�S SEP Permit# a -ieR6 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: LI Private well Two Party Ty a of Heat: Proposed: Z. ❑ Public ,LIE C 1 _C, _ Total: ' Name of System: Vu Clt) 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 1 Underground Tank LI Above ground Tank Size of Propane Tank: Heat Stove [1 Cook Stove ❑ Woodstove Li Fireplace Insert ❑ Hot Water Tank 11 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: «S 0 5 { (BOG ; J.CD 2nd Floor Heated Consistency Review: Other Heated - Base fee: Mezzanine r ' ;.-,� Additional Section: Heated Basement Plan Check fee: Unheated Basement i t i? State Surcharge fee: I L Li., 5 c) Other Unheated Lorfet'Z b F of Water Review fee: f` r\,\ Garage/Carport SUBTOTAL Decks f g 1 i Rd Approach fee: 22o (p5CI.C1 .(c' t5D.00 Other TOTAL: $ a ' Receipt Number: 3 7 t,5 C:ash/Check Number: I `C ESTIMATED COST(R EQREDT--„ Date: G E) � •Fair market valu all labor and materials foundation to finish C�``1 i 1 tJ t /}/� D ,7 Initials:1 G nr !!! G:\PemlitCenter\FORMS DRD FORMS\Master Permit Application 12-30-05.doc ,ii. °1 1. cod, JEFFERScOUNTY •i. k-{ ` \ r DEPARTMENT OF COMMUNITY DEVELOPMENT .-' '\d '4 621 Sheridan Street • Port Townsend •Washington 98368 ,t4 ` " A °1 " , 360/379-4450 • 360/379-4451 Fax q, p www.co.jefferson.wa.us/commdevelopment �$rNO ' I i Master Permit Application MLA: 0 -:411 Project Description (include separate sheets as necessary): NJEW - .; AUXILIARY My ELLLNG- Uhl IT- (ADO) Property psi REss Tax Parcel Number: $QIIS] O 't ��5 i 4353q$. L} .F. (acres/square feet) Site Address and/or Directions to Property: a LA RSO N L AKE RD, CHI tAAW_PA WA 98 325 Property Owner(s)of Record: AU8REY L. AND ELI ZABETH C C . PAL MER Telephone:3(vo-.30 a -f z 5 l z.,emi rA>✓f O[a),twie- �i¢T-S To Qp�A./ A. .G/�. S Mailing Address: SAM e As A B O VE Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies) 'Building Li Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ 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 ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address [1 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes" Use Consistency Analysis 11 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use 11 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: 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 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 providcess and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and aunt-red a er inspections.Access and right ?try to this property shall be requested and shall occur only during regular business hours. Signature: . _ Date: 7/Z D 40 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 d pment code.The Applicant acknowledges that he,she or it holds individual and non- transferable respo ility fo adhering to and complyi with t e ES . The Applicant has read this disclaimer and signs an dates it b ow. 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