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Home My WebLink AboutBLD2006-00642 !UILDING PERMIT APPLICA!)N MRL viewTy 626 ype Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00642 Received Date: 11/14/2006 SITE ADDRESS: 141 JACKSON LN PORT LUDLOW, 98365 OWNER: BRADFORD NEWELL PHONE: 360-437-9151 JUDITH NEWELL 141 JACKSON LN PORT LUDLOW WA 983659609 PORT LUDLOW NO 2 AREA 3 SUBDIVISION: Block: Lot: 42 PARCEL NUMBER: 990600342 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License WHITEJG952DN Expires 3/15/2007 REPRESENTATIVE: PHONE: pqr . PROJECT DESCRIPTIOP ADDITION & REMODEL TO EXISTING KITCHEN & LAUNDRY RM '-4 A luoCiat. eaf Tc TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 127 VALUATION 72,500.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date. ( IIILIIDLO Type Amount Paid By: Date: Receipt: Approved/Date Permit $804.75 LYK 11/14/06 86860 Plan Check $523.09 LYK 11/14/06 86860 State Building Code $4.50 LYK 11/14/06 86860 'AU Total: $1,332.34 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00642 Received Date 11/14/2006 SITE ADDRESS: 141 JACKSON LN Issue Date 01/16/2007 PORT LUDLOW, 98365 APPLICANT: BRADFORD NEWELL PHONE: 360-437-9151 JUDITH NEWELL 141 JACKSON LN PORT LUDLOW WA 983659609 SUBDIVISION: PORT LUDLOW NO 2 AREA 3 Block: Lot: 42 PARCEL NUMBER: 990600342 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 (360) 598-3308 Contractor's License: WHITEJG952DN Expires: 3/15/2007 PROJECT DESCRIPTION: ADDITION & REMODEL TO EXISTING KITCHEN & LAUNDRY RM CALL IN FOR THE RE7UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: A UFFER: AV/Z Footing: /}k z,1/67� Foundation: ,&,� /Z�z�f'/d7, Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: /Pk q ,7 f Plumbing: Ook 4/5/07"/i Propane Tank/ Lines: IANi. bk 4/i6 0,1 k)r f sr L,*.we .10 FP OK 4�I8/o7/ Insulation: . S- d y # �� K 4 4 Sheetrock: 2.�6] Septic Sytem Final,c(ppr val UST be obtained before fiial of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: /$ b7 HEALTH DEPARTMENT AND PUBLIC WOR S PPR VAL 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 BLD06-00642 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 property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than 2 unlicensed 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 autormobile 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 requriements 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. 8.) Minimum setback from Jackson Lane right-of-way shall be 5 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 9.) 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. 10.) 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. 11.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) 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 10/29/19 (- 92,7PU L. Pam' Q I fi rt CMG � ! 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APR 13 MR 3 iiFNtillW :IIIIH OCR ON �,.¢,S • • w�4, oe, JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT ~' `- `a 621 Sheridan Street• Port Townsend•Washington''96868c r 2006 360/379-4450 • 360/379-4451 Fax 4.qs, p1 www.co.jefferson.wa.us/commdevelopment zrING -11i: Master Permit Application MLA: CAD -ban Project Description(include separate sheets as necessary): k l; r-rkrc c&) o t= t i-c_i-r��v l i.-N c. Q c?y ,I}-n>r) Apo/�z.,. .- Tax Parcel r Property Number: 19ro 1-430 54 Z Size: e 33 1\c_er:. (acres/square feet) Site Address and/or Directions to Property: 14,f; J c,ei N ( ) Property Owner(s)of Record: IF,. i</ 1 .gyp r .4- \j►A r i T--7-f k).p.]�(_L_ Telephone: St:,,,C, 7-- al I I Fax: email: Mailing Address: j Applicant/Agent(if different from owner): w i-t-t-i--1-' i' tJ Telephone: DSO 77 --q j *- Fax: . (.,C) ,c5 9j 2 0 email:i,A2 ,�,�►t Mailing Address: ,p..--14-Li 0JK f lie-- What kind of Permit?(Check each box that applies) 21building ❑Variance(Minor, Major or Reasonable Economic Use) [j Demolition Permit ❑Conditional Use[C(a),C(d),or C]** , Single Family ❑Discretionary"D"or Unnamed Use Classification Q Garage Attached/Detached ❑Special Use(Essential Public Facilities)** Q Manufactured Home °Boundary Line Adjustment d Modular ❑Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use in Long Plat** Q Address i Road Approach liPlanned Rural Residential Development(PRRD)/Amendments** R Propane ❑Plat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* OJefferson 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: DE IGNATION OF AGENT I hereby designate JO 4,\\-I- -- ; ::;,-7r• to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE' _Y�C�../3 � Ok.(\ k. � Date: -\-ti' i4-J •a ,C.tc 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a plication that he or she wants prior notice. 1 -� ` Signature:�� l�•Si.:L �Y. Date: v\C, 1 = bE 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-tr�a ssferable responsibility for adhering to and complying with the ESA. The Applicant has read this dis aimer and si ns and dates it below. Signature:\` �L ,5&'.� 1 3,y��. 5-� � r< Date: � �v `� -3sF,®`to ) D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • Ill 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. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: y� J✓`"`�f'�''� \�''✓I'rt'..Tr-'11...2 �-�Ol.) l�4�CJ;(=� CAA ,:7(1 ('f`,;')`�:,?,.d, MAILING ADDRESS: 17 `J (('�,_,O, 1 ' Lip s ?,,9e t 7 4 .'r.f- EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: (k)4-1-r-rE )`r1' Li�0 NUMBER ARCHITECT/ENGINEER: / PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Fr me Type: Bathrooms: Shoreline: Ty of Sewage Disposal: ❑ New ( tt�Wood Existing: 2!� [rSewer Er--p.ddition 0 Steel Proposed: -cam- Bank 0 Community System I AAlteration/Remodel 0 Concrete Total: 21 Height: Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 3 Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: -c -- p public Pp, Total: Name of System: 0 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 J Underground Tank pkAbove ground Tank Size of Propane Tank: F °Heat Stove 5.took Stove 0 Woodstove *ireplace Insert 0 Hot Water Tank 0 Pellet Sto e In 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 WOO* ; unt! Revision Main Floor Heated ,✓ i i 53? EH Bld App Review: S -Lut" 2na Floor Heated Consistency Review: 1 Other Heated Base fee: c mil)I1 Mezzanine Additional Section: Heated Basement I ' Plan Check fee: 5r1 rhd Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL v. ,1 Decks 911/Rd Approach fee: Other TOTAL: %1551+ 1'� 0 4'` Receipt Number: aDS LOO Cash/Check Number: r n ci � ESTIMATED COST(REQUIRED) 1 I Date: 1A0 ' n*Fair market 17abot,ap aterials foundation to finish ( I ' t a Initials: L____----- D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc . i., . . .. • • -.-------"--------- ..." --- ..-------------'---''''' 400) T.5 .... 0 : e . .„------"---). a , . ?(k i — LP . , s'sz,,\,, ,.. . ....4.,•• ' '7'---,,----1 I 4 - Z' t ..... ....._° ..g 7r; ..,.. 0 , 0 .... „ , \-\--) kA . 0 6 --.1 71' 5.•'; t 0 . ' ,) , — 7 #. 5 .-. . 4 1 ill : Et- ic. \ if ca 'di 0 kt in,. z rri 73a, 0,6 .... , ,......,_ , .......... )7, . cc. 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