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BLD2007-00578
QUILDING PERMIT APPLICAI)N MRL y Review 616 Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00578 Received Date: 11/14/2007 SITE ADDRESS: 10 GAMBLE LN PORT LUDLOW, 98365 OWNER: JOHN R WRIGHT PHONE: 208-420-8490 PO BOX 65031 PORT LUDLOW WA 98365 PORT LUDLOW NO 1 AREA 1 SUBDIVISION: Block: Lot: 12 PARCEL NUMBER: 990400112 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: TAMARA HALLIGAN PHONE: (360) 385-2628 PO BOX 862 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NSFR W/ GARAGE ATT BY BREEZEWAY TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,562 VALUATION 177,649.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 151 SHORELINE: GARAGE: 600 CONST TYPE: DECK: 680 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: Routing Date: Type Amount Pay ate: Receipt: Approved/Date Permit $1,430.55 LYK 11/14/07 95386 APPROVE[ Plan Check $929.86 LYK 11/14/07 95386 State Building Code $4.50 LYK 11/14/07 95386 JAN 15 2OO Potable Water Application $58.00 LYK 11/14/07 95386 Jefferson County Planning Total: $2,422.91 &Building Department • Jefferson County Building Lqvision Permit Nu►tr: BLD07-00578 Applicant: WRIGHT BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the Countys Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control !%, -6 Foundation Footing 1/ v6 BUILDING FOUNDATION MUST BE LOCATED 100' FROM THE PUBLIC WATER SUPPLY WELL. ADEQUATE VERIFICATION MUST BE SUBMITTED TO DOH AND JEFFERSON COUNTY PUBLIC HEALTH PRIOR TO FINAL OCCUPANCY. /yam/ee ' Footing Drains 2/jS/p�, der-qc P, 1-ANC�� /SO ' /f�'�Sur26b av S rrC Foundation Stem Wall (MA y L� Underground Plumbing NA Under Floor Framing wi fr DK Straps(hold downs) NVa (G,diticF) 3Mpg!. Ext. Shear Wall Nailing 23 06 / / 4.6 ;/- Airs&/)X 4123/ecty Rough-in Plumbing q//Q/og �N �A� �K i/ 16,5`// Framing id-2-5196 t: [ cvi %efigr I,Jcr4Ii--D /4 3/lbS, Airseal d—a•3-01( Insulation:Walls 0/306 Insulation: Floors Insulation:Ceiling /0 9f Gg Int. Shear Wall Nailing .i/41p6 P/A Wallboard Nailing fifibiog Gas Line: Interior ?/3// Gas Line: Exterior /JA Propane Tank 7/j//©ef Heat/Chimney Clearance q//9/1,8 ✓� Drywell/Alt Drainage ---fiG irLiUn 61: 2,i5/aa fr Address Posted D �� Miscellaneous .4/4 , shower pan Miscellaneous ` fireplace /0/0/A Miscellaneous 0/30$ air ports Miscellaneous • PRIOR TO FINAL OCCI.'ICY, OLYMPIC WATER AND SEWER MUST SUBMIT DOCUMENTATION TO JCPH AND WSDOH THAT PROVIDES ASSURANCE THAT ADEQUATE MITIGATION MEASURES HAVE BEEN COMPLETED FOR THE SEWER LINE EXTENSION THAT IS LESS THAN 100'FROM THE PUBLIC WATER SUPPLY WELL. FINAL INSPECTION a�lJ/pf Di( 44 z/1 Ve/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD07-00578 1.) 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. 2.) A Stormwater Plan has been submitted and reviewed by the Port Ludlow Drainage District 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 completed. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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. 5.) This parcel is within a no shooting area per JCC 8.50. 6.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 7.) The road approach permit(RAP07-00148) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 8.) Per MPR Code Section 3.17, accessory dwelling units (ADUs) shall not be allowed in the MPR-SF zone. 9.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Building Setback from Gamble Lane and Oak Bay Road rights-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 12.) BUILDING FOUNDATION MUST BE LOCATED 100' FROM THE PUBLIC WATER SUPPLY WELL. ADEQUATE VERIFICATION MUST BE SUBMITTED TO DOH AND JEFFERSON COUNTY PUBLIC HEALTH PRIOR TO FINAL OCCUPANCY. 13.) PRIOR TO FINAL OCCUPANCY, OLYMPIC WATER AND SEWER MUST SUBMIT DOCUMENTATION TO JCPH AND WSDOH THAT PROVIDES ASSURANCE THAT ADEQUATE MITIGATION MEASURES HAVE BEEN COMPLETED FOR THE SEWER LINE EXTENSION THAT IS LESS THAN 100' FROM THE PUBLIC WATER SUPPLY WELL. CO JEFFERST�I COUNTY ' �,. DEPARTMENT OF COMMUNITY DEVELOPMENT.i to fir_'" l' '. 621 Sheridan Street• Port T 4'pi74 Washington'9 8 „ 360/379-4450 • 360/379-44511 i`ax gip/ www.co.jefferson.wa.us/commdevelopment rrl NOV27 0 kliii44 1,4 34 ai Master Permit Application nn MLA: 0 7- 1, (L r t"r"r C {� 111t, n 4 ', Project Description(include separate sheets as necessary):[l,pt.L1,i t U zlt �# U uLf WI...) ,Jot, ` raAN--- iiitt CGt, \-1cti jV.62.2414 , k ;alias L $,„ -54drt-i Tax Parcel Props )' / / Number: 90 _460-8`Z Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: I Jeiyi i .e.,_._ 5f- --1 Gt_J.(/(r-t-/ I Telephone:c2CE—42-0- -e30 Fax: email: Mailing Address: P.O• /Jo)C (o6O ,/ /. r ii /d6'-' 4J4 7t ' c Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building 0 Variance(Minor, Major or Reasonable Economic Use) Demolition Permit\R ❑Conditional Use[C(a), C(d),or C]** Single Family I Garage /Detached ❑Discretionary"D"or Unnamed Use Classification Manufactured Home ❑ Modularti. -• ❑Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑ Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry 0 Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Storrnwater Management CI Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, INK-federal federal permits required for this proposal, if known: -17 1� D r e NATION OF AGENT I hereby designate , r'-vrTi 1 in C.� /-,ii ' / o act as my agent in matters relating to this application for permit(s). ___V ��, Date: // OWNER SIG NA E ✓ t ' G , By signing this pplica n fo ,t e owner/agent attests ilia - ofmation provided herein,and in any attachments, is true and correct to the best of his,her or it's kn edge. Any m rial 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 an h1:""- I further agree to save,indemnify and hold h miss efferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue agai st Jeffer n Cou as: result of or in consequence of the granting of this permit. I further agree to provide access and right of a to Je rso Count and its employees, representatives or agents for the sole purpose of application review and any required ter ins ions. Staff acres a . .ht• -ntry will be assumed unless the applicant informs the County in writing at the time of the application t or sh warns ' 6c c. �/, / / Signature: �. Date: The action action ant will unde•. e as a result of the is- .'ce of this permit may negatively impact upon one or more threatened or endangered species and could lead t• a potenti. "ake"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA." -fferson oun makes , -..urances to the applicant that the actions that will be undertaken because this permit has been issu:•will not viola the ESA. Any i •ividu. ,grou• • agency can file a lawsuit on behalf of an endangered species regarding your O action(s)even if you -'a in complia�.-with the -ffersi • ik de •pment code.The Applicant acknowledges that he,she or it holds individual and non-transferab s."i siblity t'.r .••- ' .• •- : She Applicant has read this disclaimer and signs and dates it below. Signatu ,: __ � �� �1 A— _ _ Date: di /- , r c 7 ‘Y 41 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc i w BUILDER STATEMENT The signer of this s.ctemeni,oes hereb ce •ii that thy are aOwners of the parcel referenced herein,that they are not licensed contractors and that they will be assu f,the r•-••• sibilit o he G.•- ontr. for the proposed project. 0 II / Signatu�A _ Date: (/' ' / GENERAL ONTRAI.TOR I R MANUFACTURED HO - . 'ALLER. 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: ,8 New g Wood Existing: �— (Sewer ❑ Addition ❑ Steel Proposed: Bank f 1 Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: Li Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: (0 Setback: 1_1 Private well ❑ Two Party Type of Heat: Proposed: 2 Public l c,I Total: 'Ji ame 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 I`lAbove ground Tank Size of Propane Tank: `Heat Stove p Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I 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 Bid App Review: n /S �r/-O" 7 b7`iM - N n o L;f„( 2"0 Floor Heated Y Consistency Review: 1 Other Heated Base fee: Mezzanine Additional Section: ______ Heated Basement Plan Check fee: 6 m 5 to Unheated Basement State Surcharge fee: t. 56 Other Unheated f- 5 7 21!to Qd Qaodiv Pot Water Review fee: 3 Garage/Carport 1002 I x/ SUBTOTAL 40 I O.g o UN HeAT D 7 ► lib t Decks et-1911/Rd Approach fee: , ,_ , '-0,erZ) ,? 1(061g4)-1 KOther TOTAL: $ 10 Cj i )1r1(p4tok. Rec pt Number: 95 ),- ash/Check Number: -�� ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish J 1- 1 0 7 /5-0 e.ne) Initials: C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Pemut Application 12-19-2006.doc • D rn • 58 „_____, g 4 0 z a �° (-9---- aA I w-O%6'•' O O A • l.F1 MUNI Ill 1 j st I-a N - ti= • o {1 1. A: 1 : , m: kce 3d so r ,. ////////// I 1- N.,.."11 Ill rn - \ 7 l_(> Z-_-=7;=\--1-7,- _ [i -I R D -- Cam""--^'-_ R - 0 A•1.- ii DATES: NEW RESIDENCE T P.G. 5-215-07 SARASE FLOOR PLAN AN W m ° P.O. PDX N 1O-A--07 9 ti M 1 FOR 56'$TOVJNSE V, WA 10-Z�o7 AND A— ��r JACK AND DENISE WRIShT II-I'--07 SIT SARASE ELEVATIONS .5 .385.24,2$ y r�i--r Z taj O vex C r--, Silk pZKt- l c- - aCi rn rna ' > - rn> * MCA -\ s v\ .c. w N— i .7. " )...,, Gil 1 1 3 11 .- li 111 ''! / ill' vo� o QggoNoNNW ; i F V V V N v., N N N W N coV V V aD lL 1/ V' Zt! D O 0 0 w w O O O O O o D O o O O 14 D S O s.1 1 1 Z Z Z. Z. 1 1 5," rn o a a a a a a a a a a a a a a o a i / / / tea+"` / �o1j ar N / • 7-d' / 29'b' 1-d' Id-d' / / 15-6" 5-4" 2'-S" / / / O / / D g r- -4Kn wiW,a'I i,,_, 114 g , , , _ �\ ,... Li 4 a �_ r \ '1""ii................ ' A isi ® O 2 016.4 q N � V! __<_...6P q -, ' -%_. ' , ® , \c) 0\_. , , i _____, 31_ , - 1P1 �-? 9`11111� \ i>. Vc) ‘4 @ -q c z i \ \ 4__--i%04; is, 't R li i % ' 31g ii biiiiiiiislo 1V-1" 4 0 -.< p -..d", / \�IIIIIIIIIl1 7- 9s. "../O y. •' lc) 111111111 4 H., i g-k N i 0, /, 4.4. i 2 0 r2 1 Q „, .,_, ii .--?A 11 f li 2'-8" 0, 1111 0 01 D O M� I-I' °6 5-0 mil ) :„ Z •II N Few Or 00, oI— I- 01111d I 1 �u _, a REPRO /O 7 Z s L gin 11•11./ NE''' z / 41%11111111 ! : - i-4' 2.-6' 5'-d' 5-4" ' IA'-Id' FI W / u�a'/ ten/ MA �i / / j_ / Y / / / ,a-d' 9-d' / / i / DATES: W: NEW RESIDENCE C OX E*1 9 6°'9-28-07 1 + FOR PORT OWNSEND, WA la +07 IOUSE w:F MAIN I=LOOR PLAN 4 JACK AND DEN ISE WR ISHT �'� i iT N �' ab0.,15.u2a v \.(s j A z..)1 1 t s \ \......L. y t , / / -1' • r A "- / .�/r� i. \ -�-� - \/'k . . . t • •, • /7 ( 1' . r N4/ ; .c�Oti d ^^ d P A la , 240?:, c, n /z . -.) -_________ ....., . : ii...‘1 , C-2/ c p , . . at) .! c==i 400 t===c1 Z . 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