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Home My WebLink AboutBLD2008-00326 itILDING PERMIT APPLICATINMLA08-00354 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00326 Received Date: 7/23/2008 SITE ADDRESS: 83 TODD RD PORT LUDLOW, 98365 OWNER: BRIAN A KILLMER TRSTEE PHONE: 360-437-7601 JEANIE A KILLMER TRUSTEE 223 WOODRIDGE DR PORT LUDLOW WA 983659583 SUBDIVISION: Block: Lot: PARCEL NUMBER: 961400005 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATES BUILDERS INC PHONE: (360)437-0931 RON GREGORY 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEABI027J3 Expires 6/4/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 480 VALUATION 120,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 2,124 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: C I dl / Ill Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,105.75 AMS 07/23/08 100546 \JDIRcVE[) Plan Check $718.74 AMS 07/23/08 100546 State Building Code $4.50 AMS 07/23/08 100546 SEP 2008 Potable Water Application $59.00 AMS 07/23/08 100546 Jefferson County Planning Total: $1,887.99 & Building Department CONDITIONS for Building Permit# :BLD08-00326 1.) NO OCCUPANCY PRIOR TO FINAL APPROVAL OF SEP06-454. MUST MEET ALL SEPTIC PERMIT CONDITIONS. THIS STRUCTURE ACCOUNTS FOR 240GPD (2BEDROOMS) OF SEPTIC CAPACITY. 2.) MAINTAIN A MINIMUM OF 10' BETWEEN WATER LINE AND ALL OSS COMPONENTS. 3.) ANY PORTION OF THE SEWER OR TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE CASED OR EQUIVALENT. VERIFICATION ON AS-BUILT REQUIRED. 4.) 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 Garage and ADU. 5.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Garage and ADU. 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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 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. 9 ) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) Building Setback from Todd Road right-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. • Jefferson CountyBuildingDi ion Permit Num• BLD08-00326 Applicant: KILLMER TRSTEE 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 County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control Foundation Footing / /��o SE6 Arne (J" !�7 CGAd' h ' UFrgQlsraLcED 10/7/OB� Footing Drains Foundation Stem Wall 04JIR Underground Plumbing /�/,,, 0 Underc Flnn Framg `7in /411 S• trapg 44d downs) Ext. Shear Wall Nailing /07-1/`3 D1L /l eoRRGC7/O Rough-in Plumbing 1 /�/S�Oz SC Framing /00S by re id/ Blocking Airseal / //d fi by �f3 It Gd1Q2ttfGTlQ�s • Insulation: Walls k/_ kr-t) p� Insulation: Floors yj Insulation: Ceiling / 4, Int. Shear Wall Nailing , �3 Q9 W• allboard Nailing —• C as Line iptsrior Gas-Line zterrur HeaUCGtiia}ney-Clearance - Dynveti7XCTf rafnage ,... A• ddress Posted I _ FINAL INSPECTION -7 — _ ,(. ' 71 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR �� O JEFFERSO OUNTY ' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT `, 621 Sheridan Street • Port Townsend •Washington 98368 �U( d 2(11J8 360/379-4450 • 360/379-4451 Fax �q�, 0'� www.co.jefferson.wa.us/commdevelopment fC�C e JE FERSON COUN1Y DEO Master Permit Application MLA: De -3 3L f Project Description (include separate sheets as necessary): el5"/ G.(c ,e7 t�e-,i/t 4-rT4r//' C 4-h c / Property Tax Parcel Number: '7 /,000.e 5- Size: f 9 / cr square feet) Site Address and/or Directions ton Property: *3 7-Opp R CJ 6PoIQ T 4 ei c li, Z6v4v ,A- ,-7 Property Owner(s)of Record:BA 1 f}NKia/+1,ER1 i> i,G'xjL/ayF</took s7Qes Al 11 m ire 74059 Telephone: ?CO— 4137— 960/ Fax: email: •Ui'i i 0-04Rre s Mailing Address: aa.3 loop"At !J tt 04_ 011.7 Gr N s / 14,/9 9Y3 6cool Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) X Building ❑Variance(Minor, Major or Reasonable Economic Use) ri Demolition Permit ❑ Conditional Use[C(a),C(d),or Cl** )(Single Fa ' ❑ Discretionary"D"or Unnamed Use Classification ,, Garage Attache. Detached ❑ Special Use (Essential Public Facilities)** ❑ Manufacture. Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address ["i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ 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* ❑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 �',1 O.&y' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: -7^ry r 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 re 'red later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: 9 -- Z P—O/ 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 res sibility for adhering to and comp) . with the ESA. The Applicant has read this disclaimer and signs and dates below. Signature: Date: 7_ -0 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. Signature: Date: GENE L CONTRAC R OR MANUFACTURED HOME iI..;TALLER: PHONE: FAX: Ko A) &1;645 Di(y (3Gd) y 37 -a 9II (31:d)937—y63£I' MAILING ADDRESS: , ,/It16 G y2oy if ve Nittlifitifo& CONTRACTOR'S LICENSE �t�ogAie j� e/ - WAINS /f NUMBER: / ` �y J 3 NUMBER ARCHITECT/ENGINEER: 7L,J .A "4& !/�or i t / 6 4-4/ PHONE (3G,0)3 g cn 4 FAx• ( ) _ MAILING ADDRESS: tPQ 6,- pie" EMAIL /f/�.LL/6,L�,t/&cv497-j,0y c . -7 Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X,New )(Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: / Bank Height: LI Community System ❑ Alteration/Remodel ❑ Concrete Total: J ,)(Individual Sys em ❑ Repair ❑ Masonry A)vwG" SEP Permit# V6--06 y,5r ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: [I Private well )(Two Party Type of Heat: Proposed: I [i Public ,, ,_�-Ay ow, Total: N/ 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 Ll Above ground Tank Size of Propane Tank: ❑ Heat Stove I I Cook Stove 1 I Woodstove ❑ Fireplace Insert 1 1 Hot Water Tank I I Pellet Stove l 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: �� 0 0 L/ U� 33 537.Coo 2' Floor Heated I Consistency Review: �j� 0 O Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: I ,1 y Unheated Basement State Surcharge fee: LA '1 Other Unheated Pot Water Review fee: ci 5 no Garage/Carport SUBTOTAL 12,l 531a `1Ce a c5 Q, ciCt • Decks 911/Rd Approach fee: �X 15�-)rZ Other TOTAL: $ I .,150 9 C1 Receipt Number: (. ��C f G Cash/Check Number: 1 f) Co G XV ESTIMATED COST(REQUIRED) I$ Date: //0, (dr) air market va u all labor and materials foundation to finish 7! 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