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BLD2009-00245
LDING PERMIT APPLICAIN MRLA09-00p253 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00245 Received Date: 7/29/2009 SITE ADDRESS: 23 SEA BREEZE LN PORT LUDLOW, 98365 OWNER: MICHAEL D OROS TRUSTEE PHONE: (360)437-2670 CARYL A OROS TRUSTEE 23 SEA BREEZE LN PORT LUDLOW WA 98365-9585 TEAL LAKE VILLAGE SUBDIVISION: Block: Lot: 21 PARCEL NUMBER: 998700021 Section: 21 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 3/15/2011 REPRESENTATIVE: WHITEY JOHNSON PHONE: (360) 779-9884 PO BOX 1110 (360) 598-3308 SUQUAMISH WA 98392 PROJECT DESCRIPTION ENCLOSE DECK ON EXISTING SFR AND ADD 65 SQ. FT OF NEW DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 113 VALUATION 28,500.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 65 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routing Date: 1-1 aq)o6 i- Type Amount Paid By: Date: Receipt: Approved/Date Permit $431.65 KAS 07/29/09 108795 APPROVED Plan Check $280.57 KAS 07/29/09 108795 State Building Code $4.50 KAS 07/29/09 108795 Potable Water Application $62.00 KAS 07/29/09 108795 SEP 15 2009 Total: $778.72 Jefferson County Planning & Building Department • Jefferson County Building Div3'fon Permit Number: BLD09-00245 Applicant: OROS TRUSTEE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 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 Minimum setback from Sea Breeze Lane right-of-way shall be 20 feet. M inimum side and rear yard setbacks shall be 5 feet. Foundation Footing Footing Drains Foundation Stem Wall -ZI-Orl Under Floor Framing Straps(hold downs) ii-7_6q Ext. Shear Wall Nailing /17,1,7_0(P /) It3 STAAP 4'1/1- a•t-i- Airseal Insulation:Walls 11-3 -oT Insulation: Floors iA._3 _1)l Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing J FINAL INSPECTION 10 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00245 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOVVPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 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 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. • • 6.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 7.) The building height is not to exceed 35 feet. 8.) Minimum setback from Sea Breeze Lane right-of-way shall be 20 feet. M inimum side and rear yard setbacks shall be 5 feet. 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.) Per MPR Code Section 3.17, accessory dwelling units (ADUs) shall not be allowed in the MPR-SF zone. . . ii3ON c0� JEFFERSON COUNTY A ��w 11 T W, ' \� 4j DEPARTMENT OF COMMUNITY DEVELOPMENT "' "N '4 621 Sheridan Street• Port Townsend •Washington 98368 JUL 2 9 �Y „ �$ 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment JEFFERSONCOO )� IiIIn PIING Master Permit Application MLA: c,C( - a Project Description(include separate sheets as necessary): C_�C-�- G`"t kilt-t n 5C(Z if 4-DO Hjci (LD,01,— ;-1 :�i,— ;iJ F{�:727rj,�, ) f iL)9 F-C,i1)f--7 / �5, • r1 11 t_ 7---- Tax Parcel Number: 1 C ? i 00 0 i Property Size: 7<s - .I!b 4 ' (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Al', f:.�.- t : -,-_ :,P->-r Telephone: ',_.) - : Fax: email: Mailing Address: Applicant/Agent(if different from owner): _5.o r-— ,;:3,._ ,-__,„, , Telephone: 4-..',„3 ,"- ..,o,:-_.?4_. Fax:Z<_,>., !----„,-.--I F'T'-'7 i email: 1, ,i}.i.,A �,'^,i..,� �j) Mailing Address: ;�..CDF, `, , -2.). _, F,,-vi' J_)/ ; C ,,.<.L] .41". /),z Wh t kind of Permit?(Check each box that applies 0 Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) [3 Single Family El Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home 0 Modular • 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** 0 Change of Use 0 Boundary Line Adjustment O Address 0 Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat** ❑ Sign - • 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration'" ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **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 ?,.L —=-'ram'Y}r--c_-*�;�'+_") act as my agent in matters relating to this application for permit(s). OWNER SIGNATUREji(e-;-/. :/_1 I laes."6,-.1._----/ Date: 7 9 67 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 its 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 an ' ht of entry will be assumed unless the applicant informs the County in writing at the time of the li tion Lhe she wants for . �J ,Q Signature: !�/rGtr . ( Date: ^ '/ `�� The action or actio 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 ar,in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tr ferabl espo ibility for ad aplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: .rr _..1-0--/ — Date: 7 -41:79 • 110 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:'!, .=:i -U`,2''FAx: MAILING ADDRESS: ,.�G }_((I U 5ij.q L,,(.�{n,/t �/. •I ,4C�3`1 L, EMAIL: CONTRACTOR'S LICENSE v WAINS NUMBER: Will T-i ,.J cr., --00 NUMBER r`;E.ac' %- :A..6 . ARCHITECT NGINE : NA-et_C ©uk�._. PHONE (206)6 .z !,7g/FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: I ❑ New I3/Wood Existing: 2 4- B'Sewer VAddition ❑ Steel Proposed: -8-- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2—TA: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: ❑yrivate well ❑ Two Party Type of Heat: Proposed: C c Public Eta' Va M f' Total: 3 Name of System:©tXM.P fG- VJAr'1;R-i 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove 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 Amount ' . Revision - Main Floor Heated EH Bid App Review: 20 s I 112,5 11"LICq 2nd Floor Heated 8 7 Consistency Review: ^ •0 Other Heated '`' lase fee: `"\o t-r C5 Mezzanine Additional Section: Heated Basement JUL z 'a 'ZU J Plan Check fee: a Dl1`5c1 Unheated Basement State Surcharge fee: /j +�D r r -}t 'T _A 1 rJ lift `'t Other Unheated .. ,,.I ./ Pot Water Review fee: l CO-0b Garage/Carport 6-8e SUBTOTAL 1 n Decks .i '1 _>' 911/Rd A pproach fee: ` _ I O��,�_ 1�o � 43_ Other TOTAL: $ ' as a Receipt Number: I O S!;r,�5 Cash/Check Number: ` 00 GI Lk- ESTIMATED COST(REQUIRED) Date: a� I fir, .Fair market vale r • undation to finish ` `( 2B sac,--r� Initials: l f ;0 C r P r I7 11_ gC L O • Gv S D F • \ L S P o (i m zV 1rl� r 0� '1 RI �, (2 a a i \ n i z i sl' -,--, • 1 1 z , • 0 °1 I, \Q I 1 u \r c3.1 a 1 i. 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