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HomeMy WebLinkAboutBLD2010-00305 itILDING PERMIT APPLICATIOV MLA10-0 Review Type:pe:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00305 Received Date: 8/25/2010 SITE ADDRESS: 18 HERON RD PORT LUDLOW, 98365 OWNER: ELIZABETH A SICKTICH PHONE: 206-484-4517 DOUGLAS J BARKER JTWROS 10233 BELGROVE CT NW SEATTLE WA 98177-5416 LUDLOW BAY VILLAGE SUBDIVISION: Block: Lot: TH-9 PARCEL NUMBER: 968600022 Section: 16 Township: 28 N Range: 01 E CONTRACTOR: CORNERSTONE DESIGN & BUILD INC PHONE: 206-841-8458 4411 CALIFORNIA AVE SW SEATTLE WA 98109 Contractor's License CORNEDB911C6 Expires 2/26/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOl ADDITION TO EXISTING DECKS TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK VALUATION 10,530.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE CONST TYPE: SETBACK: DECK: 390 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0- Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $195.88 LYK 08/25/10 119994 Ai PR J f E 1 Plan Check $126.28 LYK 08/25/10 119994 State Building Code $4.50 LYK 08/25/10 119994 J f. l r'U Total: $326.66 Jefferson County Plannir & Building Department Jefferson County Builuung Di/ton Permit Num . DLD10-00305 Applican, SICKTICH BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2009 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 Framing FINAL INSPECTION q4.200 I 1 FINAL INSPECTION MUS1" E APPROVED PRIOR TO BUILDING BEING OCCUPIED IS PERMIT IS VALID FOR ONE YEAR • . CONDITIONS for Building Permit# :BLD10-00305 1.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 2.) 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. 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.) Maximum lot coverage is not to exceed 55(Yo. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) The building height is not to exceed 35 feet. 6.) Front and side building setbacks are no less than the UBC standard. Rear or Shoreline Setback is no less than 15 feet. 7.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. Pug 24 10 03: 30p Riced Berg 3609-8324 p . 2 en � ° co6, JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 440 360/379-4450 • 360/379-4451 Fax ••,... fd."4•":kt'..._„. ry www.cojefferson.wa.us/commdevelopment us/commdevelopment Ne Master Permit Application MLA: to —3 --2— Project Description(include separate sheets as necessary): A j �n tar t S6( '� C- Tax Parcel Number: 6p 6 Q C o7 2 Property Size: a6 d 5 F (acres/square feet) • Site Address and/or Directio to Property: ( 0.07 AC.RC S) Property Owner(s)of Record: etf( 14.13 T•4'4 5lGkT1 4- 'bouGt,_A5 1�6-e-Kcl?, Telephone: 7- ) 48`I '/S 17 Fax: email:cj j 2 46ef'h. s f c 1c ficti Mailing Address:1,42. 3 C-C vE (Y __>.f-All-Lei WA `I$111 G-'cttsFRcr.oenl —.Applicant/Agent(if different Li o n r Telephone: `'f 1 ` Fax: email: Mailing Address: _. —, __ w4 _WPTt kind of Permit?(Check each box that applies ❑Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or Cj'^" O Manufactured Home .0 Modular • . ❑Discretionary"0"or Unnamed Use Classification ❑ Commercial" 0 Special Use(Essential Public Facilities)" O Change of Use 0 Boundary Line Adjustment ❑ Address Q Road Approach 0 Short Plat" o Home Business 0 Cottage Industry 0 Binding Site Plan" O Propane O Long Plat" O Sign • • 0 Planned Rural Residential Development(PRRD)lAmendments" O Allowed"Yes'Use Consistency Analysis ©Plat Vacation/Atteration" ❑Stormwater Management IFShoreline Master Program Exemption/Permit Revisions" O Site Plan Approval Advance Determination(SPAA))" 0 Shoreline Management Substantial Development ❑Temporary Use 0 Shoreline Management Variance o Wireless Telecommunication" CI Comprehensive Plan/UDC/Land Use District Map Amendment D Forest Practices Act/Release of Six-Year Moratorium CJ Jefferson County Shoreline Master Program Amendment "May require a Pre-Application Conference L7 Tree Vegetation Request ""Requires Requires a Pro- //cation Conference, Please identify any other local, state or federal permits required for this proposal, if known: - DESIGNATION OF AGENT '~"-I hereby designate_DAV)brT14as1P 5 6t.-1 to act as my agent in matters relating to this application forpermit(s). WNER SIGNATURE k ca..sL---� Date: EAy/2-0/0 _ - 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 expanses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agroo to provide access and right of entry to Jefferson County and its employees, representatives or agents for the solo purpose of application review and any required later inspe ions. Staffs access and entry will be assumed unless the applicant Informs the County in writing at the , cime of the application that he or;wants • 'or ot• /Z`// Signature: _ Pate: / Zo/b 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 apecJea end could lead to A potential lake'of an endangered species as those terms are defined in the federal law known as the "Endangered Specios 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 actions)even if you are in Corn is ce with t 0 Je arson Cou ty dovelopmont code.Tho Applicant acknowledges that he,she or it holds Individual and non-transferable responsibil r ache g to nd imply ng with the ESA. The Applicant has road this disci 1 esaandjgn ss and dates it below. Signature: /Date: o 7/2-4+/0 Aug 24 10 03: 30p Richard Berg 3E0- 7S-8324 p • 4 11. 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 projoct. Date' Signature: PHONE: FAX: ENERAL CONTRACTOR MANUFACTURED HOME INSTALLER: (26 C>fe���'�7 JJ FA:j�.� . l-� Carner5jo^k 'es t5+� u/ id i c. EMAIL. -6tnt$ E� Z�- C��-, �t ,a6S%z � lt �,„1� MAIUNGADORESS: 3cn Q�,r ��„t rr✓gC !V, / WAINS NUMBER: RS LICENSE (,a12 N 0 6 / /1 C (O NUMBER 'r . NUMBER: ` PHONE ( I �g�0 Fox.(�Go)37K�53�� ARCHITECT/ENGINEER: IZONetNI ^RCS lTECT0 z6 MAILING ADDRESS: 711Tp►`Ltroa ST• PoRrelD4J1.130.3it, %IA98343 Ewa ric rdd -tem% i -5..rc. .Cow, • Bathrooms: Shoreline: Type of Sewage Disposal: rproject Type: FramO Type:Wood Existing: �Sewer !7 (1 New 0 Steel Proposed: -- Bank ❑ Community System (1 Addition Total Height: u Individual System (i Atterat;on/Rernod� 0 Concrete I'� 0 si SEP Permit# n Demolition ❑ Masonry Bedrooms: Water Supply: o pemotition 0 �' Existing: - Setback: 0 Private well U Two Party Proposed: 14 Public Type of Heat: Total: _� Name of System: • if this is a CoMme ial Protect You must answer tt+o followincb - Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Proposed Number of occupants(includes IBC Type tenants,i employees,etc) Currant Will you have FoocTposed e? Yes / No - IBC oaupancy: -�.�. if this is a pn,nane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 CoOk Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other is this a piianCQ In4 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,aN property lines, tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, reserve area. M1 including t .1 t4` "�•.,� "i i t A'F' ,;,Ji l. i rAti i \ M: H Current Proposed Squaro Foo Heated ' ',w�.'.' EH Bid AAe Review: atMain Floor - , n y2.4 Floor Heated ••• . Consistency Review: -� ��~' Base fee: Igo. ?2 Other Heated Mezzanine - `'1. .w' '' - Plan Chock fee: Heated Basement _ State Surcharge fee: /� Unheated Basement r`"� , ' Other Unheated Pot Water Review fee: �� SUBTOTAL ' Garage/Carport 10 4a, - ...;,.;,, <.--, 91 l/Rd Approach fee: Decks f • _ ! , Other �^ TOTAL: $ i b 11C'lt4 — e 1�' Receipt Number: }q a t" ` Cash/Cheek Number Date: STI TED COST(REQUIRED) Da gi a aluo a oundation to finish Initials: . 0 Y� CO 6 �Y -c v -,. x hiERQPI ROAD I -43 o o D t--� C O > 1 11 e ..J�� o � n ,..., * 0 _j_ 51 0 o� m r" oco com D rn D � � � � -I 171 (i' r rMr A . m C i---+ rmi rzii A A Ft 6 x 'Z - m - pz A O § 6 vi 71 g 0 r c...):17:11) _ VP, - z Cis 631-4i" i £ v 71 C ' \\ - - - - - -',� - - - - -{c, t, w w N rn 2-0" wDx / VVV twn f O Z � � rr -i V Ir 26'-3" \ - - - - - - tee— \,,: NI w ri cDrn z 31'-1 � It- G' \` MX A 0 � (1 OCpCP 7(1 �Qz1 � � z nN � Z j T�17 1 1 t'it �w ui 1'Tl i 7C z , A�, w N \.- ct, as olC7 D � asrnDg Gl i —'k N = r g� p� � X73 avcNP -n g -AnOTc� _Al CJI CP rn Ao 1 z 6** 0rn v, 1 p C KJ p I 0 co a 3 rn 3 0 rn 0 NI I 2 O A H � Z -0 I I �' o ` ,,.d O N loot r iv i rn tv IL: � , rn 0 sa / 0 Cc; sj \ - ic- -1 1 kft'In <_ g 0 ---- h \ \ I v �� zirn O � - r � Q� nr� r do 700 ‘ \:(--.1.\_. 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