HomeMy WebLinkAboutBLD2010-00384 4111kUILDING PERMIT APPLICA N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00384 Received Date: 11/10/2010
SITE ADDRESS: 193 CAMBER LN
PORT LUDLOW, 98365
OWNER: BRADFORD L HART PHONE: 360-437-9947
POLLY HART
193 CAMBER LN
PORT LUDLOW WA 98365-8781 LUDLOW POINT VILLAGE DIV 4
SUBDIVISION: Block: Lot: 18
PARCEL NUMBER: 969800018 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: BILLS CUSTOM CARPENTRY PHONE: 360-765-0674
PO BOX 876
QUILCENE WA 98376
Contractor's License BILLSCC954LH Expires 6/8/2011
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ADDITION TO EXISTING ATTACHED GARAGE - UNHTD, NO PLMB &
RE-LOCATE A/G 100 GAL PROP TANK
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 13,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 264 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: 68700
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 al: 0
Routing Date:
iC-10— (D
Type —Amount Paid Bv: Date: Receipt: Approved/Date
Permit $223.25 LYK 11/10/10 120262
Plan Check $145.11 LYK 11/10/10 120262
State Building Code $4.50 LYK 11/10/10 120262
Total: $372.86 DEC ZZ 2ir u
Jefferson County Plannirrb
&Building Department
Jefferson County Building Dtsion Permit Nurar: BLD10-00384
Applicant: HART
BUILDING PERMIT INSPECTION APPROVALS applicable 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 q41(Erosion Control
Foundation Footing 313 1r
•
Footing Drains
Foundation Stem Wall j/ill
Straps(hold downs)
Ext. Shear Wall Nailing Z-j I I <<
it N.4 •Pa-C r'.
Framing lUl/ AV ;3''u' ✓
Blocking
Wallboard Nailing
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION L -- /(r-1 ( �
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD10-00384
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.) 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.) This parcel is within a no shooting area per JCC 8.50.
7.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Building setback from Camber Lane is no less than 20 feet. Side and rear setbacks are
no less than 5 feet.
1
• •
17o°1V Cd JEFFERSON COUNTY
• ' DEPARTMENT OF COMMUNITY DEVELOPMENT
Al
621 Sheridan Street• Port Townsend •Washington 98368
�$ 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
/Si7N
Master Permit Application MLA: i 0 - 39 z000Js
Project Description(include separate sheets as necessary): A/Gl
ddt-icm o s2-t,►39 qA Ln�- n i, ►--tom i Q,1
,., oc -E; � c 5 T IL.
Tax Parcel Number: 4�,c - 0 I E Property Size: ,7I+A.crws 3r d35(acres/square feet)
Site Address and/or Directions to Property:
/9,3 c4mte2. /.nAJ1 Pear- Lsi9LoKJ l.44.
Property Owner(s)of Record: P PO/
Telephone: „GO-g.3 7-9 f 4/7 Fax: email:z
Mailing Address: /V 44 t. LA Aotir Luo01 ) tVA- ge 34,5
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
I<Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family PC Garage Attached}Detached 0 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)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
0 Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
0 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
❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 to act as my agent in matters relating to thjs,aaplication forpermit(s).
OWNER SIGNATURE NOV �'- v
Datat „e:
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 attorneys 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 applicatio hat he
r she nts rior notice.
Signature: ,:' `y"'6i �7.C; Date: // /0/270/0
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' mplian with the fferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable s sibilit or adh ' to a complying with the ESA. The Applicant has read this disclaimer d sign and dates it below.
Signature: Date: N. Ae2 AO/0
• •
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 assumi he res nsi ilit ISeneral Contractor for the proposed project.
Signature:
Date: //1/// )f40
GENERAL CON TOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
L13 /l�A�ti"r l In ( ) ( )
MAILING ADDRESS: I EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
0 New K Wood Existing: Y.Sewer
S( Addition 0 Steel Proposed: ..FT Bank ❑ Community System
Total: 3 Height: 0 Individual System
❑ Alteration/Remodel ❑ Concrete y
0 Repair ❑ Masonry SEP Permit#
0 Other: Bedrooms: Water Supply:
El DemolitionExisting: 3 Setback:
0 Private well ❑ Two Party
Proposed: . y Public
Type nQ,f ,._ Total: 3 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:
I Underground Tank ` hove ground Tank Size of Propane Tank: 1 D
1 Heat Stove I Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank 1 Pellet S o e 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. Ir C ,�y rK, * I A�,,,
S.uare Foota•e Current Proposed ' �*.da ce U a.. sL_try . Y M Ap , ' M4 _.. < -_..
Main Floor Heated xa Y: " EH Bid App Review:
2nd Floor Heated Consistency Review: • `� , -
Other Heated '� Base fee: �L
_ aa3.15
'' ` ' Additional Section:
Mezzanine
Heated Basement Plan Check fee: 1 45
• i I
Unheated Basement , State Surcharge fee: .2.t . 51
Other Unheated Pot Water Review fee: re
gi SUBTOTAL
Garage/Carport �'�,I It f �� r—_)S 5 2,
Decks 911/Rd Approach fee: tat
,;, 5
Other av M ! TOTAL: $ 5 .S
t 1 1
f Receipt Number: i Qa�.
- ‘; • Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: I_ L��_t U
.Fair market value of all labor and materials foundation to finish i . —__ L.
/3` 606
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