HomeMy WebLinkAboutBLD2012-00175 ILDING PERMIT APPLICA1N ReAl2 00 e30
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00175 Received Date: 6/11/2012
SITE ADDRESS: 02, HILL ST
PORT LUDLOW, 98365
OWNER: JOSEPH J CHESLEDON PHONE: 360-379-2966
141 W HILL ST
PORT LUDLOW WA 98365-9686
PARADISE VIEW ESTATES
SUBDIVISION: Block: K Lot: 8-9
PARCEL NUMBER: 984001205 Section: 27 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: HENRY SOUZA PHONE: 360-379-1327
164 SWANSON AVE
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW HEATED ART STUDIO (BUILT W/O PERMITS) PLMB TO BE
REMOVED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 452
VALUATION 39,403.00 ADD'L: HEAT TYPE: WOD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 188
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 0
Routing Date:
Type Amount Paid By: Date: - -ceipt: Approved/Date
Permit $542.75 LYK 06/11/12 131792
Plan Check $352.79 LYK 06/11/12 131792 APPROVED
State Building Code $4.50 LYK 06/11/12 131792 APPROVED
$900.04 MAY 0 7 2014
Jefferson County DCD
0
10
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT#: BLD12-00175
APPLICANT: JOSEPH J CHESLEDON PHONE: 360-379-2966
141 W HILL ST
PORT LUDLOW WA 98365-9686
SITE ADDRESS: 102 HILL ST Issue Date: 05/8/2014
PORT LUDLOW, 98365 Final Date: 8/5/2014
SUBDIVISION: 9840 Block: K Lot: 8-9
PARCEL NUMBER: 984001205 Section: 27 Township: 28 N Range: 1E
PROJECT DESCRIPTION: NEW HEATED ART STUDIO (BUILT W/O PERMITS) PLMB TO BE REMOVED
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/5/2014
\\tidemark\data\forms\F_BLD_Occupancy.rpt 8/11/2014
n • •
JEFFERSON COUNTY
kiii.14 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
,,,,,.....7,44---,b,. 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: \9 'L %
Project Description(include separate sheets as necessary):
Art Studio/Study/Shed
Tax Parcel Number: 984001205 Property Size: 0.29 Acres/12,759.0 SF (acres/square feet)
Site Address and/or Directions to Property:
0 HILL ST, Port Ludlow, WA 98365
Property Owner(s)of Record: Joseph Chesledon
Telephone: 360-379-2966 Fax: email:
Mailing Address: 141 West Hill Street, Port Ludlow, WA 983659686
Applicant/Agent(if different from owner): Henry M. Souza
Telephone: 360-379-1327 Fax: email: henry @designsbysouza.com
Mailing Address: 164 Swanson Ave,Port Townsend,WA 98368
What kind of Permit?(Check each box that applies
[4Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
Ci Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
O Home Business 0 Cottage Industry ❑Binding Site Plan**
O Propane O Long Plat'"'
0 Sign ❑Planned Rural Residential Development(PRRD)/Amendments**
O Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration'*
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions'*
O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manage '-• • •(- Develo•ment**
O Temporary Use ❑Shoreline Manage t
•��V 11,-, jiN
O Wireless Telecommunication' ❑Comprehensive PI. ; N• - ■:f tom` • =9 T t
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County - . r . -
*May require a Pre Application Conference ❑Tree Vegetation R 7t f
**Requires a -j,R. • =..,
Please identify any other local,state or federal permits required for this p 1. 1-1:I,if' sown: r I)
u
DESIGNATION OF AGENT JEFFERSON COUNTY
hereby designate Henr M. Souza to act as my agent in ma t- .!-=`i i t00 glpij i , r ermit s).
D:• Designs b .uza, nc. f
OWNER SIGNATURE .rY...' (L. ..A .-` .rb,�5 Date: S "12—
By signing this applica •rn,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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applica' n that he or e/wants p rior notice.
Signature: i`_ �:7 A Date:
The action or acti, 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-transf ble responsibili r dherin to a complying with the ESA. The Applicant has read this disclaimer and sign and dates it below.
Signature: '(-\`--(— LS cL_ � Date: 5---S---/2--
i
G:\PermitCenter\ FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• . III
BUILDER STATEMENT
The signer of this s tement does r-reby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assum g the respon/ility of the General Contractor for the proposed project.
YSig nature: r �t_ Date: ��1 a-
-
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
O New X Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System
X Aiteration/Remodel 0 Concrete Total: 0 Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
O Demolition ❑ Other. Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: D_ 0 Public
Wood Total: 0 Name of System:
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Cunt 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 I 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,
includin• the reserve area.
S•uare Foota•e Current Pro••sed _ i.. 1 1 ..E� .y� -_ I• n. . t x 1 •Q4
Main Floor Heated 4 5 2 k EH Bid App Review: i
2"0 Floor Heated ` : Consistency Review: icp
r�
Other Heated € Base fee:
.r5(-12/775
Mezzanine ty -, , -_ --4., Additional Section:
Heated Basement i,� S Plan Check fee: 352
Unheated Basement [ State Surcharge fee: ,,if C''
Other Unheated 1,.„r '
Pot Water Review fee:
� � e
l JC,
Garage/Carport x SUBTOTAL I �g ,G4,-
Decks r i Approach fee: +�
18 8 L , Inl a epic)
Other A` 4 TOTAL: $ I La) ,Ott.
,4 Receipt Number:
_Fr iVrf.i.4:1,:lii Cash/Check Number:
ES a COST(REQUI a Date:
' air market value of all labor and mate als foundation to finish s r'�
6975 . 00 Initials: ' '"',,,,m
G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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APN:984001205 Cl)
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD12-00175 Received Date: 6/11/2012
SITE ADDRESS: 102 HILL ST Issue Date 5/8/2014
PORT LUDLOW, 98365 Expiration Date 5/8/2015
OWNER: JOSEPH J CHESLEDON PHONE: 360-379-2966
141 W HILL ST
PORT LUDLOW WA 98365-9686
PARADISE VIEW ESTATES
SUBDIVISION: Block: K Lot: 8-9
PARCEL NUMBER: 984001205 Section: 27 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW HEATED ART STUDIO (BUILT W/O PERMITS) PLMB TO BE REMOVED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 452
VALUATION 39,403.00 ADD'L: HEAT TYPE: WOD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 188 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $542.75 LYK 06/11/12 131792
Exist: 0 Exist: 0 Plan Check $352.79 LYK 06/11/12 131792
Prop: 0 Prop: 0 State Building Code $4.50 LYK 06/11/12 131792
Total: 0 Total: 0 Total: $900.04
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
� •
Jefferson County Building Buildin Division Permit Number: BLD12-00175
Applicant: CHESLEDON
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next 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 ( / Mininum setback from Hill Street right-of-way shall be 20 feet.
Minimum north and south yard setbacks shall be 5 feet. Minimum
setback from the adjacent rural forest lands(western boundary)shall be
15 feet.
Erosion Control SEE CONDITION 2
Foundation Footing 4/0 i
Straps(hold downs) Obit it Al
Ext. Shear Wall Nailing N
Insulation:Walls ,_ 2 1/
Insulation: Floors �/"7
•
Insulation:Ceiling
Wallboard Nailing 4/21,1
Drywell/Alt Drainage j���,� SEE CONDITION 1 for SPLASHBLOCKS
Add'l Septic Inspect Req'c Inspection required to verify removal of water lines into what was the
bathroom sink area and the plumbing/piping under the structure is
removed prior to fmal.
A final inspection will not be scheduled until all of the
following are completed and signed off by the applicable
Department:
• Building Permit Conditions are met
• Septic Permit Final/Complete for any building
containing plumbing
• Land Use Conditions met and signed off
• Public Works Permit Final(where applicable)
FINAL INSPECTION 6/ q1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD12-00175
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 FLOWPATH 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.) Jefferson County has determined that the use of real property for agriculture and forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
•
5.) 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.
6.) The site plan as submitted with the building permit application on June 12, 2012 has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated May 8, 2014 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
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.) This parcel is within the Paradise Bay no shooting area per JCC 8.50.
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.) 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.
12.) Mininum setback from Hill Street right-of-way shall be 20 feet. Minimum north and south
yard setbacks shall be 5 feet. Minimum setback from the adjacent rural forest lands
(western boundary) shall be 15 feet.
13.) The building height is not to exceed 35 feet.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc. Pre-existing legal
lots of record less than one acre in size in rural residential districts are subject to the
stormwater requirements in Chapter 18.30 JCC and must meet the"Area of Impervious
Surface Coverage"to the maximum extent practicable as determined by the administrator.
Lot coverage is defined as amount of impervious surface, which includes rooftops,
driveways, concrete, etc.
15.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
16.) Approval of this permit does not provide any assurance of future approvals for onsite
sewage disposal on the property or use of any existing septic systems. Actions taken to
date and proposed as part of this project may limit or prevent future development of an
onsite sewage system. Future proposals must meet current code at the time of
application.
•
17.) The septic tank was installed without permits in violation of state and local codes. The
tanks (blue 50 gal. barrels)were pumped and removed.
18.) All plumbing fixtures shall be removed from the structure and plumbing stubouts/piping
shall be plugged with concrete grout or bentonite clay. Plumbing/piping under the building
shall be removed. Inspection by JC Health Department staff is required prior to final.
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 5/8/2014