HomeMy WebLinkAboutBLD2005-00525 - CANCELLED THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
III
UILDING PERMI MLAO5-486
T APPLICAIN ReviewT Type:I
Jefferson County Department of Community Development Ype
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD05-00525 Received Date: 8/12/2005
SITE ADDRESS: 34 PORT TOWNSEND BAY DR
PORT HADLOCK, 98339
OWNER: MARK E JOHNSON PHONE: 360-379-5182
JACOB AND PAUL
62 GARDEN CLUB RD
NORDLAND WA 98358 VILLAS BY THE SEA
SUBDIVISION: Block: Lot: 15
PARCEL NUMBER: 997900015 Section: 1 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 225,000.00 MAIN: 1,260
CODE EDITION: 2003 ADD'L: 402 HEAT TYPE: HTP
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: 1228 SHORELINE:
CONST TYPE: SETBACK:
DECK: 576
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
% \5 105 Q_.
Type Amount Paid By: Date: Receipt: Approved/Date
Potable Water Application $53.00 SLE 08/12/05 76453 APPROVED
State Building Code $4.50 SLE 08/12/05 76453
Plan Check $1,100.94 SLE 08/12/05 76453 SEP 8
Permit $1,693.75 SLE 08/12/05 76453
Total: $2,852.19 Jefferson County Planning
&Building Department
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k4+" 06 JEFFERSON COUNTY z , ,
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i'l -t` DEPARTMENT OF COM�IIUN •: 471 tide
621 Sheridan Street•Port To , „ •Washington 98368
360/379-4450. 360/379-445 iF-7'
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Master Permit Application
Project Description(include separate sheets as necessaryi "..._....:_..._;:W _...w._._
J>%ta/ S'fv e:-LI r✓ n az-s-t //:.Pi.- 0✓/A i7/ ie.0 61/0.4.6-..4
Tax Parcel , Property
Number q '7 7 9 000/s size: • N /6139.0fT2- oaesisquam feet)
Site Address and/or Directions to •r✓+ _ 3y- /j 7 7&h4NSEMO &4j'/ re /44q f L t��r 7
Property (s)of -._-.. , , - • ,. .. P= . t,1 i •
Tom: Zlac, -771--(Z? Fair 366-379-5182 email Xiiira r7 settell)hisr). Cool
g : 6Z 6 F:N 61-148 / Na.Qo 1.AAtO WA 4835-a
Applicant/Agent(if different from owner):
Telephone: , Fax:
Mailing Address:
email:TOM si TeH G1 ipown.coil
YMiat kind of Permit?(Check each box that applies)
Pem
0 Vaia ce( Major or Reasonable Economic Use)
Ad o ti 0 Conditional Use[C(a),C(d).or Cj'•
r 0 D unary V*orr Unnamed named Use q�
plialtrage
4.e” -.#. r='•:. .,-. U �d Use(Essential Public Fad)*,`
u Manufactured
ar - 0 Line Adjustment
U M Codular ❑ Short Plat"
0 Marge of Use fl Site Plan"
u I Road Approach 0 P Long Plat"*
larned Rural Residential Development(PRRDYAmendments*.
0 Plat Vacatan/Atteration'•
u Mowed"Yes'Use Consistency Analysis • U Shoreline Master Program Exemption/Permit Revisions*1'
❑ St xm war Management
0 Stie Plan Approval Advance (SPAN))' U Management Variance Development••
u Temporary Use �Variance
u Tempor T 0 Comprehensive Plan/UDC/Land Use District Map Amendment
u Forest Practices Act/Release of Six-Year Moratorium u Jefferson County Shoreline Master Program Amendment
•May segt e a Pre Conference ~Raqukes a Poe-Appticatron Conference
Please identify any other local,state or federal permits required for this proposal,if known:
DESIGNATION OF AGENT
I hereby designate Flo N/AS .'o„ON so Al to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ,(i riwadt 44 — Date: g— ( 1 0 S
By signing this application form,the ownedagent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or rs knowledge. Any material falsehood or any omission of a material fact made by the ownedagent with respect to this application packet
may result th this permit being nuf and void.
I f
expenses which urther agree to save,indemnify and told harness Jefferson County against as kibirdies,judgments,court costs,reasonable attorney's fees and
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 entity to Jefferson County and its employees,representatives or agents for the sole
review and any required later inspections.Access and right of entry to this gaPo� ss
hours. shag be requested and sf+ ocaa only during business
Si mat e: "047,41041.- �f.ers -v Date: 8— 11 - 6 C
The aeon or actions Applicant will undertake as a rester of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential lake-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 mill be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can to a lawsuit on behalf of an endangered species regarding your
action(s)even i you are in compliance with the Jefferson County development code.T e Applicant acknowledges that he,she or it holds individual
and non-transferable responsthilly for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: /t sn - (7- :m _ Date: 8 -1/ - OS
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410 •.
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OWNER EU1LDER STATEMENT I., 'il,I.: 1.:'''
,,,__;..._______‘ - E
The signer of this statement does hereby certify that they are the Owners of the parcel referenced • , 'are nut ill commotion wid tat
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: .1-- 4.1.4,-1,1----- Date: g—1 1 ' 0,5 I(1:1: AUG 1 2 2005 -9
, .. ..,
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GENBRAL CONTRACTOR OR MANUFACTURED How INSTALLS NOTE: 7 'F' .Fke
( ) - ---(--4----•----------
MAIUNG ADDRESS: EMAL:
CommAcrott's LICENSE WAINS
NE NUMBER
ARCHITECT/ENGINBt PHONE ( ) FAX:( )
MAIUNGADDREss: Ems.
Prpject Type: ne Type: Bathrooms: Shoreline: Type of Sewage Disposal:
W New "kr Wood Existing: .----
0 Adclition 0 Steel Proposed: -2- Bank Iiir":metrtettityp system
0 Alteralion/Remodel 0 Concrete Total: 2- Height I Inclividual System
..-----
0 Repair 0 Masonry SEP Permit#
0 DemcAtion • 0 Other: Bedrooms:
------ Water Supply:
Existing: Setbadc 3 ' well 0 Two Party
Type of Heat Proposed: -1-
Pubic
1/d5A-r PcrilifrfrotSPAM. Total: I-- ---- Name of System:
If this is a Commercial Prole-et you must answer the following:
Number of Padding Spaces: Citerent . Proposed: Number of ADA Packing Spaces:
Number of occupants(=hides owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construclion: WE you have Food Service? Yes / No
(Inds is , • . — - Tank = ! , ...,_z..a,L.-: installation , = ' •i . all items below that
I Underground Tank Above ground T=.,1.. Size of Propane Tank 5 1.,c)
I Heat Stove I Cook Stove 1 Woodstove ireple I _ I Hot Water Tank I Pellet Stove 1 Other
Is this anafiruice being installed in a Manufactured/Mobile Home? Yes ! No
When applying fora permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,truth location and size,distances from the propane tank to all properly lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only
- Current Proposed _ Amount
Main Floor Consistency Review
17-4 0 <bAa5a,w 19.. OD
2ftu Floor Base fee:
IA)1-- acaild.5f4,,2 / q 3, '75
3,0 Floor Additional Section:
Mezzanine: Plan Check fee:
1 \DO CA—
Heated Basement State Surcharge fee:
LI 50
Unheated Basement Pot Water Review fee:
.1)1
Other Unheated 911/Rd Approach fee:
E i:54-1 el (i
Garage/Carport
I/ii& tQS9113.,(Ve TOTAL: $ a■CI: 5 A
Decks
57 , i..-- 57(0.5teceiptNinnber: 9 053
Other Cash/Check Number: I 004
ESTIMATED COST -4 I RED) .;.:
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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#: BLD05-00525 Received Date 08/12/2005
SITE ADDRESS: 34 PORT TOWNSEND BAY DR Issue Date 09/8/2006
PORT HADLOCK, 98339
APPLICANT: MARK E JOHNSON PHONE: 360-379-5182
JACOB AND PAUL
62 GARDEN CLUB RD
NORDLAND WA 98358
SUBDIVISION: VILLAS BY THE SEA Block: Lot: 15
PARCEL NUMBER: 997900015 Section: 1 Township: 29 N Range: 01 W
CONTRACTOR:
PROJECT DESCRIPTION: NEW SFR W/ATT GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE REVERSE
• • •
SPECIAL CONDITIONS FOR CAS1 BLD05-00525
1.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
2.) 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.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
4.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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 two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre 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 Unified Development
Code(UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
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 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
• •
11.) Exterior li ht in for res i de nt ia l uses shall not twenty feet(20') hei ht from de
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) 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.
13.) Minimum setback from Port Townsend Bay Drive right-of-way shall be 20 feet. Minimum
side and rear yard setbacks shall be 5 feet.
14.) A minimum of(2) on-site parking spaces shall be provided for the single family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19