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HomeMy WebLinkAboutBLD2009-00202 THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. •UILDING PERMIT APPLICAWN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 MLA09-00222 PERMIT #: BLD09-00202 Received Date: 7/6/2009 SITE ADDRESS: 105 KELLY DR PORT LUDLOW, 98365 OWNER: RICHARD E GOOKSTETTER PHONE: (360)437-9218 105 KELLY DR PORT LUDLOW WA 983659533 CEDARHOLM VILLA SUBDIVISION: Block: Lot: 70 PARCEL NUMBER: 942300048 Section: 19 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W/ A/G 25 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,806 VALUATION 194,424.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 384 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 f Routing Date: ( Type Amount Paid By: Date: Receipt: Approved/Date f Permit $1,525.75 LYK 07/06/09 108717 APPROVED pF '■ ED Plan Check $991.74 LYK 07/06/09 108717 f� 1 Y State Building Code $4.50 LYK 07/06/09 108717 AUG 19 2009 Potable Water Application $62.00 LYK 07/06/09 108717 Jefferson County Planning Total: $2,583.99 &Building Department 0 .4 cO . d FFERSON COUNTY Sq ,`FEPARTMENT OF COMMUNITY DEVELOPMENT e rx 621 Sheridan Street• Port Townsend W ashington 98368 360/379-4450 • 360/379-4451 Fax ��g $ www.co.jefferson.wa.us/commdevelopmerJt� 13INt Jw h q ,' Master Permit Application MLA: �J !- 2_ Z Project Descripti n (include eparate sheets as necessary);; N 0 } jj Tax Parcel Number: 4 L t22 Q (DO ti t Property Size: r / $Y9-X0 (acres/square feet) Site Address and/or Directions to Property: jt� �;cL pc Pmt J' vr3s" Property Owner(s)of Record: / LP �1 Crii< 1- -er- Telephone: 34,° 13 7 I . F ' Fax: email: Mailing Address: 165`Ketty Lr A- 41-- l— D lic Applicant/Agent(if different from owner): -4,..,....., Telephone: Fax: email: Mailing Address: W)at kind of Permit?(Check each box that applies {Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business LI Cottage Industry ❑ Binding Site Plan** Propane ❑ Long Plat** Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stomiwater Management ❑Shoreline Master Program Exemption/Permit Revisions*"' ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'^` ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ 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 ❑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 this application for permit(s). OWNER SIGNATURE Date: 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, representative's or agents for the sole purpose of application review and any required I. 'nspections. Staffs access -nd right of entry will be assumed unless the applicant informs the County in writing at the time of the application at •- 'r she wan•- odor n tice i ,,�y Signature: i �. .� A Ors- Date: 9 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 ar in complia ce with the Jeff on County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable e o ibility r adh rin o complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 6 -a-© -D G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ■ BUILDER STATEMENT The signer of this st. - ent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu ,• > re.. sibil'�, of e General Contractor for the proposed project Signature. J_ 3 Signature: ♦ , . _ ,�i��, ;�///w Date: ` . GENERAL CONTRACTOR OR MANUFACTURED HOME.INSTALLER: PHONE: FAX: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE f% WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: ' ,� PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 'Z( New Wood Existing: ❑ Sewer Addition ❑ Steel . Proposed: -1- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: l Height: ndividual System ❑ .Repair ❑ Masonry SEP Permit# 5'&f 7.01 q ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: Private well ❑ Two Party Type of Heat: Proposed: ____1_ ❑ Public Total: t 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 1 No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that ap ly: I Under.round Tank move grounnk� Size of Propane Tank: S 6 /1-( 1 Heat Sto e i Cook Stove 1 Woodstove 1 Fireplace Insert I Hot 'ater Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home •es / o 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. Square Footage lreki .` Si> ,s S- at ^; c tz i 7 4 . 4;;;_,..-.,,t'74. ^ E Current Pro osed c Y�Efit.T& : Y"n ` E pQ x Main Floor Heated b { 1 H Bld App Review: ID i 13. 00 Floor Heated r FTFIE:r"qtti Consistency Review: - 013. vCa Other Heated r i Base fee: jj 15a5.-15 IC Mezzanine v „�_ Additional Section: Heated Basement 41-0,.. .,',.;,4, ,,,-: Plan Check fee: Unheated Basement . :0�r "e 115,". State Surcharge fee: ' 11. 50 Other Unheated P#- " , ` Pot Water Review fee: 00 Garage/Carport " s g , ? SUBTOTAL . c161-1. L I ri Decks 2 c/� ",: 911/Rd Approach fee: Vd € -, a f ! L: n _ Other k. as o 1 CH� . TOTAL $ i . r F ; Receipt Number: /6 C/7/7 Cash/Check Number: t J O ESTIMATED COST(REQUIRED) NI A qa 1 !ID.te: ?_ /l� _A Weir market value of all labor and materials foundation o 0v Initials: ' l G:\PermitCenter\###FORMS###\DRD FORMS\Master Per,nit Application 5-29-08.doc 1 • -Ir • 1 ,-,, II II II „,____i 9 $ STUD' s . 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'• ag =3 Ns_ -N•os, T1 %.5 ZIN ..,.. ,..„...!... 0 . ..t..- Jefferson County Building ision Permit N er: BLD09-00202 Applicant: GOOKSTETTER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 e°3tDc( Minimum setback from Kelly Drive right-of-way shall be 20 feet. Minimum sideend rear yard setbacks shall bo 5 foot, Erosion Control SEE CONDITION 2 � _._�� 1771 i .VI wt ar r-•- .- ' Foundation Footing 5 T-7-fle twry AVL Footing Drains Foundation Stem Wall Underground Plumbing / t Under Floor Framing P) /q t( (61-P Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Airseal Insulation: Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00202 Received Date: 7/6/2009 SITE ADDRESS: 105 KELLY DR Issue Date 8/19/2009 PORT LUDLOW, 98365 Expiration Date 8/19/2010 OWNER: RICHARD E GOOKSTETTER PHONE: (360)437-9218 105 KELLY DR PORT LUDLOW WA 983659533 CEDARHOLM VILLA SUBDIVISION: Block: Lot: 70 PARCEL NUMBER: 942300048 Section: 19 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/A/G 25 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,806 VALUATION 194,424.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 384 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,525.75 LYK 07/06/09 108717 Exist: 0 Exist: 0 Plan Check $991.74 LYK 07/06/09 108717 Prop: 1 Prop: 1 State Building Code $4.50 LYK 07/06/09 108717 Total: 1 Total: 1 Potable Water Application $62.00 LYK 07/06/09 108717 Total: $2,583.99 Directions to Site: SEE DIRECTIONS & MAP IN FILE 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 3 pm the day before inspection is needed. Monday Inspections must be received by 3 pm on Thursday before inspection is needed. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE ATTATCHED • • CONDITIONS for Building Permit# :BLD09-00202 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 SPLASH BLOCK 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.) Water line must be a minimum of 10' from all sewer lines and other septic system components. 4.) 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. 5.) VOLUNTARY MEASURES O4,ASTAL &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. 6.) 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. 7.) 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. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 9.) 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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. 12.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from Kelly Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 16.) 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. 17.) 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.