HomeMy WebLinkAboutBLD2005-00251 1 UILDING PERMIT APPLICA•N MLA05 00243
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00251 Received Date: 4/22/2005
SITE ADDRESS: 235 EDGEWOOD DR
PORT LUDLOW, 98365
OWNER: QUENTIN F SOPER TRUSTEE PHONE: 360-437-2400
GENEVIEVE SOPER TRUSTEE
9500 OAK BAY RD
PORT LUDLOW WA 98365-9204 EDGEWOOD VILLAGE
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 948200008 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: (360) 437-0931
22 MCCURDY LANE
PORT LUDLOW WA 98365
Contractor's License HOMEABI027J3 Expires 6/4/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE&
U/G 500 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,592
VALUATION 290,625.00 ADD'L: 1,311 HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 144 SHORELINE:
CONST TYPE: GARAGE: 646 SETBACK:
DECK: 501 BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist: 0
Prop: 2 Prop: 3
Total: 2 Total: 3
Routing Date: 16_7/05
Type Amount Paid By: Date: Receipt:
Permit $2,063.35 BAC 04/22/05 72960 APP v, a
Plan Check $1,341.18 BAC 04/22/05 72960 MAY 1
State Building Code $4.50 BAC 04/22/05 72960
Potable Water Application $53.00 BAC 04/22/05 72960 afforson County Planning
Total: $3,462.03 Atha '' 0 ' : eft
ON
�`�" cod,. JEFFERS COUNTY
W ' \-,, ' DEPARTMENT OF COMMUNITY DEVELOPMENT
'' a -y '4 621 Sheridan Street• Port Townsend •Washi 9� 8
360/379-4450 • 360/379-4451 Fax fr 7(i," I
O� www.co.jefferson.wa.us/commdevelopment
�`�FIING -
Master Permit Application MLA: _O`6-0913
Project Description(include separate sheets as necessary):
Je Si11'jLe. 1cwtH f iSikV�(L_ • t �i�c.6 Cj �.R/
Tax Parcel ) ��aa�11 Property `�dr,
Number. 'll"(KI� 063065 Size: I .I- 06 S (acres/squarefeet)
Site Address and/or Directions to Property: r 2i� e lit'")`E rAre. Qt;=--{- tp 6°,_%
Property Ownersk\of Record: CjOOa- 1 41. 1..dot It-Li. ..{- tt A-A ((Y1Q VteUE, Sic r �T"'ru-St
Telephone: (.?.jl„0) I-tf"1 2'-400 Fax: ,3t.o)43) 0510 email: 10er-i-1(.a ,ca40tPrci.Fcw,
Mailing Address: (1SLa Co_ it ,Lj-i ' i�pS�/.00,,-4- Gt�ttt<.tn. IAA-Lo L K 3(.� I
Applicant/A ent(if dif{ferentfrom owner): T2.T �•0 or-i.5 `/C 6 VMS Pcti� ?rj>t'S tt
Telephone: �->(viJ)tl-31- 2sk:°Z' Fax (3t=t?�L{31 - C' iC email: t,<r j-I0J.tsit tt_s�C r#,G€ln
Mailing Address: 00 i r t • ( '&4 PL?I- L. I.0 t 1 - ( $- ,
What kind of Permit?(Check each box that applies)
Auilding ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit Li Conditional Use[C(a),C(d),or C)**
mgle Family 17 Discretionary"D"or Unnamed Use Classification
Garage Attached/*Beteehed I I Special Use(Essential Public Facilities)**
I:1 Manufactured Home ❑ Boundary Line Adjustment
O Modular ❑ Short Plat**
LI Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat'*
❑ dress i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
®'QdPropane 0 Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
O Stormwater Management Li Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)• ❑ Shoreline Management Variance
❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Wireless Telecommunication* H Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre-Application Conference **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 }, ?r*-- L' C(vt to act as my agent in matters relating to this application for pennit(s).
OWNER SIGNATURE) r-. ✓ f 11,t4&. 1 ,1).71,�`,A k.v�1/ , ��v 1.. �A'' e: L1 11":""('i'c
J
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 it's 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 attomey'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.Access and ht of entry to this property shall be requested and shall occur only during regular business
hours.
0 �J
Signature: /-�/�� e Date: //'—Ly��fl.S
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 in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferab• responsbility for.dheri s r and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: _ ��, «" i� Date: �� 7_ — ' Sj'�
C:\Documcnts and Settings\mochil\Desktop\Master Pcrmit Application 7-8-04.doc /
OWNER 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 project.
Signature: Date:
GENERAL C CTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
�s� i �.40.a'.&L 6ee)V37-073/ 4/3'7—jt3cf>
MAILING ADDRESS: ,� EMAIL:
CONTRACTOR'S LICENSE cite.. r'/L 6, WAINS
NUMBER: ' NUMBER
ARCHITECT/ENGINEER: 4 J/ ` ,�Z � PHONE (i/ ii) ri j 91/7 FAX:( )
MAILING ADDRESS: i/ � t<. 5 r. EMAIL
4 , 4,4rti. Veg.;
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
l New / Wood Existing: ./Sewer
❑ Addition ❑ Steel Proposed: 2,C Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other Bedrooms: Water Supply:
Existing: Setback: ❑ Private well LI Two Party
2
Type of Heat: Proposed: ‘Public
ri,•ii l Total L 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 ' e Tank and/or Appliance Installation permit,mark all items below that apply:
Underground,,T��ank�� j Above ground Tank Size of Propane Tank: SCC 6�'
eat Stove $ ook Stove t Woodstove �1.Fireplace Insert )CHot Water Tank j Pellet S'ove 1 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.
Square Footage For Office Use Only
Current I Proposed Amount
Main Floor l (090 Consistency Review: ,CA
•%).&-L17
2" Floor -G-- 1311 (`n+ q3 Base fee. t 063. 35
3f0 Floor -. t Additional Section:
Mezzanine: m Plan Check fee:
5. � � ! 3,3a1. (1341. ' 8
Heated Basement _. State Surcharge fee: 0
Unheated /1 ■ ! t kg og.51 Pot Water Review fee: —
Other Unheated 4 �" 911/Rd Approach fee: 1 s
Garage/Carport 6,j, t5ta2' TOTAL: $ O3
/ 3� ,
Decks . ,��Rec pt Number: ' 161(ep .
Other -ash/Check Number: r^ or CO
V
ESTIMATED COST(REQUIRED) Date: - .
.Fair market value of all labor and materials foundation to knish -\ "5 / PP-/ 65
■
Initialer
`0 2,4}0)000 - R_ /�[
C\Documents and Settings\mochil\Desktop\Muter r'emvt Application 7-8-04.doc APR 2 2 2005
PIP
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00251 Received Date 04/22/2005
SITE ADDRESS: 235 EDGEWOOD DR Issue Date 05/31/2005
PORT LUDLOW, 98365
APPLICANT: QUENTIN F SOPER TRUSTEE PHONE: 360-437-2400
GENEVIEVE SOPER TRUSTEE
9500 OAK BAY RD
PORT LUDLOW WA 98365-9204
SUBDIVISION: EDGEWOOD VILLAGE Block: Lot: 8
PARCEL NUMBER: 948200008 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: (360) 437-0931
22 MCCURDY LANE
PORT LUDLOW WA 98365
360-437-0870
Contractor's License: HOMEABI027J3 Expires: 6/4/2005
PROJECT DESCRIPTION: NEW SFR WI ATTACHED GARAGE&
U/G 500 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED NSPECTI THAT APPLY TO YOUR PROJECT.
SETBACKS: Dl( 4,/5/65
UFFER: Alto
Footing: / /S 054d / lrT . c O- Wes-
Foundation-4 G/k. , b _ I .. .L..Y • �� :. .
Stormwater FINAL Approval OK 005,
Underground Plumbing:_
Underground Insulation:
Shear Wall : a , _ _ _ A
Sheathing:
Framing: i.3A' /o/ 7/6.V
Plumbing:Ausitie VA2rP Sles,ak DK / Os if L-5 At7 ,7/D 5 fr- lox � os /�R�� N�L
s
I k ll /
//Propane Tank/ Lines: D. r - - �
Insulation: ?aaLLs ok //!4105 >cAv ' n� r
Sheetrock: Ss-Pen/pie z�d� l �.o�ts 7�OKI12. oS /,11voc.x li pl, rY i �DA1/�7z
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval: ',
Zoning Final Approval:
Final/Occupancy Approval: t:W-16r O y6
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 CS# BLD05-00251 •
1.) The road approach permit(RAP05-00099) must be inspected and finalled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact the Department of Public Works at 360-385-9160 for the final
road approach inspection.
2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing-Vegetation."
5.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) A Medium Stormwater Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
9.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
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 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).
12.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) Setback from Edgewood Dr. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
15.) 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.
•
•
16.) Lighting fixtures shall be desig. and hooded to prevent the light source fry 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.
17.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
18.) Per MPR Code Section 3.107, Accessory dwelling units (ADU's) shall not be allowed in
the MPR-SF zone.
•
I:\F_BLD_Pernl it_Bu ildng.rpt 10/29/19