HomeMy WebLinkAboutBLD2006-00246 tILDING PERMIT APPLICA1IN MRLA06r00pe233
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00246 Received Date: 5/10/2006
SITE ADDRESS: 1283 THORNDYKE RD
PORT LUDLOW, 98365
OWNER: ROBERT E CROOKER PHONE: (360)437-9876
MICHAELYN A CROOKER
1305 THORNDYKE RD
PORT LUDLOW WA 98365-9530 TRAILS END HOMESITES
SUBDIVISION: Block: 03 Lot: 41+
PARCEL NUMBER: 950100339 Section: 16 Township: 27 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 08/19/2006
REPRESENTATIVE: SOUND BUILDING SYSTEMS INC PHONE: (360)437-1219
3546 THORNDYKE RD
PROJECT DESCRIPTIOI NEW POLE BUILDING/GARAGE - NO PLUMBING AND NO HEATING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 19,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,120 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: � liDiDC6aZ
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $307.25 KAS 05/10/06 81175P;
Plan Check $199.72 KAS 05/10/06 81175 JUL j,
2006
State Building Code $4.50 KAS 05/10/06 81175
Total: $511.47 Jefferson County Planning
& Building Department
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00246 Received Date 05/10/2006
SITE ADDRESS: 1283 THORNDYKE RD Issue Date 07/17/2006
PORT LUDLOW, 98365
APPLICANT: ROBERT E CROOKER PHONE: (360) 437-9876
MICHAELYN A CROOKER
1305 THORNDYKE RD
PORT LUDLOW WA 98365-9530
SUBDIVISION: TRAILS END HOMESITES Block: 03 Lot: 41+
PARCEL NUMBER: 950100339 Section: 16 Township: 27 N Range: 01 E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
360-437-1218
Contractor's License: SOUNDBSC27NM Expires: 8/19/2006
PROJECT DESCRIPTION: NEW POLE BUILDING/GARAGE - NO PLUMBING AND NO HEATING
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: '1-A7 0 Vl
UFFER:
Footing: J l"✓
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: c<K f,k <-,444 J„„ B/./uc (PkoVi Per 5.1P,apss)
Plumbing: /.J Q
Propane Tank/ Lines: WA.
Insulation: AVA
Sheetrock: AU/A
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: &A*1___Tgadins 1 (d/Zp/A
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
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TO REMAIN ON BUILDING SITE
WITH JEEfER33 CC't!l.Y CCC
POSTED PERM T S:GN OFF SHEET
•
SPECIAL CONDITIONS FOR CAIPA BLD06-00246
1.) 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.
2.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) Thorndyke Road setback is 20 feet, side and rear setbacks are 5 feet.
7.) 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).
8.) 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.
9.) 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.
10.) 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."
11.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
12.) A Geotechnical Report was prepared by Craig K. White dated November 19, 2003 was
submitted in conjunction with this application. The report addressed the stability of the
geologic hazard area. A setback of 30-feet shall be measured perpendicularly from the
top or toe of the geologic hazard to the proposed garage pole building.
I:\F_BLD_Perm it_B uild ng.rpt 10/29/1999
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FILE COPY
(ON
c0� JEFFER COUNTY •
1g ,� DEPARTMENT OF COMMUNITY DEVIELOPMENT
-\ 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
O� www.co.jefferson.wa.us/commdevelopment
NG
Master Permit Application MLA: O( <.33
Project Description (include separate sheets as necessary):
C0,15trac-fle,e ,.,f ..2 X qq0 ' K /0' pole. be:IlJ,�� c1 li ,%e_
Property ___
Tax Parcel Number: co-0 !c t., 3 3? Size: /y y c)c> (acreO/square feet))
Site Address and/or Directions to Property: l"t 6.3 7,ornet y ke_ kcad, 1 ,,t Lad(c.,
Property Owner(s)of Record: R o b r r t C r o c k e r
Telephone: 3 4.,0 - xl3 7- 98 74, Fax: email:
Mailing Address: i.3os Yh,:-y,,(yke acted , P,,t i_,,di,,• ,,LJA 95'j.s.
Applicant/Agent(if different from owner): S<<:,1 i F3ot,lci,,,5 6,/5 to,,.s 1""c
Telephone: 3le0 - y3-7- /. I? Fax: 36,c0 "I37-is lb email:
Mailing Address: 35 -1i Thor-,1c.tyK2- I c'oci ) i%;t L,;.(lcw . IA.'.9 'iY34.5-
What kind of Permit?(Check each box that applies)
fVBuilding ❑ Variance (Minor, Major or Reasonable Economic Use)
ii Demolition Permit RE C1 ,T N'` ❑ Conditional Use[C(a), C(d),or C]**
❑ Single Family ! El Discretionary"D"or Unnamed Use Classification
liKGarage Attached((Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home — •<•.. ❑ Boundary Line Adjustment
❑ Modular f ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address [7 Road Approach]f t?S I �i� planned Rural Residential Development(PRRD)/Amendments**
❑ Propane (' C['(,-/ V l I A Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ 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* ❑ 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:
1� ` ESIGNATION OF AGENT
I hereby designate v,.d K Lit IA i riy S-y5 'm S to act.as my agent in matters relating to this application for permit(s).
OWNER SIGNATUREIZ,J —I�C. �I /_���, Date: ,- �p -6 6'
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 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.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: R //
( `' -`-L Date: rj •- /C d jj.
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-
transferable resp sibility for adhering to a , complyin with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: e-�P • C, Date: S-/6 - 6 6
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Sound u, ic)in� S'is teYi� s .lI (<34,0 ) `i 3-7- ld l i ( 3Uu ) `i3 7 -/,1 Ib'
MAILING ADDRESS: J n EMAIL:
CONTRACTOR'S LICENSE Pc'c1 1-adi0w, u./,1 yb-36,S WAINS
NUMBER: 5110. / D S 5 G 1 N A-1 NUMBER
ARCHITECT/ENGINEER: �/f PHONE ( ) FAX: ( )
MAILING ADDRESS: Ito MaI I Sr. !LPL= S✓1e A Su le nA , O k y'73,, i EMAIL
Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal:
New ['Wood Existing: c' ❑ Sewer
❑ Addition ❑ Steel Proposed: v Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: G Individual System
❑ Repair ❑ Masonry SEP Permit# ' - o to `i
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: C' Setback: Cl Private well ❑ Two Party
Type of Heat: Proposed: 0 i i Public
Total: 0 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 i Underground Tank f_] Above ground Tank Size of Propane Tank:
I! Heat Stove U Cook Stove [I Woodstove Il Fireplace Insert Li Hot Water Tank Li Pellet Stove HH 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 Current Proposed 'For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2"0 Floor Heated Consistency Review: �
IJ-
3. co
Other Heated Base fee: /111 J
Mezzanine Additional Section:
Heated Basement Plan Check fee: a
Unheated Basement State Surcharge fee: , lJ
` 5 n
Other Unheated Pot Water Review fee: �{
Garage/Carport SUBTOTAL
/7 -t. c% 1W3 ,t) /Ia . '/
7i
Decks 911/Rd Approach fee: q( 5 I
Other TOTAL: $ I .Q LI 7
Receipt Number: U (\']5
Cash/Check Number: l`511
ESTIMATED COST(REQUIRED) .�_� Date: �
•Fair market value of all labor and materials fo ndation to finish .)
1 `^� _
j Initials:
19, aoo.o
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc