HomeMy WebLinkAbout01- APPLICATIONScan the QR code to access the digital form.
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.co.jefferson.wa.us/communitydevelopment
E-mail: dcd@co.jefferson.wa.us
PRE-APPLICATION CONFERENCE
Purpose
The purpose of the pre-application process is to ensure consistency with the applicable sections of JCC Title 18.
Process
1. Submit an application for a pre-application conference with the required items below.
2. Once submitted, staff will be assigned to the case, and they will coordinate with you on potential meeting dates.
3. Discuss project at meeting with all required departments. If necessary meeting will be held on site.
4. Receive written report from Jefferson County on process to move forward with project.
5. Submit all required applications for project; once approvals are issued, start project!
The Jefferson County Code (JCC) 18.40.090 & 18.25.640: When Required. Pre-application conferences are required
for all Type II, Type III, Type IV and Type V project applications and Type I project applications proposing impervious
surfaces of 10,000 square feet or more and/or non-single-family structures of 5,000 square feet or more.
Additionally, pre-application conferences are required for industrial, commercial, and critical area stewardship plan
applications. The administrator may exercise discretion not to require a pre-application conference if the
administrator determines that the conference information is self-evident, already transmitted, or would not add
value to the subsequent application. Pre-application conferences for all other types of applications are optional,
and requests for conferences will be considered by the administrator on a time-available basis. The consultation
includes preliminary review and administrative assistance. This service does not include extensive field inspection
or correspondence. Pre-application consultation does not limit subsequent administrative review.
At the conference, Department of Community Development personnel shall provide the applicant with:
1. A list of the requirements for a completed application;
2. A general summary of the procedures to be used to process the application;
3. The references to relevant code provisions or development standards that may apply to the approval of
the application; and
4. A list of any applicable hourly review fees that may be charged by one or more County agencies upon
the filing of a project permit application with the County.
Discussions at the conference or the information provided by the staff shall not bind or prohibit the County’s future
application or enforcement of all applicable laws and regulations. No statements or assurances made by County
representatives shall in any way relieve the applicant of their duty to submit an application consistent with all
relevant requirements of County, state and federal codes, laws, regulations and land use plans.
Required Submittal Items
Pre-Application Conference Application
Conceptual Design plan – see pg. 2
Permit Fees based on departments requested/required to attend for project type
List of everybody who will be involved in the meeting and/or project
Attach any special reports already completed for the project/parcel
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Application Directions
1. Please answer all questions on this form completely.
2. Attach one sketch of the Conceptual Design plan for the proposed use or activity, showing the following information:
a. Vicinity sketch;
b. North arrow and scale;
c. Property boundaries and identification of land uses on adjacent properties;
d. Means of ingress and egress;
e. Property/lot drainage;
f. Possible locations of sewage disposal and water supply systems;
g. Location of utility easements; and
h. Proposed location of buildings, including setbacks to property boundaries.
3. Attach payment of the applicable fee, as set forth in the Jefferson County Fee Ordinance.
Applicant Name:
Mailing address:
Telephone: email:
Representative:
Mailing address:
Telephone: email:
representative:
Telephone: email:
Representative:
Telephone: email:
Representative:
Telephone: email:
Include additional names on a separate sheet.
Property Description
General Location:
Legal Description (from Property Tax Statement):
9-Digit Parcel Number:
Total Acreage:
Zone:
% Lot Coverage:
This is the % of your property
that is covered by impervious
surface.
Applicant: Owner Lessee
Contract Purchaser Other ____________________________
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CONCEPTUAL DESIGN PLAN
Please submit (or attach) a site map that graphically shows the required conceptual design items listed on page 2.
EXHIBIT "A"
Parcel1:
ThatportionofGovernmentLot3 inSection8,Township29 North,Range 1 East,W.M.,describedasfollows:
Beginningata pointwhichis990 feetSouthand 660 feetEastoftheNorthwestcornerofsaidGovernmentLot
3;
ThenceEast660 feettotheEastlineof saidGovernmentLot3;
ThenceSouthalongsaidEastline300 feet;
ThenceWest 660 feet;
ThenceNorth300 feettothePointofBeginning;
EXCEPT theSouth200 feetthereof.
Parcel2:
The South200 feetofthefollowingdescribedtract:
ThatportionofGovernmentLot 3 inSection8,Township29 North,Range 1 East,W.M.,describedasfollows:
Beginningata pointwhich is990 feetSouthand 660 feetEastoftheNorthwestcornerofsaidGovernmentLot
3;
ThenceEast660 feettotheEastlineofsaidGovernmentLot 3;
ThenceSouthalongsaidEastline300 feet;
ThenceWest 660 feet;
ThenceNorth300 feettothePointofBeginning.
Parcel3:
ThatportionofGovernmentLot 3 inSection8,Township29 North,Range 1 East,W.M.,describedasfollows:
Beginningata pointwhichis1,290feetSouthand 660 feetEastoftheNorthwestcornerofsaidGovernmentLot
3;
ThenceEast660 feettotheEastlineofsaidGovernmentLot3;
ThenceSouthalongsaidEastline400 feet,more or less,tothemeanderlineofOak Bay;
ThencealongsaidmeanderlineNorth53°West 150 feet;
ThenceNorth79°30'West 550 feet;
Thence,leavingsaidmeanderline,North215 feet,more orless,tothePointofBeginning;SaidTractbeing
designedon theCountyAssessorsPlatand DescriptionBook asTax No.10 ofsaidSection8;
EXCEPT theNorth300 feetthereof;
ALSO EXCEPTING THEREFROM therightofway forany countyroadoversaidpremises.
Parcel4:
Alltidelandsofthesecondclass,asconveyedby theStateofWashington,situateinfrontof,adjacentto,or
abuttingupontheWest 640 feetoftheEast660 feetofGovernmentLot3,Section8,Township29 North,Range
1 East,W.M.
AllSituateintheCountyofJefferson,Stateof Washington.
LPB 10-05(i-l)
Page2 of3
HOEDEMAKER
PFEIFFER
Team Contact List
Project: Blake Lodge
10 Beach Drive, Nordland WA 98358
Owner: Andrew Nordstrom
(mailing address) 4014 Hunts Point Rd, Bellevue WA 98004
andrewlnordstrom@gmail.com
(206)650-3573
Architect/Designer: Hoedemaker Pfeiffer
6113 13th Ave S, Seattle WA 98108
(206)545-8434
Tim Pfeiffer
tim@hoedemakerpfeiffer.com
c. (917)415-9481
Tori Masterson
tori@hoedemakerpfeiffer.com
c. (206)354-2619
Missy Bucher
missy@hoedemakerpfeiffer.com
c. (310)498-1395
John Sampson
john@hoedemakerpfeiffer.com
c. (509)551-6647
Landscape Architect: Allworth Design
211 Taylor Street Suite 403A, Port Townsend WA 98368
(206)623-7396 or (360)344-2508
Randy Allworth
randy@allworthdesign.com
c. (206)595-2457
Brian Gregory
brian@allworthdesign.com
c. (206)719-8449
Contractor: Hulbert Custom Construction
Todd Hulbert
todd@hulbertcc.com
(360)531-2374
Dave Pitkethly
dave@hulbertcc.com
(206)369-0398