HomeMy WebLinkAboutBLD2006-00481 IILDING PERMIT APPLICATION BLD06-00481
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00481 Received Date: 8/21/2006
SITE ADDRESS: 685 LUDLOW BAY RD
PORT LUDLOW, 98365
OWNER: DWIGHT F HAUPTMAN TRSTEE PHONE: 360-437-8097
MARIANNE D P HAUPTMAN TRS
685 LUDLOW BAY RD
PORT LUDLOW WA 983658727 LUDLOW BEACH TRS 2
SUBDIVISION: Block: Lot: 6
PARCEL NUMBER: 969000006 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt INTSTALL PIN PILES UNDER EXISTING FOUNDATION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 50,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $643.75 LYK 08/21/06 84732 APPROVED
Plan Check $418.44 LYK 08/21/06 84732
State Building Code $4.50 LYK 08/21/06 84732 FEB a) 2007
Total: $1,066.69 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#: BLD06-00481 Received Date: 8/21/2006
SITE ADDRESS: 685 LUDLOW BAY RD Issue Date 2/26/2007
PORT LUDLOW, 98365 Expiration Date 2/26/2008
OWNER: DWIGHT F HAUPTMAN TRSTEE PHONE: 360-437-8097
MARIANNE D P HAUPTMAN TRS
685 LUDLOW BAY RD
PORT LUDLOW WA 983658727 LUDLOW BEACH TRS 2
SUBDIVISION: Block: Lot: 6
PARCEL NUMBER: 969000006 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: INTSTALL PIN PILES UNDER EXISTING FOUNDATION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 50,000.00 ADD'L: HEAT TYPE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $643.75 LYK 08/21/06 84732
Exist: Exist: Plan Check $418.44 LYK 08/21/06 84732
Prop: Prop: State Building Code $4.50 LYK 08/21/06 84732
Total: Total: Total: $1,066.69
Directions to Site:
rC\CA-9 D. c.-k 5 pn
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 ATTATCHED
•
CONDITIONS for Building Permit# :BLD06-00481
1.) A Geotechnical Engineering Report dated May 19, 2006 prepared by Otto Rosenau &
Associates, Inc. was submitted in conjunction with this application. The report addressed
the settlement at the residence and is likely a result of consolidation of poorly-compacted
fill under the weight of the existing structure. The settlement is not likely a result of slope
instability.
2.) The recommendations presented in this report are based on our understanding of the
project as presented in the Project Description Section of said report and on the
assumption that the subsurface conditons are as assumed herein. Project conditions,
regarding type and location of structures and foundation loads can change, and
subsurface conditions are not always similar to those encountered during the subsurface
exploration. Therefore, if discrepancies are noticed, the geotechnical engineer must be
contacted for review and for possible revision of the recommendations.
3.) In order to reduce the risk of slope instabiity after construction, we recommend the
following practices:
(A) All roof drains, footing drains, and other drains should be gathered and tightlined to a
discharge location approved by Jefferson County. NOTE: PROPONENT SHOULD
CONTACT JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
(379-4450) FOR DETERMINATION IF A STORMWATER PERMIT IS REQUIRED. IF
TIGHTLINING IS PROPOSED OVER THE BANK, A SHORELINE PERMIT IS
REQUIRED WITH APPLICABLE FEE.
(B) Any accumulations of yard waste and biodegradable construction waste (cut
branches, lawn clippings, and lumber) that are present should be removed from the slope
face and adjacent areas.
(C) Yard waste should not be placed on any of the existing slopes.
(D) Vegetative cover should be continuously maintained on overall steep slope areas to
reduce erosion potential and to stabilize surficial soils.
4.) The migration of sediments from the site must be installed and controlled in accordance
with Jefferson County requirements. We recommend that the following minimum erosion
control measures be employed at the site:
(A) Provide silt fencing around the construction area to delineate the construction limits.
No construction or soil disturbance should take place outside of the construction limits.
(B) Stockpilled soil at the site should be kept to a minimum. Any stockpilled soils should
be covered with carefully secured plastic sheeting.
Additional erosion control measures may be required as construction progresses.
5.) Tempory cut slopes are anticipated at portions of the site. It is recommended that the
inclination of the temporary cut slopes be no greater than 1.5H:1V(horizontal to vertical) in
the upper fill soil.
All temporary cut slopes and excavations must compLY with the provisions of the
Washington Administrative Code (WAC) Chapter 296-155, Part N, "Excavation, trenching
and shoring." The contractor performing the work has the primary responsibility for
protection of workers and adjacent improvements. HOWEVER, THE GEOTECH
RECOMMENDS THAT THE CONTRACTOR SUBMIT A WORK PLAN AND
EXCAVATION SUPPORT FOR THEIR REVIEW PRIOR TO BEGINNING WORK ON
THE SITE.
6.) Ground water seepage will likely not be encountered during consruction. However, we
anticipate that dewatering could be satisfactorily completed by routing water through
ditches to a low spot or sump in the excavation. Water collected in the excavation should
be removed as soon as possible and should be discharged to a location approved by the
Jefferson County and in accordance with Jefferson County requirements.
7.) Good surface drainage is an into part of the performance of earth-supports
structures such as foundations, retaining walls, and pavements. Therefore, construction
grades and final site grades should be designed to prevent water from entering the
foundations or gravel drains behind any retaining walls, or from ponding on or next to
pavements. Where pavement does not immediately abut structures, the ground surface
should be sloped with an outfall of a least three (3) percent for a minimum distance of five
(5) feet from exterior footings. These slopes should be capped with relatively impervious
soils to prevent infiltration of water into the foundation soils.
RUNOFF WATER SHOULD BE COLLECTED FROM ALL IMPERVIOUS SURFACES ON
THE PROJECT ANDSHOULD BE ROUTED AWAY FROM STEEP SLOPE AREA ON
THE WEST SIDE OF THE SITE TO A DISCHARGE LOCATION APPROVED BY
JEFFERSON COUNTY.
GEOTECH STRONGLY RECOMMENDS THAT NO ON-SITE INFILTRATION OF
RUNOFF WATER BE PERFORMED TO MINIMIZE THE FLOW OF ADDITIONAL
GROUNDWATER AND TO HELP MINIMIZE THE RISK OF FUTURE SLOPE
INSTABILITY.
8.) The recommendations presented in this report rely on adequate observation and testing of
construction materials and procedures by the geotechnical engineer or his qualified
representiative. At a minimum, the testing program should include:
(a) Observation and review of the pile driving and pile load testing to evaluate whether
actual conditions are consistent with those encountered during exploration and used for
design.
Jefferson County Building Dation Permit Num BLD06-00481
Applicant: HAUPTMAN TRSTEE
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 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
Miscellaneous
FINAL INSPECTION �74,06 c.J�'r ''
vt.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VAL.ID FOR ONE YEAR
PI"
• •
N c°o, JEFFERSON COUNTY RECEIVED
/4_ +` DEPARTMENT OF COMMUNITY DEVELOPMENT
4. 621 Sheridan Street• Port Townsend•Washington 98368
l C` tthttpi www.co jeffes on wa us/ommdevelopment/ JEFFERSON COUN 1 f DCD
Stormwater Calculation Worksheet
MLA# F 1 PROJECT/APPLICANT NAME: • (v t e r.� I-( 0,u,_ 0.",.,,,,,,,i
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first
to classify the proposal as`small,""medium,"or large' The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(LE.,SITE)
Size •of parcel f 37 acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet 5 7, -I`i`% sq
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation,and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonbeny,
and salal;herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for.
6./*A Z Does the
,�j� project convert 3'a acres or more of
Construction site for structures %
sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes C14_11/
Well,utilities,etc. "F'`----- sq/ft Does the project convert 21 acres or more of
Driveway,parking,etc. native vegetation to pasture?
sq/ft
Lawn,landscaping,etc. ��j- Circle: Yes CNo)
sq/ft
C I%11.ri jr Fi.ti..
Other compacted surface,etc. '•) ) sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance 71 I sq/ft Cut "--&- Fill '&-"------ (culyd)
[over]
stormwater sale worksheet—REV.10/1/2oo3
1
41110
•
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS-IMPERVIOUS SURFACE "`'
NEW EXISTING �•c 1�5 kc --
Structures(all roof area) sq/ft Structures(all roof area) (a; sq/ft
Sidewalks -L' sq/ft Sidewalks I c sq/ft
Patios ✓C' sq/ft Patios 71)0 sq/ft
Solid Decks sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway sq/ft Driveway r tin
sq/ft
Other sq/ft Other "'ffr sq/ft
Total New sq/ft Total Existing �7r ig4sq/ft
TOTAL NEW+TOTAL EXISTING* 7 18'6 sq/ft 'This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide.the total existing impervious surface above by the size of the parcel and convert to a percentage: I/z=��j%
CDoes the site have 35%or more of existing impervious surface? Circle: Yes Now
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those
that must meet only Minimum Requirements #1 through #5—and for large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owne 'of the affected property.
•
4/1/1
(LANDOWN OR RESENTATNE SIGNATURE) (DATE)
stormwater talc worksheet—REV.10/12003 2
II I E 4+. 5°N cO0 JEFFERSON COUNTY �v 1� �'��``'
c�, ' \' A DEPARTMENT OF COMMUNITY DEVELOPMENT
w '4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
,q www.co.jefferson.wa.us/commdevelopment
SIN°` E�` E fl RtRi'Mfli
Master Permit Application MLA: f'u0
Project Description(include separate sheets as necessary):
'Ti)SI/ 0� /IN Ii/es 1,(Nlit. 64,1-e We-AT vvril� o tic KtiE Feu A:dAli 6..ls
Tax Parcel ` V Property A
Number: 7(o y—000 — 006 Size: fl f isX r1;1�r/ /,,5 /k (acres/square feet)
Site Address and/or Directions to Property: (c 03 Lad(i w b All 44 na
Property Owner(s)of Record: 2w��ti•T M Ati n►.►N t (1-Aui k P'•) t i c 1 �Ru�1
Telephone: . .o --4/7 -8 c'j 7 Fax: 5 parts, - h 11 city f email: u.i _ Au ivt,_d..C.,r
Mailing Address: 6gf Ld(o laii y QZ iv ri I�t L x.IIOtJ iv it $ 6S
Applicant/Agent(if different from owner): //ft
Telephone: Jv/ Fax: tr/A- email: Pi 4
Mailing Address: Jti/fi
What kind of Permit?(Check each box that applies)
❑Building 1 r ❑Variance(Minor,Major or Reasonable Economic Use)
d Demolition Permit 1g •, A-1 if 1r.0 p2t l i ❑Conditional Use[C(a),C(d),or C]**
d Single Family 1 ❑Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
0 Manufactured Home °Boundary Line Adjustment
CI Modular °Short Plat**
El Commercial* °Binding Site Plan**
El Change of Use °Long Plat**
El Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments*"
CI Propane ❑Plat Vacation/Alteration**
DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions'
❑Stormwater Management DShoreline Management Substantial Development**
OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment
OForest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any ther local,state or federal permits required for this proposal, if known:
_.f DESIGNATION OF AGENT
I hereby designate W/ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE l N/✓t�q Date: All/fr
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 an re red later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli ationlithat he r sh ants prior notice. `
Signature: / Date: 5/ 6/9 4
The action or actions(k plicant will unde ke as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species a d 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 complian e with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf ble respo ibil. r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signatur • Date: 6/c/it 6.
(
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
BUILDER STATEMENT
The signer of thi tement does reby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ssu in t r o ility of the General Contractor for the proposed project.
Signature: ) Date: project.
"
ii
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: J PHONE: Fix:
1(01J 5e/«Q J E'% ( 4t 31‘16--.0 7 d41( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE n W / u 4 '
NUMBER: )1.5N t �e.%t� N (r ' VARCHITECT/ENGINEER: 0 V is,o,c'111 Aw RSe4"-----1
C- HONE ad" 72 If 1 e+j FAX:( - 44.4
MAILING ADDRESS: 4;htl M L 1llxr‘j fofri cictt.TL 5 it EMAIL iu/pi
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New NI Wood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: Bank ,(D,ju V QCommunity System
❑ Alteration/Remodel 0 Concrete Total: Heig t.J ndividual System
�j Repair r'c+�a,4gT z/4 0 Masonry f r- SEP Permit#
/❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: Private well 0 Two Party
Type of Heat: P osed ❑ ublic
Total: — IIif--1� F ley A pH To Name of System:
0 'F.kxdil 1iO
If this is a Com - cial Project you must answer the following_ Racr`(e,.tit tr'
Number of Parking Spaces: Current: P s d: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employe et rent Proposed
IBC Occupancy: IBC Type of constructio : Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
0 Underground Tank ❑Above ground Tank e of Propane Tank:
°Heat Stove ❑Cook Stove 0 Woodstove ❑Firepll s Hot Water Tank 0 Pellet Stove O. Other
Is this appliance being installed in a Manufactured/ b e ome? 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:
2ntl Floor Heated y' Consistency Review: �}� ,
Other Heated 744t Base fee: j 1—a
Mezzanine Additional Section: ..
Heated Basement Plan Check fee:
Unheated Basement „t State Surcharge fee:
Other Unheated ' _6C Pot Water Review fee: _________
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee: .-----
Other
j TOTAL: $ I )5 (G
"f7— Receipt Number: 24732
,i.e5t Cash/Check Number:
-55Tio
ESTIMATED COST -EQUIRED) (� Date: r'
i .Fair market value• -II labor-.d materials foundation to finish •
e S J/tee . ' 4`.+► Initials: c
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