HomeMy WebLinkAboutBLD2001-00529 BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD01-00529 Received Date 09/18/2001
SITE ADDRESS: 902 THORNDYKE RD Issue Date 10/5/2001
PORT LUDLOW, 98365 Expiration Date 10/5/2002
APPLICANT: WALTER H PEDERSON PHONE: 360-765-3978
PO BOX 9
QUILCENE WA 98376
SUBDIVISION: BRIDGEHAVEN DIV 5 Block: Lot: 28
PARCEL NUMBER: 935100027 Section: 9 Township: 27 N Range: 01 E
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks): `U y.. J 3= 1
[ ]✓Footings: /ww..._Je).--/,' -or
[ ] Foundation: V/G /(2
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall:
[V raming/Plum ing: /^,c.r,2eWs;000 42 d-7-o/
[ ] Propane Tank/Lines: NjEs /1-„17- � k % 3 /0
[ // Insulation: OA-10)Jot //A-4k 1
Sheetrock: (Pk._ /� ���17ti-�.� )/ /o`Z
[ ] Final/Occupancy Approval: //C' TC, '-2,1"-"—c -c._
HEALTH DEPARTMENT 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.
IAL CONE) APPLY - Se_
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE BLD01-00529
`'� � 1.)' PRIOR TO FINAL, Road Approach Permit#2773 conditions must be verified by
Department of Public Works. These conditions are: 1) The culvert shall be bevel-cut in
alpaccordance with WSDOT's spec's. 2) The driveway shall be surfaced with crushed rock a
sufficient distance back from the county road to insure that no mud shall be tracked onto
the county road.
2.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas (ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
3.) A Small Parcel Erosion and Sediment Control Plan has been submitted and approved by
the Department of Community Development. Once the subject permit has been issued
4.,
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.
4.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
5.) The site plan as submitted with the single family residence building application on
September 18, 2001 has been reviewed for consistency under the UDC, and has been
approved by Jefferson County Department of Community Development. Any
modifications, changes, and/or additions to the stamped, approved site plan dated
October 4, 2001 shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
6.) This approval is for a single family residence and attached garage only. Any future
permits on this site are subject to review for consistency with applicable codes and
ordinances and does not preclude review and conditions which may be placed on future
permits.
7.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
8.) The parcel was created through the Bridgehaven Division 5 Subdivision as recorded on
May 12, 1966.
9.) A septic permit (SEP96-0005) has been finaled on October 9, 1996.
10.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
11.) Access is provided by Thorndyke Road (a county minor collector road; C418708).
12.) Maximum lot coverage shall not exceed 25%.
13.) Minimum setback from Thorndyke Road shall be 20 feet. Minimum side and yard
setbacks shall be 5 feet.
14.) The building height shall not exceed 35 feet.
15.) Potable water has been supplied to the parcel.
is\F_BLD_Permit_Buildng.rpt 10/29/19
' BUILDING PERMIT APPLICATION ReA�w ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00529 Received Date: 9/18/2001
SITE ADDRESS: 902 THORNDYKE RD
PORT LUDLOW, 98365
OWNER: WALTER H PEDERSON PHONE: 360-765-3978
PO BOX 9
QUILCENE WA 98376
SUBDIVISION: BRIDGEHAVEN DIV 5 Block: Lot: 28
PARCEL NUMBER: 935100027 Section: 9 Township: 27 N Range: 01 E
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 85,985.00 ADD'L: 1,216 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,536 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: BRIDGEHVN PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 1 Seismic Streams
Total: 2 Total: 1 Flood Way Floodplain
F&W Landslide
Routing Date: Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Condition~
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $895.75 RAC 09/18/01 30408 „_-_ -
Plan Check $268.73 RAC 09/18/01 30408 APP111 %JE11
State Building Code $4.50 RAC 09/18/01 30408
Potable Water Application $30.00 RAC 09/18/01 30408 OCT 0 4 2001
Total: $1,198.98
JE R III 4 Y.
DEPT.OF Cl ,N irePMENT
SIGNAT - _ lit
BUILDING PERMIT APPLICATION ReA0w T pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00529 Received Date: 9/18/2001
SITE ADDRESS: 902 THORNDYKE RD
PORT LUDLOW, 98365
OWNER: WALTER H PEDERSON PHONE: 360-765-3978
PO BOX 9
QUILCENE WA 98376
SUBDIVISION: BRIDGEHAVEN DIV 5 Block: Lot: 28
PARCEL NUMBER: 935100027 Section: 9 Township: 27 N Range: 01 E
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
C-51_CA,,CCt_k / -.0 1---A /-P-4,C....----Q_cri
PROJECT DESCRIPTIQ GL / D G
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 85,985.00 ADD'L: 1,216 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 1,536 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: BRIDGEHVN PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 1 Seismic Streams
Total: 2 Total: 1 Flood Way Floodplain
Routing Date: 0-'(- F&W Landslide
_N� Q ` Shoreline Aquifer
Forest: Commercial Rural
Proximity Plat Cond,tiori�
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $895.75 RAC 09/18/01 30408
Plan Check $268.73 RAC 09/18/01 30408
State Building Code $4.50 RAC 09/18/01 30408
Potable Water Application $30.00 RAC 09/18/01 30408
Total: $1,198.98
1.--giON �,, q, JEFFERSON COUNTY
ti ,q DEPARTMENT OF COMMUNITY DEVELOPMENT
O. ' 621 Sheridan Street • Port Townsend • Washington 98368
I`�8?NC's`S 360/379-4450 • 800/831-2678 • 360/379-4451 Fax
BUILDING PERMIT APPLICATION
Project Description:
Bu' i .e: Pr e: Fr. .. .e:
Singlglee Family Wood
, _,.... are;
1
i* ;,•?a '
Steel
Modular i C Alteration/Remodel Concrete
Commercial 4 .` `'.t Repair Masonry
Multi-family/#of Units Demolition Other:
Industrial I '
Other: `.';•.)" 1
Bedrooms: ',',bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: Sewer : Community System Electricity Oil
Proposed: Z Proposed: / Individual System Woodstove /Propane
Total: Total: If not sewer,fill out the following: : Heat Pump
Conventional H. Alternative Other
Permit# SEP
I Water Supply:
Private well Two Party Well_- Public:Name of wate system:
Square Footage: c- t. For Office Use Only
o
Main Floor - flO
��� UBC OCCUPANCY GROUP
j Base fee I�CJ�
3rd Floor Plan Check fee th ��"��v�
Htd Basement \ „� State Surcharge fee Li•��V
Unhtd Basement / Subtotal t i g- 9
Garage/Carport S 3(7 \ '\ Pot Water Review fee ‘.,3 0 .0 0
' ��c�Decks 911/ d Approach fe �
lrg
Commercial TOTAL 1 4` 3 -- lW
Industrial / Receipt# 30' Q S$
Other Cash/Check# 7/9r
Total Valuation: ) C.c.) Initials C�
Or / Date / l` I
Estimated Cost:
C(..) --) )
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
I
liv signing the application Corm,the applicant/owner attests hat the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferso 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 t�e granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to the applica operty or structure shall be requested and shall occur dunng regular business hours.
Signature:-/`Y` Date: 9_. ' ` d
II:HOME\PI.NCN l R\INFOBI,DG\FORMS\Bl.DpermitAppliicationl/2000
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
UNIFIED DEVELOPMENT CODE
TYPE I LAND USE PERMIT
APPLICANT: WALTER H PEDERSON
PO BOX 9
QUILCENE WA 98376
DATE ISSUED: October 05, 2001
DATE EXPIRES: October 05, 2002
MLA NUMBER: MLA01-00491
PROJECT PLANNER: M FARFAN
PROJECT DESCRIPTION:
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
PROJECT LOCATION:
Parcel number 935 100 027, Bridgehaven Div 5, Lot 28 in Section 09, Township 27, Range 01 East, WM located at 902
Thorndyke Rd, Port Ludlow, WA 98365
FINDINGS:
1.) The Administrator finds that this application complies with applicable provisions of the Unified Developmen
Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County
Comprehensive Plan and Land Use map.
2.) The application was reviewed by the Jefferson County Department of Community Development for the
presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded
that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be
subject to a new ESA review and conditions may be added if new ESAs are found on the property.
3.) Jefferson County determined that this proposal is categorically exempt from review under the State
Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
4.) The site plan as submitted with the single family residence building application on September 18, 2001 has
been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of
Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan
dated October 4,-2001 shall be resubmitted for review and approval by Jefferson County Department of
Community Development.
5.) This approval is for a single family residence and attached garage only. Any future permits on this site are
subject to review for consistency with applicable codes and ordinances and does not preclude review and
conditions which may be placed on future permits.
6.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effectiv
August 28, 1998.
7.) The parcel was created through the Bridgehaven Division 5 Subdivision as recorded on May 12, 1966.
8.) A septic permit(SEP96-0005) has been finaled on October 9, 1996.
9.) Access is provided by Thorndyke Road (a county minor collector road; C418708).
10.) Potable water has been supplied to the parcel.
CONDITIONS:
1.) PRIOR TO FINAL, Road Approach Permit#2773 conditions must be verified by Department of Public Works.
These conditions are: 1) The culvert shall be bevel-cut in accordance with WSDOT's spec's. 2) The driveway
shall be surfaced with crushed rock a sufficient distance back from the county road to insure that no mud shall
be tracked onto the county road.
2.) A Small Parcel Erosion and Sediment Control 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.
3.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence.
4.) Maximum lot coverage shall not exceed 25%.
5.) Minimum setback from Thorndyke Road shall be 20 feet. Minimum side and yard setbacks shall be 5 feet.
6.) The building height shall not exceed 35 feet.
NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal
ordinances, regulations, or statutes applicable to the proposed development.
Development pursuant to this permit shall be undertaken subject to the applicable development and performance
standards of the Jefferson County Unified Development Code.
If during excavation or development of the site an area of potential archaeological significance is uncovered, all
activity in the immediate area shall be halted, and the Administrator shall be notified at once.
The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon
became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA,
any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing
harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service
can levy penalties. All areas in Jefferson County are induded as"critical habitat"for a listed species.
Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if
protective measures are not taken. To minimize the potential to damage habitat, all property owners developing
adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following:
-Set back buildings, utilities and roads as far as possible from surface waters(streams, rivers, lakes, marine
waters), or at least 150 feet from the edge of the water
-All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters
- Remove minimal vegetation for site development, especially large trees
-Allow trees that have fallen into surface waters to remain there
- Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into
surface waters or roadside ditches
Any individual, group, or agency can bring suit for a listed species "taking," even if you are in compliance with
Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a
professional fisheries habitat biologist, and following the recommendations for site development provided by the
biologist. For more information, contact the National Marine Fisheries Service in Seattle at (206)526-6613, or the
U.S. Fish and Wildlife Service at(503) 231-6121.
APPEALS:
Pursuant to RCW 36.706, the applicant or any aggrieved party may appeal this final decision to Jefferson County
Superior Court within twenty-one (21) calendar days of the date of issuance of this land use decision. For more
information related tojudical appeals see UDC Section 8.5.2.
The SEPA Official has issued a Determination of Significance for this project. This Threshold Determination may
not be appealed to the Hearing Examiner. For more information related to SEPA appeals see UDC Section
8.10.12.
1
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UDC Administrator
'4 act1430$
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1 offoreimim
" Y; , ,•
OCT 4 2001 fifi i I JEFFERSON COUNTY "
iSTORMWATER MANAGEMENT ORDINANC ' SUS a is "4 '• ,
JEFFERSON COUNTY
DEPT. OF COMMUNITY GEVEiSMALL;PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner: k% '1 iltg44 66 Telephone: t ) 76 3 /7
Address: (2fg& X 9 C 0 C> f /1 s fi
Assessor's Parcel Number: `Z ?j Ste/ 0 0
Building Permit or Septic Permit Application Number(if applicable): old
Brief Project Description: S ;41 y, / �✓`�1 h /L� ��
l07°
Site Location: 90 a d Yh c / (. dt.e
Person Responsible for BMP Installation and Maintenance: v!v 1P'/L/ /, .t,e/2.5a/'i
Address: Pogo 00, 16 Ci''VE to•
Telephone:I3 C° ) 7 47 5 3 4/7 c /
1. Describe/check the Best Management Practices (BMPs) that you will implement during land
disturbing activities or construction to control erosion and prevent sediment from entering water
bodies (warine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or
roads. Please check the measures you plan to implement and show their approximate location on
the site plan. You may also propose measures other than those listed. Attach additional sheets, if
more space is required.
Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from Stormwater
Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
[/}/ Minimize the extent of land disturbing activity and preserve existing vegetation.
Preserve buffers of well-established vegetation between disturbed areas and property
boundaries, roads, water bodies, and designated criti a .re:s iv r.i. a..icr to
habitat areas,landslide or erosion hazard area,etc.). 0
STORMWATER PLAN
:y zel
SPESC Instructions—Short Form
Revised June 3, 1999
3 JEFFERSON C. Y
DEFT.of .: +. .. ..,:sit
SIGNATURE. lLt�'./.. i,�
'y
iptierwooksi
EROSION AND SEDIMENT CONTROL WORKSHE Tart
3
Phase clearing so that only areas that are actively being worked ar uncovered.
[] Start and complete land disturbing activities and stabilize the s to between April 1 and
September 39. Stabilization means that disturbed areas will ha well-established plant
cover or be landscaped to minimize erosion.
Stabilize exposed soil Exposed and unworked soil will be covere within 2 days between
October 1 and March 31 and within 7 days between April 1 and S tember 30.
[ ] Cover exposed soil with a minimum of 2 inches of straw r hay or other material
approved for this purpose.
[ ] Cover soil stockpiles with plastic sheeting and locate away fr m water bodies, roads,
and property lines.
[] Place gravel base on roads,driveways,and parking areas after clearing and subgrade
preparation.
[(1.------Prote adjacent properties and water bodies from sediment deposition:
lace straw or hay bales in ditches and drainage ways down slope from areas
of land disturbing activity to filter runoff before it leaves the project site or enters
water bodies. (See attached illustrations from Stormwater Management Manual.)
[ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff
before it leaves the project site or enters water bodies. (See attached illustration from
Stormwater Management Manual.)
[Regularly inspect and maintain all BMPs especially after storms vents.
[] Describe other erosion and sediment control Best Managemen Practices. Be specific
as to design and specifications.
D . ,11/1/1 --Oar/1 —% cemsW i) 6ovA_,C tLo. dr--- pabeti ci)VLIA/rve)
aavo:4-11A
SP SC Gi 1*ice F rm
Re sed June 3, 1999
I*1004611 Ynotiiintin Alt
EROSION AND SEDIMENT CONTROL WORKSHEET -
2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base
to roadways,etc.)
3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to
infiltrate,dry well,infiltration trench,route runoff to existing drainage facilities, etc.).
_,/11-7„. , otiy tMe,a
SPESC Instructions—Short Form
Revised June 3, 1999
5
EROSION AND SEDIMENT CONTROL WORKSHEErT
4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing
and grading, construction, installation of drainage facilities, landscaping, etc.) and Best
Management Practices.Describe proposed maintenance of BMPs.
i-4..4(4.,„,...,i,,,,,,,A_
The Best Management Practices proposed above will be implemented to contro erosion, sediment, and
stormwater runo . I will notify the Permit Center for inspections as required.
/7-). 4 ---4-24,,, i- -
Signature of Owner/Agent Date
SPESC Instructions--Short Form
Revised June 3, 1999
6
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'BRIDGE HAVEN' I
SECTION 9 T 21 N RIDGE
JEFFERSON COUNTY, WA
I
SITE PLAN
OCT q m
SITE FLAN
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