HomeMy WebLinkAboutBLD2002-00403 0 ,
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD02-00403 Received Date 07/16/2002
SITE ADDRESS: 107 EDGEWOOD DR Issue Date 08/15/2002
PORT LUDLOW, 98365
APPLICANT: LISA M GATLIN PHONE:
71 FAIRWIND CT
PORT LUDLOW WA 98365
SUBDIVISION: EDGEWOOD VILLAGE Block: ? Lot: 13
PARCEL NUMBER: 948200013 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: OLYMPIC RIDGE PHONE: 360-598-3942
15940 LINDSEY LANE
POULSBO WA 98370
Contractor's License: OLYMPR*066JD Expires: 03/25/2003
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
R UIRED INSPECTIONS: !;
[ SETBACKS / Footings: el K. �Z�Z/- // UFE2 �H44I / S/z7/az li
[ `t' Foundation: ?ock J f/sow &-30-o i
[ ] Underground Plumbing/Underground Insulation: dK 9,4,i2 ,
i eMI'1 J/M . P/P,L's OK 9/f/dz- ,
[ ] Shear Wall:] Framing/Plumbing: G/< l /�eA
,z'' /-, / 02-Al
14,-?`T"l// 3L� &' II yi07 fr
[! ] Propane Tank/Lines: fx.xe5r/c,L 1,1r % 4X. izbye,:. x -ER.io2 PiiefAN(LaJE frAmit d 047"
[ ] Insulation: �/,
[ ] Sheetrock: Ok /tL/a3 l
[ ] Septic System Final Approval:
[ ] Zoning Final Approval:
[ ] Final/Occupancy Approval: eve.cam- CPO 3A1/03
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.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
• •
SPECIAL CONDITIONS FOR CASE BLD02-00403
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 22, 2002 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Erosion Hazard entire property; Landslide Hazard entire property; Fish and Wildlife Habitat
(Osprey and Great Blue Heron) entire property.
2.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
3.) A geotechnical report was not required for the single family residence with attached
garage. The applicant submitted a Geotechnical Consultation Letter dated 7/10/2002. It
contained recommendations regarding design and construction of footings for the
proposed residence. Recommendations were also included for floor slab support.
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.) Washington State Department of Fish and Wildlife Habitat Biologist Jeff Davis, reviewed
the proposal for potential impacts to Osprey and Great Blue Heron. His finding was"This
single family residence development will not have any significant impact on the adjacent
osprey and great blue heron nests."
6.) The applicant is proposing to create or add 2968 square feet of impervious surface and
2968 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson
County Unified Development Code requires that your proposal submit a Stormwater
Calculation Sheet. The applicant submitted a SW Calculation Sheet.
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.) The parcel is a legal conforming lot that is designated as Single Family -4 Dwelling Units
Per Acre- (MPR-SF 4:1) under the Jefferson County Comprehensive Plan Land Use Map
effective 8/28/1998.
9.) This approval is for a single family residence with 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.
10.) The revised site plan submitted August 6, 2002 in conjuction with the building permit
application submitted on July 16, 2002 has been reviewed for consistency under the UDC.
It has been approved by Jefferson County Department of Community Development. Any
modifications, changes, and/or additions to the approved revised site plan date stamped
August 7, 2002 shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
11.) The applicant shall implement the recommended conditions of the July 10, 2002
Geotechnical Consultation letter from Geo-Resources, LLC into development of the
project.
12.) Maximum Impervious Surface Area for lot 13 shall not exceed 45 percent.
13.) Minimum setback from the property line of Tract"G" (a private access road) shall be 20
feet. Minimum side and rear yard setbacks shall be 5 feet.
14.) The building height shall not exceed 35 feet.
15.) Based on Section 3.107 of the Unified Development Code, accessory dwelling units shall
not be allowed in the MPR-SF zone.
i:\F_BLD_Permit_Buildng.rpt 10/29/19
RE3Ua ILDING PERMIT APPLICAZ'rON MRLAO2 00p3e: I
83
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00403 Received Date: 7/16/2002
SITE ADDRESS: 107 EDGEWOOD DR
PORT LUDLOW, 98365
OWNER: LISA M GATLIN PHONE:
71 FAIRWIND CT
PORT LUDLOW WA 98365
SUBDIVISION: EDGEWOOD VILLAGE Block: ? Lot: 13
PARCEL NUMBER: 948200013 Section: 20 Township: 28 N Range: 01 E
CONTRACTOR: OLYMPIC RIDGE PHONE: 360-598-3942
15940 LINDSEY LANE
POULSBO WA 98370
Contractor's License OLYMPR*066JD Expires 3/25/2003
REPRESENTATIVE(S): JOE KLINKER 360 - 302--O 1 S6
15940 LINDSEY LN
POULSBO WA 98370
PROJECT DESCRIPTIOr SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 842
VALUATION 275,000.00 ADD'L: 1,669 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 672
CONST TYPE: SETBACK:
DECK: 118
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 3 Seismic Streams
Total: 2 Total: 3 Flood Way Floodplain
Routing Date: 7/ F&W Landslide
1 1 0 Z SShoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: /� p7 t,E ID
Permit $1,973.75 MAM 07/16/02 49302 /�
Plan Check $1,282.94 MAM 07/16/02 49302 AUG 1 5 2002
State Building Code $4.50 MAM 07/16/02 49302
Potable Water Application $50.00 MAM 07/16/02 49302 Jefferson County Planning
& uilding Dep rtment
Total: $3,311.19
/1,41/ ()-)
10
SON c • Jefferson CoulDepartment of Community Development
621 Sheridan Street,Port Townsend WA 88368 1360)378-4450
0
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Project Description: I :1
Bui ng Type: Pro' ct Type: Fr Type:
/Single Family F c o z New leis Wood
LYGarage Attached/Detached [`�`" ..•- ❑ Addition ❑ Steel
❑ Modular Si I Lti ❑ Alteration/Remodel ❑ Concrete
❑ Commercial "uc ❑ Repair ❑ Masonry
❑ Multi-family/#of Units rLrz 1 ❑ Demolition ❑ Other:
❑ Industrial
ff
❑ Other: { r a ci
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: 0 ❑ Sewer Community System ❑ Electricity ❑ Oil
Proposed: V. Proposed: ❑ Individual System ❑ Woodstove ropane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump/
❑ Conventional ❑ Alternative ❑ Other l��/mr,./c...
Permit# SEP
Water Supply:
❑ Private well ❑ Two Party Well ublic:Name of water system: i J „rt«
Square Footage: /( �l For Office Use Only
Main Floor `7. ,j N 1p, KJ
2Consistency Review 47.00
2ND Floor c S 2'3 Base fee I C' 7 • "7 S
3rd 65/o 12 2-�'C. 9`i
Floor Plan Check fee—
Htd Basement State Surcharge fee 22
Unhtd Basement \^� j"`� Subtotal 3 J 02,
Garage/Carport L ! C_ 5239° Pot Water Review fee ( O�
Decks Z
���� � 911/Rd Approach fee I 4 t oo
Commercial 3g TOTAL 3 SJ® ' II
o Industrial 1 Receipt# LI(�( 3 0 2--
Other Cash/Check# b� 1
Total Valuation: Initials /v
,1-7 J
çatedCost: 7
Date ( o2 0:2
If within a Sh reline
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
By signing the application form,the applicant/owner attests that 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 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 Coun s empl es,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to the apphcan4'-sproperty or struc all be reque and shall occur during regular business hours.
Signature: �' Date: ?,/ ,4-/A
H:HOME\P TR DG\FORMS\BLDpermitApplication 11
i `f� ,'� 3(D 1Z-yv3
a • APPLICATION FOR PER* 00,- ...
a 3S3
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Jefferson County ' 7 , .. . a =a
Department of Community Development "
621 Sheridan Street
E T, 1 ,
Port Townsend,WA 98368 _� "
(360) 379-4450 or 1-800-831-2678
APPLICANT PLEASE PRINT OR TYPE ALL INFORMATION - CHECK BOXES THAT APPLY
❑ Road Approach ❑ Road Approach Permit&Address ❑ General Permit
Fee: $141.00 Fee: $141.00 Fee: $141.00
❑ Utility Class A ❑ Utility Class B ❑ Yearly Class A
Fee: 20%of Class B Fee: $141.00 a4-� (OW Fee: $141.00
l
County Road Name: /0} ittA,0o Qi fw
c
Intended use of County Right-of-Way is to construct, operate and maintain a:
Ol (� ,;C� 1'.� ^�'- F ,14 I hereby designate � —1.:letV)
Applic nt caner, Utility, or Authorized Representative.) )C to act as my agent In matters
elated to this
application for permit(s).
! C.CP r......i ). ( c ,
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iling Address p icant Signature Date
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City-Sate-Zip ccftle Parcel Number
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Telephone Ni '—, ' �Mt �
Flagging C for&Date
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ACKNOWLEDGEMENTS
By signing the application form,the applicant attests that the information provided herein is true and correct to the best of their knowledge
and agrees to ail conditions on the permit. I also certify that this application is being made with the full knowledge and consent of all owners
of the affected property. Any material falsehood or any omission of 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 saw,indemnify and hold harmless Jefferson County against all liabilities,judgment,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 inspection. This fight of entry shall expire when the County concludes the application has complied
with all applicable laws and regulations. Access and right of entry to applicant's property shall be requested and shall occur only during
regular business hours.
The action or actions Applicant will undertake as a result 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 responsibility for adhering to and complying with the ESA.
The Appican t has read this disclaimer and signs and dates it below.
(APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
MAKE CHECK PAYABLE TO JEFFERSON COUNTY
Updated 12/19/01
• •
GATLIN HOUSE
BY OLYMPIG RIDGE
JO84#2297.02 SJUL.02
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