HomeMy WebLinkAboutBLD2003-00266 • BUILDING PERMIT APPLI•TION MRLA03 0eview 0p224
e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00266 Received Date: 4/28/2003
SITE ADDRESS: 111 MERRIDITH ST
PORT LUDLOW, 98365
OWNER: PAMELA K ENGSTROM PHONE: (425)503-5560
111 MERRIDITH ST
PORT LUDLOW WA 98365-9506
SUBDIVISION: SHINE Block: 1 Lot: 3
PARCEL NUMBER: 994400103 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: CHRIS KUDRIAVTSEFF PHONE: (425)503-5560
9718 SE WYNDHAM WY
PORTLAND OR 97266
PROJECT DESCRIPTIOI` DECK REPAIR /ADDITION & CHANGE OUT WINDOW
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 3,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 466
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: LI
t.3
i F&W Landslide
03 Shoreline A uifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: 1 .A'•
Permit $83.25 MAM 04/28/03 56041 e pr
Plan Check $54.11 MAM 04/28/03 56041 MAY 1 5 2003
State Building Code $4.50 MAM 04/28/03 56041 Jefferson County Planning
Total: $141.86 & Building Depar lent
P(//6X-i
¢SON co Jefferson Ca, Department of Community Development
f r, 6 0 621 Sheridan Street,Port Townsend WA 88388(360)378-4450
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Project Description:
Building Type: Project Type: Frame Type:
Single Family ❑ New ,ii-"Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular .lO Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
O Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing. Existing: 0 Sewer ❑ CommunitySystem
Proposed: � Proposed: p y A'Electricity ❑ Oil
p p Individual System ❑ Woodstove 2-'Propane
Total: _ Total: �— If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP ., b,• ti •
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system' '411 1+►s`f %O
Square Footage: For Office Use Only
Main Floor Consistency Review 47.00
2ND Floor Base fee g3. 2-S
3rd Floor Pla i,gheck ,F.vo, •.�, , . t —
Htd Basement ,.State.Surharge fee, , . �
Unhtd Basement 3`� Subtotal ( •<a40
aGarage/Carport -1 Pot Water Review fee
Decks 3 Sc S c /2r.,..de/ Arelc 911/Rd Approach fee pp
1� CAOAEi� �l 4f G��nw PrOE tc TOTAL c3
Industrial Receipt# 5pO 4 1
Other It i) Tt so 1iC.(j Cash/Check# CASN
Total Valuation: -- Initials
Or / Date
Estimated ost:
If withi 200' of th oreline,
Distance to a rdinary High Water Mark /Oo ft.Bank Height O 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 alrliabAigi,judg'ments,`tourt costs;reastihableattorney'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 t rovide access d right o 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 en to applican property or s cture shall be requested and shall occur during regular business hou .
Signature: � � Date: (Z d
OV _
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
0 BUILDING PERMIT II
Jefferson County mity
621 SheridanDepart Street, Port
entof Townsend,Commun WADevelopment 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00266 Received Date 04/28/2003
SITE ADDRESS: 111 MERRIDITH ST Issue Date 05/15/2003
PORT LUDLOW, 98365
APPLICANT: PAMELA K ENGSTROM PHONE: (425)503-9960
111 MERRIDITH ST
PORT LUDLOW WA 98365-9506
SUBDIVISION: SHINE Block: 1 Lot: 3
PARCEL NUMBER: 994400103 Section: 33 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: DECK REPAIR/ADDITION & CHANGE OUT WINDOW
REQUIRED INSPECTIONS:
[ ] SETBACKS /Footings:
[ ] Foundation: --) Dk ¢/1£3/de g
[ ] Underground Plumbing/Underground Insulation: AO
[ ] Shear Wall: )(VA 1Q.
F r a m i n / /g OP g-
o ,C'
f 1 Propane Tank/Lines: /V,A V
Q ' /v '\v p
[ ] Insulation: Ai`A li 1"
f 1 Sheetrock: AVA i� vt', iti/
1 1 Septic System Final Approval: /k n 4 \ \ v, yo
1(1 l
[ ] Zoning Final Approval: ��++ Av- \®� f \� flC
f 1 Final/Occupancy Approval: O4 Cow ,rta,i ivies 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.
SPECIAL CONDITIONS APPLY -SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE t BLD03-00266 410
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 5/15/03 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:
Shoreline, and Seismic Hazard Area.
2.) A Landscaping Plan was submitted and approved by Jefferson County. The Plan shall be
implemented within 90-days. An inspection shall be performed on the property. The
applicant shall contact the Department of Community Development at (360)379-4450 to
schedule a date and time for the inspection.
3.) The applicant is proposing to create or add 116-square feet of impervious surface.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal adhere to Best Management Practices (BMPs).
4.) 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.
5.) The site plan as submitted with the building application on 4/28/03 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 5/15/03 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
6.) This approval is for a Deck 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 deck will be expanded by approximately 116-feet. The proposal currently exceeds
the minimum 30-foot setback requirement.
8.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
9.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock (Tsuga Heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry(Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean
Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium).
is\F_BLD_Permit_Buildng.rpt 10/29/1999
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