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HomeMy WebLinkAboutBLD2003-00397 • BUILDING PERMIT APPLIATION MLA03-003511 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00397 Received Date: 6/25/2003 SITE ADDRESS: to 1 SLEEPY HOLLOW RD PORT TOWNSEND, 98368 OWNER: CHRIS KAUZLARICH PHONE:060) 3 941 - y X 4 2- MARY trC, Z A,I., ,c 1,, PO BOX 1083 PORT HADLOCK WA 98339 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 9 PARCEL NUMBER: 999900109 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,208 VALUATION 165,351.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 900 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide ��� /c3 7,-pir Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: � q�ved/Date Total: JUL 2 5 2003 Jefferson Count & Building Y Plannin9 ..�, 9 DeRartrnent „ 0 1/... &(//6?11,i'-' 6f SON co Cyartt of Community Development 621 Meriden Street,Port Townsend WA 88388[360]370-4450 f 0 o `ate PpOc ?5© Permit 4 l y-\11, Project Description: Building Type: Project Type: Frame Type: • Single Famil _ g New J U N 2 5 Kr Wood .▪ Garag,„ etacn,-- ❑ Addition ❑ Steel ❑ Modular-- ❑ Alteration/Remodel ❑ Concrete c J._F; �' GE� ❑ Commercial ❑ Repair 1 or. ❑ Masonry r, ❑ Multi-family/#of Units ❑ Demolition -_, w_--- � ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 4't Existing. �' ❑ Sewer ❑ Community System # Electricity ❑ Oil Proposed: 2/v Proposed: 411 Total: 2��/ Total: Individual System ❑ Woodstove Propane If not sewer,fill out the following: ❑ Heat Pump XConventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only J Main Floor Z, zee, lL1 9 1315". { r Consistency Review 47.00 2ND Floor Base fee ( (03 , 3� 3rd Floor Plan Check fee—65% aa(0• l' Htd Basement ` —� State Surcharge fee (- Unhtd Basement � Subtotal Z-3 b '- b3 Garage/Carport �l�O 2.� 2�� �. Pot Water Review fee 2 Decks ��• " ! 911/Rd Approach fee Li l r G:) Commercial S TOTAL Z 5 24 03 Industrial Receipt# 57 1 S Other Cash/Check# akati- Total Valuation: Imtlals Or Date D Estimated Cost /2'6/ 0-0 v t*-0 If within 200' of the Shoreline, 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 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 applicant's pro erty or structure shall be requested an shall occur during regular business hours. Si nature• ba,ti c., ate• 5 -D OVER_ 0- H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 0 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00397 Received Date 06/25/2003 SITE ADDRESS: 61 SLEEPY HOLLOW RD Issue Date 07/25/2003 PORT TOWNSEND, 98368 APPLICANT: CHRIS KAUZLARICH PHONE: (360)344-4242 MARY KAUZLARICH PO BOX 1083 PORT HADLOCK WA 98339 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 9 PARCEL NUMBER: 999900109 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE [1 R UIRED INSPE •TIONS: SETBACKS:,. (()-(-0-j [71 UFFE'5,. l! C) - (-07 [✓j Footing��� C — ]p-- i-o'- [ ] Foundation:e1Cx (0-t4-O [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : L=,o- //-r2ro, [ ] Framing -/*6-0/ f 1 Plumbi g /'a(-Oy [ ] Propane an / Lines: ijvT /;26-oy 4/4- t-»C ` T,4► 14Y- y .21/ny [ ] Insulation: uJ t t-a- [1 Sheetrock: 21(3/6V" [ ] Septic Sytem Final Approval: ( Ji Zoning Final Approval: [V] Final/Occupancy Approval: ei ico•!9 cr r HEALTF EPA TMEN PPROVAL 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 REVERSE SPECIAL CONDITIONS FOR CASE A BLD03-00397 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 7/10/03 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: Aquifer Recharge Area, and Stormwater. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) The proposal will be served by PUD water and will not require a well for a potable water source. 4.) The project components are more than 250'from the mapped/identified wetland. The requirement for a wetland delineation and report is waived based on maintenance of a 225' buffer from the wetland per UDC Table 3-3. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin (see attached). 6.) The applicant is proposing to create or add 8,462 square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Permanent Stormwater Control Plan. 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.) An Engineered Permanent Stormwater Quality 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. 9.) The subject property is near an airport where a variety of airport dependent uses occur that are not compatible with development. Potential discomforts of inconveniences may include, but are not limited to: noise, aircraft take-offs and landings. 10.) The proposal was subdivided under file number SUB97-00006. SEPA was conducted and buffers from Environmentally Sensitive Areas have been established. 11.) The site plan as submitted with the building application on June 25, 2003 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 July 11, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family dwelling 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. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is calculated by the amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Woodland Drive is classified as a local access road. Sleepy Hollow Road is classified as a private road. Both roads require a minimum 20-foot setback from the adjacent lot line to the proposed development. In addition, the property contains a 50 foot buffer. The western lot line requires a minimum 5-foot setback. 16.) A road approach permit is not required for this proposal. I:\F_BLD_Permit_Buildng.rpt 10/29/1999