HomeMy WebLinkAboutBLD2003-00682 BUILDING PERMIT APPLI "TION BLD03-00682
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00682 Received Date: 10/28/2003
SITE ADDRESS: 152 CLEVELAND ST
PORT HADLOCK, 98339
OWNER: RICHARD E GIGER PHONE: (206) 217-4693
JANET M GIGER
16928 84TH AVE NE
KENMORE WA 98028-3934
SUBDIVISION: IRONDALE AC TRACTS Block: Lot: T 21
PARCEL NUMBER: 962700098 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883
265 CHIMACUM RD
PORT HADLOCK WA 98339
Contractor's License MOUNTP198306 Expires 9/26/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr UNDER GROUND PORPANE TANK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
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: y� c� F&W Landslide
v 1 (03 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $47.00 KAS 10/28/03 60139 APPROVED
Total: $47.00
OCT 3 1 2003
Jefferson County Planning
& Building Department n j/7/10P-1(V2 )
sc
JEFFERSON COUNTY COMY DEVELOPMENT,621 SHERIDAN ST,PORT TO•END WA 98368 PH: (360)379-4450
INSTALLATION PERMIT APPLICATION
MARK ALL ITEMS BELOW THAT PERTAIN TO THIS INSTALLATION
►� Underground PROPANE TANK* Above Ground PROPANE TANK HEAT STOVE HOT WATER TANK
WOODSTOVE FIREPLACE INSERT PELLET STOVE COOKING STOVE
OTHER(Please Specify) /X
Is this appliance(htg stove, hot water tank,furnace,etc.)to be installed in a Manufactured/Mobile Hornet.
YES V NO /
SITE ADDRESS(911#/Road Name):
,} C1tve /946/
Po / i4QQ/))ock t✓if p ZIP 7 4633 5
9 DIGIT PARCEL ID NUMBER 700 Q 4g
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range WM
APPLICANT Mountain Prop:Inn PHONE 3SS _6 g�s3
265 Chimacum Rd.
MAILING ADDRESS Port Hadiock,WA 98339
ZIP �,
PROPERTY OWNER 1) 1C K Cr) e 6 PHONE ^)-c)6 ' a-/2 — 445 F3
MAILING ADDRESS )6 9 151.1 y, E,
ken!no✓'e , LI/,e} ZIP 9 $02- g
CONTRACTOR Mountain Propane PHONE 3 S-- 6 S�S 3
265 Chlmacum Rd.
MAILING ADDRESS Port Hadlock,WA 98339
ZIP STATE LICENSE# tiI' 7- Pr 9 9S 3 06 EXP.DATE —.2-6 --(Dv
FEDERAL I.D.# 11) 2- $d Ssi—
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 property or structure shall be requested and shall occur during regular business hours.
APPLICANTS SIGNATURE I�Lr/1 — —4 r DATE
9R OFFICE USE ONLY /
BASE FEE 1 1�! RECEIPT# C /; 3)
CONSISTENCY REVIEW * •'O CASH/CK# ) y,,-) 5
TOTAL "a c; C DATE / C;3
*Underground Propane Tank applications require additional information to be submitted. 0 V E R
Please contact our office at 360-379-4450 if the back of this application iF' E-41
•(�]
g:\permitcenter\forms\bldg forms\install-revised 10-23-02.doc
OCT 2 8 2003
JEFFERSON COUNTY DCD
- •
BUILDING PERMIT BLD03-00682
M T APPLICA ION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD03-00682 Received Date: 10/28/2003
SITE ADDRESS: 152 CLEVELAND ST
PORT HADLOCK, 98339
OWNER: RICHARD E GIGER PHONE: (206)217-4693
JANET M GIGER
16928 84TH AVE NE
KENMORE WA 98028-3934
SUBDIVISION: IRONDALE AC TRACTS Block: Lot: T 21
PARCEL NUMBER: 962700098 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883
265 CHIMACUM RD
PORT HADLOCK WA 98339
Contractor's License MOUNTPI983O6 Expires 9/26/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI UNDER GROUND PORPANE TANK
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT: _
SEWAGE DISPOSAL: i2 I+,S
WATER SYSTEM: PARCEL TAGS: YES
BEDROOMS: BATHROOMS: STORMWATER:/YES AREA
Exist: Exist: Wetland y l 1', 64`Erosion NU
Prop: Prop: Seismic \i Q5 Streams k)0
Total: Total: Flood Way J ) Floodplain ND
Routing Date: F&W NO Landslide P-'C)
��CC7� 0.7
Shoreline Aquifer
Forest: Commercial Rur I
Type Amount Paid By: Date: Receipt: A S
proved/ ate
Permit $47.00 KAS 10/28/03 60139
Total: $47.00 1 A
0 0
PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00682 Received Date 10/28/2003
SITE ADDRESS: 152 CLEVELAND ST Issue Date 10/29/2003
PORT HADLOCK, 98339
APPLICANT: RICHARD E GIGER PHONE: (206) 217-4693
JANET M GIGER
16928 84TH AVE NE
KENMORE WA 98028-3934 T 21
SUBDIVISION: IRONDALE AC TRACTS Block: Lot:
PARCEL NUMBER: 962700098 Section: 7 Township: 29N Range: 01E
CONTRACTOR: MOUNTAIN PROPANE PHONE: (360)385-6883
265 CHIMACUM RD
PORT HADLOCK WA 98339
Contractor's License MOUNTPI983O6 Expires 09/26/2004
OWNER, RICHARD E GIGER PHONE: (206) 217-4693
if different: JANET M GIGER
16928 84TH AVE NE
KENMORE WA 98028-3934
PROJECT DESCRIPTION:H J1;ER GROUND PROPANE TANK
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 10/29/2004.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: Ak 626[t E -PQ6PL4JJ 6 4 '//20.9c.
4 E R144- � Az 1DES aL?/ ,7/ G3
[ ] FinalApproval: Cr- 02 1/124/p5
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#BLD03-00682:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on Otober 29, 2003 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:
seismic; coastal SIPZ; conservancy shoreline designation.
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.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
4.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
5.) 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.
6.) 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).
7.) This approval is for a under ground propane tank 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk(or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
10.) Installation of the under ground propane tank shall conform to the Uniform Fire Code and
any other applicable county, state, or federal codes.
I:\F_BLD_Permit_Propane.rpt 10/29/19
265 Chimacum Road
*r,y1 Port Hadlock, WA 98339
Phone (360) 385-6883
PROPANE Fax
Phone (360) 683-1881
Fax (360) 385-6914
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