HomeMy WebLinkAboutBLD2003-00702 • S
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 #: BLD03-00702 Received Date 11/10/2003
SITE ADDRESS: 301 TALA SHORE DR Issue Date 11/10/2003
PORT LUDLOW, 98365
APPLICANT: JANE M DE HAWKHURST PHONE:
JENNIFER CORDICK
10936 DAHLIA WAY
THORNTON CO 80233 57
SUBDIVISION: TALA SHORES#3 Block: Lot:
PARCEL NUMBER: 998200354 Section: 22 Township: 28N Range: 01 E
CONTRACTOR: EMERALD HEARTH AND HOME PHONE: (360)779-7567
20714 SR 305
POULSBO WA 98370
Contractor's License FERRELP055LH Expires 8/1/2004
OWNER, JANE M DE HAWKHURST PHONE:
if different: JENNIFER CORDICK
10936 DAHLIA WAY
THORNTON CO 80233
PROJECT DESCRIPTION: PROPANE TANK AND FIREPLACE INSERT
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 11/10/2004.
REQUIRED INSPECTIONS:
[ ] Tank/Line/Appliance: 0k' /2/Q4/03�%
[ ] FinalApproval: 40 -Co r 6/0 / .5 03
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
• int
SPECIAL CONDITIONS FOR CASE#BLD03-00702:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on November 10, 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; landslide 1 (western portion); coastal SIPZ..
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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
•
7.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
8.) 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.
9.) 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).
10.) This approval is for a propane tank and fireplace insert 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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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).
13.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
14.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
15.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
16.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
I:\F_BLD_Permit_Propane.rpt 10/29/19
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BUILDING PERMIT APPLICATION B RD iewTyp e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00702 Received Date: 11/10/2003
SITE ADDRESS: 301 TALA SHORE DR
PORT LUDLOW, 98365
OWNER: JANE M DE HAWKHURST PHONE:
JENNIFER CORDICK
10936 DAHLIA WAY
THORNTON CO 80233
SUBDIVISION: TALA SHORES#3 Block: Lot: 57
PARCEL NUMBER: 998200354 Section: 22 Township: 28 N Range: 01 E
CONTRACTOR: EMERALD HEARTH AND HOME PHONE: (360)779-7567
20714 SR 305
POULSBO WA 98370
Contractor's License FERRELP055LH Expires 8/1/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP PROPANE TANK AND FIREPLACE INSERT
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'nHEIGHT:
SEWAGE DISPOSAL: ICJ, (is—
WATER SYSTEM: PARCEL TAGS: YES •
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland .J"� Erosion
Prop: Prop: Seismic 4,ps Streams
Total: Total: Flood Way OD Floodplain
Routing Date: F&W /JO Landslide
Ll /10/e)
Shoreline Aquifer / Sj
Forest: Commercial /an- Rural Min
Type Amount Paid Bv: Date: Receipt: Approved/Date
Total:
-~JEFFERSON COUNTY COMMUNITY DEVELOPMENT,621 SHERIDAN ST.PORT TOWNSIPWA 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 J( FIREPLACE INSERT PELLET STOVE COOKING STOVE
OTHER(Please Specify)
Is this appliance(htg stove, hot water tank,furnace, etc.) to be installed in a Manufactured/Mobile Home?
YES I NO
SITE ADDRESS(911#/Road Name):
30 ( a Shore r .
P0(4- L.uct (o(A.i, LU A-. ZIP 9:36 ,s- '
9 DIGIT PARCEL ID NUMBER aqX )h 54-
Legal Description:
Subdivision Name Block Lot(s)
Section Township North, Range �tr�WMM
APPLICANT `TeAele be /( LJL( + �7 PHONE 3c G 7 3 / — 7 17 /
MAILING ADDRESS e) I Tat-Tat-k et h014( e r ,
---'c 0± J��44 I F'rCJ,s �J. )—A ZIP `T/�
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L PROPERTY OWNER )L'J-d\e De ���� ''kK__�/r � �,/ PHONE �/'JtJ�.,=
MAILING ADDRESS T�r.1 j'L t, C�-Y Cc1N A/,7i.e 1j L2
ZIP
CONTRACTOR li)Li} _ F/tia +?-dala PHONE
MAILING ADDRESS FAII,.T2f' 41') f-1
p ,,,104,4_ 4(Li...t) it 1 A ZIP
STATE LICENSE# EXP.DATE
FEDERAL I.D.#
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 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 tbe+appi nt's property o rstructure h I be req st and shall occur during regular business hours. /
APPLICANTS SIGNATURE Yt (rt—C / ' DATE // / /6) /
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FOR OFFICE USE ONLY /�
BASE FEE $47.00 RECEIPT# 6,,e
CONSISTENCY REVIEW �2 ,t-)G� tC CASH/CK# r
1 3
TOTAL t L tSO DATE IL/ICJ &3
*
Propane Tank applications require additional information to be submitted.
Please contact our office at 360-379-4450 if the back of this application is blank. OVER 4 4 4
G:\PermitCenter\FORMS\BLDG FORMS\ install-revised 10-30-03.DOC
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