HomeMy WebLinkAboutBLD2004-00264 • BUILDING PERMIT APPLIc'ION MLA04-00224
Review Type: !
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00264 Received Date: 4/21/2004
SITE ADDRESS: 254 4TH AVE
PORT HADLOCK, 98339
OWNER: TERRY R HUBBARD PHONE: (907) 582-2756
HELAINE MICHAELS
PO BOX 40060
CLEAR AK 99704-0060
SUBDIVISION: IRONDALE Block: 30 Lot:
PARCEL NUMBER: 961803014 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/DECK(S)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,118
VALUATION 169,511.00 ADD'L: 587 HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 442 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: d< F&W _ Landslide •
1/c�3 0 1 Y � Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: approved/Date
Permit $1,385.75 KAS 04/21/04 64231 (Pp- R O v
Plan Check $900.74 KAS 04/21/04 64231
State Building Code $4.50 KAS 04/21/04 64231 MAY 1 8 2004
Potable Water Application $52.00 KAS 04/21/04 64231 Jefferson County PI,_flnjgig
Total: $2,342.99 & Building Department
-is c (�.V ``moo—
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD04-00264
SITE ADDRESS: 254 4TH AVE Issue Date: 05/18/2004
PORT HADLOCK, 98339 Final Date: 10/17/2008
APPLICANT: TERRY R HUBBARD PHONE: (907) 582-2756
HELAINE MICHAELS
PO BOX 40060
CLEAR AK 99704-0060
SUBDIVISION: IRONDALE Block: Lot:
PARCEL NUMBER: 961803014 Section: 35 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR W/DECK(S)
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 1997 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON
10/17/2008
I:\F_BLD_Occupa ncy.rpt 10/29/19
0 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD04-00264 Received Date 04/21/2004
SITE ADDRESS: 254 4TH AVE Issue Date 05/18/2004
PORT HADLOCK, 98339
APPLICANT: TERRY R HUBBARD PHONE: (907) 582-2756
HELAINE MICHAELS
PO BOX 40060
CLEAR AK 99704-0060
SUBDIVISION: IRONDALE Block: 30 Lot:
PARCEL NUMBER: 961803014 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR W/DECK(S)
REQUIRED INSPECTIONS: �/
[ ] SETBACKS: !Sk 8/17/D4 69'
[ ] UFFER: R. B/(7/64
[ ] Footing: OIL 8f/7` I# DG-tK PirDS 94(.3'+l/AL
[ ] Foundation: pit. 1- £4' t ?I6s,>t-3/2,/04.
[ ] Stormwater FINAL Approval:TERIMETEQ Pella)Dgibif/Uyie
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall : NkIL(l(e.7 OK- FT'(/I / toP 7 2e-6
[ ] Framing: OK Wit.A I,E/ons I/249/67
1
1 1 Plumbing: �' 1 - )to
[ ] Propane any Lines:
[ ] Insulation: ` A L5, ZIETIctodel OK 9 b o7 Am_S�fJc dK 4124107A
1 1 Sheetrock: A< ' 774;7 _
[ ] Septic Sytem Final Approval:
1 Road Approach Final Approval:
[ ] Zoning Final Approval:
1 1 Final/Occupancy Approval? IC, -ll~ -64)
HEALTH DEPARTMENT AND PUBLIC WORKS 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.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE REVERSE
410
SPECIAL CONDITIONS FORRASE A BLD04-00264
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on April 29, 2004 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:
Susceptible Aquifer Recharge Areas and Coastal Seawater Intrusion Protection Zone
(SIPZ).
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.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) 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.
5.) 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.
6.) 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.
7.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
8.) 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.
•
9.) VOLUNTARY MEASUREPF 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.
10.) 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.
11.) 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.
12.) The applicant is proposing to create or add 3340 square feet of impervious surface and
6760 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 plan
meeting Minimum Requirements#1 through#5 of the Stormwater Management Manual
for Western Washington.
13.) 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).
14.) The site plan as submitted with the building permit application on April 21, 2004 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 May 14, 2004 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
15.) This approval is for a single family residence with deck(s) 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.
16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
17.) 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).
18.) Maximum lot coverage is n to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
19.) The building height is not to exceed 35 feet.
20.) Minimum setback from 3rd Ave right-of-way is 20 ft. Minimum setback from 4th Ave
right-of-way is 20 ft. Minimum side yard setbacks are 5 ft.
21.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
22.) A septic permit(SEP97-00195)was approved on August 19, 1997 and was finaled on
April 15, 1998 for a 3-bedroom system.
23.) 4th Ave is a local access road (C672009). The road approach is existing and an address
of 254 4th Ave has been assigned to the parcel.
24.) This parcel was created through the Irondale subdivision under AFN 27961, filed of record
June 3, 1909 in Volume 3 of Long Plat, page 5 with Jefferson County Auditor's office.
25.) A Declaration of Restrictive Covenant was recorded May 14, 2004 under AFN 484468 with
the Jefferson County Auditor binding Block 30, Lots 10 thru 15 and 62 thru 67 of Irondale,
for the purpose of meeting bulk and dimensional requirements and minimum land area.
26.) A stormwater plan for a medium project 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
27.) A minimum of two (2) on-site parking spaces are required for the single family residence.
I:\F_BLD_Permit_Bu ildng.rpt 10/29/1999
• Jefferson Ca.Department of Coninnmity Davelommit
�, ON cob*
621 Sheridan Street,Port Townsend WA NX8[260]378-4450
ti may: - permocllp� 0 0
s° n
Project Description:
Building Type: Project Type: Frame Type:
X Single Family New Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing. ❑ Sewer ❑ Community System Electricity fl Oil
Proposed: Z Proposed: -3 Individual System
Total: 2 Total: 3 y ❑ Woodstove ❑ Propane
If not sewer,fill out the following: El Heat Pump
Conventional ❑ Alternative ❑ Other
ermit# SEP 7 7 O l 9 5`
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system: PUR.Z../C 0771iTY.(a/S'7ecr 1
Square Footage: For Office Use Only
Main Floor /l8 8 J 0' `/ D 'Lt Co
Consistency Review 47700 ,
2ND Floor ' 7 Sa lot • $1/ Base fee / 3 ' S, 7S
3rd Floor
Plan Check fee-65% 9 oo, 7 V
Htd Basement State Surcharge fee 44, S 0
Unhtd Basement Subtotal 23 3 2", 99
Garage/Carport �^ Ov
��// n l.� Pot Water Review fee �J.
Decks �T Z -(_I 911/Rd Approach fee ir
✓i
Commercial kDTAL
9
Industrial �' Receipt# lf�t .� 1
Other �— Cash/Check# L/ O
Total Valuation: Initials 7 .% .[ 0 y
Or Date
Estimated Cost:` is 0, Q0 a00
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark N* ft.Bank Height Hit- 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 proper or struc re shall be requested and shall occur during regular business hours.
Signature: - `-� Date: `i� D G O4'
/ OVER
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
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