HomeMy WebLinkAboutBLD2004-00396 BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD04-00396 Received Date 06/16/2004
SITE ADDRESS: 241 W ISLAND VIEW AVE Issue Date 08/27/2004
PORT TOWNSEND, 98368
APPLICANT: JONCAR, INC PHONE:
BISHOP BROTHERS CONST
PO BOX 417
PORT HADLOCK WA 98339-0417
SUBDIVISION: IRONDALE Block: 114 Lot: 38-43
PARCEL NUMBER: 962111410 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215
1112 S JACOB MILLER RD
PORT TOWNSEND WA 98368
Contractor's License: KOZELHS027C3 Expires: 01/06/2005
PROJECT DESCRIPTION: NEW ATTACHED GARAGE
REQUIRED INSPECTIONS:N
] SETBACKS: z?�, 'l"
UFFER: �,/ /1] Footing: Zi�"��'�S/ �1 Cd r / _l 4
Foundation:
Stormwater FINAL Approval:
[/ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
Framing: c')K z/i /U"a
[ 1 Plumbing:
[ ] Propane Tank/ Lines: A
[ ] Insulation:
[ 1 Sheetrock: _
[ ] Septic Sytem Final Approval:
bet Road Approach Final Approval:
[ ] Zoning Final Approval:
{,c. Final/Occupancy Approval: /),k - -,r '„ I `7- /s`a4
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
SPECIAL CONDITIONS FOR CCE # BLD04-00396 •
1.) 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.
2.) 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 Water withdrawn from wells on each property shall not be used for watering of lawns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.
3.) 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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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).
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Minimum setback from W Island View Ave right-of-way is 20 ft. Minimum setvack from
the platted right-of-way (McLellan Ave) along the western property boundary is 20 ft.
Minimum side and rear setbacks are 5 ft.
10.) Exterior lighting for commerciTand industrial uses shall not exceed thirty 1(30) in
height from the finished grade. Exterior lighting for residential uses shall not exceed
twenty feet(20') in height from the finished grade, excepting when such lighting is an
integral part of a building or structure. Ground level lighting is encouraged.
11.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
12.) A minimum of two (2) on-site parking spaces are required for the single family residence.
13.) 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 necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
I:\F_BLD_Permit_B u i ld ng.rpt 10/29/1999
0UILDING PERMIT APPLICA. , N MLLA0400354
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00396 Received Date: 6/16/2004
SITE ADDRESS: 241 W ISLAND VIEW AVE
PORT TOWNSEND, 98368
OWNER: JONCAR, INC PHONE:
BISHOP BROTHERS CONST
PO BOX 417
PORT HADLOCK WA 98339-0417
SUBDIVISION: IRONDALE Block: 114 Lot: 38-43
PARCEL NUMBER: 962111410 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215
1112 S JACOB MILLER RD
PORT TOWNSEND WA 98368
REPRESENTATIVE: PHONE:
Clk\fgl\i'4'
PROJECT DESCRIPTION NEW DETACHES GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 69,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: 1,900 SHORELINE:
CONST TYPE: DECK: SETBACK:
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: (4,
(
i 0 V F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $776.75 KAS 06/16/04 66375 'A ID P R O\/ r
Plan Check $504.89 KAS 06/16/04 66375 1✓
State Building Code $4.50 KAS 06/16/04 66375 AUG 2 7 2004
Total: $1,286.14 Jefferson County Planning
& Building Dep.. lent
21°Uj1122G7 .
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ii"�o Jetlorsim I t Boprtlnent of Community Dovebpnent
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ID 621 Sheridn S I Townson!WA 8838[3681378-4450
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_-i:= ., Per(�moID d o
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Building Type: Project Type: Frame Type:
I Sin!le .,•' New Wood
41 Garage Attached/Detached ❑ Addition ❑ Steel
n .WI ❑ Alteration/Remodel ❑ Concrete
❑ Commercial 0 Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heal I 1 E
Choose one: ("J
Existing: Existing: LI Sewer ❑ Community System Oftgetricity ❑ Oil
Proposed: Proposed:
Total: Total: IX Individual System ❑ Woodstove ❑ Propane
If not sewer,fill out the following: ❑ Heat Pump
XConventional 0 Alternative ❑ Other
Permit# SEP Q 3 ODD cf'-7
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: Office Use For Office Use Only
Main Floor C 9° } 44 -ITC- Consistency Review
2ND Floor Base fee 7"IL , -15
3rd Floor Plan Check fee Sb 4 . 2"9
Htd Basement State Surcharge fee (4 , SO
Unhtd Basement Subtotal I a%(p , ( y
v _
Garage/Carport o Pot Water Review fee
Decks o 911/Rd Approach fee
Commercial TOTAL 12&( , PI
Industrial { • Receipt# b6 3 2 S
,- l 97
Other Cash/Check# S'c3
;`-� _ Initials /1,
/ - __._ Date U 4n07°r
Estimat d Cost: ( 'q U �,
If withi\-..00' of the Shoreline, _ . /`
Distance to Ban' S. .' ary Fl. h Wates Marl- 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 property or structure shall be requested and shall occur during regular business hours.
Signature: S --`` W U-0 Date:
OVER ►
G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
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b , A L KOZELISKY'S HOME SERVICE
1112 S.Jacob Miller Road
Ptil .- .L C h Le: Port Townsend, WA 98368
Phone$6O -321
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rilikt44, JEFFERSON COUNTY - r
DEPARTMENT OF COMMUNITY DEVELOPMENTiii14,
621 Sheridan Street • Port Townsend•Washington 98368 ��� _ 6 2 -)
" " 360/379-4450 •360/379-4451 Fax
http://www.co.jefferson.wa.us/commdevel ment/
� JEFFERSON COUNTY
DEPT OF onwii NI1Y iiC\IFLOPMENT
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
I MLA# ocf-- `- s( PROJECT/APPLICANT NAME: -CJ . J
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Please answer all of the following questions to the best of your ability. Where the question ells for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master land Use Application or to submit a separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.. q�
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map_
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
4. Describe the existing soils. Indicate soil type on the site map.
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5. Describe the existing site hydrology(Le.,drainage;behavior of water on the site—above,below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each_
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6. Describe any excess levels of noise generated by the proposed use or activity:
APPROVED
9
STORMWATER PLAN
. 8
•
04 - 4C AUG 262004
stormwater site plan template—rev.10/1/2003
DE
JEFFERSON COUNTY I JEFFERSON COUNTY 5
PT.OF M. UNITY D V t'a1E
SIGNATURE:
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• •
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate location on the site map.
/0 .
8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities,roads,and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.).
V. C-S, ;`..7 (,+t. (--F ` 11-itd? 1`-a c c. &;(L 13 2 -5. 127?
Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
9. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(Le., per BMP T5.30
in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
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10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for large"projects or projects that involve the potential for dispersion of contaminants.]
70) 1"M r
! ' i -AUG 6 2004
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11. Describe the performance goals and and aapplicable to the project. I ----
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12. Describe the flow control system. ‘
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13. Describe the water quality system_ in [ t( I�.! it` [ T.'\
AUG - 6 2004
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JEFFERSUN UOUNTY —
14. Describe the conveyance system analyskand design. {APT or 634}° 41bI17Y OEVFI flPMENT
( V1- ) i 'J 1
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Describe the proposed surfacing material.
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18. Descrbe methods for restoration of the sit
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19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for"large'projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
stormwater site plan template—rev.10/1/2003 JEFf ERSO G Q 7
• 4
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the
template that follows must,by installed on the ground during all construction phases of the project. The proponent is responsible for
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.. .
SECTION I-CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP•elements has been or
will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page
2-15).
12 Required Elements-Construction SWPPP
1. Mark Clearing Limits. -
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2. Establish Construction Access.
3. Control Flow Rates.
4. Install Sediment Controls.
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5. Stabilize Soils.
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6. Protect Slopes. 11 1 1), AUG - 6 2004
1
Ti-FFERSON COUNTY
7. Protect Drain Inlets.
8 stomiwater site plan template-rev.10/1/2003
• •
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
,
9. Control Pollutants.
L_JFFERSON COUNTY
OM MUN:11'Y DEv`LOPMENT
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices(BMPs).
S r; .S-i 12 ryi tic( 36
12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads). / '
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b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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stormwater site plan template-rev.1 N12003 J E F FE R S 0 �"
9
• •
b. Description of special requirements for working in or near environmentally sensitive areas.
. (7)
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
/ 1
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5. Construction Phasing.
a. Construction sequence
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
II. Wet Season Construction Activities. 1}!../. r— i
a Proposed wet season construction activities. /L t' "`+C / ` AUG 6 2004 \ I.
-
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b. Proposed wet season construction activities for environmentally sensi ve areas i --n �4' "- '1
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7. FinancialOwnership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Descnbe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/12003 10
• • -
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs
(not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts')when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed. .
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
IZ REPRESENTATIVE SIGNATURE
(DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
n AUG - 6
JEFFERSON COUNTYOPMENT
DEPT.OF COMMUNITY DEVEL
stormwater site plan template—rev.10/1/2003
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