HomeMy WebLinkAboutBLD2004-00470 0
r BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00470
SITE ADDRESS: 141 CANAL LN Received Date 07/13/2004
BRINNON, 98320 Issue Date 11/10/2004
APPLICANT: ERNEST E MUIR
DORIS M MUIR PHONE: (360)796-0394
2114 COLUMBIA BLVD#119
ST HELENS OR 97051
SUBDIVISION: OLYMPIC CANAL ADDITION 1
Block: 3 Lot: 13
PARCEL NUMBER: 980100310
Section: 21 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION: CONVERT GARAGE TO LIVING SPACE AND NEW ATTACHED
GARAGE
CALL IN FOR THE REQUIRE[,INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACK: a< /,L/45 4V
UFFER: 4( ///os�,./
Footing: 40,‹ / 03
Foundation: L(trobyi'_2,4.5- 6--'
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insultion:
Shear Wall : ,V ,y p4 i(/ ,7//04
Framing: Wia te-'i ,/ '
Plumbing:j20 (Slit--� , 4-1'-s`�
Propane T k/ 'nes: 1-4 RD*
Insulation: - �
Sheetro : r7 ) S--
Septic Syte Final val (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: /p�,,,��--
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 C. # BLD04-00470 •
1.) 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 Water withdrawn from wells on each property shall not be used for watering of lawns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 Ground water withdrawn from each property shall be restricted to a rate of three (3)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.
2.) 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.
3.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setbcak from Canal Ln right-of-way is 20 ft. Minimum side yard setbcaks are 5
ft. The rear lot line is adjacent to the shoreline and requires a minimum 30-foot setback
from the Ordinary High Water Mark (OHWM). The 30-foot shoreline setback shall also be
maintained as a buffer.
9.) As per the approved Eagle Pleated September 3, 2004, the applicant shie
tain
known perch trees and conifers >/=24 inches diameter at breast height(d.b.h.). The
applicant shall also retain >/=50% of pre-clearing or pre-construction conifer stand with
diameter distributions representative of the original stand (>6 feet tall). Windowing and
low limbing of trees is acceptable provided no more than 30% of the live crown is
removed.
10.) 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.
11.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
12.) A minimum of two (2)on-site parking spaces are required for the single family residence.
I:\F_BLD_Permit_Buildng.rpt
10/29/19
MLA04-00434
itUILDING PERMIT APPLICA. , , N Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00470
Received Date: 7/13/2004
SITE ADDRESS: 141 CANAL LN
BRINNON, 98320
OWNER:
ERNEST E MUIR PHONE: (503)349-9144
DORIS M MUIR
2114 COLUMBIA BLVD#119
ST HELENS OR 97051
SUBDIVISION: OLYMPIC CANAL ADDITION 1
Block: 3 Lot: 13
PARCEL NUMBER: 980100310 Section: 21 Township: 25 N Range: 02 W
CONTRACTOR: OW NER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION CONVERT GARAGE TO LIVING SPACE -ATTACH GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN: 617
VALUATION 48,032.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: SHORELINE:
CONST TYPE: GARAGE: 329 SETBACK: 50
CONST TYPE: DECK: BANK HEIGHT: 40
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: 1 Wetland Erosion
Prop: Prop: 1 Seismic Streams
Total: Total: 2 Flood Way Floodplain
F&W Landslide
Routing Date: 1 8 D / ,,� Shoreline Aquifer
`� �' Forest: Commercial Rural
Type Amount Paid By: Date: Receipt:
Permit `��,•..� ��
. -. gat
A
$633.65 KAS 07/13/04 66528 ���'
J oe}t b a�o
i .
Plan Check $411.87 KAS 07/13/04 66528 roil
State Building Code $4.50 KAS 07/13/04 66528
Potable Water Application $52.00 KAS 07/13/04 66528 J 8 ad tYl iiog
Total: $1,102.02 C qy"'-
r _ _
ON
JEFFERSON RUNTY
43 DEPARTMENT OF COMMUNITY DEVELOPMENT I+ 1 i Lot
+621 Sheridan Street• Port Townsend •Washington 98368 �IU ` I JUL 1 3 2004
360/379-4450 • 360/379-4451 Fax
.00 s, p� www.co.jefferson.wa.us/commdevelopment
HINp flrYN T'r
DE'PT. :'F i( trFM 1 yvy fl ' I _NT
Master Permit Application
Project Description(include separate sheets as necessary):
S /Nic' s FA-m /2Es_ -- Ayr e 4-R.�6
Tax Parcel Property
Number: WO/003/0 Size: k2 0
i9src/square feet)
Site Address and/or Directions to Property: ( `4Z-/ e A N/',g. L k4A/E. - /Al/VD Alf 1.0,9 9 83 2.0
Property Owner(s)of Record: 12 S T ' AND o I
Telephone: £a3-3 t747 /4-4 r° 36o- 796—C31aft. email: drnid te-rn e.D @ 4151(0441
Mailing Address: cg1/ C-04.446,7/3 /14 $L ]/d) 119 L.EN.S OQ_ 97oS' )
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
pc Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
jQ Single Family ❑ Discretionary"D"or Unnamed Use Classification
(Garage Attached/ ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
]Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees,representatives or agents for the sole purpose of application
review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. z —
c
Signature: � ,'A .r 1 = �� tom` Date: / )/—
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for a eying to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 2 4. __- Date:
7 11�
G:\PerrnitCenter ORMS\DRD FORMS\Master Permit Application 7-8-04.doc
I
110 OWNER BUILDER STATEMENT 0 "
,1 7
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that theyare not licensed contsactofs )d that
they will be assuming the responsibility of the General Contractor for the proposed project. LiI `
r � 4 �1 `, 1
Signature: .'' 1 i >/ :% 2/ ,u�t Date: 'f i
7 r,
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New X Wood Existing: _� 0 Sewer
0 Addition ❑ Steel Proposed: ____ Bank ❑ Community System
,)i Alteration/Remodel 0 Concrete Total: Z Height: ,er,Individual System
Cl Repair 0 Masonry `fo/®' '> SEP Permit#
El Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 2. Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 4 )[ Public
Total: 2 S p ion Name of System:O .)(Pto_
C'iThrRe- c7s D:v*)
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed _
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
[I Underground Tank ❑ Above ground Tank Size of Propane Tank:
ii Heat Stove ❑ Cook Stove LI Woodstove ❑ Fireplace Insert C] Hot Water Tank C] Pellet Stove LI Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only
Current Proposed Amount
Main Floor Consistency Review: O�
li 4Oa11.�to L[g.,
2NU Floor 61 Base fee:
3`"Floor Additional Section:
Mezzanine: Plan Check fee:
ytl- 37
Heated Basement State Surcharge fee:
y-5o
Unheated Basement Pot Water Review fee: $rJ Oo
Other Unheated 911/Rd Approach fee:
.ram►-St%rq
Garage/Carport �Z1 -7 Isq63TOTAL $ t\ -3.0 —
Decks (21,0 .t.R) � pt Number: 110(0 S2.S
Other lig 0( 3j.9jWCheck7 Number: --/S
ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to inish 111 �j
'1 O y
.s, aO O. Initials:
G:\PenmtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc