HomeMy WebLinkAboutBLD2004-00472 BUILDING PERMIT S
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD04-00472 Received Date 07/14/2004
SITE ADDRESS: 114 OLYMPUS BLVD Issue Date 08/5/2004
PORT LUDLOW, 98365
APPLICANT: MICHAEL D BELENSKI PHONE: (360)437-9808
PO BOX 1145
PORT TOWNSEND WA 98368
SUBDIVISION: OLYMPUS BEACH Block: Lot: T 139
PARCEL NUMBER: 978900040 Section: 4 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: COVERED PORCH
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
,(] Footing: D*-) 075/9C7
[ ] Foundation:
[ ] Stormwater FINAL Approval:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing: PEGK 16v6riP Ok 29807GJ!`�
1 1 Plumbing: /
[ ] Propane Tank/ Lines:
[ ] Insulation:
[ 1 Sheetrock:
[ 1 Septic Sytem Final Approval:
Road Approach Final Approval:
[ ] Zoning Final Approval:
f 1 Final/Occupancy Approval: De-re",- Nam/ 8/0/47 dy
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 FORRSE * BLD04-00472
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 19, 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:
Level I Landslide Hazard Areas and Coastal Seawater Intrusion Protection Zones (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 MEASURER 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 applicant is proposing to create or add 384 square feet of impervious surface and no
land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified
Development Code requires that your proposal shall adhere to BEst Management
Practices (BMPs).
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.) The site plan as submitted with the building permit application on July 14, 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 July 19, 2004 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
11.) This approval is fora covered porch 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.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) Minimum setback from Olympus Blvd right-of-way is 20 ft. Minimum setback from Maple
Ln right-of-way is 20 ft. Minimum setback from the northern lot line which front both f the
roads is 20 ft. Minimum side and rear setback is 5 ft. All setbacks shall be measured
perpendicularly from the lot line to the proposed development.
15.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
16.) A septic permit(SEP99-00242)was approved on January 3, 2000 for a system of 240
gallons per day.
17.) Olympus Blvd (C549309) is a local access road. The road approach is existing and an
address of 114 Olympus Blvd has been assigned to the parcel.
18.) This parcel was created through Olymous Beach subdivision under AFN 65132, filed of
record in Volume 3, page 19 of Long Plats with Jefferson County Auditor's office.
19.) 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.
20.) A building permit(BLD96-00345)was finaled on September 13, 1996 for a garage/shop. A
building permit (BLD00-00326)was issued on June 14, 2000 for a shop building with
heated bathroom. A building permit(BLD01-00323)was issued on July 12, 2001 for a
single family residence. A building permit(BLD03-00556)was issued on September 25,
2003 for an addition to single family residence.
I:\F_BLD_Permit_Buildng.rpt
10/29/1999
ItUILDING PERMIT APPLICAtON MLA04-00437
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD04-00472 Received Date: 7/14/2004
SITE ADDRESS: 114 OLYMPUS BLVD
PORT LUDLOW, 98365
OWNER: MICHAEL D BELENSKI PHONE: (360)437-9808
PO BOX 1145
PORT TOWNSEND WA 98368
SUBDIVISION: OLYMPUS BEACH Block: Lot: T 139
PARCEL NUMBER: 978900040 Section: 4 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP COVERED PORCH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 6,600.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 280 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: rI F&W Landslide
/q/ yexE_____- Shoreline
- Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: API �V
Permit $139.25 KAS 07/14/04 66530 , , `
State Building Code $4.50 KAS 07/14/04 66530 AUG - 5 2004
Plan Check $90.51 KAS 07/14/04 66530 Jefferson Coun
ty Na tljf t
Total: $234.26 & Building Department
Colt
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ZJotf COINI p 01 Cons ootty D9Y 1e�� �� +_ 621 Sheridan Street,Port Townsend WA 88363[3601318-4450
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Building Type: I = ;I Project Type: Frame Type:
❑ Single Family ""a ``I ❑ New A. Wood
❑ Garage Attached/Detached PIM o `}a Addition ❑ Steel
❑ Modular a ❑ Alteration/Remodel ❑ Concrete
❑ Commercial _ u,
#of Units _J ❑ Repair ❑ Masonry
❑ Multi-family/# ❑ Demolition ❑ Other:
❑ Industrial
04 Other: FA()N7 RAC-µ 0" !1o\s€,
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 5` Existing: 3' ❑ Sewer ❑ Community System ❑ Electricity JP Oil
Proposed: Z Proposed: /e5 kJ Individual System ❑ Woodstove ❑ Propane
Total: Total: D. If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional -.illtemative ❑ Other
Permit# SEP (M.-332'12
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: Office Use For Office Use Only
Main Floor Consistency Review lei
(39.2ND Floor Base fee ZS
3rd Floor Plan Check fee 90 . 5/
Htd Basement State Surcharge fee ti Sc'
Unhtd Basement Subtotal , 'W0?. 01 G
\"
Garage/Carport aa , Pot Water Review fee —0
Decks a U 0 ( 2 'D Q ,U ° 911/Rd Approach fee
Commercial '\ TOTAL a�a- Q? 6)
Industrial Receipt# k'(' 53o
Other Cash/Check# `j/(- 99
Initials il/
���^ Date q/9/y
Estimated Cost:
If within 200'of the Shoreline, .
Distance to Bank or Ordinary High Water Mark 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 attomey'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.(OP:-
Access and right of entry to the applicant's1iiLL
o ture shall be requested and shall occur during regular business hours. /3 UI�D/,t,/� Pt ,T
kk Signature: �, Date: i/i 3t)-11Agpro''4il
OVER ► 63
G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
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