HomeMy WebLinkAboutBLD2004-00570 • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00570 Received Date 09/8/2004
SITE ADDRESS: 794 PARKRIDGE DR Issue Date 10/25/2004
PORT TOWNSEND, 98368
APPLICANT: JAMES D COYNE PHONE: (360) 379-9517
323 LOGAN ST
PORT TOWNSEND WA 98368
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 43+
PARCEL NUMBER: 999900143 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE WITH 120 GAL A/G PROPANE
TANK
CALL IN FOR THE REQUI ED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: I 'a I / b y
UFFER: / a r ( ' o
Footing: A i G / / 0 L(
'
Foundation: \ !L,�n
.C:, ,1 ! 1 u/b if
Stormwater FINAL Approval: a I 1 / or
Underground Plumbing: iU
Underground Insulati
Shear Wall : �' 0 a 5'
Framing:
Plumbing: i S a•f/0<
ropane Tank/ Lin .
nsulation: ' _ -'-� 0 5
Sheetrock: t�
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: L.2/73077—)
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
03 UILDING PERMIT APPLICATION MLA04-00534
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD04-00570 Received Date: 9/8/2004
SITE ADDRESS: 794 PARKRIDGE DR
PORT TOWNSEND, 98368
OWNER: JAMES D COYNE PHONE: (360) 379-9517
323 LOGAN ST
PORT TOWNSEND WA 98368
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 43+
PARCEL NUMBER: 999900143 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,998
VALUATION 189,864.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1
OCCUPANCY:
CONST TYPE: 5N OTHER: 195 SHORELINE:
GARA
CONST TYPE: DECKLE 263 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing q-�I F&W Landslide
� -9GC Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A PrITON/ E t
Permit $1,464.15 KAS 09/08/04 67563
Plan Check $951.70 KAS 09/08/04 67563
State Building Code $4.50 KAS 09/08/04 67563 OCT 2 5 2004
Potable Water Application $52.00 KAS 09/08/04 67563 Jefferson County Planning
Plan Check J�� a k G%9 $0.00 KAS 09/09/04 & Building Department
Permit , ��j'� b0 $0.00 KAS 09/09/04 , CO_u -
__
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Total: $2,472.35 r izP
• •
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
Al Scalf, Building Official
PERMIT #: BLD04-00570
SITE ADDRESS: 794 PARKRIDGE DR Issue Date: 10/25/2004
PORT TOWNSEND, 98368 Final Date: 4/30/2010
APPLICANT: JAMES D COYNE PHONE: (360) 379-9517
PO BOX 391
PORT HADLOCK WA 98339-0391
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 43
PARCEL NUMBER: 999900143 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE WITH 120 GAL A/G PROPANE TANK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 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 4/30/2010
I:\F_BLD_Occupancy.rpt 10/29/19
SPECIAL CONDITIONS FOR CASE # BLD04-00570
1.) The 50-foot wide buffer adjoining Old Fort Townsend State Park shall remain naturally
vegetated.
2.) The subject property is located in the proximity of the Jefferson County International
Airport (JCIA). The JCIA is a public, general aviation airport with a hard surfaced
3,000-foot, 12,500-pound weight bearing capacity runway. JCIA experiences frequent
landings and take-offs. Structures located in the proximity to the airport will, to varying
degrees, be subject to noise and vibration from aircraft during take-off, landing and
approach activities.
3.) 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.
4.) 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.
5.) A Medium Stormwater Plan 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.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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).
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Setback from Parkridge Dr. right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
12.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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• OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
theyrtiillte. " Z`Je_responsibility Ofthe-GeneralContractcrfortieproposedproject.
Signature: < Date: - —0li [ C (� I (� "'�
L Lam'
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 4"1 I Fpx
C L r,, _R �.oO ✓
( ) L .sE �- (- v .�
MAILING ADDRESS: EMAIL: L
CONTRACTOR'S LICENSE WAINS JEF FE R S O N COU N1 Y
NUMBER: NUMBER DEPT. OF COMMUNITY DEVELOPMENT
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
ProectType: Frame Type: Bathrooms: :Shoreline: Type of Sewage Disposal:
X New )X Wood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: 3 Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ).Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat Proposed: Public
p c;jagnv Total: 3 Name of System:f)"i
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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
0 Heat Stove ❑ Cook Stove ❑ Woodstove El Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / )
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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 Ines,buildings and septic system components, y
including the reserve area. `
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G:\PennitCentcr\FORMS\DRD FORMS\Master Pert�m Application 7 : i,.doe
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Iti ° , JEFFERSON COUNTY
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DEPARTMENT OF COMMUNITY DEVELOPMENT
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621 Sheridan Street • Port Townsend • Washington 98368
�'� O 360/379-4450 • 360/379-4451 Fax
"WING`s http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 64 J"2,7 PROJECT/APPLICANT NAME:
Please answer all of the following questions to the best of your ability. Where the question calls 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.
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PERMIT # BID
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map. 0 4 _ 0 5 7 0
7:-.".... — 4����._,�.-�� s 4,,--_ JEFFMSON COUNTS nCp
•
3. Describe the existin vegetation. Indicate native vegetation areas on the site map.
� G?.ii=lire=..,�. /f'rrvi%;`"j ✓.3c.fcrer;L 'r� �(",_:i
4. Describe the existing soils. Indicate soil type on the site map.
5. Describe the existing site hydrology(i.e.,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.
i1:17 /vjri,'iiaort_ l S:e.. .- .s': /7:--,.—
1
6. Describe any excess levels of noise generated by the proposed use or activity:
iliVCAiI . APPROVED
STORMWAlER PLAN
OCT 222004
stormwater site plan template—rev.10/1/2003 5
JEFFERSON COUNTY
DEPT.OFCOJLt CEN T TAVEL° EN
SIGNATURE:
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.
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.).
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.
g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., 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.
113 /1'1J�
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.]
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11. Describe the performance goals and standards applicable to the project.
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12. Describe the flow control system.
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stormwater site plan template—rev.10/1/2003 - 6
13. Describe the water quality system.
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14. Describe the conveyance system analysis and design. IL' _ i
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
75—Cl7 P g i-eK•fir// ';.c k ft, 15.rt.K=%i I/ e- �i't,-: <a
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.
18. Describe methods for restoration of the site.
/1_._ /1.', r"i.✓c—,frt _ 11i1.f}M'—/r-'k
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 Storrnwater Site Plan.
"hi/ .
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.
A,/(X, 7-7"
KNIT
04 - 0570
JEFFERSON COUNTY OC Q
stormwater site plan template—rev.10/1/2003 7
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 be 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.
:p. '
2. Establish Construction Access.
3. Control Flow Rates.
t7:
4. Install Sediment Controls.
It 3
0. 5. Stabilize Soils.
6. Protect Slopes.
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7. Protect Drain Inlets.
9/1/ I
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storrnwater site plan template—rev.10/1/2003 (}(r1i of l; J+If� will UL3jl ct)i iv•�.i�l
8
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
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9. Control Pollutants.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
/1) //1--
11. Maintain Best Management Practices(BMPs).
12. Manage the Project.
13 tor)
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
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.
;ti7/4
PRAM # BED
0
JEFFERSON COUNTY DCD
stormwater site plan template—rev.10/1/2003 9
b. Description of special requirements for working in or near environmentally sensitive areas.
/10
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).
5. Construction Phasing.
a. Construction sequence
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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.
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II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
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b. Proposed wet,season construction activities for environmentally sensitive areas.
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
4.-
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps. /` -1
b. Diversions. / t /1
c. Waterways. '...:..
d. Runoff/Stormwater Detention Calculations ``"=-
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stormwater site plan template-rev.10V1/2003 C.FTt.Ot C0 ,,?',At{v t l.) ,_, 111tttrrt'''
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.
4,4/ eiL/Lei
(LANDOMIERZFIAUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
1
12 stormwater site plan template—rev.10/1/2003
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