HomeMy WebLinkAboutBLD2004-00589 •UILDING PERMIT APPLICASDN MRAOW00p 22
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00589 Received Date: 9/20/2004
SITE ADDRESS: Ve 392-TOTEM RIDGE RD
PORT HADLOCK, 98339
OWNER: HARVEY T WINDLE PHONE: (360) 732-0348
SUSAN J WINDLE
PO BOX 1482
PORT HADLOCK WA 98339-1482
SUBDIVISION: GARY VAN TROJEN SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 901114026 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,500.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 480 SETBACK:
DECK: 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: F&W Landslide
/�/ /oi Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt:Plan Check $136.01 MZL 09/20/04 67703 A octotv
Permit $209.25 MZL 09/20/04 67703 FEB 2 5 2005
State Building Code $4.50 MZL 09/20/04 67703
Total: $349.76 Jefferson County Planning
&Building Department
4krry
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00589 Received Date 09/20/2004
SITE ADDRESS: 86 TOTEM RIDGE RD Issue Date 02/25/2005
PORT HADLOCK, 98339
APPLICANT: HARVEY T WINDLE PHONE: (360) 732-0348
SUSAN J WINDLE
PO BOX 1482
PORT HADLOCK WA 98339-1482
SUBDIVISION: GARY VAN TROJEN SHORT PLAT Block: Lot: A
PARCEL NUMBER: 901114027 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR:
PROJECT DESCRIPTION: GARAGE
CALL IN FOR THE RE UI D INSP CTI NSS THAT APPLY TO YOUR PROJECT.
SETBACKS: 6-3/
UFFER:
Footing: /,3061 fezd i'�.
Foundation / t755T s1)d.6-3-0a—
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Framing:
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: I ,'
Final/Occupancy Approval: )(- �-%�15j'
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 CA t BLD04-00589 •
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area. A setback of 30-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
(indicate type of development).
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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).
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Minimum setbcak from the ingress/egress easement shall be 20 ft. Minimum side and
rear setbacks shall be 5 ft. Environmentally Sensitive Areas further impact setbcaks.
14.) 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.
15.) A geotechnical report was subrRftted in conjunction with a building permit appication on
an adjacent parcel, APN 901 114 027. The report concluded that the proposed building
sites are grossly stable. The following recommendations should be considered with
regards to development of the subject property:
1. Bare soils are subject to erosion, thus ground cover should be encouraged and
maintained. Native vegetation that requires little or no irrigation would be most beneficial.
Also the existing established trees and brush provide stabilization to the slopes and should
be left in a relatively natural state.
2. The area where the gully used to drain into the ravine should be revegetated to reduce
erosion. If erosion persists, it may need to be further protected from erosion (i.e. lined
with rock, etc).
3. The pond created in the gully should have a way of releasing excess water to reduce
the possibly of overtopping or breaking through the driveway leading to the shop. During
the site visit, there appeared to be only a couple feet or so of water in the pond. It may be
that the soil can infiltrate the water sufficiently enough that the pond would not fill up and
that a release mechanism is not needed. It may be possible to monitor the situation to
determine if improvements are necessary. A portable sump pump and hoses could be
kept on hand if needed.
4. Heavy irrigation on other activities that would contribute large quantities of water to the
soil should be avoided. one cause of landslides is the presence of excessive groundwater
in the soil near slopes.
5. Runoff from roofs and other hard surfaces such as driveways and patios should be
controlled and routed to a detention basin, dry well, other drainage control device such
that surface water discharge or sedimentation to adjacent properties will not be higher
than predevelopment conditions. Further, footing drains should be incorporated into the
design of the home.
6. All drainage control devices should be maintained in good working order and inspected
at least once a year.
7. Silt fence or other sediment control devices may need to be utilized in order to prevent
sedimentation to adjacent properties during construction.
16.) A minimum of two (2) on-site parking spaces are required for the manufactured home
installation.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
OWNER BUILDER STATEMENT '! i i "
The signer of this statement does hereby certify thaillt are the Owners of the parcel referenced herein,they ar ,not licensed contractors and that I
they will be assuming the responsibility of the General Contractor for the proposed project. , r,i
Signature: Date: i/i' ! o y SEP 2 l_ta3
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: F',�(E C`„ • • , i +LAil Cii:i
( ) ( ) J
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE %-- WAINS
NUMBER: %� NUMBER
ARCHITECT/ENGINEER: // PHONE ( /"% FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal:
B" New 0-"Wood Existing: ❑ Sewer
/
❑ Addition ❑ Steel Proposed: / Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: / Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
7
Existing: / Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: O Public
t j Total: Name of System: /
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:
❑ Heat Stove 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 Usnly
Current Proposed . Amount „ .-. r,s ...., r . ri + i
Main Floor Consistency Review .r Vr <A,. ',y , .4.,F
2 Floor base fee: :, s �:*y •
3` Floor : ', , ., , w.
Mezzanine: �_ Plan Check fee: - z$
'~T. Z
Heated Basement Su ` k 4t ,AA
--—"" ,- , , fee: ri, wF '
Unheated Basement �_ _. Pot Water Review fee: k'� " `•#
J 911/Rd Approach fee • -r,
Other Unheated , ,.
Garage/Carport / ( (�Gi TOTAL {, - ' �'
1 o I( 3 3 $
Decks ,i r �•> 4� " f• .,A
Receipt Number: Y -
Other Cash/Check Number: 3 F'=
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish h
/7 SQ O Initials:
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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�/ ) �� JEFFERSON�►UNTY • j i
DEPARTMENT OF COMMUNITY DEVELOPMENT E r
` 621 Sheridan Street • Port Townsend •Washington 98368 +.• SEP 2 cUv
360/379-4450 • 360/379-4451 Fax
�q O� www.co.jefferson.wa.us/commdevelopment >1 t... % , , ;,, y }
Master Permit Application MLA: Q fE.) '
Project Description(include separate sheets as necessary):
./g () �f` Ca.�v ,6 C-C-
Tax Parcel Property
Number:
�� f t I l( �``J 7., t5 -paw O z Size: I ( cres)square feet)
`
Site Address and/or Directions to Property: f,C.pE a C_i7 (ti y Ti-) rc.7i�-t'R,06e N a A Lp Gr- ,r`t/3C C
Property Owner(s)of Record: iiii R v&1' A-�-t r' ��t)e A CO t -c1(-->—
Telephone: _' )6.•,0 7 ..Z 0 <4 *E', Fax: email:f �::'i-& , ap ,;«ct4 12
Mailing Address: 0, 1 O - (y : - R T /i/i i.C-t,C�</ L.u4 eir) `j ' As-`"r
Applicant/Agent(if different from owner):
Telephone: X. Fax: x email: x
Mailing Address:
Wh3t kind of Permit?(Check each box that applies)
CYBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑Single Family ❑ Discretionary"D"or Unnamed Use Classification
t?Garage Attached/ etach ❑ 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 El 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
El 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 :c=L F to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ri-------- Date: t In 1 09
By signing this application form, 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 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 its employees,representatives or agents for the sole purpose of application
review and any requir ater inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: ��— Date: 9 I1 1 I 0 q
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-transfer responsibility for adhering to and complying with the ESA. The Applicant has read this disclai er a signs and dates it below.
Signature: Date: 1 1 7 I 14
G:\PermitCenter\FORMS DRD FORMS\Master Permit Application 7-8-04.doc
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