HomeMy WebLinkAboutBLD2005-00008I
MLA05-00005
.ILDING PERMIT APPLICATIPN Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00008 Received Date: 1/4/2005
SITE ADDRESS: 271 RENIER RD
NORDLAND, 98358
OWNER: DONALD R DESNOYER PHONE: (360) 385-9744
JEANIE DESNOYER
271 REINIER RD
NORDLAND WA 98358-9559
SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 8+
PARCEL NUMBER: 977700027 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR &
A/G 500 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE: •
TYPE OF IMP NEW MAIN: 1,048
VALUATION 156,887.00 ADD'L: 654 HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 184
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: F&W Landslide
�; , Shoreline Aquifer
( `) ;) .` Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: I p roved/Date
Permit $1,312.95 BAC 01/04/05 69023 R O V E
Plan Check $853.42 BAC 01/04/05 69023
State Building Code $4.50 BAC 01/04/05 69023 JAN 2 7 2005
Potable Water Application $53.00 BAC 01/04/05 69023 Jefferson County Panning
Total: $2,223.87 & Building Department
• BUILDING PERMIT i
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00008 Received Date 01/4/2005
SITE ADDRESS: 271 RENIER RD Issue Date 01/27/2005
NORDLAND, 98358
APPLICANT: DONALD R DESNOYER PHONE: (360) 385-9744
JEANIE DESNOYER
271 REINIER RD
NORDLAND WA 98358-9559
SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 8+
PARCEL NUMBER: 977700027 Section: 4 Towrhip: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR&
A/G 500 GALLON PROPANE TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
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:
Final/Occupancy Approval:
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, # BLD05-00008 •
1.) The project is located in close proximity to an identified wetland and is subject to the
delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code.
Based upon the proposed location of the project in relation to the identified wetland, the
applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer
requirements by fifty (50) percent. The applicant acknowledges the additional setback
and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland
delineation requirements of the Unified Development Code.
2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
3.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
4.) 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.
5.) 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.
6.) 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.
7.) 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.
8.) MANDATORY MEASURES FOR AN AT RISK 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 requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
9.) A flow meter shall be installed for to final sign off of the building permit. •
10.) On-going well monitoring for chloride concentration is required. The property owner shall
allow access to Jefferson County PUD or approved contractor to take samples as
required.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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 requiremen;z. 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).
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Minimum setback from Renier Rd right-of-way is 20 ft. Minimum setback from the edge of
the easements along the southern and eastern boundaries are 20 ft. Minimum setback
from the unnamed platted road along the western boundary is 20 ft. Minimum setback
from the northern boundary is 5 ft. Environmentally Sensitive Areas further impact
setbacks.
16.) A minimum of two (2) on-site parking spaces are required for the single family residence.
17.) 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.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
_._271 RENIER RD . BLD05-8
DESNOYER
Approvals Req'd Prior
i:o Final Inspection
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DEPARTMENT OF COMMUNITY DEVELOPMENT [ `: ,I rl
621 Sheridan Street• Port Townsend •Washington 9836 _ JAN - 4 2005 �', >
360/379-4450 • 360/379-4451 Fax i t 1
k' o www.co.jefferson.wa.us/commdevelopment I Jf'tr `"'�----r
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Master Permit Application MLA: Q_� OOOC_5
Project Description(include separate sheets as necessary):
NC Li) — S FX _
Tax Parcel Property
Number: ct 1"? 7 0 2-7 Size: y,z. / l $2 75 9j (acres/square feet)
Site Address and/or Directions to Property: 2--7( Re N i e r- R9 ki),NQAS WA q$3S a
Property Owner(s)of Record: 1)o^,.((9 ; i(c,," (-)eskt�s/er-
Telephone: 360- 3 K S- S 7 S''/ Fax: / email: .
Mailing Address: 21 i Re - R 9 bo ,D/' ..Q f.JA S b 3S b
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
applies)
Wf3uilding 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
po Single Family 0 Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑Manufactured Home 0 Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)IAmendments**
Propane 0 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 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 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 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: 1 �^,,, K4D Date: c/Vo c
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 rests adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: (______)0 P � �C, — Date: ((Le/os
G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
I
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
III
they will be assu ing the res bill ;the General Contractor for the proposed project.
Signature: v» (.1 Date: //10.1
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: ,
W New )Wood Existing: ❑ Sewer g
•p J.
0 Addition 0 Steel Proposed: Z Bank ❑ Community System i*-
❑ Alteration/Remodel ❑ Concrete Total: Z Height: Individual System
O Repair ❑ Masonry SEP Permit# O.1-3/
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: Private well ❑ Two Party
Type of Heat: Proposed: a— 0 Public
Total: 2 Name of System:
If this is a Commercial Prolect 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:
p Underground Tank Above ground Tank ( N-k s '' Size of Propane Tank: i{-- /w- 51" (')
a Heat Stove fp Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove Vi' Other a
Is this appliance being installed in a Manufactured/Mobile Home? Yes Nog
When applying for a permit to install a propane tank you must also subm 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 E Office Use Only ':`. , x: z': +r k�`" `" ti y'�' 3
d b � k�� � �� .�rlw- ��v
Current ' Proposed L , ..v_. i~� Ls w�T� *' �w A ply
Main Floor ,..,. '. ,., i > .'M�:."}� %r t "s: .., , J ".f
2 Floor Ji COf . T lot d5 5 ..E .r' N ,
3'0 Floor ,Additional Section: 4 1 s, .- ', '
ia s a ir "�. ir � b. ','r ' ;Mezzanine: '-1 n Gl c#ee- �� `, � .1 r .. ;.
Heated Basement s i I' '> •rge fee: Rc I 'x, i w.:, "'-s m''4 a . +tt'
wy r �toa v �� � r' ; , .� ,/ .ig is
Unheated Basement , t:w s ry e :` r ,i Vie"t.- w
t , a , ':ix-R'a`-. 41tr^ a $ i 'v'�f zTi illy 'P°�}+ t .z't E eTn +�'..:
Other Unheated t � JAN - 4 2�05 1/Rd o- 4vr ?� T ' � t
r ce".a.' r x ., s ?v N '44" u,_gi� 3itl.. i, .
Garage/Carport ;: ' 3,60e.t F . , ,0�'`1`n; `"
ra TOTALS
Decks
�d`� �� �:, .,w � �• �;, �� ��
Decks f N. yni ;t t j *. .] F 7 }+y}Y F L..:
)"-
OtherFt. ,umber: 'f r .1 . ,, k-. :
ESTIMATED COST(REQUIRED) gj'( °+ •t=' t'�^ �, �3" F •' e t v4
t�f, 3 { kr 3... C '' j0; 7!"Al
•Fair market value of all labor and materials foun•• ".n tc1ti lT fl M :* .� ' r . 1
�fj/ 1 T ,. 4 4,9n' ,ti .- 1 Y.i:.l' ',VI'.to t. dF`�v q. 'T
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