HomeMy WebLinkAboutBLD2005-00023 •UILDING PERMIT APPLICA•N MRLAOW00019
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00023 Received Date: 1/11/2005
SITE ADDRESS: 374 PULALI POINT RD
BRINNON, 98320
OWNER: CHARLES M SMITH PHONE:
374 PULALI POINT RD
BRINNON WA 983209774
SUBDIVISION: CORN SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 601183016 Section: 18 Township: 26 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORN DYKE RD
QUILCENE WA 98376
Contractor's License SEAHOSI077KS Expires 11/17/2005
REPRESENTATIVE: GREG BARON PHONE: (360) 765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
PROJECT DESCRIPTION DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 420 SHORELINE:
CONST TYPE: DECK: SETBACK: 250
BANK HEIGHT: 30
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: / de
//9l O 5 P 4-( Aqquifer r &W La uifdsler
Shoreline
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $251.25 BAC 01/11/05 69031 APPROVED
Plan Check $163.31 BAC 01/11/05 69031
State Building Code $4.50 BAC 01/11/05 69031 MAY - 3 2005
Total: $419.06
Jefferson County Planning
&Building Department
4Lccc bi7 e("-•
soNc •• • - r ,
���" off, JEFFERSON COUNTY
e DEPARTMENT OF COMMUNITY DEVELOPMENT
'' "`; 1-4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax JAN 1 1 2005
-4`gIIINO
p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 05—t ct
. . .
Project Description(include separate sheets as necessary):
Tax Parcelm r. (�60/ / O 3 ter-�/ 6 Property
be 1 Size: (acres/square feet)
Site Address and/or Directions to Property: __ 7't QL.ft L.L. ,1 R
Property Owner(s)of Record: G ki ARLI..S $ rt'N. 0."�
Telephone: Fax: email:
Mailing Address: '37 y P oL AL; po...A-- R d
Applicant/Agent(if different from owner): G 4e e) 2 0 A.J
Telephone: 36o— 765- 31 41 Fax: 360-765-"155t email: 6-03 Moo?weStAP-/c •oe/wt
Mailing Address: 7 y.ZS —111.4r y l ((Qti4"Qe.e4-0-, (i3k G37(40
What kind of Permit?(Check each box that applies)
R1uilding )(Variance(Minor,Major or Reasonable Economic Use)
U Demolition Permit U Conditional Use[C(a),C(d),or CI**
U Single Family U Discretionary"D"or Unnamed Use Classification
)(Garage Attached ---e-tached) U Special Use(Essential Public Facilities)**
U Manufactured Home U Boundary Line Adjustment
U Modular U Short Plat**
U Commercial* U Binding Site Plan**
U Change of Use U Long Plat**
❑ Address I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
U Propane U Plat Vacation/Alteration**
U Allowed"Yes"Use Consistency Analysis U Shoreline Master Program Exemption/Permit Revisions**
U Stormwater Management U Shoreline Management Substantial Development**
U Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Variance
U Temporary Use U Comprehensive Plan/UDC/Land Use District Map Amendment
L1 Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment
U Forest Practices Act/Release of Six-Year Moratorium
*May require a Pm-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 d fNRRn ion1 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE e .A5(.. . ,c
Date: 12 - 2 / — 0
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 attorneys 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 inspe ns.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: /2. 2/ - Of
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 complianc with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfers s nsibili r adhe' and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.is
Signature: � Date: `2 - 2/ 0
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
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OWNER BUILDER STATEMENT N _ \': ,._.
r
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are riot licensed contractors and that,
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date: JAN 1 1 2005
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
5,�, � �c � c_ (360 745-37 f) (260 76 s�S)
MAILING ADDRESS: 7i S Mfg�t' _ Q ( EMAIL: �L g e,2, wQ,c2R t Ie.G v✓\
CONTRACTOR'S LICENSE I I I w tL tic' WAINS
NUMBER: I A�Ttos L 0fl I'z ` NUMBER
ARCHITECT/ENGINEER: rr �I�v / PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
)(New kr-Wood Existing: IJ Sewer
J Addition LI Steel Proposed: Bank Li Community System
i Alteration/Remodel IJ Concrete Total: (') Height: ikrIndividual System
i Repair LI Masonry 0 SEP Permit#
1 Demolition LI Other. Bedrooms: Water Supply:
Existing: Setback: eV—Private well LI Two Party
Type of Heat: Proposed: r LI Public
N/A Total: Q ,250 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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert i Hot Water Tank 1 Pellet Stove 1 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: (�,+Z'coo
2ND Floor Base fee:
2r-A . �5'
3f0 Floor Additional Section:
Mezzanine: Plan Check fee: t r 3` 3'
Heated Basement State Surcharge fee: ii50
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport Q[� �
112 �D IR0 '(!v TOTAL: $41:21 Co
Decks ,
Receipt Number: 6Q061
Other Cash/Check Number: ezozo
ESTIMATE tZE Date: /C� I OS—
‘
Fair et lue of all laborr an m erials foundation to finish
I Cy 0 0 a Initials: CO-
C:\Documen d Settings\much' esktop\Master Permit Application 7-8-04.doc
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00023 Received Date 01/11/2005
SITE ADDRESS: 372 PULALI POINT RD Issue Date 05/3/2005
BRINNON, 98320
APPLICANT: CHARLES M SMITH PHONE:
374 PULALI POINT RD
BRINNON WA 98320-9774
SUBDIVISION: CORN SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 601183016 Section: 18 Township: 26 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License: SEAHOSI077KS Expires: 11/17/2005
PROJECT DESCRIPTION: DETACHED GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
•
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation: .
Shear Wall :
Sheathing:
Framing: £JK /2/2/�D5 •
lir
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: /V)- p,S"G�►�' O < -9ci'r ci Air.( 1 z �./7�45
HEALTH DEPARTMENT AND PUBLIC WORKS..AP ROVAL 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
• III
12/11/20E4 E9:43 36E176E4553 GR GiBARRLN
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a WNaatIlitie ifiRRTA'tIIPAIcNT DEC 1 3 2004
The stew of the statetrtent does hereby renttly that they are the games of the parcel retennoai hereto,that they ore Mt ikaer eed contractors And flint
they will be assuming the tbsponsitelty or the deneret Contractor far the props ere protect. w
Stgnefun. .�_ .A Date: .i._.... • 1 i x
GENPRA..CONTRACTOROR MANUFAafuRED How tesTALLER: _ mow
4'! t4 __ Fi...x:
c 3 -37 fib - 1
t1AAiLrtMC�Atx>Ft�e:s ���- ---
O:c>Nrwac-noirelrCatist — J�fl .�' ----gi-�L .z�!•.+1`7 S1�} ✓1•e.C.r
NUttettER; Mtlt#N3
AtownicT/Etaokeraiea: Neeteete
PHONE( ) Phis( )
_ _ -_ _Mamma Amens:
EtMAfL _.
!_tea --- . ,
X New : Typet fIM ttroome: ( t;harrel►ne: type of Se rs ere bispossl:
a �ldditfgn od Existing; U sewer
U Steel Proposed mr� • Rank U Can rnty System
„1U CJ
Alteration/Rea/Wet fmrxate Total. ---r`..<..-, Hoidht: tringivldual System
JI Repair
r4tm i Masonry tisetlroarnU: 2s d__ SFP Perini!#
U Other.
""""' E:istlng Setback: Walker Supply.
'Type of Meet: c+ ! Trutt well Tyvo Patty
.`J fit_._„_, Total: et , ... Name of System' -
ridtf
fTi a��.1Rst you!oust ane�Cst'Oakilt wind: - „T
Number of Parking Specea: Currant: Proposes!: Numbs►of eas Partin
Number aoccupants(includes owners,tenants,errWerAeo,ale) CuHt♦t►t Q�3paa�s:__
IeC Occupancy: IBC Type of cons u 0w: . W it you have Food Semen? ,XaLi„[g
flute le epraparoadt4r It
1 Underground Tank 1 Above ground Tank Size of Propane ran tlt l�
rank
{ 1 Hose Stove ' Cook Stove 9 Woodstgv* I fireplace Insert f Hot Wafer Tank 1 pellet Stove 1 Other
IsJf►ia al* nee b es!In uI tamed/Meb#yt t Yea / NoNIN —
et tooth eton andalie for a n to skaatsnceap propane
nne tank you must Moo auMelt a site plan showing w of the MtAlggrpa,all property
&pakndto the nose re ens. propaneICank to rest pivot),*ma.t ulladd�Qa add saxidC*YearneOtttpd/letrls,
AAcelro Fiogr— --Yerent— rrqx!i11a I111
onetstenoy ReetervE
z Floor - —
' gees foe:
Men Check Ilse: t
Beite
Unheated r tent -1 ` i_ iaot v:wi •SD ._
iiiiw#i "".. _.
(hhei tJnhoeted ._"�_ •.-�+
T�Tild resin tee;Garage/Carport _ _ - TOTAL �� -
Decks42° ! $ Q �� � ,pCc,
Crthe Reese.tiensber:
" f.7tuw.gce,esk►w.d►r: 4 ... . __ ..__
tEBT�T'EQ C�Z� .�`�"` RMie1: i
e e d ell lebvr end mina• krona riort In Mien
(:VIMMroMa an atdMllkskexT\Manse Pktmit a-`�"pi�drm t.if M.dtK
V VPVi 1t1 lZ1 ��
ZM 3Ek+d COG 00 3d3(' T9t,t6L O9E. cZ 1 PL i /E1/ZT
SPECIAL CONDITIONS FOR CAA BLD05-00023 •
1.) 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.
2.) 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.
3.) 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.
4.) 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.
5.) 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.
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.) 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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no •
fire, safety, health or sanitary hazard.
9.) Nof more than two (2) unlicensed or inoperable vehicles shall be stored on•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).
10.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Setback from private easement road right-of-way is no less than 10 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.
13.) 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.
14.) 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.
15.) As per the approved Eagle Plan signed by the applicant on April 15, 2005, the applicant
shall retain all known perch trees and conifers greater than or equal to 24 inches diameter
at breast height(d.b.h.). The applicant shall also retain greater than or equal to 50% of
pre-crearing 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.
•
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