HomeMy WebLinkAboutBLD2005-00057 GILDING PERMIT APPLICAAN MLA05-58
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00057 Received Date: 1/31/2005
SITE ADDRESS: SUGAR HILL RD
CHIMACUM, 98325
OWNER: TODD M JANNAUSCH PHONE: 360-531-0064
TRACI J JANNAUSCH w6rCit 3gC on
PO BOX 874
PORT TOWNSEND WA 98368 cc2 • 52,t -vo 6k
SUBDIVISION: SUGAR HILL ESTATES Block: Lot: 1+
PARCEL NUMBER: 901135001 Section: 13 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR W/ COVERED PORCH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 657
VALUATION 199,523.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N GOARAGE: Za--,
SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 1 Prop: 1 Seismic Streams
Total: 1 Total: 1 Flood Way Floodplain
Routing Date: F&W Landslide
21.77C'C.) Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,105.75 BAC 01/31/05 69081 APPROVE
Plan Check $718.74 BAC 01/31/05 69081 .
State Building Code $4.50 BAC 01/31/05 69081 MAR - ? 2005
Potable Water Application $53.00 BAC 01/31/05 69081
Jefferson County Planning
Total: $1,881.99 & Building Department
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11, •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00057 Received Date 01/31/2005
SITE ADDRESS: 702 SUGAR HILL RD
CHIMACUM, 98325 Issue Date 03/7/2005
APPLICANT: TODD M JANNAUSCH
TRACI J JANNAUSCH PHONE: 360-531-0064
PO BOX 874
PORT TOWNSEND WA 98368
SUBDIVISION: SUGAR HILL ESTATES
Block: Lot: 1+
PARCEL NUMBER: 901135001
Section: 13 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION: NEW SFR W/COVERED PORCH
CALL IN FOR THE RE UIRED INSECTINSEClor THAT APPLY TO YOUR PROJECT.
SETBACKS: ( 312,g d'
UFFER: 'k 3/Z8/ac
Footing: 4k' J3/� `66
Foundation: Ae04,1164its 005,
Stormwater FINAL Approval:
Underground Plumbing:
Underground Ins lation:
Shear Wall : (t) DQP 6 -yt_ 0 S ,
Sheathing:
Framing: pieitdeva ildms vAs
Plumbing:
Propane Tank/Lines:
. Insulation: O/( �f/x,%TO
Sheetrock: O ' i 9 rs
Septic Sytem Final Ap royal (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: eV- b• ti<03
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 CR# BLD05-00057
1.) A vegetative buffer of 34-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 34-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
single-family residence with covered porch.
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The"building height is not to exceed 35 feet.
12.) Minimum setback from Sugar Hill Rd right-of-way is 20 ft. Minimum setback from the
north boundary line is 18 ft. Minimum side and rear setbacks are 5 ft. Environmental
Sensitive Areas further impact setbacks.
13.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
14.) 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."
15.) 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.
16.) The project shall comply with 'Instruction Stormwater Pollution Prevention WP
Elements#1 through#12 of the DepartmentP)
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.
17.) A minimum of two (2) on-site parking spaces are required for the single-family residence.
18.) The wetland, wetland buffer and open space shown on the plat shall be maintained in their
naturally vegetated state. This shall mean that vegetation within the wetland protection
area shall not be disturbed or mowed. All wetland stakes in the field shall be maintained
and replaced as necessary.
19.) WATER LINE MUST BE LOCATED A MINIMUM OF 10' FROM ALL COMPONENTS OF
THE ONSITE SEWAGE SYSTEM INCLUDING THE TANKS, TRANSPORT LINE AND
DRAINFIELD.
20.) SEPTIC TANK AND PUMP CHAMBER SHALL BE LOCATED A MINIMUM OF 5' FROM
THE FOUNDATION.
•
I:\F_B L D_Perm it_B u i ld n g.rpt
10/29/19
OWNER BUILDER STATEMENTIP
The signer of this statement does here certify thaa'ey are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu ing e r nsibif of the General Contractor for the proposed project.
Signature: o Date: 2-� / /S/O V
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: • FAX:
_ ( ) ( )
`, }
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE JAN WAi s2OUS i !' ,'
NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
—
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 1 Bank ❑ Cpmmunity System
❑ Alteration/Remodel ❑ Concrete Total: _ I Height: [4ndividual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existi
Type of Heat: Proposed: _I__ Setback: CI Private well of Two Party
ELE C T2 Name 1 c- Total: . 1 ❑ oc
of System:
A- If this is a Commercial Proiect 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 0 Above ground Tank Size of Propane Tank:
❑ Heat Stove 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑ Other
N 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 fficeUseOnly ; -a ��: -4.
Current Proposed #- ., x r
Main Floor /M Con._sistency;Review. `"" 4
S
2""Floor f 5 7 `7244�e - , y=
fee: 4 �A ,,
3r°Floor 1 0k r ti `
nal Section: . ,,, •
wr r:
Mezzanine: Plan Check fee: . G jJ * ii, - ,r "' '
Heated Basement State Surchargefee: ,� . $ • ten,;
Unheated Basement Pot Water Review fee: - : . ,, ,'-' .r
Other Unheated w '` µ
911/Rd Approach fee: piµ `�- � ,1 �$
Sam 7-4-1y1.� Y;�n � r ��tr� z , r
Garage/Carport -
TOTAL: $ (R6` `tt ,; h i {
Decks C v 4��%ZE i) — L ! �+,a*r :�� .,
Aug ram/ v� 5(S Receipt Number. 6 q OtrA rive-441�, s' ,,,sc
Other
(r,J�//��� ///ir Cash/Check NumberAlen .r�` � �$ a
IRED kr.,:
E COST(REQ1Z . ) Date: h � 0`fi .2. . _
•F.i ark&value of all labor and materials • ndation to finish i "i / 9' l7 Initials. n
/ / S rr raja> f rk yy fT X1(TXh
G:\PermitCen - i•O FORMS\Master Permit Application 7-8-04.doc
1$ox -4 JEFFERSON JNTY •
' �' DEPARTMENT OF COMMUNITY DEVELOPMENT
` `Q I 621 Sheridan Street• Port Townsend •Washington 98368
41 360/379-4450 • 360/379-4451 Fax JAN ? nr
p� www.co.jefferson.wa.us/commdevelopment ��`'+`
Master Permit Application MLA: d5' ;;
Project Description(include separate sheets as necessary):
(o.tc,RlvcTo.,..) of AYcki We9/1-)e"
Tax Parcel Property
Number: �p1 /3S Uo/ Size: S (acres/square feet)
Site Address and/or Directions to Property: tor ;,1 SVGAIL- N Ie.E R.O CAti/1iAcv" cl S 32S
Property Owner(s)of Record: Q,0 A•v/" 'T2 4 f CAA- 44 r'SG/
Telephone: C.36o1 S31 -D06`f Fax: email:
Mailing Address: `-7o.,ao) 8 7'-/ Pc i2 i 7° s e_A-A 965>G 8
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What.kind of Permit?(Check each box that applies)
uilding 0 Variance(Minor,Major or Reasonable Economic Use)
❑ De�molition Permit ❑Conditional Use[C(a),C(d),or C]**
GYSingle Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
El Commercial* ❑ Binding Site Plan**
❑C :nge of Use 1 ❑ Long Plat**
r, ' •• ess a. •ad Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
■Propane ❑ Plat Vacation/Alteration**
❑/)owed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
tormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑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 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 requir later in pections.Access nd right of entry to ' property shall be requested and shall occur only during re ular business
hours.
Signature: ,_/ (Date: /lS j 0
,
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 i ou are in comp'ance with the J erson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans ble r onsibil for adherin o and complying with the ESA. The Applicant has read this disclaim and si r(s and d t s it below.
Date:
' /2-- /S
9
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