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HomeMy WebLinkAboutBLD2005-00133 MLA05-00136 GILDING PERMIT APPLICAAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00133 Received Date: 3/7/2005 SITE ADDRESS: 4762 FLAGLER RD NORDLAND, 98358 OWNER: DAVID M BODKIN PHONE: 360-389-4291 4762 FLAGLER RD NORDLAND WA 98358-9688 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 921084008 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: ACE CONST ENTERPRISE LLC PHONE: (425) 205-9331 13302 1ST AVE SE EVERETT WA 98208 51 77 33 Contractor's License ACECOCE976PG Expires(4210/7/200 05 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW DETACHED SHOP/GARAGE - UNHEATED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 16,970.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 720 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW __ _ WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: • Exist: Prop: Prop: Total: Total: Routing Date: J1 UI-4H Type Amount Paid By: Date: Receipt: A P(7��ye�(ga ED Permit $279.25 BAC 03/07/05 71542 (— v Plan Check $181.52 BAC 03/07/05 71542 JUL 1 5 2005 State Building Code $4.50 BAC 03/07/05 71542 Total: $465.27 Jefferson County Planning & Building Department rirc nstc.k . Q-a-A-c.- BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00133 Received Date 03/7/2005 SITE ADDRESS: 4762 FLAGLER RD Issue Date 07/15/2005 NORDLAND, 98358 APPLICANT: DAVID M BODKIN PHONE: 360-389-4291 4762 FLAGLER RD NORDLAND WA 98358-9688 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 921084008 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: ACE CONST ENTERPRISE LLC PHONE: (425) 205-9331 13302 1ST AVE SE EVERETT WA 98208 (425) 743-0105 Contractor's License: ACECOCE976PG Expires: 10/7/2005 PROJECT DESCRIPTION: NEW DETACHED SHOP/GARAGE - UNHEATED CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: /1.0 $j Q5' Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathin : Framing: 122— IcZ—o• Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approv / D-if-os-- HEALTH DEPARTMEN 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 CASE A BLD05-00133 • 1.) 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." 2.) 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. 3.) 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. 4.) 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. 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.) 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 25%. 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.) Setback from Robbins Rd. right-of-way is no less than 20 ft., setback from SR 116 (Flagler Rd.) right-of-way is no less than 30 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.) No plumbing has been approved for this building. 16.) SEP05-190 shall be completed prior to the final approval of this building permit. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 i liv!Pi WILI"" , \V...(44,U) j i e ..... .. .. JEFFERSON COUNTY DCD ildillOabbous Tt . . oc` 1t I�/2�os E li` / 1 " e r St-7 d I / / / 1 ue A "',, � P I _ ` — / z -- i' / PERMIT # RED .F "°�` •' A, I / 05 - 0133 0°fi n`�' =-az `Y / �i- JEFFERSON COI NTY DCD s< E�.u:eil tea,. 17 I -Dr ilk_1t!1t.L� { ccsc i�c-9�, ,rF i e 1a m $. ID' 4.s� , 14" I se- i 1 A �__1 e1�-s 0. �s41Jt s-rc.z. 0 i itTi-k;LA is - — is i •% `fiAI t `g i ... �, 'I. ', Mr N. 5100259 41 ss Stonnwatcr BMP's .BERNT PAUL ERICSEN'. t R ..►�..���.1�300000 ,.���1, C(jt14rcu,tom S C.-i. Jr G-tz-o3 APPROVED r ,,at w`. SITE PLAN `1aiOS 00' Nf JUN 2 0 2005 JEFFERSON C UNTY DEPT.OF bE E+E ,5}�tv(ENT SIGNATURE:, 4rillik `' Olv co& JEFFERSON �NTY • ,�� DEPARTMENT OF COMMUNITY DEVELOPMENT ` `1 621 Sheridan Street• Port Townsend-_-Washington 9836 - __....� 360/379 4450 • 360/379-4451ax f L �qs,8 p� www.co.jeffersonwa Sus/comm levelopmetit I= I i. Master Permit Application `R L. MAR — ' 35 i Li.... c 5, 13 Project Description(include se arate sheets as necessary)` ` 4yrW/J %1b �'C A'A C-' I . ry ,.i.. Tax Parcel �J Property Number: v O��Q©� Size: (acres/square feet) Site Address and/or Directions to Property: 4760 Z- RC..4G tR.-- g-D Property Owner(s)of Record: Ci-tke.i,kJ G. f ]7AV IP '92, if5c &/A I Telephone: 360 ,gg• `fZ- ?( Fax: email: SvkclfOLC',;®y�tA(lc.•Coni S' Mailing Address: ifl 9"G / (( Applicant/Agent(if different from owner): / C CeK f T)e Llf'T7 'A Telephone: Fax: email: Mailing Address: Wfpat kind of Permit?(Check each box that applies) Building ❑ 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 Garage Attached etache ❑ 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 ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat VacatioNAlteration** ❑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 ❑ Comprehensive PIaNUDC/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: ,-_ r QESIGNATION OF AGENT I hereby designate �- '/9-NUC.7?`--/C 4) to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � ,�.../'�'' Date: O �, — D S By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is tree 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 attorney'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.Ampss and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: _ Date: •e,' " --.' D 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-transfera res nsibbii ity dhie'n to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: sty// j Date: QV —.,, A 613--- G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • 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 they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRAC Oft OR MANUFACTURED HOME'INSTALLER: PHONE: FAX: -;c erg- 77r C/( _ _. 2 ) 7 C�/�"n (; ) 7 -5' O/ :) MAILING ADDRESS: ,4 i (/V T,c / p `,-EMAIL: CONTRACTOR'S LICENSE / / WAINS NUMBER: C.• ` ) "� _ NUMBER ARCHITECT/ENGINEER: / 467.)- ,-- - fti?r (�C�^� C/ {. /` �: iT�cf�Yi.(� PHONE W C j l i2 1` gl ( ) MAILING ADDRESS: ��5 f 5.67p), _ . „5-727 l..'� EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Of' New if Wood Existing: [4 Sewer ❑ Addition ❑ Steel Proposed: _ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# C) Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: iff Private well ❑ Two Party Type of Heat: Proposed: I_] Public Total: Name of System: If this is a CommercialProjectyou 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 ❑ 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 Use On'y Current Proposed Amount Main Floor Consistency Review: LA61 DO 2Nu Floor It fee:)) L',, 4.; it:, ii W Eli3 Floor ^1 F,.','nal'Section: i ;rf a;:4 r t ri Mezzanine: i i E i MAR — 7 2005 PIa 'Check fee: Heated Basement Sta a Surcharge fee: Unheated Basement uL�S �'': Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport ,° (9 ��� � TOTAL $ i( 2gti7 tiz J)/J-r 7A. Decks Receipt Number: kj \ L-�L '-- c Other Cas?iCheck Number: ESTIMATED COST(REQUIRED) Date ;_ 1_ •Fair market value of all labor and materials foundation to finish `) \ ) Initials: G:\PennitC nter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc