HomeMy WebLinkAboutBLD2005-00166 OUILDING PERMIT APPLICAlON ML Revviewiew T Tyy166
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00166 Received Date: 3/21/2005
SITE ADDRESS: 30 WOODMAN RD
PORT TOWNSEND, 98368
OWNER: ROGER A PICK • PHONE:
CAROL S HARDY
PO BOX 781
PORT TOWNSEND WA 98368-0781
SUBDIVISION: 144_4:4G SHORT PLAT Block: Lot: 2+
PARCEL NUMBER: 901084014 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW 1 BDRM 600 sf CABIN
W/250 GALLON A/G PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 600
VALUATION 60,000.00 ADD'L: 177 HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: 36 SHORELINE:
GARACONST TYPE: DECKLE 120 SETBACK: 45
BANK HEIGHT: 29
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
1 GA) .
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $713.75 BAC 03/21/05 71725 APPROVED
Plan Check $463.94 BAC 03/21/05 71725
State Building Code $4.50 BAC 03/21/05 71725 MAY -A 5 2005
Potable Water Application $53.00 BAC 03/21/05 71725
Jefferson County Planning
Total: $1,235.19 &Buildin Department
• •
1
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00166 Received Date 03/21/2005
SITE ADDRESS: 30 WOODMAN RD Issue Date 05/5/2005
PORT TOWNSEND, 98368
APPLICANT: ROGER A PICK PHONE: 360-385-4454
CAROL S HARDY
PO BOX 781
PORT TOWNSEND WA 98368-0781
SUBDIVISION: CEE-DER LOG SHORT PLAT Block: Lot: 2+
PARCEL NUMBER: 901084014 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW 1 BDRM 600 sf CABIN
W/250 GALLON A/G PROPANE TANK
CALL IN FOR THE RE(3„UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: rin p
UFFER: --'18.47!S Fa
Footing: 4, /fe -pV P
Foundation: 7- ,,v 1,D►4 t? rag
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : n1 �= j,-) -e
Sheathing: r-,y ,.. ,Framing: tAiv37,yes_—_
Plumbing: > i s1,,—
Propane ank/ Lines: /M7? r''--i�'4 id ig
Insulation: A L-L-s AJL.T K I.f bs-
Sheetrock: Le J& 2 0.S
Septic S m Final Approval (I not o sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:fiei6e/l/triOIJ !/-«f-O,S'
HEALTH DEPARTMENT AND PUBLIC ORKS 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 CS t BLD05-00166 •
1.) Residential capacity minimum of 240 gallons per day, this permit for a 1 bedroom
residence, no ADU expansion possible without further septic review.
2.) The proposal is adjacent to the shoreline and is subject to the provisions of the Jefferson
County Shoreline Master Program. Setbacks shall be a minimum 1 to 1 ratio. The bank
height is 34-feet, which requires a minimum 34-foot setback measured perpendicularly
from the top of the bank to the proposed development. In addition, 30-feet of native
vegetation must be maintained as a buffer. The vegetation shall be measured
perpendicularly from the top of the bank back 30-feet.
3.) 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.
4.) 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.
5.) MANDATORY MEASURES OF HIGH 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.
6.) MANDATORY MEASURES FOR HIGH 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. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
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.
7.) A flow meter shall be installed prior to final sign off of the building permit.
8.) 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.
9.) The property owner shall comp r with Water Conservation Measures (per lispmaintained
by the UDC Administrator).
10.) 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.
11.) 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.
12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
13.) 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).
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) The building height is not to exceed 35 feet.
16.) Setback from Woodman Rd. right-of-way is no less than 20 ft., side setbacks are no less
than 5 ft. Setback to the top of the shoreline bluff is no less than 34 feet. If an
environmentally sensitive area (ESA) is present, then the more restrictive setback shall
apply.
17.) 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.
18.) 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.
19.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
•
I:\F_BLD_Permit_Buildngspt 10/29/19
gSoivi co JEFFERSOI RUNTY 1
' DEPARTMENT OF COMMUNITY DEVELOPMENT
'� 621 Sherican Street,Pod Tovmsend�WashiVgton 98368
360/379-4450 • 360/379-4451 Fax
�<qS, O� www.co.jeffersop.wa,us/ ommdev ent
M st y set' c)4--� b&I59
Master Permit Application MAR 2 1 2005 65-j (0MLA: P
co,Y
Project Description(include separate sheets as necessary):
13T RP C4' / BEINZa ist 606 Fr I&!
Tax Parcel �O I D g -p - Property -
Number. Size: `i•02 -2ES (acres/square feet)
Site Address and/or Directions to Property: a CDi .D/ N lam. C &'.b -LL .SA_A1/4" 0,�. t,pr Z,
Property Owner(s)of Record: PI Ct; /A- )t_ 1-f/4Ge.SDy
Telephone: oU • 3f 5 .44.c4 -F.,y c u_., 3oi • 5I 95 ernallrileAill3SVt0 chi(^.
Mailing Address: I",D,g, ?F,1 -tD . -IV i3O-1 .e/ WA 9 2 (,L,$
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ❑Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit 0 Conditional Use[C(a),C(d),or C)**
Single Family 0 Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
0 Manufactured Home 0 Boundary Line Adjustment
0 Modular 0 Short Plat**
0 Commercial* 0 Binding Site Plan**
0 Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
tif,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)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 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 t. Provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an requ'e&d later ins.- i. ..° and right of entry to this property shall be requested and shall occur only
hours. ,� • I
eq during regular business
Signature: ��. ,� ' ' I. Date: 2-[ AAA g`-.k�, 9S�
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 begpissued will not viola ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if youre irf`co� Ilan wi Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf b e res si 'i f to and complying with the ESA The Applicant has read this disclaimer and signs and dates it below.
Signature: •
� /�� f L �'
Date: ` "` �
G:\Pe:mitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT •
The signer of this statement•.•. 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 •. .ili of the General Contractor for the proposed Project-
Signature: --rD Date: 2 �t1�t�'Ct ` )C
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: - T NUMBER -
f �,
ARCHITECTT//E_NGINEER �. e°1 r-- (PHONE tg6 )3E,s,,,t2t 0 FAX:( )
MAILING ADDRESS: -MI &1)I•OL.Y S'j^i, VA', Wilk2& f.S EMAIL AN FIGT&. eSV`FC?E'STt '• T
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
A New X Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: —1— Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 1 Height r ) Individual
❑ Repair ❑ Masonry `-�9 SEP Permit#`I" —tv L
Bedrooms:
❑ Demolition ❑ Other. Water Supply:
Existing: Setback: ❑ Private well (Two Party
Type of Heat: P?(A.)'C' Proposed: I 4S ❑ Public
Total: I 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 A Above ground Tank Size of Propane Tank: Z-$.'D k L
X Heat Stove IX Cook Stove ❑ Woodstove ❑ Fireplace Insert X Hot Water Tank ❑ Pellet Stove 0 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,
Includin• the reserve area. s y.
Square Footage e Fs al l f i , [',. T ''� r 4y�1 1:tk e' rt.;+--Wm
kit F .� '''u fiy ,
Current Proposed `' t E .y; • d . t z` -�.tt,' t 1,ALt k'i'
Main Floor 4. ,. 3 1 :F -* r ' ''. *_ - .�� V t,
y+22C3/—._ a,,tr , t '3'A' >K*ate .1 -ti z 4 4 .s „':,tt 1 111.41:1 -11 3i 4
2' Floor �3" ),a c ' ge.5, 4,.7.;, ;z a �.- 4:4'z a 1 , tr # v- c t
�*L • Stye►
yy .t s N 4 z. ,l rlfttiwy "Y � +�,F.[ .y
3' Floor t a � k � 3.a $ v...44. '4�' t 'C7'a,, r,-,
i tr Y k v -•
t o1 �. - 4?•sn.0 43'`-.: &�. °-VA.C -ra .,7,-•-��- 3-K-k ..a'..
•
Mezzanine' I s 4-
"°`�fi fib•' ,. m .i a x ,� .Ff -i,
Heated.B ement w ,w. d w
c' y '., t j s°rt a is "� � .� ti t,Ja
�� ' W r T`y 'le-° yy. ` 7-c� r- .
Unheated Basement _ -- -A-: 1�� : `-�. }�° � �� - 4 b'"j
Oer U j le-Sr E Y . �l , 3 i 7, °, saw . 5.; '' •
# ,`� �,,`�, � .5 SK R�1YV'1
Garage/Carport r�r.R Y *{ t 3 Lz s f} 3 �*nw ''r 'ss,i
tv -,µY was c. .k..xx . ..i , --.�+ �-/ ✓] 1
Decks j , t k- °':>-x r r ,} wfIV ' G 'i ,, r a7.ax�-y" .s�,r • d l l�
5
a ty 1 } , . s.v vt:: I
ire
Other F`, ' : 4, e r r :• � '+ 44- .< o� rwn7
re
a� c..c� . 1 . .� .�� � r : � e��� � .�� � nor ��� � `n . Mty
ESTIMATED COST(REQUIRED) 6� `, r.,�� Ants,
rt f r p" # r�� ` ' -
xis r 5 , m y n ti' t "+� ,'�, .
•F�,m2rket-value-of sll:f .< �`�• � .� s �,N � -�;'� �� � D�
apoc: d materials foundation to finish ;�,,� t=1 n� � _��,�,�;rk ,�, .k.� � -�` t�,-� ,.;
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G_\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc