HomeMy WebLinkAboutBLD2005-00249 411t
UILDING PERMIT APPLICAOGN MLRAOe 00242
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00249 Received Date: 4/22/2005
SITE ADDRESS: 124 E TOANDOS RD
QUILCENE, 98376
OWNER: DEBBIE ALEXANDER PHONE: 253-875-4291
3806 231ST SE CT E
SPANAWAY WA 98387
OLYMPIC VISTA LARGE LOT
SUBDIVISION: Block: Lot: 7
PARCEL NUMBER: 701105007 Section: 10 Township: 27 N Range: 01 W
CONTRACTOR: KAYE CONSTRUCTION PHONE: (360)452-1995
94 KAYDA LANE
PORT ANGELES WA 98362
Contractor's License KAYEC**066MN Expires 4/29/2006
REPRESENTATIVE: KAYE CONSTRUCTION PHONE: 360-460-3437
PROJECT DESCRIPTION NEW DETACHED GARAGE !
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 30,000.00 ADD'L: HEAT TYPE: '(/(Jd f)- -
CODE EDITION: 2003 HEAT BASE: D HEAT TYPE:
OCCUPANCY: UNHEATEDAWaan 4 # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 1,008
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist: 1
Prop: Prop:
Total: 0 Total: 1
Routing Date: /.cw /O5
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $441.75 BAC 04/22/05 72959 APPROVED
Plan Check $287.14 BAC 04/22/05 72959
State Building Code $4.50 BAC 04/22/05 72959 MAY 2 5 2005
Total: $733.39 Jefferson County Planning
041°
g Department
Fele— ems: '
0 4
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00249 Received Date 04/22/2005
SITE ADDRESS: 124 E TOANDOS RD Issue Date 05/25/2005
QUILCENE, 98376
APPLICANT: DEBBIE ALEXANDER PHONE: 253-875-4291
ANNIE R FISH
3806 231ST CT E
SPANAWAY WA 98387
SUBDIVISION: OLYMPIC VISTA LARGE LOT Block: Lot: 7
PARCEL NUMBER: 701105007 Section: 10 Township: 27 N Range: 01 W
CONTRACTOR: KAYE CONSTRUCTION PHONE: (360)452-1995
94 KAYDA LANE
PORT ANGELES WA 98362
Contractor's License: KAYEC**066MN Expires: 4/29/2006
PROJECT DESCRIPTION: NEW DETACHED GARAGE : m
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. •
SETBACKS:
UFFER:
Footing: 9)0,2 b c (M 'l J00
Foundati n: Si,.A,B f �G'470- raiz .13kiNkallii CK /17
Stormwater FINAL Approval:
Underground Plumbing:tjk, PLaMBhVG oil /G/iQ/cam
Underground Insulation: i
Shear Wall : Off( /d//0.5 fr
Sheathin •
Framing: //-.2 -os-
Plumbing: /02-o,s--
Propane ankh�/""Lin"n�es:
Insulation: .pvT/MLntr hie L/`4/OS
Shetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: t,ie -F tM•a,) VQ(G1.5HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL R 9 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
IP
SPECIAL CONDITIONS FOR CA� # BLD05-00249
1.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosiori 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The building height is not to exceed 35 feet.
6.) Minimum setback from E Toandos Rd right-of-way is 5 ft. Minimum setback from the
eastern parcel boundary(adjacent land designated Commercial Forest) is 250 feet.
Minimum setback from the southern parcel boundary is 5 feet.
7.) 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.
8.) 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.
9.) A minimum of two (2) on-site parking spaces are required for the manufactured home.
10.) A stormwater plan for a medium project has been submitted and approved by the
Department of Community Development. Once the subject permit has been issued the
applicant shall fully implement the provisions of the submitted plan and contact the
Jefferson County Department of Community Development to arrange a schedule to
inspect the property for plan compliance. A Certificate of Occupancy will not be issued
until the Department verifies plan compliance. No clearing for roadways or utilities shall
occur on the project site until clearing necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
•OWNER BUILDER STATEMENT •
he 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
ley will be assuming the responsibility of the General Contractor for the proposed project.
ignature: Date:
iENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
1< .4V oi 0 Ai r-,e14 C7 0U ( ) ( '
RAILING ADDRESS: EMAIL:
:ONTRACTOR'S LICENSE WAINS
LUMBER: NUMBER
1RCHITECT/ENGINEER: PHONE ( ) FAX:( )
AAILING ADDRESS: EMAIL
'joject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ''` Wood Existing:
7 Addition 0 Steel Proposed: - — Bank 0 0 Sower
Community System
7 Alteration/Remodel 0 Concrete Total: Height_ Individual System
7 Repair 0 Masonry SEP Permit# S4:-Pa o
7 Demolition 0 Other: Bedrooms:
Water Supply:
Existing: Setback: El Private well 0 Two Party
type of Heat: Propo : --- Public
Total: 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:
O Underground Tank 0 Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert 0 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 •1ForOffic ill se Crily ` W. k `F u ;.ry • ,x 4
Current I Proposed moo r _ 4 r . Zs-isL
Main Floor I le tlsistencyytea llot • ro-r •" 4"` i, ;
Floor _ se 8 + �0d 4-?,-..
S e tr x '
3°Floor dlttonal�ion: .�„; • 4s 14,14in' ;
Mezzanine: Plan Cht c k ee ,, } .
Heated Basement :` . ., i 'Z r_, '
f
Unheated Beeementtt.AAAN r x fl
' -� ; i '
. fili ',l-.i
CCO 1 AS? A: ' r :der:„.,
Other I Inhantari ? 'ri f . '� k a 1 '
:� yak ly
. _'.nv :.9' llRd,`j fee' a c a y cw.y'```fit r
rage/Carport-6.______ . „ / V ,f ..._,,,i I-./-: `--,. !' + Ee' � � ; r k7
food �3 '158� '$ �. s ,
Decks �+ , 4-X, 4 x`'1a •Z*r w
ht t1�1� ;;,ta
Other t1f1f/Gry 4 r ti�r y'
ESTIMA COST(REQUIRED) i ;--i � �'' '!
.Fair et value off�al!labord/ and materials fo ndation to finish d�"*=-�y�` <i r 4 Z �4• r ��x x � t
0
.r. eani BLS DRD FORMS\Master Permit Application 7-8-04.doc
•
4.e
j JEFFERSON COUNTY
K} DEPARTMENT OF COMMUNITY DEVELOPMENT
•
621 Sheridan Street • Port Townsend•Washington 98368
360/379-4450 •360/379-4451 Fax
http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# , J 63--.,Cii,2 r
PROJECT/APPLICANT NAME: ,)L_L) /3 /r-F
Please answer all of the following questions to the best of your ability.
e
pa may chooswaters to either incorporate the elements into the general plot plan for the Master Land
Where the question for depiction on a site map,submitt a
separate stormwater site plan map.
Use Application or to a
Project Overview
1
• Describe the proposed developed conditions of the site. Indicate position and relative size of
site m
proposed improvements on the
t' L It- C�2 y`l
Existing Conditions Summary 1 = C
2. Describe the existing topography. Indicate on
coptoursthe site map.
SL r .� 5i , ,- icy12 b 'a-y
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
4. Describe the existing soils. Indicate soil type on the site map.
nco c xr.. tv r Tir r, L
5. Descnbe the existing site hydrology(i.e., drainage;behavior of water on the sit
existing stormwater drainage to and from the site on the site map. site—above, below,a and onithe ground).hesiteIndicate
if
applicable,and indicate acreage of each. P Depict separate drainage basins on the map, if
L: 4:- ' "jQ' ,sue ,
/f 5 C `4-' ,,iS if (yu /'f/ 7 j / i, r \ Co it Al. J� l L.v``�C/j
5 rT
6. Describe any excess levels of noise generated by the proposed use or ace ' �f i •1•,7'
1,���� � �'�'�ST=WATER PLAN
�� _
JEFFERSON COUNTY
stormwater site plan template—rev.10/1/2003
t WPT OF COMMUNITY D VELOPl1 tiNT
5
t
•
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, I
steep slopes,etc.)on the site. Indicate location on the site map.
i —
•
8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.).
I -w�
i.
Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
ces,
"Meares, and projects to have the
surfaces to verify that thethresholds ulated of all impervious sforatreatmelnttfacilities randgflowimpervious control
surfaces, and pollution-generating g 9
facilities are not exceeded.
lly dispersed
per
MP
g Describe the developed what types of stormwater flowogy, as proposed. Ind ontrte whether stormwater will be ol will be utilized for the site oruspecific threshold,discha discharge areas
in the Manual) or, if not, types
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
oject re uiresrthe use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed
f
10. If thepr q
forr use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for large"projects or projects that involve the potential for dispersion of contaminants.]
r r
I
S
11. Describe the performance goals and standards applicable to the project.
12. Describe the flow control system:
II ' s p
} t J I
i ,
stormwater site plan template—rev.10/12003 6
13. Describe the water quality system.
14. Describe the conveyance system analysis and design.
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
,,l
i o ,
j ''
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter
Uniform Building Code. ,
i 33 of the
17. Describe the proposed surfacing aterial.
y
18. Describe methods for restoration of the site.
19. An Operation and Maintenance Manual is required for each flow control and treatment facility.
large"projects only and only those for which facilities are required to control flow or treat runoff.) If included,list the Manuals
here. .This is normally required for
I
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those e
conditions that affect the drainag: plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here. permits or approvals include
•
stormwater site plan template—rev.10/1/2003
7
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
on. The
indicated by the
icant in"
The Constructionhat SWPPP
addresses
installed onl the sediment
and oundrosion during control
construc on phaseuring s of the project.s The proponent sreslponsibletfor
template that follows must be 9
ter
Pollution
i preventing sediment rnti and erosion impactsest Management environmentally
Practicessensitive
(BMP) Packetoff-site
forareas.
guidance, part cu theConstruction
swi h rural to dental
pollution Prevention (SW PP)
development.
SECTION I-CONSTRUCTION SWPPP NARRATIVE
s has been or
Construction addressed. Identify
de aterfy Pohe na Pdlan Elements. Describe how each of the Construction location of BMPs used to satisfy the required element.SWPPP
an element isin t applicable
NMI the ddress,justify I in w thn typeP (beginningon page
t proposal, in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual P 9
2-1S),12 Required Elements—Construction SWPPP
1. Mark Clearing Limits.
2. Establish Construction Access.
3. Control Flow Rates.
4. Install Sediment Controls.
f
5. Stabilize Soils.
6. Protect Slopes. ..
7. Protect Drain Inlets.
8
stormwater site plan template—rev.10/12003
12 Required Elements—Construction SWPpp(continued)
8. Stabilize Channels and Outlets.
•
9. Control Pollutants. •
10. Control De-Watering(the act of pumping groundwater or stormwater away
from an active construction site).
11. Maintain Best Management Practices(I�{ylPs)
r4
/p
12. Manage the Project.
2. Adjacent Areas.
a. Descri ro
ads).
(e.g.,an of the adjacent areas that may be affected by site disturbance
areas,ro streams, lakes, wetlands, residential
b. Description of the downstream drainage path leading from the site to the receiving body of Ovate
yards).
water(minimum distance of 400
•
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
stormwater site plan template—rev.10/1/2003
9
1111111111111.111
b. Description of special requirements for working in or near environmentally sensitive areas.
4. Erosion Problem Areas. Description of potential erosion pr prooblems
on site
in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,
tex , {L-
5. Construction Phasing.
a. Construction sequence / y`", �✓
______L_,y/..._1_________." L.L., y,_e__;—, IL 4-‘..-- -a._
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule. .t-
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
b. Proposed we season construction activities for environmentally sensitive areas.
A
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Describe bond
s and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
tl Provide Design Calculations on a separate sheet for the following,if applicable.
8. Engineeiitlg"Cafcula
a. Sediment Ponds/Traps. /
•
b. Diversions. y
c. Waterways.
d. Runoff/Stormwater Detention Calculations
10
stamwater site plan template-rev.10/12003
•
•
Stormwater Site Plan Changes Stormwater Site Plan,the proposed revisions shalt be
If the designer wishes to make changes or revisions to the originally approved
sub to prior t construction.
other submittal include pagesproposedchanges,
drawings showing any structural changes,and any supporting information thatexplains and supports the reason for the change.
Final Corrected Plan Submittal •
f the standard
d included construction oof caoeveent syst he,treatment appl cant facilities,flow control facilities, or
a final corrected plan (as builts")when the project is
(not standard on-site stormwater management BMPs), p
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP_worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to'the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners/of the affected prop ,- /// JJJ j//i
7r t ,:�_.... (( (DATE)
(LANDOWNER OR AUTHORIZED REPRESENTATIV SIGNATURE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
•
•
12
stormwater site plan template—rev.10/12003
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