HomeMy WebLinkAboutBLD2005-00408 •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00408 Received Date 06/16/2005
SITE ADDRESS: 31 N LIP LIP LN Issue Date 08/4/2005
NORDLAND, 98358
APPLICANT: JOYCE BUSH PHONE: 360 385-5758
31 LIP LIP LN
NORDLAND WA 98358
SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 16
PARCEL NUMBER: 977700057 Section: 9 Township: 29 N Range: 01 E
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
360-705-4551
Contractor's License: SEAHOSI077KS Expires: 11/17/2005
PROJECT DESCRIPTION: ADDITION 130 SQ FT HEATED & DECKS
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:9 ...?I-A.4-oor
Foundation)¢?'"ok`Ot?
Stormwater FINAL Approval:
Underground Plumbing: rt.-9
Underground Insulation:
Shear Wall : '7k 9/z3/ts5` "
Sheathing:
Framing: O)( /6/17ins I (,, i-1: 67-&14,219.Uc. (a.57cr -re• 6'6)
Plumbing: OK 4/7I6
Propane Tank/ Lines:
Insulation: OK io/ 7h 3 5
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: +�
Final/Occupancy Approval: , 2X --(Ort i Put') I1/2-//a6
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 CASE A BLD05-00408
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.) 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.
4.) 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.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
•
8.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on a 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).
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Minimum setback from North Lip Lip Lane right-of-way shall be 20 feet. Minimum setback
from Moen Road right-of-way shall be 20 feet. Minimum rear(west) setback shall be 20
feet from platted unnamed road. Minimum north property setback shall be 5 feet.
12.) 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.
13.) 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.
I:\F_B LD_Perm it_Bu ild ng.rpt 10/29/19
BLDING PERMIT APPLICATIO! MLA05 00380
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00408 Received Date: 6/16/2005
SITE ADDRESS: 31 N LIP LIP LN
NORDLAND, 98358
OWNER: JOYCE BUSH PHONE: 360 385-5758
31 LIP LIP LN
NORDLAND WA 98358
•
OLSON & HAMBLETON'S
SUBDIVISION: Block: Lot: 16
PARCEL NUMBER: 977700057 Section: 9 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE: 3C0 763' 37'.9'
AEG ,61-fiele0v 76'S 4,5•15'
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ADDITION 130 SQ FT HEATED & DECKS
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 131
VALUATION 80,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 302 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 1
Prop: .0 Prop: 0
Total: 1 Total: 1
Routing Date: / 7/Ts
Type Amount Paid By: Date: Receipt: Approved/Date
State Building Code $4.50 RAC 06/16/05 73384 A
Er
Potable Water Application $53.00 RAC 06/16/05 73384 ��O N,/
Plan Check $554.94 RAC 06/16/05 73384 AUG -.4 2005
Permit $853.75 RAC 06/16/05 73384
Total: $1,466.19 Jefferson County Planning
in Department
FOR_ FiaO s A
�k�.¢,gO1V co�� JEF•SON COUNTY •.
` DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 F� 11 ���
�q p� www.co.jefferson.wa.us/commd p n nt
`sBING�
? (pI)
Master Permit Application MLA: 03—?
._..._
Project Description(include separate sheets as necessary):
(D fC — -.. ?4,6i4 5tcierie_c • XD-Di- itn - CK_.
Tax Parcel Property
Number: 9171 QQO 5-7 Size: Z. fit
tj( pa, I,5% SF (acres/square feet)
Site Address and/or Directions to Property: l"`W31n15Tp KK if,iancli I-4 LT 1„In1E AOt MQ,,+ A CM%
Property Owner(s)of Record: JO' C.E -$u3W 1
Telephone:3(43o)385-57 Fax: M E. email:bct6h,0 o1yfY9 E le}-
Mailing Address: 31 1.4>V Q 1_,At. ,p(YA`dt-,<:\, V, A cis 5
Applicant/Agent(if different from owner): A /►t
Telephone: Fax: email:
Mailing Address:
What 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 CI**
II Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached U 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 Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 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
❑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 required lat i spections.Access and right of entry to this property shall be requested and shall occur only during regular business
hou
Signature: ` ) ' j' -n
__�� Date:
The action pr tions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangereti"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 'olate 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 lance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non- rable s i i r� tering to and complying with the ESA. The Applicant has read this ime and signsv�and dates it below.
Signature: f. ' v
Date: ' )` L
G:\PennitCente ORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• i
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 uming the r sibility of the General Contractor for the proposed project.
Signature: Date:: S' 3) '-'O
GENERAL 0 RACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New A Wood Existing: / ❑ Sewer
141, Addition ❑ Steel Proposed: C. Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: / Height: A Individual System
❑ Repair ❑ Masonry / SEP Permit# .� /J
Bedrooms: : , �'
❑ Demolition ❑ Other: Water Supply:
Existing: / Setback: $q Private well ❑ Two Party
Type of Heat: I Proposed: O �� ❑ Public
g l'Ec R,�e. •1r 5 1e 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 ❑ 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 Only �^
Current Proposed Amount
Main Floor 856 •Consistency Review:
2.0 Floor _ Base r��.
3rd Floor
Additional Sectlpfj;
Mezzanine: Plan Check fee: rib
4na
Heated Basement State Surcharge fee: i '
x `{C4 jr fry
Unheated Basement . ', 7�
PatNVater Review fee: , """'
A,c :/ v
Other Unheated 4s�n
9ft[Rd Approach fee: is��, � � '�"`�� -
Garage/Carport "
TOTAL: �'�
Decks /"Ry t-e.h t _ )y .: '°
30(,(01 pr
Receipt Number: ' 3 3 ( `'
-
A
Other Cash/Check Number:
ESTIMATED COST(REQUIRE P Date: JUN / /-
•Fair market value of all labor and terials foundationfo to finish LO / 1 LC
0, DOo Initials: - `
�. =-/ C
G:\PerrnitCenter\FORMS\DRD FORMS\ ster PerrnjtA(5pli'�cation 7,8-04.doc ��
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