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HomeMy WebLinkAboutBLD2005-00498 �UILDING PERMIT APPLICA iN MRLA05 0eview 0pe465 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00498 Received Date: 7/29/2005 SITE ADDRESS: N BEACH DR PORT LUDLOW, 98365 OWNER: PHILIP JAFFE PHONE: 360-681-8898 SUSANNE JAFFE C/O P.O. BOX 3125 SEQUIM WA 98382 BRIDGEHAVEN DIV 7 SUBDIVISION: Block: Lot: 14 PARCEL NUMBER: 935700013 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898 PO BOX 3125 SEQUIM WA 98382 Contractor's License TERHUCH984MA Expires 7/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ATT. GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,648 VALUATION 168,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 375 SHORELINE: CONST TYPE: DECK: 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: r Type Amount Paid By: Date: Receipt: Approved/Date Potable Water Application $53.00 SLE 07/28/05 76409 APPROVED State Building Code $4.50 SLE 07/28/05 76409 Plan Check $893.46 SLE 07/28/05 76409 AUG 2 9 2005 Permit $1,374.55 SLE 07/28/05 76409 Jefferson County Planning Total: $2,325.51 B I •l artment BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00498 Received Date 07/29/2005 SITE ADDRESS: 260 N BEACH DR Issue Date 08/29/2005 PORT LUDLOW, 98365 APPLICANT: PHILIP JAFFE PHONE: 360-681-8898 SUSANNE JAFFE C/O P.O. BOX 3125 SEQUIM WA 98382 SUBDIVISION: BRIDGEHAVEN DIV 7 Block: Lot: 14+ PARCEL NUMBER: 935700013 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898 PO BOX 3125 SEQUIM WA 98382 Contractor's License: TERHUCH984MA Expires: 7/1/2006 PROJECT DESCRIPTION: NSFR W/ATT. GARAGE CALL IN FOR THE REQUIRED INSPE TIO THAT APPLY TO YOUR PROJECT. SETBACKS: Ole 1/3�D �y UFFER: / D Footing: oR Foundation: DR 9//S/a ff Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Pe, I c-j7r/� Sheathing: / J Framing: Ai; )274/415 /30/0s,A, Plumbing: 4,/i' SYS1' r DNty T1K / ABS D,t /22/0S Propane Tank/ Lines: AL Insulation: AR 5 z't. OK. /,05-fifr bk /27 4$� � Sheetrock: 1 1 3/5 GWB s A,e r a13 of a.41,3 O l Septic Sytem Fina A pr al (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: DI'-/or, e4 fbez, HEALTH DEPARTMENT AND PUBLIC WORKS APPROVUIRED 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 CAtt BLD05-00498 • 1.) The northwest corner of the structure foundation shall be a minimum of 47' from the west property line along North Beach Dr. to maintain the 5' required setback to the septic tank and pump chamber. 2.) 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. 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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 6.) 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. 7.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 8.) 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. 9.) A Stormwater Site Plan 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. 11 10.) Outdoor residential storage shall e maintained in an orderly manner and sh create no fire, safety, health or sanitary hazard. 11.) 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). 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) 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. 15.) 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. 16.) Minimum setback from North Beach Drive right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum shoreline setback is 17 feet. The proponent is utilizing the shoreline averaging (per Shoreline Management Master Program Section 5.160.9.a) from the existing houses on each side of the lot. These existing residence have a setback of approximately 17 feet. The proposed residence will be located landward of this "line of site" as depicted on the approved site plan dated Auguat 29, 2005. 17.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 18.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 y r"s 1 r .. �d Parri CZ p:i tV z� CD 0 co 6 P - 35'+ __-- ow , .........._ pp2pP0 „,.V£WAY - 11'2-) -X co -13 ,_ -,i. z wo0 + o co 111 - CSC vDJ x ;� �� + D 0I1 `in lets , P �o N mri ! p L �xl a 1 x I V V±,„ . ........7__ + z � ____......„......_ v ~- '-a ,20,+_ ---- . )____. , 1 • _.. I p,., room < �r�ro-. ; . - p 0 ., oz y rm f 1 — Cc. \ m Dx D �c) AV)cI m ^4 D N r ,p r O a-tt v 0 Fri Y_ ll '2 C�o I A z `(� m `4 o Q z -I A w 6 ., 1 8!Z :d 989Z '°N VM 'WI NAS : SW II WOlSNa WPM WdtiZ : I < SOOZ •96 ,2nd • 0 E c E o kizi LE sr 1 OWNER BUILDER STATEMENT !J ` U U L 2 8 2005 Iv The signer of this atement does reby certify that they are theirs of the raferenoed herein,th t .i and than they wifl ssuming the respon My of the General dorforthe proposed mjed. Si ure: Date: DEPT. QEJCfiIn�RSON COUNTY MUNIfY GEV I nPtonIT GENERAL CONTRACTOR PHONE: FAx .;-k%Y 1 .Luirlk L��, 'C 1 ti i u,►s �' 'y L��� .MAIL �; I it z.CAT (3e ;>W�3 t -7 ��� MAILING ADDRESS: lU t ,C cG� �j E EMAIL CONTRACTORS LICENSE <-- 'CtL:l-1 YV\ (& - ., tr.-"5� WAINS NUMBER: T�� ‘A.LL"( t�2,L` VV'1cl NUMBER L��Cj PHONE( ) ARCHITECT/ENGINEER: C FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ,Ll Wood Existing: — U Sewer Addition Li Steel Proposed: Bank U Community System Alteration/Remodel Ll Concrete Total: 7 . Individual Syst m 7 Repair ❑ Masonry SEP Permit# _I Demolition Li other. Bedrooms: / / Water Supply: � Existing: Setback: U Private well u Two Party Proposed: 7. )1.1 Public of � � Total 7. name of aSystem: ; %t b t Glt i 1'�k1;." }c- ; t " If this is a Commercial P u must answ�a fol inq: -- —7 Number ofoP rkmg S " � �ropas / Num A Parkir(g Spaces: Num of occupants(nd •=- tenants,ert(oy ,etc) Current L_ — Propo . --- I OccupanCjr: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank an Appliance Installation permit,mark all items below that apply: i Underground Tank _ e ground Tank Size of Propa Tank: i Heat Stove Coo_ St�re� i Woodstove i Fireplace Insert d tech i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes N 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 prope7.:lines,buildings and septic system components, including the reserve area. Square Footage c(Oftice ifse«nt)I' i a'` :w�. `, # s ' Current Proposed r ; C 1`- M� Amount-, ; � J" vWVOli Main Floor _ ra4 t � ;u Consistency Rev►ii < 4.1./(� ,,,� �� xk 2 Floor , ,, Base tez: ra �4 "� ?�~�dditioralSdon: - ",3 Floor n�� Mezzanine: Plan Check fee 3 Heated Basement " mow �_- State Surcharge fee y , a � ti. / y��. t Unheated Basement ni fig s qt W3ler Review fee' ;e �}� Other Unheated �� ,, z 3i1_ d 4PPr = _" Garage/Carport ti +�• -- _ ___-- 5 TOTAL ! Decks � �. - — ---- --— — � ��•� r 4 ---- ?� "L Receipt Number.;.,.. .:.,..:, �, " -i) ,k a ` tom`4 �s ct4k 6 iutfr s s Otherti Cash/ heck;Ntuob4�r r { * ESTIMATED COST(REQUIRED) I "� � `Date ��. BAN r ., ,, - 1 Fair market value of all labor and materials fou to/iNsh , initial 14 ' n. C:\Documents and Settings\mocha\Desktop\Master Permit Application 7-8-04.doc • .4,,e1V, JEFFERSON COUNTY - ` ` ;; DEPARTMENT OF COMMUNITY DEVELOPMENT f ! ; 621 Sheridan Street • Port Townsend •Washington 98368 I el ` 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ � i1 L!h.M'�JEVEL(i(,i.' fiT STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# © C-- PROJECT/APPLICANT NAME: J 4 -{- Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 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. `73C \1\C C • 5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. [A 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED • STORM WA TCR i'LANI AUG 2 g 2005 t 1, St0orat - P s\ stormwater site plan template—rev.10/1/2003 e/ �� JEFF 01,1 Ty Required �• ?" \} DEPT.OFC T DE 1 P EN SIGNATUR : 7. Describe signiti,ant geographic teatures and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 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.). S.QJ2- S 1 �1_curl 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. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for 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.] 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. ( 1, „, LO1 J lel , s • • t , sto9wate{Sate plantenplate-rev..10/12003 y.y '11 6 f- )esrribe Me wa r.: quality system. 14. Describe the conveyance system analysis and design. 11 )--e 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. t\-c l fi_ t- C`c iti*c cL-,L - 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. a_--v ems -CC', v( \ C �L. t)Ck \AC Lvv - C� 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. 'a-ID L-`-Q < �LC..' L� 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 11 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 permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. stormwater site plan template—rev.10V1/2003 7 :JNS...11t 6 uvt`:v r vrti1... I r 101i i':...OD ION I-LAN The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. e E' I TA C_,17-1 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. C,V\--Hi-)t)L. 1. it 3-) 5. Stabilize Soils. 6. Protect Slopes. 1t l 7. Protect Drain Inlets. i 8 stormwater site plan template—rev.10/1/2003 ��yirf�cd Elements•. C'instrIntion.SWPPP(conanirPt 8. Stabilize Channels and Outlets. i t 9. Control Pollutants. In c 1� «� Q � ►_. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). �.. � c, C•p-e_._ v G'4u' �3 t�cD 11. Maintain Best Management Practices(BMPs). e lse- 12. Manage the Project. L -1 l l'L4—'v\Gkc5 J\. ± 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leafing from the site to the receiving body of water(minimum distance of 400 yards). 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 • L't..,rq tILfl i,peciai .^n.:::As for Wvrr.nry ✓t ucar unVironmenlal y sensitive areas. U 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). /P\ 5. Construction Phasing. a. Construction sequence 1L.`Pt CAiv ti-01\C ca -A c,ux , CcA 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. II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitiv= areas. j „j uUL 2 8 200r� .� L ;�.v 7. Financial/Ownership Responsibilities. r ' ,C�fif^.t�.�;7 a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is 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 owne -of- e affected property. IRS AN NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: • t...:y fti % y� 4{ ! JUL 2 8 20054 r, JEFFERSON COUNTY DEPT.OF COiVIi O., :;('; r' rELOPMENT • stormwater site plan template—rev.10/12003 12