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HomeMy WebLinkAboutBLD2005-0523 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00523 Received Date 08/11/2005 SITE ADDRESS: 112 HARRINGTON DR Issue Date 07/25/2006 QUILCENE, 98376 APPLICANT: HERBERT J MILLER PHONE: 360-765-4291 MARJORIE B MILLER 112 HARRINGTON DR QUILCENE WA 983769616 SUBDIVISION: Block: Lot: TX12 PARCEL NUMBER: 601343009 Section: 34 Township: 26 N Range: 01 W CONTRACTOR: PROJECT DESCRIPTION: UNPERMITTED EXISTING 1 BEDROOM & ENTRY HALL CALL IN FOR THE REQUIRED INSPECTIQ S THAT APPLY TO YOUR PROJECT. SETBACKS: j)�I( gleydv, UFFER: 'VA Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: di /8/' -W Plumbing: N/A // Propane Tank/ Line : x4 Insulation: Bgi( Sheetrock: ak 8/44 Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: /5 " .4r Kat.,-f 8/4/C1 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 14*Q MLA05-00484 Ilk UILDING PERMIT APPLICA iJN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00523 Received Date: 8/11/2005 SITE ADDRESS: 112 HARRINGTON DR QUILCENE, 98376 OWNER: HERBERT J MILLER PHONE: 360-765-4291 MARJORIE B MILLER 112 HARRINGTON DR QUILCENE WA 983769616 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601343009 Section: 34 Township: 26 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION UNPERMITTED EXISTING 1 BEDROOM & ENTRY HALL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 338 VALUATION 22,064.00 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: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 2 Prop: 1 Prop: 0 Total: 2 Total: 2 Routing Dater / n Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 SLE 08/11/05 76280 Plan Check $236.12 SLE 08/11/05 76280 cfi` '+ Permit $369.25 CJZ 08/11/05 76280 Total: $609.87 JUL 25 2006 Jefferson County Planning &Building Department SPECIAL CONDITIONS FOR CAS* BLD05-00523 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) 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. 8.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan dated May 25, 2006 by WDFW and May 31, 2006 by applicant. 9.) 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 10.) isVOLUNTARY intended to be illustrative of the types of water conservation measures. 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. • 11.) MANDATORY MEASURES FOR 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. 12.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 13.) 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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). 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) Minimum setback from Harrigton Drive right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of bank shall be 86 feet as depicted on the approved site plan. 18.) 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. 19.) 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. 20.) The building height is not to exceed 35 feet. 21.) 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. I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999 1 , - iir.;--- 't 157 A)6" ho . 17!l' '5?- . i ]BRA/ '1 I, Nei► t ---t--- _Li 41.,' -7 f ... & elit‘l , .00, ' Illi IVOIDUSNI- '-' -A ip / lir '.* 1 // *),14,WirT4 El 3r' -a /o` H ' L� , ; . a' 0A \' i SepTItCJ k {a G6.0aG ,%( T'Ati FL-/ ' tlff J 4 I a REVISED SI LAN ` { dated u/0 I �, . / Hasbeleen APPR• D, A �0 � ,� by JEFFERS.4 • i LA)C L L- ( ! DEPT.OF r.' , 'y1i� 1 • .`� SIGNATURE: ■�A ,1 ..,i Iiic,Stormwat 's �aCii � ��1 . it‘lt‘r.' , ! �' r Require iw Q�+ If ��� � f I: : i aSc_c:rie)14, q 1 4. ' ' I i " i I f It , 1 _ 1 fi I. 1L. r . I r c71e,1A15h i A, _ A3t4. E- ,' J•fit . { f ILt- H r_ f f , U 1 t 2005! ; r //a //Age./60 7b4) 7DC.- HIHL ' : , , ENT !• • • AUG. 1: 1 2005 • i I • • • f ���,¢'goly 6 JEFFERSON LINTY • V DEPARTMENT COEO 621 Sheridan StreetOF • PortMMUNITY Townsend DEV•LWashingPMENTton 98368 360/379-4450 • 360/379-4451 Fax AUG Z 1 �,q O� www.co.jefferson.wa.us/commdevelopment SINGS 2005 Master Permit Application : 15:. "A RA Project Description(include separate sheets as necessary): 1 6�d e O o w LA vt d e. vx tr.y h a i l - i 1'I ST>")C1 -,va,v Per-al/le Tax Parcel Property 1 i _ Number:6 01 3 y3 U o 7Size: 7i {,t L Ic e feet) 5 acrequare Site Address and/or Directions to Property: ) f H Q , r IVt t'o leii ✓e t t i f `c e/ ,(h cf'3 4 Property Owner(s)of Record: )+ e c,-. ,'t'•. h P v —T. - ill cta J nv, , e- R. A i I 1 e Y, Telephone: 36 0- 7 6S lcs29 j Fax: email:yy\t )1 'e r tA 3., w a, c o c -L.ca\ Mailing Address: )i of c,r v`i r A.cc to v\ D r i ✓e n u ► [c-�.vN e ,WA er '.i 76 Applicant/Agent(if different from owner): Telephone: Fax: email: • -- Ui - I Mailing Address: What kind of Permit?(Check each box that applies) l 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/Detached ❑ Special Use(Essential Public Facilities)** 0 Manufactured Home 0 Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use 0 Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane Cl 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)* ❑ Shoreline Management Variance ❑Temporary Use ❑ 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 attorney's fees and expensPc'uhirh may it any way accrue against i Cou ty ff s ....,.,,CffCrCCn,,.,..n.y uS 8 rESU�.Cn G;-lu wuScgUEr'iCc of the gianifrig 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 re uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. _/��Q�Q, 1 (� / Signature: :�.CJv .) _ Date: X�f 70.5- 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 in file a lawsuit on behalf of an endangered species regarding your action(s)even if ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trap able spun ility f r adhyee�ri to and complying with the ESA. The Applicant has read this dis im and signs and dates it below. Signature: ./.t �/ Date: / ® . 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,, j Signature: 1 ` K Z.i,fr! ' -//'rk 1L ' -(. Date: 'l l�lf .J AUG l 1 2005 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) ENT MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 1St Wood Existing: a ❑ Sewer Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: a Height: ynndividual System , -, - ❑ Repair ❑ Masonry /OQ'r t SEP Permit# ,. ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: I Setback: Private well ❑ Two Party Type of Heat: Proposed: ___I___ _80,. 7 Public Total: .. . - )3` t+,i-: Name of System: AOA.. 7.5 ilA 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: [1 Underground Tank ❑ Above ground Tank Size of Propane Tank: u Heat Stove ❑ Cook Stove ❑ Woodstove I J Fireplace Insert ❑ Hot Water Tank L1 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 systemompoin p!Ali, including the reserve area. ?31 /6 Square Footage For Office Use Only Current Pro osed _ Amount Main Floor / --, ,Consistency Review: 14 n oc tol 2""Floor 3 Q ease fee: �,/ t tJLp 3te Floor Additional Section: Mezzanine: Plan Check fee: aa).ia Heated Basement State Surcharge fee: 4 5 o Unheated Basement Pot Water Review fee: Oii iet uni ieaieo y-11"/Rci Approach fee: esit 1S f Intl Garage/Carport TOTAL: $ Decks Receipt Number: 1(9 aO 0 Other Cash/Check'Number: 1 I ESTIMATED COST(REQUIRED) Date © �l yV •Fair market value of all labor and materials foundation to finish ` Initials: G:\PerrnitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc