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Home My WebLink AboutBLD2005-526 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00526 Received Date 08/15/2005 SITE ADDRESS: 5331 FLAGLER RD Issue Date 10/25/2005 NORDLAND, 98358 APPLICANT: J PETER GEERLOFS PHONE: GLENDA GEERLOFS 5331 FLAGLER RD NORDLAND WA 983589617 SUBDIVISION: THURLOW SHORT PLAT Block: Lot: PARCEL NUMBER: 921081021 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: PROJECT DESCRIPTION: addition to existing garage 264sq.ft of heated space CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: a /2-4/- 1. UFFER: /0 0/< •1,/ ,0c� Footing: �,r �/�� n/> ArrEieto Faerri#. 45 OK 3/14/D Foundation: • Stormwater FINAL Approval: ",K fir/7/t)7 Underground Plumbing: jkl� Underground Insulation: �� Shear Wall : DK ��y Sheathing: ‘�� Framing: AIC)466. ,4�'��' /�K 't�� ; (iCit-dell/or/ 6- j l�(li"f eep NLjP- 11)PA' Plumbing: 1/0e.. L;AeAc Propane Tank/Lines: /J A Insulation: AIR.5ffitc 6f(i.?1Can. @Dose 4 Bartom,A= 21,4)iti o s) IOG % r3i. .0rl5✓ A9-g-06 Sheetrock: OR /D/6 �. Septic Sytem Final A al not on sewer): Road Approach Final Approval: Zoning Final Approval: • Final/Occupancy Approval: c Cr7 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 1 ItiUILDING PERMIT APPLICAN MRLA05 00487 eview Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00526 Received Date: 8/15/2005 SITE ADDRESS: 5331 FLAGLER RD NORDLAND, 98358 OWNER: J PETER GEERLOFS PHONE: GLENDA GEERLOFS 5331 FLAGLER RD NORDLAND WA 983589617 THURLOW SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 921081021 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: Lc4_,1/4 �( lL. �-�S PHONE: 76 //i?t PROJECT DESCRIPTION addition to existing garage 264sq.ft of heated space TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 73,500.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: 264 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 132 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 128 SHORELINE: CONST TYPE: GARAGE: 396 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: COLW• WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date:.'.j,// Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 SLE 08/12/05 76284 APPROVED Plan Check $527.64 SLE 08/12/05 76284 Permit $811.75 SLE 08/12/05 76284 OCT 2 5 2005 Total: $1,343.89 my Planning i7partment i •. .... • r- 1 OWNER BUILDER STATEMENT The signer of this ment oes h eby certify th hey are the Owners of the parcel referenced herein,that they are notIi AUGensel cgntr �tq and that they will be ass i the r p i ility Ge er I Co or for the proposed project. J u(� Signature: Date: ''5 , A U i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX ` ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: F me Type: Bathrooms: J Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: / [i Sewer X Addition ❑ Steel Proposed: Bank 1 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: H! Individual Syste ❑ Repair ❑ Masonry SEP Permit# g'-,,/�� ❑ Demolition ❑ Other: Bedrooms: Water Supply: C -g Existing: Setback: ❑ Private well ❑ Two Party Type pfProposed:Total:Heat: ❑ Public / 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: I Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i 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 Consistency Review 2Nu Floor Base fee: -` 3`d Floor Additional Section: Mezzanine: Plan Check fee: 5a' 4e , Heated Basement iiiri3cra:3tate Surcharge fee: Unheated Basement not Water Review fee: i3 ? %Z r III ,1 Other U heeatge / R ,. ..[___/ � "t, 11/Rd Approach fee: %t 1. Garage/Carport 2� / r 3 TOTAL: $ 1 t'�C a( Decks ✓ YJ � e ipt Number: 3Q+lp61J r Fa 71 Other _,.dhJCheck Number: Iwe Ct 4 ESTIMATED COST(REQUIRED) V r Date: c .Fair mat* bor and materials foundation to finish C,'f 1. 1 c i c11)-13 %j Initials: ,t C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-5-04.doc � • • r-- �ONe �`~ off, JEFFERSON COUNTY i A-, DEPARTMENT OF COMMUNITY DEVELOPMENT (r4 '' �, '` `'4 621 Sheridan Street• Port Townsend •Washington 98368 AUG 1 2 2005 360/379-4450 • 360/379-4451 Fax & fr-,-.-- '''. \ ,O www.co.jefferson.wa.us/commdevelopment Is�jNG ENT Master Permit Application MLA: (; r-j Project Description(include separatept�2heets as n cessary): 1 6(LV' � � �l,T� c ci l e i5(v mi l" -) Tax Number: 7,2,/ 0 8/ 0 -1 d- f 9/ 0 3 1 010 ' ' party 4,G 6 Size: I (acres/square feet) Site Address and/or Directions to Prope : / �(' �7' AO4.-' Property Owner(s)of Record: --I• Vete"- 6eee d- R —eerio ' Telephone: 3b 0. 3$5, P 2 Fax: 36 0, 3 3 5. 3 2 q z email: l)iy d5- Mailing Address: zl t 2-- A.Q,f- Applicant/Agent(if different from owner): 04.042e%15 - Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) sA 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 A Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** Manufactured Home ❑ Boundary Line Adjustment • Modular ❑ Short Plat** • Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address T 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 ❑ 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 -'71 1 i' /A/ o act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE '' �� Ari / _.��r_ �, ,. Date: J' ✓ —�0,C v. 5-//-0,-,/d/) 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 attorneys 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 pro " e access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r d lat ins ions.Access right f entry to this property shall be requested and shall occur only during regular business hours. // O Signature: Date:_ J�.c ob r� J -// -0 Aw 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 iss -d will not violate the ESA. Any' dividual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if y., rre in sompli ce wi ..- - .• -on Co my development code.The Applicant acknowledges that he,she or it holds individual and non-transfer-• res 'sibil' or a7' ering t• - • co I 'ng with the ESA. The Applicant has read this disclaimer and si ns and dates it below. Signature: 1��( ( 'a.i— - 4 t:/ Date: C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc SPECIAL CONDITIONS FOR APE t BLD05-00526 • 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.) 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. 9.) 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. fil 10.) MANDATORY MEASURES R 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. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 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.) Minimum setback from Flagler Road right-of-way shall be 11 feet; (proposed addition shall not be less conforming that the existing structure). Minimum side yard setback shall be 5 feet. Minimum rear(shoreline) setback shall be 56 feet as depicted on site plan. 20.) Existing access off of FLager Road shall be utilized. Per phone call with Bill Riley of DOT, no new access authorized. 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