HomeMy WebLinkAboutBLD2005-00532 IJ ILDING PERMIT APPLICATTN MRLA05 00449eview Type: 1
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00532 Received Date: 8/18/2005
SITE ADDRESS: 161 FRAYNE ST
PORT HADLOCK, 98339
OWNER: DAVID A ANDERSON PHONE: 360-379-4947
MARGARET M ANDERSON
PO BOX 234
PORT HADLOCK WA 983390234 ANDERSON COURT LONG PLAT
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 931300003 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368
Contractor's License SEVENBP983JD Expires 6/24/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,520
VALUATION 160,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 576
CONST TYPE: SETBACK:
DECK: 232
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Plan Check $864.34 SLE 08/17/05 76469 APPROVED
Permit $1,329.75 SLE 08/17/05 76469
State Building Code $4.50 SLE 08/17/05 76469 SEP 2 2 2005
Potable Water Application $53.00 SLE 08/17/05 76469
nfferson County Planning
Total: $2,251.59 8t;i'• ' • artment
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, • •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00532 Received Date 08/18/2005
SITE ADDRESS: 161 FRAYNE ST Issue Date 09/22/2005
PORT HADLOCK, 98339
APPLICANT: DAVID A ANDERSON PHONE: 360-379-4947
MARGARET M ANDERSON
PO BOX 234
PORT HADLOCK WA 983390234
SUBDIVISION: ANDERSON COURT LONG PLAT Block: Lot: 3
PARCEL NUMBER: 931300003 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: SEVEN BRIDGES PROPERTIES LLC PHONE: (360) 379-4947
PO BOX 1953
PORT TOWNSEND WA 98368
(360) 379-1750
Contractor's License: SEVENBP983JD Expires: 6/24/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: c J< q1z3i5 git
UFFER: OK t/23/0s
Footing: OK l0//�u/1 'Lien q/t-3/ s 6
Foundation: OK 04/es
Stormwater FINAL Approval:
Underground Plumbing:
Underground I sulation:
Shear Wall : /0-Lo-'
Sheathing: /0-Lo_ckN--
Framing: NOH'cian2 FR4MIM6 DK/�4//LQS, )<-- liz- i-es-
Plumbing: I,Zr-J-0�
Propane ank/ Lines:
Insulation: thud 5yari OK 1 19c .fetid,e-li et/009y
Sheetrock: /.&.-14--c90
Septic Sy m Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 6 -Kg D(p
HEALTH DEPARTMENT i ND 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 BLD05-00532
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.) 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.
3.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) 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.
9.) 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.
10.) Minimum setback from Frayne Street right-of-way is 20 feet. Minimum side and rear
setbacks are 5 feet.
11.) A minimum of two (2) on-site parking spaces are required for the single family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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CAJEFFERSONSUNTY
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kiloa DEPARTMENT OF COMMUNITY D� PE
1-4 621 Sheridan Street • Port TownsehPWashin ton 98368
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O360/3c7o9.-j4e4ff5e0rs•on3w60a/3u7s9/c-44
om5m dFaeqIIING
rIenteoprm
AUG 1 7 2005 '
Master Permit Application -
1N1LA: J LI G(
Project Description(include separate sheets as necessary): ` --p -R� I- tr4C> a .4
Tax Parcel Property
Number: / ��',I CV — l f 03 Size: / 3J 7C (acres/square feet)
Site Address and/or Directions to Property ft/((/ fle?-4, IC:
Property Owner(s)of Record: A ,a A, - r 'G-0 / _
Telephone: - -1Fax: 3 7 ,7 0email: / . et -4t' )`
Mailing Address: @ C/' i 64 5 3 Pr( 7iC°2✓t {% 6/-04 q 3 :
Applicant/A ent(if different/�from owner): .SDI ft�-+ti f y 2A d /2/1 2c1.j_lf f&5• e-L
Telephone: l Cy ` et-`4 7 � Fax: C%- email: 41,--- J e JTc O ty,/3�4"
Mailing Address: �.0 - I ` ,6 t _ T it-rt/JA-r-cl) 1ij4.
WF�af kind of Permit?(Check each box that applies)
Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑pemolition Permit ❑ Conditional Use[C(a),C(d),or Cj**
gle Family ❑ Discretionary"D"or Unnamed Use Classification
Garage Attached,/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* C1 Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address [I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
0 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 /�2-L 4 tV& to act as my agent in matters relating to this application for permit(s).
OWNER SIGNAT Date: �
j /7 --e'
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 attornev's fees and
expenses wnicn may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree provide access and right q ent io Jeffrson County and its employees,representatives or agents for the sole purpose of application
review and y required later-- sped ss and,rig entry-to4his property shall be requested and shall occur only during regular business
::ture
: Z ' _ r
'Y Date: S* '/2' C_7
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. x.individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)eve if you are• compliant wi a Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra sferable ponsibili 'r henng to anccompl.M with the ESA. The Applicant has read this disclaimer and signs and datesjt below.
Signature: . C.-�`�
s a Date: (/.' , 7
r
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application -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
Signature: Date:
G}F\.lamE(RAL CONTRACTOR
t QR ANUFAC ED HOME TALLER:/ :. / //�'1 PHONE: FAX:
aJKv '�9< t. J1 , d}/fin I - .•.J `�' i_ 6._ ( 31, 32 j- Ryj(.3��) Y2q-ooSC)
MAILING ADDRESS: c�b- C c 6 3 EMAIL: 4/e4c/6 7 6' �q ��t /1r� c 73^
CONTRACTOR'S LICENSE y 1 /,/ WAINS 1'
NUMBER: S EU&N B P q 53 3- I� NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: G-Y I q 53 J `Tr, EMAIL
Pr Type: Fine Type: Bathrooms: Shoreline: Type of Sewage Disposal:
V New / Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: ‘ Height: dividual System
�-S-- 7 �t)
❑ Repair CI Masonry SEP Permit# t,
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ P ivate well ❑ Two Party
Typ, of Het: Proposed: 4 ublic
fC it#a `�t I Total: Name of System:19 L't
U1'6. I
If this is a Commercial Protect 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 ❑ Above ground Tank Size of Propane Tank:
I i Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured I Mobile Home?r.Yes No ----•r- "t-"��'
When applying for a permit to install a propane tank you must also Ott ilia si 9 pqn sbowint 'all buildings,all property
lines, tank location and size,distances from the propane tank to all prO grty-lines,ba ldirl and " system components,
including the reserve area. ` ffSquare Footage For Office Use Only I ►' Auk 1 2�05 fCurrent Proposed Arno41.
'
Main Floor ._ live_ .�► s , /.� /1 }tConsstency Review: �}
1.s `l k , `t'_1
2NU Floor Base f75
ee: r'
3fa Floor Additional Section:
Mezzanine: Plan Check fee: G ,i11_
Heated Basement State Surcharge fee: 4 5D
Unheated Basement Pot Water Review fee: -CZ i t. 's
Other Unheated 911/Rd Approach fee:
Garage/Carport 5 TOTAL: $ r -- '5 L
Decks I') `3,R c-, �.c is Receipt Number: L(C/J
Other ', Cash/Check Number: C13t
ESTIMATED COST(REQUIRED) i 1. ii a ,r•1'bate: 614 /
weir market value of all labor a_nd-materials foundation toallish
" 1 � Ci.�� �; Initials: ��
G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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JEFFERSON4,01,,, COUNTY ;�.� �, `I
4, DEPARTMENT OF COMMUNITY DEVELOPMEN
i AUG l ? L;) f t '��'
j jperf . ,00„ 621 Sheridan Street • Port Townsend •Washington 983E18
360/379-4450 • 360/379-4451 Fax
O http://www.co.jefferson.wa.us/comrndevelopment/
/A dd46te'r'------
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# l :., Li PROJECT/APPLICANT NAME: &C/-e-j'tt 84,64-02 AraL//e�9
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 'e. Indicate position a d relative size of propos-• improvements on the
site map. S FR
4/1 - & / / ,
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the je rp��
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
6 044 f-- B14646-ervuo
4. Describe the existing soils. Indicate soil type on the site map.
. 54fYld 4-- Swivrittif
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. No e J(� l c�_de
72/1„.„0.A.,y1a_a, *---
6. Describe any excess levels of noise generated by the proposed use or activity:
—
§7itc/a d APPROVED
STO-R-MWATER PLAN
—_
.
StorrWater +i s
I AUG 252005
stormwater site plan template—rev.10/1/2003 Re Uire 1t"� 5
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7. Describe ,,yutficarn geographic features and cnucal areas (i.e., environmentally sensitive areas such as wetlands, streams, ,
steep slopes,etc.)on the site. Indicate location on the site map.
,v47
8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
/24
(streams,wetlands,lakes,steep slopes,etc.). 4,6(
�E' �.� ,� :_e
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.
9. 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.
WAII/L. CI
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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/i/./
•
11. Describe the performance goals and standards applicable to the project.
411 /
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—
12. Describe the flow control system. 1: = u1
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stormwater site plan template—rev.10/1/2003
6
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1,5. Describe the water quality system. 7._
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4/70 ' A U G 1 7 . . , ' ; '
.............._________,:::-:_, ri:'''n i
14. Describe the conveyance system analysis and design.
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
xv(zrzi//..._____
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Describe the proposed surfacing material.
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18. Describe methods for restoration of the site. 04e1/1"
/
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.
0-
20. List here and include any special reports or studies conducted to prepare the Storm t r 'e 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.
/V/4
stormwater site plan template—rev.10/1/2003 7
V
L d)r�7 iRUt, 1'1.a ,ht i IJN,'LAN tSWP.t,4)"!
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 SWPF'P 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.
2. Establish Construction Access.
1
l
3. Control Flow Rates. / ,I
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4. Install Sediment Controls.
I
5. Stabilize Soils.
6. Protect Slopes.
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7. Protect Drain Inlets. " � `''
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AUG 1 7 EJ5 '
stormwater site plan template—rev.10/1/2003 8
r .
?equired Efernei,ts—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
449 pt-G 1-7 Luk).)
9. Control Pollutants. I
10. Control De-Watering(the act of pumping gr ndwater or stormwater away from an active construction site).
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11. Maintain Best Management Practice ( Ps).
e/- / ; j
12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
47/4
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
i
14/
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
a
u. uescripuun of special requirements for working in or near unvironmentaliy sensitive areas.
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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).
A74
i
5. Construction Phasing. B n
a. Construction sequence - � 5er/six
4 ^ 4/truitil{-
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b. Construction phasing(if proposed) � f4 5-Alt°
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule. 5‘2) :- 64—
II. Wet Season Construction Activities. t ,„
a. Proposed wet season construction activities.
fAlitg /....;
b. Proposed wet season construction activities for environmentally sensitive areas.
4114
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds a or th fi ncial securities.
b. Describe bonds and/or other evidence of financial responsibility for liabi ity associated with erosion and sedimentation
impacts.
44
8. Engineering Calculations. Provide Lies n alau1 fi qn a sep�rat -she t for the following,if applicable.
Sediment Ponds/Traps. � , . I,!, `, '-i ��
b. Diversions. ! t ;1
c. Waterways. l i AUG j `,,n5 !I
d. Runoff/Stormwater Detention Calculations
i
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stormwater site plan template—rev.10/12003 10
i
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 ceitify that this application is being made with the full knowledge and consent of all
owne of the aff grope
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(LANDOW AUTHORIZ REPRESENTATIVE SIGMA RE) (DA
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THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
----
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. )1, AUG 1 7 2005 i
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stormwater site plan template—rev.10/1/2003 12
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