Loading...
HomeMy WebLinkAboutBLD2005-00680 IPU ILDING PERMIT APPLICAIIN MRLA05 00638 eview ype: I Jefferson County Department 04. Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00680 Received Date: 10/28/2005 SITE ADDRESS: 4762 FLAGLER RD NORDLAND, 98358 OWNER: DAVID M BODKIN PHONE: SHARON BODKIN 4762 FLAGLER RD NORDLAND WA 983589688 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 921084008 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: JOHN REED CONSTRUCTION PHONE: (360) 302-1242 19403 327TH AVE NE DUVALL WA 98019 Contractor's License JOHNRC*983DF Expires 02/12/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI GREEN HOUSE ADDITION TO SFR, REMODEL (CHANGING A BEDROOM TO AN OFFICE), CHANGE 480 SQ FT GARAGE TO HEATED SPACE (ADDING BATHROOM AND BEDROOM ) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 480 VALUATION 60,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: THER: 2 CONST TYPE: 5N OARAGE: 190 SHORELINE: CONST TYPE: DECK: 192 SETBACK: 400 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 1 Total: 2 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: APPROVED Permit $713.75 SLE 10/28/05 77185 Plan Check $463.94 SLE 10/28/05 77185 NOV 2005 State Building Code $4.50 SLE 10/28/05 77185 Potable Water Application $53.00 SLE 10/28/05 77185 Jefferson County Planning &Building Department Inspection $49.00 KAS 11/09/05 77327 Total: $1,284.19 BUILDING PERMIT• Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00680 Received Date 10/28/2005 SITE ADDRESS: 4762 FLAGLER RD Issue Date 11/23/2005 NORDLAND, 98358 APPLICANT: DAVID M BODKIN PHONE: SHARON BODKIN 4762 FLAGLER RD NORDLAND WA 983589688 SUBDIVISION: Block: Lot: T 8 PARCEL NUMBER: 921084008 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: JOHN REED CONSTRUCTION PHONE: (360) 302-1242 19403 327TH AVE NE DUVALL WA 98019 Contractor's License: JOHNRC*983DF Expires: 4/15/2007 PROJECT DESCRIPTION: GREENHOUSE ADDITION TO SFR, REMODEL (CHANGING A BEDROOM TO AN OFFICE), CHANGE 480 SQ FT GARAGE TO HEATED SPACE (ADDING BATHROOM AND BEDROOM) CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: �U/A UFFER: iU/A Footing: /N, 4. r Iris ek /t/z/a5 Foundation 1--//- Stormwater FINAL Approval: Underground Plumbing: Underground Insula 'on: Shear Wall : '�L /-3i -O/, Sheathing: Framing: Plumbing: Propane T nk/les: Insulation: 3OG Sheetrock: ' 3 / D6 Septic Syt Fin I A proval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 9 2 - 1/p HEALTH DEPARTMENT 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 CCE A BLD05-00680 1.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100)feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 2.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 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.) 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. 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.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. I • 9.) Not more than two (2) unlicen ed or inoperable vehicles shall be stored o•y 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Setback from Robbins Rd. right-of-way is no less than 20 ft., setback from SR 116 (Flagler Rd.) right-of-way is no less than 30 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 13.) 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. 14.) 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. 15.) Written confirmation of removal of one bedroom is to be provided to the Health Department prior to final. I:\F_BLD_Permit_Buildng.rpt 10/29/19 Ilk `; �w¢soly t^o�� JEFFERS OUNTY _ . . , , � ,.; DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ` "1 621 Sheridan Street• Port Townsend •Washington 98368 i.: .;f �,,,. : 'i , ,• . . 360/379-4450 • 360/379-4451 Fax 1 i ' 1 OCT 2 2.,,J3 . , 1 gs ItINGo www.co.jefferson.wa.us/commdevelopment L Master Permit Application MLA_ 10 —647S, i Project Description(include separate sheets as necessary): I C)P r"(ON To SPtz Tax Parcel CU., � Property Number: .OS ©©g Size: - .'Rt 4Ka..4 6,1 AA y (acres/square feet) Site Address and/or Directions to Property: t-(%Q FL/lGL6k A). NO-P-C)LAI1 (AM `I835-73 Property Owner(s)of Record: DPrV 10 4- S 14•PRoN $OD Kt N Telephone: 34,0- 3BS- Y29/ Fax: email: Mailing Address: S'Pcrk E Applicant/Agent(if different from owner): .3OHr\) 'RE-C, Telephone: 360-302,- (.94 2 Fax: email: S?11R,T"e i-lorm t u.urn". Mailing Address: 1 r]'.9 S 1 Roc 5T, 'Po RT —r S Fitt) u1 R /8 34.8 What kind of Permit?(Check each box that applies) jgBuilding D Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit D Conditional Use[C(a),C(d),or C]** IN/Single Family D Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached D Special Use(Essential Public Facilities)** ❑ Manufactured Home D Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* D Binding Site Plan** ❑ Change of Use D Long Plat** ❑Address ❑ Road Approach D Planned Rural Residential Development(PRRD)/Amendments** ❑Propane D Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management D Shoreline Management Substantial Development'" ❑ Site Plan Approval Advance Determination(SPAAD)* D Shoreline Management Variance ❑Temporary Use D Comprehensive Plan/UDC/Land Use District Map Amendment El 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: .E Tir. \\ DESIGNATION OF AGENT I hereby designate �jD�\r ) '? E O to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE "L 4.7-y 1� Date: Dg-/5 - e< By signing this application form,e 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 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 later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: /i Date: /< ^t,c 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 lake"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 can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r si '• ad . g to and complying with the ESA. The Applicant has read this disclaimer and!jaons and dates it below. Signature: Date:'Dg/> . O.S G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1 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. i Signature: Date: OCT 2 8 2005 i _ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE' r y F .- F ,3o.Z 1y2 MAILING ADDRESS: gp 17a S4\x_C s-77 P,„a-- 4 EMAIL: 3> Yv-e-T @ PrcrrmA•LL. .GOwt CONTRACTORS LICENSE JO�N WAINS NUMBER: RCA' 9 8 D F NUMBER ARCHITECT/ENGINEER: R L. MOIRlSciri) PHONE (3GG ) y-Layy' FAx:( 36D )779-lips- MAILING ADDRESS: pc) gzx (3-76/ . v/c hl,, Lii.t, EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type New a. Wood Existing: l of Sewage Disposal: ❑ Sewer IK Addition ❑ Steel Proposed: 1 Bank ❑ Community System le Alteration/Remodel ❑ Concrete Total: 2, He�� , M. Individual System ❑ Repair Cl Masonry SEP Permit# d 5 I/G Bedrooms: ❑ Demolition El Other: Water Supply: Existing: 2 Setback: pt Private well ❑ Two Party Type of Heat: Proposed: —/ + I �L TRLL Total: 2. 9 El Publicc 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 ll 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 Consistency Review: � �. 1110 ` 61,N_ 2""Floor ' Base fee: , Illo 3W Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: 931. L Other Unheated 911/Rd Approach fee: �`11,�4-�n C Garage/Carport 960 , � i� 4 �• `L() TOTAL: $ ` Decks ! Li )5.L&Receipt Number: -71 1 �d�? Other 1 Cash/Check Number: ESTIMATED COST(REQUIRED) i j' t 4 Date: •Fair market value of all labor and materials foundation to finish t 0 t�t6105 �6d t Initials: T R 4. CAS v E RT L(130 sz ON?UYI h¢.a.¢c-J ac:tiasye. 41) k-A-kel- sp"-� . G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc P..- 1, 0 0 J 0,0,M001 0 * 0 0:01,00:00 11.1,0....,..r.r.,,wo..r.,.................... •. x, 0.01........4......,.,...,,r. -,,,,,,,, ... MAI,..• •+n•. 4. Ro BB 1 5 ROAD FLE v gi-P . , LEV --.......____, NO Ci-• ' • -.N EYts . 29 / tn,5. )/ i ../..-• -a ,,,,,i_ riew 1 ree4iht 4A,.. V/ <— --r- /_ .;• s4,4 p,ty._ 3 \ / 7, i 01 icARron 1 (-. • 0 ...0 VI t , ,0_, I • 1 Vil '11 '-'-'1 ,. .....g... ,... o pf, / RI 7 •-• ,-. :p oa * ) ' '' •"... V" rt, OR\vt%wii y `•, > 4.O, N.. 0 i s: 2 -3 ....= WELL, CY' :xr -.I 0 1 oz El vt-.-1 .4c,,i, _...-- 0 :A 0-- < (-1:Y ',•.x, 3c , t yl N 0 "7 CN 0 Z Ex, (1MAINI DRAIN ur v‘ r- 1'2i ZILiri AA I 1 _4 ,:. cn t•---- Q 8 8 ill 51-6' 51._1 .5 i.5- 5 S s L 0 R.i,lott S l.. Le I 2_ `.....;1...i 1\.) (T.? ),.1 tOt -34 i'll 7c) 0 0 1 ....... o l' 1 RVE AREA CA 2: A . -17 ky4 1 ci 4.1 0' R E 5 s -,), 0 CP 27 Ili'aes :z 0 4--) u ic) -0 r- rt-1 z. I— .. i 37 CD ----1 .-z 21:) rn .;.'; ... . c) 0 -70 _ 51 (J V— "Z V . ... 1 11 "A*, 0 Co-o (5"; U4 (C-•)'n I Il ,...40 IT/ . * co oil 7- 20 — T II ill 0 ?-3'14/644 toikftil< - A ' ....- q s - of HIGH TIDE L HUE 25--36-1 0 FLE:v, ' • v..1 rri 5' i i 357' ELF.V -TIDA1,- 0 1 TIT)R1.. WET LAN125 1 (4 0 o ef :Al Thi 7 . 6 173 47.4.Fi = C3 Con 01:1 I ffl. 51 —I ---() 0 cx3 • t" 1; I ›'• i C3 Z a 4 73 PI 0 i.. .. ...... , it. _ g ' M cri •-... z C.., 4. N _ ,, _ ...., ___...... rri I A -