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HomeMy WebLinkAboutBLD2005-00736 9 a DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00736 Received Date 11/23/2005 SITE ADDRESS: 1144 HAZEL POINTS+ Issue Date 12/20/2005 QUILCENE, 98376 APPLICANT: JOANN ALLEN PHONE: 360-598-3280 P.O. BOX 852 SUQUAMISH WA 98392 3 SUBDIVISION: CEDARCREST ESTATES Block: ? Lot: PARCEL NUMBER: 601342034 Section: 34 Township: 26N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, JOANN ALLEN PHONE: 360-598-3280 if different: P.O. BOX 852 SUQUAMISH WA 98392 PROJECT DESCRIPTION: DEMOLITION PERMIT OF SINGLE WIDE TRLR & RV TRLR & CAMPER THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/20/2006. REQUIRED INSPECTION: D m FinalApproval: • , „� ' ,i�- BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY IF .,_ , 1 • PERMIT# O D .� 4 -" "e N I APPROVED 1 .2 y16� '' ; T h rt 0 V C ) CONDITIONALLY PPROVEO i, r . . i NOT APPROVED fOY 30 , � . , 0 ,, I FOR COMPLIANCE WITH 1 I ORCAA REGULATION 1 Notification of Demolition Pe It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure. ' ii Project:.Site Address: I I L"t ( �� \ �a �E'�6 �� !`�j��R . County: � '�`C'V �.'�> sr SO 0City: Qom\ `Q 'p .e._-^� State: OR , Zip: Starting Date: ! � L, I ac f 0 Completion Date: *(There is a 10 working day advance notification period from receipt of 'permit application) Property Owner:��Q Kiln A 1. '(t) Telephorl�:, 1 JS83 as.a'ax: Mailing Address: �- _ City: �j _ I - ,,p l�C,�,z.�,�� , r�11 _ State: W � 1. Zip:98 a -20 Demolition Contractor: 5 State License#: Mailing Address: City: -� State: Zip: Contact Person© I t ) (' (I€-rt Tele hone (,,�P � ' )5 -3c Fax: YES . NO --� 1i/ Demolition by Wrecking or Dismantling? ($25.00 fee) eck# j/Training Fire Demolition? (If yes, attach fire department request for training fire) enovation,Alteration, Remodeling,Maintenance, or other Construction? 1/ Asbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestostt �� Survey Completed by t.�)W AHERA Certified Inspector L .k1hA ' Certification# � Y''`\c A - e)t� 4 2-a t'1 This approved permit must Enclose$25 Certification of the Asbestos Survey mkt be available at the job site Processing Fee aroompany this form 2940 B Limited Lane NW,Olympia,Washington 360-586-1044 * 800-422-5623 * fax 360-491 : 7,`' homepage: www.orcaa.org * email: info@orcaa Rev.07/11/02 cu.NO. yI SI, DATE 11 JZ5-/os--- YUILDING PERMIT APPLICATIN MLA05-00688 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00736 Received Date: 11/23/2005 SITE ADDRESS: 1144 HAZEL POINTRT-12.- QUILCENE, 98376 OWNER: JOANN ALLEN PHONE: 360-598-3280 P.O. BOX 852 SUQUAMISH WA 98392 CEDARCREST ESTATES SUBDIVISION: Block: ? Lot: 3 PARCEL NUMBER: 601342034 Section: 34 Township: 26 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPT1011 DEMOLITION PERMIT OF SINGLE WIDE TRLR & RV TRLR & CAMPER TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $49.00 SLE 11/23/05 77 456 APPROVE:- State Building Code $4.50 SLE 11/23/05 77456 Total: $53.50 DEC,7o 2005 Jefferson County Planning & Building Department • SPECIAL CONDITIONS FOR CASE#BLD05-00736: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 15, 2005 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Eagle Habitat Areas. 2.) The applicant is proposing to demolish and a single wide trailer, a RV trailer amd a camper on the property. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal shall adhere to Best Management Practices (BMPs) 3.) 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. 4.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 5.) The site plan as submitted with the demolition application on November 23, 2005 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated Decmeber 15, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a demolition permit to remove existig single wide trailer, a RV trailer and a camper only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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). 9.) Olympic Region Clean Air Agency approved the demolition permit November 29, 2005 under permit number 05DEM001310. 10.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 11.) A septic permit (SEP05-00287)was approved on October 9, 2005 for a system of 720 gallons per day. 12.) Hazel Point Rd is a minor collector road (C408008). The road approach is existing and an address of 1144 Hazel Point Rd has been assigned to the parcel. 13.) This parcel was created through the Cedarcrest Estates under AFN 374653, filed of record August 19, 1994 in Volume 3 of Short Plats, page 72-73 with Jefferson County Auditor's office. 14.) This proposal was sent to the Washington State Department of Fish &Wildlife (WDFW) for potential eagle habitat. WDFW found that the proposal did not conflict with eagle habitat. 15.) L & I PERMIT FAS ALTERATION PERMIT#EP1138516 MUST BE SIGNED OFF AND APPROVED BY L& I PRIOR TO FINAL I:\F_BLD_Permit_Propane.rpt 10/29/19c • OWNER BUILDER STATEMENT 4111 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; uming the responsibility of the neral Contractor for the proposed project. -E..) Signature: a � l X_J� 2 Date: �l// C)/C%..i GENERAL CONTRACT R OR MANUFACTURED HOME INSTALLER: PHONE: (( y Fax R �( MAILING ADD RESS:ESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL - Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well CI Two Party Type of Heat: Proposed: ❑ Public Total: 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: 0 Underground Tank O Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove 0 Woodstove 0 Fireplace Insert El Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes 1--" •' r�`' 1 When applying for a permit to install a propane tank you must also stin3.t a e n ho i�alL�f e), ildings,all property lines, tank location and size,distances from the propane tank to all pro lii 5s ifdings and seprjc*stem components, including the reserve area. F t i t Square Footage For Office Use Only a ` . ' - Current Proposed NOV 2 3ount Main Floor Consistency Review: 2Nu Floor . . --_ `-�/1 Q 1. b v Base fee: l 3`1 Floor b V Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport - TOTAL: $ l i 0- 1 37 Decks lJ Receipt Number: 17 4 5/ Other Cash/Check Number: l� ESTIMATED COST(REQUIRED) Date: V .Fair market value of all labor and materials foundation to finish a initials: G:\PenmtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc SON C ["t i� 1r [ ` :`_' Frti�4` o� JEFFERSOOUNTY '." ' j DEPARTMENT OF COMMUNITY DEVEI.PPM NT ti `• 14 621 Sheridan Street• Port Townsend •Wa§h'ingt 8 i,./i q' 360/379-4450 • 360/379-4451 Fax 0 www.co.jefferson.wa.us/commdevelopment �`SBING� .. f_ Master Permit Application MLA: �5 (l� ��g. Project" Description(include separate sheets as rtecessa ): , al` 7 `i{l� C" C i t�.. fix✓ ! % f ,✓ /• , r t :IL,,, - Tax Parcel 1 C Property r Number: d,_,,,t .- ,,...`.1 Size: • ` ., -, 'j' (acres/square feet) Site Address and/or Directions to Property: I 1 `C i"�-�`°— - I t_ i-..ct . Property Owner(s)of Record: Telephone: 7 .0 Fax: email: �jaiil: Mailing Address:T.6 \3Yr(( j LA C L C. 1 % ��") t 3^ (r' 'D, Applicant/Agent(if different from owner): 1 ".e. F.+t:Ns a suTy Telepho e: . Cr Fax: email: QQ //�� Mailing Ad ress: b N t Dt 3 6 '�0 , LJA`, V 3,�0 What kind of Permit?(Check each box that applies) ❑ 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)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address Ll 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** 0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance D Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* El 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 \. fl A-tJ N A to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE .1').-fI .a�--""k‘`" 12�~ Date: �'�5I f S 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 attomey'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 houra. 9._, ' / {r "-��L . . Date: !�/ "/ Signature: Ct,-'�i``--'"`"— —'� 7-7 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. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)a en if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trn ferable responsibility for adhe to and complying with the ESA. The Applicant has read this disclai er and signs and dates it below. i /�L --- Signature: -,-',c-:1r - C_.`__ ---r` Date: °� G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc "...11111111111111111111111111111111 --G..: •. - r- ....----'"' - ----\''' ....----.....:.-:"........._...- .,.., °J41 ......... .. . — kro) 4.r. 1:::::1 ca' 0 ......=....., (-r) = f -----'• . .....„..jr. , - .. ..'—.77-..,...:-- ;;".7..r. l.). ,. ..... . ._ (.9.......... ... - \i) ,...._. . • r z v . . i,1 re_ ' ct. f a. ' , I w '• -• cl . ., .. a. Co i z 0 e?S , 1 w uC1- II 0 :iiP r 1 re WI • i w •$3 i 1 o ' 0 d NI i 01) E z. 0 , ,• .L.I. 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