HomeMy WebLinkAboutBLD2006-00032 • • MLA06-00028
!UILDING PERMIT APPLICATION Review T : I
YPe
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00032 Received Date: 1/26/2006
SITE ADDRESS: 253 TRAFALGER DR
PORT TOWNSEND, 98368
OWNER: MARK J WALTERS PHONE: 360-385-5264
324 BOARDWALK AVE
PORT TOWNSEND WA 98368
KALA POINT#2
SUBDIVISION: Block: Lot: 85
PARCEL NUMBER: 964700075 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NSFR W/ATT GARAGE - AIG 120 PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,582
VALUATION 100,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 40 SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: 192 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: KALA PT
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date: l I /0(40
Type Amount Paid By: Date: Receipt: APproD
Permit $1,122.55 LYK 01/26/06 78925
Plan Check $729.66 LYK 01/26/06 78925
State Building Code $4.50 LYK 01/26/06 78925 MAR I
Potable Water Application $55.00 LYK 01/26/06 78925 JCfird6 cgi Coamly Ralik
Total: $1,911.71 � ? QullE"hi@ ®e;�a "90d
1
0
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00032 Received Date 01/26/2006
SITE ADDRESS: 253 TRAFALGER DR Issue Date 03/1/2006
PORT TOWNSEND, 98368
APPLICANT: MARK J WALTERS PHONE: 360-385-5264
324 BOARDWALK AVE
PORT TOWNSEND WA 98368
SUBDIVISION: KALA POINT#2 Block: Lot: 85
PARCEL NUMBER: 964700075 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR W/ATT GARAGE -A/G 120 PROP TANK
CALL IN FOR THE REQUIRED NSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: ' Opt
UFFER: oK 6`174.4 6'w
Footing: n //4/Dd1
Foundation./
oundation. 6,-v3-o6
Stormwat FINAL Approval: 2t- 7/362/07
Underground Plumbing:
Underground 'nsulation:
Shear Wall : -(415-fXo
Sheathing:
Framing: ;),u (_/=46(4(• -7/7/a, nr-c_L,. -GC..i PS t b.,_ ..... F(4=1./vii:,_.' -),( I? -1.- -ice) i Sk-116(0
Plumbing:'\Z-iq 0x
Propane tank/ Lines' ' k )r a l/63‹-g-/7-07
Insulation:` 3�
Sheetrock: l
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: -- Co-frog
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 HCURS 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 CA4PE # BLD06-00032
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.) 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.
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.) A Stormwater 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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).
7.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are
subject to the stormwater requirements in UDC Section 6.7 and must meet the "Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
Administrator." Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) 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.
10.) 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.
11.) Setback from Trafalgar Dr. right-of-way is no less than 20 ft., setback from Kala Point Dr.
right-of-way is no less than 20 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.
12.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
13.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
14.) The development will be serviced by public water and a well will not be utilized. If a well is
required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ
conditions.
I:\F_B LD_Perm it_Bu ild ng.rpt 10/29/1999
.gsON OO • •
b. JE ERS!N COUNTY
f , ._. A rillik
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368 ,
360/379-4450 • 360/379-4451 Fax JAN 2 6
.�4Ne fi0 www.co.jefferson.wa.us/commdevelopment i
Master Permit Application MLA: tc, ~ (
Project Description (include separate sheets as necessary):
Tax Parcel Number. g6 /4 70 o O TS
Property k l
Size: /I4 (g Q (acres/squa
Site Address and/or Directions to Property: Y _ �.J 3. �' ` ��
--, , V-'s 1, 'c-5 ! 4.--
Property Owner(s)of Record: v )c ,fr 0,----}� l c)n, . H —
Telephone: "• 0 "`,�-'j �'} L I Fax: - email:/' /i-ef-S'6)O/writ 01,A
Mailing Address: ( L'( r• ;{); k.__ n
Applicant/Agent(if different from owner): ` (<_', LI, .(^c l-t-e v
Telephone: �'ci ; r IL-, (5.,E..).,v . Fax: email:
Mailing Address: ,-ft _ „..5- rL4,,c-„>.r
What kind of Permit?(Check each box that applies)
❑ Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
IS Single Famil 0 Discretionary"D"or Unnamed Use Classification
X Garage ach Detached 0 Special Use(Essential Public Facilities)**
❑ Manufactured Home 0 Boundary Line Adjustment
❑ Modular 0 Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use 0 Long Plat**
❑ Address 0 Road Approach _ 0 Planned Rural Residential Development(PRRD)/Amendmr
Propane 0 Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendn
❑ Wireless Telecommunication* 0 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:
1 r - DESIGNATION OF AGENT
I hereby designate ~ .x1,.` '�i- to act as my agent in matters relating to t is a plication for permit(
OWNER SIGNATURE__14:.___ar- 1 `\ Date: / el C-,
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the b
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 pa<
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 ar
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 appl
review and any required later ins ctio .Access and ' ht o e try to this property shall be requested and shall occur o ly d ring regular busine
hours.
Signature: 1f ✓, ', 5 Date: !/ q (n t)//
-��.,
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 thi
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
even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and n
transferable resp n 'bility f hering to an complying with the ESA. The Applicant has read this disclaimer and igns dates it below.
Signature: f�, t- - ( ( .1 4&,&
L Date: ( r
• i • •
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referen herein,that they are not licensed contractors and
:;:
l be assumin;lthe sponsibilityi of tK eneral Contractor for the proposed project.t
re: 0/ �iu' lc-t,'' } NAt Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER A 2 6 PHONE: FAX:
Ster _.�� Zoos ; (3L ) °�-- � y" ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: La-x ,-k, - PHONE ( ) jk-•-5 1 tL` AX:( )
MAILING ADDRESS: ht (.'Ni'Y ..C\ , t -11.._:E; -. EMAIL
Pr lect Type: Frahm Type: Bathrooms: Shoreline: Type of Sewage Dispos
New tV Wood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: ,)••• Bank Height: ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: ;I— 2f Individual S err
O Repair 0 Masonry SEP Permit c`I
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well 0 Two
Type of Heat: - Proposed: --> XPublic
E lee,*f"\c:../�,,-4►4Tt,1�_ Total: > Name of ystem: ,j'
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
a„+If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
`"-- 0 Underground Tank XSAbove ground Tank Size of Propane Tank: 1) c.-.. \`tR .�
❑ Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 PeUe cve. [ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / Notl�' ����
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,a1T pnc
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system comport
including the reserve area.
� ; f ` :�� 5 *Square Footage Current Propoaed a^ 11• .( r �;� �, _ ltFlt c1f1 x "'
Main Floor Heated v- J- 103 p cifz, H Bld App Review:
2na Floor Heated�
•`f
' , Consistency Review: (J� ,
, F'.. ill ��
Other Heated ( rk ~ a Base fee: I�� 6
MOR�
Mezzanine (+- s Additional Section:
J'. '" /-•
Heated Basement /'r) ��,�„��,,t Plan Check fee:
tt . ti . 1 ,
Unheated Basement � State Surcharge fee:
ti ' t
Other Unheated �� Pot Water Review fee:
Garage/Carport .a ", SUBTOTAL
7 13,576i. a, 1�61 ."1
Decks �� 9 911/Rd Approach fee:
- L9 5i: Ext5-hn�.
OtherCo '
r „ C_. 0 , d $d
Co TOTAL: $
eceipt Number: 1 g'C't 2 II
) 110131,Fb:' h/Check Number: I i
` •' .FairESTIMATED COST uee of all labor and materials foundation to finish I Date: I 2-V A O
Initials:
. ........ ... ..
114, JEFFERSON COUNTY AN 1,
Asi,41 • ,,,,' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT F' , { „,
° `��
4 ,,e 4 621 Sheridan Street- Port Townsend • Washington 98368 %%v
OU 360/379-4450 .360/379-4451 Fax t��
http://www.co.jefferson.wa.us/commdevetopment/ ���%5
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STORMWATER SITE PLAN SUBMITTAL. TEMPLATE
MLA# 04 2 ' 03PROJECT/APPLICAN r NAME: ! i t.�' ` ço\\ ,° ..
j
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 site. Indicate position and relative size of proposed improvements on the
site map.
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Existing Conditions Summary
2. Describe the eting topography,,Indicate contours on the site map. .
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3. Describe thepfstir vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing sole. Indicate soil type on the site map.
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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. \
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6. Describe any excess levels f noise generated by the proposed use or a (. r
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STORMWAT- , PLAN
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stomnvater site Wan template—rev.1(VI/2003 5
JEFF C NTY
DEPT OE( - 'E ENT
MEtiNATtIRE:
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on a site. Indite location on the site map.
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8. Describe the general vicinity of the site, including adjacent land uses and structures,utilities,roads,and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.).
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.
g. Describe the developed site hydrology, as proposed. Indicate whether stomiwater will be fully dispersed(i.e., per BMP T5.30
in the Manual)or,if not,what types of stormwater flow control wilt be utilized for the site or specific threshold discharge areas
i,ftin the site. Locate tt'agse litre on the site plan and cliffs entiate ra facilities from existing facilities.
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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 inv ve the potential for dispe of contami ts.]
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11. Describe the pqrformance goals and standards applicable to the project,
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12. Describe the flow contr system,
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13. Describe the water •uar r
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14. Describes, ,�,«:� , em analysis . design.
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15. De ribe the source of fill material,physic/characteristics characteristics of fi m serial,and depositio9 of excess mate I. t b " i v t 16 4ns N.� t`t� -FT ' ; , rc U rt c ice; r` ."� �Cc3O k" 't ( t tO£.,
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code. _
17. Describe the proposed surfacing aterial` }
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18. Describe methods for restpration of the site. / ,e
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.
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20. List;re d include any special reports or studies conducted to prepare the Stormwater Site Plan.
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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.
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7
• •
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
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 SWPPP 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. i
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2. Establish Construction Access.
3. Control Flow Rates. ll ��CC� ;�"l ct- �x �� ( '{\ ''�.r��_3C .1 Ck c o' ek. �6-NA t. i D C (O';r 1 1�)5-i u t.-'..t,L i ,x.
4. 1 tall Sediment Controls. [,
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5. Sta¢itize Soils.
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6. Protect Slopes.
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7. Protect Drain Inlets. t
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12 Required Elements-Construction SWPPP(continued)
8. St ilize Channels and Outlets.
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9. Control Pollutants.
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10. Control De-Watering(the act of pumpinp groun ter or stpkinwatpr awayfrorrk an active construction site).
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11. Maintain Best Manament LI Practices(BMPs).
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12. Manage the Project.
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
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3. Environmentally Sensitive Areas.
a. Description of envIronrentaly se ,it" e areas that are on or adjacent to the site.
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stormarreer site plan template—rev.10/1/2003
9
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b. Description of special r uirements f r working in or near environmentally sensitivq reas.
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erocribility,settleppility,ormeabilk depth,texture,soil structure).
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5. Construction Phasing.
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b. Con truction phasing(if roposed)
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6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
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II. Wet Season Construction Activities.
a. Proppsed wet season construction act s.
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b. Pro osed wet season c?nstruction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the prsperty qwner responsible for e initiation of bonds and/or other financial securities.
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and segmentation
Impacts. _ t t
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8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps. I )A-
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
Oft S"d f }Y. s�E1ry e+.
stom}water site plan tote—rev.10/1/2003
10
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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 also certify that this application is being made with the full knowledge and consent of all
owners of the, fleet rope .
Ian'
(CAI Do ER OR ALIT IZED R SENTATIVE SIG
NATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
Storm?water site plan template—ray.1011/2003
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