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HomeMy WebLinkAboutBLD2006-00079 ItILDING PERMIT APPLICA ML y 072 N Revviewiew Type : I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00079 Received Date: 2/24/2006 SITE ADDRESS: 350 POINT WHITNEY RD BRINNON, 98320 OWNER: WESLEY H DUNHAM PHONE: 425-255-7298 RUTH C DUNHAM 350 POINT WHITNEY RD BRINNON WA 983209753 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601181006 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)765-4787 P. O. BOX 846 QUILCENE WA 98376-0846 Contractor's License NIEMACC018M1_ Expires 8/15/2006 REPRESENTATIVE: PHONE: WlPM-& 90 Gara.o`e, tw`^ PROJECT DESCRIPTIOI NSFR & U/G 1000 GAL PROP T rn cQp U,rihen B/Z/D(P >��� QL QA %f �M .,k- ���� b I.A.Y1QAr 1.\SIn 1141444k, $ASe P TYPE OF WORK RES SQUARE FOOTAGE: t451 SA4-1- 11.24106 TYPE OF IMP NEW 2651V`t ^ VALUATION 240,906.00 3j-6ti MbI,N: 1,876 ��' CODE EDITION: 2003 1 AD"'L: 396 HEAT TYPE: HTP OCCUPANCY: R-3 HEAT BASE: 5� P1 1+ Cpp HEAT TYPE: RAD OCCUPANCY: UNHEATED: 1L GGG • # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: ��� SETBACK: DECK: 1,181 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: "3'A Total: 2 Total: -5-4 Routing Date: a ial tuo (i ) _ Type Amount Paid By: Date: Receipt: � � atdJ Permit $1,783.35 LYK 02/24/06 79123 N ECI Plan Check $1,159.18 LYK 02/24/06 79123 PR `a State Building Code $4.50 LYK 02/24/06 79123 Potable Water Application $55.00 LYK 02/24/06 79123 ff Buildingerson DepartmenCountyPlanning Total: $3,002.03 Je&�� • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00079 Received Date BRINNON, 98320 02/24/2006 SITE ADDRESS: 350 POINT WHITNEY RD Issue Date 04/12/2006 APPLICANT: WESLEY H DUNHAM RUTH C DUNHAM PHONE: 425-255-7298 1119 N 30TH RENTON WA 98056 SUBDIVISION: Block: Section: 18 Township: Lot: T 33+ PARCEL NUMBER: 601181006 p: 26 N Range: 01 W CONTRACTOR: NIEMAN CONSTRUCTION CO P. O. BOX 846 PHONE: (360)765-4787 QUILCENE WA 98376-0846 Contractor's License: NIEMACCO'18MZ Expires: 8/15/2006 PROJECT DESCRIPTION: NSFR & U/G 1000 GAL PROP TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: L/ UFFER: Footing: C- Foundation: Stormwater FINAL Ap royal: Underground Plumbing: Underground Insulation: Shear Wall : • rj Sheathing: Framing: •C n , Plumbing: )11---- Propane Tank/Lines: j —�" • Insulation: Fi.oc�. ' �� - j�-to Sheetrock: < Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIORFINAL THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLYO RENEWED SPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCH DU E INS Office Hours 9:00 a.m. .-4:30p. NSPECTIONS. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE REVERSE 411111111.11111 SPECIAL CONDITIONS FOR CA•# BLD06-00079 • 1.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 10-feet shall be measured perpendicularly from the top of the geologic hazard to the proposed single family residence. 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 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. •10.) MANDATORY MEASURES FOCOASTAL 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 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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). 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) 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. 17.) 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. 18.) Minimum setback from the edge of the 20-ft wide ingress, egress and utility easement along the western and portion of the southern property line shall be 20 ft. Minimum setback from the northern boundary shall be 10 ft. Minimum setback from the top of the slope shall be 15 ft. Minimum setback from the southern property line shall be 5 ft. 19.) A minimum of two (2) on-site parking spaces are required for the single family residence. 20.) 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. 21.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. As per the approved Eagle Plan dated March 2006, the applicant shall retain all known perch trees and conifers >/=24 inches diameter at breast height (d.b.h.). The applicant shall also retain >/=50% of pre-clearing or pre-construction conifer stand with diameter distributions representative of the original stand (>6 feet tall). Windowing and low limbing of trees is acceptable provided no more than 30% of the live crown is removed. I:\F_BLD_Perm it_Bu ildng.rpt 10/29/1999 III.¢ ON e li�� O>r, JEFFERSON COUNTY �` �, W� � DEPARTMENT OF COMMUNITY DEVELOPMENT `t t �' , _4 , `` `4 621 Sheridan Street• Port Townsend •Washington 98368 ,� 360/379-4450 • 360/379-4451 Fax FEB 2 4 -QS, NG�O www.co.jefferson.wa.us/commdevelopmentIII r 2006 Master Permit Application Project Description(include separate sheets as necessary): S1/4 E rA-14,1ILY NviiE - 13r'DQ.00ill 3L 4A--n-, Tax Parcel • Property t Number. (,O( - u fr/-dam / L/ G c l^e S_ Size: (acres/square feet) Site Address and/or Directions to Property: 35 0 PatAJT wN 1 rN c-y Property Owner(s)of Record: W t'S L E-V /-f 4' / a r-1 C bun'/� ��1� a R l/V NOS (,r/A 98 Lo Telephone: 142 -253--7.y f' Fax:aU(p 232-/S S— Mailing Address: 1119 N. 3cY'ti fie-NM/4 WA•- y%�os� email: t^uth�?htPp rap er�l'es.con, CL2 DRY P NON E . C(n-;1,3:e- 7Soo *447 L#2.o6- 7/9-CS'a r Fax: Mailing Address: email: What kind of Permit?(Check each box that applies) LI Building U Demolition Permit U Variance(Minor,Major or Reasonable Economic Use) 1.1 Single Farm Per.. U Conditional Use[C(a),C(d),or CI** rage A U Discretionary"D"or Unnamed Use Classification u Manrtfadure ome d-" U Special Use(Essential Public Facilities)** U Modular U Boundary Line Adjustment U Commercial* LI Plat** U Change of Use -1 Binding Site Plan** ❑ Address i 1J Long Plat** Road Approach I] Planned Rural Residential Development(PRRD)/Amendments*' X Propane U Allowed"Yes"Use Consistency Analysis 11 Plat Vacation/Alteration** LI Stormwater Management I1 Shoreline Master Program Exemption/Permit Revisions** U Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Substantial Development*" U Temporary Use t 1 Shoreline Management Variance U Wireless Telecommunication* L I Comprehensive Plan/UDC/Land Use District Map Amendment U Forest Practices Act/Release of Six-Year Moratorium Li Jefferson County Shoreline Master Program Amendment *May require a Pm—Application Conference '*Requires a Pie-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: I hereby designate DESIGNATION OF AGENT -- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 o`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 inspect' ns.Access and right of entry to this property shall be requested and shall occur only during regular business ::ure: ci-C� ,,/ Date: //02 O/D4, 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)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf�eses� lity for hering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: / Date: Va4 a6 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7_8-04.doc 2- n v (ZW i. I Or) • 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 assumi�� espo ' ility of e General Contractor for the proposed project. Signature: c� -,._ Date: 0 0/06, GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: Nieman Construe-`on Co ., T.,,ic, (34,0) q q 07i7 (360) 74s-3(5-.. y MAILING ADDRESS: L CONTRACTOR'S LICENSE ' P�.. 214 67 U 11.a-2,1 E ( l g8376, EMAL: NUMBER: WAINS 1 6-4*-C`O i S-- INt Z NUMBER ARCHITECT/ENGINEER: I.IIV p/I-L CCD/Q-JZ MAILING ADDRESS: Nt?en E PHONE (if.0Q )S yz-Z g/Q FAX:( ) y3o $ loterit L s- - Q8..17k EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Wood Existing: a Sewer Addition u Steel Proposed: J Alteration/Remodel u Concrete Total: Bank U Community System I Repair Height: U Masonry �'�� loSC Individual System SEP J Demolition U Other. Bedrooms: Waters Supply: PdS-oz2L Existing: Setback: Water Supply: Type of Heat: Proposed: 2 u Private well Two Party H e A-r PGi ni P MR_ Total: /a i u Public RPt D l t3N 7- PLoorZ 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 PIBC Occupancy: IBC Type of construction: f p If this is a Propane Tank and/or - Will you have Food'Sei��h? Ito f r� Appliance Installation permit,mark all items below that apply; > Underground Tank I Above ground Tank Size of Propane Tank: ,�I Heat Stove YCCook Stove I Woodstove /Fir ace Insert I /'� � Hot Water Tank I Pellet ` Is this appliance being installed in a Manufactured/Mobile Home? Yes Nor 206 When applying for a permit to install a propane tank you must also submit a site plan show' lines, tank location and size,distances from the �e 10,1ngs,all property includin• the reserve area. propane tank to all property lines,buildi t tr 'iIi`Cf lib!) i b Qlnents, Square Footage For Office Use Onlyi,� ''! Current Proposed �f 1`n-P juE`55� .LE` �u � 1� Main Floor I Amount I I g.76 i bg I,jab-Consistency Review: 'CO�11 2""Floor �j n . o/ 1' Base fee: _ r 3ro Floor 3/to `1Q3;44- ��3:3C�-1 3, 1 `0.1.b , 55 Additional Section: �L� 5 f=e-� �ntt.ni,wa�o it,,k tars Mezzanine: 51.Do Plan Checki fee; +I ' Theif r i ot Heated Basement. 15R.+.yt coUM �'i \ d\7\b `t, /f >i9•.� ate burcnarge feet` ► / , Unheated Basemen" i `T `� �.�Q j l� ,�r� 0),.)05 I,`j�t Water Review fee: Other Unheated _J LT � �y (�O'0 0 r,2 .0A 911/ d proach fee: `. "I J Garage/Carport 39 c\, o1i(i�} �,1(t try(; Decks :Ial5a-- TOTAL: $ aaJ L} o�.OO J/a/ I cat.,:11Receipt Number: r( 1Ia3 Other Cash/Check Number: i J ,`ESTIMATED COST(REQUIRED) ct •Fair market value of all labor and materials fou r ate: a��aC�� `' �DO oQ oo ` '��'nitials: C:\Ducumcnts and Settings\mocha\Desktop\Master Permit Application 7- • di 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 assumi thee esspo( ;ility of e General Contractor for the proposed project. Signature:--JC C_ /lr�4s +-�t�-,-,�- Date: 0 0 6' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: lemon onstrucHon Co . n . (3t0) t./at/. 0 717 (360) MS--3( ., MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE — — P./2S/(1r0 4 u I tzp 3l L i.ti+y�3/(� WAINS NUMBER: N 1 6-y1vFCc-o I - PYi i NUMBER ARCHITECT/ENGINEER: �.I At 0/94L C ED/}/Z Ho in E� PHONE (WOO ).y2-2 9/0 FAX:( ) MAILING ADDRESS: t.3o s, loy't'h L s- _ 9 .i7 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New $ Wood Existing: U Sewer Addition U Steel Proposed: Bank U Community System _i Alteration/Remodel LI Concrete Total: --3 Height. i Individual System J Repair U Masonry � SEP Permit#SEPds-oo Lz J Demolition U Other. Bedrooms:: Water Supply: Existing: Setback: u Private well y4 Two Party Type of Heat: Proposed: 2 U Public N E P-r Pu nap n P.- Total: /D Name of System: RPrDI674r FLoor2_ 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 1r J ) If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ! Underground Tank i Above ground Tank Size of Propane Tank: It T Heat Stove ICCook Stove I Woodstove Fireplace Insert i Hot Water Tank -I. Pellet` tS ove t 6er2 4 Is this appliance being installed in a Manufactured/Mobile Home? Yes N) When applying for a permit to install a propane tank you must also submit a site plan show' al of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildin ss including the reserve area. g. 1pobiE'sirstem,comp�nents, Square Footage For Office Use Only5 F I . Current Proposed Amount ( )5.C)Main Floor , I I g,7(0 I b8 I,1'J' Consistency Review: ` �j (� 2 Floor y �j `� "�`' 3 9/0' .'-jt-�t13 Base fee: �j�, r 74' W 3�Floor `��' �_"`..�� �I �� -,69-' Additional Section: Mezzanine: Heated Basement Plan Chgck`feQ:,n o -1 N9 i 0 415. 1 a ID- 1, 350(4 •a State Surcharge�� fee: Unheated Basement No l JDtp (�� �}� ,� �O/0 �,� •c J ,Pot Water Review fee: �1 D.D t Other Unheated 5C%I043.58 911/Rd Approach fee: Garage/Carport -1 1\ (c3 :..)(C 9) L)(l�(r1C,� )G� Q Decks - / ° ,c115. - TOTAL: $ � - I DI) r 3'T . 1 A //4/ `1 c63k:C� Receipt Number: r 1(Jj'a3 Other I Cash/Check Number: i` ESTIMATED COST REQUIRED 44 � ) ��C :pC , Date: _ .Fair market value of all labor and materials fou to r ish f, )© Li l j tf G ` ,2200r 0 00 el11 a..l f, nitials. 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