HomeMy WebLinkAboutBLD2006-00124 •UILDING PERMIT APPLICAAN MRLAO6-001122
eview Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00124 Received Date: 3/17/2006
SITE ADDRESS: 310 SANDY SHORE RD
CHIMACUM, 98325
OWNER: GENE C KROTKE PHONE: 360-379-6617
GLENDA J KROTKE
PO BOX 1950
PORT TOWNSEND WA 983680066
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 801103005 Section: 10 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DEMO SHED
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid Bv: Date: Receipt: App Qv@d/Date
Permit $51.00 LYK 03/17/06 80859 •`5"°�, L)\I E
State Building Code $4.50 LYK 03/17/06 80859 APR 18 20%
Total: $55.50
Jefferson County Planninc
& Building Department
0012.0 on`gym&.2-et
• •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00124 Received Date 3/17/2006
SITE ADDRESS: 310 SANDY SHORE RD Issue Date 4/19/2006
CHIMACUM, 98325
APPLICANT: GENE C KROTKE PHONE: 360-379-6617
GLENDA J KROTKE
PO BOX 1950
PORT TOWNSEND WA 983680066 +
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801103005 Section: 10 Township: 28N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, GENE C KROTKE PHONE: 360-379-6617
if different: GLENDA J KROTKE
PO BOX 1950
PORT TOWNSEND WA 983680066
PROJECT DESCRIPTION: DEMO SHED
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 4/19/2007.
REQUIRED INSPECTION:
FinalApproval: ( '/frt� r � �Z�� ��;
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
• •
SPECIAL CONDITIONS FOR CASE#BLD06-00124:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 30, 2006 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:
SUSC aquifer recharge area.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson
County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) 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.
5.) The applicant is proposing to demolish a 200 square foot shack.
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.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(2)(f).
8.) The site plan as submitted with the demolition permit application on March 17, 2006 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 March 30, 2006 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
9.) This approval is for a demolition of a 200 square foot shed 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.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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).
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) 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.
15.) 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.
•
16.) Minimum setback from Sandy Shore Road right-of-way shall be 20 feet. Minimum
Setbacks from north and west property boundary(adjacent rural forest lands) shall be
100 feet. Minimum south property boundary setbacks shall be 5 feet.
17.) The parcel has been designated as RR 1:20 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
18.) A septic permit (SEP81-0108)was finaled on June 25, 1981. A building permit
(BLD81-0005)for a single family residence had a NTT issued on it on October 28, 1994
for failure to finalize the building permit.
19.) Potable water was proven at time of SFR permitting. The site is served by an on-site
individual well.
20.) Jefferson County has determined that the use of real property for agriculture and forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
I:\F_BLD_Permit_Propane.rpt 10/29/19C
PERMIT# Cp
• RErr-. -,
APPROVED 3 GTE 42.'_ C ssGION CLR44, MAR 1 ? 200h
CONDITIONALLY APPROVED----- ell* 4.
4-1
NOT APPROVED
FOR COMPLIANCE WITH ���,,,��� +
ORCAA REGUL TION
BY: 'r'- ix. esox.wsa4.e '
Notification of Demolition Permit
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.
Project Site Address: 3 C 0 -S Rici_y Skew L.- �cl, County: )-143R s ow
City: C li I 1M, 4 C ✓ lft•k_ State: 1.A/ 1: Zip: ?23
Starting Date: 4- i (2 L Completion Date: `f - '3' " CC
*(There is a 10 working day advance notification period from receipt of permit application)
J rl 3Go
Property Owner: t ert b/L f Rol Telephone: 3 7 9 "Cr 4('7 Fax:
Mailing Address: P4 6. 0 6,)c ( 7 5 6
City: lie)/7 1' 'De Li At s c_1.1 cl State: Vitr9• Zip: ?g 3 be
Demolition Contractor: i 611.C` S a be✓t.'- State License#:
Mailing Address:
City: State: otf Zip:
Contact Person: Telephone: Fax:
YES NO
tf Demolition by Wrecking or Dismantling? ($25.00 fee)check# 5 3 r`1- Os eam/C
t/ Training Fire Demolition? (If yes, attach fire department request for training fire)
• ✓ Renovation,Alteration, Remodeling, Maintenance, or other Construction?
Asbestos found or suspected* /L ) PrOges+as .5tASre_ r.Q- Se-e- a-44- ' $
*An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos Yvt
removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or u
potentially friable asbestos must be removed before any demolition begins. Refer to ORCAArRegulation--1 Artiele-l4 for-additional
requirements that may apply. ,,r`
Asbestos Survey Completed by
AHERA Certified InspectorMAR 2 4
Certification#.
• I
J
This approved permit must „�( Enclose$25 Certification of the Asbestos '"`�i T
be available at the job site a` Processing Fee accompany this form
2940 B Limited Lane NW,Olympia,Washington 98502
360-586-1044 V800422-5623 * fax 360491-6308
i homepage:www.orcaa.org * email: info@a,orcaa.org
- _ >,..,.,-___ / CIC NO. 1 M
- DATE 3-1 -7-0
AAl 41SON c �, JEFFERSOUNTY S
w �, i1i . . .1
`' DEPARTMENT OF COMMUNITY DEVE_LOPMEN �'
"' 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax MAR 1 7 2006
q,94rIN0I0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application 3EFFEBs ' vQ 0 (a_ 1 ,..,-,
Project Description (include separate sheets as necessary):
f r
Property
Tax Parcel Number: C�r!' -� ��'�� ) Size: _7) d eI L' (acres/square feet)
Site Address and/or Directions to Property: -3(0. N ci j /,C`rf LL Rd,
Property Owner(s)of Record: G:3-1-1 " -I- C- i,--:6, di4 KO c Y'1(`..
Telephone: ...-.3 `j ci - 4 E;- I c1 Fax: email:
Mailing Address: P. I', ( r). / 9.5 2' Pc7 R 1:
77•4.-.0' sc.-A,c/ Lis A, f.,F• 4,,;`
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
I_] Building 0 Variance(Minor,Major or Reasonable Economic Use)
*,t: emolition Permit ❑ Conditional Use[C(a), C(d), or C]**
CI 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 [1 Road Approach 0 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
0 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 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 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 a d right of entry to this property shall be requested and shall occur only during regular business
hours. �y
•ASignature: ./ .�-�...._.. ,� f c Lt-' l4__�-' _ Date: i '7- 2 1-.
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 res nsibility for adhering to and com lying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: r1.-.- 1 g( .L 6' 1.._. -'. - Date: -3 - i 1- e I.
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
"` • 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 assugring the responsibility of the Ge eral Contractor for the proposed project.
•Signature: �L,.., _< ,• r •y Date: 13 - 117- Cy r•
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ NewI--VVood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total:
dividual System
01/4
❑ Repair ❑ Masonry SEP Permit#
/JA-'Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 'Private well 11 Two Party
Type of Heat: Proposed: ❑ Public
Total: Ce> C.L 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 [I Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove i i Woodstove i i Fireplace Insert Li Hot Water Tank i I Pellet Stove it 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: o
GOJ:QD
2"a Floor Heated Consistency Review:
Other Heated Base fee:
.JIG(
Mezzanine Additional Section:
Heated Basement Plan Check fee: -
Unheated Basement State Surcharge fee: LI C
JO
Other Unheated _ t , ' Pot Water Review fee:
Garage/Carport �����d SUBTOTAL
ili .5Co
Decks tipa
17 911,16 911/Rd Approach fee:
t`tI'Sk-in
Other �r ., I,I TOTAL: $ I 1 1 4a1af i '
Receipt Number: '(:. '5 t
Cash/Check Number: t
i3i5
ESTIMATED COST(REQUIRED) Date: r
•Fair market value of all labor and materials foundation to finish ( 7 1 o X
Initials: c-=_ J
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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