HomeMy WebLinkAboutBLD2006-00152 •UILDING PERMIT APPLICA•N MLA06-00147
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00152 Received Date: 3/30/2006
SITE ADDRESS: 32 VAN VALKENBURG PL
PORT LUDLOW, 98365
OWNER: MICHAEL VAN VALKENBURG PHONE: 425-333-6874
PO BOX 306
CARNATION WA 980140306
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921332013 Section: 33 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE ' °�AS� �I n� 5����f J
t e eca - 12 wa-1 18Y, cz I
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW 'MAIN:•
VALUATION 26,163.00 '�uri7 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED:1A&c400
a`to # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 144 SHORELINE:
CONST TYPE: GARAGE: 1,110 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: A-41
Total: 0 Total: 0" f
Routing Date: a 13 //oG
Type Amount Paid By: Date: Receipt: A Apporoved/pate...
I, U i �," �
Permit $411.45 LYK 03/30/06 80954
Plan Check $267.44 LYK 03/30/06 80954 JUN
State Building Code $4.50 LYK 03/30/06 80954
Total: $683.39 Jefferson County Planning
& Building Department
saes ,
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00152 Received Date 03/30/2006
SITE ADDRESS: 32 VAN VALKENBURG PL Issue Date 06/6/2006
PORT LUDLOW, 98365
APPLICANT: MICHAEL VAN VALKENBURG PHONE: 425-333-6874
PO BOX 306
CARNATION WA 980140306
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921332013 Section: 33 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW DETACHED GARAGE
CALL IN FOR THE REQUIRE INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: pk 4t/7q�
UFFER: Ox 9/B16L
Footing: Apr efADY 9/7 04,04k OK VOA
Foundation: of; 9 z • 23 [;?
Stormwater FINAL Approval: k/f11,7
Underground Plumbing:
Underground Insulation:Shear Wall : ejry- d 4 9 D,/ E�rtAJ 7 6T lbc.,aodrwius D�WO/Sheathing:
Framing: ag&-meor For Gxr) ) 5/(,(47 lite EXTZ DI[ 7/2/4
Plumbing: Ok (K& wR.ES PePt APR_) S/u/o7
Propane Tank/ Lines:
Insulation: eti4 � �7 Ot)Sce..s 1Z-/')
Sheetrock: Dk SJUlo7
Septic Sytem Final Appro al 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 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 CA r BLD06-00152 •
1.) 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.
2.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan dated February 7, 2006 and sign by WDFW and Mike Van Valkenburg.
3.) MANDATORY MEASURES OF HIGH 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.
4.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment (relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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.) A Stormwater Site 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.
I
8.) Outdoor residential storage sha a maintained in an orderly manner and shall"create no
fire, safety, health or sanitary hazard.
9.) 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).
10.) The building height is not to exceed 35 feet.
11.) Minimum setback from Van Valkenburg Place and North Bayview Drive rights-of-ways
shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from
shoreline top of bank shall be 30 feet.
12.) 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.
13.) 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.
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.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
• 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 a sumi the r o sibility of-the eneral Contractor for the proposed project.
Signature: a"t ,
Date: 2/20/%
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER:
PHONE: FAX:
MAILING ADDRESS: ( ) ( )
CONTRACTOR'S LICENSE EMAIL:
NUMBER: WAINS
ARCHITECT/ENGINEER: NUMBER
MAILING ADDRESS: PHONE ( ) FAX: ( )
EMAIL
Project Type:
Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Iji- New Wood Existing:
❑ Addition ❑ Steel Proposed: ❑ Sewer
❑ Alteration/Remodel ❑ Concrete Total: Bank Height: ❑ Community System
❑ Repair ❑ Masonry ❑ Individual System
❑ Demolition ❑ Other: Bedrooms: SEP Permit# SNP c�S-3'�/(
Existing: Water Supply:
Type of Heat: Pro osed: Setback: V., Private well ❑ Two Party
p ❑ Public
Total:
Name of System:IA S/Zo(/fy
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
IBC Occupancy: IBC Type of construction: Proposed
ill you have Food
If this is a Propane Tank and/or Appliance Installation permit,mark all items be ow that apply:Service? Yes / No
❑ Underground Tank ❑ Above ground Tank
Size of Propane Tank:
❑ Heat Stove i i Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove Cl 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 OnI
Main Floor Heated Amount Revision
EH Bid App Review:
2nd Floor Heated — r�� I 0 13/47
Consistency Review: n _ ,.�:.,
Other Heated L�t ( t✓ '
Base fee: 1 1 I �S 8
SO "
Mezzanine �,
Additional Section:
Heated Basement
Plan Check fee:
2-
Unheated Basement — c� �p�5
State Surcharge fee:
Other Unheated Pot Water Review fee: -A •
Garage/Carport 144 ;I M, _ -�""�
S SUBTOTAL !,�
Decks 1/ic) � ?3�3� ,�
va
�,1 ail�11 Rd Approach fee: �J
Other //�� � [— X%1\11--I s
L,OIcQpck ... F TOTAL: $to 3, u
1�- Receipt Number: �t V�(95 l gal
8 —1
t 1
s Cash/Check Number: 2 Q
ESTIMATED COST(REQUIRED) ��3 ! 01
•Fair market value of all labor and materials foundatio finish' Date:
° 600 q `3130/oG� 5�a1 0�
41 Initials:
$lif 1. _ ..[rar
G:\PermitCenter\FORMS\DRD FORMS\Masterl'ermi 5 ._� (J l/
.doc
�� uNc.'
� � JEFFERSO�UNTY •
DEPARTMENT COMMUNITY DEVELOPMENT
ti 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
��' 0 www.co.jefferson.wa.us/commdevelopment ----
BZNc
Master Permit Application MAR 3 0 2006 MLA: ��
Project Description(includ separate sheets as necessary):
/4,),/ Pe / C/-14- -
Pro e`"`-urf,1 N 1 IN,9),3_a 7--
Tax Parcel Number: 1 Ai- 2 3 2- O/3 r� fJ / Size: 7 A /lC/t5 (acres/square feet)
Site Address and/or Directions to Property: 3 a 0(-/I/ l)fr lfrA)bWit0.- i-'HCe pc, r Lu<Rex); (i1,)4.
�
Property Owner(s)of Record: . , Kz l)h-AJ Up 11c9A L ...toy I ,
Telephone: i1]--s — 3,j 6b Fax: 3�(g0tt email:
Mailing Address:
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
1 ,Building ❑Variance (Minor,Major or Reasonable Economic Use)
H Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
4-Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
O Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑ Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ 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
❑ 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:
L
�� ( '_ DESIGNATION OF AGENT
I hereby designate u/ Ay to act as my agent in matters relating to thi application for permit(s).
OWNER SIGNATURE tt'i Date: ? C/OV
By signing this application form,the owner/agent at ests 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 re uired) r inspections. ccess and right of entry to this property shall be requested and shall occur only during regular business
hours. / 3/ 7
Si nature: C �� C Date: . (,) 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"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-
transferab)e po bility19adhering nd complying with the ESA. The Applicant has read this disclaimer and Si s and dates it below.
Signature: `� t G"�`1 Date: � �0K"
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc