HomeMy WebLinkAboutBLD2006-00211 itILDING PERMIT APPLICATIPN MLLA06-002200
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00211 Received Date: 4/26/2006
SITE ADDRESS: . FOXGLOVE LN
QUILCENE, 98376
OWNER: LEONARD GOODISMAN PHONE: (425)481-1629
23415 LOCUST WAY
BOTHELL WA 98021-9237
SUBDIVISION: Block: Lot: T 19+
PARCEL NUMBER: 601321018 Section: 32 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
3F' 7\
PROJECT DESCRIPTION NEW VACATtON HOUSE WITH ATTACHED CARPORT (315 SQ FT
MEZZANINE)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,056
VALUATION 107,073.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 315 SHORELINE:
CONST TYPE: GARAGE: 506 SETBACK:
DECK: 400 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 1
Total: 2 Total: 1
Routing Date: 9
41acoim, )(
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,038.55 KAS 04/26/06 81125 APPROVED
Plan Check $675.06 KAS 04/26/06 81125
State Building Code $4.50 KAS 04/26/06 81125 JUN 11. 2006
Potable Water Application $55.00 KAS 04/26/06 81125
Jefferson County Planning
Total: $1,773.11 &Building Cepartment
•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00211 Received Date 04/26/2006
SITE ADDRESS: 240 FOXGLOVE LN Issue Date 06/14/2006
QUILCENE, 98376
APPLICANT: LEONARD GOODISMAN PHONE: (425) 481-1629
23415 LOCUST WAY
BOTHELL WA 98021-9237
SUBDIVISION: Block: Lot: T 19+
PARCEL NUMBER: 601321018 Section: 32 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR WITH ATTACHED CARPORT (315 SQ FT MEZZANINE)
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER: AL
Footing: Ok Pa I? sPArer ol.) Dia-re • 6/20411,
Foundation:A C,000 --10-00
Stormwater FINAL Approval:- lewA)c�K /D/2.5A)6,
Underground Plumbing:
Underground Inssulation: __/ ,,L,,
Shear Wall : H Da.�Y DK 4/2"/6 &w adi° ADDrtbafc MED/ IEEQfdu EUR o�40 h9/41 4/V
Sheathing: g- rs rx,P5 fL ii Srt�PS trips ? Boar)
Framing: gir cR Mwc f 7ie4rtt►0 a[r ,cr5*Posts)OK 8/2I/a6 ' OK loi/ s aG i/
Plumbing: Ok /blf3lbb
Propane Tan / Lines: /J Q
Insulation: NM' c,OL p' /, 25/DL fri GI< // 3 01,
Sheetrock: 1Z,,-V-0
Septic Syte Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:Final/Occupancy Approval: f-!�
6,cv,t{t.cr -1 ;c1p�J
HEALTH DEPARTMENT AND PUBLIC WOR S 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 CASEBLD06-00211•
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
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 landslide hazarda area 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.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed single family residence.
9.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed single family residence.
10.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
11.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
12.) 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.
13.) VOLUNTARY MEASURES OF C;VASTAL &AT RISK SIPZ: •
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
14.) MANDATORY MEASURES FOR COASTAL 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.
15.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
16.) 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.
17.) A Stormwate 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.
18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
19.) 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).
20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) Minimum setback from Foxglove Lane right-of-way shall be 20 feet. Minimum north and
south property line setbacks shall be 5 feet. Minimum setback from shoreline property
line as depicted on the submitted site plan dated April 26, 2005 is 750.24 feet. If ESAs
are present, then the more stricter setback(s) shall apply.
22.) 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.
23.) 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.
24.) The building height is not to exceed 35 feet.
25.) 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.
26.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
I •
OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify that they are th wners of the parcel r fere ced herein,that they are not licensed contractors and that
they will be a ming the respp si�bility�off the General Con or for the p ed ct. e
Signature: `1.G{ vCk-'c (��ii7 j� 0 r
�F i
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:
kc New Ig'Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: I Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: ____1__ Fjeight� VIndividual System
❑ Repair Li Masonry /�J h'I SEP Permit#$e PO5'-003iSS
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well V"Two Party
Type of Heat: Proposed: ❑ Public
ef-e C Total: 2
t C, Name of System:
IC 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:
I Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove ►'cVoodstove I Fireplace Insert i Hot Water Tank I Pellet Stove I 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 For Office Use Only -,
Current Proposed V L.::: � E - (' i V
Main Floor 05-6 c66 Consiste, Gy Review:' r d
2""Floor ,.r t '� G
Base e: ,, ( 3'
3r0 Floor a Additional Section:
v _
Mezzanine: 2 �-,�. �t4ku'' Plan Check fee: l
Heated Basement J Stat4 r atr ,4 1 T, `p l� ____
., ' v iWit: t'i,L l a.N
Unheated Basement Pot Water Review fee:
Other Unheated 911 cj>ima^��fee: Z '( v
tiktreefe/Carport '5 U G 4)\'�`" TOTAL: $ 2 \- la ) \ '
Decks Receipt Number: Q 6 t 5
Other +�
C4 p pot
l 0 D ;�� Cash/Check Number:
�r(n,eJ�- p 1 (JN C'C)
ESTIMATED COST(REQUIRED) Da e: _Zb -0
'Fair market value of all labor and materials foundation to fini x
d)I n oIO O 0,00 �� 1 nitials:•
('`� `—
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04/26/2006 12:06P
Jefferson County Aud LEONARD 600DISMRN MULTI 68.00
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O. JEFFERSON COUNTY
14 DEPARTMENT OF COMMUNITY DEVELOPMENT
` `4 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
n,
Master Permit Application MLA: V
Project
�Description(include separate sheets as necessa ):
p.t/J ekCQ-t;01. V s:).; • titsy
! 1 cL L. CM CJ� earl/ t/v
Tax Parcel ? O 1 Property ��
Number: „ Size: , acres-
CreS (acres/square feet)
Site Address and/or Directions to Property: f'o)( (dye Lh onv.tA-o fio Q(ii/di, S,fe_ !� )j o' rrrook ehd
Property Owner(s)of Record: Nall thAd Le.0 1/7 CC.! G voCI t-T/t,C 1n
Telephone: 1025 ill/ 16 2,,/' Fax: email: n► od I S „ pre),,, ,ed�
Mailing Address: 23 L/c' jci C-)- We V)) ia41l.¢.II uJf� ''TO 21
Jsit' S'� �
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Nt'Building ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or Cj**
VSingle Fa ' ❑ Discretionary"D"or Unnamed Use Classification
kti Car ear f ❑ Special Use(Essential Public Facilities)**
❑ Manufa me ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* p F;� ❑ Binding Site Plan**
❑ Change of Use f r0k q Id K �.t Cy p ❑ Long Plat**
'_Address 1 Road Approach' Fela/G ❑ 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**
❑ 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:
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 and right of e to this property s all be requested and shall occur only during regular business
hours.
Signature: ��1(IL!�G �"1+.�`��_� A Date: x/t�/Q
The action or actions Applicant will undertake as a result of the issuance of this ermit 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 c de.The Applicant acknowledges that he,she or it holds individual
and non-trans able response ty for ad ring to and co lying with the ESA. , he Applicant has read this disclaimer and signs and dates it below.
Signature: JJ .i UGC% (L(Td .j h7i; _.' p -2-/j 4/ 6
Af
C:\Documents and Settings\mochil\Desktop\Master Permit cation 7-8-04.doc
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