HomeMy WebLinkAboutBLD2006-00363 • •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00363 Received Date 6/28/2006
SITE ADDRESS: 170 SMITH RD Issue Date 11/13/2006
NORDLAND, 98358
APPLICANT: DAVID A FITZPATRICK PHONE: 425-788-8023
MARSHA K FITZPATRICK
23730 NE 170TH ST
WOODINVILLE WA 980777315 10
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921051011 Section: 5 Township: 29N Ranqe: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, DAVID A FITZPATRICK PHONE: 425-788-8023
if different: MARSHA K FITZPATRICK
23730 NE 170TH ST
WOODINVILLE WA 980777315
PROJECT DESCRIPTION: DEMO EXIST GARAGE W/ABOVE APT
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 11/13/2007.
REQUIRED INSPECTION:
FinalApproval:
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
MLA06-00350
EILDING PERMIT APPLICATION Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00363 Received Date: 6/28/2006
SITE ADDRESS: 170 SMITH RD
NORDLAND, 98358
OWNER: DAVID A FITZPATRICK PHONE: 425-788-8023
MARSHA K FITZPATRICK
23730 NE 170TH ST
WOODINVILLE WA 980777315
SUBDIVISION: Block: Lot: 10
PARCEL NUMBER: 921051011 Section: 5 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DEMO EXIST GARAGE W/ABOVE APT
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:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK: 125
BANK HEIGHT: 12
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 0
Prop: 0 Prop: 0
Total: 1 Total: 0
Routing Date:
Cc,1c73 rim/ CZ
Type `` Amount Paid By: Date: Receipt: Approved/Date
Permit $51.00 LYK 06/26/06 83484
State Building Code $4.50 LYK 06/26/06 83484
Total: $55.50 NOV 13 2006
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• •
SPECIAL CONDITIONS FOR CASE#BLD06-00363:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 19, 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, the following ESAs were
confirmed to be present on the subject property: Shoreline Designation -Conservancy,
Wetlands, Seismic Hazard (along shoreline), Special Aquifer Recharge Protection Area
(SARPA), Seawater Intrusion Protection Zone (SIPZ)- High Risk and Coastal.
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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
5.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
6.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23,
2002)that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater
sources within 1000 feet.
7.) The parcel is located within a High Risk SIPZ (seawater intrusion protection zone)
according to the County GIS map. There are mandatory measures identified in the
Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23,
2002)that apply to well drilling proposals and building permit applications on existing lots
of record.
A High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a
history of chloride analyses above 200 milligrams per liter(mg/L).
8.) 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.
• •
9.) 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.
10.) 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.
11.) The applicant is proposing to create or add 1,488 square feet of impervious surface and
1,008 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson
County Unified Development Code requires that your proposal comply with Minimum
Requirement#2 (Construction Stormwater Pollution Prevention)of the Department of
Ecology 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.
12.) 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.
13.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
14.) 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.
15.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i).
• •
16.) The site plan as submitted with the building permit application on June 26, 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 July 19, 2006 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
17.) This approval is for a single-family residence, demolishing garage and rebuild garage
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.
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 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
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 Smith Road (parcel is accessed off of the private segment of
Smith Road) is 20 feet. Minimum side yard setbacks are 5 feet. Minimum setback from
shoreline is 30 feet from top of bank.
22.) This is a legal nonconforming parcel designated as Rural Residential 1:5 under the
Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998.
23.) This parcel is accessed from a private road segment of Smith Road (C591809). A road
approach is existing. An address of 170 Smith Rd. has been assigned to the parcel.
24.) All proposed development shall maintain a minimum 30-foot setback as required by the
Jefferson County Shoreline Management Master Program. In addition, the entire 30-foot
setback shall be maintained as a buffer. The buffer shall be naturally vegetated and
storage of materials, clearing, and development inside of the buffer is prohibited.
25.) Buffers are areas that shall be maintained in their natural condition, however, minor
pruning or alteration of vegetation may be permitted as long as the function and character
of the buffer are not diminished.
26.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock (Tsuga Heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow(Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry(Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Sala! (Gaultheria Shallon), Ocean
Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium).
27.) The proposal is located within 200 feet of the Ordinary High Water Mark (OHWM), and is
therefore subject to the provisions of the Jefferson County Shoreline Management Master
Program. The height of the shoreline bank is approximately 10-15 feet. All development
shall maintain a minimum 30 foot setback from the top of the shoreline bluff. In addition,
the entire 30 feet shall be maintained as a buffer and shall be naturally vegetated.
• •
28.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
29.) An eagle management plan is not required and the proposal will have"no conflict" per
Shelly Ament of the Deprtment of Fish and Wildlife.
I:\F_BLD_Permit_Propane.rpt 10/29/19
• 0
o.GION a ,i t, r.r
K
'
JUN 2 6 2006
_
- ORCAA " __
44R44v—Ja cRso,•*Aso" i
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: I ? tAA,;t-t 01‘57 County: Feet
City: De V I—+R.a.e7 State: .Pt- Zip:• .itl5T .
Starting Date: .,I D ' Completion Date: 1 -z\etc.
*(There is a 10 working day advance notification period from receipt of permit application)
�.,rt T-4,pITl?tc,c__.
Property Owner: ikth,� A_ phone.' /z Wc, fac ZcJ. Fax:
Mailing Address: 2' -,'c, Al /ij7?# 5 7
City: ( 9/i^l Y/LL State: L6)-74 Zip:,e✓ )
Demolition Contractor: State License#:
Mailing Address:
City: State: Zip: •
Contact Person: Telephone: Fax:
YES NO
demolition by Wrecking or Dismantling? ($25.00 fee) check#
Training Fire Demolition? (If yes,attach fire department request for training fire)
Renovation, Alteration, Remodeling, Maintenance, or other Construction?
Asbestos found or suspected*
*An ORCAA"Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos
removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional
requirements that may apply.
Asbestos Survey Completed by
AHERA Certified Inspector
Certification#.
This approved permit must Enclose$25
Processing Fee Certification of the Asbestos Survey must
be available at the job site
accompany this form
2940 B Limited Lane NW,Olympia,Washington 98502
360-586-1044 * 800422-5623 * fax 360491.6308
homepage:www.orcaa.org * email: info(c0,orcaa ore Rev.07/11/02
eV
ggoNcJEFFERSOUNTY •
W DEPARTMENT OF COMMUNITY DEVELOPMENT
1-3 � -4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax ,
.q, ick0 www.co.jefferson.wa.us/commdevelopment�� 2 6 2006
....
Master Permit Application ___. ___MLA: C(;, V 5'"
Project Description (include separate sheets as necessary):
C---- 0 L.A.rikva a- \s -A?'.I\ .... ,...
c Property
Tax Parcel Number: / 2/_O5) - p (/ Size: y,, ya7 `ra 1 _ (acres/square feet)
Site Address and/or Directions to Property: " - S,,,NI-v. r o -c't_/1 J, .,)A 9-e?"5.Z`3>
Property Owner(s)of Record: VA.).9 -A._ (L� �..ti t L.(c .,
Telephone: `{Zs- -4Qj ' Y'X'2r7 Fax: email:ovj�� ifx Jc.•••tc,q i• '2
Mailing Address:Z ' -'jr7 .,.t.-E tqr? ' T- ‘40D91.&..)ki_tc ,)-f� Te:
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
❑ Buil g ❑Variance(Minor, Major or Reasonable Economic Use)
emolition Permit ❑ Conditional Use[C(a), C(d),or C]**
❑ 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 I i Road Approach ❑ 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 pr ' e access and ri of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any uir d later inspect' s.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: / VG67/' Date: efoJu/V r- 4:::'
The action or a ions Applicant will ndertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered s cies 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."Jeffe on County makes no assurances to the applicant that the actions that will be undertaken because this permit
has been issued will not violate the E •. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)
even if yo - e in ompliance ith e J.fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-
transfer-•le resp/,r i..lity fo • ering o and implying with the ESA. The Applicant has read this disclaimer and signs nd dates it below.
Signature: Date: ` 9&"
/ I
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• BUILDER STATEMENT •
The signer of tnis tatement doe hereby ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be u g the
rreesp sibility e General Contractor for the proposed project.Signature: , 11 P Date: T�CpJt�t�� v,lL
GENERALEN C NTRACTOR OR MANUFA RED HOME INSTALLER: PHONE: FAX:
(Cl4 ( ) ( )
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:
❑ New Existing: rI Sewer
❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: I Nndividual System
411;2pair ❑ Masonry /2 SEP Permit# —//emolition 0 Other: Bedrooms: Water Supply:
Existing: 7 Setback: ivate well H Two Party
Type of Heat: Proposed: ❑ Public
Total: / 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:
II Underground Tank i Above ground Tank Size of Propane Tank:
CI Heat Stove I I Cook Stove I Woodstove H Fireplace Insert H Hot Water Tank I Pellet Stove I 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review: /SFV-
eeD
Other Heated Base fee: r
Mezzanine Additional Section: l
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: . 5�
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL 5 5. 5v
Decks 911/Rd Approach fee:
Other TOTAL: $
Receipt Number: 3y (�
Cash/Check Number: (t(1)�
ESTIMATED COST(REQUIRED) Date: \DLO)
O1•Fair market value of all labor and materials foundation to finish ((� (o
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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