HomeMy WebLinkAboutBLD2006-00383 • •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00383 Received Date 7/11/2006
SITE ADDRESS: 543 E MOORE ST Issue Date 9/1/2006
PORT HADLOCK, 98339
APPLICANT: MARLITA V STARK PHONE: (360) 379-8075
PO BOX 687
PORT HADLOCK WA 98339
52+
SUBDIVISION: IRONDALE Block: 46 Lot:
PARCEL NUMBER: 961804607 Section: 35 Township: 30N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, MARLITA V STARK PHONE: (360) 379-8075
if different: PO BOX 687
PORT HADLOCK WA 98339
PROJECT DESCRIPTION: DEMOLISH EXISTING HOUSE
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 09/01/2007.
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
nUILDING PERMIT APPLICATTN MRL Review Ty
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00383 Received Date: 7/11/2006
SITE ADDRESS: 543 E MOORE ST
PORT HADLOCK, 98339
OWNER: MARLITA V STARK PHONE: (360) 379-8075
PO BOX 687
PORT HADLOCK WA 98339
IRON DALE
SUBDIVISION: Block: 46 Lot: 52+
PARCEL NUMBER: 961804607 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: JAMES STARK PHONE: (725)444-4029
PO BOX 687
PROJECT DESCRIPTIOr DEMOLISH EXISTING HOUSE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEM MAIN:
VALUATION
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:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 1
Prop: 0 Prop: 0
Total: 2 Total: 1
Routing Date:
1 ) 1alac
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $51.00 KAS 07/11/06 83718
State Building Code $4.50 KAS 07/11/06 83718
Total: $55.50 SEPT
• •
SPECIAL CONDITIONS FOR CASE#BLD06-00383:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on August 1, 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:
Urban Shoreline Designation, Seismic Hazard Areas, Susceptible Aquifer Recharge
Areas and Coastal Seawater Intrusion Protection Zones (SIPZ).
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.) 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.
5.) 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.
6.) 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.
7.) The applicant is proposing to create or add 1333 square feet of impervious surface and
720 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County
Unified Development Code requires that your proposal shall adhere to Best Management
Practices (BMPs).
8.) 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).
9.) The revised site plan as submitted on August 16, 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 August 31, 2006 shall be resubmitted for review and approval
by Jefferson County Department of Community Development.
10.) This approval is for a demolition permit and a replacemnet single family residence 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.
11.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
• •
12.) A septic permit (SEP90-00403)was finalized on November 24, 1993 for a 2-bedroom
system.
13.) E Moore St (C 677709) is county local access road. The road approach is existing and
an address of 543 E Moore St has been assigned to the parcel.
14.) This parcel was created through the Irondale subdivision under AFN 27961, filed of
record June 3, 1909 in Volume 3 of Long Plat, page 5 with Jefferson County Auditor's
office.
15.) Development Review staff conducted a site visit of the subject parcel August 7, 2006 and
determined that there is no stream on or immediately adjacent to the subject parcel. This
determination was further ascertain by Washington State Department of Natural
Resources.
16.) 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.
17.) 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.
18.) 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.
19.) 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.
20.) 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.
21.) 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.
22.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
•
23.) 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.
24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
25.) Minimum setback from E Moore St right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
26.) 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.
27.) 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.
28.) The building height is not to exceed 35 feet.
I:\F_BLD_Permit_Propane.rpt 10/29/19f
07/03/2006 13:33 FAX 360 491168 ORCAA 0 001
ss � �^ i --r 7081:v6eV PERMrr#�
� � xa>~I APPROVED
�, d � l o I' CONDrONALLY AP ROV D
4 s- rK 4. _
K NOT APPROVED
FOR RECEIVED ORcAA ORCAARELIARCEO fiN
JUL " - ssox•kg."' -tom- ] C t . I l^ S
3 2006
Notification of Demolition Permit
It is £R rai 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: -C I/3 E rzorc .�T
g County: cc e so
City: Porf /-I gee k (1ro+t 4,c ) State: MI. Zip: gE337 -
Starting Date: tilt- LAY--/ , wea Completion Date: 6 Zoo C
*(There is a 10 working day advance notification period from receipt of permit application)
4kn la sr- WY.. Yv28
Property Owner: n r/e_Z P. -ft�r ils Telephone: 3&) -377-ea 76—Fax:
Mailing Address: f.0, ,( a K. 6-87 , , ,
City: Po r fi‘Q d l0 ck, State: 1.4.. Zip: 183 J 7
Demolition Contractor: L) t1r e.r'_
� State License#:
Mailing Address: ,r?o0- ex 6"57
l-ia City: . rrt ` 1 , ,,
/ Stafir:. '. Zip: 9 '3
Contact Person: _ ri r --k-.-A" Telephone:c&Il i-115"{-il Z 7Fax:
NO
/ Demolition by Wrecking or Dismantling? ($25.00 fee)check#
/ 3f Training Fire Demolition? (If yes,attach fire department request for training fire)
►/ ` Renovation,Alteration,Remodeling,Maintenance,or other Construction?
V�/ 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 I Article 14 for additional
requirement that may apply.
Asbestos Survey Completed by
AF ERA Certified Inspector gob Q.t-{fi ,rd e
Certification#- 604-1920 Al - (DO LI 2 --E -
This approved permit must Enclose S25 Certification of the Asbestos Survey must
be available at the job site Processing Fee accompany this form
2940 B Limited Lane NW,Olympia,Washington 98502
360-586-1044 * 800422 5623 * fax 360-491-6308 p I D
homepage:www_orcaaorg * email: info@orcaaorg
Rev.07/1 1/Q2
OK.NO.�`
DATE �
—
•
• oN 0
06. JEFFERS( OUNTY III
4 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washin ton 83 §' `z
360/379-4450 • 360/379-4451 Fax t I =I ! -!
Is, (vp www.co.jefferson.wa.us/commdevelopment
rING
1.11 1 - 2506
Master Permit Application MLA: 0'(0 - 31 7
Project Descrip ion (include separate sheets as necessary):
Pe 4 / 1( 57 /o�j�. Jtrrcnj 1� i.uu OCC
Property — qj
4
Tax Parcel Number: /-SO`,- KO 7 Size: 8i./ : -EGG (acres/square feet)
Site Address and/or Directions to Property: 5 `/3 . /Z . 'e St Pa rt- ,9 /0 .k 4 Y�'3.;
Property Owner(s)of Record: /74: /ems t/, f1-tz r 74c
Telephone: _36'0 3 7?.- Sp?5 Fax: N;/ - email: -
Mailing Address:/.O, /Y', ,,. CS 7 / t ,i-k..//e<. /r et).; 7 - .3 3 I
Applicant/Agent(if different from owner): ,)— .*.,c r S><<4"A
Telephone: 72-5 "'7.`/- yOz_.% Fax: .. -- email: --
Mailing Address: Pc) , G y5 7 4- t / /.‘-_k _I j
Wh t kind of Permit?(Check each box that applies)
O'Builging ❑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 ❑ 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 Cl Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance
❑ Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
0 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 -A c 5 it to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE %r c 4 77Z ' e.c
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 entry to this property shall be requested and shall occur only during regular business
hours.
Signature: � .c -� _ 1q 7 /9 — )
Date: 4.
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-
transferable responsibility for adhering to and co lying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: !_,-.;�. ) Date: -/G -OZ.
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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• • .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 assuming the responsibility of the General Contractor for the proposed project.
Signature: .�,�,.�� rh Date: 7 /2 -�r�
GENERAL`GONTRACTOR 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:
❑ New r ' Wood Existing: I ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: ! 4sj� ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
/ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 2-- Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 2_ 6 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:
[I Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove 11 Cook Stove [I Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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 Bid App Review:
Floor Heated Consistency Review: may.
Other Heated I Base fee:
Mezzanine Additional Section:
Heated Basement - , '. n Plan Check fee:
J
Unheated Basement State Surcharge fee:
Other Unheatedvi;y Pot Water Review fee:
Garage/Carport SUBTOTAL 55 .5D
Decks — 911/Rd Approach fee: C)61
S4-1
Other TOTAL: $ 55.5c
• Receipt Number: `Or\\,
Cash/Check Number: \.bC\\
ESTIMATED COST(REQUIRED) Date: ^\\`` �
•Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
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543 E MOORE ST BLD06-383
STARK MLAO6-3 77
Approvals Req'd Prior
to Final Inspection
SEP
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APPROVED PLANS
TO REMAIN ON BUILDING SITE
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BUILDING PLAN REV E W
/o APPROVED A$SUBMITTED
APPROVED AS NOTED
C] REJECTED