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HomeMy WebLinkAboutBLD2006-00409 • I BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00409 'Neu) S3 `err �..Y,\\e.,, VLCA Received Date 07/17/2006 SITE ADDRESS: Issue Date 08/17/2006 CHIMACUM, 98325 APPLICANT: KEITH L KISLER PHONE: 360-732-6822 CRYSTIE KISLER 330 COUNTRY MEADOW RD CHIMACUM WA 983258799 SUBDIVISION: Block: Lot: T 19+ PARCEL NUMBER: 901263020 Section: 26 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/A/G 120 AGL PROP TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: jJ UFFER: ti1/ Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: ',,,,�&„ 1-f- it?t-t;; t �' - Ait,-j0E:IL-) Underground Insulation: Shear Wall : Ok z/q o7 Sheathing: Framing: c2A 3/9/a77,(Exesrr etiiiw Y) Plumbing: .,tom 3/07, Propane Tank/ Lines: Lim` °t >T :(9-,L2-o 7 , JrP . d �7f9/d7� Insulation: Afi t �q/,7 oia.t..1� l--%D\Y4-�) '2-., 1o? loaacf�3Pa f—'�cp iz- � I Sheetrock y.3 2l`7 0 7 Septic Syte'm Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: Z d7 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUI ED 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 HC URS 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 MLA06-00396 BUILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00409 Received Date: 7/17/2006 SITE ADDRESS: 330 COUNTRY MEADOW RD CHIMACUM, 98325 OWNER: KEITH L KISLER PHONE: 360-732-6822 CRYSTIE KISLER 330 COUNTRY MEADOW RD CHIMACUM WA 983258799 SUBDIVISION: Block: Lot: T 19+ PARCEL NUMBER: 901263020 Section: 26 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ A/G 120 AGL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 672 VALUATION 100,000.00 ADD'L: -.3 — HEAT TYPE: PRO CODE EDITION: 2003 OCCUPANCY: R-3 HEAT BASE: C./L./Q) HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 43 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 1110(0 Type By: Date: Receipt: Approved/Date Permit $993.75 LYK 07/17/06 83830 Plan Check $645.94 LYK 07/17/06 83830 APR V E IT State Building Code $4.50 LYK 07/17/06 83830 Potable Water Application $55.00 LYK 07/17/06 83830 AUG IS 2006 Total: $1,699.19 Jefferson County Planning & Building Department 411 SPECIAL CONDITIONS FOR CASE # BLD06-00409 1.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) A permanent physical separation along the upland boundary of the wetland 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. 3.) Wetland 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 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 identified Fish and Wildlife Habitat Area (Type 2 Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 6.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 7.) 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. 8.) 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." 9.) 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. 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 2 unlicensed or inoperable 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 automobile 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 requirements 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. 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.) Minimum setback from County Meadow Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If a Critical Area is present, then the more stricter setback(s) shall apply. 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.) The building height is not to exceed 35 feet. 17.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 oo� JEFFER.. . COUNTY RECEIVED W S� �t DEPARTMENT OF COMMUNITY DEVELOPMENT `C 621 Sheridan Street • Port Townsend •Washington 98368 JUL360/379-4450 • 360/379-4451 Fax UJt 1 7 200E Nd O www.co.jefferson.wa.us/commdevelopment Master Permit Application LOSON60 Project Description (include separate sheets as necessary): 510(A r'* ,1`-1 CZe StrAQYtC2_ Property tt Tax Parcel Number: 90 9 2co3 OZO Size: b.g a ac.. (acres/square feet) Site Address and/or Directions to Property: 33 o Co u,, ( it .` ML,q.,p�� C( Property Owner(s)of Record: Grc-1$-b- 'A's1 Telephone: 12(x-, 732. Sill Fax: F S4w"_. email: 16a1•A. ci\+44,-ey Mailing Address: 33o CO3A 4a--1 m evvo.D,..--4 a Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies) I.Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** uSingle 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** El 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 El 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 I�t a� �.�__ __----- - - Date: '1 • - 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: �'d ` �„ i __ __.- —7 Date: r• (2 - c (,n. 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 a d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: •ft Date: 7. 12 • Cr Cy • G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0 BUILDER STATEMENT ill 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: K'Oft— 144 Date: - 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: 1 New ,o Wood Existing: a--- ilk Sewer ❑ Addition ❑ Steel Proposed: 2- Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: z N Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 0 Setback: N. Private well ❑ Two Party Type of Heat: Proposed: 2 ❑ Public coPavoe Oc>le - Total: z 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 El Above ground Tank Size of Propane Tank: ❑ Heat Stove N Cook Stove CI Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 0 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 (,;72. AN(&Gb EH Bld App Review: ao Ill 2drFloor Heated 3�3 2434G44 Consistency Review. ____________________________________ Other Heated Base fee: nn2 Mezzanine Additional Section: -- Heated Basement Plan Check fee: G145.C4 Unheated Basement State Surcharge fee: . 50 Other Unheated Pot Water Review fee: N Garage/Carport SUBTOTALI Decks IOl;3st 911/Rd Approach fee: EMI Other . _ TOTAL: $ f Receipt Number: S 0 Cash/Check Number: ESTIMATED COST(REQUIRED) —01543 Date: ,, .Fair market value of ajl-labor and rR ' Is foundation to finish rill )(w Initials: . _�► , r IDOI00o G:\PermitCenter\F S DRD FO er Permit Application 12-30-05.doc T T T C tt 0 r- A ti / 24'-O — —- - 11 Zry / 3'-3" 2'-q" / 5'-42" / 3'-O" / 3'-O" 6'-7 / ca O Cr) c= O ti 2/6 x 4/6 2/6 K 4/6 2/6 x 5/0 3/0 x 5/0 2/6 x 5/0 FIXED CASEMENT FIXED FIXED CASEMENT II II II— d II- 1II— —II IF II IQ I-I i BENCH `Sy i o x 6/8 ;/i� s P� ®D v FL/ L-CITES a L- c- J ) ;VP P z r s Li o O NO km- o 0 ©D 3 O__ - -A 3'-2° D 20 CFM r--- / rn O �_ WALL PORT O = Z b. -n� r !i -NIA i A rn x_ — -- rn 6 A rn O • �� _. 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