HomeMy WebLinkAboutBLD2006-00415 0 0
B Revviewiew Type:BUILDING PERMIT APPLICATION ML y e: I
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00415 Received Date: 7/18/2006
SITE ADDRESS: \01-1 PARKRIDGE DR
OWNER: MARY F HEDBERG PHONE: 360-385-2307
1231 JACKSON ST
PORT TOWNSEND WA 983684511
WOODLAND HILLS #2 PHASE 2
SUBDIVISION: Block: Lot: 48+
PARCEL NUMBER: 999900148 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: JAMES MURPHY PHONE: 360-385-2307
1231 JACKSON ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NSFR
- ; 1Q-d C?
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 268,890.6098lati fl MAIN: 1,700
CODE EDITION: 2003 ADD'L: 1,300 HEAT TYPE: EEE
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: _ -
Routing Dat - Uvi�6 fif
i 1 Iq Clo l ----) C z
Type Amount Paid By: Date: Receipt: Approved/Date t,�
Permit $1,940.15 LYK 07/18/06 83780 1L.'��
Plan Check $1,261.10 LYK 07/18/06 83780 AUG 4-
2006
State Building Code $4.50 LYK 07/18/06 83780
Potable Water Application $55.00 LYK 07/18/06 83780 Jefferson County Planning
Total: $3,260.75 & Buildion Department
I
BUILDING PERMIT •
Jeffe County pm of
621rson Sheridan De Streetart, Pent on
TownsendCommunity, WA 98368Development
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00415 Received Date 07/18/2006
SITE ADDRESS: 1074 PARKRIDGE DR Issue Date 08/4/2006
APPLICANT: MARY F HEDBERG PHONE: 360-385-2307
1231 JACKSON ST
PORT TOWNSEND WA 983684511
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 48+
PARCEL NUMBER: 999900148 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR
CALL IN FOR THE It QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: I g-('f`Ob
UFFER: • /g'-ILt(0 ,
Footin.t/ R.1L{'-&(9 �zc
Founda on: a�(-0 b '
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: a/F e ( /i//0A1V
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ? "10 177
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 CAIP# BLD06-00415
1.) Septic system is not adequately sized for a future ADU approval.
2.) Stormwater drainage must maintain 30' min. downslope distance from the proposed
reserve septic system area.
3.) 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.
4.) 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."
5.) 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.
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.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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.
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.)
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.) The building height is not to exceed 35 feet.
15.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
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7 JEFFEDEPARTMERSON T OCOUNFTY
�� COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368
Ittbp360/379-4450 • 360/379-4451
�gN �p� www.co.jefferson.wa.us/commdevFaxelopment 1 $ 2006
JUL ';
Master Permit Application MLA: Cf0 - AO
3`I
Project Description(include separate sheets as necessary): �'�_
./�'r� /t'I///41-y f ,47' , S _
Tax Parcel Number: 997 9( 7 /1/<7 Pros Size: j 2 (acres/square feet)
Site Address and/or Directions to Property: /- ! ,A,-..-"? t j VAd'7,o i-i'j-r-'
Property Owner(s)of Record: ,/L"G(7 F f7ecfd o r c7
Telephone: .J66/1> 1 2O7 Fax: email: A7/'A 0 t p rr .C&"-"
r, Mailing Address: /R7/L�G;L'SC. 1 nor/ —cin— ^ o, Gj4 98 -E
Applicant/Agent(if different from owner): 'bp4 P /'-llr/ ->
Telephone: '%6O/3g�- 0 7 Fax: email: \/113M 0 7/per,'r/• c>I
Mailing Address: i2 3/ �7?(/'f1' ' r7 7r c1of`e !.•t,, Q7'
What kind of Permit?(Check each box that applies)
❑ Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition 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 0 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 ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance
❑ Temporary Use 0 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:
4/'JL
DESIGNATION OF AGENT
I hereby designate Cl<G(e'% `e /f'yr iL7� to act as my agent in matters relating to this application for permit(s).
t^
OWNER SIGNATURE \• . r.(_ Date:_11Z- (]�,
By signing this application form, e owner/agent attests tha e 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 inspecti . cess and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: Date: 7 /7i?4
The action or actions A licant will undertake a 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 res onsibility for adh ' o and complying with the ESA. The Applicant has read this disclaimer and signs of d dates it below.
Signature: Date: 7//7i/046
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 assumin the respo of the General Contractor for the proposed project.Signature: / _ Date: 7 J /Oc//
2
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:
-14 New `74'Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: I 11 Bank Height: ❑ Community System ,
❑ Alteration/Remodel ❑ Concrete Total: VI.:
❑ Individual System[l Repair ❑ Masonry SEP Permit# PO
, p1937(4°
Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: ProposedTotal: - A//i ;0 Public r
Name of System:eV
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:
'nderground Tanl Above ground Tank Size of Propane Tank
❑ Heat Stove ❑ Cook Stove ❑ 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 sentic system components,
including the reserve area. 1_, ` .L ' V f*JGhg" oe*(t ► , a tr P
i y ; ewS
Square Footage Current Proposed , For Office..
Only w. Amount Revision_ , ,
Main Floor Heated 7() 5^ I r EH Bld App Review: ` �j(,_ :
2n.Floor Heated / 3 p e �' t Consistency Review: \
116 5tct 1 55 51 I
Other HeateTwNpo.: Base fee:
Mezzanine ---0 Additional Section: _
Heatedpaseat j Plan Check fee: 1 , atrit 10 t Ac' 4 znst
Unheated Basement I State Surcharge fee: .G1, 50
Other Unheated Pot Water Review fee: --
._-(-; t 610
Garage/Carport mil_ SUBTOTAL ��
� 4 5t .
Decks .1aX it, l 911/Rd Approach fee:
Other Xla ,1 TOTAL: $ 3 Ivi_r., 1.3 1 Il�1e�
,.., Receipt N t ben8,?)7 P)C� 1' 1.�7c
in Cash/Check Number:
_ ,°`1 , W. 1 8 2006 , !25-7 1 U`-'
ESTIMATED COST(REQUIRED) -- ate: — 1 _
.Fair market value of all labor and materials foundatio rnish 6/Z ` 1111810,4 I11_'-
�j //�, D �1 gig. Initials: !
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc + '
• o
5ON44
JEFFERSON COUNTY
► DEPARTMENT OF COMMUNITY DEVELOPMENT
, , 621 Sheridan Street • Port Townsend • Washington 98368 ,-
�4 360/379-4450 • 360/379-4451 Fax
NO http://www.co.jefferson.wa.us/comrndevelopment/ L.-
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 00-403 PROJECT/APPLICANT NAME: /4s/.r"ib r'Ts,/t!it)fp y G::' •FY<-r,
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
4. Describe the existing soils. Indicate soil type on the site map.
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5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each.
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APPROVED
6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN
— 4 2006
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1EFF OUN YI
Stormwat DE PT.OF C SIT EVF. ME T
stormwater site plan template—rev 10/1/2003 JR,1q11ire
40 •
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes/etc.)on the site. Indicate location on jhe site map.
I r' , r:
8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas
(streams,wetlands, lakes,steep slopes,etc.).
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Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30
in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
, 4!/ er %'fir/J2� %" •
10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for"large"projects or projects that involve the potential for dispersion of contaminants.]
-
11. Describe the performance goals and standards applicable to the project.
12. Describe the flow control system.
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stormwater site plan template—rev.10/1/2003 - -
•
13. Describe the water quality system.
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14. Describe the conveyance system analysis and de ign. .�
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15. Describe the source of fill material,physicaharacteristics of fill material,and/d/eposition of excess material.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
17. Describe the proposed surfacing material.
18. Describe methods for restoration of the site.
_ ( r
19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
"large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
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stormwater site plan template—rev.10/1/2003 7
• •
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the
template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.
SECTION I—CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or
will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual (beginning on page
2-15).
12 Required Elements—Construction SWPPP
1. Mark Clearing Limits.
2. Establish Construction Access.
3. Control Flow Rates.
4. Install Sediment Controls.
5. Stabilize Soils. 71'y
6. Protect Slopes.
7. Protect Drain Inlets.
- . PERMIT # RIO
8 stomtwater site plan template—rev.10/1/2003
•
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
9. Control Pollutants.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
(7
11. Maintain Best Management Practices(BMPs).
12. Manage the Project. .
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads). <
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
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3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site. B'
stormwater site plan template—rev.10/1/2003 9
•
b. Description of special requirements for working in or near environmentally sensitive areas.
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
5. Construction Phasing.
a. Construction sequence
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
Provide a proposed construction schedule.
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
b. Proposed wet season construction activities for environmentally sensitive areas.
7. FinanciaVOwnership Responsibilities>-
a. Identify the property owner jesponsible for the initiation of bonds and/or other financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a,,s/eparate sheet for the following, if applicable.
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/1/2003 10
• •
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems, treatment facilities,flow control facilities, or structural source control BMPs
(not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DA4
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
_` J� itillT # BLB
0 4 i 5
JEEFLHSUN COUJTY
DCQ
stormwater site plan template—rev.10/1/2003 12
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