HomeMy WebLinkAboutBLD2006-00421 PILDING PERMIT APPLICATION MLA06-00409
Jefferson County Department of Community Development Review Type:I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00421 Received Date: 7/20/2006
SITE ADDRESS: 141 HILLER DR
PORT HADLOCK, 98339
OWNER: POUL V HANSEN PHONE: 206-232-7897
JOANN E HANSEN
9057 E SHOREWOOD DR #2109
MERCER ISLAND WA 980406901
HILLERS WF TR INC TL
SUBDIVISION: Block:
PARCEL NUMBER: 960300004 Section: 7 Township: 29 N Range: 01 E t 6&7
CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105
40-A SETON RD
PORT TOWNSEND WA 98368
Contractor's License WALTECC012BA Expires 1/1/2008
REPRESENTATIVE: WALTENBAUGH CONSTRUCTION CO INC PHONE: (360) 385-6105
355 LOFTUS RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW BDRM & DECK ADDITION
TYPE OF WORK RES SQUARE FOOTA.GE:
TYPE OF IMP ADD
VALUATION 72,000.00 MAIN: 482
CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE
HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: SHORELINE
DECK: 144 SETBACK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 2
Prop: 1 Prop: 0
Total: 2 Total: 2
Routing Date:
r 12ccQ
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $797.75 LYK 07/20/06 83845
Plan Check $518.54 LYK 07/20/06 83845
State Building Code $4.50 LYK 07/20/06 83845 OCT to
2006
Total: $1,320.79
Jefferson C ra, •
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BUILDING PERMIT
Jefferson County Department of Community, Development
621 Sheridan Street, Port Townsend WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00421 Received Date 07/20/2006
SITE ADDRESS: 141 HILLER DR Issue Date 10/6/2006
PORT HADLOCK, 98339
APPLICANT: POUL V HANSEN PHONE: 206-232-7897
JOANN E HANSEN
9057 E SHOREWOOD DR #2109
MERCER ISLAND WA 980406901
SUBDIVISION: HILLERS WF TR INC TL Block: Lot: 6&7
PARCEL NUMBER: 960300004 Section: 7 Township: 29 N Range: 01 E
CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105
40-A SETON RD
PORT TOWNSEND WA 98368
Contractor's License: WALTECC012BA Expires: 1/1/2008
PROJECT DESCRIPTION: NEW BDRM & DECK ADDITION
CALL IN FOR THE EQUIRED IN PECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 10 -L�k'%
UFFER:
Footing: )4.--10—Pt—0(o
Foundation: 41(° /0�3/A4
Stormwater FINAL A pproval:
Underground Plumbing:
Underground Insulation:
Shear Wall : ,4., ‘ ,/,�/ a. i i/ -C-Z-
Sheathin •• ✓
Framing: .--? 1 —l—C-7
Plumbing: '�'
Propane Tan / Lined:
Insulation{e'/��=G-t?P LE.�'trs L�K 9 , epLioc# f'c.c,e,rz5 OK- 41//9 FT;fr)
Sheetrock: )-- o-• U 1 1,,t(
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 0,c 2, ,., ! n' C114-i6/ 4-Ae /'�
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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
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SPECIAL CONDITIONS FOR CASE A BLD06-00421
1.) 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.
2.) 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.
3.) 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.
4.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
5.) 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.
6.) A Storwmater 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
• •
10.) Minimum setback from Hiller Drive right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum setback from shoreline is 63 feet as depicted on
submitted site plan. Proposed bedroom and deck are located between the road and the
house.
11.) 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.
12.) 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.
13.) The building height is not to exceed 35 feet.
14.) 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.
15.) AN INSPECTION OF REPAIRS REQUIRED AS A RESULT OF THE EVALUATION OF
THE EXISTING ONSITE SEWAGE SYSTEM IS REQUIRED PRIOR TO FINAL
APPROVAL OF THE BUILDING PERMIT.
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Stor"37. SITE PLAN
Required •
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N JEFFERSO EOM jr JEFFERSON COUNTY DCO
RECEIVED DEC14'89
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fgsON c)%„ JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
4, 621 Sheridan Street•Port Townsend •Washington 98368 JEFFERSON COUNTY DCII
360/379-4450 •360/379-4451 Fax
http:/lwww.co.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# C -4 PROJECT/APPLICANT NAME: C 4 1/I J/ I��u i, �
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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. ?^
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing soils. Indicate soil type on the site map. dC��C tr r r r ij.
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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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6. Describe any excess levels of noise generated by the proposed use or activity: I APPROVED
/7"1STORM WATF.R PLAN
AUG - 4 2006
Storm atr BM 's `� s
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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 the site map.
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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.
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10. If the project requires the use of stormwaterof stormwater treatment facilities proposed treatment facilities,describe the types facilities from existing facilities. [This is
for use on the site. Locate these facilities on the site plan and differentiate proposed
normally for'large'projects or projects that involve the potential for dispersion of contaminants.]
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11. Describe the performance goals and standards applicable to the project.
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12. Describe the flow control system.
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13. Descrii the water quality system.
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14. Describe the conveyance system analysis and design.
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
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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.
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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. ry
l vi4
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.
7
PERIM6
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strnmwater site Wan temPlate.d0c—rev.10112/2003
JEFFERSON COUNTY OCR
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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 ro r., pt is nsible for
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult tl*e,tfy� �
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particulariy 'viith l
development.
SECTION I-CONSTRUCTION$WPPP 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.
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3. Control Flow Rates.
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4. Install Sediment Controls.
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5. Stabilize Soils. f ` 4-C--
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6. Protect Slopes.
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7. Protect Drain Inlets.
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JEFFERSON COUNTY OCO
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12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
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9. Control Pollutants.
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10. Control De-Watering(the ad of pumping groundwater or stormwater away from an active construction site).
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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).
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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.
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b. Description of special requirements for working in or near environmentally sensitive areas.
tivq- JE[EEOSON COUNTY OCO
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).
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5. Construction Phasing.
a. Construction sequence
b. Construction phasing(if proposed)
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6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction edule.
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II. Wet Season Construction Activities.
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a. Proposed wet season construction activities. WILY)
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b. Proposed wet season construction a6thfitiefi for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Descnbe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Pondslfraps. /1)/
b. Diversions. Al,.
c_ Waterways. r t(l' '
d. Runoff/Stormwater Detention Calculations /'
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an template.doc—rev., ,20003 0 6 - 042 1 ,0
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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 indude all proposed char, ised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for•theiiitrirgel'
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-builte)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 Construdi SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
co to the best of m owledge. I also certify that this application is being made with the full knowledge and consent of all
e affected p rty.
0
REPRESENTATIVE SIGNATURE) O_ , t— (DA )
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
PERMIT # BID
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sto,,wra,e.stte plan,gmplate.doc—rev,0„2/2003 JEFFERSON COUNTY DCD
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OWNER BUILDER STATEMENT L‘
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: Date:
ERALw CONTRACTOR OR MANWCTURED H E INSTALLER: PHONE: FAX:
(LI1 )1-(-,n �,l�r�.S�—, i �� (_,, (3LO)3S5- (9 I O3 (3(ca3 7 7J3-7
MAILING ADDRESS:�J o 5Q1 EC -d. EMAIL:Scp.41.wC� 6 iLen,.40 us,r
CONTRACTOR'S LICENSE a WAINS
NUMBER: !�O 1 (3 A NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAIUNG ADDRESS: EMAIL
Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
O New Wood Existing: ❑ Sewer
CAddition 0 Steel Proposed: d Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: Height: jndividual System ��
❑ Repair 0 Masonry SEP Permit#
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
of Heat: Proposed '14Public -7 l
Total: `? Name of System t Li(-`->
fl
If this is a Commercial Proiect 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 I Woodstove 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 fora 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 FootageFor Office Use Only ,q t `r.--�.
r 'Y`-^�'I L'.-, / Amount
Current Proposed
Main Floor 11 Q q P 2 30(dj° Consistency Review: (�3 w
2nu Floor v o Bad : r- 1q 1 .
3fa Floor Additional Section: ---
Mezzanine: Plan Check fee: 1 Q.
Heated Basement State Surcharge fee:
Unheated Basement -Pat Water Review fee: ------
Other Unheated 911/Rd Approach fee: E(/131-
16)
Garage/Carport a kv D TOTAL: $ 153S• 19
•Decks 5 5(_�/ ( 1(.1 33 •c Receipt Number. F3,�
Other l Cash/Check Number zfiy s
ESTIMATED COST(REQUIRED) `StjO Date: f W
.Fair market value of all and-mateyals foundation too
MO
Jf�O bridals:
1
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WALTENBAUGH CONSTRUCTION COMPANY INC EJ an.sen Addition
v: Lg Se 1 WA 360-6814444 40-A Seton Rd.,PortWownsend WA 98368 Port Townsend,WA 360.3854105
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