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HomeMy WebLinkAboutBLD2006-00494 PUILDING PERMIT APPLICATIIJ MRLA06,00pe479 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00494 Received Date: 8/24/2006 SITE ADDRESS: 1488 SHINE RD PORT LUDLOW, 98365 OWNER: ARCH E VAN BELLE HOOD CANAL TR PHONE: (360)437-0279 M VAN BELLE HOOD CANAL TR 16325 123RD PL NE BOTHELL WA 98011-7100 SQUAMISH HARBOR SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 721031019 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License WHITEJG952DN Expires 03/15/2007 REPRESENTATIVE: WHITEY JOHNSON PHONE: (360) 779-9884 PO BOX 1110 (360) 598-3308 SUQUAMISH WA 98392 PROJECT DESCRIPTION KITCHEN ADDITION AND REMODEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 320 VALUATION 31,596.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: SHORELINE: GARAGE: CONST TYPE: DECK: 60 SETBACK: 275 BANK HEIGHT: 30 SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: Prop: Total: 2 Total: 2 Routing Date: a5\ upC--2 Type Amount Paid By: Date: Receipt: • Approved/Date Permit $461.95 KAS 08/24/06 83991 Plan Check $300.27 KAS 08/24/06 83991 State Building Code $4.50 KAS 08/24/06 83991 Total: $766.72 NOV 13 2006 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00494 Received Date 08/24/2006 SITE ADDRESS: 1488 SHINE RD Issue Date 11/13/2006 PORT LUDLOW, 98365 APPLICANT: ARCH E VAN BELLE HOOD CANAL TR PHONE (360) 437-0279 M VAN BELLE HOOD CANAL TR 16325 123RD PL NE BOTHELL WA 98011-7100 SUBDIVISION: SQUAMISH HARBOR SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 721031019 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: PO BOX 1110 (360)779 9884 SUQUAMISH WA 98392 (36 ) Contractor's License: WHITEJG952DN Expires: 3/15 200007 3308 7 PROJECT DESCRIPTION: KITCHEN ADDITION AND REMODEL CALL IN FOR THE REQUIRED INSP CTI S THAT APPLY TO YOUR PROJECT. SETBACKS: zrz/ 6JY UFFER: AO) Footing: Qg Z1/'/6C Foundation: ae ird#4471 Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : 4f{ 7,,' 07:"• Sheathing: ` P Framing: L/vp OK /z/7,asfr ' ZA-1 Vi" `Q- at/ti5Qi c i ✓Zy•01 Plumbing: 419 � ,Jr" O i k-�, - 1 i/r Propane Tank / Lines: Insulation: �JAerS 6k cot i J/ `�% Sheetrock: z../y/n Septic Sytem Final Approval UST be obtained before final of structure can be attempted. Road Approach Final A p Pp Approval: Zoning Final Approval: Final/Occupancy Approval: 5/1"./L 4 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 CASE A BLD06-00494 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) 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. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) Minimum setbck from the private ingress/egress easement shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of bank is 54 feet. The addition is 25 feet landward from the existing single family residence. 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 designedand h • ooded •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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) 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. I:\F_BLD_Perm it_Buildng.rpt 10/29/19 III • �, ONC,OG JEFFERSON COUNTY 42r' ' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �� hIN p� www.co.jefferson.wa.us/commdevelopment Master Permit Application �/ _4 7/} MLA: (D `9 Project Description(include s parate sheets as necessary): Tax Parcel Number: Size:Property 07 l �' l'D r (acres/squa a feet) Site Address and/or Directions to Property: I G+.g�j " , Property Owner(s)of Record: r (ram) ���`T Lit t�(�r r�] �' o! j Telephone: p 4.�-'.� © ,L7 / Fax: email: Mailing Address: j 6? ,:' )7 FL. 0 j\f„,-f-1...i-c r . Applicant/Agent(if different from owner): l..0 \ Telephone: >C�.>e) 71 r '! L341-- Fax: -E G,C.) 1 Mailing Address: c'C) F *,; � email: Wl}at kind of Permit?(Check each bk hl aj�p II q j r Rounding + _�, � t� .- rU ariance(Minor,[j D olition Permit Major or Reasonable Economic Use) Ingle Famil Conditional Use[C(a), C(d),or C]** Ii Garage Detached I' r'' ter: Discretionary"D"or Unnamed Use Classification Q Manufactured Home r • R: °Special Use(Essential Public Facilities)** d Modular °Boundary Line Adjustment 0 Commercial* °Short Plat** li `!'` ' `-` t 4' ` °Binding Site Plan** Change of Use A Q Address i Road Approach �—st�r��� °Long Plat** CI Propane �- °Planned Rural Residential Development(PRRD)/Amendments** °Allowed"Yes"Use Consistency Analysis °Plat Vacaticn/Alteration** °Allowed r Use nst ❑Shoreline Master Program Exemption/Permit Revisions** °Site Plan Approval Advance Determination SPAAD * °Shoreline Management batantial Development** °Temporary Use ( ) ❑Shoreline Management Variance OComprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* ❑Forest Practices Act/Release of Six-Year Moratorium °Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference **Requires Please identify any other local,state or federal permits requiredfor this proposal,if k ownrence DESIGNATION OF AGENT I hereby designate k} tr ^ <<11 SL ti 4-41-.)- -7?LI to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1^t v V - V "- VC---- Date: 4/24a C 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application tat he or she wants prior notice. n Signature: `A t,'"K, ka. kj c t Date: ` /2 444 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-transferableresponsibili for adhering to and complying with the ESA. The Applicant has read this disci imer and signs and dates it below. Signature: g t,•, I. „ Viz-- Date: S�2 g/d( D:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • 0 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER' PHONE: FAX: (iC HI rt,----et- \,\C1-44--) ---e3 YL; ( "Z.-.:--1"-; 0-. 11t-lrik- I i)C, Cr26°)—7-7q q,...P.).:F(- ( MAILING ADDRESS: -70 �''JC,- 1 i 1 0 (f?L,, A fit!C '•./ 'J P 1i EMAILyi 7 CONTRACTOR'S LICENSE WAINS NUMBER: (u)H-(-I j Cr-i c(j Y 0 J NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New (Er Wood Existing: .4- El Sewer G�Addition ❑ Steel Proposed: _�_ Bank ❑Community System lteration/Remodel 0 Concrete Total: 4., Height: Individual System ❑ Repair ❑ Masonry ')J SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: (— Setback: ❑ Private well 0 Two Party Proposed: = / Public . Type of Hea,L Total: �,-`./ :l 1-f 1 1-tr. -1 �/.�1,,,+� Name of System. 0 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: ❑Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove 0 Woodstove OFireplace Insert 0 Hot Water Tank CI Pellet Stove in 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: o 5.0o 2"0 Floor Heated 0`-{�/ ._ Consistency Review: l 3 rOther Heated Base fee: LJ�/,�� NIO?I-Vel • Ire-birt.F 5I a `f �) 1�i' ' f i�-1 -T _, Mezzanine \!t.-; 1., ) , tkdditional Section: \ —_ '"r-Heated Basement Plan Check fee: .-2 O,;� to 1 t - 4 ,,;.b State Surcharge fee: Unheated Basement 4 5c) Other Unheated ' 'i i°I`t' r: ,POt Water Review fee: JEFFEN�I�� l�(�!�I� ��,,. Garage/Carport ,�� Q SUBTOTAL n i1 .-j' Decks 911/Rd Approach fee: Other TOTAL: $ 9 4 , Receipt Number: 33 t (,1 Cash/Check Number: l c 5 c / -/0 ESTIMATED-. 3D 5. 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