HomeMy WebLinkAboutBLD2006-00522 tUILDING PERMIT APPLICA MLA06-00508
t�N Review T :I
Ype
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00522 Received Date: 9/11/2006
SITE ADDRESS: 3657 OAK BAY RD
PORT HADLOCK, 98339
OWNER: ACORN GROWTH LLC PHONE: 360-437-0177
TRSTE OF THE CHATFIELD TR
3659 OAK BAY RD
PORT HADLOCK WA 98339
SUBDIVISION: Block: Lot: T 99
PARCEL NUMBER: 921194071 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR W/A/G 250 GAL PROP TANK iq I°1 Cwt( cArki 6 uc
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,452
VALUATION 107,184.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 108
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 418 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total:
Ro nq Date: <�- v�rE.D cr
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,038.55 LYK 09/11/06 84796 ;.--k, - .. r
Plan Check
$675.06 LYK 09/11/06 84796
State Building Code $4.50 LYK 09/11/06 84796 NOV ci
Potable Water Application $55.00 LYK 09/11/06 84796 sjefferseii
Total: $1,773.11 & RwIrhrrig fepartmsr
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00522 Received Date 09/11/2006
SITE ADDRESS: 3657 OAK BAY RD Issue Date 11/9/2006
PORT HADLOCK, 98339
APPLICANT: ACORN GROWTH LLC PHONE: 360-437-0177
TRSTE OF THE CHATFIELD TR
3659 OAK BAY RD
PORT HADLOCK WA 98339
SUBDIVISION: Block: Lot: T130+
PARCEL NUMBER: 921194071 Section: 19 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR W/A/G 250 GAL PROP TANK
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: V
UFFER: J1'p
Footing: aC 4/7#
Foundation: t2k ; 4
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : D/( g/Z9 d7 aojod,.1 aK 4/S/oh
Sheathing: glQdF Peet_ x " itis dtst1�l.Ae4" dl%-(0f lz- to-(261
Framing: 9/p dk 4/2107 Di< ¶i/i afo
Plumbing: 1/4r
Propane T k/ Lines: /iu-rE.¢'a* Oa 7 s oB
Insulation: k - 014- (o-(S'O'1 Mou& A- dK 7 Ggf
Sheetrock: Are'=3lr Gau Eit41bEbe1/-4 eV I J 0 L4 '-(6(1
Septic Sytem Final Approval MUST be obtained bLfore final of structure can be(attempted.
Road Approach Final Approval:
Zoning Final Approval: (` -
Final/Occupancy Approval: ( ./Z,3-061
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 t BLD06-00522
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 intermediate slope 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.) 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.
7.) The applicant shall fully adhere to all conditions and requirements of the one-page eagle
habitat management plan signed by WDFW on November 2, 2006 and proponent on
November 4, 2005.
8.) 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.
9.) 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.
• •
10.) MANDATORY MEASURES FOR AN AT RISK 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 requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
11.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
12.) A flow meter shall be installed prior to final sign off of the building permit.
13.) 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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.
16.) Minimum setback from Oak Bay Road right-of-way shall be 30 feet. Minimum side yard
setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be 70 feet as
depicted on the face of the approved site plan dated November 3, 2006.
17.) 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.
18.) 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.
19.) The building height is not to exceed 35 feet.
20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) A minimum of two (2) parking spaces shall be provided for the single family residence.
22.) The proponent is required to maintain a 30-foot natural vegetative buffer within the
geological hazardous areas. Vegetation should consist of drought tolerant, deep-rooted
species.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
-.--- y --R } -.`
�4rr�N cD JEFFERS�. COUNTY - - , ''
\1 A DEPARTMENT OF COMMUNITY DEVELOPMENTIii:
`C 621 Sheridan Street • Port Townsend •Washington 98368 ~ t
360/379-4450 • 360/379-4451 Fax
�q�,�N��p� www.co.jefferson.wa.us/commdevelopinent - I
7-1 .....' \
Master Permit Application MI I^ _ t`1i��, "
Project Description (include separate sheets as necessary): —`
• ' //V6 i-£ FAH/4-- Y O6c/c�i--/A, C--
Property
Tax Parcel Number: y'L/i 99C 7/ Size: l �" ' / gcres7squarefeet)
Site Address and/or Directions to Property: 3 C; 6 7- O f-A"0 4 Yi2 /7 /'c./Z•7-,L./4,e)L_eC - 'f4 IFT 33
Property Owner(s)of Record: / CC te!(,' 6/2 C lc./77/V L L. c_
Telephone: c. 6. C} /` 3 7-- Of 7 7 Fax: 3 6 c V 3 7- ci/ 1 7 email:
Mailing Address: cS 6 S7 C AL i<A ,E3// 7 /.'D Av)T7>//5`O ee cA lc t,y. j,rr-3 3 y
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ;t om i�,5 .L/a ;', t IL 9 ❑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 .- r El Special Use(Essential Public Facilities)**
❑ Manufactured Home l" 1 1 296 ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat*"
❑ Commercial* ❑ Binding Site Plan*"
❑ Change of Use ', , fl ="T ` i^f Long
4a Address ❑ Road App "' l t ]� ')" ❑ Planned Rural Residential Development(PRRD)/Amendments**
ropane ❑ Plat Vacation/Alteration**
❑ ATioWed "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
0 Temporary Use
P ►Y
❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* Li 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 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 cf 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. 7 f
Signature' r \1- h� ‘0 Date: i 06
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 respons or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Y )-- - k /- c6
Date: // I
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0/06
• I
BUILDER STATEMENT _
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,than#hey are trot licensed aon(ractors and that
they will be assuming the responsibility of the General Contractor for the proposed project. i'+ I
p
Signature:.~: ��11:, C i\,___ t . \•• - Date: �-� 7/fir �� i
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: { rAX: v�v —
I
MAILING ADDRESS: EMAIL: y '0,0cNi' i
CONTRACTOR'S LICENSE WAINS L-_-..
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New _IK Wood Existing: ❑ Sewer
O Addition ❑ Steel Proposed: . . Bank Height: 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: -� ❑ Individual System
❑ Repair ❑ Masonry ' ,7" D:� SEPiPermit#YSCPDG-ecti/.5c,
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 1 Private well ❑ Two Party
Type of Heat: Proposed: 7U / ❑ Public
Aic a)/4Tei R D/A?TcR Total: Name of System:
C, G.F c'T.t/)
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 Occu., ,' IBC T e of construction: ,..,;..v,�. 1/ltII u;laye,Food Service? Yes / No
' .1 ''
'r`ti ite ra ii�fiilrlm�t, ll�items below Oat ply:
❑ Underground Tank ) Above ground Tank Size of Propane Tank: .mil 5t �/I c_
❑ 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 septic system components,
including the reserve area.
Square Footage Current Proposed .For Office Use Only:: A "0: -, ., ' _ tt. s
Main Floor Heated /�/L_ p41,7!_ EH Bld App Review:
na / T .� .2 4rld �
2 Floor Heated Consistency Review: ( 5 3
Other Heated Base fee: l 32 55
Mezzanine Additional Section:
Heated Basement , Plan Check fee: ! Q -1�C 1
Unheated Basement State Surcharge fee:
Other Unheated ti +q " Pot Water Review fee: 90
6,e4-Ertl tf O c,S r /L, S'
Garage/Carport SUBTOTAL O xo t
Decks an-7 I 911/Rd Approach fee:
' OM1Ti>,lizC:t (/ qq 1 g T EXt5` r 5-
Other ,_.,_.---- Y. ^_. TOTAL: _ ._
I
/ r_ ` ' Receipt Number ' / `,j l i j S Tlap
sh/Check Number: v 4 j
'ESTIMATED COST(REQUIRED)' f Date 3 11 it -1 1 t 1
•Fair market value of all labor and materials foundation to finish
- I
77, ggoInitials:
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G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc f
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an electrical,
DRAWN BY: JOSS DORN
3659 OAK BAY RD LUCAS/DORN RESIDENCE
PORTHADLOCK
WA 98339 3653 OAK BAY RD. WA 98339
PIT : 360 437 0177