HomeMy WebLinkAboutBLD2006-00529 •
ILDING PERMIT APPLICATIIoN MLA06-00512
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00529 Received Date: 9/13/2006
SITE ADDRESS: 765 GRIFFITH PT RD
NORDLAND, 98358
OWNER: JOHN C SROUFE PHONE: 206-772-8322
JUDITH K SROUFE
10800 AUBURN AVE S
SEATTLE WA 981783103 TRACT 18
SUBDIVISION: Block: Lot: T 21
PARCEL NUMBER: 021324021 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR ARMSTRONG CONSTRUCTION CO INC PHONE: (253) 833-3355
2715 AUBURN WAY N
AUBURN WA 98002
Contractor's License ARMSTC*373N0 Expires 5/7/2008
REPRESENTATIVE: WAYNE STEWART PHONE: 253-833-3355
108 AUBURN AVE S
SEATTLE WA 98178
PROJECT DESCRIPTION NEW SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 30,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 768 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing D te:
q Ci31an
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $441.45 LYK 09/13/06 84904
Plan Check $286.94 LYK 09/13/06 84904
State Building Code $4.50 LYK 09/13/06 84904
Total: $732.89 C7 t( 2006
Jefferson I.Uunty Pla4irung
& Building Department
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00529 Received Date 09/13/2006
SITE ADDRESS: 765 GRIFFITH PT RD Issue Date 10/16/2006
NORDLAND, 98358
APPLICANT: JOHN C SROUFE PHONE: 206-772-8322
JUDITH K SROUFE
10800 AUBURN AVE S
SEATTLE WA 981783103
SUBDIVISION: Block: Lot: T 21+
PARCEL NUMBER: 021324021 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: ARMSTRONG CONSTRUCTION CO INC PHONE: (253) 833-3355
2715 AUBURN WAY N
AUBURN WA 98002
Contractor's License: ARMSTC*373N0 Expires: 5/7/2008
PROJECT DESCRIPTION: NEW SHOP - UNHTD, NO PLMB
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Vi
UFFER: P/A.
Footing: OIL 2/24 67,/
Foundation: Ole. 3 07f�/
Stormwater FINAL Approval: Got ►z/7M #),
Underground Plumbing: 1J/4
Underground Insulation: tiO4
Shear Wall : -c¢5? OK 1 7/# ,
Sheathing: p idyl
' !!
Framing: Dk 3/
Plumbing: IV O V 1 Ui1M-() - Y1/45/\
Propane Tank/Lines: (—)
Insulation: N/4
Sheetrock: NA
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: di( -4 r- -cmek4 129 tl7
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQ IRED 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 BLD06-00529
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.) 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.
5.) MANDATORY MEASURES FOR COASTAL 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 requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
6.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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 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.
10.) Minimum setback from Griffiths Point Road right-of-way shall be 20 feet. Minimum north
property setback shall be 10 feet due to existing 10 foot wide easement on subject
property. Minimum south yard setback shall be 5 feet. Minimum setback from OHWM
(bank is less than 10 feet in height) shall be 30 feet.
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.) 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.
14.) The building height is not to exceed 35 feet.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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1ENSION3 ARE FRAMING JERaSOIM C OliNI DED
-11NG AND BASED ON
• • •
•
A , JEFFERSON COUNTY
rz ►1 M DEPARTMENT OF COMMUNITY DEVELOPMENT
4,. 621 Sheridan Street • Port Townsend • Washington 98368
1;Q` N ,.O/ 360/379-4450 • 360/379-4451 Fax
�` 1 http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# C6- i a, PROJECT/APPLICANT NAME: .SQ-C ere ..*C-) ,
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 i �, ��ii ��`
1. Describe the proposed developed conditions of the site. Indicate position and reFative 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.
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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: P n
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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.
g. 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 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. `
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12. Describe the flow control system.
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stormwater site plan template—rev.10/1/2003
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13. Describe(� the water quality system. i( ( }
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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.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code. 1<
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17. Describe the proposed surfacing material. It
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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.
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20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
JiFithSUN COUNTY DCD
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. 1 t
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3. Control Flow Rates. `
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4. Install Sediment Controls. •
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5. Stabilize Soils. (
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6. Protect Slopes. •
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7. Protect Drain Inlets.
8
stormwater site plan template—rev.10/1/2003
• •
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
9. Control Pollutants. /�
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10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
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11. Maintain Best Management Practices(BMPs).
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12. Manage the Project.
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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 donstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards). ]. 1,.
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3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
06 - 05 ? 9
dJEFFERSON COUNTY Dui
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). 1 t
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5. Construction Phasing.
a. Construction sequence Y
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b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
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II. Wet Season Construction Activities.
_ a. Proposed wet season construction activities.
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b. Proposed wet season construction activities 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. 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 separate sheet for the following, if applicable. ,j isc
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 m owledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected operty.
411 1,11
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(I ANDO1'NNR OR AUTHOR! E REP ESENTATIVE SIGNATURE)
(DATE) (..__.-)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
12
stormwater site plan template—rev.10/12003
• • •
4) co\ JEFFERSON COUNTY
ti-, ' \q DEPARTMENT OF COMMUNITY DEVELOPMENT
' '4 621 Sheridan Street • Port Townsend • Washington 98368
0 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
, �°'
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Master Permit Application MLA: O(p-5)
Project Description(include peparate sh"-- ri essary): i `
SviAld- '7481 '40! ..3F, I \ -7,c.3)..A\VeD ' i-i- ,
Tax Parcel* Property
Number.A 1 232q^ t� i Size: Vc
ia (acres quare fe
Site Address and/or Directions to Property: r -. o xect 4-4,re
Property Owner(s)of.Record: - .,,,, ,,27 r 1 0 . , i _
Telephone.__ it... AP r• Fax: email:
Mailing Address: 47.7";iit Avt,4,-;rein.0 C 6 . 4. . `G�
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Applicant/ ent if different from owner): =/
1 Tele" tieitle "'$,7 33�S Fax ` G
Mailing Address:"2"' A.4,A7aA, y A w3(4) QO
W ind of Permit?(Check each box that applies)Sreultd
ing ❑Variance(Minor, Major or Reasonable Economic Use)
Ej Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
e Family ODiscretionary"D"or Unnamed Use Classification
Attached • ached OSpecial Use(Essential Public Facilities)**
ID manufactured Horn- °Boundary Line Adjustment
El Modular °Short Plat**
Q Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
El 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 ❑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:
N, DESIGNATION OF AGENT
I hereby designate f.',A. � r. _ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE _ �
v ^ Cj 2 ocG
By signing this application form,the• •-•-nt—-ts that the information provided herein,and in any attachments, ue and correct to the best of
his,her or it's knowledge. Any materi. -ehood. • 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 ay accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to prod access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any regy/ir later inspection-a. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatipn�rthat he o stye wants prior notice. f 'Signature: 1 \" ��;: F 1 \V 262
The action or actions Ap 'c X will dertake as a result of the issuance of this permit may negatively impact upon one or rl6re threatened or
endangered species n ul ad - 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 io:te 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 co •li nce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsib '• or adheri to and complying with the ESA. The Applicant has read this disclaims{and signs and dates it below.
Signature: . kF X 1,ate: ?a Coy
,
D:\PermitCenter\FORMS\DAD FORMS\Master Permit Application 12-30-05-2.doc
• •
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:
RAL CTORORMANUFACTURED HOME INSTALLER: PHONE: FAX: Q
06G 14� C g � ss 1 i
OPI/tS-
ADDRESS:, 2� (S>A'K k let.. L1 ►Vv EMAIL. L�.S-�•eD SfRb —(-0_M•G 4++
CONTRACTOR'S4ICENSE y� WAINS
z,if, ' ) W ?PO NUMBER 't..
AI T T/ENGINEER: �. Li-s : t i PHONE Y FAx (i�SL o,(s-
I A# ADDRESS:'Z ` '}' EMAIL ` '(
O L S Sfi'T cowa✓I740el
lP T Bathroo Shojel!rje: Tipp,of Sewage Disposal:
ram- ': r
ew ood "�xisfing. QSwer
❑ Addition 0 Steel Proposed: Bank Co unity System
❑ Alteration/Remodel 0 Concrete Total: _ Height: ❑ ndividual System
❑ Repair ❑ Masonry 6 —C SEP Permit#
❑ Demolition 0 Other: Bedrooms ,1CUate .Supply: .
Existing: - Setback: 10 Private welt °1II'Two Party
of Heat: • Proposed: r .0 Public
Type Total: 2�0 Name of System:
0
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:
0 Underground Tank 0 Above ground Tank Size of Propane Tank:
0 Heat Stove 0 Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p 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 properly lines,buildings and septic system components,
including the reserve area.
Square Footage , Current For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
lil SFE
2n0 Floor Heated Consistency Review:
w Sf'P
Other Heated Base fee:
Mezzanine Additional Section: -- ----- -
Heated Basement Plan Check fee: a& 94
Unheated Basement State Surcharge fee: .
Other Unheated Pot Water Review fee: \-� .V M Q
Garage/Carport SUBTOTAL 1
Decks 911/Rd Approach fee:
Other Sfkot:
7/_$ i210rgo TOTAL: $1 .S
�(� 3 Receipt Number: S Ltq 0 4
Cash/Check Number:, I�
TI4TED COST d Date: t ,�/
.Fair market valu all nand materials foundation finish (�
,. ,.: e, moo t Initials:
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