The URL can be used to link to this page

Home My WebLink AboutBLD2006-00543 MLA BUMS- �ILDING PERMIT APPLICATION] Revie - 43 w Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00543 Received Date: 9/22/2006 SITE ADDRESS: PIPER RD QUILCENE, 98376 OWNER: GARY PHILLIPS PHONE: 360-765-4405 MARILEE PHILLIPS 450 PENNY CREEK RD QUILCENE WA 983768533 TURNER SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 701201011 Section: 20 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI REPLACEMENT STAIRS TO I3EACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 4,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: 0 Total: 0 Routing Date: l aa' 66 Type Amount Paid By: Date: Receipt: Approved/Date Permit $97.25 CJZ 09/22/06 84976 Plan Check $63.21 CJZ 09/22/06 84976 State Building Code $4.50 CJZ 09/22/06 84976 DCL Total: $164.96 • • BUILDING PIERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00543 Received Date 09/22/2006 SITE ADDRESS: 354 PIPER RD Issue Date 10/25/2006 QUILCENE, 98376 APPLICANT: GARY PHILLIPS PHONE: 360-765-4405 MARILEE PHILLIPS 450 PENNY CREEK RD QUILCENE WA 983768533 SUBDIVISION: TURNER SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 701201011 Section: 20 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: REPLACEMENT STAIRS TO BEACH CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: 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: 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 # BLD06-00543 1.) A vegetative buffer of 40-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 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.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 7.) 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. 8.) 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. 9.) A Geotechnical Report was prepared by Daniel McShane of Stratum Group dated July 7, 2006 and submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 40-feet shall be measured perpendicularly from the top or toe of the geologic hazard. A metal staircase leads from the top of the bluff down to a landing on the beach. The stairs are supported at locations that are presently stable and spans most of the bluff face such that the stairs are not causing any problems to bluff stability. 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.) Building setback from adjacent Commercial Forest land is 250 ft.(subject to wavier) Shoreline building setback is 70 ft from the top of the bank. Sideyard building setbacks should be no less than 5 ft. 12.) 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. • 14.) 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 0 • rre¢ 41N41:A1 Slfe e( `r4,4ss S' 14hj' /iC AAii4 1 FJ ii , ` 74ct' Seel C1S alu o 4 7 11116.1 o7- dauSI•.d k Aitt s 711 0.4 34" lc, P r :,:;, \ 16.. PERMIT `ROL # BID A0 6 - 0 5 43 IS JEFf ,,`f.,� ; ERSON COUNTY DCD .,i N. 114,, N `NIL s'�,p p.,:'�f• `'ba ,� lak N `16- N .41\ 4,1 lam` 1'7, 1 i 'tv c e .e l+.x r u�• — --. SITE PLAN _ lftN,4rr,� ly.a --ride \`(.; i '4; '(`'\y 't', _ OCT 2 4 2006 JtU _ c g 7 ,u.7 JEFFE ON COUNTY r• DEPT.OF DEVELOPMENT i �' ;g SIGNAT • • ORMIT # B�U JEFFERSON COUNTY DCD �ep J -P ort.ppro 76 V 4 APPROVED SITE PLAN J1.1 2 7 MI OCT 2 4 2006 JE •N COUNTY DEPT.OF � ril LaEV [LOPMENT SIGNATURE: I/.I " `' l rTT i 2 (f la fz 1 e✓. II • �gSON CO w4� � JEFFERSON COUNTY ,,� y DEPARTMENT OF COMMUNITY DEVEJ ENT ' 1 - • 621 Sheridan Street• Port Townsend ;' �� 1 Q ,...:s . . 360/379-4450 • 360/379-4451 Fax 4 wa °n�8368 i �S�tNa ° v.co.jefferson.wa.us/commdevelo www .cojefferson.wa.us/commdeveloprbent ent S E P 2 2 2006 Master Permit Application l • MLA' Project Description(include separate sheets as necessary): s ' Tax Parcel , + Number: 7 cr 0 i Property Site Address and/or Directions to Property: O;' Size: Y LI/4 .- CK " (acres/square feet) Property Owner(s)of Record; S '� 2`�` �� Telephone: fi 5- CY, ""? .O. 4 c 0.4 c l.-Q- Mailing Address: " s� ' O• Fax: �� Applicant/Agent(if different from owner): email: Telephone: • Mailing Address: Fax: What kind of Pe email: wilding wit• (Check each box that applies) Cl Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) [�Single Family ❑Conditional Use C at* Q Garage Attached/Detached °Dlscretiona ( ( )' C(d),or C] Q Manufactured Home ry"D"or Unnamed Use Classification Q Modular Special Use(Essential Public Facilities)** 0 Commercial* C�Boundary Line Adjustment Q Change of Use CJShort Plat** Q Address ❑Binding Site Plan** Ci Propane—� Road Approach ❑Long Plat** ❑A►lowed"Yes"Use ConsistencyPlanned Rural Residential Development PRRD Analysis OPlat Vacation/Alteration** ( uAmendments** OStormwater Management ❑Shoreline Master Program ExemptiorVPermit Revisions OSite Plan Approval Advance Determination(SPAAD) Shoreline Management Substantial Development** OSite Plan ry Use * ** ❑Shoreline Management Variance OTemp ss Telecommunication* ❑Comprehensive Plan/UDC/Land Use District MapAm t ❑Forest Practices Act/Release of Six-Year Moratorium *Ma require a Pre-Application ❑Jefferson County Shoreline Master Program Amendmentment Please identify any other local,state or federal permits re wired f **Requires a Pre-Applicationa , ifConference Sktes,I-.t. e� `� `, q for this proposal,posal, if known: I hereby designate DESIGNATION OF AGENT OWNER SIGNATURE to act as my agent in matters relating to this application for permit(s). By signing this application form,the owner/agent attests that the information provided herein,and in Date: ,hersor it's knowledge.permit Any material falsehood or any omission of a material fact made by the owner/agentmay result or in this being null and void. any attachments,is true andicorrect to n the best of I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court with respect to this application packet expenses a e may in anyway 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 costs,reasonable attorneys fees and I review and any provide later iss •. to Jefferson County and its employees,representatives or agents for the sole purpose of application rme of the a requiredliti P Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the PP that he ors/.• s.f notice. Signature: air �— ✓ g The action or actions Applicant will undertake as a result of the issuance of this permit may negativelyimpact endangered speciesDate: �% and could lead to a potential"take"of an endangered species as those terms are defined in thefederal law "Endangered Species Act"or"ESA."Jefferson Count permit p ct upon one or more threatened or has been isse will not viol. County makes no assurances to the applicant that the actions that will be undertaken because this action(s)even if you"are in com I': the ESA. Any individual,group known as the P with e Jefferson County development code.The Applicant acknowledges that and non-transferable responsib' ,' or,. agency can file a lawsuit on behalf of an endangered species regarding Signature: n9 to and complying with the ESA. The Applicant has read this disclaimer and sig or it ns and s individual your rl e // / dates it below. Date: 9 D:\PetmitCenter\FORMS\DRD 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 assum(ng the responsibility of the General Contractor for the proposed project. Signature: Fr i/11„.�lito Date: 911/ 01-, 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: ❑ New 0 Wood Existing: 0 Sewer ❑ Addition EfriSteel Proposed: Bank ❑Community System ❑ Alteration/Remodel 0 Concrete Total: Height: Individual System t—1 epair 0 Masonry 7-C SEP Permit# ❑ Demolition 0 Other: Bedrooms: :71 Water Supply: pP Y: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: ❑Public Total: 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 ❑Cook Stove 0 Woodstove OFireplace Insert 0 Hot Water Tank In 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 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: 2nd Floor Heated Consistency Review: W D Other Heated Base fee: 19 ( a.cj Mezzanine Additional Section: Heated Basement Plan Check fee: 3,al Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: N Ac . Garage/Carport SUBTOTAL c Decks 911/Rd Approach fee: 1 5^� -- Other o� /� TOTAL: $3k 2 Y0 Receipt Number: Si --'/_ {I , ` "- Casfi/ -�eckNumber: ,3a5"t `P ESTIMATED COST(REQUIRED) i --- -Date: I O.Fair market val of all labor and materials foundati to IA- �'a a' 6 1 Li lri:-'C.: ¢ sEIpitivs,;, 2006Gt3. D:\PemritCenter RMS\D ter Permit Application 12-30-05-2.doc r _ , , 6r.yE_LM r JrEN ...6.)-0 --.:3 , .c•—••c.. (3 —6 rill) z 7-7---- _.,., > i , x ... ..0 r / > ,_. 0 i i ,... m i 1111 -- 1— 7-- •V / I --, ; ) ,.. I --/--- CI m • 0) rc cn rs\ Ct cn k i ) ; ?c..) \f •1 .._ ____ --— _ _... - ,. ........ ___ ,........ ).,-- • t ) R-- - , — I t , I -1, ets-- _r• 0 1 ........, M..... 4 I 75" 0.0' -,. l• —I • r- i \\ m t- I ) .,.. 1 Co r- 0 0 % , 4 X ti .1:. _ cn It> o a I Z 'rl 1 0 • 41 ...4. .. ....^,.„,. " r; 1 r'7 C4 .0 >4 r; 0 4 • C, :74 lot 0 -F. •4 C° -, N 1 ° Q .-t:I C r--, c... P. ri > -o .,,,,, 4:7) t "V rt.: r. Z till , ..,ik t A, -,•,.. z 1.. -0 ... sr i rti X •" 4 1co -• \ r7T31 ttr-- , . 1 \ c. 0 T -n ;ca. es'. m f4 Ir‘.•77. 0 , Z (S., - ,4 , 7J lk m (/1 > N. -,,,.. • 33 t ; 0 C• - i .9 I .., ! . , 1 mmi 1 'J it=:. rri G) etb c.03 ' I ......4 , • r-ri , . — -I' o'' i • --.I CCM -.C. IZS) V , i;