HomeMy WebLinkAboutBLD2006-00622 4 it,
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00622 Received Date 10/30/2006
SITE ADDRESS: 31 BARBARA LN Issue Date 11/17/2006
PORT TOWNSEND, 98368
APPLICANT: ROBERT L HAGEN PHONE: (360) 385-2095
BARBARA J HAGEN
97 ARCADIA TER
PORT TOWNSEND WA 98368-881C
SUBDIVISION: ARCADIA TRACE SHORT PLAT Block: Lot: 2+
PARCEL NUMBER: 001162019 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: ADMIRALTY BAY CONSTRUCTION PHONE: (360)385-1217
PO BOX 1559
PORT TOWNSEND WA 98368
Contractor's License: ADMIRBCC)04D8 Expires: 2/25/2007
PROJECT DESCRIPTION: NEW DETACHED GARAGE UNHEATED AND NO PLUMBING
ALSO GRASSCRETE DRIVE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing: 5 \\
Foundation: M��(> Sti- ,�� 1 Z , )(0 E-l• D c, it(,,�� 4 ( J
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : L.
Kk.,
Sheathing: ,
Framing: (,-rt-D-7
Plumbing: -C'7 ND ('L-.),,u,S ,..,
Propane Tank/Lines:
Insulation: ,<:...lP -15 r-)
Sheetrock: (,-)Ct-al
Septic Syte Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approva. 10 -Q3-01
HEALTH DEPARTMENT ND 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
4 I
SPECIAL CONDITIONS FOR CASE t BLD06-00622
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.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) 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.
6.) 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.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Minimum setback from Barbara Lane, Arcadia Terrace and private emergency service
rights-of-ways (north, south & east) shall be 20 feet. Minimum side (west) property line
setback shall be 5 feet.
10.) PRIOR TO FINAL BUILDING INSPECTION, A LETTER OF CONFIRMATION FROM
THE SEPTIC DESIGNER FOR SEP78-0265 SHALL BE SUBMITTED TO VERIFY THAT
THE SYSTEM HAS BEEN PUMPED AND DECOMMISSIONED.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
likUILDING PERMIT APPLICAO MLA06-00605
N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00622 Received Date: 10/30/2006
SITE ADDRESS: 31 BARBARA LN
PORT TOWNSEND, 98368
OWNER: ROBERT L HAGEN PHONE: (360) 385-2095
BARBARA J HAGEN
97 ARCADIA TER
PORT TOWNSEND WA 98368-8810
SUBDIVISION: ARCADIA TRACE SHORT PLAT
PARCEL NUMBER: 001162019 Section: 16 Township: 30 Block:N Range: 01 W Lot 2+
CONTRACTOR: ADMIRALTY BAY CONSTRUCTION
PO BOX 1559 PHONE: (360)385-1217
PORT TOWNSEND WA 98368
Contractor's License ADMIRBCCO4D8 Expires 2/25/2007
REPRESENTATIVE: MICHAEL ANDERSON
NTI INC PHONE:
717 S PEABODY
PROJECT DESCRIPTIOP NEW GARAGE UNHEATED AND NO PLUMBING
ALSO GRASSCRETE DRIVE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 22,000.00 MAIN:
ADD'L: HEAT TYPE: UH
CODE EDITION: 2003
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: 576 SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: C�
4.3/ lG
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $349.25 KAS 10/30/06 85150
Plan Check $227.02 KAS 10/30/06 85150rs
State BuildingCode 1
$4.50 KAS 10/30/06 85150 NOV 11
2006
Total: $580.77
Jefferson, County Pla:mir,g
& Ruildin*,Oeoartment
4/ ON c00� JEFFERSS COUNTY
�i_; ,� DEPARTMENT OF COMMUNITY D '�I- Y� 0
.� .- `� 621 Sheridan Street• Port Townse I, IA ington 98368
4.• P":"." 360/379-4450 • 360/379 4451 Fax
�`SkING�p www.co.jefferson.wa.us/commdevelopmenf
Master Permit Application
Project Description(include separate sheets as necessary):
(-QN' rRu�.T C7G—TA c H E.P 2 c-AR ��rz -,a C24-'x 241")
Tax Parcel
Number: c :).C:) 1 - i 6,Z - c k Property
Size: 2.. O(2 Ac-2t, (acres/square feet)
Site Address and/or Directions to Property: 3 I 'B> f5A,' LANE U
TO V t,As
Property Owner(s)of Record: S�1VL.E23 $ @ g��-- t---A4 D� �
Telephone: (3 CO) 3 -2_095 Fax:
email: —
Mailing Address:
A i IN. '17R_t i Fes-Towt4 SAD/ WA 34,,e,
Applicant/Agent(if different from owner): AL4.4.1 CAR.4 A 4
Telephone:(34:s.v) 5O4---O 1 f31 Fax:( .4 504-o ZO, email: .3SCc?ri�an WaV2Cc3l7 e„cc
Mailing Address: 1`Z4� Csta.,tfln t lam, �i�r 't r F>>,r�r i6 n,�. -� i -�
What kind of Permit?(Check each box that applies)
)(Building Variance(Minor,Major or Reasonable Economic Use)
Demolition Permit Conditional Use[C(a),C(d),or Cj**
Single Family Discretionary"D"or Unnamed Use Classification
X Garage Attach-. Detached
Manufactured Home Special Use(Essential Public Facilities)**
Modular Boundary Line Adjustment
Commercial* Short Plat**
- Change of Use Binding Site Plan**
Address i Long Plat**
Road Approach Planned Rural Residential Development(PRRD)/Amendments"*
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)
Temporary Use Shoreline Management Variance
Wireless Telecommunication* Comprehensive Plan/UDC/Land Use District Map Amendment
Forest Practices Act/Release of Six-Year Moratorium Jefferson County Shoreline Master Program Amendment
"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:
/11/‘ilint7--- zit/ c-
�� -c.-�,�,j IGNATION OF AGENT
I hereby designate
J to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 'raillier /
Date: •� 4,-/ ��
MIMI
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 attomey'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 ter i, pections.Ac s and right of entry to this property shall be requested and shall occur only during regular business
hours. /
Signature: i-:L�;/. r
-� 1. '� • �/c- �— — /���'
Date: r G.��
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 II 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 i f tom liance with the erson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfefabf?sespd�sibii yip:
for erir and complying with the ESA. The Applicant has read this disci imer an signs and dates it below.
Signature. / t , u *� , /
- 6<< Date:
C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc
OWNER 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 Ho E IN TALLER:
A R- L rr ' c�t-iST a 4.., 14 �, P �E FAX:
MAILING ADDRESS:
1 \ A� `t �� � � ��
EMAIL:
CONTRACTORS LICENSE
NUMBER: WAINS
ARCHITECT/ENGINEER: N Y L. NUMBER �-- 4--
PHONE ( ) FAX: ( )
MAILING ADDRESS:
Project Type:% New
E Addition
Frame Type: Bathrooms:
Wood Existing: QJ Shoreline: Type of Sewage Disposal:
C: Sewer
J Steel Proposed: B- k
c Alteration/Remodel Concrete Total: Community System
C Repair ❑ MasonryHei. t: Individual Syste
Demolition SEP Permit# C — j
Other: Bedrooms: Water Su
Existing: 4Se sac Supply:
Type of Heat: Proposed: 4I Private well =7 Two Party
y Public
C �� �, Total: ./ Name of System:c.=iT`i' eF=
If this is a Commercial Project you must answer the following:*
Number of Parking Spaces: Current: �� A1/4P1 —sr/ — ��I�'`�
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:
kir
I Underground Tank I Above ground Tank Size of Propane Tank: e-t Ac t--1)
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 / Now, t�- pp
When applying for a permit to install a propane tank you must also submit a site plan showing all of tifelbui/ in�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.
ISquare Footage For Office Use Only g 4i3EP;?6c s'Re V
Current Proposed I Amount
Main Floor Amount
Consistency Review:
2""Floor ' 55-a)
Base fee:
34 3`°Floor Additional Section: - O5
Mezzanine:
Plan Check fee:
Heated Basement OD-1, Ci
State Surcharge fee:
Unheated Basement
Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport ' 2 5�^'(nG
S 76 fi 1�, 3 " --7 TOTAL: $ I q ., l-
Decks
Receipt Number: SC'JU Other Cash/Check Number: ] (; -1
ESTIMATED COST(REQUIREQ)_-----__ __ 3"t c�
Date:
.Fair market value of all labo a materials foundation to fihish O\
Z Z orInitials:
C:\Documents and Settings\mochil\Desktop\:Master Permit Application 7-8-04.doc
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JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
., . 621 Sheridan Street • Port Townsend • Washington 98368 ,
( O 360/379-4450 • 360/379-4451 Fax �EFF N�� �� ��
Nd` http://www.co.jefferson.wa.us/commdevelopment/ `j.fs� .tk
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# �AQ " Q Vb PROJECT/APPLICANT NAME: JG r---' g7Z/ =y , 4, 44??. /f(-6je5j'j
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 �! `-� �� `J��Z 5��'/2s4 '�" 7�=s2
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: t*t „SITE PLAN
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stormwater site plan template—rev.10/1/2003 SIGNATURE: --5-
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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.]
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11. Describe the performance goals and standards applicable to the project. /
12. Describe the '• of system.
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13. Describe 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.
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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.
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20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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. 4414!rfi
stormwater site plan template—rev.10/1/2003
7
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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 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.
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2. Establish Construction Access. 1
3. Control Flow Rates. �y
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4. Install Sediment Controls.
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5. Stabilize Soils.
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6. Protect Slopes. /( p
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stormwater site plan template—rev.10/1/2003
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IRECEIVET)
12 Required Elements-Construction SWPPP(continued) W - -
8. Stabilize Channels and Outlets.
9. Control Pollutants.
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10. Control De-Watering(the act of ppumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices (BMPs).
12. Manage the Project. 41-
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 environment- �G .itive areas that are on or adjacent to the site. t
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stormwater site plan template-rev.10/1/2003
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b. Description of special requirements for working in or near environmentally sensitive areas.
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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)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
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.
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financialfsecurities.
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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.
a. Sediment Pond A-7 NO/M Ai% U
b. Divert
c. Wate s: /I
d. Runoff/Stormwater Detention Calculations //
stormwater site plan template—rev.1 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 my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
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(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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stormwater site plan template—rev.10/1/2003
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