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HomeMy WebLinkAboutBLD2006-00717 itILDING PERMIT APPLICATi'UN ML Review Ty 678 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00717 Received Date: 12/22/2006 SITE ADDRESS: 304 GIFFORD HILL DR CHIMACUM, 98325 OWNER: SHEILA J GIFFORD PHONE: 360-732-4052 PO BOX 304 CHIMACUM WA 983250304 SUBDIVISION: Block: Lot: T78+ PARCEL NUMBER: 901104024 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: B W CONSTRUCTION PHONE: 360-876-0642 PO BOX 463 WAUNA WA 98395 Contractor's License BWCON**142NA Expires 10/31/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ GARAGE ATT BY BREEZEWAY & A/G 325 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,251 VALUATION 285,000.00 ADD'L: 544 HEAT TYPE: OIL CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 616 SETBACK: DECK: 1,059 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: talaoiaD Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,029.75 LYK 12/22/06 87026 APPROVED Plan Check $1,319.34 LYK 12/22/06 87026 State Building Code $4.50 LYK 12/22/06 87026 'FEB II 2007 Potable Water Application $55.00 LYK 12/22/06 87026 Total: $3,408.59 Jefferson County Planning &Building Department Jefferson County Building Daion Permit Null: BLD06-00717, Applicant: GIFFORD BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks1.`/3/7 (1 Erosion Control 44/157 C eecR 5* P 9?-li Bootle)DrK W8? frieb- e'k //D7Foundation Footing `1 S ^ b CGLErgN zsgwe _Ref) Footing Drains � ;/ Foundation Stem Wall 11/4jD7 # by I /M crAu. (4) xJ 3e7.s Pit PiAO(Paor- Underground Plumbing iVA Under Floor Framing 5/15/6061// Straps(hold downs) 5/15/6B igiK Ext. Shear Wall Nailing e/f5M grRough-in Plumbing _/&- -t Framing t0 '(6_ 0.7 (C_. %.C c'rr-e ,a) Blocking . Airseal a C—j(, - ( 7 Insulation:Walls -« �7 ( Insulation: Floors ,,g,,/oF f Insulation: Ceiling !U -j(✓-t 7 ___ Int. Shear Wall Nailing IJ A Wallboard Nailing / /efr7 ram`_. ell' • Gas Line: Interior / '3 07 - to111� Il-1-c7 Gas Line: Exterior /©-YO'cr7 71 J# .Tv Coke—Air" Propane Tank /0/ 3°k Heat/Chimney Clearance 5y,''r a��.G • ,Ace 18�-It. I f --- ¢GPALSrr- Drywell/Alt Drainage rVi Z/045, gi-. Address Posted ./1. �,'' # . FINAL INSPECTION r/4V&4 I✓ P f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD06-00717 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 27, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Special Aquifer Recharge Protection Area and Susceptible Aquifer Recharge Area. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2) All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4) All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) Development Review staff conducted a site visit of the subject parcel and determined the slope to be generally slightly sloping with a steeper slope located on the adjacent parcel to the east. 7.) 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. 8.) The applicant is proposing to create or add 1867 square feet of impervious surface and 1987 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 9.) 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. 10.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 11.) The site plan as submitted with the building permit application on December 22, 2006 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 13, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family residence with garage attached by breezeway only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. ,4, 5o 0o�k_i JEFFERSOI'�!OUNTY 0 w `q� j DEPARTMENT OF COMMUNITY DEVELOPMENT ~' y o 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax "�S' Gip www.co.jefferson.wa.us/commdevelopment N Master Permit Application MLA: (A.p-4p Project Descri tion incl de sep ate heets as n essary): i 4 6. , Tax Parcel 9 //�C t Property --� _— Number: (Q 2 Size: /, 6/ acr quare feet) Site Address and/or Directions to Pro erty: :30 L/ �r, - i�4 /'IM// !.)/�, ch,itta rte jz. /-0/71- 1 es` Property Owner(s)of Record: fir,/4. c�, Cli "4 Telephone: 3 73Z- �/G Z Fax:3 '-'73'?---?�f`� email:G; c�:1�5 ' t f'�'f%t1,Cc�z, Mailing Address: /.CS. &x 3o Si cl,',i tczcct,� ez/4j c?P5 '07— Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building i Variance(Minor, Major or Reasonable Economic Use) ��i�Demolition Permit i Conditional Use[C(a),C(d),or C]** kt Ingle Fami i Discretionary"D"or Unnamed Use Classification i-113arage ttache Detached i Special Use(Essential Public Facilities)** I Manufactured Home i Boundary Line Adjustment i Modular i Short Plat** I Commercial* i Binding Site Plan** i Change of Use i Long Plat** dress i Road Approach I Planned Rural Residential Development(PRRD)/Amendments** t Propane i Plat Vacation/Alteration** I Allowed"Yes"Use Consistency Analysis I Shoreline Master Program Exemption/Permit Revisions** i Stormwater Management I Shoreline Management Substantial Development** I Site Plan Approval Advance Determination(SPAAD)* I Shoreline Management Variance i Temporary Use i Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment I 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 /� *`C CT��Ct to act as my agent in matters relating to this application for permit(s). lirOWNER SIGNATURE ' 4-- A 1 i A Le Date: l 2/t'4I IIJ fi 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 req d later inspections. Stars access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica' n t t hd r she6tLstpri7 /�` Date: /2l q/ Y' 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 yo re in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer spo J ibility for ering to and complying with the ESA. The Applicant has read this disclaims and s' n/and dates it below. � Signature: 1 t (�/� A 4— - Date: l2-<i_//o_ G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc 4 BUILDER STATEMENT 11111 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: 610 Ce1 ke Eee.7) '.Fc3/_70 96 C 13) --o C Y MAILING ADDRESS: P(P. /3ev, 963 Z.t4,4„ifl ,,,l J 3e/S- EMAIL: jC _?'s. /bf �."`'(A. .i/. c:(Q4-j CONTRACTOR'S LICENSE WAINS NUMBER: ,/3[�.4(:cit,/y 2 2)4 NUMBER ARCHITECT/ENGINEER: J,.�J�r /0,,,:‘,u /,7 PHONE�tS3)�,23?. FAX:_( 53) .3 fr_(3 MAILING ADDRESS: 1J. . .sex a/2 3 . --,e' v/J iirss.oey,`EW cidw EMAIL c�W �yCJ'i C6 cc,i,,'aria__,1L Project Type: Frame Type: 1 Bathrooms: Shoreline: Type of Sewage Disposal: X. New $ Wood Existing: LI Sewer ❑ Addition 0 Steel Proposed: 2 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Z. Height: , Individual System ❑ Repair ❑ Masonry, SEP Permit# ❑ Demolition g Other: Cet;" Bedrooms: Water Supply: Existing: Setback: ❑ Private well ) Two Party Type of Heat: Proposed: 2. ❑ Public CIyC, Total: Z Name of System: 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 Pro ane Tank a /or A liance Installation ermit mark all items below that apply: i Underground Ta t ove grou nk Size of Propane Tank: 3ZS— I Heat Stove I Cook Stove - oodstove I Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes /ci 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 a 5-7 1(2.127. 13 EH Bid App Review: (Co 2f0 Floor Heated LJ—. g 4 '75�s,2 Consistency Review: I q� Other Heated J Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: 13ICi, `� Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: t O,co Garage/Carport 06 t 4St . la, SUBTOTAL ' �/ Decks `� 0.L 911/Rd Approach fee: 3tC.��1 Other TOTAL: $wool . -,01 Receipt Number: '5 f7OZ/ Cash/Check Number: !1��\ �f l� -30 ESTIMATED COST(REQUIRED) r: Date: I�' �`, •Fair market value of all labor and mated ndation t 1 )(}lU cam Initials: - G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc \\ 9� 0,0 m / 7_, / w// A /Yiil / / wo�/V /o 00 o �Qw �a 0 4./.2 . . k, 041 Ua REAR //// //// • \2•• atn N ELEV. / / / / L_ EEV/ / / 0WI. 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III, rowA mu m g ? < Z 0 '^ z m - m m 0 CHIMACUM, WA 98325 6E' NsLL BB96 N x PARCEK# 901104024 ` z n z z o DESIGNING WITH LOGS \ 1n z z m r ly u r �n cf tax, Ir ,x, vV C11 civ 41. ti z41 eL fa) "1A `A' ro co Nir • 407'-4" 264'-0" i 381'-2" i ��^� 611.340' nV/ 501.51.40W �`- r � 70 -� rn T'7 co E o V O r co w � N _ O w w Z � N 1 50'-0 '� \?35' 250'=0" 4,68.390' O� N 01.56.20E -h N O O t.)3 p C70 CJN m 115.5 6 0' o cW H I CJ-)n m CD 5 OI.51.42W b�zrn co N Cnc - O � z s tN '"' Own mw oo � O W'k,, �W o ° z-�p — r 1- 426.590' "' n M00 S 01.51..42 W m = =curn > cum u, i 70mn - N0E _n E_n—I 7(Jtm-�71:1 0YFLODGE PROJECT: . X9 WG'$