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HomeMy WebLinkAboutBLD2006-00731 !UILDING PERMIT APPLICA1N MRL viewTy 690 ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00731 Received Date: 12/28/2006 SITE ADDRESS: 300103 HWY 101 BRINNON, 98320 OWNER: DONITA COOK PHONE: (360) 796-4649 299985 US HIGHWAY 101 BRINNON WA 98320-9781 SUBDIVISION: Block: Lot: TX 1+ PARCEL NUMBER: 602031001 Section: 3 Township: 26 N Range: 02 W CONTRACTOR: MITCHELL CONSTRUCTION PHONE: (360)796-2060 4246 DUCKABUSH RD BRINNON WA 98320 Contractor's License MITCHC*1010E Expires 4/9/2007 REPRESENTATIVE: MITCHELL CONSTRUCTION PHONE: (360) 796-2060 R MITCHELL 4246 DUCKABUSH RD PROJECT DESCRIPTIOr DEMOLITION OF EXISTING SHED TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: IddDS10(66---)L Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $51.00 KAS 12/28/06 87107 L-J I __� ; ( _l / I r State Building Code $4.50 KAS 12/28/06 87107 ` � Total: $55.50 JAN c 3 7 ON �" ` ���5 �oG JEFFERS r COUNTY �,c( v It- V ' -I )) (W S;� j DEPARTMENT OF COMMUNITY DEVELOPMENT -' - 'c ' 621 Sheridan Street• Port Townsend • Washington 98368 r . 360/379-4450 • 360/379-4451 Fax DEC 2 8 20U6 gSxjNG�O www.co.jefferson.wa.us/commdevelopment Master Permit Application labosohookoo7) , %- Project Description(include separate sheets as necessary): Tax Parcel Property Number: (,j til, 1' _?/00/ Size: *I)AR _S� (acres/square feet) dc1/� Site Address and/or Directions to Property: ' i Property Owner(s)of Record: 17C44/17A Coc)4- Telephone: C,C' - ,>q'(, • /' Y? Fax: email: Mailing Address: _,fr/'7L Applicant/Agent(if different from owner): A /j/7r/7/&---/ Telephone: 3-6o' 9'6 - zOC,C' Fax: email:4vc,L'ddurh -{qya„ Mailing Address: �.<r'-t if I-1P K.i/6-7- W)tat kind of Permit?(Check each box that applies) Building i Variance(Minor, Major or Reasonable Economic Use) atiemolition Permit ❑Conditional Use[C(a),C(d),or C]** Ej Single Family °Discretionary"D"or Unnamed Use Classification Q Garage Attached/Detached ❑Special Use(Essential Public Facilities)** Q Manufactured Home ❑Boundary Line Adjustment ❑Modular ❑Short Plat** Q Commercial* ❑Binding Site Plan** Q Change of Use ❑Long Plat** Q Address 1 Road Approach °Planned Rural Residential Development(PRRD)/Amendments** °Propane El Plat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** DSite Plan Approval Advance Determination(SPAAD)* °Shoreline Management Variance OTemporary 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: p DESIGNATION OF AGENT I hereby designate /�.f'/l Td-41W7/ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ;r -1 `y. �.. (L, r, ;% Date: / -. 1 jc t;/C 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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatior�rtI a 1 vy nts prior notice. Signature: aj Date: /2 _24- ,e 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-transferablpfesponss(bi' oadhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: C / „ Date: /.• Z. -66 D:\PermitCenter\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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: j j 7G k'(l i t (fri/5 (An 20( - ei(o ( ) MAILING ADDRESS: 4/2 rf` `�.r` l�_‘.'J/4 PI' EMAIL: CONTRACTOR'S LICENSE / ` 1 WAINS NUMBER: PO i 7 11 rf ICI cc' NUMBER ARCHITECT/ENGINEER: �„`���/S `��� PHONE ( ?�g%y, ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New EriVood Existing: __ ❑Sewer ❑ Addition 0 Steel Proposed: Bank ❑r-�Community System Iteration/Remodel El Concrete Total: Height:• E-I Individual System / ....c�Repair 0 Masonry N�it SEP Permit# IA ly uemolition 0 Other Bedrooms: �/� Water Supply: PP Y: Existing: Setback: 0 Private well Q Two Party Type of Heat: Proposed: 2/ Total: ❑Public ZZO 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 Propane Tank and/or Appliance Installation permit, mark all items below that apply: °Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I 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: NO A,1 '. --))(-4 ) 2nd Floor Heated Consistency Review: Other Heated Base fee: 51. �C), Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 4. 50 _ Other Unheated :,cr/{. , Pot Water Review fee: Garage/Carport I WTI) SUBTOTAL Decks R '0'4C F. \V�'1�/ 1 ,Y 55.30 911/Rd Approach fee:Other n 1�t 3+1 na 1,F C 2 a 2006 TOTAL: $ 5. 5� Receipt Number: 5-1 ►�--'1t • � 1L( � U��Y U�N�Y �Ut' Cash/Check Number: 3 '457 ESTIMATED COST(REQUIRED)([ J Y 'V �Jllt' Date: ! I�,/ .Fair market value of all labor and materials foundation to finish t r�i3C�O(tJ�o Initials: I6D D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc Jefferson County Building Div on Permit Num• BLD06-00731 Applicant: COOK 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 Miscellaneous FINAL INSPECTION �1U7 — FINAL I SPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD06-00731 1.) The application was reviewed by the Jefferson County Department of Community Development staff on January 05, 2007for 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, the following ESAs were confirmed to be present on the subject property: Two (2) Type 5 Streams, Spotted Owl Habitat. 2.) Two Type 5 Streams (Fish and Wildlife Habitat Area) have been identified on the subject property. The stream will require a setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 3.) Stream buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 4.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Sala! (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 5.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 6.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 7.) This proposal was not sent to WDFW for comments as proposed project area has been developed for many years and no trees are proposed to be removed as a part of this. This proposal is to demolish an existing storage building and reconstruct a storage building within the same footprint. 8.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed storage building. 9.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed storage building. 10.) 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. 11.) The applicant is proposing to create or add no additional impervious surface and 2,250 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. 12.) The project shall comply with Connction Stormwater Pollution Prevention (S.) 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. 13.) 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). 14.) The site plan as submitted on December 28, 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 January 5, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for the demolition and rebuilding of an unheated storage building with no plumbing within the same footprint 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. 16.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) 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. 19.) Setback from Mount Walker Rd. right-of-way is no less than 20 ft., setback from Hwy. 101 right-of-way is no less than 50 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 20.) 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. 21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 22.) The building height is not to exceed 35 feet. 23.) This is a legal conforming parcel designated as Rural Residential 1:20 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 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T T •• W ,i f �� - . . %C. �7 Q G-4 ' C. 0 St Ti Coe _ y` t`i �� �c 3O� f -r o -c C''� C7 o v :: © q �- a i1 A�. / 1. / . ,- -.frLiali��1_ Cc.w_SJ,Pilc%/Oa/ _ S/iE,de.,41-� �Y�t/�i/ � P% ,r�aMiT.9cc /� / ,5'2 Y-� ieltLc 49psh AD 30/03 2.-9 " vs y v /a/ ii/e/A4''6v . c =r ?8.3,zc>- '.P/rr�rUa �9 9h-?-� �Go -256 -Ao60 3.60-7qb-_y6yg -Q.�'.jrw,v• ,d1- iP, /yI/ :/ fl s -c . , 4«_YH j1.3.6tYy_A-2.Gt/ f � _-_-__-_ _� Io2o-2/oa, 6a�aa2io�0 fiton-wiTLa.‘,‘ 28 (* N O V 2 2_2006_-- CONDITIONALLY APPROVED - 'GM CGEA�� 4/� Olympic Region Clean Air A times l VW I ROVED cl 2940-B Limited Lane NW FOR COMPLIANCE WITH '4 Olympia, WA 98502 ORCAA REGU TION 1 ORCAA (360) 586-1044 or 1-800-422- i91 Fax: (360) 491-6308 www.ORCAA.org Notification of Demolition Permit It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure. Project Site Address: 299985 HWY 101 County: Jefferson City: Brinnon State: Wa. Zip: 98320 Starting Date: N/A Completion Date: N/A *(There is a 10 working day advance notification period from receipt of permit application) Property Owner: Donita Cook Telephone: 36-796-4649 Fax: Mailing Address: Same City: State: Zip: Demolition Contractor: Mitchell Construction State License#: MITCHC1010E Mailing Address: 4246 Duckabush Rd. City: Brinnon State: Wa. Zip: 98320 Contact Person: Rob Mitchell Telephone: 360-796-2060 Fax: same YES NO X Demolition by Wrecking or Dismantling? ($25.00 fee) check# nonrefundable ✓ Training Fire Demolition? (If yes, attach fire department request for training fire) X Renovation, Alteration, Remodeling, Maintenance, or other Construction? ✓ Asbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos" form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional regttitements that may apply. Asbestos Survey Completed by AHI RA Certified Inspector Not Required Per Steve Rybolt: Air Quality Specialist Certification # This approved permit must Enclose$25 Certification of the Asbestos Survey must be available at the job site I ' Processing Fee accompany this form F:\COMMON\Forms\asbestos\DemoPermit.doC EC 2 8 Z006 Rev. 10/22/02 DATE /I '3 L.k ,IEfFMrti'III1 ';IIIINf' 11'1`