HomeMy WebLinkAboutBLD2006-00004 BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD07-00004 Received Date: 1/8/2007
SITE ADDRESS: 5162 FLAGLER RD Issue Date 5/3/2007
NORDLAND, 98358 Expiration Date 5/3/2008
OWNER: FREDRICKA FLORES PHONE: (360) 379-2513
5162 FLAGLER RD
NORDLAND WA 98368
SUBDIVISION: Block: Lot: T16+
PARCEL NUMBER: 921081011 Section: 8 Township: 29 N Range: 01 E
CONTRACTOR: MATEO CO PHONE: (360) 373-5004
SANTIAGO MATEO
2433 E PHINNEY BAY DR
BREMERTON WA 98312
Contractor's License MATE0**969DR Expires 3/19/2008
PROJECT DESCRIPTION: NEW DETACHED CARPORT
UNHEATED AND NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,342.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 456 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $153.25 KAS 01/08/07 87123
Exist: 0 Exist: 0 Plan Check $99.62 KAS 01/08/07 87123
Prop: 0 Prop: 0 State Building Code $4.50 KAS 01/08/07 87123
Total: 0 Total: 0 Total: $257.37
Directions to Site:
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 ATTATCHED
tUILDING PERMIT APPLICA N ML Ty OO8
Revv iew iew Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00004 Received Date: 1/8/2007
SITE ADDRESS: 5162 FLAGLER RD
NORDLAND, 98358
OWNER: FREDRICK A FLORES PHONE: (360) 379-2513
5162 FLAGLER RD
NORDLAND WA 98368
SUBDIVISION: Block: Lot: T16+
PARCEL NUMBER: 921081011 Section: 8 Township: 29 N Range: 01 E
CONTRACTOR: MATEO CO PHONE: (360) 373-5004
SANTIAGO MATEO
2433 E PHINNEY BAY DR
BREMERTON WA 98312
Contractor's License MATE0"*969DR Expires 3/19/2008
REPRESENTATIVE: SKIP MATEO PHONE: (360) 551-2274
2433 E PHINNEY BAY DR (360) 373-5004
BREMERTON WA 98312
PROJECT DESCRIPTION NEW DETACHED CARPORT
UNHEATED AND NO PLUMI3ING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,342.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: 456 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: I kl 611 1C
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $153.25 KAS 01/08/07 87123 APPR \IE1)
Plan Check $99.62 KAS 01/08/07 87123
State Building Code $4.50 KAS 01/08/07 87123
Total: $257.37 MAY 3 2(�^7
Jefferson County Plannip
&Building Denart,
Jefferson County Building Divton Permit Numb BLD07-00004
Applicant: FLORES
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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
Setbacks (Q--26_197
Post Holes
Framing elml 7 O�
FINAL INSPECTION 8/470
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
•
CONDITIONS for Building Permit# :BLD07-00004
1.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
2.) Applicant shall contact Jefferson County Code Compliance Officer Molly Pearson at
360.379.4458 to resolve COM06-00057.
3.) The application was reviewed by the Jefferson County Department of Community
Development staff on Jnauary 26, 2007 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:
Conservancy Shoreline Designation, Blue Heron Habitat Area, Susceptible Aquifer
Recharge Area, Special Aquifer Recharge Protection Area and Coastal Seawater
Intrusion Protection Zone (SIPZ).
4.) 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.
5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
6.) 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.
7.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
8.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
9.) 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.
10.) 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.
11.) VOLUNTARY MEASURES OF C•AL &AT RISK SIPZ: i
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.
12.) 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.
13.) 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.
14.) The applicant is proposing to create or add 456 square feet of impervious surface and 80
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.
15.) 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.
16.) 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).
17.) The site plan as submitted with the building permit application on January 8, 2007 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 29, 2007 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
18.) This approval is for a detached carport 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.
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
20.) Not more than 2 unlicensed vehicl hall be stored on any lot unless totally sued
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.
21.) Minimum setbcak from Flagler Rd right-of-way shall be 30 ft. Minimum side and rear
setbacks shall be 5 ft.
22.) 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.
23.) 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.
24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
25.) The building height is not to exceed 35 feet.
26.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
27.) Flagler Rd also known as SR 116 (S10116) is a majoy collector. The road approach is
existing, and an address of 5162 Flagler Rd has been assigned to the parcel.
28.) A septic permit (SEP06-00110)was approved on May 2, 2007 for a septic repair for
violation. A septic permit (SEP76-00187) was finalled on September 8, 1976 for a system
of 240 gallons per day.
r
��¢goN oo� JEFFERSO OUNTY � 1t LLA i��JI \ , �J
W q� DEPARTMENT OF COMMUNITY DEVELOPMENT
"' '" ' '< 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax ` ,`
44S �a.0 www.co.jefferson.wa.us/commdeveloprnent L 1
rN �C 1 , IY G1llUIV IfU�'U
Master Permit Application MLA: d1-
Project Description (include separate sheets as necessary):
. ,i, IA wz C.,,v cYx- .
Tax Parcel (- Property
Number: 1 :, I 0 J 0/ I Size: /ei `-. ..5 (acres/square feet)
Site Address and/or Directions to Property: -"jh;%. /t;>- zi.,, km' hc,-- 1J y etip.,
Property Owner(s)of Record: ,/ _;✓,.. 4 i—.s>..,L
Telephone: 34( -< 7 y--Zvi$ Fax: email: /-74./ l`'., 4,/-":7 U A ,i4. .(.
/
Mailing Address: --%E- �_ /2:411/:-t / -( ,) J1 -/)-c�/,2.,,.(1 u `,f-4/7, l ScE
Applicant/Agent(if different from oviner): $/ p fLk i-ec.,
Telephone: She b5t-127V3te-373-5c04-1 Fax: 316-3'13--Soo`/ email: Sk ',0,..�.-A.C--,tip t,te,./
Mailing Address: ").`f 3 "s 6, rt. rj,.,e V t'er,Y D!A 'a,-c.--.,-4,;., i w.1 , ' .x /j-
What kind of Permit?(Check each box that applies)
1 Building l Variance(Minor, Major or Reasonable Economic Use)
l Demolition Permit l Conditional Use[C(a), C(d),or C]**
l Single Family _ l Discretionary"D"or Unnamed Use Classification
`'1 Garage Attached/q-etacheSU — l Special Use(Essential Public Facilities)**
l Manufactured Home l Boundary Line Adjustment
l Modular l Short Plat**
i Commercial* l Binding Site Plan**
I Change of Use l Long Plat**
i Address l Road Approach l Planned Rural Residential Development(PRRD)/Amendments**
l Propane l Plat Vacation/Alteration**
I Allowed"Yes"Use Consistency Analysis l Shoreline Master Program Exemption/Permit Revisions**
i Stormwater Management l Shoreline Management Substantial Development**
I Site Plan Approval Advance Determination(SPAAD)* l Shoreline Management Variance
I Temporary Use l Comprehensive Plan/UDC/Land Use District Map Amendment
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
PI-ase-identify any other local, state or federal permits required for this proposal, if known: . ```�,
D SIGNATION OF AGENT
AI hereby designate /e, p G.' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE / / __�— —..Date: _._0 ��..ZL_ _.`"C7_� —
:' signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the besi o
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
1 expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
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 MI be assumed unless the applicant informs the County in writing at the
time of the application that he or she want prior notice.
Signature: Date:
ik-
-- action nrart' scant 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: �4s lz,"-7_ Date: di--C9.5 =-n l
/ 4-
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.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: a'rvl . Date:
GENERAL CMATOCO
RACTOR OR MANUFACTURED HOME INSTALLER: PHONE:7 FAX:
- SKIN itV�4-ti 1. 14j!r'�` ( G0) -g ?3 - S00Lf ( ) Sr}+R-tt'
MAILING ADDRESS: .2`(33 rz.Pi,ir,�C� reef Of., 3.c ,1-..r,PA EMAIL: Si�..;�.�.�:N:,r6�µelf . C. `�
CONTRACTOR'S LICENSE `i'd31). WAINS
NUMBER: it4 l4- I eO.4(1K%t+ D.2 NUMBER
ARCHITECT/ENGINEER: pL.,� 5, !'1 is PHONE (,2e ) 3 J j y�ova FAX:( )
MAILING ADDRESS: 5"t'''Off t�i4. EMAIL .,..---
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
. ` New ex' Wood Existing: Gu Li Sewer
❑ Addition ❑ Steel Proposed: e, Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 0 Height: Individual System
❑ Repair ❑ Masonry 1J/l3 �SEP Permit#
Bedrooms: Supply:
O Demolition ❑ Other: � Water Su
Existing: 4, Setback: Private well ❑ Two Party
Type of Heat: Proposed: 0 ,,v, LI Public
Nc r N-C.�: IV c4 Total: 't1 Name of System:
4this 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 rnnstnuction Will you have Food Service? Yes ; No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
I Underground Tank i Above ground Tank Size of Propane Tank:
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 / 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 Cr ,0 P ?:w ifigAffice Use Only Amount Revision
Main Floor Heated EH Bld App Review: / _8
2na Floor Heated Consistency Review: `
Other Heated 'SJ .0C)
Base fee: 1 C
J
Mezzanine AFRO/hi IMP ji '(j Additional Section: -----
Heated Basement Plan Check fee: "l `lV al
Unheated Basement State Surcharge fee:
Other Unheated ��
Pot Water Review fee:
Garage/Carport SUBTOTAL 1—� c��ti� r► J.(6 `
Decks --_ -1311/Rd Approach fee: `
Other E `4.SvR C
TOTAL: $ L- .�
Receipt Number: 1 ` ^�
Cash/Check Number: 1149
ESTIMATED COST(REQUIRED) Date: ����
'Fair market value of all labor and materials foundation to finish
Initials: (-41
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc
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