HomeMy WebLinkAboutBLD2007-00069 • •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD07-00069 Received Date 2/23/2007
SITE ADDRESS: 1450 W UNCAS RD Issue Date 6/6/2007
PORT TOWNSEND, 98368
APPLICANT: DONNA J FRENCH PHONE: 360-301-0978
PO BOX 237
CHIMACUM WA 983250237
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 902264043 Section: 26 Township: 29N Ranqe: 02W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, DONNA J FRENCH PHONE: 360-301-0978
if different: PO BOX 237
CHIMACUM WA 983250237
PROJECT DESCRIPTION: DEMO EXISTING M/H
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 6/6/2008.
REQUIRED INSPECTION:
FinalApproval: '< - er 4.1 IL/r, O7
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
eUILDING PERMIT APPLICAlfON MR Review Type:
I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00069 Received Date: 2/23/2007
SITE ADDRESS: 1450 W UNCAS RD
PORT TOWNSEND, 98368
OWNER: DONNA J FRENCH PHONE: 360-301-0978
PO BOX 237
CHIMACUM WA 983250237
SUBDIVISION: Block: Lot: T 64
PARCEL NUMBER: 902264043 Section: 26 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP DEMO EXISTING M/H
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
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: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: APPROVErPermit $47.76 LYK 02/23/07 89440
Permit $3.24 LYK 02/23/07 89441 JUN (O 2007
State Building Code $4.50 LYK 02/23/07 89440
Total: $55.50 Jefferson County Piannin,
&Building Departmen,
• •
CONDITIONS for Building Permit# :BLD07-00070
1.) This is for universal DRD findings. Not for custom case type specific findings.
2.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 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: Type
2 Wetland; Type 5 Stream; Geohazard; Flood; Susceptible Aquifer Recharge Area.
3.) A Special Report was submitted in conjunction with the application to address the Type 2
Wetland.
4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
5.) A Type 5 Stream (Fish and Wildlife Habitat Area) has 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.
6.) 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.
7.) 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) Salal (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).
8.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
9.) 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 contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
10.) A permanent physical separation along the upland boundary of the wetland 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.
11.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed Single Family Residence.
12.) The site plan as submitted with the Demo/Building permit application on February 26,
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 June1, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
13.) This approval is for construction.new Single Family Residence permit onlyny 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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.
16.) 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.
17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
18.) The building height is not to exceed 35 feet.
19.) Building setback from W. Uncas Road is 20 feet. Side and rear building setbacks are 5
feet
20.) 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.
21.) 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.
22.) The applicant is proposing to create or add 2,200 square feet of impervious surface and
5,100 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5
of the Department of Ecology Stormwater Management Manual for Western Washington.
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
23.) A Medium Stormwater Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
24.) 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).
12/28/2006 13:10 FAX 360 49�g6 ORCAA • Z001
.��: rx ' PERMIT# L' ,
*FCT raN c APPROVED L n
D E C 2, S 2006 �`' CONDITIONALLY APPRO D
NOT APPROVED
-, . .._ ...%sumiii1110.117:octiorkerk
FOR COMPUANCE WITH
�,. , ORCAA GULATIDN 1
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: i W. t1NCAS Rh,,_C to _�dQ - -fEnl County:JEEPFR.5oA/
Starting Date:
State: W A Zip: 9S 6J
Completion Date:�_�n rr o X, Q,,,s p 7
*(There is a 10 workin day advance notification period from receipt of permit application)
Property Owner: Doi lA JEA, FREA/ef/ Telephone:
Mailing Address: — � t�3Go) �.3+`91a73 Fax:_
City: r h.;ria-c,.4.R,,r _ State: Lc)4 �'
_Zip: f rf36,1
Demolition Contractor: r2RY L SAY FXeA vAT/A/6 State License#: SEAR YRL g„2(IR
Mailing Address: Rd.
City: rf
State: fl dip: 936 Contact Person: err IL+,1d_s e4 _Tel hone;
�� � eP ;SS-/07ra Fax:
YES NO - V [�
�-- Demolition by Wrecking or Dismantling? ($25.00 fee)cheek# c' (OIR 1b L Ell1t 11
— Training Fire Demolition? (If yes,attach fire department request for training fire)
Renovation,Alteration,Remodeling,Maintenance,or other Construction? 3 2 3 2007
Asbestos found or suspected*
*An ORCAA"Notice of Intent to Remove or Encapsulate Asbestos"farm and appropriate
injectsi�volvin f0°must be submitted prim hr�is 17INi‘ Ii�'l,
removal work. Asbestos remount injects g 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
requirements that may apply.
Asbestos Survey Completed by
ARERA Certified Inspector -ci b (,<J G` -flee e
Certification#.A'07) i47- c/o 2---- /d 70 4 7' -
This approved permit must Enclose S2S
be available at the job site ICertifi
cation of the Asbestos Survey must
Processing Fee accompany this form
( 422-5623
2940)3 Limited Lane NW,Olympia,Washington 98502 ;
360-586-1044 " 800 " fax 360491-6308
Rcv.07/11/02 D
horn-page: w.o a erg et l: inf.earcaa
5 ATE AM - -11
�� ON C0G
JEFFERSON COUNTY
k ' DEPARTMENT OF COMMUNITY DEVELOPMENT FEB 2 3 2Of 7
g' ' '4 621 Sheridan Street• Port Townsend • Washington 98368
. - 360/379-4450• 360/379-4451 Fax
, Nep www.co.jefferson.wa.us/commdevelopmentif �� a"IIIN1l'l If
Master Permit Application MLA: Cm.r7 _ .
Project Description(include separate sheets as necessary):
DE1`1O EXIST-1 /_14 _— i
Tax Parcel Property 'I 4•
Number: 9 Da — a la y` Uy.3 Size: d. 8'/ * ,4 CreS (acres/square feet)
Site Address and/or Directions to Property: /ysO w, ( ncA 6 Rd. Per it 7-at1 M,Sen di WA 9I i(oR
Property Owner(s)of Record: l)o,y,ye4 JEAN F/2ENC/,'
Telephone: (3(. ) 385-9to7,j Fax: email:
Mailing Address: P.O. -66X R,3 7, c iN:Ai.cL.c,•t, e()A 9 83 s
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
](Building C]Variance(Minor,Major or Reasonable Economic Use)
Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
f Single Family °Discretionary"D"or Unnamed Use Classification
Garage Attached/Detached OSpecial Use(Essential Public Facilities)**
Q Manufactured Home °Boundary Line Adjustment
E l Modular °Short Plat**
Commercial °Binding Site Plan'*
El Change of Use °Long Plat**
Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
❑Propane °Plat Vacation/Alteration"
DAllowed"Yes"Use Consistency Analysis °Shoreline Master Program Exemption/Permit Revisions'*
OStormwater Management °Shoreline Management Substantial Development'*
OSite Plan Approval Advance Determination(SPAAD)* °Shoreline Management Variance
OTemporary Use °Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment
OForest 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 V IA.c h&e I fq,nae.Son to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE C et_ettet.rt. sc-- f4, j1.— Date: g-. Q2a— O7
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 later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap ' on that he ors wants prior no
Signature: Date: 2" .3.—0-7
The action or actions Applicant 'II 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-trans ble responsibility adherin`to nd compl 'ng with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: lCt Date: o`—c2o.—D_]
D:\PemritCenter\FORMS\DRD FORMS Waster 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: art �� ./�� Date: �",2.2_O7
GENERAL CONTRACTOR OR NUFACTURED 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: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
El Repair 0 Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 0 Public
Total: 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:
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 Current Proposed -E y 1 ci'j Q,�W.-,- .':-s', :;C`' , ;` A
Main Floor Heated *7 4{'i EH Bld App Review:
4': SF2
2"4 Floor Heated ,.A. ., - Consistency Review: , _
r#.r� Za t. I SI-2-
Other Heated '- Base fee:
Mezzanine 40 Additional Section:
Heated Basement 171 1-7 ,f Plan Check fee:
•
Unheated Basement �.g."„ State Surcharge fee:
1 , -6
_ .,....“.,,,,,...:.,:17
Other Unheated .tea-. v. Pot Water Review fee:
Garage/Carport , SUBTOTAL
r
Decks A-1 = 911/Rd Approach fee:
Other s TOTAL: $ 50
' . . Receipt NumbBc�
%"' _` Cash/Check Number.
LI, -- $. COI C)ct
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish :..2 1 )7
Initials: _ ,�-� �tv
�-` —
G:\PexmitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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