HomeMy WebLinkAboutBLD2007-00070 !UILDING PERMIT APPLICA � MLA07-00086
"'N Review Type:
Jefferson County Department of Community Development I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00070 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:
PARCEL NUMBER: 902264043 Section: 26 Township: 29 N Range: 02 Wt: T 64
CONTRACTOR: HILINE HOMES
94 KALA SQUARE PLACE PHONE: (360) 379-8600
PORT TOWNSEND WA 98368
Contractor's License HILINH"981 BT Expires 2/10/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 165,213.00 MAIN: 1,716
CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE
HEAT BASE: HEAT TYPE:
OCCUPANCY: R_3
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 484 SHORELINE:
DECK: 36 SETBACK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
011a0lorl
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,363.35 LYK 02/23/07 89441
Plan Check $886.18 LYK 02/23/07 89441 APPRJ\/Er
State Building Code $4.50 LYK 02/23/07 89441
Potable Water Application $58.00 LYK 02/23/07 89441 JUN 2007
Total: $2,312.03 Jefferson County Plannint
& Building Departmen+
Jefferson County Building D1Tision Permit Number: BLD07-00070
Applicant: FRENCH
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
Setbacks (-
Erosion Control /.
Foundation Footing �
e'tiCt U iluni t?,f
Footing Drains / -tom
i—ER_ booTzQ 'tMlf;l d1J1Avk
Foundation Stem Wall 7 ) ?
Under Floor Framing jire./.#
7�B/�
Straps(hold downs)
Ext. Shear Wall Nailing p�
jg2/4
7 O,y' $oac EoLA hk ID/7747
Rough-in Plumbing
OK Pkt2 6F13 MOTES 10//z/C7
Framing iZ-16-01 rn,IV.SC.. krv— C/AA/h-cXLd.'n
Blocking
Airseal ///.5/tg 40
4
Insulation:Walls 12-16 in
Insulation: Floors
z/►4l0s fit-
Insulation: Ceiling ,Z_I0-6-] YVO►ftic `�U ('�L-� Up .i*4 p.•tw ok 2/14/08'A1/
Int. Shear Wall Nailing 11117/07 ORYWPlac
Wallboard Nailing i2-/n/0 ,Q al-
Gas Line: Interior ! / vo
is/A
Gas Line: Exterior
IJ/A
Propane Tank �lAa
Heat/Chimney Clearance iVA
Drywell/Alt Drainage
//'Litri-ME -id PArL/Corr
Address Posted Z//4/0$'
irk
FINAL INSPECTION Z/l4/t t � ' -ror C/z, 2//4/408,
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
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 constructiora new Single Family Residence permit on . 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.
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).
• 0
(-416WING °
�N co�� JEFFERSON COUNTYi ��,N �� `� 'A f DEPARTMENT OF COMMUNITY DEVELOPMENT
rlik
' `'4 621 Sheridan Street• Port Townsend •Washington 98368 �*�y 360/379-4450 . 360/379-4451 Fax !`EB 2 i
jeffersonwaus/ mmdevelopment
Master Permit Application Sill, '",�� 1 I
4?
Project Description(include separate sheets as necessary):
a
j1st�' I`e.%5fTr,,eii'C,rti ... `. 5 in5ie, 'tct-m„ /c' CPS.t/F.ncr�, ".
Tax Parcel Property
Number: 9 0i — a 4,i/_ 0/43 Size: d• 8'i 1- Acres (acres/square feet)
Site Address and/or Directions to Property: /y5 i W. C(n[A,$ Rd. AEI- re&i,,ri 5endi Lc IA g136if
Property Owner(s)of Record: /),D nieii4 JEAN F2F./ICH
Telephone: (3( O) 3"1'5—9(73 Fax: email:
Mailing Address: P. O. aox a37, Ci,:,rNaCi.tr1, 1.0/} 92.3„Z,.S
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
J$Building ❑Variance(Minor, Major or Reasonable Economic Use)
['Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
jgi Single Family °Discretionary"D"or Unnamed Use Classification
$Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑Manufactured Home °Boundary Line Adjustment
El Modular °Short Plat*"
❑Commercial* °Binding Site Plan**
Q Change of Use in Long Plat**
Q Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
e ropane ❑Plat Vacation/Alteration**
❑'Allowed"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
❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless 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:
DESIGNATION OF AGENT
I hereby designate V. M.ckat I "Arneson to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE -i J€4.4t.
- t t t&& Date: a- 2. -07
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 ap lion that he or sh wants prior no' e. ^^
Signature: Date: -- ; •"10 i
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 responsibility r adhering to nd comply ng with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: `( er-07l.a
Date: aZ— 2.•-07
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
0 •
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:
N, — L 1 A PfOrmee/8 (34,c) 3 jy— /79r ( )
MAILING ADDRESS: •
9a /l��ei/Lt S5. niA re_ f / ,/Ot sa MAIL:
CONTRACTOR'S LICENSE '*3'i WAINS
NUMBER: H1 L Z 'NH f g 1 z T NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New sg&Wood Existing: AA 0 Sewer
Addition 0 Steel Proposed: a9- Bank El Community System
❑ Alteration/Remodel El Concrete Total: a Height: 0 Individual System
❑ Repair 0 Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: jg Private well ❑Two Party
Type of Heat: Proposed: — ❑Public
I ci[:-i-r,i e-- Total: 3 Name of System:
❑ i
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:
L`]Underground Tank 0 Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove p 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 ForOffice Use Only ,. ount evisson
Main Floor Heated /7, ` 1575,irb.CS EH Bid App Review.
2"tl Floor Heated /c_ Consistency Review. 1 n'et)
Other Heated / Base fee:
I 3L93,35_
Mezzanine / Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 4.
Other Unheated Pot Water Review fee: n2 07
Garage/Carport H Pi
I ( 31- SUBTOTAL c s D3
Decks : .52 911/Rd Approach fee: L I-7
Other TOTAL: $ 5(3$
IA
' Receipt Number: `)-il�I/l 1
.J tp2 13DCash/Check Number:
ESTIMATED COST,MEOWED) erS 200." Date: r 7
.Fair market value of all labor and materials o dation to finish r`) - 1 1
Initials:
D:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
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