HomeMy WebLinkAboutBLD2007-00110 • •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD07-00110 Received Date 3/19/2007
SITE ADDRESS: 61 MADRONA VISTA PL Issue Date 4/10/2007
PORT LUDLOW, 98365
APPLICANT: RONALD GREENIDGE PHONE:
SUZANNAH ROBERTS
10222 111TH AVE NE
KIRKLAND WA 980335136 1
SUBDIVISION: MADRONA VISTA 1ST AD Block: Lot:
PARCEL NUMBER: 970300001 Section: 34 Township: 28N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, RONALD GREENIDGE PHONE:
if different: SUZANNAH ROBERTS
10222 111TH AVE NE
KIRKLAND WA 980335136
PROJECT DESCRIPTION: DEMO EXISTING METAL BLDG
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 4/10/2008.
REQUIRED INSPECTION:
FinalApproval: ek . . r. ...J 4/48fr
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
?UILDING PERMIT APPLICAT!N ML ReviewTy 140
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00110 Received Date: 3/19/2007
SITE ADDRESS: 61 MADRONA VISTA PL
PORT LUDLOW, 98365
OWNER: RONALD GREENIDGE PHONE:
SUZANNAH ROBERTS
10222 111TH AVE NE
KIRKLAND WA 980335136 MADRONA VISTA 1ST AD
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 970300001 Section: 34 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: ROCKY VENTIMIGLIA PHONE: 206-713-4446
4022 140TH AVE NE
BELLEVUE WA 98005
PROJECT DESCRIPTIOP DEMO EXISTING METAL BLDG
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP DEM MAIN: 0
VALUATION ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 2,400 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routin Date:
�� -
)al/Di
S
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $51.00 LYK 03/19/07 89538 APPROVED
Building Code $4.50 LYK 03/19/07 89538
Total: $55.50 APR 1( 2007
Jefferson County Planning
& Building Department
• •
SPECIAL CONDITIONS FOR CASE#BLD07-00110:
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on April 6, 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:
SARPA& SUSC aquifer recharge area; at-risk SIPZ.
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.) 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.
6.) The parcel is located within an At Risk 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.
An At Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a
history of chloride analyses between 100 mg/L and 200 mg/L (milligrams per liter).
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.) 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.
9.) The applicant is proposing to demolish a 1200 square feet metal building with the help of
the Fire District.
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.) 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.) The site plan as submitted with the building permit application on March 19, 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 April 6, 2007 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
13.) This approval is for demolition of a 1200 square foot metal building 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.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
17.) The building height is not to exceed 35 feet.
18.) Setbacks from Madrona Vista Place right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
19.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
20.) An address of 61 Madrona Vista Place, Port Ludlow has been assigned to the parcel.
Madrona Vista Place is county local access (C504209).
21.) The lot was created through the Madrona Vista First Addition Subdivision on October 7,
1963 under AFN 177207.
I:\F_BLD_Permit_Propane.rpt 10/29/19
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oti Olympic Region Clean Air Agency
`I 2940-B Limited Lane NW
in
-:, Olympia, WA 98502
�.; UCA,c� "/ (360) 586-1044 or 1-800-422-5623
�_, Fax (360) 491-6308
www.ORCAA.org
Notification ofDemolition 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 °RCAA. A written application for a
demolition shall include a certification that there is n known asbestos-containing material remaining in the area of the
structure.
Pro Site Address:
Ll iticiro..0 ei ` _ _County:-El�L1 City:.. b 4---Q�IJ -
_State Zip:
Starting
Date,
_Completion Date: ` /- )7
*(`there is a 10 workin6 day advance notification period from receipt of permit application)
Property Owner: ("NI_G t_e e 11 kCi�a Telephone: /826
?�5-�67 Fax:Address:_ Q�.2,o_ _ i// ��h 41/6
illy
City: /`C//i/ei-/ 11.1P
State:—'F/ Zip: d'4 _/
Demolition Contractor Jp/rfir
\f?2fr- G . C.riNe___Qpt-State License#:
Mailing Address: —
City: .. . ..
State: Zip:
Contact Person:.,52/14,J SQL, Telephone; 3e,p19-.'7/�".;c196a Fax
YES NO
7( Demolition by Wrecking or Dismantling? ($25,00 fee)check#/L/3nonrefundable
_Y.._ ^ Training Fire Demolition? (If yes, attach fire department request for training fire)
X Renovation, Alteration, Remodeling,Maintenance,or other Construction?
—... _,..IL Asbestos found or suspected*
*An ORC.'AA "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
requirements that may apply
Asbestos Survey Completed by
AHERA Certified Inspector - �� j r
Certification # fe , 0- Un�n i S'
vnil.,ere-
appro
T1tis ailabl we at the job site d permit must
he availabl Enclose$25
Processing Fee Certification of the Asbestos Survey must
accompany this form
,�( .•� 1 \,C' `�1
1''.\COMM(MFormslashcstoslnemol'crmit.dnc
Rev. 10/22/112
6 '
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/k�� o& •UNTYJEFFERSON �,_. : , ►, w x f I
'V DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368 ,..
360/379-4450 • 360/379-4451 Fax
kgSktIN0) www.co.jefferson.wa.us/commdevelopment
Master Permit Application0-7 Sl i � . f
MLA: -I
Projeg Description (include separate sheets as neces ry):
111C cX-1 `,`( I 1'2C/ .t k IC'll (.l ci
Tax Parcel Property
Number: 91 C 3 C;C C, I Size: i 2 G:L
J (acres/square feet)
Site Address an r Directions to Property:i ,-
�' 1 i -0iZCi1.; A Vt S �t
Property Owner(s)of Record: .(*�crt: (—e € t el' k!--
Telephone: '''rea, 12c, &3 • N rj L Fax: 3 email:
Mailing Address: I C 2 2 t I I _ A K,;
Applicant/Agent(if different from fowner): F .K.ti k.eAt t f,i 1 { i Ck /
Telephone: �c 1 -7 T 3 • 444 6 ax: G-. 9' !, /��
_ ! - / • email: -.1 k. 1.e 1 V#21 ize r:: •i,ei-
Mailing Address: 1Cd,. .— /y�,,'"f� A L! :Cx l - ' .r -It' ' ;-
What kind of Permit? (Check each box that applies
❑Building 0 Variance(Minor, Major or Reasonable Economic Use)
Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)**
0 Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑ Temporary 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 0 Tree Vegetaion Request
*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 c' V t,N.;-,vyr i IA to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE C Z.— �,Z Date: I:� 0`7
Bysigning this application form, � �J
9 9 pp 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 al: 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 t efferson County and its employees, representatives or agents for the sole purpose of application
review and any ire later inspections. Staffs a ss and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli on t at he or sh want prior not ,
Signature: 1, !H / / ,0
Date: /
The action or actions Applicant will undertake as a esult 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 viol to the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s) ar i mplia ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf ra e re p n ibility r adhering to and complying with the ESA. The Applicant has read this disclai er anq'signs and dates it below.
Signature: ! Date: '/ 2C.)7
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• BUILDER STATEMENT
The signer of this statement doespereby 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 Gen rat TTachr for the proposed project.
Signature: ( -- — Date: 3-- .//f ' C- 7
GENERAL CONTRACTOR OR MANUFACTURED 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:
LI New ❑ Wood Existing: ❑ Sewer
CI Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 11 Individual System
1 1 Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ 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 For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review: 5
Other Heated Base fee: 5 I
clt
Mezzanine Additional Section:
Heated Basement Plan Check fee: _-- .
Unheated Basement State Surcharge fee: a)
Other Unheated Pot Water Review fee: _—
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $ c9Og 51)
Receipt Number: ?—f—J3 )%
Cash/Check Number: , i3
ESTIMATED COST(REQUIRED) Date: ((]�0r1
•Fair market value of all labor and materials foundation to finish �i
Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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