HomeMy WebLinkAboutBLD2007-00145 GILDING PERMIT APPLICASN MLLA0700168
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00145 Received Date: 4/3/2007
SITE ADDRESS: 72 DUTCH LN
QUILCENE, 98376
OWNER: JOHN A HOLLISTER PHONE: 360-874-9599
CINDY A HOLLISTER
11526 ALPINE DR SW
PORT ORCHARD WA 983677447 RIVER VALLEY VIEW LONG PLAT
SUBDIVISION: Block: Lot: 6
PARCEL NUMBER: 991700006 Section: 22 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: HENRY M SOUZA PHONE:
DESIGNS BY SOUZA INC
164 SWANSON
PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & U/G 250 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,017
VALUATION 303,175.00 ADD'L: 879 HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: 454 SETBACK:
DECK: 120 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 3
Total: 2 Tota).:Th3—.__._�
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,136.15 INT 04/03/07 89685 APPROVED
Plan Check $1,388.50 INT 04/03/07 89685
State Building Code $4.50 INT 04/03/07 89685 MAY 02007
Potable Water Application $58.00 INT 04/03/07 89685
Total: $3,587.15 Jefferson County Planning
& Building Department
• •
" ON cO� JEFFERSON COUNTY
W DEPARTMENT OF COMMUNITY DEVELOPMENT
`-D ".\n `. 621 Sheridan Street • Port Townsend • Washington 98368
Is,E?I '`fi' 360/379-4450 • 360/379-4451 Fax
� pti www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 01— 4 (A
Project Description(include separate sheets as necessary): ,i d i' tro tI, Urk;
.--r!'r t .,f `, . A ' ?! ' '4_.\ 5,1
Tax Parcel Property
Number: 9 \1 ��U C V Size: I ,.0 ,44 5� �c'�4S,L� (acres/square feet)
I
Site Address and/or Directions to Property:
Property Owner(s)of Record: 'Oc'H t•d AI"-I-= C. N C. I `l N.::-.)1..I- ' i 5 I.--. G'r,-k-i b cA c.k 1--A,r\E
Telephone: 1 G:X _ 7 1 - l 599 Fax: email: C"`(.0*•c v
Mailing Address \ > 21 c �'. 1, KI (- C 1r ) I *-C(--'"C' DcKC.t- (-\L`... . `` " t: -
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
Building ❑Variance(Minor, Major or Reasonable Economic Use)
0 Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
fit Single Family ['Garage tftached/Detached ❑Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular L ❑Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use C]Short Plat**
Address CI Road Approach ❑ Binding Site Plan**
Home Business ❑Cottagelndustry C] Long Plat**
Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign C] Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
}d.Stormwater Management C]Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* C]Shoreline Management Variance
❑Temporary Use C]Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* C]Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium C]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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 t vide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
iew and any qu ed later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time applic ti n that he okshe wants prior notice.
Signature: ( Date: 3 CJ'
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 Specie ' "or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
- mit has been iss -a ill not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
.. ion(s)even if yo . . in compliance with the Jeffer on County development code.The Applicant acknowledges that he,she or it holds individual
and n. ansferabl ••sponsibility for adh ring to complying with the ESA. The Applicant has read this disclai er nd si s nd dates it below.
Signature: a 7 V' j Date: 3/G,�
C:\Documents and Settings\caral\Local Settings\"Temporary Internet Files\OLKS6\Master Permit Application 12-19-2006.doc
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BUILDER STATEMENT PceAsALLN-eoltitr:C5irsilan‘d
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4 4The signer of this s tement does hereby certify that they are the Owners of the parcel referenced herein,that they are not 'th
they will be assun g the responsibility of tip General Contractor for the proposed project.
Date: '
Signature: 1,.-, } - ��`
APR 0' 3 20117
0117
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
(
MAILING ADDRESS: EMAIL) ( AMP1:1111N� 1 r i a
CONTRACTOR'S •
LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Prgject Type: Fr me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Li/New t Wood Existing: ~;_, Sewer
❑ Addition ❑ Steel Proposed: '`, Bank 0 Community System
O Alteration/Remodel ❑ Concrete Total: ., Height: jkIndividual System
O Repair ❑ Masonry SEP Permit#a.Q( '[>t:Z52..
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ;:-' �l-Public
''A�� 1-+A.. Total: ,). Name of System:R.11
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: 2.50
Heat Stove paCook Stove 0 Woodstove 0 Fireplace Insert 131-lot Water Tank 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /V
When applying for a permit to install a propane tank you must also submiite 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 t D1 CI j ,3`'71 EH Bid App Review:
LS
2"0 Floor Heated �Fy- ,V+ Consistency Review: cst;
Other Heated Base fee:
ala.i5
Mezzanine Additional Section:
Heated Basement Plan Check fee:
t 3$S.5°
Unheated Basement State Surcharge fee: c)
Other Unheated Pot Water Review fee: C12
Garage/Carport 14 c k) 1U110 21 SUBTOTAL 3S
Decks )2 age 911/Rd Approach fee: C)C�S-1
Other TOTAL: $ f5• I4
Receipt Number: a `(405S-
63 0'4,' Cash/Check Number: ,
ESTIMATED COST(REQUIREQL _- Date:
.Fair ma f value of all labor and materials foundation tQ finish Cl/, I t Initials: __ L
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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Jefferson County Building Divvon Permit Num. BLD07-00145
Applicant: HOLLISTER
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 /O &
Ocr
Foundation Footing
Footing Drains /gfe't
Foundation Stem Wall .:)-7 q
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing e _4 ..d fiu%
Rough-in Plumbing /0.,gf_0slleyaEg n
Framing /b t'{ D ,
i2 cc !2c�Dbw c;,taPo4 jri4, 1 ik r
Blocking /0/014 $Y Z.C.
Airseal
Insulation:Walls
iD�2t-g�
Insulation: Floors OC(
Insulation: Ceiling I0_Z-t—oS
Int. Shear Wall Nailing f 27 dk 0.58 ��W;gL�
Wallboard Nailing �/7 OB gPi
Gas Line: Interior N7/s&
Gas Line: Exterior N/A
Propane Tank N/R
Heat/Chimney Clearance N/e
Drywell/Alt Drainage /96
7,vy,!^
Address Posted ,cct e;)
T
FINAL INSPECTION 4-1-D l �'
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD07-00145
1.) PRIOR TO OCCUPANCY- FINAL APPROVAL OF SEPTIC SEP06-252 IS REQUIRED.
2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
3.) The application was reviewed by the Jefferson County Department of Community
Development staff on May 24, 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:
spotted owl; SUSC aquifer recharge area.
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 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.
7.) The applicant is proposing to create or add 1910 square feet of impervious surface and
4050 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.
8.) 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.
9.) 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).
10.) The site plan as submitted with the building permit application on April 3, 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 May 29, 2007 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
11.) This approval is for a single family residence with attached garage and 250 gallon
under-ground propane tank 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.
12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
13.) 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.
14.) Exterior lighting for residential us€all not exceed twenty feet (20') in height s the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
15.) 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.
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.) Minimum setback from Dutch Lane and Moon Valley Drive rights-of-ways shall be 20 feet.
Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum north, south side
pan-handle and east setbacks shall be 5 feet.
19.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
20.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
21.) An address of 72 Dutch Lane, Quilcene has been assigned to the parcel. Dutch Lane is a
county local access (C302209).
22.) The site is served by the River Valley View water system. Environmental Health verified
the system with DOE and review was approved on April 19, 2007.
23.) The southern end of of the subject parcel is greater than 870 feet to the 800 foot buffer
around the eagle nest and is not shoreline property. Therefore, the proposal was not sent
to WDFW for review.
24.) A septic permit (SEP06-0252) was approved on November 15, 2006.
25.) The lot was created through the River Valley View Long Plat on September 22, 1980
under AFN 267911; amended on March 18, 1988 under AFN 313428, and a final
amendement on November 14, 1989 under AFN 326085.
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