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Home My WebLink AboutBLD2007-00318 4116ILDING PERMIT APPLICA N MRA07-00333eview Type: � Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00318 Received Date: 6/14/2007 SITE ADDRESS: 170 BLACK BEAR RD PORT TOWNSEND, 98368 OWNER: BARBARA A SMITH PHONE: (360) 301-6309 PO BOX 381 PORT TOWNSEND WA 98368-0381 SUBDIVISION: Block: Lot: TX75� PARCEL NUMBER: 001321030 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: APEX CONSTRUCTION PHONE: (360)379-9636 PO BOX 807 PORT HADLOCK WA 98339 Contractor's License APEXCCI941D9 Expires 3/29/2008 REPRESENTATIVE: APEX CONSTRUCTION PHONE: (360) 732-4347 PO BOX 807 (360) 732-4375 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOI' NEW POLE BUILDING/GARAGE UNHEATED-NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,500.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: loh51 ''-7 --- Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $401.35 KAS 06/14/07 91312 AIDPROVED Plan Check $260.88 KAS 06/14/07 91312 State Building Code $4.50 KAS 06/14/07 91312 JUL�o 2007 Total: $666.73 Jefferson County Planning & Building Department Jefferson County Building Dision Permit Nur, BLD07-00318 Applicant: SMITH 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 Post Holes 10 OK, Foundation Footing Framing Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00318 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.) The application was reviewed by the Jefferson County Department of Community Development staff on July 19,2007 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: seismic; airport noise overlay II. 3.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 4.) The airport Overlay II includes areas that lie beneath the FAA mandated traffic pattern for aircraft ascending or descending from the JCIA. As such, this area is subject to routine aircraft over-flights. It is acknowledged that areas lying outside the delineated Airport Overlay II zone may also be subject to aircraft over-flights. 5.) The applicant is proposing to create or add 864 square feet of impervious surface and 864 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. 6.) 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. 7.) 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). 8.) The site plan as submitted with the building permit application on June 14, 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 July 19, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for an unheated, unplumbed pole building/garage 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. 10.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) The building height is not to exceed 35 feet. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) Exterior lighting for residential uhall not exceed twenty feet (20') in heighillrn the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 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.) Minimum setback from Black Bear Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 18.) An address of 170 Black Bear Road, Port Townsend has been assigned to the parcel. Black Bear Road is private (P17). 19.) A septic permit(SEP05-0155) was finaled on August 15, 2006. A septic permit (SEP07-0132)was approved on May 31, 2007. A building permit for a manufactured home (BLD07-0217) was approved on June 14, 2007. A building permit(BLD05-0468) for a manufactured home ADU was finaled on October 24, 2006. 20.) Potable water is provided to the parcel by the PUD #1. • r4Al . „V.'S- 11 coo: JeFFERSOl'�JUNT ' - ' � ,a DEPARTMENT OF COMMUNITY DEVELOPMENT �� r `� 621 Sheridan Street • Port Townsend •Washington 98368 � �" 360/379-4450 • 360/379-4451 Fax v t t7 +e' zt?N 0� www.co.jefferson.wa.us/commdev�Lallf14( �f !;1 ��' V, I Master Permit Application JUG . 4 2 ? MLA: O '-J-- 33 / Project Description(include separate sheets as necessary): Poke 8, ,Ichicq-- oR 1_,g . ,2ciffraiali. �1�IYill,Il Tax Parcel p , Number: C/302 /C 3 0 Size: (acres/square feet) Site Address and/or Directions to Property: /170 .6LAC --. j? �N VaA0 — Qc T VwruSFivn 'l-4 gE3 &R 1 Property Owner(s)of Record: 814 i 13 0 l: li, S ti l't I Ill Telephone: .?&G - 3G/- &3 0 G Fax: email: Mailing Address: Pc' bn X -3 / Po RT-To w tioe Iv O W N-9k 3 E k Applicant/Agent(if different from owner): //p X ( vU s/,ettf/i c,Z N G Telephone: 3b e-73c: - 9. 7 y Fax: 3" ( -7_302 -4/ 7_5- email: /i/'e'X@//'C a it S,I2. T Mailing Address: f) .(3c A' C 7 Pc err H i4 O Loc.- l K 1,04- 4,5 3 3 j What kind of Permit? (Check each box that applies `'uilding 0 Variance (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family ctleaarage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification #i, Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address , ,Road Approach ❑ Binding Site Plan** El Home Business 0 Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** El Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance El Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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: nn , DESIGNATION OF AGENT I hereby designate T7/44(G0*1f — to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ?,."4 --<-f ( J Date: 3-- 3 --.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 application ntthat e o she wants prior notice. // t nature: G Z L- �- 6 ' C/JC G C ` Date: 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 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 responsibilityL for � -G adhering to and complyingwith the ESA. The Applicant has read this disclaimer and signs and dates it below. ��Signature: C `— Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc .. ._.�.r..,. � . 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: GEN CONTRACTOR OR MANUFACTU ED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: P0 .0 c X o red:1 I-1 t\IJ l..oc\C_ EMAIL: .PE X n;C I'LGI S .- (t'CV CONTRACTORS LICENSE WAINS NUMBER: ;i P£'X CC.1-LI 41-1 .0 1 NUMBER ARCHITECT/ENGINEER: ��'2j PHONE ( 66) N. 41.yc,FAX: (3t.G')JE 5C'-'/� l hi l � MAILING ADDRESS: 1) 0 boxy 76 0 — nidee/lif= WA rig;s ,E' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: '. New X Wood Existing: / ❑ Sewer ❑ Addition ❑ Steel Proposed: / Bank [ Community System ❑ Alteration/Remodel ❑ Concrete Total: / Height/ ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 0 7- 0 Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: ft)r.rti Proposed: X Public Total: / Name of System: If this is a Commercial Project you must answer the following: --- Number 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 cow rfiction: Will you have Food Servica? 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 ylloodstove i Fireplace Insert i Hot Water Tank 1 Pellet Stove i Other Is this appliance being "tailed 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 locatiorYand 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,Qlaly: ,,,.,,,4„a,.,;,;,,, Amount Revision Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: Other Heated IR NElilli-- wit-,,Tr i t Base fee: /` -35 Mezzanine Additional Section: Heated Basement JU N 14 2307 Plan Check fee: .� Unheated Basement i+j� State Surcharge fee: Other Unheated It1Tf!'r Ifk i,(I!IF '�i Pot Water Review fee: — Garage/Carport SUBTOTAL Erl . 1:5 Decks 911/Rd A7proach fee: (] Kt.s-- r -- Other , j-E u1,tr1dlrV .41:k 13q/c 14C TOTAL: $ SY-1.--L- Receipt Number: 9,\ \ Cash/Check Number: ESTIMATED COST(REQUIRED) Date: ` •Fair market value of all labor and materials dation-t nr i i t 4 v t' 1 -S5 fin, Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc T....4....1. �{ ......" 1.."-te Z er. 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