HomeMy WebLinkAboutBLD2007-00360 IJILDING PERMIT APPLICATIN MLA
07N00370
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00360 Received Date: 6/29/2007
SITE ADDRESS: 516 BLUE MOUNTAIN RD
CHIMACUM, 98325
OWNER: DAVID P GALE PHONE: (360) 732-7205
PATTI L GALE
516 BLUE MOUNTAIN RD
CHIMACUM WA 98325-8791 COUNTRY RIDGE
SUBDIVISION: Block: Lot: 26
PARCEL NUMBER: 801042026 Section: 4 Township: 28 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP ADDITION OF DECK TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 10,371.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 440 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
1 /3!07 0
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $195.25 KAS 06/29/07 91342 APPFcJ\/Plan Check $126.92 KAS 06/29/07 91342
State Building Code $4.50 KAS 06/29/07 91342 JUL c1
2007
Total: $326.67 Jefferson County Planning
&Building Die
Jefferson County Building Division Permit Nunn", BLD07-00360
Applicant: GALE
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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
Post Holes
Foundation Footing
Framing
FINAL INSPECTION (.� „, ��
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD07-00360
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 18, 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
5 stream; landslide hazard area 1.
2.) 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.
3.) 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.
4.) Stream 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.
5.) 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 (Salix lasiandra), and Scouler's Willow (Salix
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).
6.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50-feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed deck addition.
7.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed deck addition.
8.) A permanent physical separation along the boundary of the stream 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.
9.) Stream 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 be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
10.) The applicant is proposing to create or add 440 square feet of impervious surface and 12
square feet of land disturbing activities.
11.) 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.
12.) 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).
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13.) The site plan as submitted with thluilding permit application on June 29, 200Ss 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 18, 2007 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
14.) This approval is for a 440 square foot deck addition 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.
15.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
17.) 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.
18.) The building height is not to exceed 35 feet.
19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
20.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
21.) 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.
22.) Minimum setback from Blue Mountain Road right-of-way shall be 20 feet. Minimum side
and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter
setback(s) shall apply.
23.) An address of 516 Blue Mountain Road, Chimacum has been assigned to the parcel.s
Blue Mountain Road is a county local access (C510529).
24.) A building permit (BLD93-0354) for a single family residence was finaled on June 28,
1994. A septic permit(SEP93-00178) was finaled on May 24, 1994. A zoning permit
(ZON95-0043) for a home business permit was finaled on July 17, 1996. A building
permit (BLD00-0473) for an addition of one and one half floors to a single family residence
was approved on August 7, 2007. A critical area review (CAR00-0329) for a single family
addition was finaled on July 28, 2000. A pre-app (PRE07-0005) was cancelled on
February 13, 2007.
25.) The lot was created through the Country Ridge Large Lot Subdivision on February 20,
1992 under AFN 347579.
26.) According to county mapping, the contour maps and landslide hazard area maps are a bit
off. The northeast portion of the parcel has steep slopes according to the contour maps.
The existing house is located greater than 455 feet to the south of the northeast boundary
and 85 feet west of the east boundary. This area is gently sloping to the west. Therefore,
staff has determined that the landslide hazard area conditions do not apply to the
proposed deck addition of 440 square feet.
• •
BEAM LAYOUT HADLOCK BUILDERS SUPPLY
CUSTOMER -- DAVE GALE 901 NESS CORNER ROAD
DATE 06/27/07 REF Deck07178 PORT HADLOCK, WA
5 (360) 385-1771
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BEAM BEAM POST POST J ., 2c 4 ' '/2
LABEL LENGTH COUNT SPACING
A 4' 101/2" 2 4' 5"
B II' 10 1/2" 3 5' 8 1/2"
C 9' 5 1/2" 2 9' _
D 27' 9" 4 9' II/4"
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Post spacing is measured center-to-center. ;,_
Depth of concrete piers --- 0" M,
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��4SoN Ci- k& JEFFERSO UNTY • IRFI� A 1 srpi1
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` DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368 J !N 2 9 2007
360/379-4450 • 360/379-4451 Fax
/ p www.co.jefferson.wa.us/commdevelopment
IfFNINIiiktit 1,110
Master Permit Application MLA: r' - 3`
Project Description(include se arate sheets as necessary): ,
?- ,�c�►mac' a. separate
- +0 ext`c-st'w �cv i/l.
Tax Pal �7 <, Property
Number: (�0 1 0 Li 2 0 2 (E, Size: ,7 0 C;-,C_ (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: I y c If,' ((
i1 6c.cie
Telephone: -44) 7 3 2- 12 c) S Fax: email: Gc,ie P,,,-cp 1 c0,6,-,,,Kimk, ►1k.
Mailing Address: C,r{;nnr co', c, tyve
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
Building 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CJ**
❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
❑ Address 0 Road Approach ❑ Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 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 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination (SPAAD)* ❑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 designatepct.w ( lF' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ��kn)< Date: , 2q- Li 7
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 a tion that a or she is prior notice.
Signature: �(,/t,l.Cf _ 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-trarsfgrable res o sibility o adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ()�� /u Date: G 7 9 - 0
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• BUILDER STATEMENT • f
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 s ming the rGsponsibili . the General Contractor for the proposed project. ~(�i 7
Signature: (:t/Gl�.pti \Cit.. Date: 7�t' C�
GENERAL CONTRACTOR OR MANUFACITLHAfu1 S Rf! -;' PHONE: FAX:
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE a Q 1�:"' WAINS
NUMBER: tL NUMBER
ARCHITECT/ENGINEER: (((( {C p (� PHONE ( ) FAX: ( )
MAILING ADDRESS: 1ppttliui ! 0Opp
c1 EMAIL
Project Type: Fra a yp t{t! ooms: Shoreline: Type of Sewage Disposal:
❑ New , Wood Existing: 0 Sewer
11, Addition ❑ Steel Proposed: Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: Li Height: X1 Individual System
❑ Repair ❑ Masonry _A,.'A SEP Permit# ,-1,,(\ `j�, 17 K
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well X Two Party
Type of Heat: Proposed: ❑ Public
Total: _, -4 _ 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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 `tFor,Office'Use Only x> s , ,,, :i ,r": y�ount," ,F5v s n'�s
Main Floor Heated EH Bid App Review: j _ Q 00
► 1SO (� O �/
2"°Floor Heated 7�� Consistency Review: I O
Other Heated Base fee: iC15. a
Mezzanine Additional Section:
Heated Basement Plan Check fee: I �/ ` C
17 c C (p
Unheated Basement State Surcharge fee: 1 SO
Other Unheated Pot Water Review fee:
Garage/Carport - " SUBTOTAL 5 Lj,y lA,7
_-_,� r Ili'
!�/J -7 �Q11/Rd Approach fee:
Decks d "1 "-I O ,i 1C. 1 Y )/I,S I I n f.• ..
Other —,-- -- •, TOTtL: $ 5 Cr1 A (07
Receipt Number: C )—�t.j t4
Cash/Check Number:
,J1 -(;)
ESTIMATED COST(REQUIRED) I Date:•Fair market value of all labor and materials foundation to finish j1 cam-y� J
((U.7
.tO0V ('" Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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