HomeMy WebLinkAboutBLD2007-00390 MILDING PERMIT APPLICATIR ML vT
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00390 Received Date: 7/18/2007
SITE ADDRESS: 522 FREDERICK ST
PORT TOWNSEND, 98368
OWNER: JANICE L LEWIS PHONE: (360) 379-5629
PO BOX 263
PORT HADLOCK WA 98339
COVE ADDITION
SUBDIVISION: Block: 19 Lot: 3+
PARCEL NUMBER: 945901903 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' FREE STANDING BREEZEWAY BETWEEN MFH AND GARAGE
UNHEATED - Vi&L '� •gDSq �r 1L) BR
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 3,253.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: GOARAGE:THER: 138 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
rrIl $/o1
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $97.25 KAS 07/18/07 91519 APPRc ' E1 )
Plan Check $63.22 KAS 07/18/07 91519
State Building Code $4.50 KAS 07/18/07 91519 AUG
Total: $164.97
Jefferson County Planning
&Building Departmw-
Jefferson County Building Dion Permit Nun : BLD07-00390
Applicant: LEWIS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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
Foundation Footing
Ext. Shear Wall Nailing
Framing 9(° -
FINAL INSPECTION 3\0[08
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00390
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 August 28, 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:
Level I Landslide Hazard Area, Susceptible Aquifer Recharge Area and Coastal Seawater
Intrusion Protection Zone (SIPZ).
3.) 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.
4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
5.) 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.
6.) The property is located within a mapped geohazard area (Level I Landslide Hazard Area).
The proposed breezeway is betweem the existing manufactured home and garage. This
area of the property does not contain any identified bluffs or steep slopes.
7.) 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.
8.) The parcel is located within a coastal 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.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
9.) 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.
10.) 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.
11.) VOLUNTARY MEASURES OF COSTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
12.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
13.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
14.) The applicant is proposing to create or add 170 square feet of impervious surface over
existing cement walkway. 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.
15.) 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.
16.) 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).
17.) The site plan as submitted with the building permit application on July 18, 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 August 28, 2007 shall be resubmitted for review
and approval by Jefferson County Department of Community Development.
18.) This approval is for a free standing breezeway between existing manufactured home and
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.
19.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Land Use Map effective August 28, 1998.
20.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
21.) Not more than 2 unlicensed vehi!shall be stored on any lot unless totally sSned
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.
22.) The building height is not to exceed 35 feet.
23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
24.) Minimum setback from Fredericks St right-of-way is 20 ft. Minimum side and rear
setbacks are 5 ft.
25.) A Boundary Line Adjustemnt (EXM98-00021)was finaled June 8, 1998. A building permit
(BLD00-00640)was finaled on March 14, 2001 for a manufactured home installation
permit, an associated critical area review (CAR00-00438)was finaled January 14, 2001.
A building permit(BLD00-00641)was finaled on March 14, 2001 for a garage.
26.) A septic permit (SEP99-00248) was finaled on December 18, 1999 for a 3-bedroom
system.
27.) This parcel was created through the Cove Addition to the City of Port Townsend, filed of
record September 27, 1889 in Volume 2 of Long Plat, page 27 with Jefferson County
Auditor's office.
28.) Fredericks St (C693419) is a local access road. The road approach is existing and an
address of 522 Fredericks St has been assigned to the parcel:
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DEPARTMENT OF COMMUNITY DEVELOPMENT
~' ` 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
•e•qs, ��p� www.co.jefferson.wa;us/commdevelopment
SIN
I41 { ,
Master Permit Application MLA: (`j' r
U.Q.--P ct Description(include separate sheets as necessary): ( R .
)--- 6. xsz9:16eiz.,tA).6.1 asz..-hi,e c n -ille .a-lar
ch.
t Tax PI c 7/5 Ci Property
a_n&I a-)tck?---
Number: 1 0 1 9 6 3 Size:
Vti p (acres/square feet)
Site Address and/or Directions to Property:
F ea V T !4t ?g36Y
Property Owner(s)of Record: ., " (CQ, L.,. IA/1-5
Telephone: 3L& - 37 5(o a 9 Fax: email: . �i+ew j� (,tla�po� , Cain
Mailing Address: ' O , of a b 3 'c *+ aisitor,.k lAhot 98 339 `. Ja
/
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)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
❑ Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
O Commercial* ❑ Boundary Line Adjustment
O Change of Use 0 Short Plat**
O Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business ❑ Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
0 Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management 0 Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
0 Temporary Use ❑ C:omprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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 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 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 applicati n that h@ or she wa prio ice.
Signature: Date: 7 '18 "8l
The action or ac s 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 rest onsibility f adheres to and complying with the ESA. The Applicant has read this disclaimercll and signsr� and dates it below.
Signature: LLYU..Cl2Q1l.tAA Date: [ - g-b /
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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 o he Ge ral Contractor for the proposed project.
Signature: t .�LQr . O J24 tl1/1) Date: 7"i 8-0')
GENE
RAL CONTCTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
e rf Ci>he., (660) 45a -a4la ( )
MAILING DDRESS: 3 y,1 3 ..J EMAIL:
CONTRACTOR'S LICENSE -pm,r+ 4, . , / t,,rq y g u a WAINS
NUMBER: 4 NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
A New %. Wood Existing: i 1 Sewer ' .
II Addition I 1 Steel Proposed: Bank it Community System
❑ Alteration/Remodel L1 Concrete Total: Height: N Individual Sy t rr�'may
Li ``11
Repair ❑ Masonry SEP Permit#
❑ Demolition f1 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of eat: 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 1 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: //����
(2#3 . .,Cl
2'Floor Heated Consistency Review:
I ,�r,3 C
Other Heated tc 'c Base fee: t, I(•z�. (11 o J 1 4
Mezzanine Additional Section: __.___--._____.._
Heated Basement Plan Check fee:
Unheated Basement I'V State Surcharge fee: /t J .
t `1
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL C'J5 6,I 1
4•p9
Decks 911/Rd Approach fee: mo_..
Other f�,, ,oe Z C' fr .- 8A r � ?I ,�, '11OTAL: $. t>j �1 'r �L • Oc1
'�/�� I-1g "ceipt Number: C {C� 1 I 1,R
._____-dash/Check Number:
ESTIMATED COST(REQUIRED) Date: ` ,..� �-1
.Fair market value of all labor and materials foundation to finish V 1
aabo, oo Initials: .� . `
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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