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HomeMy WebLinkAboutBLD2007-00455 QUILDING PERMIT APPLICA.N MLA Review 72 Ye: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00455 Received Date: 8/15/2007 SITE ADDRESS: 350 PLEASANT HARBOR RD BRINNON, 98320 OWNER: ANGELINA R SNYDER PHONE: 360-796-4818 BERNARD J SNYDER PO BOX 20 BRINNON WA 983200020 PLEASANT HARBOR SUBDIVISION: Block: 2 Lot: 1-2 PARCEL NUMBER: 988200201 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: CUSTOM BUILT STRUCTURES,INC PHONE: (425) 778-3151 9792 EDMONDS WAY#239 EDMONDS WA 98020 Contractor's License CUSTOBS950KB Expires 5/2/2009 REPRESENTATIVE: MIKE GILDEA PHONE: (425) 778-3151 6520 212TH ST SW (425) 774-3183 LYNNWOOD WA 98020 PROJECT DESCRIPTIOr NEW POLE BLDG GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 21,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 840 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' Routing Date: Type Amount al v: Date: Receipt: Approved/Date Permit $335.25 LYK 08/15/07 93017 APPROVED Plan Check $217.91 LYK 08/15/07 93017 State Building Code $4.50 LYK 08/15/07 93017 FEB 1 200? Total: $557.66 Jefferson County Plannlnc &Building Department Jefferson County Building Dion Permit Nur.: BLD07-00455 Applicant: SNYDER BUILDING PERMIT INSPECTION APPROVALS %pplicable 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 Setbacks Post Holes 4108 sT P-cR. ITN Awe To Se NA) euc Footing Drains Framing f/• /C1� Drywell/Alt Drainage / ✓` • Address Posted FINAL INSPECTION 71i/pk FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00455 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 7.) VOLUNTARY MEASURES OF COASTAL&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. 8.) 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. 9.) MANDATORY MEASURES FOROASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utiize 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. 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.) 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. 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.) The building height is not to exceed 35 feet. 15.) Pre-existing legal lots of record less than one acre in size in rural residential districts are subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the administrator. Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 16.) 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. 17.) Setback from Pleasant Harbor Rd. right-of-way is no less than 20 ft., setback from Highway 101 right-of-way is no less than 50 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. ' air l� ��� 0).. JEFFERS0r7UNTY . �e� . . ro ,k� .3 DEPARTMENT OF COMMUNITY DEVELOPMENT `� 621 Sheridan Street • Port Townsend •Washington 98368 AUG 15 2067 360/379-4450 • 360/379-4451 Fax 1s4.,10 NG -- www.co.jefferson.wa.us/commdevelopment pERS9 COUNTY DCO Master Permit Application MLA: LJ -) '7Z Project Description include separate sheets as necessary): e ra t, i? 1. �,:g� - 0 r�l�,�,5"1 �i l Tax Parcel. C Property Number: V 3-(y a 0 C) 2,0 ( Size: /3 /9 C NN-t_ (acres/square feet) Site Address and/or Directions to Property: 3.S v ,die n 5c -7' / - - 12,4 Property Owner(s)of Record: /.?'> 'y fqr't9 ,.0 )2 z Telephone: 3c:t - 71( . yiS4J Fax: f•`)- email: 4,, Mailing Address: 3 5-0 i fe-a- e—/ /4 —6,r- , ./2 Bf'r na c-n �'jJi'3 Z C" Applicant/Agent(if different from owner): , /Q ;/de.tZ Telephone: I/ Z T'- 7 7 / Fax: `(2 )' 7 %'�/ j email: J-4 /). (j) C',:.,s 7c,,k„1 L. re 6.1. i `• Mailing Address: fir, . 2 C Z ( 2. 5 j 5 to L x11/2cticc./ (}..J,,\.. t� r What kind of Permit? (Check each box that applies EBuilding 0 Variance (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit �• 0 Conditional Use[C(a), C(d),or Cj** ❑ Single Family Iii Garage Attac d/Detacjd 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** 0 Commercial* ❑ Boundary Line Adjustment 0 Change of Use 0 Short Plat** 0 Address 0 Road Approach 0 Binding Site Plan** 0 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 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0.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: d_e_i e/J DESIGNATION OF AGENT I hereby designate1 �,e' ,,- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE t S � j— Date: ©/ ; ' C� 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 applicat that he isfilwants prior notice.Y z Signatur it O ' l^�— Date: , • ''e'-' 7 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 respon ypfor adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:/J �--- Date:r/� -/ G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2000.doc • —111 — T— 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 assuminn the res ;;♦bikly of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED/ HOME INSTALLER: PHONE: FAX: C U S 1C N1 b✓' 'i' J (u, lLirwrt ( ) ( ) MAILING ADDRESS: j2 0Z /L~ $%S& Gp//Io-c (1/445MAIL: CONTRACTOR'S LICENSE WAINS NUMBER: <;u S 70 /IP-s% S—O f/3 NUMBER I ARCHITECT/ENGINEER: J ;("s i_Z .� _ PHONE ( ) FAX:( ) MAILING ADDRESS: /6 7 /-n xe r,.,c'.,;,( A c i.h /EMAIL ^, Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two-Party Type of Het: it) Proposed: ❑ Public /_/ t/h herd Total: Name of System: If this is a Commercial Proiect 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 frik- 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 slowing 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 ice44 Use n'f ' n 0" e°,is - 4 Main Floor Heated •' sr; ,:,:t EH Bld App Review: (DS (7) 2nd Floor Heated iliF ,- Consistency Review: )L 3 p,l Other Heated � , Base fee: Sl7'xh�h .335, 2�/�..�� .cirS".R'y:',y�F F r.�, Mezzanine ;,' ,1.;,:y1*, Additional Section: Heated Basement r, Plan Check fee: I -7 (,� I 1 Unheated Basement State Surcharge fee: ^F f Other Unheated '` .i Pot Water Review fee: Garage/Carport 3 Y o x SUBTOTAL 9 1_/ _ :,- : , ,, ' ,` 911/Rd Approach fee: ._- Decks �r Ctan061 Other - k �. lV� TOTAL: $ 11 "`u-' Receipt Number: '1 ` , Cash/Check Number: .MO ESTIMATED CO RED) Date: ) ,r �7 •Fair market e of all labor and materials foundation Z / Q Q a o finish �J Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc ••••••� �•�.�••.• '+7 0 AD CI 0 Z D nz '1.1Can 0, _. z ,.... 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