HomeMy WebLinkAboutBLD2007-00479 ilt
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UILDING PERMIT APPLICA1C Rev IAO y-p494
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLDO7-00479 Received Date: 8/29/2007
SITE ADDRESS: `k 3\ LOUISA ST
OWNER: DOUG NORK PHONE: 912-674-0275
NOEL NORK
2911 SHERMAN ST
PORT TOWNSEND WA 98368 EISENBEIS BAY VIEW
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 948603110 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: HOPE INC PHONE: (360)385-5653
DBA HOPE ROOFING
PO BOX 1199/105 LOUISA AVE
PORT TOWNSEND WA 98368
Contractor's License HOPER**043N7 Expires 2/16/2009
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 992
VALUATION 224,000.00 ADD'L: 1,068 HEAT TYPE: PRO
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 576 SHORELINE:
CONST TYPE: DECK: 382 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date: ( g-Q ( 011
C25—
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,688.15 CJZ 08/28/07 92994 ���� `V.
Plan Check $1,097.30 CJZ 08/28/07 92994 (v�
E1
State Building Code $4.50 CJZ 08/28/07 92994 OCT I7
Potable Water Application $58.00 CJZ 08/28/07 92994 `f'
Total: $2,847.95 Jefferson County Planning
&Building Department
Jefferson County Building Di ion Permit Num./. BLD07-00479
Applicant: NORK
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
Setbacks 10/23/2007
Erosion Control
Foundation Footing 10/23/2007
Footing Drains jO-72t v 7
Foundation Stem Wall
Underground Plumbing lc -3‘-c.•7 5- p, r,
11 -Z. -�'� r 4--f ...04-5iy
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing I2 f(gro7
Rough in Plumbing �2` `r7�OS' T i T TJ'Zs
Framing Z/. .5/O fT )
Blocking
Airseal - 2i/.__y'4c '
Insulation: Walls Z/•Z7/c
Insulation: Floors i j-�._Li) L-3-t.._ CLA w
Insulation: Ceiling
Int. Shear Wall Nailing 712
7/ -
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION -1.\* ' yy.:FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00479
1.) PRIOR TO OCCUPANCY & BUILDING FINAL- FINAL APPROVAL OF SEPTIC
SEP06-330 IS REQUIRED.
2.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF DISPOSAL COMPONENT
3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD.
4.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
5.) A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND
RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR
DRAIN OR DRAINAGE DITCH.
6.) The application was reviewed by the Jefferson County Department of Community
Development staff on October 12, 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:
Special Aqifer Recharge Protection Area (SARPA).
7.) 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.
8.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
9.) 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.
10.) The applicant is proposing to create or add 3,628 square feet of impervious surface and
5,810 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5
of the Department of Ecology Stormwater Management Manual for Western Washington.
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
11.) A Medium Stormwater Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
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).
13.) The site plan as submitted with the Building Permit application on August 28, 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 October 15, 2007 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
14.) This approval is for a new Single(lkily Residence with attached garage and Ogallon
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.
15.) The parcel has been designated as Rural Residential 1:5 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
19.) The building height is not to exceed 35 feet.
20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) Louisa St (P483) is a private local access road. An application for an address was applied
for at time of building permit application.
22.) Buildilng Setback from Louisa St. right-of-way is no less than 20 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.
�¢gC�N cod JEFFERSO•OUNTY _ _
W DEPARTMENF COMMUNITY DEVELOPMENT • 1p
~' 621 Sheridan Street • Port Townsend •Washington 98368r= u s./ , `,
360/379-4450 • 360/379-4451 Fax i ,
q4.s, �o� www.co.jefferson.wa.us/commdevelopment i AUG 2 8 2007 _�':i'
81N ,., ;
Master Permit Application MLA: Q� — � �
Project Descriptjon (include separate sheets as necessary): t_..�: ._ _
TaVSarcel L.x 3 1301.c.ris o- tii''•t2 Property
Number: q q _. o 3-. //o, Size: 10‘1 A(1,' - - i 7'I l
{ (acres/square feet)
Site Address and/or Directions to Property: i-( .\ P_7. `� '' i+ 'y �'� i� rr �L+ � �i bid/
I .b Lc u.S r'w t,% Ls�c- i i/a g�u:�� u N L P
Property Owner(s)of Record: Doucjilcas * Moe! 1.oeK
Telephone: 9 1 a.- to 7 4- Q o.7 S Fax: email:
Mailing Address: a (t Zherrnci>n S# .
Applicant/Agent(if different from owner):
Telephone:_ _ -Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
NBuilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or Cl**
,l Single Family 0-Garage Attached. Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modul 0 Special Use(Essential Public Facilities)**
O Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach 1Z1,1't" 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
01.Propane ❑ 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
O 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:
c_:., DESIGNATION OF AGENT
I hereby designate. re-4---�_ � to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE17
(2.L.-- Date: --7 - (i, -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 that he ors wants prior notice.
Signature: �-yi tr .c 4,,-, Date: / ' A(4: `' 6 7
The actidrr r actions Applicant will undertake as a result of the issuance of this permit may negatively im
pact 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:-s/5_f =e- re--��C.- - Date: C-I 7
t✓
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
•
0 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: 1 'a- �.), Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
L - I k)c. _ ( �` ) 305 � 7.�:3 (y'r: ) .>7c/ 8iS,
MAILING ADDRESS: f , EMAIL:
CONTRACTOR'S LICENSE ptikr LQ5e:_.�JJJ L..l-4 WAINS
NUMBER: 140PE 7 3 At.7 NUMBER
ARCHITECT/ENGINEER: hF PHONE ( ) FAx: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Ill New )X Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: .'I', Bank ❑ Community System 'Oct.
❑ Alteration/Remodel ❑ Concrete Total: ails. Height: Pc Individual System ocr 4
❑ Repair ❑ Masonry SEP Permit# SEP.Oln-0O330
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed:Total: 3 X Public
_Eie .-r. F bRe1<.tD Ria. Name of System: CIT4 O F
Pr T u:\tAsra,D
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 at a ply:
I Underground Tank k'Above ground Tank Size of Propane Tank: a) ( lc, r
I Heat Stove I Cook Stove I Woodstove XFireplace Insert I Hot Water Tank IPellet Stove I ether
Is this appliance being installed in a Manufactured/Mobile Home? Yes I 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
�gla 9(EH Bld App Review:
qqA 2n°Floor Heated •�� 1 Consistency Review:
»4ie 1 3
Other Heated _ Base fee: I6
Mezzanine Additional Section:
Heated Basement Plan Check fee: I+O`n� ao
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: 13. '
Garage/Carport h .74 13 b,`3�. SUBTOTAL 3 r 1
03
,
Decks ' ,,, q 0 911/Rd Approach fee: t5a
Other I
TOTAL: $ 3 `1,-
,0o1 1r $k,eceOAt Number: gA L'I
I Cash/Check Number: aoal0
ESTIMAT A' r�C to 1C7(I0-3•Fair value of all labor and materials undation to finish (� KO
At L/f CiCaG Initials:
5.1"
G:\PermitCenter\###FORb1S###\DRD FORMS\Master Permit Application 12-19-2006.doc
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