HomeMy WebLinkAboutBLD2007-00524 litUILDING PERMIT APPLICAMON ML Review T Ty 557
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00524 Received Date: 9/27/2007
SITE ADDRESS: 474 BLUE MOUNTAIN RD
CHIMACUM, 98325
OWNER: MELVIN E MILLER PHONE: 360-732-0280
ROBERTA F MILLER
474 BLUE MOUNTAIN RD
CHIMACUM WA 983258790 COUNTRY RIDGE
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801045019 Section: 4 Township: 28 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI POLE BUILDING - NO HEAT NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 16,228.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 1,008 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: � / ( O
Type Amount Paid By: Date: Receipt: Ap�eatePermit $279.25 CJZ 09/27/07 93237 R vEr
Plan Check $181.51 CJZ 09/27/07 93237
State Building Code $4.50 CJZ 09/27/07 93237 NOV 9 2037
Total: $465.26 Jefferson County p%aneinr)
&Building Department `
Jefferson County Building Dion Permit NurrIllk BLD07-00524 -
Applicant: MILLER
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 .--3- .
Post Holes k-3^0S (
Framing 41 -d8
1-7
�_ —
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00524
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 October 1, 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:
landslide 1 &2; Type 5 stream; SUSC aquifer recharge area; commercial forest lands
adjacent.
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.) 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.
7.) The applicant is proposing to create or add 1728 square feet of impervious surface and
1728 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.
8.) 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.
9.) 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).
10.) The site plan as submitted with the building permit application on September 27, 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 November 9, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
11.) This approval is for a detached pole building 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.
12.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
13.) Jefferson County has determinelt the use of real property for agriculture forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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.
16.) The building height is not to exceed 35 feet.
17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
18.) 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.
19.) 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.
20.) Minimum setback from Flue Mountain Road right-of-way shall be 20 feet. Minimum north
and south property line setbacks shall be 5 feet. Minimum rear(east) setback shall be
250 feet from the adjacent commercial forest lands. If ESAs are present, then the more
stricter setback(s) shall apply.
21.) An address of 474 Blue Mountain Road, Chimacum has been assigned to the parcel.
Blue Mountain Road is a county local access (C510529).
22.) The parcel was created through the Country Ridge Large Lot Subdivision on November
13, 1989 under AFN 326148.
23.) The parcel is served by and individual on-site well. Potable water was provided at time of
single family residence construction in 2002.
24.) A septic permit (SEP90-0218)was cancelled and is now filed with SEP94-0152 which was
finaled on January 7, 1997. A building permit(BLD02-0449)for a single family residence
was finaled on March 31, 2003. A building permit(BLD02-0450) for a detached heated
garage was finaled on March 31, 2003.
25.) The proposed detached pole building is located approximately 111 feet from the western
property boundary and 130 feet from the norther property boundary on the flatter portion of
the parcel. Therefore, no landslide hazard area condtions have been imposed.
26.) The proposed detached pole building is located approximately 111 feet from the western
property boundary and 130 feet from the northern boundary and at an elevation of
approximately 450 feet. The GIS map identifies a Type 5 stream located approximately
130 plus feet to the southeast of the proposed building site and the elevation at this point
is approximately 423 feet. Therefore, no stream or stream buffer condtions have been
imposed.
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��¢goly cO JEFFERS•COUNTY
ti / �13 DEPARTMEty OF COMMUNITY DEVELOPMENT
`� 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
.1 O� www.co.jefferson.wa.us/commdeveloprnent
HIND
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
con, tr-uctra:, v`` .1b"' N36•X Ic' p 0 t e htt,l,l,r, c'jr"set'e'
1°roperty
Tax Parcel Number: b'o I - c.' =i. -o i 9 Size:
t c acresfsquare feet)
Site Address and/or Directions to Property: W T y i31,te Ail 0«,'ftt I A. aI)a ei i e,el,,r,.0 ,t,,, ti;A a 8 5
Property Owner(s)of Record: Ail et v,,, ivi, t►r.[-
Telephone: ,3,:c=- l 3.I - o 4 g-0 Fax: email:
Mailing Address: LI7'1 PIke. Ali etan'l &,. moron (htw,c<.. ,,�.. UM 'le 3,C5
,
Applicant/Agent(if different from owner): Sot,,, 8;. , j,A,s S,/5 ievi-,5, sire,
Telephone: 3 t:o -ti 3"t- i.z i 7 Fax: 3 toe'-c.r 7- i.1 i s' email:
Mailing Address: ;s-`i& 'TA a:r,•1,/k.,- t.?oa.4i 1 AA: t Lt:ci t o:ate u/EI 'is'7 ws
What kind of Permit?(Check each box that applies)
[3 Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or Cj*"
❑Single Family 0 Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached 0 Special Use(Essential Public Facilities)'"
❑Manufactured Home 0 Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
❑Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ 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
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other locj I,�sttate orNfederal permits
.required for this proposal, if known:
/ / V% NATION OF AGENT
I hereby designate , ,� ,` S�,uw�; /j ,<<I, S tC- -3 Jit c
,, .u. _ to act as my agent in matters relating tofthis'application for permit(s).
OWNER SIGNATURE %-1
Date: f ,,—
By signing this application form,the owner/agent attests that the information pr.:sided 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 attomey'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 r uir later inspection .Qcce and right of entry to this property shall be requested and shall occur only during regular business
hours. f '1
Signature: G n
'` Date: �`�.-,— 7 .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 resp n •bility r adherin to an p n it the ESA. The Applicant has read this disclaimer and igns and dates it below.
Signature: � � Date: l --7 U ---1
G:\PermitCenter\FORMS\DM)FORMS\Master Permit Application 12-30-05.doc
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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: _ Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Sctuod' 8tticlin tt s rr« ( 3bo) `l37 -/Z i`l ( 3io) 4137- id /b
MAILING ADDRESS: �}'
3S 4& jurnr/yk ISan.a EMAIL.
CONTRACTOR'S LICENSE Pc e"f f•i:-c/I rem u.l 9 Ii E.'sco- WAINS
NUMBER: S O Lc N il t 5 0 a 7 N M NUMBER
ARCHITECT/ENGINEER: PHONE (6 0 S)S S'i_ 17,7_j FAX: ( $-03)Yy;-i 3
Aliiaw�E. �vAfjir.e<-.f,Ky
MAILING ADDRESS: al7on Mar te-t St-Ni SFr A t--`S`t lr„,,O f` ti-!3o I EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
WY New Cg'Wood Existing: ❑ Sewer
❑ Addition Cl Steel Proposed: G Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: tit Individual System
❑ Repair ❑ Masonry SEP Permit# III -is-.-
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 0f Private well [I Two Party
Type of Heat: Proposed: 0 ❑ 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove El 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 r e. _ -., Amount Revision .
Main Floor Heated EH Bld App Review: /
2n0 Floor Heated Consistency Review: 15 5 3
Other Heated Base fee: a� l a� j
Mezzanine Additional Section: 1 h.
1
Heated Basement Plan Check fee: 121 . 51
Unheated Basement State Surcharge fee: 5n
Other Unheated - „`I Pot Water Review fee:
Garage/Carport 1 Q00 SUBTOTAL J 34.
•'cc
di
I 4 ��U . �Q lQ
Decks y.. .
9 1 d Approach fee:
Other TOTAL: $
Receipt Number: ,9oe3.-A
Cash/Check Number: 1
y�A
ESTIMATED COST(REQUIRED) Date: �IL a-�'��
'Fair market value of all labor and materials foundation to finish
Initials:
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