HomeMy WebLinkAboutBLD2007-00544 MLA07-00580
ILDING PERMIT APPLICATI Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00544 Received Date: 10/15/2007
SITE ADDRESS: 4993 PARADISE BAY RD
PORT LUDLOW, 98365
OWNER: FELTON LLC PHONE: (360) 340-3512
17011 LEMOLO SHORE DR NE
POULSBO WA 98370-8728
HOSFELDT SHORT PLAT
SUBDIVISION: Block: Lot: 3+
PARCEL NUMBER: 821351028 Section: 35 Township: 28 N Range: 01 E
CONTRACTOR: FELTON LLC PHONE: (360) 340-3512
PO BOX 863
17011 LEMOLO SHORE DR
POULSBO WA 98370
Contractor's License FELTOL*962D5 Expires 3/25/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,598
VALUATION 269,440.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 828 SHORELINE:
CONST TYPE: DECK: 80 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date:
cI ( (o'i
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,945.75 KAS 10/15/07 93370 APPROVED
Plan Check $1,264.74 KAS 10/15/07 93370
State Building Code $4.50 KAS 10/15/07 93370
Potable Water Application $58.00 KAS 10/15/07 93370 DECK<v 2007
Total: $3,272.99 Jefferson County Planning
&Building Department
Jefferson County Building Division Permit Numr: BLD07-00544
Applicant: FELTON LLC
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
Erosion Control BMPs required. Refer to stormwater plan for erosion,sediment
control;and full dispersion.
Foundation Footing
Footing Drains
Foundation Stem Wall Owner/builder must consult with septic system designer prior to
+placement of foundation to ensure adec}eate setbacks are maintained
from the primary and reserve drainfield areas.
---UgclegyouaciElunabing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Insulation:Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
.Gas Line:,interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage 6,44-7/7ed
Address Posted
FINAL INSPECTION �13Qc CCm.ctv--n Il - Lcw+Ioc&J C t e.,(
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00544
1.) Owner/builder must consult with septic system designer prior to placement of foundation
to ensure adequate setbacks are maintained from the primary and reserve drainfield
areas.
2.) 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.
3.) A 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
6.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
7.) The road approach permit(RAP06-00155) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Building Setback from Paradise Bay Road 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.
11.) MANDATORY MEASURES OF O`H RISK SIPZ: I
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.
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t'4‘ JEFFERSON COUNTY OCT 15 2007
; DEPARTMENT OF COMMUNITY' DEVELOPMENT
�. , 621 Sheridan Street • Port Townsend •Washington 98368 JEFf[fs coin 0 co
�O/ 360/379-4450 • 360/379-4451 Fax
$INO http://www.co.Jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 0 ~5130 PROJECT/APPLICANT NAME:41C1 J SilfA v ?c ( ` 1
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
•
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
Existing Conditions Summary ,Fif :1 # RIP
2. Describe the existing topography. Indicate contours on the site map. fl 7 — 0 5 4 a.
1. ± Cemas S49c?
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing soils. Indicate soil type on the site map. ,
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5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable, and indicate acreage of each.
6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED
SITE PLAN
a! :, OUNTY
DEFT , • ELOPMENT 5
stormwater site plAn template—rev.10V1/2003 SIGN•!'•'E: !ate�_i S
RECEIVED
OCT 1 5 2007
7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes, etc.)on the site. Indicate location on the site map. JEFFE DCO
J�A C COUNTY f 1
8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,wetlands, lakes, steep slopes, etc.).
--41 a-10* C'T) PA0e21
Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
9. Describe the developed site hydrology, as proposed. Indicate whether stormwater be fully . •ersed (i.e., per BMP T5.30
in the Manual)or, if not,what types of stormwater flow control will be utilized for the si e • - - -= - - : - = -as
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
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10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for"large"projects or projects that involve the potential for dispersion of contaminants.]
11. Describe the performance goals and standards applicable to the project.
'NJ 4-
12. Describe the flow control system.
•
stormwater site plan template.don—rev.10/12/2003 6
• •
RECEWE D
13_ Describe the water quality system. OCT 1 5 21?
iv fIA- !.t / 0NIY OCO
14. Describe the conveyance system analysis and design.
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Describe the proposed surfacing mate`is t I
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18. Describe methods for re`s(oration df the site. -
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19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
"large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals
here.
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20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
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stormwator site plan template—rev.10/1/2003
• RECEWWED
i
OCT 1 5 2007
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SMP
firn
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs mc}i teri`i !Pi
0pi t In the
template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for
preventing sediment and erosion Impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.
SECTION I—CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or
will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page
2-15).
12 Required Elements—Construction SWPPP
1. Mark Clearing Limits.
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2. Establish Construction Access.
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3. Control Flow Rates.
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4. Install Sediment Controls.
5. Stabilize Soils.
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6. Protect Slopes.
7. Protect Drain Inlets.
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stormwater site plan template—rov.10/12003
I i I • Oa T:)
12 Required Elements—Construction SWPPP(continued)
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8. Stabilize Channels and Outlets.
OCT 152407
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9. Control Pollutants.
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10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
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11. Maintain Best Management Practices(BMPs).
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12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads). V 'v
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards). p�
r\.eur n. two
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
stormwater site plan template—rev.10/1/2003 9
•
b. Description of special requirements for working in or near environmentally sensiti (a r ' I 'Jt:
tv/A-
OCT 1 "_ 20O
4. Erosion Problem Areas. Description of potential erosion problems on site in the context BLtitrli f l.kr Eo�flfA soils(e.g.,erodibiiity,settleability,permeability,depth,texture,soil structure). `'' on-site
h.)ONe
5. Construction Phasing.
a. Construction sequence
b. Construction phasing(if proposed)
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6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
!. Provide a proposed construction schedule.
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II. Wet Season Construction Activities.
a. Proposed wet seaso construction activities.
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b. Proposed wet season construction activities for environmentally sensitive areas.
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7. Financial/Ownership Responsibilities.
a. Identify the property ownerrrrgsponn ibie for the initiation of bonds and/or other financial securities.
1on LLG
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts. 1
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8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable.
a. Sediment Ponds/Traps. N h
b. Diversions. _ p`
c. Waterways. N I Or
d. Runoff/Stormwater Detention Calculations N`pP
stormwater site plan template—rev.10/12009
10
• I
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems,treatment facilities, flow control facilities, or structural source control BMPs
(not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the Information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
Q..
la1QOl1
(LANDOWNER OR AUTH IZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
�' � �,
OCT 1 5 2007
AffERSON COUNTY DCD
12
stormwater site plan template—rev.10/1/2003
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OCT 1 5 2007 • . .
JEFFERSON COUNTY BCD
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JEFFERSOFUNTYg DEPARTMENT OF COMMUNITY DEVELOPMENT
`".4 621 Sheridan Street • Port Townsend Washington 98368
360/379-4450 • 360/379-4451 Fax
q�, ��p� www.co.jefferson.wa.us/commdevelopment
N OCT 15297
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
Tax Parcel Property
Number: f5. ) _ C) 1 0i 2 Size: (acres/square feet)
Site Address and/ Directions to Proropertty: j-{Icy t,,;0,1 a i0 1 .lb `tjz Coo •6L,,.1;,,.� 3-�n
Property Owner(s)of Record:
Telephone: Fax: email:
Mailing Address:
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)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
D Address 0 Road Approach 0 Binding Site Plan**
❑ 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 ❑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 ❑ 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:
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 inspection Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap lic on a e Q she nts prior notice. 1�
Signature: �1£ tii Q;ZA Date: 'f)j(0/C� t
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-tr rrsfe rpo sibili or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: A, • 1 etire.A Date: ‘d/i()/6
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• BUILDER STATEMENT • 'I
'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:
i' 1yy rtF Pw' .
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GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ❑ Wood Existing: 0 Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: 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 i 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 r'. ffce Use0044 u° , r ' ,,;Amount ,,,,s: vasjon,.,
Main Floor Heated H Bld App Review:
2na Floor Heated _, ' Consistency Review:
153.w
Other Heated Base fee: I Cil L1 5 15
Mezzanine Additional Section:
Heated Basement Plan Check fee: 1 a lr ft . � /1
Unheated Basement ' State Surcharge fee: �'t `
y50
Other Unheated Pot Water Review fee: n -5.Ob
l
Garage/Carport ' 4 SUBTOTAL
Decks 53a r J 911/Rd Approach fee: �,5 , c.an
f><I s-l- I rt9
Othecl TOTAL: $
Receipt Number: rr 35
Cash/Check Number: 5-71
ESTIMATED COST(REQUIRED) bq Li-pH Date: O 5 I�7
� �
•Fair market value of all labor and materials foundatr
G� Initials:
l
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc