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Home My WebLink AboutBLD2007-00579 • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-00579 Received Date 11/14/2007 SITE ADDRESS: 243 FRANKS LN Issue Date 3/6/2008 QUILCENE, 98376 APPLICANT: CHAD CHRISTENSEN PHONE: (360) 825-4820 KARI CHRISTENSEN 39712 248TH AVE SE ENUMCLAW WA 98022-6883 2+ SUBDIVISION: SEAHOME Block: Lot: PARCEL NUMBER: 992600004 Section: 36 Township: 27N Range: 01W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, CHAD CHRISTENSEN PHONE: (360) 825-4820 if different: KARI CHRISTENSEN 39712 248TH AVE SE ENUMCLAW WA 98022-6883 (253) 939-0641 PROJECT DESCRIPTION: 11DEl11MO3��L��ILLSHll��EXXI��S��TING HOME, CARPORT/LAUNDRY, PORCH AND Directions GO TO HWY 101,1 11k-TMlifi YARD HOOD CANAL BRIDGE,TAKE RIGHT ON SOUTHPOINT RD, To Site: TAKE RIGHT ON THORNDYKE RD, GO 6.9 MILES LEFT ONTO FRANKS LANE THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/6/2009. REQUIRED INSPECTION: FinalApproval: 2e ��r t p.a.. I Z�Z--3h 9 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY ILDING PERMIT APPLICATON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 MLA07-00617 PERMIT #: BLD07-00579 Received Date: 11/14/2007 SITE ADDRESS: 243 FRANKS LN QUILCENE, 98376 OWNER: CHAD CHRISTENSEN PHONE: (360) 825-4820 KARI CHRISTENSEN 39712 248TH AVE SE ENUMCLAW WA 98022-6883 SEAHOME SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 992600004 Section: 36 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION DEMOLISH EXISTING HOME.. CARPORT/LAUNDRY, PORCH AND OUTBUILDING TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM VALUATION MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 0 Prop: 0 Total: 1 Total: 1 Routing Date: I l/ L /o7 Type Amount Paid By: Date: Receipt: Approved/Date Permit $51.00 KAS 11/14/07 95467 \IDFDRDJEE) State Building Code $4.50 KAS 11/14/07 95467 Total: $55.50 MAR (t) 2008 Jefferson County Planninf & Building Department • • SPECIAL CONDITIONS FOR CASE#BLD07-00579: 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 21, 2004 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: Conservancy Shoreline Designation, Eagles Habitat Areas, Seismic Hazard Areas, Level Landslide Hazard Areas, Susceptible Aquifer Recharge Areas and Coastal Seawater Intrusion Protection Zones (SIPZ). 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) 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. 5.) Shoreline & Landslide Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 6.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry(Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow(Salix lasiandra), and Scouler's Willow(Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Sala! (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant(Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry(Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7.) 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. 8.) 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 or toe of the Landslide Hazard Area. 9.) 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. 10.) 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." 11.) All construction activities shall not encroach upon the Shoreline& Landslide buffers. This includes the storage or preparation of materials. 12.) 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. 13.) The applicant shall fully adhere to all conditions and requirements of the approved Eagle Habitat Management Plan. 14.) 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. 15.) The applicant is proposing to create or add 1,775 square feet of impervious surface and 1,100 square feet of land disturbing activities. Sections 18.30.060 and 18.30.070 of the Jefferson County Unified Development Code requires that 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. I:\F_BLD_Permit_Propane.rpt 10/29/19 ttilatol CuDn << D I C 0 W m A1 crre �cc, SI ssGIOId CLVA R C: IthArEi % 0RCAA „of'`` NOV 142O7 �f1f RSOa•MJti�M Notification of Demolition Permit JE f ''�''?'� OCR It is unlawful for any person to cause or allow the demolition(or major renovation)of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure. Project Site Address• Q '-t 3 V LI\ k' L ('n-n-€) County:= f11',�t City: G,y AA,' I (2-f'1-c_ State: V\jj / Zip: Starting Date: Completion Date: *(There is a 10 working day advance notification period from receipt of permit application) Property YOwner: 010 (l C, y I�,�,�/1Y.1)Telephone:--). G 1r� % 2(-) Fax: r�5� -43Gj -C) (4 Mailing Address: 1-7 /2 2 = Pip S� City: E h Whn t✓u State: U i A Zip: %A 0 __ Demolition Contractor: State License#: Mailing Address: City: State: Zip: Contact Person: Telephone: Fax: YES NO Demolition by Wrecking or Dismantling? ($25.00 fee)check# Training Fire Demolition? (If yes,attach fire department request for training fire) Renovation,Alteration, Remodeling, Maintenance,or other Construction? Asbestos found or suspected* *An ORCAA"Notice of Intent to Remove or Encapsulate Asbestos"fonn and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by AHERA Certified Inspector XI)(1 btieTh4pe. Certification#- 4t)1Q oo q 2- /6/9 es oci- o g This approved permit must Enclose$25 C� Certification of the Asbestos Survey must be available at the job site Processing Fee accompany this form 2940 B Limited Lane NW,Olympia,Washington 98502 360-586-1044 * 800.422-5623 * fax 360491.6308 homepage:www.orcaa.org * email: info@orcaa.org Rev.07/11/02 (Sit -0 ozv JEFFERSOIJ UNTY •rt- rg� rs DEPARTMENT OF COMMUNITY DEVELOPMENT `Q 621 Sheridan Street • Port Townsend •Washington 98368 N O V a 4 2007 360/379-4450 • 360/379-4451 Fax Is NGoI www.co.jefferson.wa.us/commdevelopment ;•Ifl,;� [ Master Permit Application MLA: Q l- 4017 Project Description (include separate sheets as necessary): D m u 141.or-- Tax Parcel Property L L (p 0() O v l Size: (Q . `3 S 27 b E(O0t( sft,/s, Number: 9 �,t, �rZ (acres/square feet) Site Address and/or Directions to Property: &d iv Nv 1 )oil 4(4I A. L a 4-0L vl�..r�t I tom#( C3►'7d6 - takt- IR. an . r pa,n r 9 / r* i 3 Fr as ak—L . — X.u1'ice ' . ' 'Frtk( re Gr, —Thrr k :�5�i ..,c 4.0n Property Owner(s)of Record: CH a d O n ei er r i l�'`; J e.S Ier?Ee a---, O'"o Fb�rgks , Telephone: 2.,&O '4S2.5 cj`f, Z c Fax: )5 3 - q3€."1 - 069 -H email: i<Gti I ri)s-y)-; '4 0 I;Nor ic,s.( :)rl Mailing Address: 7 i 2 2.` $t fit' Sc, Lyn c e,-,6 rl41,,,,, Wii c.i W-2 Z. Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor, Major or Reasonable Economic Use) 'Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ 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 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ 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: 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 requi d later ins.- tio.is. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli t' n that he . 1 - is prior notice. Signature: . iztiti / Date: J '_ i y -67 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 ar 'n complianc with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab r onsibility_ r a • and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: � � Date: /I • I? —0-7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT 1111 The signer of this st tement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as m' g the res n i ' y of the General Contractor for the proposed proje v Signature: Date: // / i—0 7 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 d"Wood Existing: 1 ❑ Sewer ❑ Addition ❑ Steel Proposed: b Bank ❑ Community System ❑ Alteration/Remodel Li Concrete Total: i Height: ..WC Individual System CIRepair III` Masonry I S F4• SEP Permit# )e '. _t Demolition ❑ Other: Bedrooms: Water Supply: Existing: I Setback: ,l Private well ❑ Two Party Type of Heat: Proposed: Q rrt ❑ Public eler-Ivr•` Total: I �5 r, ' 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: 1(1117 I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other\"i r 4tf 1 /. Luu r 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 rke-Use�Qnl Ro y , Amount' Revisions ., .. Main Floor Heated U a n EH Bld App Review: 2nd Floor Heated V `• , . ` Consistency Review: Other Heated Base fee: 51 . 00 Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: L. . , 3 Other Unheated Pot Water Review fee: Garage/Carport woo l J SUBTOTAL 55. So . Decks 911/Rd Approach fee: Other TOTAL: g 55I 50 Receipt Number: Q t Cash/Check Number: l 5O4 a ESTIMATED COST(REQUIRED) Date: I` l O� .Fair market value of all labor and materials foundation to finish `t i 25(o _ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc ___i__i_i _i______ - . ,.--".....I.111.711.IIIIIIIIIIIIM_____ Ft i I 1 1 I i I---, _L____it L --- 5:2 C) -"PI __ _4______1_ ____ ''rjt Ci) I LI i 1 - \ -k- - 1 , 1 1 ! ____ ______ __ .,,,. __________ ---1----1-..- I_ L_____j_ i I . 4r1j . 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