HomeMy WebLinkAboutBLD2008-00001 S UILDING PERMIT APPLICADN MLA08-00001
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00001 Received Date: 1/2/2008
SITE ADDRESS: 303 KEVIN LN
CHIMACUM, 98325
OWNER: BISHOP LOGGING COMPANY PHONE: 360-301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325-9709
BISHOP HEIGHTS LARGE LOT
SUBDIVISION: Block: Lot: 9
PARCEL NUMBER: 901355012 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 1/11/2009
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,796
VALUATION 187,995.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 597 SHORELINE:
CONST TYPE: DECK: 100 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
\DAt
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,486.55 KAS 01/02/08 65677 APPROVED
Plan Check $966.26 KAS 01/02/08 65677
State Building Code $4.50 KAS 01/02/08 65677 FEB
Potable Water Application $59.00 KAS 01/02/08 65677
Jefferson County Plannint
Total: $2,516.31 &Building Department
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Joffe,son County Building Divi. Permit Numbe LD08-00001
Applicant: BISHOP LOGGING COMPANY
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks �
Erosion Control SEE CONDITION# 1.
Foundation Footing DR_ WrFE,e /uS?Au.Eb 337248'N
Footing Drains Y/u /og
Foundation Stem Wall 3/2p/a O4
Underground Plumbing
Under Floor Framing 3/244 1/OAS
W LriXa�
Straps(hold downs)
Ext. Shear Wall Nailing 414(0$' �d—
Rough-in Plumbing ;�I �� *�
"'
Framing III z o� ��
Blocking
Airseal 5 J 1 Z f o: `
Insulation:Walls
Insulation: Floors / 4'g'
ei2'rt
Insulation: Ceiling - ØJ
Int. Shear Wall Nailing Sr-2 7.0C {
Wallboard Nailing 1 PI
5.Z? c ``✓ �
Gas Line: Interior
N /�j
Gas Line: Exterior //N`A
Propane Tank Nl4
Heat/Chimney Clearance l�
Drywell/Alt Drainage SEE CONDITION # 1. a oX 3/24#6
3/2-4/6 b ort.iue hius-rAL/Fn 3/2‘4‘48!
Address Posted 7/i1/8
if/
FINAL INSPECTION 7/7/11 L41
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FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
410
CONDITIONS for Building Permit# :BLD08-00001
1.) ONE DRYWELL IS PROPOSED AS APPROVED BY JE:FFERSON COUNTY ON
FEBRUARY 27, 2008 BY THE DIRECTOR AND PLANNING MANAGER. THE
DRYWELL WILL BE CONSTRUCTED TO 8'X 8'X 5' HOLDING UP TO 12 YARDS OF
GRAVEL. THE DRYWELL SHALL BE A MINIMUM OF 10 FEET FROM ANY
FOUNDATION.
2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS,
STATE AND LOCAL CODE.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) 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.
9.) 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.
10.) The building height is not to exceed 35 feet.
11.) Minimum seback from Kevin Lane Right of Way shall be 2:0 feet. Minimum side and rear
setback shall be 5 feet.
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APPROVED
STORMWATER PLAN
water iS
MAR 1 8 2008
Storm
Require JEFF ERSO .OUN
EPT.OF •, oE•V . li ENT
SIG D1vATUR ��1 -*At ,
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Z0 'd 96£1.Z£L09£ -113SSO3 ,tiaaoa WO £17: 90 8.D-
�t , JEFFERS OUw1y - ,-- ::� .Y . : ..
4 • i g� 3 DEPARTMENT OF COMMUNITY DEVELOPMENT a
`� 621 Sheridan Street • Port Townsend •Washington 98368 .BAN 2008
360/379-4450 • 360/379-4451 Fax
�yS, O0 www.co.jefferson.wa.us/commdevelopment 11,'= n � ['.p r�lI�� [� ;n;ii.
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Master Permit Application MLA: 0 '6- OCC0 1
Project Description(include separate sheets as necessary):
/VE .• Cvrstcvc-,o 1.4-/4 -X,i (a,,tge
Tax Parcel 3�— Property r
Number: I-, O,, Size: S, 03 4 f r e S (acres/square feet)
Site Address and/or Directions to Property:
3 0.3 ker/, ,? L-t/ c,i /.0,-7 w f4,el% t,/,f,/
Property Owner(s)of Record: &,,s kyo .8,-,-,4 ff,€.- c ^ s7/
Telephone:36,9 30 i • ./ 7'.- Fax:
MailingAddress: / 4% // ,f 1 cl ,r,a ( 6,`r , email:
37. ,� � �h,;/- ,
Applicant/Agent(if different from owner): .p.;-,. .8,s 4 p
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies
jauilding 0 Valiance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
"(Single Family $1 Garage Attache Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular ❑Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach ❑ Binding Site Plan**
❑Home Business 0 Cottagelndustry ❑ 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)* ❑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
*Ma re•uire a Pre—A..lication 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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the app�lic_atio//n-.that he or j.he wants prior notice.
Signature: z--1,L «2� Date: / —vCY--
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 responsibi'y for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ,--,?
Date: / vL- "C
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-211O6.doc
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:
r), 43,-,07ix «s Cab > / (360 )3.)0- / i 4 ( )
MAILING ADDRESS: 3-it 8,s 4,.r, /7,/,/,0 (�,` ,,,e,.,,. EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: 8�S'/°8C 0 9 3 0 6 NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
S New X' Wood Existing: U 0 Sewer
❑ Addition 0 Steel Proposed: :►. Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: et Height: %Individual System
❑ Repair 0 Masonry SEP Permit#SEPO?-33-2
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 0 Setback: 0 Private well ,1±D'Two Party
Typ of Heat: Proposed: 3 0 Public
,f,a, c ;..11f,r pN n Total: 3 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 t 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. x
Square Footage Current Proposed ; rr i•e js• c - �,�'' c r .
Main Floor Heated J 796 . H Bid App Review:
-- :,e#,�
70 . 00
2`d Floor Heated Consistency Review:
� 15r7 . r;c.
h�jyyr�
t� Y
Other Heated r g+A 'max" Base fee:
RECEIVE I �� .55
Mezzanine Additional Section: _ ,_--,
Heated Basement JAN — 1; ,.,0 Plan Check fee: (f / .
Unheated Basement '; ,.,4 State Surcharge fee: A 5 C.
Other Unheated t: a s Pot Water Review fee:
W�
e ... r—s4».r> SUBTOTAL
Garage/Carport S9./ tL -1--29, 3 1
` e= ` 911/Rd Approach fee:
Decks 100 I fib, 5 s Eli t -�
i n 9 r/�(� '^mil
�s r a �� r. �/)
Other - TOTAL: $
7,. Receipt Number:
: � Cash/Check Number: a�55,
ESTIMATED COST(REQUIRED) _ Date: 112.1
I z 1 D
.Fair market value of all labor and materials foundation to finish_.
7S/ J C�v• ( ►51 qq5.[41' Initials: i-- -.
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• 4111
i' L CE VED
�ON CO
�, JEFFERSON COUNTY JAN a. 2008
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 96368 JEFFERSON COUNTY DCD
1k9411sieic ° 360/379-4450 . 360/379-4451 Fax
http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# Qe' D0.o NRQIECT/APPUi;ANT NAME: F'f A i f,5-
'lease answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
Lpplicant 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.
.p,F I �n7 } o �r�cs �r �'� r Prll%�^cy
Existing Conditions Summary bier. ...s . , 'r. • ..: 71 3.: fi,,
2. Describe the existing topography. Indicate_..<n._....__..._ h e.s.ie_Masi—
.
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
/ 1.5 b-c C 4„ rrenS wt : 4.1.1I spip ' .e
4. Describe the existing soils. Indicate soil type on the site map.
d � ,�.: �? �
5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,below,and on the ground). Indicate
existing stomiwater 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
APPROVED
6. Describe any excess levels of noise generated by the proposed use or activity: STORM W ATER PLAN
MAR 1 8 9n08
Storrnwater
Required UN
JEFFERSO
gmDFPT.OF ' •, 'L Ybr:VFi 'MEN
SIGNATUR u
• •
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.
Ari-
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.).
/'11
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.
Describe,the develo ed site:h hydrology,
P Y ogy,as proposed. Indicate whether stormwater will be:fully-dispersed(I:e;per BMP-iS:30------
in the Manual)or,if not,°what types of stormwater flow control will tie-utilized for"the site r specIldthreshold discharge areas
within the site. Locate these facilities on the site plan and differentiate proposed facilitiesllOrni i!?gfaciutles..v s�_ ,;
ri
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 an¢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.
/IV/1-
RECEIVE II)
12. Describe the flow control system.
i
JEEFEI q COU�JTY CU
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RECEIVED
13_ Describe the water quality system.
JAN - 2008
ALA-
, 98 C BCB
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.
•
17. Describe the proposed surfacingt material.
Gcau[ / on ar1c/�.c..gv
18. Describe methods for restoration of the site.
s J c en/0 / n v w : 1 i' a 111-4 / ies..e T••p,t
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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 InduderL.4st the Manuals
here. �., , er
20. List here and include any special reports or studies conducted to prepare the Stomiwater Site Plan.
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.
• •
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant 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
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.
r
2. Establish Construction Access. _ -2ftaa _
•
3. Control Flow Rates.
•
4. Install Sediment Controls.
d n + e 1I t r.r' / ! 1 f
5. Stabilize Soils. //
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6. Protect Slopes.
7. Protect Drain Inlets.
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Gr[' r..1u,L_ 'J/ a.. rl / Ili
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4111
12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets. /
,/JCL,'! , fee 0 �1f c i 5' c7� ,\I—�.'�",'7 Q��1? i 6� 6//f i- ,S,7D G7!! i t.
9. Control Pollutants. �+
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In c: : j Pic/ // A c/Yrs,,![7� C3 u 7 ;A 344 ea 9 •s." et /.- .
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
Dice f X f5 c u � a
•"a 1�. s /la7 Ca e_71 71-o 7L e s. �
11. Maintain Best Mana ement Practices(BMPs).
vPLCC -4i�t.i,[ ,i�r! , S i n •GLcc-{r l�r hr� J.
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12. Manage the Project. - • ua is .
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
4/04./C
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
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3. Environmentally Sensitive Areas. 1161 ; b I E
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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JEFEEH;NC0E- R DEQ
• •
b. Description of special requirements for working in or near environmentally sensitive areas.
41/4
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
5. Construction Phasing.
a. Construction sequence // /
Ch 1/ 5 T/_ V 0 .Se' T /, ,
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2 21 of the Manual). -
I. Provide a proposed construction schedule.
.
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IL- Wet-Season-ConstructiorrActivities� -— --- --.. -. _
a. Proposed wet season construction activities.
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b. Proposed wet season construction activitiesfor environmentally sensitive areas.
•
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
N1
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts./4
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the folio '
a. ..Sediment Ponds/Traps.
b. 'Diversions.
c. Waterways. 1 A„ - , 2008
d. Runoff/Stormwater Detention Calculations
•�H��F
JEFFERFANGk11111
•
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.
/ -- z --o,$)
LANDOWNER OR AUTHORIZED REPR ATIVE SIGNATURE) (DATE)
)
•
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: "'"`"a' ''
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RECEIVED
JAN - 2008
JEFFERSON COUNTY DCD
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