HomeMy WebLinkAboutBLD2008-00093 •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD08-00093 Received Date 3/4/2008
SITE ADDRESS: 255 SCHWARTZ RD Issue Date 5/23/2008
APPLICANT: CHARLES C BRADLEY PHONE: 360-779-8248
MARY J CLARK
7539 NE HARBOR VIEW DR
POULSBO WA 983707781
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021294037 Section: 29 Township: 30N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, CHARLES C BRADLEY PHONE: 360-779-8248
if different: MARY J CLARK
7539 NE HARBOR VIEW DR
POULSBO WA 983707781
PROJECT DESCRIPTION: DEMO - MAN HOME
Directions
To Site:
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 5/23/2009.
REQUIRED INSPECTION:
FinalApproval:
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
BUILDING PERMIT APPLI i I ML
N Revviewiew T Ty 104
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00093 Received Date: 3/4/2008
SITE ADDRESS: 255 SCHWARTZ RD
Nora VoyyJI,W °C
OWNER: CHARLES C BRADLEY PHONE: 360-779-8248
MARY J CLARK
7539 NE HARBOR VIEW DR
POULSBO WA 983707781
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021294037 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
JEFFERSON COUNTY DCD
BUILDING PLAN REVIEW
VAPPROVED AS SUBMIT
TED
REPRESENTATIVE: PHONE:
0 APPROVED AS NOTED
REJECTED
PROJECT DESCRIPTION DEMO - MAN HOME
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:3/9 /O2
Type Amount Paid By: Date: Receipt: Approved/Date
State Building Code $4.50 CJZ 03/04/08 96969
Permit $52.00 CJZ 03/04/08 96969 APPROVED
Total: $56.50
MAY43 znn8
Jefferson County Plannin
& Building Deaartmenr
I i
SPECIAL CONDITIONS FOR CASE#BLD08-00093:
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 May 23, 2008 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: Type
5 stream; SARPA aquifer recharge area; coastal and high risk SIPZ.
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.) 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.
6.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
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.) The parcel is located within a High Risk SIPZ(seawater intrusion protection zone)
according to the County GIS map. There are 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 High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a
history of chloride analyses above 200 milligrams per liter(mg/L).
9.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
10.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
11.) 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.
12.) The applicant is proposing to create or add zero square feet of impervious surface and
zero (demo) 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.
13.) 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.
14.) 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)(f).
15.) The site plan as submitted with the demolition building permit application on March 4,
2008 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 May 23, 2008 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
16.) This approval is for a demolition of a mobile home 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.
17.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
19.) 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.
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.) Minimum setback from Schwartz Road right-of-way shall be 20 feet. Miinimum side and
rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setback(s)
shall apply.
22.) 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.
23.) 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.
24.) The building height is not to exceed 35 feet.
25.) An address of 255 Schwartz Road, Nordland has been assigned to the parcel.
26.) A septic permit(SEP89-0299)was finaled on May 10, 1991. A building permit
(BLD91-0570)for a mobile home installation was finaled on October 6, 1992.
I:\F_BLD_Permit_Propane.rpt 10/29/19
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PERM(T
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Olympic Region Clean Air AgenIJONOmONALIV APPROVED
/. 2940-8 Limited Lane NW •
Olympia, WA 98502 NOT APPROVED
‘C,,i,_7..,,, 4. (360) 586-1044 or 1-800-422-5623EOR COMPLIANCE WMCAA , '
4*v- •oav Fax: (360) 491-8308 VSrw ,t,•w.ORC ,466'RE tAtiO 4,
Notification of Demolition Permit
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 ORC,AA. A written application for a
demolition stud!include a certificadon that there is no known asbestos-contalnlog material remaining in the area of the
structure-
Project Project Site//Address: O 55 $all Gt1CL r f z-- ,C oP County: JeIkisa✓�
City: r'1Dr'G( / 7)-Z State: 1444 Zip: %7345?
Starting Date: 37(/Cg Completion Date: �5///,�S
'(fore is a 10 working day advance notification period from receipt of permit application) ��p
Property OwnerL'C-/Ff B/f�� , _LE7 Telephone: 0-_ ___O Fax:
Mailing Address: 753 il/ /M-hnr U`,ut> Pry've-
City: f pte_t:5bO State: ( Zip: ...5?.0
Demolition Contractor. L. h i 7 t7SC..S State License#: L_J E/►/Tc.l yZ/<l;
Mailing Address: A�po J3,x 51C2
City: art P d/CCA State: W4 Zip:9!33
Contact Person: LAC. 5f zj e Telephone ti __ e-333O Fax:
YE NO
17 /Demolition by Wrecking or Dismantling?(S25.00 fee)check# nonrefundable
i/ 'Training Fire Demolition? (If yes,attach fire departmentrequest for training fire)
iRenovation,Alteration,Remodeling,Maintenance,or other Construction?
Asbestos found or suspected"
*An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate foo must be submitted prior to any asbestos
removal watt. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos mutt be removed before any demolition begirt. Refer to ORCAA Regulation I Article 14 for additional
requirements that may apply.
Asbestos Survey Completed by
AHERA Certified inspector . .. E ) 1i i4 e —
Certification# 601?/Y10)4-Ooti1- /0/7.67Dy
This approved permit rural I Enclose$2.1 Certification of the Asbestos Survey must
be available at the job site Processing Fee accompany This form
-:.:10
F:ICOMMONWForms moPemut doe _ i ,'+
4
:-\'!' MAR - 4 2008 Cx,No L___,,
DAZE_ 3- c-
w�``S.N c� JEFFERSICOUN •
A, ' G TY
DEPARTMENT OF COMMUNITY DEVELOPMENT
` 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�qs, �O$ www.co.jefferson.wa.us/commdevelopment ,
HIND t,rt , - 4 LULIO
Master Permit Application MLA: 0 - V-)46\- J
Project Description (include separate sheets as necessary) f
Peal oii.i-i t 67 nw6:/t% i rne.
Tax Parcel OZ.,/ Z-9 ` 40( C2 j 2 'C37 Property
Number:
irai Pro Size: o /4. 6-c-rDsquarefeet)
Site Address and/or Directions to Property:
r' Sc. l€r .. ice �- a
,
Property Owner(s)of Record: 'ffet,'/"5 �'l` /3 lEay ) /1c.i4-11 _/. C"/a,,� r%3i'- t'� )
Telephone: C-"'7'7 f - 'zy-,_, Fax:/ 1 / / email: ,2
Mailing Address:_53`fj 4/ Al.. t r— 4er..4 '.12!-i 1e_ Poc4/%� 4- 9,E3. C�
Applicant/Agent(if different from owner): > -,� f �.__�_.
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
❑Build��gg 0 Variance(Minor, Major or Reasonable Economic Use)
6a-'6emolition Permit 0 Conditional Use[C(a),C(d),or C]**
❑ Single Family 0 Garage Attached/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 ❑ 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 ❑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 f
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 appliati n that he or she wants pr'or otice.
Signature: / .rG Date: _7 2 C
The action or actions Applicant will un e as a result of the iss ce 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 resp9nsibility f o a he9ng o and mplyingy i , the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ' :c Date: .3/7/e7,c
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
BUILDER STATEMENT
• II
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 neral Contractor for the proposed project.
,`// ( /
Signature: (� ��:"I '� .» �G�:�� Date: 3 z/r S
GENERAL CONTRACTOR OR ILIA FACTURED HOMLER: 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: I ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ C�ommunity System/L,Ii._t-
❑ Alteration/Remodel ❑ Concrete Total: I Height: i-Individual System fir,ct.,, 'r
❑ Repair ❑ Masonry SEP Permit# *'/,,-; 17 1 VW'
1
0,e/Demolition 0 Other: Bedrooms: Water Supply:
Existing: 1-- Setback: 1Drivate well El Two Party
Type of Heat: Proposed: ❑ Public
&fJy; ric a L, ftC� Total: 7. - Name of System:
t 6
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 For Office Use Only Amount Revision
Main Floor HeatedC� EH Bld App Review:
-2n°Floor Heated Consistency Review: 5-1
Other Heated Base fee: v5
-
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 1
V
Other U�eate Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other
TOTAL: $aB-5.co '
Receipt Number: 01(6,6i
Cash/Check Number: le r cl
ESTIMATED COST(REQUIRED) Date: /�l Q
6
•Fair market value of all labor and materials foundation to finish ,^. ',` — 4 2008
Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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