HomeMy WebLinkAboutBLD2008-00111 • BUILDING PERMIT APPLIcT Review T TyION ML y145
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00111 Received Date: 3/21/2008
SITE ADDRESS: 770 RHODODENDRON LN
BRINNON, 98320
OWNER: BRIAN BOWERS PHONE: 206-938-4696
MICHELLE YOUNGQUIST
8833 39TH AVE SW
SEATTLE WA 97136 PLEASANT TIDES
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 988500022 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: A T B CONSTRUCTION INC PHONE: 360-613-4587
PO BOX 1822
POULSBO WA 98370
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW STAIRS TO BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,700.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: 3 IQ
1108
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $111.25 CJZ 03/21/08 96995 APPROVED
Plan Check $72.32 CJZ 03/21/08 96995
State Building Code $4.50 CJZ 03/21/08 96995 DEC - - 2nf8
Total: $188.07 Jefferson County Planninc
&Building Department
Jefferson County Building Rision Permit Nu•r: BLD08-00111
Applicant: BOWERS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:0C)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
Foundation Footing
Framing
FINAL INSPECTION 9 � � p �io cj ��ilitS
1 t
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00111
1.) Based on a July 31, 2008 Washington Supreme Court decision, Jefferson County cannot
apply critical areas regulations to critical areas that are within the jurisdiction of the
Shoreline Management Act. It is recommended though that the Bald Eagle Plan
submitted with this application be implemented as state regulations do require that bald
eagle habitat be protected.
2.) Flood hazard reduction measures are to be used as required by the Jefferson County
Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter
15.15).
3.) 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.
4.) Prior to commencing development activity, proponent is responsible for informing the
Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine
whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10
WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are
defined as construction or performance of other work that will use, divert, obstruct, or
change the natural flow or bed of any of the salt or fresh waters of the state.
5.) In addition to Jefferson County permit conditions, the project proponent shall comply with
all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
6.) Prior to commencing development activity, the proponent is responsible for informing the
US Army Corps of Engineers (COE) in order for COE to determine whether a Department
of the Army permit or review is required. Generally, review is required for construction
and dredging in or around navigable waters of the US and for work or fill in hydrologically
connected wetlands. Contact the US Army Corps of Engineers, Seattle District
Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more
information.
7.) The proponent shall notify the Jefferson County Department of Community Development
at(360) 379-4450 forty-eight(48) hours prior to commencing construction in order to allow
monitoring and ensure compliance with permit conditions.
8.) Work within the jurisdiction of the Shoreline Master Program other than as described
above shall receive separate review from this Department.
9.) Construction shall be in substantial compliance with the site plan submitted on March 21,
2008 as it exists now or is hereafter amended by Jefferson County and/or the Washington
Department of Ecology.
10.) Substantial progress towards completion of the project shall be performed within two
years of the issuance of the permit.
11.) No fill or other material may be placed in the waters or intertidal areas of Jefferson
County.
12.) A bulkhead shall not be allowed in the future to protect the stairs, which is a non-essential,
non-appurtenant structure.
13.) Any damage to the proposed structure shall be repaired or removed as soon as
practicable. At the end of the useful life of the structure, the stairs will be removed as
soon as practicable.
4`gON COS JEFFE�N COUNTY .
W
to DEPARTT OF COMMUNITY DEVELOPMENT
`' 7. `4 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
qS N��c3 wv
vw.cojefferson.wa.us/commdevelopment
illibp
Master Permit Application MLA: DI. I -ekb
Project Description(include separate sheets as necessary):
Stairway repair. replace wooden portions of stairway from bluff to beach.
Tax Parcel 988500022 Property 9000 sf
Number: Size: (acres/square feet)
Site Address and/or Directions to Property: 770 Rhododendron Ln, Brinnon. Southbound 101, left on Black
Point Rd, left on Rhododendron.
Property Owner(s)of Record: Brian Bowers&Michele Youngquist
Telephone:206-938-4696 206-669-2045 Fax: email: bowers1959@yahoo.com
Mailing Address: 8833 39th Ave SW,Seattle,WA 98136
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
faBuilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit E 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 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
0 Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
0 Sign 0 Plat Vacation/Alteration**
0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management Zi Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 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 �f� 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 a'. right of entry Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later ins.-.ions Staff cess and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he o e wants pri tice. a Q
Signature: Date: _5 '/! .ig 8
The action or actions Appli -nt will underta e 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 in 'vidual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance wi the Jeffers n ounty development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibility for a ering t\an omplying with the ESA. The Applicant has read this disclaimer and sins a d dates it below.
Signature: Date: '( ' 1al
/
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
.. • BUILDER STATEMENT •
The signer of this statement doe ereby.certify at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the resp sibility of th eral C ntractor for the proposed project. �t
Signature: Date: ___2 SIC
GENERAL CONTRACTOR R MANUFACTURED HOME INSTALLER: PHONE: FAX:
$ f2S 5xs ke- (AdreN) (A0) 7,9/- faiL q60) glo - c254
MAILING ADDRESS: RC I(l�0) / '2 . ,OLU 00 fg$7d^026,EMAIL: q Lp '2 @ wep4ze--d, /7 e�
CONTRACTOR'S LICENSE 47B �- 037i/C k, WAINS
NUMBER: ./"• 7 '44/7� NUMBER
ARCHITECCPI eth p �V j41",/ p/� PHONE ( %) ,/�y_ 7100 FAX:( )
MAILING ADDRESS: ZISD N. /07A r37b , h*/t?Sd I D/f,$ EMAIL ;4,(" JD/��t 1)'j4.4", ' atm
Project Type: Frame Type: l Bathrooms: Shoreliinee: Type of Sew4e Disposal:
❑ New E Wood Existing: 0 Sewer
O Addition ❑ Steel Proposed: Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: Height: , V Individual System
Repair ❑ Masonry ft /7 SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: V Public
Total: rg Name of System: ""'°.w °-
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 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank ❑Pellet Stove 0 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 Heated EH Bld App Review:
2nd Floor Heated Consistency Review:
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee:
Other TOTAL: $
Stairs to beac same Receipt Number:
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish
Z7� Initials:
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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