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Home My WebLink AboutBLD2008-00130 08- ILDING PERMIT APPLICAAN MRL Review Ty 164 ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00130 Received Date: 4/4/2008 SITE ADDRESS: 210 KELLY RD BRINNON, 98320 OWNER: ROBERT E SHADBOLT JR PHONE: 360-796-2067 KAREN E SHADBOLT 210 KELLY RD BRINNON WA 983200363 OLYMPIC CANAL ADDITION 4 SUBDIVISION: Block: 22 Lot: 19 PARCEL NUMBER: 981002217 Section: 16 -"ownship: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr FOUNDATION ONLY FOR EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,200 VALUATION 33,396.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 384 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 0 Total: 2 Total: 1 Routinq Date: _ _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $482.15 AMS 04/04/08 97131 APPROVED Plan Check $313.40 AMS 04/04/08 97131 State Building Code $4.50 AMS 04/04/08 97131 MAY 13 2008 Total: $800.05 Jefferson County Planning &Building Department Jefferson County Building Di„ sion Permit Numir: BLD08 00130 Applicant: SHADBOLT 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 I G — ) Foundation Footing Foundation Stem Wall l Under Floor Framing4i4i/os ,��/ c�- Blocking Insulation: Floors _ FINAL INSPECTION ,-2-1,—(.1 Love 0-tor\ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00130 1.) 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). 2.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of 11.8 feet. The lowest floor of the structure is required to be elevated at least one (1) foot above base flood elevation or 13.1 feet. PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL "FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF \NASHINGTON. 3.) Construction Materials and Methods of Construction to Reduce.=, Flood Hazard (i) All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 4.) New construction and substantial improvement of any residential structure shall have the lowest floor, including basement, elevated one foot or more above the base flood elevation (BFE). 5.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meetiig this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 6.) VOLUNTARY MEASURES OF C STAL &AT RISK SIPZ: • 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. 7.) The identified Fish and Wildlife Habitat Area (Type S Stream), shall maintain a vegetative buffer setback of 57 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Single Family Residence. 8.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 9.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) Building Setback from Kelly 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. / ,<1.7.6N, �o JEFFSONUNTY W ' 0 `\� A DEPARTMENT OF COMMUNITY DEVELOPMENT F `\ '4 621 Sheridan Street • Port Townsend •Washington 98368 1. •ti 360/379-4450 • 360/379-4451 Fax �r rr •"/ 9��"' ��i.�.Lc tt / �'`sHING,O www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 02 — 1°4 Project Description(include separate sheets as necessary): nnf' 'p• 'f r ;J %c,.-I 4-t ,,.'. Fia;.f rCt..‘ Na-y'- �'Xi1• '",! ili` c,- .P1 4 0,4 "ate C ,n D2,.,e..n[l.:t acc,,-- `:0.,Cdr ,;;✓=4,-rS t�•'.,SI, • 4c k;+:1 L c, pl:,Y .� ie•-f' 1 4 e(s.k..4-,o'v ./ mad ..ly i-c t-6L t t.x l.c ii--.�� c f4Y-d o- `Yl -IQ: a.t, :`.' 2 Ct f I Tax Parcel Property ICI,F '1,> I a Number: / co ✓, 7 Size: 0 S c—c rt (acres/square feet) Site Address and/or Directions to Property: 3 - /D k`I11 4 ee41, Af'A"o.,J t.,,Y,. - n ,- r".14 ieosIt- Sic. GI IA1,..�1► iu•, ICI e.-11-E, 7�,.,,L.z�cssi. e.,v't✓" t .::J Leff^ '1.;,-...J,,,,j K�hf s." ke/y 41 lld...wer. 1.c1fs„, Property Owner(s)of Record: ..o�cri- g , $. g,,,, � 5- A Ir Telephone: 3 CC 71 6 )-i,j. '? Fax:p _ email:eL:kutiw>/, z/4 0 r:',x Lima.), t�*,.�.- Mailing Address: Pt) . �.I( & .3 p f;A✓,.,, A Ltj-- ci Pc 3:�-L=' Applicant/Agent(if different from owner): /1/I/4 Telephone: Fax: _ email: Mailing Address: What kind of Permit? (Check each box that applies ,r-, ,.-v4 t� ❑Building ❑Variance (Minor, Major or Reasonable Economic E 1i 9, ! ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** APR 0 4 200$ ❑ Commercial* 0 BoundaryAdjustment 0 Short Pl ❑ Change of Use �`�`n �i� dt']� Line Plat** �+(} ❑ Address 0 Road Approach0 Bining Site Plan** Irr ERS N } i ❑ Home Business 0 Cottagelndustry 0 Long Plat** l� j�Pro ❑ 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 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 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 application that he qr he 'nts rior notice 7 Signature: i-t• Z�rV�-r y hi,V) ( 3<x)ealli e Date: 3 -3 I .- 16.61 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-trans r bleLresponsi r y for1adhering to and complying with the ES4. The Applicant has read this disclaimer and signs and dates it below. Signature: i�(- i s-- Y'C Zf y.Y\�.�3-r'ii*,,O- Date: S -.� i 2.-C)eP° G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc II II- p -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 res onsibility of the General Contractor for the proposed project. Signature: Nl,0-r'( ? 4tr ler /'(Cs'g'i 4 )(i047,--Lt _. Date: ' " S/ - 00 i^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 NC"Wood Existing: 1 ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System IBC Alteration/RemodelA .itf,m ❑ Concrete Total: i Height:" TA/Individual System ❑ Repair ❑ Masonry s' SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z Setback: @c Private well o Two Party Type of HeaU Proposed: e 0 Public �n, ,,,1-. eie` r,` Total: C Name of System: 1 1 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 1 Hot Water Tank i Pellet Stove 1 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 .'ALP," EH Bld App Review: I Z C C' c cc.,n-t.. 33 fl(n 01 A -Q aF,F Hei-&) l l S PQ3 -52D 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine . -,aE. .X.HPrr aAiri, Heated Basement Plan Check fee: 313,4° Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: IJ1A Garage/Carport SUBTOTAL 1324.E _ Decks 911/Rd Approach fee: 3Py s.tit OR Other TOTAL: $ t324 05 Receipt Number: CI 1 l 5 I Cash/Check Number: i Ikl P)Cf ESTIMATED COST(REQUIRED) Date: •Fair a et values rr-al - onri mat—ia/s foundation to finish 4-A. _-C) ;6S po0_, CC Initials: c G:\PcrmitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc i 1:� \� i „ VI) arrN Pi Pr' .1:3 • 1 w tti . /ol •._ rtirT eV • • .t. 9 lit k.Zw -< y b / 1 i /1 i OPP"- --: ! 0.) V Cs / ) 1 I 1 N t\l, ,,, / 1 ? T 41 / I t II si ! ' , / ii 1. - 0 ul t ! N R, i 4 / - a ! 1% / t . , f / iv ' I I , , ,' /.. i / / „ , 1 " / ei g I i . _ / ii p , - - k -:-(4,, A Alo, ,. . J re 1 . g i , , Li 0 �, iIS ifil •Urk I . w — y z- L' (7 A x rf ki '� APR (Q a % C 33: k ' �. \ All R 4/ , i-, .s: \' � <_(( JEFFERSON CC{INIY 1JCfl � ; .11 v ''is-i-9:-.1 milf� w A m 0 Z fn D p a w co° n, N m O n KIR C i. BIKE c rn 0)co a , o z o m • z -I -, STATE OF' WAS INGTON o a ^ m