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HomeMy WebLinkAboutBLD2008-00137 DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00137 Received Date 4/7/2008 SITE ADDRESS: 423 LORDS LAKE LOOP RD Issue Date 9/16/2008 QUILCENE, 98376 APPLICANT: BONNIE L FRITZ PHONE: (360) 385-2906 1005 SHERIDAN ST PORT TOWNSEND WA 98368-2958 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702024019 Section: 2 Township: 27N Range: 02W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, BONNIE L FRITZ PHONE: (360) 385-2906 if different: 1005 SHERIDAN ST PORT TOWNSEND WA 98368-2958 PROJECT DESCRIPTION: DEMOLISH 120 SQ FT SHED Directions LORDS LAKE LOOP RD, 1/2 MILE NORTH OF 101, LEFT SIDE, TURQUOISE TRLR 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 9/16/2009. REQUIRED INSPECTION: ( FinalApproval: � s4 41/4 (' 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 •UILDING PERMIT APPLICA'!RGN MRe 08-00166 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-001 37 Received Date: 4/7/2008 SITE ADDRESS: I . LORDS LAKE LOOP RD QUILCENE, 98376 OWNER: BONNIE L FRITZ PHONE: (360) 385-2906 1005 SHERIDAN ST PORT TOWNSEND WA 98368-2958 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 702024019 Section: 2 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: ERIK MART PHONE: (360) 765-0666 PO BOX 751 QUILCENE WA 98376 PROJECT DESCRIPTIOP DEMOLISH 120 SQ FT SHED TYPE OF WORK GAR 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: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $51.00 KAS 04/07/08 97049 A PPROVED State Building Code $4.50 KAS 04/07/08 97049 Total: $55.50 SEP Ilo 2008 Jefferson County Planning & Building Department • . SPECIAL CONDITIONS FOR CASE#BLD08-00137: 1.) Due to a recent Washington State Supreme Court Case: Futurewise v. WA State DCTED, Ecology, Case#80396-0, the Critical Areas Ordinance (Chapter 18.22, JCC) does not apply to development within Shoreline jurisdiction. Only the Jefferson County Shoreline Management Master Program (Chapter 18.25, JCC) applies to development within 200 feet of the OHWM. 2.) The project proponent applied for a Critical Area Stewardship Plan (CASP) on August 7, 2008. Due to the recent Washington State Supreme Court ruling, the permit for the Critical Area Stewardship Plan has been cancelled. Jefferson County recommends the property owner implement the stewardship plan that was prepared by Al Latham, Jefferson County Conservation District. 3.) The FEMA Flood Insurance Rate Map (FIRM) for this area is 5300690835B. This parcel is outside the detailed study area. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on May 28, 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: Shoreline Designation -Conservancy, Stream Type- S, Seismic Hazard Area, Susceptible Aquifer Recharge Area (SUSC). 5.) 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. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) 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. 8.) 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) Salal (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). 9.) A wetland is mapped on this parcel. Based on a site visit by Jefferson County staff the mapped wetland does not extend on to this parcel. 10.) 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. 11.) The applicant is proposing to create or add 896 square feet of impervious surface and 896 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. 12 ) 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. 13 ) 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)(b)(i). 14.) This approval is for a demolition of existing shed and construct a single family residence 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. 15.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 16.) The site plan as submitted on April 7, 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 September 16, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \F_BLD_Permit_Propane.rpt 10/29/19 ,a t r�- I . PERMIT#E 1 S- APR 6 \0 i / " APPROVED i 'LION etzkv CONDITIONALLY R VED I I-` P, Olympic Region Clean Air Agency - 2940-B Limited Lane NW NOT APPROVED Wo.- FOR COMPLIANC WITH Olympia, WA 98502 ORCAA T N 1 f'.: ORCAA .. (360) 586-1044 or 1-800-422-5623 BY:m,.,43. Fax: (360) 491-6308 www.ORCAA.org k!q nfH soti.l A�OM*t� ji App28 Notification of Demolition Permitrt, �1749 It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure bh rids;4iVittbestps- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos proje /V'bin or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a ° 1�L(f demolition shall include a cerVficatio, that there is no known asbestos-containing material remaining in the area of the structure. ,► / Project Site Address: - _ Lo21=,0" <Cg/e.X ./..-0cP /2-0/7b County: ���f7fCl vk-, City: t'Pti/ ;lA:,-E-- State: 24 Zip: d"277 Starting Date: Zl' 30 .ai , Completion Date: *(There is a 10 working day advance notification period from receipt of permit application) Property Owner: /3 o0v&ii t /€/T Telephone: rg a/r riS-o ad Fax: Mailing Address: /50,5— ,..5-/-/ -r- l3ff" 4 re City: /50-aL " T.VAJS�, i A State: 1,/4 Zip: 7/-c8" Demolition Contractor: 010V62-ACrttir _State License#: Mailing Address: City: State: Zip: Contact Person: Telephone: Fax: YES NO Demolition by Wrecking or Dismantling? ($25.00 fee) check# /1'Xsnonrefundable XTraining Fire Demolition? (If yes, attach fire department request for training fire) XRenovation, Alteration, Remodeling,Maintenance, or other Construction? XAsbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos" form 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 ( I_. tT E '--Wkit._ Certification # This approved permit must Enclose$25 Certification of the Asbestos Survey must be available at the job site Processing Yee accompany this form MO F:\COMMON\Forms\asbestos\DemoPermit.doc Rev. 10/22/02 CK.NO. I 4 --'„t� DATE -i la-c I ¢ C N c .44 06, JEFFERSON COUNTY W DEPARTMENT OF COMMUNITY DEVELOPMENT' APR _ 2008`l 621 Sheridan Street • Port Townsend •Washington 98368 t 360/379-4450 • 360/379-4451 Fax q&a www.co.jefferson.wa.us/commdevelopment rF t'Dli (,',''r, Master Permit Application MLA: i)$ - ) I.c , Project Description(include separate sheets as necessary): /moo -.ii ��- 4--. / / - Tax Parcel Property Number: 7'%, �2 (7 _ Size: - �/ (acre square feet) Site Address and/or Directions to Property: . �/ dam... 61 .d o� 1 0 a-vQf .. ,../,"p a t_-#ti / /)j .i&g-{ .. /-1.e (71--a.-2-51/0/.45/ •4. lProperty Owner(s)of Recor / (44(1ph; /jj __ Telephone:o0 -•v-zc2G, Fax: email: Mailing Address: /�©l� .y f .,2.61a) 41/k_- f?)n / -7✓,..JA/,r. luh, %vv4 5'e-3 ,' Applicant/Agent(if different from owner): %-/?'//( /tfe,?..7 Telephone: 26—cci 76 ri6'(6. Fax: email: Mailing Address: 'J/ 7157(Ai/Lc Nam', chi jf u 7 e 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]** 0 Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 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 ❑ 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)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetation 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 ! (tt� 1_\ to act as my agent in matters relating to this application for permit(s). �OWNER SIGNATURE J e_ (OJT A�N � 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 its 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 ' h of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspecti . St ffs access nd right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she ants p' r notice. Signature:g eof�N _ Date: a 7— 624(r The action or actions Applicant will un rtake as a re ult of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"tak ".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 corn ' n with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsi ility. r adhering to an lying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: --0-1/C— Q,1('' _ Date: _ v 7-- r:•\PP...,ar!'...,r,...\IiHtfprP?4C4#4444\r,n rs r-.11,r.rek A r. . .. .- ._ _ . • — • . BUILDER STATEMENT The signer of this statement dpet-npreby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the re onsi it/itty of the Ge eral.Cantractor for the proposed project. / /Signature: (C� dl'AADate: _— 7 `�`( GENERAL CONTRACTOR OR MANUFACTUR D 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 A Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Hei ht(�y ❑ Individual System ❑ Repair ❑ Masonry t t SEP Permit# Demolition ❑ Other: Bedrooms: Water Supply: Existing: - Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Nf 11, 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 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 t, :r,Office l ,, E n _Kt'j' `t ` i ': 7 , ' Main Floor Heated ;J ' - EH Bld App Review ___ , 2r4 Floor Heated x Consistency Review: • Other Heated .� ., Base fee: 51. CC, Mezzanine A bD��r R� Additional Section: Heated Basement #tom tuts Plan Check fee: Unheated Basement State Surcharge fee: 5 c Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ 5 5 . 5 c-,, Receipt Number: 91049 Cash/Check Number: ! 4 i ESTIMATED COST(REQUIRED) Date: ' .Fair market value of all labor and materials foundation to finish 4 0 D Initials: G:\PemutCenteI\###FORMS###\DRD FORMS\Master Permit Anvhcation 12-19-2006.doc ) .24. r -.. r -------, , , /,---, . , . , ,. ..:zcz‘„ ... .... ,A r\ .1,--••••, 7';\ , ZrA ttl 1 cil N i. • "x..) .... ?.....) , >t, \ V/ •Vt 0 .-- •-•, ....z, / , N.-----,„,,,,,,.,_,....._ -;:' '',••N. "....4 .i....‘ '''N '` 1(//\ 0 db•• \__, '\''' l'k li 1- • --C) \\•.,,, 44, . k 1,11 \) \,) , .. 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