HomeMy WebLinkAboutBLD2008-00218 UILDING PERMIT APPLICA1N BLLD0800218
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00218 Received Date: 5/23/2008
SITE ADDRESS: 241 MATS VIEW RD
PORT LUDLOW, 98365
OWNER: CRAIG E DURGAN PHONE: 360-732-4677
GLADYS M DURGAN
PO BOX 330
PORT HADLOCK WA 983390330
SUBDIVISION: Block: Lot: T 1+
PARCEL NUMBER: 821042001 Section: 4 Township: 28 N Range: 01 E
CONTRACTOR: THOMPSON PILEDRIVING CO INC PHONE: 360-769-8428
PO BOX 2210
PORT ORCHARD WA 98366
Contractor's License THOMPPI172Q8 Expires 5/26/2008
REPRESENTATIVE: LEANN MCDONALD PHONE: 206-842-7380
9784 NE LAYFAYETTE AVENUE
BAINBRIDGE ISLAND WA 98110
PROJECT DESCRIPTIOP REPLACE CREOSOTE PILINGS
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 10,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Tofal:_--- -0-----��
Routing Date:
iz3�oa
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $181.25 LYK 05/23/08 97392 `,
Plan Check $117.81 LYK 05/23/08 97392 IP P R J V E C
State Building Code $4.50 LYK 05/23/08 97392
SEPGIS 2008
Total: $303.56
Jefferson County Planning
&Building Department
Jefferson County Building Dion Permit Null BLD08-00218
Applicant: DURGAN
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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
I Framing
Miscellaneous special inspection of pile driving
l •
FINAL INSPECTION eg11/1-1e /
�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
0 w
CONDITIONS for Building Permit# :BLD08-00218
1 ) 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.
2.) 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.
r.) The development shall be essentially the same as the original in location, size,
configuration, and external appearance.
4 ) No fill or other material may be placed in the waters or intertidal areas of Jefferson
County.
5 ) All lumber and other materials treated with preservative shall be sufficiently cured to
minimize leaching into the water or shore bed, in accordance with the Best Management
Practices approved by the Washington Department of Fish and Wildlife.
6.) The design, location, and construction of docks, piers, and floats, as well as their
subsequent use, shall avoid adverse effects on fish, shellfish, wildlife, marine vegetation,
water quality, and geohydraulic processes. Construction methods shall minimize the use
of materials hazardous to the environment.
7.) Docks and piers shall be set back a minimum of 10 feet from property lines except for
joint use docks and piers, which may be located adjacent to or upon a property line when
mutually agreed to by contract or covenant with the owners of the adjoining property, a
copy of which shall be filed with the County Auditor and submitted with the shoreline
permit application.
8 ) Work within the jurisdiction of the Shoreline Master Program other than as described
above shall receive separate review from this Department.
6i.) 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).
10.) All new construction and substantial improvements shall be constructed with materials
and utility equipment resistant to flood damage.
11.) All new construction and substantial improvements shall be constructed using methods
and practices that minimize flood damage.
12.) All new construction and substantial improvements shall be anchored to prevent flotation,
collapse, or lateral movement of the structure.
• •
Durgan Dock NA
Plan View - Existing
0 25 50 75 100 1 5 1 0
1 t I r l amp (4'x26' I
100% grated
6'x128' Pier 20' 12'Float
Jilt
6 p U 4 o o •
6' a o 0 y � o o • • •
o� 0 1
ai 31'
9
cjl
.
o
co 3'
Water depth
12' at MHW
M H H W o = Existing creosote piling to be removed (23)
6' up
natural
Bank o •
Plan View - Proposed Water depth
15.0' at MHW
3'x 40'
6'x 108' Pier grated ramp
a c 0 0
6 b 0 .. . 0
31' ---)). 12 new pier Float
to pilings, 10" 12' x 73' o
galv steel
MHWL
Natural :. k
Scale 5 new 10"galv steel o
float support&
25' 10 5 0 moorage piling.
I t
Y
0
• REFERENCE:
APPLICANT: Craig & Gladys Durgan MoOr7 r<.
pile to a set SO
PROPOSED: Remove 21 creosote pier and float support piling and replace with 17 galv steel South of float '
piling. Shorten pier and install new ramp. 0
��
AT: Mats Mats Bay, Puget Sound,WA COUNTY: Jefferson STATE: WA
SHEET: 3 OF I DATE: April 24, 2007
//� , aG� JEFFERSG.OUNTY •
/w � . ,�, DEPARTMENT OF COMMUNITY DEVELOPMENT
~' ' ` 621 Sheridan Street• Port Townsend • Washington 98368
s. . 360/379 4450 • 360/379-4451 Fax
gS jNCit " www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: CR - )7( J
Project Description(include separate sheets as necessary):
BwtIAiirn Kvrnv{- +0 ) tep t.Ge P'1, l
Tax arcel 6 Z I O 4' 2_ oo ( Property
Number: Size: WI 1< ►Gw rl
(acres/square feet)
Site Address and/or Directions to Property: 2--I 1 MC'.tS VI-Gt) Rd. Pcry - L.tad L � v l4 q 93 CO S
From O 4-13 ) we-s+-o,- r-o, I-1 Lds 1- �v An-a,-1-5-1-v 'AA"' 4`'-; t_e - t
ig View.
Property Owner(s)of Record: r✓Y'Gc-tGJ ml- C. [G-d c.(S D 0 ci-$1
Telephone: S G20 - `13 2 - L-I L•l-1 Fax: IA.)IC. 3 Cv C, '-(3' )-"'1-1 Gail: CI(-1-4,e-ft ptQ o/y wt p u-s.0 ort
Mailing Address: po 130,4 "33 D ) Pc' -F 1 excl t o CK. 1 j A ci,8 339
Applicant/Agent(if different from owner): Lect aivt e /VtGD c rr1.cU ci
Telephone: 2-049 9)A 1390 Fax: 2yC5 2y 972• email: I ea-nn _ .
Mailing Address: o11 0/4 N E La Fe -N L ,4v -c. / gam,f,,t [�,(. W A of 5 it 0
What kind of Permit?(Check each box that applies
Building 1 Y'1 v 0 v t Doc-K ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)*"`
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address 0 Road Approach _ 0 Binding Site Plan**
0 Home Business 0 Cottagelndustry ❑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**
0 Stormwater Management ❑Shoreline Management Substantial Development"
❑Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance
0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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:
Ali pew.vn 1-f-- Co''-P l,e+C- v-ili. 4-I..cuft E,u,4,1 Pecwt--t--
DES)GNATION OF AGENT
I hereby designate �,� ✓'u Owt-t f to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ,�_a_� -. -�° 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 tfd or she wants prior notice.
Signature: Date: !>'' /2-i ,V
t
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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .`'' "=
Date: ,'--
• 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: _ /04,'J'ry
7, ' J
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
"RA 1-4 1 1 ITS Tkov Ps ►on il-C 10,n
_ zT v ij (3(2Gi 131- b 9 t 1 (3 i) 7629 -a{fZc,
MAILING ADDRESS: j7O B 2.ZLp 1 perk oy v1a4 1 EMAIL: 1i1O Y�psorlpiIC_Ot.Y V)V1,%.e SY1,Gorn
CONTRACTOR'S LICENSE ! W iN OI b 36,(0 WAINS .
NUMBER: T C boo '725 •7 J Li NUMBER
ARCHITEC alb ? g/7 R.T 11 E E D 14 A Vy PHONE (2GY4 180-42522FAx:(ZV4) '7 2 O Le('
MAILING ADDRESS: 3' ' ) Eg IGK o 3�p�14e, ,hu jp`t MAIL bar-(-@ n b s e,corn
Project Type: Frame Ty ma rooms: I l G Shoreline: Type of Sewage Disposal:
❑ New X Wood Exis' g: ❑ Sewer ►V ._
❑ Addition , . Steel Propo d: Bank ❑ Community System
(Alteration/Remodel i Concrete otal: Heiaht: ❑ Individual System
Li Repair 1 Masonry l S SEP Permit# ►'qa._
❑ Demolition Other: Bedrooms- Water Supply:
101 jn U m Existing: _ Setback: ❑ Private well I I Two Party
Tyne of Heat: Propo d: ❑ Public
Total: 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 I 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 0 Cook Stove 0 Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 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: rNI A
2"tl Floor Heated Consistency Review: c
Other Heated Base fee: 1:1
��
Mezzanine Additional Section:
Heated Basement Plan Check fee: ' 1
Unheated Basement State Surcharge fee: 'fit
�y
Other Unheated T Pot Water Review fee:
Garage/Carport SUBTOTAL q -c,
Decks 911/Rd Approach fee:
J Other TOTAL: $.2i6514)
Receipt Number: "t-151?
Cash/Check Number: -In�f
V
`
ESTIMATED COST(REQUI D)ii W 00 i Date:
I10).Fair market value of all labor a materials foundation to finish
Initials: