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Home My WebLink AboutBLD2008-00262 ML :03UILDING PERMIT APPLICATION Review Type i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00262 Received Date: 6/16/2008 SITE ADDRESS: 62 SPRING HILL RD OWNER: DUSTIN R SLIMP PHONE: 360-732-0436 1864 BEAVER VALLEY RD PORT LUDLOW WA 983659211 WINBERG'S BEAVER VALLEY TRACTS SUBDIVISION: Block: Lot: TR 4 PARCEL NUMBER: 901245004 Section: 24 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2009 REPRESENTATIVE: LOREN BISHOP PHONE: (360) 301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 PROJECT DESCRIPTIOI NSFR W/ATT GARAGE & A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,050 VALUATION 223,082.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 1,049 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Tel:_. 3,.U-�„ Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $1,097.30 LYK 06/16/08 100346 APPROVEr State Building Code $4.50 LYK 06/16/08 100346 Potable Water Application $59.00 LYK 06/16/08 100346 DEC j 2008 Permit $1,688.15 LYK 06/16/08 100346 Jefferson County Planninc Total: $2,848.95 RR Building Department Jefferson County Building Dsion Permit Nun.. BLD08-00262 Applicant: SUMP BUILDING PERMIT INSPECTION APPROVALS applicable Code: 20 6International 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 —/(2/10(1 Erosion Control SWT plan pages 17-25 (1)Treat Cut, Fill& Utility Trench per Pg 16+ of SWT report. (2)catch basins(to be protected by silt fence or filter fabric)to temporary conveyance channel and sediment pond per Pg 16 and 19 of SWT report(3)Construction vehicle access or quarry spalls or crushed rock. Clean roadway if transport of sediment occurs per Pg 25 of SWT plan. Foundation Footing Footing Drains Foundation Stem Wall Under Floor Framing • / Straps(hold downs) Ext. Shear Wall Nailing 5111'0 CI ✓ _ -0(k rb .... Rough-in Plumbing Framing Blocking Airseal 1' ra,,b 6 q Insulation:Walls 1 6ios c)ty Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 7 I„/ U,, l,_y, Wallboard Nailing 7 /? Gas Line: Interior k Gas Line: Exterior F Propane Tank V` 22 ,fit 10'setback — Heat/Chimney Clearance Drywell/Alt Drainage Permanent measures per SWT plan -downspouts to catchbasins to infiltration trench per page 14 15 of SWT plan. Address Posted %* cep' rmril 3 or 1, c .. FINAL INSPECTION , ._IL_Oet FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR AIM CONDITIONS for Building Permit# :BLD08-00262 4110 i 1.) PRIOR TO OCCUPANCY & BUILDING FINAL - FINAL APPROVAL OF SEPTIC SEP06-241 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT AN ORIGINAL STAMPED WRITTEN LETTER FROM NTI ENGINEERING AND SURVEYING STATING THAT THE STORMWATER FACILITY AND SINGLE FAMILY RESIDENCE HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT AND STORMWATER SITE PLAN" DATED November 11, 2008 AS SIGNED BY William C. Payton, Jr. (Licensed Geologist) and David M. Hanna (Registered Professional Engineer), OF NTI ENGINEERING AND SURVEYING. 4.) EROSION CONTROL MEASURES OUTLINED IN THE NTI ENGINEERING AND SURVEYING GEOTECHNICAL REPORT AND STORMWATER SITE PLAN (THE PLAN) (PAGES 17-25) SHALL BE FOLLOWED. INCLUDING: (1) TREAT THE CUT, FILL & UTILITY TRENCH PER PG 16+ OF SWT REPORT INCLUDING REVEGETATION. (2) CATCH BASINS (TO BE PROTECTED BY SILT FENCE OR FILTER FABRIC) TO TEMPORARY CONVEYANCE CHANNEL AND SEDIMENT POND PER PG 16 AND 19 OF SWT REPORT(3) CONSTRUCTION VEHICLE ACCESS OR QUARRY SPALLS OR CRUSHED ROCK. CLEAN ROADWAY IF TRANSPORT OF SEDIMENT OCCURS PER PG 25 OF THE PLAN. 5.) PERMANENT STORMWATER MANAGEMENT MEASURES OUTLINED IN THE NTI ENGINEERING AND SURVEYING GEOTECHNICAL REPORT AND STORMWATER SITE PLAN (THE PLAN) (PAGES 17-25) SHALL BE FOLLOWED. INCLUDING: 6" DIAMETER PIPE ROUTED FROM CATCHBASINS TO 100' LONG INFILTRATION TRENTCH PER PAGES 14 & 15 OF THE PLAN. 6.) Setback measures outlined in the NTI Engineering and Surveying Geotechnical Report and Stormwater Site Plan (the plan) (pages 39-43) shall be followed. Including: (1) maintain a minimum of 14.5 feet from the toe of the cut slope unless a retaining wall is utilized, and (2) an 8 foot minimum setback from the face of the footing to the edge of the fill slope per page 41 of the plan. 7.) A Stormwater Drainage and Erosion Control Plan, prepared by NTI Engineering and Surveying has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 8.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 9.) Prior to commencing development activity, the proponent is responsible for informing the Washington State Department of Ecology, Stormwater, in order for WSDOE to determine whether a Construction Stormwater permit or review is required. Generally, review is required for projects that disturb 1 or more acres of land through clearing, grading, excavating, or stockpiling of fill material, or when there is any possibility that stormwater could run off site during construction and into surface waters or conveyance systems leading to surface waters of the state. Contact the Joyce Smith, Washington State Department of Ecology at 360-407-6858,josm461 @ecy.wa.gov, for more information. • • 10.) Outdoor residential storage shall be maintained in an orderlymanner and shall create no fire, safety, health or sanitary hazard. 11.) 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 automobile 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 requirements 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. 12.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) 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. 16.) 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. 17.) Setback from the Spring Hill Rd, a private right of way and cul-du-sac, shall be 20 feet from the edge of the right-of-way. Setback from SR 19, a Minor Arterial Rd, shall be 35 feet. Setbacks from adjacent properties to the North, East and South shall be 5 feet. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 18.) 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. I • • •I 1 00504 A1,9f09 OX0Iro9 IIZOVOZ OX09.09 I I „-_-.. .-,-,--- ,- ,:.' twit, ITJ.—V.1=9=====.......-.777777 .A.yyNtld Nano— r NMOO_ LU p H Z ' _ ,,,„:„.(4J�j _-�z j OL9Z , __. . \ I - 040f OGOE x _ - - , — 4. r -1 -� �I _ ♦ I \Ali 1 - ' ill Z OIB/IM L. 0009 ~ 19VM.9f %- - 0 11 v_ Z l 2 .............] az W ////:,, _.../ cD ry Q CD CZ uQu10 Q Q Q 2 J i U i 7 < I _ Ili N I X E ° I 0 °-°E ii Io a � L o OLOF � i.- �iiii I .. _- M U o E —_ _� CV IIm — = '-f \, ri ,7 u...1 O J ..___ I I m — Q �� _( � CLOSETm L l\`, WALK I N . _ u07EOE tO2 1�► J 1.,,,:sobr-a:: JEFFERSON C�JNTY 0 ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax .�q �,LO www.cojeffersonwauslcommdevelopment Master Permit Application MLA: ,T„ ,.- �_A tr Project Description(include separate sheets as necessary): e. {- ✓ - 5 - Tax Parcel Number: 1 %/ .71 9/. C3C i Property Size: , 'i-: , (acres/square feet) Site Address and/or Directions to Property: �'2 s' ,-, n A ,, // (/) t- ► t1 - c t,.s, , ./✓=, a'�'.' Property Owner(s)f Record: ,'�„A.c 7-. elj, ,,i - Telephone: "7, - ,J ::r ; E, Fax: email: Mailing Address: , h"r. !—lrb... G!r•//^ �h t" : .7 / 1/,. ,_ Applicant/Agent(if different from owner): A.c, ,, /j . /4. ) ' Telephone: 3'e • jC / - / t. j Fax: email: Mailing Address: 73 2/ /-5,•.S�e-�.:, /V, ///e1i!. C/ i„i atc . ^%i i- . �i52> What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship-Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ingle Family .arage ,r J ttachedDetached 0 Conditional Use[C(a),C(d),or Ci"*---- ' ❑ Manufactured Home 0 Modular i- ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilitie ** ❑ Change of Use 0 Boundary Line Adjustment J U N 16 2008 ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry ❑Binding Site Plan** i .a-Ptopane ❑Long Plat** , .� ❑Sign 0 Planned Rural Residential Development(PRRD)/Amenetnertts*i'._' ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: // "1 � DESIGNATION OF AGENT I hereby designate /L^:✓r�i l[) , , / 41 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 4 // Date: t • /6 -1.2� By signing this application form, he 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. A 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 bei g 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 I e inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application th or she wants prior notice. / `Signature: Date: `''—/ 6 --0 d) The action or actions Ap I nt will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species an c Id 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 wil 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 i c mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res n ibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 6 i6 4.)6 G:\PermitCenter\###FO S ##\DRD FORMS\Master Permit Application 5-29-08.doc • 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: .;-.pi(' ""o tl is c c1p/ 5 f CV(.) /y 79 ( ) MAILING ADDRESS: 3 7 40/'A � ,,•/,r�,`w,,r,EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: s CMSW0.11c..0 4 > 1- NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ..er/Vood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank [1 Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: 1-Ylndividual System ❑ Repair ❑ Masonry ^lfr SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: tJ Setback: 2.- Private well Li Two Party ;Type of Heat: Proposed: _ ❑ Public FIT I. • L 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 / No If this is a Propane Tank and/or A. 'Hance Installation .ermit mark all items below that a•.1 : i Underground Tank Above ground Tank.- Size of Pro ane Tank: ->C. i Heat Stove i Cook Stove i Woodstove L Fireplace Insert. Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home. Yes T Rii 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 . .r,:-,Amount,.,,-,,... Revision .:; ;, Main Floor Heated b J�� EH Bld App Review: -it) r 2nd Floor Heated Consistency Review: 151 Other Heated Base fee: 11072. 15 Mezzanine Additional Section: Heated Basement Plan Check fee: 1 Den.3o Unheated Basement State Surcharge fee: ,{ 5° Other Unheated Pot Water Review fee: 0,5Qu • Garage/Carport �O�O, SUBTOTAL B' ' I .c1S Decks ye 0, ,-. 911/Rd Approach fee: x(.51--) Other TOTAL: $ 3 I 1 I I. 13A — Receipt Number: I 00 D ';o_ ,;• 4,4: Cash/Check Number: 248 nI 2 I ESTIMATED COST(REQUIRED) Date: �` •Fair market value of all labor and materials foundation to finish Y 1 6! -#„Z01, 000 Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc Z D a• . . 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