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HomeMy WebLinkAboutBLD2008-00276 MLA08-00308 IbUILDING PERMIT APPLICA N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00276 Received Date: 6/24/2008 SITE ADDRESS: 259 RHODODENDRON DR QUILCENE, 98376 OWNER: DAN BENHAM PHONE: 206-406-0698 17620 43RD AVE S SEATAC WA 981884111 SUBDIVISION: Block: Lot: T 36 PARCEL NUMBER: 701344044 Section: 34 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW DETACHED POLE BLDG GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 52,157.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 2,816 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: (o -211--o Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $664.75 LYK 06/24/08 100470 APPROVED Plan Check $432.09 LYK 06/24/08 100470 State Building Code $4.50 LYK 06/24/08 100470 JUL 22.- 2008 Total: $1,101.34 Jefferson County Plannint & Building Department JeffersonD Permit Num.: BLD08-0027 County Building Applicant: BENHAM 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 clay's inspections. zg3z-) ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. I 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 *//3/'F5 Erosion Control ,T;z�7403 Post Holes . f�'//3/D�% Qv1,)Lh4 'PANS F- e'r Foundation Footing N/.4 Footing Drains Straps(hold downs) �j�/,A� Ext. Shear Wall Nailing e�j� „q �F77 Rough-in Plumbing ," 144 Framing (54-9/�q Blocking Drywell/Alt Drainage / / ��l�! 046 �LR'TE'QS DowoisroGT S Address Posted 0/8/Da / FINAL INSPECTION /4/8/0g D0( Cr -Na' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00276 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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. 4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) The North boundary setback required is 20' - Site Plan indicates 181'. The East boundary setback requiredis 5' - Site Plan indicates 110'. The South boundary setback required is 5' - Site Plan indicates 156'. The West boundary setback required is 5' - Site Plan indicates 351'. These setbacks meet JCC UDC requirements.. 6.) The building height is not to exceed 35 feet. ��"SON °off JEFFERSTOUNTY I DEPARTMENT OF COMMUNITY DEVELOPMENT '-::: 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ' Cc www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: CE3 - 308 Project Description(include separate sheets as necessary): Uf h rc - t'.XD l 'L -ke z. C on sT,e ti Cam/' 1 'D rn 0 - ' 0() 3-C` F-i f9,219 eS Z_, Tax Parcel ....3 ? Property Number: 4 I -- Jqui _ 0 t-�(L'� Size: 5 ��-�`�� (acres/square feet) Site Address and/or Directions to Property: �59 RHo 7QDR0i ,OR _ 9 ,t l z 70._ 4-v)1 9 3.-1 Property Owner(s)of Record: DA c e Q.n. Act I'1 Telephone: '- t (3- 40 6-0 t 4` Fax: email: Di/)i3 5-(4B 4 r: SL.4• 114-4 Mailing Address: I -2 E'Z® 43 c?i $ v Q, S _ ,-,-- "Fv cs z.„.,A c4 1 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[CO), C(d),or C]** ❑ Single Family laGarage Attache. Detaches 0 Discretionary"D"or UnnamecLUse Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** J U N 2 4 2008 ❑ Address 0 Road Approach ❑Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** _._..___I ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendmgnts** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 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 0 Wireless Telecommunication* 0 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 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 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 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 or she wants prior notice. Signature: Date: SO . 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: h r�, Date: s 30 •09 — G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 BUILDER STATEMENT III 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: '----e- `------_� Date: 1 f<i 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: 14. New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: Individual System ❑ Repair ❑ Masonry n i.4 SEP Permit# .S Q(IT CU-O ❑ Demolition 1r Other: Bedrooms: Water Supply: 3,t-;,` 8 1 pG Existing: Setback: ❑ Private well 0 Two Party Type of Heat: " Proposed: Public _ Total: k ame of System: Of. 6 ` i "� tD$k Zq uZc 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 If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove 1 Woodstove 1 Fireplace Insert i Hot Water Tank 1 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 ite 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 z 4.-,• p " . , mo ii , . 31trI"4-4 Main Floor Heated ,:' EH BId App Review: /art 44664 l.._/ - 2"0 Floor Heated ''` Consistency Review: 157 Other Heated Base fee: IDLP4 75 r Mezzanine .; < __ __,Additional Section: _ __ .- Heated Basement8.7.cs'i ;t Plan Check fee: 3z •�pUnheated Basement , l:„yt,. State Surcharge fee: Other Unheated , r Pot Water Review fee: No P l�e> Garage/Carport x +4 SUBTOTAL J1n� 2 Decks - ` 911/Rd Approach fee: )� xi, - ESL15T) Other `''"4 TOTAL: $1J32S. ,ter Receipt Number: 100 2110;r Cash/Check Number: jK ESTIMATED IRE Date:*Fair m value of all labor and rrtpterials foun tion to finishcfr -24—-���-Cj � S•4. 15 (�a(> Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 4- • • , • ��,sON QO - JEFFERSON COUNTY �C DEPARTMENT OF COMMUNITY DEVELOPMENT J U N 2 4 Lu.`.; , ; A ,A, 621 Sheridan Street • Port Townsend •Washington 9t368 �! dO 360/379-4450 . 360/379-4451 Fax "LINO http://www.co.jefferson.wa.us/commc�evelopment/ L 1"'..: STORMWATER SITE PLANI SUBMITTAL TEMPLATE MLA# t - tOf PROJECT/APPLICAN-1 NAME: G noe.ACj' P/ap7 l/(4 y2. Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. CjQc Si cyl •LpVc 5-14-Q Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the she map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 4. Describe the existing soils. Indicate soil type on the site map. r1)0►-r'WQ✓ Cn ,'j 5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. n r4--LA 1.-CIt, j b2>�'�n g C Z_ 6. Describe any excess levels of noise generated by the proposed use or activity: no i J , stormwater site plan template—rev.10/1/2003 5 • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. ✓f 9 rte i 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). �^0 0 P-P p -C. fh .�-n Glg !t a (�I kc1.,01 rie .tn l L• Cc] 4 (Y,1 / 1.0-t His ra .4100 .c• f7 Goa .� Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g, Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. 111lt-L4r�. 1 e. 3nA,[i-lk/ 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] f 11. Describe the performance goals and standards applicable to the project. n � 12. Describe the flow control system. h stormwater site plan template—rev.10/1/2003 6 • • • 13. Describe the water quality system. r I DO1'�/ n SQ0 10 se1 $ Sh rJ1DG, JUiN / 4 14. Describe the conveyance system analysis and design. c.5t4*t-rS pn 1_,4 5 le).0'At 5 / TO Sp/QSJI b to 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. nA 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. n ►A 17. Describe the proposed surfacing mate 'al. CI A?A A-4 cry\ 21A)C1 18. Describe methods for restoration of the site. 7 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. nA 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. f ptl\Alv. ) stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. e' �;�� Eau e GO e&uJ 2. Establish Construction Acces d JAp riq IQ 3. Control Flow Rates. ilk 4. Install Sediment Controls y / ///flisi ly-a,6t) totem or 5. Stabilize Soils. r) Cbe - LAY liCa °//' V Wee4/ 6. Protect Slopes. cy2� n S) rat 7. Protect Drain Inlets. hp stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 2- 4 1 9. Control Pollutants. rI ,t.)2) ott •^ 442' / (cf yity C 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). n ditAki 4602.4)4 a pirktp47) w 11. Maintain Best Management Practices(BMPs). OWY\ Ar buiv, yr\ )77,RS 12. Manage the Project. 1 Li(grJ e,—("t} -e/17 (AV OTIR p tre,t) 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). nortQ_, b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). nc,�� 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. r) "IsZ., . 5,1qCb ••• sW UhrneAr pciee stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. n ,� 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). n - ot>tryir 4.1) ett-q_Aki 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. -7-AJ2.7r- C.0 n 5-7-dt.di CT) " A S c1 p II. Wet Season Construction Activities. a. Proposed wet season construction activities. 114 i 4-1 n o !� oq v► , A F u r Y m Q✓ (4ii),I Q b. Proposed wet season construction activities for environmentally sensitive areas. nA 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. hA 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. to i\ b. Diversions. n I c. Waterways. ►'1f\ d. Runoff/Stormwater Detention Calculations n stormwater site plan template-rev.10/1/2003 10 • • , Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: II i stormwater site plan template—rev.10/1/2003 12 *0-v .) b O 3r P 0 b �-I � > 11 3 R42.5 clQPt4-(a1 1 t-- AL [ ... 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