HomeMy WebLinkAboutBLD2008-00329 BUILDING PERMIT APPLICAN MLA08-00358
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00329 Received Date: 7/24/2008
SITE ADDRESS: 1043 CROCKER LAKE RD
QUILCENE, 98376
OWNER: FRED L ARBONA JR PHONE: 928-848-0204
CYNDI ARBONA
2238 W MOUNTAIN OAK RD
PRESCOTT AZ 863058774
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 802122008 Section: 12 Township: 28 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' NEW 720 SF CARPORT
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 12,406.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: 720 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: CL)) '1 I a DL
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $223.25 AMS 07/24/08 100549 APPROVED
Plan Check $145.11 AMS 07/24/08 100549
State Building Code $4.50 AMS 07/24/08 100549
Total: $372.86 SEP 25 2008
Jefferson County Plannin(
& Building Departmpnr
Jefferson County Building Dillon Permit Nun,: BLD08-00329
Applicant: ARBONA JR
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
I.
Inspection Item Date Approval Signature Notes
Setbacks Minimum setback from Crocker Lake Road right-of-way shall be 20
feet. Minimum setback from the Type F stream shall be 155 feet.
Minimum side yard setback shall be 5 feet.
Erosion Control SEE CONDITONS 1 &2.
Post Holes
/a/O/o S SEcf C'auto ry rau — O K 10/1S14B
Framing )3itxt
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FINAL INSPECTION 5/)3/Oc
FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD08-00329
DESIGN CRITERIA FOR SPLASHBLOCKS:
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH
SPLASHBLOCK.
A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE
DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS.
�. ) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
1 HE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
) 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.
The identified Fish and Wildlife Habitat Area (Type F Stream), shall maintain a vegetative
buffer setback of 150-feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed detached 720 square foot carport.
) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed 720 square foot carport.
G.) A permanent physical separation along the boundary of the stream 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.
) Stream 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."
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8.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan as signed by WDFW on August 27, 2008 and applicants on September
13 & 15, 2008.
) 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.
10.) Outdoor residential storage shall be maintained in an orderly manner 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.) 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.
3.) 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.) Minimum setback from Crocker Lake Road right-of-way shall be 20 feet. Minimum
setback from the Type F stream shall be 155 feet. Minimum side yard setback shall be 5
feet.
16.) 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.
17.) 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.
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APPROVED IV. Stormwater •1 Iris
SITE PLAN Requires
SEP 2 5 2008 .
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¢SON cod, JEFFERSON ,IJNTY R E CE1 V11(�"�
ti� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 JULIJ 2 4 2008
��Oy 360/379-4450 • 360/379-4451 Fax
wwwrojefferson.wa.us/commdeve lopment�SHrNds JEffEH50N COU P' BCD
Master Permit Application MLA: CT) " 35
Project Description (include separate sheets as necessary):
_
12s:-sk-ctS,-- \r,u,,,\.,..,
Tax Pa el Property
Number. �/� L�� I �JJ Size: 6.; . `Z,4 (acres/square feet)
Site Address and/or Directions to Property:
Cam. LA !> CRC L( (Q__ llA ., .\C_ Vs� .
Property Own s)of ecord• r /A ;(\.)fN j°r,
Telephone: " cDV t"" 2 4{- �� Fax � email: -5_,Q [>L�, c-,A3 \
Mailing Address: (e C' R p C.>\ `--. n__ RG:_oz ! ��'
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit? (Check each box that applies
,uilding , . , -
0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 'N L.._.�\R4 ---t 0 Conditional Use[C(a), C(d),or C]**
❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
El Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑Home Business El Cottagelndustry ❑ Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
0 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 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
El 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 appli ion that w_aary he or shQw is prior n • e. L�'t
Signature: ;J- ( ( Date: <s_i.w 4 a ab6 t
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upo ne 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-transf�le res p�o�nsiizbir y for adhering t rid complying with the ESA. The Applicant has read this dis laimer and signs an ,dates it below.
Signature: Date: '`9_.._
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.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 ass ing the resspponsibil' of the General Contractor for the proposed pri .ect.Q
Signature: v"1 � ' • � . �`-t�r'-e Date: t UJ�. '-i-0 C C'
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:
7 New g Wood Existing: KaN L ❑ Sewer
❑ Addition ❑ Steel Proposed: -( Bank• ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: (7 , Height: ❑ Individual System
❑ Repair ❑ Masonry ___L_— SEP Permit# �C�b'1 OCk-97 f
0 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: t •,bN C Setback: ,• Private well ❑ Two Party
Type of Heat: Proposed: 19— ❑ Public
Nn tAe Total: ZC-D Name of SystemTE0 � 1RRltt
Ate, h LiirZ--g_ '*w
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 1 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 r,. . . .. .
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 ;fror-Office Us0 lly - _ x i thount :` Revision
Main Floor Heated ;` EH BId App Review: 0O
2"0 Floor Heated Consistency Review: ' 5� fl
Other Heated _e,._ Base fee: c-
Mezzanine , • Additional Section:
Heated Basement Plan Check fee:
1 Li � , 11
Unheated Basement State Surcharge fee: 1 ,
Other Unheated Pot Water Review fee: "1
Garage/Carport Tac % SUBTOTAL
Decks ------- 911/Rd Approach fee: Nc. t
Other TOTAL: $c q ci .n ce
Receipt Number: 1005-f-el �/
Cash/Check Number:
Gpagcoao3a,--ta
ESTIMATED COST(REQUIRED) Date: , I
•Fair market value of all labor and materials foundation to finish ) a`r 10c:
0 10 vu 0 Initials: et.-6
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc