HomeMy WebLinkAboutBLD2008-00397 OGILDING PERMIT APPLICATS MLA08-00409
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00397 Received Date: 8/29/2008
SITE ADDRESS: 212 OSPREY LN
BRINNON, 98320
OWNER: HEATHER L FRANKLIN PHONE: 206-890-8279
MARTINA M KOLLER JTWROS
1808 FRANKLIN AVE E
SEATTLE WA 981023729 PULALI POINT PARTNERS LARGE LO
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 601185003 Section: 18 Township: 26 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License SEAHOSI077KS Expires 11/30/2009
REPRESENTATIVE: GREG BARRON PHONE: 360-765-3749
7425 THORNDYKE RD 360-765-4551
QUILCENE WA 98376
PROJECT DESCRIPTION STAIRS TO THE BEACH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,000.00 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: Exist:
Prop: Prop:
Total: Total:
Routing Date: Cc) 61- 1;31 iya
Type Amount Paid By: Date: Receipt: �Approved/Date
APPROVED
Permit $321.25 AMS 09/03/08 100796 R®V E D
Plan Check $208.81 AMS 09/03/08 100796
State Building Code $4.50 AMS 09/03/08 100796 OCT 2008
Total: $534.56 Jefferson County Planning
& Building Department
Jefferson County Building Ision Permit Nu•r: BLD08-00397
Applicant: BARRON
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
Inspection Item Date Approval Signature Notes
Setbacks
Straps(hold downs) 5/8 " SS rod epoxy embedment depth verification 8"
Framing ?''� (�
FINAL INSPECTION .4 (al 0
t
FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD08-00397
1.) The applicant shall adhere to all Hydraulic Project Approval requirements.
2.) A bulkhead shall not be allowed in the future to protect the stairs, which is a non-essential,
non-appurtenant structure.
3.) Any damage to the proposed structure shall be repaired or removed as soon as
practicable. At the end of the useful life of the structure, the stairs will be removed as soon
as practicable.
4.) Temporary erosion control measures shall be in place prior to construction, and BMPs
such as silt fencing or hay bales shall be used to prevent erosion.
5.) All applicable U.S. Coast Guard natigational safety requirements shall be followed.
6.) Erosion control measures must be in place prior to any clearing, grading, or construction.
These control measures must be effective to prevent soil from being carried into surface
water by stormwater runoff. Sand, silt, clay particles, and soil will damage aquatic habitat
and are considered pollutants when discharged to waters of the state.
7.) Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48, Water Pollution Control, and WAC 173-201A, Water Quality
Standards for Surface Waters of the State of Washington, and is subject to enforcement
action.
8.) During construction, all releases of oils, hydraulic fluids, fuels, other petroleum products,
paints, solvents, and other deleterious materials must be contained and removed in a
manner that will prevent their discharge to waters and soils of the state. The cleanup of
spills shold take precedence over all other work on the site.
9.) Proper disposal of construction debris must be on land in such a manner that debris
cannot enter Hood Canal or cause water quality degradation of state waters.
10.) The applicant should consider alternatives to treated wood or other chemically treated
wood for in-water construction of wooden structures. Over time, treated wood may
contaminate nearby sediment and cause toxicity for aquatic organisms.
11.) Should any artifacts be discovered during construction of the proposed structure, work
shall be halted and appropriate agencies contacted.
12.) If the builder needs to blast into the solid rock outcropping, all applicable state permits
must be obtained prior to beginning the blasting.
13.) If the builder needs to blast into the soild rock outcropping, the Brinnon Fire Department
shall be notified 24 hours prior to blasting and immediately prior to blasting.
14.) 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).
15.) Construction Materials and Methods of Construction to Reduce Flood Hazard
(i) All new construction and substantial improvements shall be constructed with materials
and utility equipment resistant to flood damage.
(ii)All new construction and substantial improvements shall be constructed using methods
and practices that minimize flood damage.
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°4, JEFFERSON COUNTY
,W • DEPARTMENT OF COMMUNITY DEVELOPMENT
'' 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
��s p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ns - mil -
Project Description(include separate sheets as necessary): g .tirry6 S.771-p,A,f9 (�
Tax Parcel Number: t)D/ 8 c p p3 Property Size: c%.S Aa "s (acres/square feet)
Site Address and/or Directions to Property:
2 12 C)S.S'iZ'- -7 L_N i3n 1 cv; .\ s. N. `, -2. �
Property Owner(s A C 1 .i2_ \=2ra.v�4. f ;'\-.=
Telephone:(�4')of Record:(3c1t) _ S 2-'\r-r1 Fax: email: he 4 s kr ( C,c -(r),),,,e t
. 'Jailing Address: 2--t 2- US t''4Z 4._ ) L!v 0,2 r1\icv,,vr.- „,:) A C,3 3 L V
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
Wftat kind of Permit?(Check each box that applies
AlfBuilding �h S i A- Al 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
0 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑Home Business 0 Cottage Industry 0 Binding Site Plan**
0 Propane ❑Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAA.D)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
'"'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 GiCti & P-4Di to act as my agent in matters relating to this application for oermit(s).
_214./34(_,) ...L_____
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 applipat he or_she ant nor n ti(r e.
Signature: v Date: I ( (0
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
ietiqrp.)pen f ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
rid r 1),tila f r I s nsibili or adhering to and co plying with the ESA. The Applicant has read this disclaVe an signs n d. tes it below.
Signature: �, _ Date: ( .
/yLiCiPiiniOenp #FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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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:
Mz ';c ,i 060 7A 5 31 y9 ( )
MAILING ADDRESS: '7.'1G
lam'' crA� ,d __ EMAIL:
CONTRACTOR'S LICENSE �,, WAINS
NUMBER: s1/hU>S CD �7 NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Pro ect Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Project
.t r Wood Existing: [1 Sewer
El Addition ❑ Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: -1-Individual System
0 Repair C. Masonry SEP Permit#
Demolition C Other: Bedrooms: Water Supply:
Existing: Setback: [I Private well 0 Two Party
Type of Heat: Proposed: V.—Public
Total: Name of System:
If this is a Commercial Protect 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 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 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.
it of s 0-11,1 i44l a �E g' 7 ,�M.x a '*{
Square Footage Current Proposed ow + : ,,r ` '..t � �... ,,,� . .:,4°4 r , t 4,! ° ' ,;
Main Floor Heated ' `
t' �`Kr 6-x= EH Bld App Review:
2"°Floor Heated 4 Consistency Review:
Other Heated 1-,` `eat. Base fee>_:
Mezzanine 4 1 `
;�ar�=. Additional Section:4,11
Heated Basement °, tip, ' " 7 Plan Check fee:
irk a 1
Unheated Basement x State Surcharge fee: C-
Other Unheated a E A ' ;, Pot Water Review fee: —��
Garage/Carport - r SUBTOTAL
Decks ``. � 911/Rd Approach fee:
Other 5`m, 11.
., TOTAL: $ (0. Cj
)37 S% 4-vtA.7 =� '. Receipt Number: 1 pal c1(1
/ ` Or Cash/Check Number:
t
Ar :. .,
I C.`7-7 I
ESTIMATED COST(REQUIRED) Date: � '
•Fair market value of all labor and materials foundation to finish
X P c rl f�� Initials: t o
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