HomeMy WebLinkAboutBLD2008-00447 0 •
DEMOLITION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD08-00447 Received Date 10/13/2008
SITE ADDRESS: 23 MAGNOLIA AVE Issue Date 10/17/2008
PORT TOWNSEND, 98368
APPLICANT: ALEXANDER SPEAR PHONE: 360-385-3001
ELENA M SPEAR
1916 WILLOW ST
PORT TOWNSEND WA 983683522 8
SUBDIVISION: CAPE GEORGE VILLAGE DIV 7 Block: Lot:
PARCEL NUMBER: 941500008 Section: 18 Township: 30N Range: 01W
CONTRACTOR: OWNER/BUILDER PHONE:
OWNER, ALEXANDER SPEAR PHONE: 360-385-3001
if different: ELENA M SPEAR
1916 WILLOW ST
PORT TOWNSEND WA 983683522
PROJECT DESCRIPTION: DEMO EXISTING MANUFACTURED HOME
Directions SEE MAP AND DIRECTIONS IN FILE
To Site:
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 10/17/2009.
REQUIRED INSPECTION:
FinalApprovah �O \ _- t
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY - SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE#BLD08-00447:
1.) TAKE CARE NOT TO DAMMAGE ANY SEPTIC SYSTEM COMPONENTS DURING
DEMOLITION ACTIVITIES.
I:\F_BLD_Permit_Propane.rpt 10/29/19
OUILDING PERMIT APPLIC/N MLA08-00439
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00447 Received Date: 10/13/2008
SITE ADDRESS: 23 MAGNOLIA AVE
PORT TOWNSEND, 98368
OWNER: ALEXANDER SPEAR PHONE: 360-385-3001
ELENA M SPEAR
1916 WILLOW ST
PORT TOWNSEND WA 983683522 CAPE GEORGE VILLAGE DIV 7
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 941500008 Section: 18 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DEMO EXISTING MANUFACTURED HOME
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP DEM
VALUATION MAIN: 1,296
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
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: C.,> 1 1 q (o
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $52.00 AMS 10/13/08 102691 APPROVED
State Building Code $4.50 AMS 10/13/08 102691
Total: $56.50 OCT y 7 ?nn8
Jefferson County Planninc
& Building Benartment
10/13/2008 13:48 FAAt 4810,,44L:1B43 8/jf Jf)ORCAA el Oo1
r : •
PERMIT
APPROVED
c a- ,mtCONDITIONALLY APPROVED ___ .
��' i l'Qlyrnpic Region Clean Air Age - -
/ �^'� 07. APPROVED 2940-B Limited Lane NW NO I FOR COMPLIANCE WITH
Olympia, WA 98502 OFICAA REGULATION 1
� ORCAA (360) 586-1044 or 1-800-422•-56 , �
�;°? Fax: (360) 491-6308 www.OR .org
{dagR.IErrnsait-PA`
Notification of Demolition Permit
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos-
containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project
or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a
demolition shall include a certification that there is no known asbestos-Containing material remaining in the area of the
structure.
Project Site ddress: !rle7,7/csL✓4 e County - r2
City: ' • — D State: . �`�u 4 Zip: 9g36r '
Starting Date: & ./_.r Completion Date: /de
*(There is a I0 working da dvance notification perio from receipt of permit application)
Property Owner: ° --12-2A ' l elephone:c74 ..L / Fax:c
Mailing Address: /9/6 G s) _
city: Gf *� state: Zip: •
•
Demolition Contractor: C .-�/ /n/e /,L 7- State License #: Ce.+'✓re- ! /O/
Mailing Add �ss: /6/(/4 0,:J 4 Vi
City: r r 7 /<L ) State: - • Zip. 9g 6
Contact Person: eF""Telephone: v9..59, ./0c>26 Fax:( 8S3 ,
YES r )
- {r Demolition by Wrecking or Dismantling? ($25.00 fee) check# _ nonrefundable
" Training Fire Demolition? (If yes, attach fire department request for training Eire)
novation, Alteration, Remodeling, Maintenance, or other Construction?
Asbestos found or suspected*
*An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos" form and appropriate fee must be submitted prior to any asbestos
removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation I Article 14 for additional
requirements that may apply.
As estos Stley Complet by
AHERA Certified Inspector /v /e/
Certification# dO7 J/O/* 7 2 r
This approved permit must Enclose$25 Certification of the Asbestos Survey must
be available at the job site Processin• Fee accompany this form
rlltif; 4 ;r, , �.,; ,
OCT 72008 , , <'' Y -, ;�~ i,Y f.
n r 4(
P:ICONIMDN1FormslasbestoslDemopermit_dos „ „t, ,L;' ,} ,:.
a� Rev.1o/22ro2 CK NO. /Q! #' `. �--
�' -4443 ,- '
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• 40
�� ON c°6 JEFFERSON COUNTY R
r Ii
Et, _ ri DEPARTMENT OF COMMUNITY DEVELOPMENT
OCT 1 3 2008
621 Sheridan Street • Port Townsend • Washington 98368
v/As ,Ov 360/379-4450 • 360/379-4451 Fax I
http://www.co.jefferson.wa.us/commdevelopment/ Jf f f f' UN CQUN
1j�DC0
Stormwater Calculation Worksheet
IMLA# `+)C1) Li '_5CI PROJECT/APPLICANT NAME: f'`l44. :5-- 12
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
22 PARCEL SIZE(I.E.,SITE)
/
Size of parcel / acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet 3.---., G.2� sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,
and salal; herbaceous plants such as sword fern,foam flower, and fireweed.
LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared, graded,filled, Answer the following two questions related to
excavated, and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to a cleared for:
��fcG Does the project convert'/,acres or more of
Construction site for structures jsq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank, etc. sq/ft Circle: Yes No
Well, utilities,etc. sq/ft Does the project convert 2 1/2 acres or more of
native vegetation to pasture?
Driveway, parking, roads, etc. sq/ft
Lawn, landscaping, etc. Circle: Yes No
sq/ft
Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance i -.,`I C: sq/ft Cut U Fill
(cu/yd)
[over]
stormwater talc worksheet—REV.2/20/2008
1
• 0
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include roads, packed are d earthen not ited materials,to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS—IMPERVIOUS SURFACE
NEW EXISTING
��f .� q/ft
Structures (all roof area) sq/ft Structures(all roof area) i
�,�,¢q,�. yf�p sq/ft
Sidewalks sq/ft Idewallll((s
Patios
sq/ft Patios sq/ft
sq/ft Solid Decks sq/ft
(without infiltration below)
SolidDecks (without infiltration below)
Driveway, parking, roads,etc sq/ft Driveway, parking, roads,etc sq/ft
Other
sq/ft Other sq/ft
/ �9
Total New sq/ft Total Existing ' C% sq/ft
TOTAL NEW+TOTAL EXISTING* j!�'9 sq/ft *This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v. REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage:
Does the site have 35%or more of existingimpervious surface? Circle: Yes
No
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine
et here Minimum
imum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the applicationq
i .
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those
that cts—those that
must meet only Minimum to submit lrements #1 a Stormwater Site through
Plan. DCD has"preparedr aesubmittal template oft meet all 10 a Stormwater Site Minimum
RequpRequirements—are
aments arequired
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation 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.
f.4/08
(DAT
(LANDOWNER OR AUTHORIZED REP SENTATIVE SIGNATURE)
F k9 a�® P� � F .,...x-—.�m�-rs'"e^' � I ` 7"
§,1� � C +
2
stormwater talc worksheet—REV.2/20/2008
w4`5oN oo� JEFFERSON.UNTY OCT 3 R
W� 1 `fig DEPARTMENT OF COMMUNITY DEVELOPMENT 24108
`� 621 Sheridan Street • Port Townsend •Washington 98368 pp(� i� ni�
360/379-4450 • 360/379-4451 Fax �CffCR�3otT �JU�� Qt,�
'�O. www.co.jefferson.wa.us/commdevelopment ut,
Master Permit Application
MLA: r'i ` �"tr;(1
Project Description(include separate sheets as ne�c ssarj)/: _ /a2/6‘
Tax Parcel Number: 9_ /`✓O!)—oog Property Size: "•,Z� Qacre,'s/square feet)
Site Address and/or Directions to Property:
m-/-.3 / 4;%- e Ye4/9:e 1(2.f Z-1-ijl____--
Property Owner( of Record: /-1L- 09Ai � v
3�.j--3Dd/ Fax: email: '<ie.— "fisttJ• pjA.---
Telephone:
Mailing Address: /9/ ' A)iL�� �-�� /4el9
Applicant/Agent(if different from owner):
Telephone:
Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
❑B ilding 0 Critical Areas Stewardship Plan
(.Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family ❑ 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
O Address ❑ Road Approach 0 Short Plat**
❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan**
0 Propane 0 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(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑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 Iocc 1, state or federal permits required for this proposal, if known:
�/e,., ,,e, 4iOAff a i7// DESIG ATION 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 t r inspections Staff ccess and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati a or she is pr. notice. 3� U>�
Signature: Date:
The action or actions Applicant will unde ake 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 ar- ' .mpliance wits the Je rson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe - - f•nsibilit for -G*eri o and complying with the ESA. The Applicant has read this disclai er an signs and dates it below.
Signature.:
-" , . .rqi� Date:'d v 6
G:\Per itCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• BUILDER STATEMENTIII
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 assu i ponsibility he Ge al Contractor for the proposed project.
Signature: Ate---- Date: / ,. 4 d ea
GENERAL CONTRACTOR OR MANUFAC RED 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:
0 New 0 Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank Li Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit#
Demolition CIOther: Bedrooms: Water Supply:
Existing: Setback: pp y
Type of Heat: Proposed: ❑ Private well ❑ Two Party
Total: ❑ Public
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: p
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 i 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 I Current Proposed ',For Office Use Only • Amount Revision
Main Floor Heated /.294. - EH Bld App Review:
2 °Floor Heated �..}
Consistency Review: 5 o a
Other Heated Base fee:
Mezzanine
{
Additional Section:
Heated Basement '' Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
a<6‘3 ` 50
Decks
911/Rd Approach fee:
Other
TOTAL: $ oaz,3 ,so
Receipt Number: ,()'\c+ g I
Cash/Check Number: r-D.r ,`i
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish 1 J( )3 Y v
Initials: C )
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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