HomeMy WebLinkAboutBLD2008-00496 UILDING PERMIT APPLICA•N ML Review y 482
T Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00496 Received Date: 11/26/2008
SITE ADDRESS: 363 BLUE RIDGE RD
PORT TOWNSEND, 98368
OWNER: TONI GARDNER PHONE: (925)408-7083
PO BOX 121
WALNUT CREEK CA 94597-0121
DISCOVERY BAY RIDGE DIV IV
SUBDIVISION: Block: Lot: 29+
PARCEL NUMBER: 001305029 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: RICHARD BERG ARCHITECTS PHONE: 360-379-8090
719 TAYLOR ST (360) 379-8324
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION FOUNDATION FOR EXISTING HOUSE TO BE RELOCATED TO THIS
PROPERTY AND ADDITION TO HOUSE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 250
VALUATION 56,252.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 1,020 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 390 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 1
Prop: 0 Prop: 0
Total: 2 Total: 1
Routing Date:
oco
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $692.75 KAS 11/26/08 102938 APPROVED
Plan Check $450.29 KAS 11/26/08 102938
State Building Code $4.50 KAS 11/26/08 102938 JAN c32009
Potable Water Application $59.00 KAS 11/26/08 102938
Jefferson County Planning
Total: $1,206.54 & Building Department
Jefferson County Building vision Permit Ntr: BLD08-00496
Applicant: GARDNER
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 Setback from Blue Ridge Road right-of-way shall be no less than
twenty feet from the edge of the right of way. Minimum side and rear
yard setbacks shall be 5 feet from the property boundary. If an ESA is
present, then the more restrictive setback shall apply.
Erosion Control BMP's
Foundation Footing / (;'1C P
Footing Drains -0
Foundation Stem Wall 6`f b
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing —2C 5)9
Framing (-1-0c(
t b
Airseal )4., ?-er-Jc./F3 cc��c�u,�,�
Insulation:Walls r
l—I—Oct
Insulation: Floors q—1_o1
Insulation:Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Heat/Chimney Clearance wood stove
Drywell/Alt Drainage Drywell-see condition 5
Address Posted
FINAL INSPECTION l2 6-10 F r> v
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD08-00496
1.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF SEPTIC TANK AND PUMP CHAMBER.
2.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY
PROTECTED FROM SOIL COMPACTING ACTIVITIES; INCLUDING BUT NOT LIMITED
TO VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE.
3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
4.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS.
DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5
FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
5.) EXCAVATION, GRADING AND EARTHWORK CONSTRUCTION SHALL ONLY BE
ALLOWED FROM APRIL 1ST TO NOVEMBER 1ST, UNLESS THE APPLICANT
DEMONSTRATES THAT SUCH ACTIVITIES WOULD NOT RESULT IN IMPACTS OT
THE STEEP SLOPE.
6.) 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.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) 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.
15.) 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.
16.) Setback from Blue Ridge Road right-of-way shall be no less than twenty feet from the
edge of the right of way. Minimum side and rear yard setbacks shall be 5 feet from the
property boundary. If an ESA is present, then the more restrictive setback shall apply.
I
i,9N JEFFERSO!OUNTY •
F!'Akill'H DEPARTMENT MTY VEMENT
I.l 621 Sheridan StreetOFCOM• PortUNI TownsenDEd •LOP Washiington 98368V QV 2 6 2008
360/379-4450 • 360/379-4451 Fax
1 �p www.co.jeffefson.wa.us/commdevelopment
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Master Permit Application MLA:
Project Description(include separate sheets as
necessary):
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Tax Parcel Number:
[��` 13D"a D��1 Property Size:���OL> S.Lr_ (acres/square feet)
Site Address and/or Directions to Property:( Dt S3 4 t kt bi j 1pv ti, F'.i�'9?I v<,<C, o lye
2'3 BL,tz Ri l`of- et- TAwvt
Property Owner(s)of Record: To r't; (�e..:1,/-` r.,Lr
Telephone: 'iD.S —HDf -ThaR, Fax email: 'r '-srclei�_ea.-1-t11 ✓ -:net'
Mailing Address: le176. a. sJ,yQ zt- LL),kk t,4 c.- -k c-A , i--r5c1 7
Applicant/Agent(if different from owner): 'Rt r � $.e i
Telephone: 31 L7-� 3 761 -s�Y C.> Fax CT
J email: r t v:)0 t i(AA-yv� •Der
MailingAddress: Y Si". r Y', T `~ v Ul ql'9'3(,7`3 (1'1�'. ''w--s-4-a
�1`'1 I•��o. �t Ia�..t� r �
What kind of Permit?(Check each box that applies
,uilding ❑Critical Areas Stewardship Plan
0 Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
`'Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]*"
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat'*
❑Home Business ❑Cottage Industry ❑Binding Site Plan** .
❑Propane ❑Long Plat**
❑Sign ❑Planned Rural Residential Development(PRRDyAmendments"*
❑Allowed'Yes'Use Consistency Analysis 0 Plat Vacation/Alteration*"
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
0 Site Plan Approval Advance Determination(SPAAD)* ❑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:
•
`` DESIGNATION OF AGENT
I hereby designate �i,.14 ty v q to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE \ s -i 2) Date:_ /'L ���
By signing this application form,the o rlagent 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 iabilities,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 end 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 applica n that he or wants rior noe.
Signature: /l t I Date: 7/ /o2 (9
The action or actions Applica ill 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 Acr 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 Appicant acknowledges that he,she or it holds individual
and non-transfe a responsib,ilgfor ad ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: -- / ,[- / Date: /7 2
G:\PeunitCenter\###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 assumin the responsi • ' of the General Contractor for the proposed project.
Signature: --, i 4--1. Date: f7 ';;il- , /0-
GENERAL CONTRACTOR OR UFACTURED HOME INSTALLER: PHONE: FAA:
-- Li..ti5!J' ._. ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: , ---- r r NUMBER
ARCHITECT/ENGINEER: 2�� ",�,Q �e. �Jj�LI,'T-.47-7�-S PHONE (3(s4 ;37 . gC.,FAx:��(__.') el-`)i3;,Za
MAILING ADDRESS: _1 �" -t- . EMAIL f l i✓-J d f i e.;j ex+-)be,y orcL -4'TS iAY
Project Type: Frame ype: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New - 1 Wood Existing: ❑ Sewer
jzt Addition ❑ Steel Proposed: 0 Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: 1 Height: Individual System
❑ Repair 0 Masonry SEP Permit# O5 DLL I 1
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: a Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: a 'tZ.Public
EI.th s, —i".3.01\ Total: :) Name of System: 4>L-t t>
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
1 Heat Stove I Cook Stove I Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance being Installed in a Manufactured I 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.
Wa,- s; , ,
Square Footage Current Proposed .-.. .�.'': ' ° , '14..4,'I - t
Main Floor Heated EH Bld App Review: NEM
it)�o <. n 17(o+ .
2 'Floor Heated ems: Consistency Review:
157. 00
Other Heated '- Base fee: / l , rtt^
., Additional Section:
Mezzanine �g _'
Heated Basement _ Plan Check fee: ^• i)c-i
Unheated Basement _. ,. State Surcharge fee: L1 /
P
Other Unheated tip.: . Pot Water Review fee:
SUBTOTAL
Garage/Carport L]�(� �L�
► I _I
Decks c.i 0 GI g 37 x 911/Rd Approach fee: 5 ,
Other '1; v� TOTAL: $ !L1 j
eTwinpte,, Zvi eiin\ 1(7a D ow� . •Receipt Number: '0 " 93
4_�, Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: /
.Fair market value of all labor and materials foundation to finish--= ! 2 l
\ / 5 l0 a5 1.(lb Initials: ' ,-4 C/ _
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