HomeMy WebLinkAboutBLD2008-00521 ItUILDING PERMIT APPLICA ML 516
.N Revviewiew T Tyype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00521 Received Date: 12/31/2008
SITE ADDRESS: 524 FORT GATE RD
NORDLAND, 98358
OWNER: DONALD MC LAREN TRUSTE PHONE:
2475 42ND AVE W
SEATTLE WA 981993605
KILISUT REEF ESTATES
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 021191015 Section: 19 Township: 30 N Range: 01 E
CONTRACTOR: BROCKMAN BUILDERS PHONE: (360)638-1125
33165 HOFFMAN RD NE
KINGSTON WA 98346
Contractor's License BROCKB1961ON Expires 9/15/2010
REPRESENTATIVE: BARBARA BLOWERS PHONE: (360) 385-6860
124 HARRISON ST (360) 379-8470
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOr STAIRS TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006
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: 0 Exist: 0
Prop: 0 Prop: 0
Total: Tctal
Routing Date:
2, i-CAS - -
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $246.75 LYK 12/31/08 105217 APPROVEr
Plan Check $163.31 LYK 12/31/08 105217
State Building Code $4.50 LYK 12/31/08 105217 JAN 0,3 20(19
Total: $414.56 Jefferson County Planning
& Building Department
Jefferson County Building •sion Permit Nur r: BLDO8-00521
Applicant: MC LAREN TRUSTE
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 ,024'0(1 G D See site plan
Erosion Control BMPs
3-14 04 �0D 1. Erosion control measures must be in place prior to any clearing,
grading,or construction. These control measures must be effective to
prevent stormwater runoff from carrying soil and other pollutants into
surface water or storm drains that lead to waters of the state. Sand, silt,
clay particles, and soil will damage aquatic habitat and are considered
to be pollutants.
2. Any discharge of sediment-laden runoff or other pollutants to waters
of the state is in violation of Chapter 90.48 RCW, Water Pollution
Control, and WAC 173-20IA, Water Quality Standards for Surface
Waters of the State of Washington,and is subject to enforcement
action.
3. 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 should
take precedence over all other work on the site.
4. Proper disposal of construction debris must be on land in such a
V, 3_2"q manner that debris cannot enter the wetlands, Kilisut Harbor or cause
tt „61� " cy`water quality degradation of state waters.
Post Holes •z i'�'H`,.., ,v.);vu
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Framing
t .):._ C. L L 1 Xt ;; L. ,
FINAL INSPECTION q_Zk_
FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
. •
CONDITIONS for Building Permit# :BLD08-00521
1.) SEPA:
1. Erosion control measures mu e in place prior to any clearing, grading, o
construction. These control measures must be effective to prevent stormwater runoff
from carrying soil and other pollutants into surface water or storm drains that lead to
waters of the state. Sand, silt, clay particles, and soil will damage aquatic habitat and are
considered to be pollutants.
2. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48 RCW, Water Pollution Control, and WAC 173-201A, Water
Quality Standards for Surface Waters of the State of Washington, and is subject to
enforcement action.
3. 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 should take precedence over all other work on the site.
4. Proper disposal of construction debris must be on land in such a manner that debris
cannot enter the wetlands, Kilisut Harbor or cause water quality degradation of state
waters.
STAFF:
1. Prior to constructing the structure, the applicant shall obtain a building permit from
Jefferson County Department of Community Development. Stamped and signed
engineered drawings shall be included in the building application submittal.
2. The proponent shall notify the Jefferson County Department of Community
Development at(360) 379-4450 forty-eight(48) hours prior to commencing construction in
order to allow monitoring and ensure compliance with permit conditions.
3. Substantial progress towards completion of the project shall be performed within two
years of the issuance of the permit.
4. Prior to commencing development activity, proponent is responsible for informing the
Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine
whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10
WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are
defined as construction or performance of other work that will use, divert, obstruct, or
change the natural flow or bed of any of the salt or fresh waters of the state.
5. In addition to Jefferson County permit conditions, the project proponent shall comply
with all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
6. Prior to commencing development activity, the proponent is responsible for informing
the U.S. Army Corps of Engineers (COE) in order for COE to determine whether a
Department of the Army permit or review is required. Generally, review is required for
construction and dredging in or around navigable waters of the U.S. and for work or fill in
hydrologically connected wetlands. Contact the US Army Corps of Engineers, Seattle
District Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more
information.
7. Work within the jurisdiction of the Shoreline Master Program other than as described
above shall receive separate review from this Department.
8. Construction shall be in substantial compliance with the site plan submitted on April 14,
2008 as it exists now or is hereafter amended by Jefferson County and/or the Washington
Department of Ecology.
9. No fill or other material may be placed in the waters or intertidal areas of Jefferson
County.
10. 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.
11. A bulkhead shall not be allowed in the future to protect the stairs, which is a
non-essential, non-appurtenant structure.
12. All applicable U.S. Coast Guard navigational safety requirements shall be followed
13. 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 or if the stairs are not used for
one year, the stairs will be removed as soon as practicable.
•4.14. Shrubs and tree limbs may be pruned to construct the stairs, but tree removal is not
I allowed under this shoreline permit.
15. The design, location, and construction of the stairs, as well as their subsequent use,
shall avoid adverse effects on fish, shellfish, wildlife, marine vegetation, water quality, and
geohydraulic processes. Construction methods shall minimize the use of materials
hazardous to the environment. All lumber and other materials treated with preservative
shall be sufficiently cured to mine leaching into the water or shore bed, in - rdance
with the Best Management Practices approved by the Washington Department o Fish
and Wildlife.
((. The applicant and/or representative shall contact the Development Review Division of the
Permit Center(360-379-4450) regarding a final inspection for compliance of zoning permit
conditions prior to scheduling a final building inspection.
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a JEFFERSCh OUNTY r
DEPARTMENT OF COMMUNITY DEVELOPMENT `� P (}p� a 2-6
621 Sheridan Street• Port Townsend•Washington 98368
�y 360/379-4450 . 360/379-4451 Fax
{ �.�0 wow.co.jefFerson.wa.us/commdevelopment IP
Master Permit Application MLA: 08 5 I
Project Description(include separate sets as necessary): /fC �Elt4
Tax Parcel Number. O 2/ / p /S`. Property Size: Z Z . 3 J 04.4.9_. (acres/square feet)
Site Address and/or D�s toi'"��:
"--o r74--- (;-- e- GfOx-ci
At
Property Owner(s)of Record: a a j a M c L�re r
Telephone: Fax: ____ 0 email:
Mailing Address: l S—4 6 r- tc'r it,,,,� IAA. % /�� c�
Applicant/Agent if different from owner /-(:) / �L
Telephone: — Fax: — email:i�jQ�T.T,4 e'/
Mailing Address: / - '7I y6
What kind of Permit?(Check each box that applies
uiIding 0 Critical Areas Stewardship Plan
/r Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]'
❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 4
r " — {�
❑ Change of Use � S�u is U� ❑Spetial Use(Essential Public Facilities)"
0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat"" D G 1, 3 1
O Home Business 0 Cottage Industry 0 Binding Site Plan""
0 Propane ❑Long Plat'"'
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments"
O Allowed'Yes'Use Consistency Analysis 0 Plat Vacation/Alteration"
❑Storm water Management 0 Shoreline Master Program Exemption/Permit Revisions""
O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development"*
O Temporary Use 0 Shoreline Management Variance
O 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
""Reaches a A -Application Conference
Please identify any other local,state or federal permits required for this proposal,if known:
DES_IGNATION OF AGENT
I hereby designate Att. rfjt,, .Al 1t�e (',S to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �Q�'—� �`� p Date:
/��C11./� � e
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 orb 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 attomey'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 a and right of entry to Jefferson Cou and its employees,representatives or agents for the sole purpose of application
review and any required ins Staffs access nd i i entry willw be assumed unless the applicant' ens the unty in writing at the
time of the application n ' r notice /f,)/eiL
Signature: P ` Date: / L 3) 0 i
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact n one o more threatened or
endangered species and could lead to a potential"take"of an endangered species its those terns 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,grotto or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)eve if you a In compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds Individual
and non-tea le spornsibiWy foring complying with the ESA. The Applicant has read this disclaimer and s' and d tes it below.
Signature: ` ` / ,�AQ.0 , Date: / 21 3/ D X
G:\PetmitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
4110
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 CONTRA OR OR MANUF HOME INFALLER: PHONE: FAX:
1Rfl c= rY1 4. r d,ev' (31� 6 3 g IIz,; c
MAILING ADDRESS: 3q ((�' 1 I )C EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: ' EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ❑ Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
H i Repair 0 Masonry SEP Permit#
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat Proposed: ❑ 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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other
)s 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 Current • • . • {":` it
Main Floor Heated EH Bid App Review
2n0 Floor Heated Consistency Review: 1'5'7
Other Heated Base fee: 5
Mezzanine Additional Section:
Heated Basement Plan Check fee: • I j
Unheated Basement State Surcharge fee: 1G
Other Unheated Y Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks '• 911/Rd Approach fee:
Other TOTAL $57 J ,
Receipt Number. It) 1-7
w, xu Cash/Check Number. ''ff
ESTIMATED COST(REQUIRED) Date:
.Fair market value.i labor end materials foundation to finish Ir/ I YO
�'/.�f 0--e-'t7 Initials:
, cr-c. - ----- _...)
G:\PermitCcnter\###FORMS###\DRD FORMS\Master Pear t Application 5-29-08.doc