HomeMy WebLinkAboutBLD2009-00125 BUILDING PERMIT APPLICA•N MRLA09-00 Type:
131
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00125 Received Date: 4/20/2009
SITE ADDRESS: 344 LOVE RD
BRINNON, 98320
OWNER: JAMES J KOWALCZYK PHONE: (360) 668-9698
MARY K KOWALCZYK
20121 123RD AVE SE
SNOHOMISH WA 98296-6190
SUBDIVISION: Block: Lot: TX11-
PARCEL NUMBER: 502094015 Section: 9 Township: 25 N Range: 02 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2010
REPRESENTATIVE: SOUND BUILDING SYSTEMS INC PHONE: (360) 437-1219
3546 THORNDYKE RD (360) 437-1218
PROJECT DESCRIPTIOP NEW POLE BUILDING/GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 1,582,848.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 864
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
�llaalOv
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $265.25 KAS 04/20/09 108319 I IDPR E
Plan Check $172.41 KAS 04/20/09 108319 V
State Building Code $4.50 KAS 04/20/09 108319 MAY 5 200g
Total: $442.16 Jefferson County Plannin(
& Building Denartmen*
Jefferson County Building •ision Permit NuIr: BLD09-00125
Applicant: KOWALCZYK
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 Minimum setback from Love Road right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall be 5 feet. If an ESA is
present,then the more stricter setback(s)shall apply.
Erosion Control SEE CONDITION 2
Post Holes
Foundation Footing
Footing Drains .4`
Foundation Stem Wall
Straps(hold downs)
Ext. Shear Wall Nailing
Framing
Blocking
Drywell/Alt Drainage SEE CONDITION I FOR SPLASI Il3LOCKS.
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD09-00125
1.) 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.
2.) 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
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
3.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC) Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
5.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
6.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
7.) The applicant shall permanentlykarate the boundary of the Landslide HazIrea
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
8.) The identified Fish and Wildlife Habitat Area (Type Np Stream), shall maintain a
vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to the proposed development.
9.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed development.
10.) 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.
11.) 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."
12.) 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The building height is not to exceed 35 feet.
17.) Minimum setback from Love Road right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setback(s) shall
apply.
18.) 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.
19.) 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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W.� cow JEFFERSONNTY �� ,' � �� ;
rx?(<$0./\1-
' k.\ .r.3 DEPARTMENT OF COMMUNITY DEVELOPMENT
ti v , 621 Sheridan Street • Port Townsend •Washington 98368 APR 2 0 2Q�S
360/379-4450 • 360/379-4451 Fax
14ZING C) www.co.jefferson.wa.us/commdevelopment fCfCE SON COUNTY 00
Master Permit Application MLA: Dct-UU1 31
Project Description (include separate sheets as necessary):
ee.ts true t-ton c f .iy .X f /i' POIe k tti trlivi - c. .
Tax Parcel Pr b' erty -�p •
Number: .5-C' -Z - t%9 / - C /S Size:
:t !, 3-,2 a L rP. , (acres/square feet)
Site Address and/or Directions to Property:
3"1 4 Lone ROAD / Br nnpt,
Property Owner(s)of Record: Ja,,-tom Ko u-'c;I c z 1k
Telephone: 34.c - 6 LIS- IIt'el: Fax: email:
Mailing Address: ao.' I /a 3' `l 4ve S'C., Snt h& ..oh , :A 9f d 41.
Applicant/Agent(if different from owner): Sn.<nd AtA i ICI,>r-i S,/ sfe►ns -in(
Telephone: 31,o- ) 37- .'a i 9 Fax: 3 4 a - y,3 7 - /•x I S email:
Mailing Address: 3S1 to Thi:.-n 0 y k-e Pc d 1 Par t Azt e4lo;v, vd 4 9 Ee.yc 5-
What kind of Permit? (Check each box that applies
lABuilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family M Garage Attached Dach etp 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular • 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
0 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* 0 Jefferson County Shoreline Master Program Amendment
❑ 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:
p DESIG ATION OF AGENT
I hereby designate Li & ,Id,if j, S'y s fe m s .T- , to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date: `/ 5- O S'
By signing this application rm,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,tier 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 t rovide access and right of entry to Jefferso County and its employees, representatives or agents for the sole purpose of application
review and arty required later inspe tions. Staffs access d right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap licat on that he she nts rio not'
Signature: .' a ))ate:
The action or ac ons Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered sp cies 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,g up or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)eve if yo. are in compli. - with the Jefferson Count evelopment code.The Applicant acknowledges that he,she or it holds individual
and non-tran,ferabl- res.onsib' ty for adhering to nd corn ' g with the SA. The Ap i ant has r ad this disclaimer and signs and dates it below.
Signature: .,.c.... Q Q- C( 1(4/I(,D ate:
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 assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
SOund 08ai( di y_sfent1tc. p n, (( 3ic6 ) `137- , 1 i (340 ) `�.37- 1.t lb'
MAILING ADDRESS: 3J SSyb The
1 2
rnel, k al Pi l.i.,dID�✓ U-,INl ,EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: S O Lt nr o 3 5.o;c 7 ►Y Ni NUMBER
ARCHITECT/ENGINEER: PHONE (S 63) Sr s rj. I -1.2-I FAX: ( S 03)5 8 i- r 7.2 S'
Ailta0rP_ tHvoeer(n5
MAILING ADDRESS:.1/4 Markel-5f.N4 S{e A t S4�em G'i ti 73Cf 1 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
1S New N Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: A Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed: 0 ❑ Public
,/ 4'' — Total: 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: 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 Current Pr.;'•sF Offfipe Jse!11041y Amount Revision
Main Floor Heated 1 EH BId App Review:
2n6 Floor Heated e .e n $ Consistency Review: i c
APR 2 -a
Other Heated Base fee: A(05- P6
Mezzanine JLf f 1`iISI 1t t `'jj u '{ A Jditional Section: _ __ y
Heated Basement Plan Check fee:
I ri a. 41
Unheated Basement State Surcharge fee: 4 .
D
Other Unheated Pot Water Review fee: _ _ __
Garage/Carport � ��� ��SUBTOTAL s
i(p
II
Decks /______-----911/Rd Approach fee:
Other TOTAL: $ 1 1 to
Receipt Number: iD D-5I 9
Cash/Check Number: --lacp
ESTIMATED COST(REQUIRED) Date: /� '.1�,
•F i market value of all labor and materials foundation to finish �i c d
i 35 go 0 G� Initials: ( )--12.
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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