HomeMy WebLinkAboutBLD2009-00165 ItUILDING PERMIT APPLICA•N MRLA09 0eview 0p185
e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00165 Received Date: 6/4/2009
SITE ADDRESS: 2907 OAK BAY RD
PORT HADLOCK, 98339
OWNER: THOMAS M GAZDIK PHONE:
MARY I GAZDIK
320 E 32ND ST UNIT 209
TACOMA WA 98404-1609 DONOVAN'S SHORT PLAT
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 921183021 Section: 18 Township: 29 N Range: 01 E
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 DESCRIPTIOI STAIRS TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 35,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
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:
(V 8�o q /< .
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $492.25 KAS 06/04/09 108568 ,f D R®\V/E 1
Plan Check $319.96 KAS 06/04/09 108568 �. '
State Building Code $4.50 KAS 06/04/09 108568 JUL (g3200Q
Total: $816.71 Jefferson County Planning
&Building Department
•
CONDITIONS for Building Permit# :BLD09-00165
1.) 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.
2.) 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.
3.) 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.
4.) 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.
5.) This approval does not authorize the removal of any large conifer trees.
6.) Proper disposal of construction debris must be on land in such a manner that debris
cannot enter the water body or cause water quality degradation of state waters. No fill or
other material may be placed in the waters or intertidal areas of Jefferson County.
7.) Fresh uncured concrete in direct contact with the water is toxic to aquatic life. All concrete
shall be poured in the dry and allowed to cure a minimum of seven (7) days before contact
with the water.
8.) All lumber and other materials treated with preservative shall be sufficiently cured to
minimize leaching into the water or shore bed, in accordance with the Best Management
Practices approved by the Washington Department of Fish and Wildlife.
9.) The design of the tower staircase shall include the minimum size footings and concrete
supports to support the structure as determined by the Jefferson County Department of
Community Development. This condition is intended to minimize the visual impacts of the
structure and to minimize the disruption of the beach area.
10.) Work within the jurisdiction of the Shoreline Program other than as described above shall
receive separate review from this office.
4p_
Jefferson County Building Division Permit Nun,. BLD09-00165
p To Schedule inspections, call
BUILDING PERMIT INSPECTION APPROVALS \pplicabl (360)379-4455 by 3:00 PM prior ;odes
day.
To schedule inspections, call (360)379-4455 NOTE: Monday inspections by
3:00 PM prior Thursday.
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
Post Holes
Framing
Miscellaneous PIN-PILES
r
i
FINAL INSPECTION ) "A-?
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
4
.,icgON CO
6. JEFFERSON COUNTY
14
`'A DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450• 360/379-4451 Fax
�,, a�p www.co.jefferson.wa.us/commdevelopmgnt?
Master Permit Application MLA: oat- l ?
Project Description(include separate sheets as necess; ily): t
Tax Par 9a ( I g3 oa I Property
Number:er: Size: p�i 0 5 (acres/square feet)
Site Address and/or Directions to Property:
tO7 0 �i-y RCPropertyner(s)of Record: • M /}2N ��-A .yDr z
Telephone: Fax: email:
Mailing Address: r?,{n,t.S tC Ov 7LAn d nRJ i j 19l u/h r4 W �A- E( "%
Applicant/Agent(if different from owner): 64'Q el i Pia—a—Zi,•J r
Telephone: 6) --7 b S-37 17 Fax: ` 3.6 0 —7 bC'7- / email:
Mailing Address:7 S is f N-1 y 1-e 421
What kind of Permit?(Check each box that applies
AISuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)"
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address ❑Road Approach ❑Binding Site Plan"*
❑Home Business ❑Cottagelndustry ❑Long Plat"""
❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
0 Sign ❑Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
❑Temporary Use ❑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 ❑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:
/'_ (] DESIGNATION OF AGENT
I hereby designate L7 f !3 �'�jt/ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE till CL,1 7 (i• 920 Date: 6 5- ,.0—0`j
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 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 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 application t he or she wants pri r notice.
Signature: �c.1 0 LP. Date: O�- 9
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
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable reAponsibility for"adheri�q to andJ complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: LY , (.19, �) (.:�,� Date: Q.— —Oq
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
05/18/2009 12:55 360379e1 '-i JEFF CO PERMITiiNTER PAGE 03/03
05/10/2003 09:50 FAX 36016 I SEAHUME SERUICES INC • a603/003
r1
BUILDER STATEMENT
The c t'or cf this siRiPment does heretrfcertify that they are the Owners of the parcel referenced h rRin,Oaf Iha etc not aconEnd contrkctort and teal
they it.. nssumIne the responaihilIty of the Genera J Ll Carttractor for the proposed project I I e f i 1a L u b!Y!'1 lad
t11g mii Data:
GENE=1L CONTRACTOR OR MANurACTURg,b HOME INSTALLER: PHONE: FAX:
• ��' r ••IJ�� SQ�J � !t L U.)))'-�7Lr 060) 76�- 1.5
MAILI ADDRESS: /r&c. 721 arc O1 v koa ,d EMAIL: ,I
CO r I CTOR'S LICENse I !�-` WAINS
NuMII ,.5� �-o-17 /s•s, NUMBER u
ARCI-I CT/ENGINEER: PHDNE ( ) FAX:( ) i
MAI1,I;GIAooReS EMAIM
1 F:rpj.. Type: Frame Type: Bathrooms: Shoreline: Type of SewagelDlspoeal:
r� I Wood Existing: I I Sewer
I:1 • .d111on `I Steel Proposed: Bank I,J Community Syitern
ri Al . .tlon/Remodel l Conorott Total: Height: G Individual System
ci -,-ti it i.1 Masonry SEP permit# II
I , nlititin I Other:_,�,__, Bedrooms: Water Supply: '1
Existing: • Setback: L'I Private well ,'O Two Party
Type ' eat: Proposed: rI Public
ft Total: - Name of System:'
%f a Cpmmehcllii Protect sou ntitst an wer the fQllQwinq;
Nurr>t6ar of perking Spaces: Current: Proposed; Number ofQ Parking Species:
Nurrigat of occupants(Ineludeta owners,tenants,employees,etc) Currant Proposed ,
IBC'Occupancy: IBC Type of construction: Wit/you have Food Service? yes / No;l
!f_, • L.,• . no Tank and/or Ap ianoe installation permit,mark all ftp 9 below that atltl v:
In ';dtground Tank 0Above ground Tank Size of Propane Tank: ,I
0 l'i t Stove U Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑Other •
Is th4:appliance by aJnstailtad in a Manufncturadj. eblla Hom�7_ Yes / No
Whel �rppl'ying for a permit to Install a propane tank you must also submit asite plan showing all of the buildings,ail property
line. }leak Vocation end size,distances from the propane tank to all pmperty lines,buildings end septle aystem domponents,
Int'. fi the reserve area. f
l
I
Squ Footage Current Proposed For Office Use Only Amount Rovieion
Mahe floor Heated Eli Bid App Review
i,!
2r"F.Ipr Heated Consistency Review: n 3'Q
Othdr �
(rated Base fee: .Acta
Mn .--ine Additional Section:
Hea •d Basement Pian Check �.
l
Un d 8asemcnt State surcharge fee; .50
Othe Unheated Pot Water Review fee: i
i r
Gs 1/Carport SUBTOTAL 002q,
beck-•
_ 911/Rd Approach fee:
Othe it TOTAL; $ 1 Q�q ,-J
'(� •• r w61 '� f 4 Receipt Number: I Ir1i Q Ci b8
1 Cash/Check Number: !,.- L40. 7 I
ES Ci rr(Ali tt p• Date:
Ar; r vClue ore mbar one mo�enehr . craNvn ro nnoo _ L
35:, 0 Initials;
e nor,N nrs and Sernnrn\cull\Local:know\Tt+7lporRt<rrrrccnct Pilo\Ot,l,li6\Mxsrer Permq,\prle;anon 12-19_20064,r_
48- 59S'
AKBAY RI/AD p L°120 FT 11 IN
59'-9" �* 60'-0"
v
€4 �"� r-
1
W
_ C Q O O
I o d N D C 0 20 0 •
v ,� '- X 3 - 0 - 3 -i
n O Fri CO -0 0 7) xi 0
o rrnn
3 D v) R) 3> V J r D C D
7C v) u-• 713 D ---I •-+ `-' Z f t7
- z -< z z r7 r 0
D 1- 3 C7 D 0 Tl 'Fil v) o
o # A) z fl N < d --I
d *
D Ji
d r n J�
.— -- 1 421-
/ Pl
v) C) ry co 7 -i 0 v) r- I I -0 )11 Z*
DC Z7 0 Z ii7 n •
`-' D CJr £ L1 * Fri
p -*1 ' n D T1
£ > ODD Z 0 O mil ' " - £ 77
M0z 70v) � . 0z 0 Z ro > r 1
73
XJ --I k0 z n `°o �C M
�1 -o
z 4/lr4 Ul
Ul can
44
•
c r c
H
@JOG N * z
m
R) CO N ova
in c> --..: '-'1/4-' 2-I )
D dXI
z�
CA) (/) 0
a9 o O M
y,� Z Z Z
NT C ~cn VIP: 1"-- 0-3 v -I 77
IV z
r O
\ O O
70
94'-6 1/4" —CI •
I D V)
Z M
/ n --Io c
z
i
73'-0" � D M --I
' o = II 111 III ll ( li- III II— M * � -I v
q d , _ �'�' 0 z
1 � �1 �- � � � I _— -, F,._
-- 1 D a�[ P o f S�2
- I v) o
I -_ -- 43'-5" *
CI 1� 1 p011\ MARK 1 r- w ATER
r-r-9 (%
m
S05. 05' 54E = �..y
-- p T 5 IN --
p.L. 118
tij,
72'-11" /
-77
.:- -
I /
i
I 1
0 V)
D d
H H
co sm
9
I H
Z
!+ II
I
o4 l ,_-`
i O • 1
i
0 1 1
__,. .
g
w
1 if' x . . K
n --I
D D
r
m
Z o i'I.,,r,rz
II II Orp
� �►
- t II ..A
0 1;y
•___ _ImmI
C-)
D
f
Z
.. .. nV ` I----------
-NN = 0-+ Z G
IV, r— )--3 ' v
\ itle,-0 NI -c.i c
...-
I:II
ll
z �r
I;
O I
i CV -II.l.
�1:liII
J 1;1II
T
,jilLii_liLiLitIL J
.r
F"
C
I�hIl Il 11
r--1-1 ,
11;1�1'11
J
C "7 y
III 0".
I1111 �.
7Hw1 61z=1
Drawn by Cliff Gregory
,/" = 1'
4
Gazdik Beach Stairway For 2907 Oak Bay Rd
Parcel number: 921183021
II111.I11.111111.1IIII1.111111111II.11111111111111111111111111
6'-0'
0
•
0 D -D
• Z
fTl
• � D D
-D
t1 2 r—
in ,
-1
t=i
0 D —
Z
D D
z
tri = 0 -- - - -
1 r I
Z -D �1 0
0 0 r -
v) 0
-P __I n — - 0\0
D
n r-
D D
l— Z
M
-it £
11
0
L'y
V
�
may -
z� b -- -
:., c 1.3 m �
8'-9 1 /2"
il g 1 Z M ijr ii#
til CM
P' (
s C� o) i
:�a::, r
Gazdik Beach Stairway = P,3
''
ttj
® w- 6'-7"
Drawn by Cliff Gregory c=, jr Y
,/4 _ 1 "11
For 2907 Oak Bay Rd
Parcel number: 921183021
II,I.iuiIiliiilliu,III,il.i.IIuII.ii,iIuluiiIIII,u111111uII,II