HomeMy WebLinkAboutBLD2009-00197 !UILDING PERMIT APPLICA1N MReview LLA09 00217
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00197 Received Date: 7/1/2009
SITE ADDRESS: 683 WILDWOOD RD
QUILCENE, 98376
OWNER: STEPHEN R SWANSON PHONE: 360-765-0044
MARY S BAKER
PO BOX 217
QUILCENE WA 98376-0217
SUBDIVISION: Block: Lot: TX 39
PARCEL NUMBER: 702113008 Section: 11 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ADDITION OF FAMILY ROOM & STORAGE ROOM TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 324
VALUATION 44,400.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 240 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total: 2
Routing Date:
r1 Ialoe
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $593.25 RAC 07/01/09 108685 APPROVED
Plan Check $385.61 RAC 07/01/09 108685
State Building Code $4.50 RAC 07/01/09 108685 JUG.3D 2009
Total: $983.36 Jefferson County Planning
&Building Department
Jefferson County Building asion Permit Null: BLD09-00197 • -
Applicant: SWANSON
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455
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 Wildwood Road right-of-way shall be 20 feet.
-Minimum north and west setbacks shall be 100 feet to rural forest lands.
Erosion Control rJ SEE CONDITION 1 &2
Foundation -Foi}ofiing _6,07
Footing Drains �)
Foundation Stem Wall
Ext. Shear Wall Nailing q :,bct 1,I 1 A I
Framing c )3-64- (vIf�C
Airseal '` _6 L: 12>
Insulation: Walls l 2c
Insulation: Floors4-c)5-06(
Insulation: Ceiling 1�r Qom,
Wallboard Nailing y v
Heat/Chimney Clearance
Address Posted 16-t) to
Of__
FINAL INSPECTION Act\,,
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD09-00197
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 C)N 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.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
• •
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback from Wildwood Road right-of-way shall be 20 feet. Minimum north and
west setbacks shall be 100 feet to rural forest lands. Minimum south setback shall be 5
feet. If an ESA is present, then the more stricter setback(s) shall apply.
9.) 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.
10.) 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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ri ONE,O JEFFERSON COUNTY
al
- \g DEPARTMENT OF COMMUNITY DEVELOPMENT
'' o 1-4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
0 ww.co.jefferson.wa.us/commdevelopment ,.,+
8 wvvw.cojefferson.wa.us/commdevelopment
Master Permit Application MLA: -:7317
Project Description i luc�separate sheets as necessary):
;-�ivr\ —a rh�11 ✓rjo►� °1- S-4owe vt`xir►'1 +0 eX S r hou S�
Tax Parcel Number: 1-0 a. l 1.300 3 Property Size: , .(p `
(acres/ quare feet)
Site Address and/or Directions to Propert :
63 CU,. ku A . rau; Icenel � 14 . a 9-c
Property Owner(s)of Record: M.ct►^ 1&Ke / S+e he1'\ C-C3Q V�/1
Telephone: — 0044Li Fax: L email:3k V enct(�8G ..)
Mailing Address: (.) x- a n) [�(.61CPr\e) W14 "(d� J p Pal YYyL-� l.�or \
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
❑Building 0 Critic:al Areas Stewardship Plan
❑ Demolition Permit ❑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 ❑ Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑Long Plat**
❑ Sign . 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program ExemptioNPermit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive PIaNUDC/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 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if kno fln: - 1 2009
DESIGNATION 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 later inspections. Staffs access and right of e try will be assumed unless the applicant informs the County in writing at the
time of the applicati n that he or she want rior notice.o i
Signature: sly` Date: (1 0 R
The action or actions pplica will undertake as 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 ndkviolate 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-orit holds individual
and non-transferab a res onsibility fora er'ng to and cogr�lying h t ESA. The Applicant has read this disclaitne rend signs and dates it below.
Signature: Date: T `l (l 0 Glj
• •
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 tra..1 fortune proposed project.
Signature:,-S��r "`'`'~_ • b,, L't ate: 7/i'/el
GENERAL CONTRACTOR OR MANUFACTURED Ho E INSTALLER: PHONE: FAX: •
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER ji-I"
NUMBER:
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL Sit k_, ±1.)ul)
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New ,(Wood Existing: ❑ Sewer
Addition 0 Steel Proposed: 6 Bank ii Community System
Total: o� _ Height: ❑ Individual System p
❑ Alteration/Remodel ❑ Concrete SEP Permit#`1� - l d
O De ❑ Mason ry Bedrooms: Water Supply:
❑ Demolition ❑ Other: Existing: Setback: Private well Li Two Party
Type of Heat: / Proposed: O ❑ Public
Total: Name of System: •
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 andlor 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 r Office Use Only Amount . Revision
EH Bld A Review:
Main Floor Heated Ge� � -►r- .L� pp 13 CO
2"tl Floor Heated Consistency Review: Ic
Other Heated Base fee: 5 l3 4 .5
-Mezzanine Additional Section: ------- —
Heated Basement Plan Check fee: 3E55. 6 l
Unheated Basement State Surcharge fee: 4,50
. Other, nh�d � I)31 Pot Water Review fee: _ y
----rrtt I j
Garage/Cargo SUBTOTAL 4�r 9. 5r
Decks 911/Rd Approach fee: __
Other TOTAL: $ ,a(S"t •3�
Receipt Number: 6
Cash/Check Nu
mber:
JO / 7
ESTIMATED COST(REQUIRED) Li U v Date: f U�
•Fair market value of labor and materiafinSh Initials: /(J43
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