Loading...
HomeMy WebLinkAboutBLD2009-00252 O UILDING PERMIT APPLICAN MLA09-00259Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00252 Received Date: 8/4/2009 SITE ADDRESS: BARN SWALLOW RD CHIMACUM, 98325 OWNER: FINN RIVER LLC PHONE: 360-732-6822 62 BARN SWALLOW RD CHIMACUM WA 98325-7719 SUBDIVISION: Block: Lot: T32 PARCEL NUMBER: 901263018 Section: 26 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: AL LATHAM PHONE: (360) 385-4105 205 W PATISON ST PORT HADLOCK WA 98339 PROJECT DESCRIPTION LIVESTOCK BRIDGE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 5,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: 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: 0 Total: - Routing Date: ( CJ"I _ Type Amount Paid By: Date: Receipt: A * 0 t1 Permit $111.25 LYK 08/04/09 110677 Plan Check $72.31 LYK 08/04/09 110677 SEP 952009 State Building Code $4.50 LYK 08/04/09 110677 Jefferson County Plannins Total: $188.06 &Building Department Jefferson County Building Dillon Permit NumbetT�.'�BLD09-00252 Applicant: FINN RIVER LLC BUILDING PERMIT INSPECTION APPROVALS applicable 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 1/_ %q Erosion Control t Foundation Footing %/ 0 7 (0, /Z7 Framing )/' / 7'W Ft) Miscellaneous FINAL INSPECTION Fri) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00252 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.) 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. 3.) Prior to commencing development activity, the proponent is responsible for informing the US 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 US 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. 4.) All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. 5.) All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. 6.) The structure will need to be certified by a licensed land surveyor stating that the design and methods of construction are in accordance with accepted standards of practice for meeting provisions of JCC 15.15.080(2)(b) based on their review of the structural design, specifications and plans. Such certifications shall be provided to the official as set forth in JCC 15.15.070(3)(c)(ii). • Int14`"4 N j, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 A$ ti 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment ` INS ��11 Master Permit Application MLA: v -Z Project Description(include separate sheets as necessary): 1l,;. Construct livestock/farm equipment bridge to replace' sting cre&ford. Tax Parcel Property, Number: 901263018 Size: 32 acres/ (acres/square feet) 62 Barn Swallow Rd., Chimacum WA Site Address and/or Directions to Property: -98325. From Chimacum south on Center Rd. 2 mi., right on Country Meadow Rd., right on Barn Swallow Rd. Property Owner(s)of Record: Keith Kisler Telephone:360-732-6822 Fax: email: kisler@finnriverfarm.com Mailing Address: 62 Bamswallow Re..Chimacum WA 98325 Applicant/Agent(if different from owner): Jefferson Co.Conservation District Telephone:360-385-4105 Fax: 360-385-4823 email: aI@janersoncd.or9 Mailing Address: 205 W.Patison St.,Port Hadlock WA 98339 What kind of Permit?(Check each box that applies mBuilding ❑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 ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach x Bridge ❑Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑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* ❑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: HPA from DFW DESIGNATION OF AGENT I hereby designate Al Latham,Jefferson Co.Conservation District to act as my agent in matters relating to this application for permit(s). OwNERSIGNATURE (—" ni L �/ Date: ( - Z-4?- 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 applica at he ats-prior notice. o� Signature: � i (C Date: 7" Z J ©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 r sibilit herig to and complying with the ESA. The Applicant has read this disclaimer and si ns and dates it below. Signature: 'rr� y�L�9 _ Date: 7" C:\Documents and Settings\carat\Local Setting\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc is, S 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 yt.they will be assuming the responsibility the General Contractor for the proposed project. �I Signature: Date: ,/5 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: u New Wood Existing: ❑ Sewer L I Addition I Steel Proposed: Bank ❑ Community System n Alteration/Remodel fJ Concrete Total: Height: ❑ Individual System Li Repair ❑ Masonry SEP Permit# _i Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ 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: O Underground Tank In Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 Proposed For Office Use Only Amount Revision, Main Floor Heated EH Bld App Review: 2na Floor Heated Consistency Review: a 1 3 Other Heated Base fee: ` . Mezzanine Additional Section: l Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 4- Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: ,-_ Other TOTAL: $ 40 I , olo Receipt Number: l i 0(0——1 Cash/Check Number: l ESTIMATED COST(REQUIRED) Date: r`� .Farmarket value of all labor and materials foundation to finish se0.0 Initials: C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2000.doc I 1 m 1 x 0 Im ► ► Z 1 m __, A o ► W O v V 1 O _. W • h 1m x. m_ m z _ _ (1'‘ x r, � 000co + T C ►� aNn) OWo c> a � m m m 1m \\4 I 4 4?° 11 4 1 1 I I I 1 I 4 1 I I I I I I IN\ \\4\ 4 1 • N i 1 ./1. I / -6 N '9 ,,.., • ,do, +94Di 0 .0 _ 2\' 4,1%4+1 (.4 N ,.,, / 0 '''',. -------- / \ , c ` dHw N I ,..,N N \G v ip n) ai mx to \ ,. '\ cn (nm m Z cn a NA0 � (n (ov m o \ \ o � � o wN � 5 \up . Hr m Ico I� o, o 9 I� �tIVi I 3 m \ \ I = *GA I Nil CI I 00+ ��ooOe \ I sv.zo + I. \ �..__ I I mz 1( I (n (o o 0 i a --- r. I w (n / ' ' t° • 1__ 7 Z ri m0 I N II N I C O -4,,p I I J I 71 Designed: LIVESTOCK BRIDGE Date 1-- Jefferson Conservation District 107W.Mw«,e Stns..ren Hudlak Wmhngfm963399731 RG 5/18/09 Drawn: Finn River Farm Sheet No. u 20F12 RG Chimacum, Washington �'i 0 80 0 0 0 119.0 ru cod o co o ok 3 O+ 124.2 O O O o O ,a a ;r FA • 0, 2 cn 4 0 cn 9? Si N NO N a, r---j 118,0 m 0 N oa C11 + r Hco 118,1 co/ -cn o o oh a 18- m QD �. y3 rD ' r: c: xi + 117.0 W n to o �cm a o iqN _ mN 8 . g m NNa 0 n °) vo zd >� 80 co �� J as- tT1�'" -mp �"3 6' 0 .1 Ill IILL' D Cl) 5 F) m r c' N H co 0 N o IN bill dO g g a,r".4 ,-. a) 0)Q 'IIIH PMPv� N o O o 117.0 CD w . 8 ± 123.0 O 123.0 — ci'---7 CD c. Y • g: 14747 .r'vs �71 c� —aim • c VI ' i i e� Destined: r,, ",I �r1rVESTOCK BRIDGE Dote RG L- T' 5/18/09 9 Jef son Conservation District - I Finn River Farm Sheet No. m6 W.Pelson°Wimp,Pon MWiwk.W�.i ems.WWW-1771 i .. Drown: RG Chin-mourn, Washington 3 of 12 I I v i h I a \ I I m � H -A I �X N N N . I tol I mmz x j m Imo• _, cn O ec i3000.) N \s ,144444wIL I I N O \N ,f. I 1 • \ tfec, '-• i I j' r • N AilL O,.*,4( -t' ' fb, �II�\344teC'.. 441fr 1� of olf g so 10 ,,, .,, # g . . ...,- rux 0 o - Mo ►u / / ' \ I 8 ;-8„, . . m g \ /,,L‘ \ �I iii* 41". \ .4.„„„,,s, $ ..\ \ ' \ \ mmzu) 10,":0 I rj iVri ; cmn `Z° m m O `" p N I Nil", JI�NN ,7D �m $:wI I1l rgl 3 � I fo I� Si c° g s Ij)I "' of0 r�O \I AA 70) a ' ao \ S \ �'° f \ --\\ 8P o- L L---------------- I I ( I 1 C/1 . CD sl) .14 AP _, .0 F4 a `•... .e. -:.,. ii �—`" 03 OP .0 O r 4,„ . roc.': g-, • \ I I CD "' ' 0 c.0 I I `., Desgned:, LIVESTOCK BRIDGE Date 5/18/09 a Jefferson Conservation District 200 W.M Finn River FarmMiaowanat.Port M AI**,'!�A` Drawn: Sheet No. RG Chimacum, Washington 2 OF 12