HomeMy WebLinkAboutBLD2009-00259 41kUILDING PERMIT APPLICA•N MLA09-00265
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00259 Received Date: 8/5/2009
SITE ADDRESS: 1265 GRIFFITH POINT RD
NORDLAND, 98358
OWNER: JAMES SURGENT PHONE: 3.0-396-9595
DEVON A SURGENT
1414 241ST ST SE
BOTHELL WA 98021-9742
SUBDIVISION: Block: Lot: TX56-
PARCEL NUMBER: 021321032 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 70,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: 816 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0(
RoutingDate:
r1//0 Ci
Type Amount Paid By: Date: Receipt: AMICVEC
Permit $783.75 LYK 08/05/09 110689
Plan Check $509.44 LYK 08/05/09 110689
State Building Code $4.50 LYK 08/05/09 110689 SEP ZZ 20Q9
Total: $1,297.69 Jefferson County Planning
&Building Department
Jefferson County Building Div.- on Permit Numb BLD09-00259
Applicant: SURGENT
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 l -11PM
rt
Erosion Control
Foundation Footing (i ); Li((.
Footing Drains
Foundation Stem Wall ,/1/4:1.€12-7 (-'k
Straps(hold downs) r
Ext. Shear Wall Nailing 1 t , _01 C ((2J
Rough-in Plumbing
Framing
Blocking L—r)
Address Posted
u.4. C LIDA -2-, 3-10
LFINAL INSPECTION 1 11ill, t L
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD09-00257
1.) A minimum of a 10' setback is required between all water lines and all septic system
components.
2.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) MANDATORY MEASURES OF HIGH RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
4.) MANDATORY MEASURES FOR HIGH RISK SIPZ:
1. For proof of potable water on a building permit application. applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
6.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
7.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan.
8.) The project shall adhere to the Besianagement Practices (BMPs) to control sto•ater,
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.
9.) A Engineered Stormwater Plan prepared by Streamline Environmental dated August 5,
2009 has been submitted and approved by the Department of Community Development.
Once the subject permit has been issued the applicant shall fully implement the provisions
of the submitted plan and contact the Jefferson County Department of Community
Development to arrange a schedule to inspect the property for plan compliance. A
Certificate of Occupancy will not be issued until the Department verifies plan compliance.
No clearing for roadways or utilities shall occur on the project site until clearing necessary
for the installation of temporary sedimentation and erosion control measures have been
completed.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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, shad any such junk motor
vehicles be stored in a critical area.
12.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
13.) The road approach permit(RAP09-00037) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) The building height is not to exceed 35 feet.
16.) Minimum setback from Griffith Point Road right-of-way shall be 20 feet. Minimum side
yard setbacks shall be 5 feet. Minimum setback from top of bank shall be 30 feet, or for
every foot of bank height, the setback shall be the same as measured from the top of
bank, not exceeding 100 feet.
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44 _,,ON co� JEFFERSON COUNTY
W ' '24 DEPARTMENT OF COMMUNITY DEVELOPMENT
h 621 Sheridan Street• Port Townsend •Washington 98368
4.,
�� 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
G
Master Permit Application MLA: 09-a('5
Pr ect Description(include se rate sheets as necessary):
I Tax Parcel Number: AUG f'"ro�ertyj� e: (acres/square feet)
Site�Address and/or Directions to Property: f i7
t i7 G- cSl -, 41Yd1 RdI Y`('Ajk ` Wi\ ci45D5v"<
Property Owner(s)of Record: -r,rv, c `P 00 r\ )c�P Al `�
Telephone:)t)(c -- 91--1_ ,- 9 5 °I`-- Fax: Lp - r -1Q-- )pC (p email: _S I.tIt,Ge s�i mcifl ,CeK_
Mailing Address: ) -�'�.Q I i?i 4- C.Y L I �4°d yvtr,--v I.t`1 v� g1'nn-2—
Applicant/Agent(if different from owner):
Telephone: -- Fax: email: —
Mailing Address:
W t kind of Permit?(Check each box that applies ❑Lot or Road Segregation
uilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Single Family Qarage Attached Detached ❑CConclitional Use[C(a), C(d),or C]**
❑ Manufactured Home .❑ Modular - Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑ Road Approach 0 Short Plat**
❑Home Business 0 Cottage Industry ❑Binding Site Plan"
0 Propane ❑Long Plat**
❑Sign •. ❑Planned Rural Residential Development(PRRD)/Amendments*"
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions*"
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*"
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium El Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal its required for this proposal, if known:
r L 4, if AlL,Vt,C 1e,bt PA-A A
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 correctto 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 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 access an. 'ght of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and a -•uired later ins,-. ons. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the •• •• tion that hunts prior notice.
Signature: =�.. Date: o
The action or :.'ons Applicant will u 1rtake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered •ecies 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 complian ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferals responsibility adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
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BUILDER STATEMENT
The signer of thjs statement does,#Iefeby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be a 'su ing the respo $ibility of the General Contractor for the proposed proje�ct./�
Signature:
Date: r7/>/U 2
GENERAL CD TRACTOR OR MANUF TURED HOME INSTALLER: PHONE: FAX: �C - '00
�i' ��h o(). ' i 1{ f 5 cj c (42
MAILING ADDRESS: ')--��L7 I o - U me q yncsyck gko`J?,EMAIL:I ,__5i�t�C-�e.Y Ci)vVv,V4 ie11Y�
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: 4.0PHONE 000 FAX: -
MAILINGADDRESS:•1c6 1(5 f�� ,kci to ( r/ ' , MAIL
Project Type: I caIlme Type: Bathrooms: Shoreline: Type of Sewage Disposal:
IZ New A Wood Existing: '0 0 Sewer
0 Addition 0- Steel Proposed: 0 Bank 0 Community System
O Alteration/Remodel ❑ Concrete Total: 0 Heigpt: r Inc Individual Ststem
O Repair ❑ Masonry IC) ` .O SEP Permit#607- 2.5
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: O Setback: ❑ Private well ❑ Two Party
Type of Heat• Proposed: U 3f Public
un� Total: C) oNagle of System
If this is a Commercial Project you must answer the following: .�
940
Number of Parking Spaces: Current:_ Proposed: 0 Number of DA Pa Ing Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current C) Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes I 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 Proposed .ce v .r t.,-,, fli.e?-,;.P:. '' ':. '.._'-'',V.--'i. :. .�,,. _ .,
Main Floor Heated r'' EH BId App Review:
WI sFe_
. Floor Heated -\ Consistency Review:
Other Heated ,� Base fee: 83 75
n
Mezzanine AdditioecIJon:
SDP t-1 P 1 I s`f K._
Heated Basement Plan Check fee: _ 1 F 4
Unheated Basement State Surcharge fee: sip
Other Unheated - Pot Water Review fee:
Pr Doi
ISg32oG1 �'� CM SUBTOTAL
�rage11�Carport G I ( n
Decks ". 911/Rd Approach fee:
' 1 1 (f
Other TOTAL $
Receipt Number:
_ Cash/Check Number: 1�5�
`ESTIMATED.COST(REQUIRED}-- Date:
.Fair marketsVi-
Dolabor-and to ials foundation to finish
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