HomeMy WebLinkAboutBLD2009-00299 flILDING PERMIT APPLICATI MLA09-00294
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00299 Received Date: 9/8/2009
SITE ADDRESS: 5413 SR 20
PORT TOWNSEND, 98368
OWNER: MICHAEL J FELBER PHONE: 360-385-0202
KAREN L HACKENBERG
670 ADELMA BEACH RD
PORT TOWNSEND WA 983689281
SUBDIVISION: Block: Lot: T 38+
PARCEL NUMBER: 901051018 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/16/2011
REPRESENTATIVE: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
PROJECT DESCRIPTIOP CABLE TRAM TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 75,000.00 ADD'L: HEAT TYPE: UH
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: 0
s -
Routing
(n�Date: nn�
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $818.75 LYK 09/08/09 110882 APPROVED
Plan Check $532.19 LYK 09/08/09 110882
State Building Code $4.50 LYK 09/08/09 110882 ►i��, 2
009
Total: $1,355.44
Jefferson County Planninc
&Building Department
Jefferson County Building Ditsion Permit Null( BLD09-00299
Applicant: FELBER
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 J,��/_cf t"-
Erosion Control ( -4 —
� �-oC( E
Post Holes 0-1 _ l
Foundation Footing i 1 .-� j l y% 12(I�( Qe�-G Od
Framing i
Mechanical Systems
(1lL
, A _7 ri 41--7 Plux
FINAL INSPECTION I
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD09-00299
1.) 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.
2.) 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.
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.) 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.
5.) 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.
6.) •
1. The applicant shall obtain a Hyaraulic Project Approval (HPA) from the Deptent of
Fish &Wildlife.
2. The applicant shall comply with the recommendations of the Geotechnical Report
prepared by NTI for the proposal and subject property dated January 5, 2009.
3. The lower landing deck shall be 10 feet by 14 feet which represents the smallest area
necessary to achieve a landing platform and room for friends and guests who are
physically handicapped and may require extra room to assist them in and out of the cable
lift car.
4. The cable lift shall be constructed of material, painted or stained so as to blend into the
natural color scheme of the shoreline bluff.
5. This approval does not authorize the removal of any large conifer trees.
6. Erosion control measures must be in place prior to any clearing, grading, or
construction. These control measures must be effective to prevent soil from being carried
into surface water by stormwater runoff. Sand, silt, clay particles, and soil will damage
aquatic habitat and are considered pollutants when discharged to waters of the state.
7. 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.
8. Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48, Water Pollution Control, and WAC 173-201A, Water Quality
Standards for Surface Waters of the State of Washington, and is subject to enforcement
action.
9. During construction, all releases of oils, hydraulic fluids, fuels, other petroleum
products, paints, solvents, and other deleterious materials must be contained and
removed in a manner that will prevent their discharge to waters and soils of the state. The
cleanup of spills should take precedence over all other work on the site.
10. A permanent vegetative cover shall be established on denuded areas at final grade if
they are not otherwise permanently stabilized.
11. 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.
12. 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.
13. Work within the jurisdiction of the Shoreline Program other than as described above
shall receive separate review from this office.
7.) THE ENGINEER OF RECORD SHALL PERFORM STRUCTURAL OBSERVATION AT
THE COMPLETION OF CONSTRUCTION TO VERIFY COMPLIANCE TO THE
APPROVED DESIGN/ BUILDING PLANS. THE ENGINEER OF RECORD SHALL ALSO
WITNESS THE PROPER OPERATION OF THE LIFT AND ALL SAFETY FEATURES. A
WRITTEN AND SIGNED REPORT OF ACCEPTANCE SHALL BE SUBMITTED TO THE
JEFFERSON CO. BUILDING OFFICIAL PRIOR TO FINAL PROJECT SIGN-OFF.
ON CO�, JEFFERSON COUNTY
• •
wo w ' e DEPARTMENT OF COMMUNITY DEVELOPMENT
'' 621 Sheridan Street • Port Townsend •Washington 98368
, 360/379-4450 . 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
BTNG ( '
Master Permit Application MLA: 0c1 - 9(1 `-�
Project Description(include separate sheets as necessary):
Cc,loLe `Tti vi;\ ~( u }v.-c;_c L-.
Tax Parcel Number: 5 C iU.IC..7(cp Property Size: 3 c.-( r7c. (acres/square feet)
Site Address and/or Directions to Property:
S -( 13 , I? 20
Property Owner(s)of Record: 14v1,c-c .4, •c ( - (G, ., 1Cc-,c c'---k-k W-5c.fc e-... b ,,D
Telephone: Coo - S S-c->D C7 a. Fax: email:
Mailing Address: (>— ,/1,--P-e,f tee, i&__c,�L P 6 , (D'1, -i6.„'(o
Applicant/Agent(if different from owner):
Telephone: ?40 f› (-a:n,-' Fax: ye,o 7326-((45( email:Thc-LPQTo(f e-cSu~n Co.Gb evs,[.0t„^
Mailing Address: \ , 1,0v /co - L- . . . .5 c_vH. ✓- et K‘ S
Whiat kind of Permit?(Check each box that applies 0 Lot or Road Segregation
urlding 0 Critical Areas Stewardship Plan
• Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a), C(d),or,_9]**
❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamec3i tJse Clgssa on
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business ❑Cottage Industry ❑Binding Site Plan**
❑ Propane 0 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 Exemption/Permit Revisions*"
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
0 Forest Practices Act/Release of Six-Year Moratorium ❑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 permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate r ac/ -( 1 ;,'1 ,,- jJ to act as my agent in matters relating to this application for permit(s).
.,� /, r
OWNER SIGNATURE�/ %`!; Cr' 6'��• �1 Date: f /��C
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 entry will be assumed unless the applicant informs the County in writing at the
time of the application that he or shy want�rior notjde.
a i
Signature: 77,r`, . i /-</„r'z-6�� Date: 5l�/U
The action or actions Applicant will undeltake 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 responsibility for adhering to nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 7 Date: CI sc/L° `:\
• A
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:
f�((,,4. ,v. (3 L tc -e-,rs 1 t-, �.. (3�)73/ �/v�0 (NA �3 a c[ off(
MAILING ADDRESS: et) bUjC tot L L ,^1,s, v ,,.,A-EMAIL:--r--,,d(..10 b1l e- & ,, , lcpe._rs, cL.,'-,
CONTRACTORS LICENSE 3297VAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: 4 C L���� C,v✓-p C;-T J . PHONE ( ) FAX:( )
MAILING ADDRESS: I(co Vt 4_, ,r..,'f (d.<< l( 1?0 � -•-4CA iIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New 0 Wood Existing: ❑ Sewer
0 Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System:
If this is a Commercial Projectyou 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:
1 Underground Tank i Above ground Tank Size of Propane Tank:
1 H• eat Stove i Cook Stove i Woodstove i Fireplace Insert 1 Hot Water Tank 1 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 Egraffice U 3 Y • Amount Revision:
Main Floor Heated EH BId App Review:
2n1 Floor Heated Consistency Review: C I ----
Other Heated • Base fee:
1 -I
Mezzanine Additional Section: ,,.------
Heated Basement Plan Check fee: Y I
Unheated Basement State Surcharge fee: . �7)
, - - — `-ICJ .
Other Unheated Pot Water Review fee: _ ,
Garage/Carport SUBTOTAL 1�. 0 l f q.
Decks 911/Rd Approach fee: `
Other TOTAL: $ 1 50S .l1 q
Receipt Number: i ` 0 U8�
Cash/Check Number: •C � Iq
( ESTIMATED COST(REQUIRED) Date:
.Fair market value of all I bor and materials foundation to finish --q--g
7 S r 0 d v Initials: L
c�I..0 P..aU�09w�su.\09w su.wc.,em.9.:a
9/19/1009):..:49 PIA
A
N ca
IC,T� 4
1 p'� •dna IWO OW
® 1 : Ili OF t r
� ry 0 ,„vwa3IVMv1
5Z6
r.
0 >z
m T 6
v t
o Cl)
m IN, 801
..I rr0
® -o
Z SJf, '.J_ cVAI JJV
__' 2°^
fMU F -' U M'e _ VJ M_A _/
_VcOtUJ cVAiJJV !t j ? Z
•
,,c/1� gTm D�
SV . v__ _ I ,i_ X rbU_v _S, c7 Jf,i_ l_S 0c
=F_ o_ 91,n v_t_, 1,0_vAeo.n c_1-_0 '' eU_ •J_k. c_;:_A_ _rVJ M_I, //
Vcf_Jie_• '9I,LG51,_nl_ .y _i'ulV V cU= / �O
'# __.,FS cV/f'JJV =JP,x __c __01, F-V _UU: Jh_'::_ 0
8
z F
m
u y
• )1s
_ \ / ri tg�r; r o r g r
E Q3f n co
-I:7.
C' -I t h frt:. � a� % x
r o $p d
•
o j :>. O m
y mn i', 1,1, a t E"4•=(f � r t&t +'„.. Dfr irfruir3r 3' . hil(xft E r < y t:(rr, $ ov �Eti r`lt t0,4 0: Ef r t or??I: liii4.04E t
•IP
' ACFitit��
14:
•
tt tt rE f Q ryry tELtKf1�ffi ot}� y�}��k',1 � i7 l0N � _•-" .+ / ®4 „4 -r k � ^ lt ( 1 ;' G , I0, ` , L :-' ft .. ,,,• $ m a-113 oO : \ . y3r7 n N Sa
—
. rj
O / , co-
2 rr r i 'kriffiAta*c• y 40 +� T-r r 1h. fr i r • i0 r f
ladikI N 0 D ioP.. I 1N1
1
31 tfi L ,ktirift frt `+ , ii,r ', JVcVJ f„,
0 tit r n 734 rr ♦ tt r.,.
N N N., ,.y..• ,h,.r �mo,t .. rttUlf,
�- f. ''
r .f. . ,r.f L t t .o �. ',
NO ° 0 `r f : r•t•, krt trt tt•/ t ; t' rtt t *Ell:. m' .; • a f
c�0 = ' f ft ' rr� } ftrfr, � Illr
ft $o
0 P -y' yr ; Iff t x a . a 1 rf�
O „k }. ` ti •+� ..! tr t'f fp cr UJ Uir V 4t..- ti v
8t1 Et,i.tr r'F E ifk Fz 8 d o
N :r�Ly �'+,�'f r t t r i rrt t o
1. l t Q. � " ` v
aD z = rs4 i,,r' , ,,.c, 1 o .t r e t. r4;t o-• 0. $ , o N
r-r ro tff:r,' f v
frl O ""� r rE tffi ff:,t z m
Z ti t}�yq •...................,f r 8
i.
� C t . � Hri�
cn
aft 3 i�>f�fff;rfjrtt ;
D ri t ,::,
%i:t:;if -,•
r: 1..
,,..:.,:.. ,..:
d
E..,0 m .„ . 8,,,:.,,v2,7, s,
:1
r t••.
CD
fffrf r.?;tf
.tiiF .rr..
,:, .:
, E�%iiiiiifi" i, �,� s‘,
�`il
,,r ,,,,,,
co ... .
moa .':
. . . .•
Xi
IT
c,4 D I)
• o
oa o -o II ...... </,',
xn OzCX o m D Q t/ w a r`,71 tr� OLaI;
PGZ7 y 0 tn� tm
11'I zm � \
? rn rn m -9 \ i
flFJ
lifl.
g i'/ .,.mm Cua z e zO.NOSL �„ 33 ( -Tr' v 9 i Z omNy m OTo' Og,.� J rn m c,a -1'41
2.
D O
/ �m
I9,V(Eli :I, 33
W \D p g O
7 0. aE9,
CO rt