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Home My WebLink AboutBLD2009-00412 ■B Review UILDING PERMIT APPLICAIN BL T Ty412 ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00412 Received Date: 12/15/2009 SITE ADDRESS: 31 PORTER LN PORT TOWNSEND, 98368 OWNER: NORMAN P GOODWIN PHONE: 425-771-2022 1105 12TH AVE N EDMONDS WA 98020-2512 SUBDIVISION: Block: Lot: T 57+ PARCEL NUMBER: 001063019 Section: 6 Township: 30 N Range: 01 W CONTRACTOR: KANE ENTERPRISES PHONE: (360) 379-0834 819 56TH ST PORT TOWNSEND WA 98368 Contractor's License KANEE**023PN Expires 10/24/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP REPAIR & REPLACE EXISTING DECK - SAME SIZE & LOCATION TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 24,096.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $391.25 LYK 12/15/09 113512 Plan Check $254.31 LYK 12/15/09 113512 APPROVED State Building Code $4.50 LYK 12/15/09 113512 Total: $650.06 DEC )(4, 2009 Jefferson County Planning &Building Department r Dec 08 09 02: 42p Kane Enterprises 360 379-0834 p. 2 III III 44 15°14 eon JEFFERSON COUNTY 4 ' . DEPARTMENT OF COMMUNITY DEVELOPMENT ti 161 ►C I 621 Sheridan Street. Port Townsend •Washington 98368 360/379-4450- 360/379-4451 Fax ZIINGs00 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: //� / M /L1�- NO Project Description(include separate sheets as necessary) p_ep / c,)r �c � vi�� 5<ivwe face- u,l eJ,3�itr� cQe�LS v« rof_ Tax Parcel fVumber:4r.i✓bt_O(r3_0(c. Property Size: , 2 66 re S (acres/square feet) Site Address and/or Directions to Property: .3 I Poc4-er L , 51-1"`°jS gki e_ / P,:`r rowvkseL.C._. \ Property Owner(s)of Record: ,A//ft7c,yj 7; (, r / f Telephone: Z5 - -7- -Lc; Z"Z Fax: k l j--135- '6,( 5- Mailing Address: 11 O 2U 3 3.' email; � ale LI. 5,-4�P-^0 . i..j,,,,,,,„,,(, IAA: 9,r�j(,, Applicant/Agent(if different from owner): S yr anti,.. ).ci t.t Telephone: 3 fc'0- 3 7-1-0 8 3'( Fax:_3 to 0.3-/1.0 5-341 email} ►tAr� .-Ccte�era�.c clw� Mailing Address: Ca1 — ��f u. 5`f: PT' w 4 II k3 C k / W t kind of Permit?(Check each box that applies 0 Lot or Road Segregation `Building 0 Critical 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* ❑ Change of Use 0 Special Use(Essential Public Facilities)** 0 Address0 Boundary Line Adjustment 0 Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry o Binding Site Plan** ❑Propane 0 Sign 0 Long Plat** 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑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 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pm—Application Conference ❑Tree Vegetation Request "Requires a Please identify any other local,state or federal permits required for t Pre-Application this proposal, if known: DESIGNATION OF AGENT I hereby designate � anvyk� _� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ale Date: / <-.:`). By signing this application ,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. ny 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 quired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a ica. h e or;he wants prior notice. ,*- Signature: A]�/ f Date: ZA e-C4 The action or act Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered specs s 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 ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he.she or it holds individual and non-transf rab- _-:.nsib'-ty for adhering to and complying with the ESA. The Applicant has read this disclaimer and pigns and dates it below. Signature: ,,y , -. rig ,.A.IICA, Date: /�Z— _C 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 ORMANUFACTURED HOME INSTALLER: PHONE: FAX: �vvtutw. ILattie.- ' 1//c'tt^t= teipn5r?y (xc) 3-'' ( 8-3(.( (3fn03 1- 0—3 MAILING ADDRESS: c01 - 57b 5i. PT t.J II-- q&36 b' EMAIL: . _ ems 0 Cc,b(e.reef , C.ca v� CONTRACTOR'S LICENSE WAINS NUMBER: Y-AAe.P k Q z- PTV NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: tr) Shoreline: Type of Sewage Disposal: New Wood Existing: �} ❑ Sewer ;, I' Addition ❑ Steel Proposed: ( ' Bank ❑ Community System •., r; Alteration/Remodel ❑ Concrete Total: Height:f ❑ Individual System Repair-re f lnc e. OecKS ❑ Masonry 130 SEP Permit# D Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: LI Private well ❑ Two Party Type of Heat: Proposed: 1 .rvti,i ❑ Public Total: i Name of System: • Zy y'c9INA_ _ If this is a Commercial Project you must answer the following: 't\ I�) 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: N i Underground Tank i Above ground Tank Size of Propane Tank: i k 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 For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: -- 2nd Floor Heated Consistency Review: Other Heated Base fee: 3° I • 2 Mezzanine Additional Section: __-- --. Heated Basement ^g s J �, c Plan Check fee: a 5� 2 Unheated Basement yr ; State Surcharge fee: 11 a) Other Unheated �� —_ .g Pot Water Review fee: Garage/Carport ,K. SUBTOTAL Decks ci lcr c Z 5 1,C-7Th91 /Rd Approach fee: Other _ TOTAL: $ (% ) .0 j Receipt Number: //c5 --/� Cash/Check Number: n3/ STJMATED COS T(REQUIRED) - Date: C9 •Fair arket value of all labor and materials foundation to ish /2 -/J ` Initials: n/� _� J VTV G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc Jefferson County Building •sion Permit Null,: BLD09-00412 Applicant: GOODWIN 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 Framing FINAL INSP TION -)57() r--2/27) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR w • • ��w4`'SON co6� JEFFERSON COUNTY +a DEPARTMENT OF COMMUNITY DEVELOPMENT ti = °4 rillik 444iii ,. 621 Sheridan Street • Port Townsend •Washington 98368 qs AsO 360/379-4450 • 360/379-4451 Fax RING http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# NO MLA- e60t16 PROJECT/APPLICANT NAME: licalAAAK ()-eXIGA1/2% -G er cS Ingvw,wA gRNL_ DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel "I. 7i acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet I V--r'Y 5-Z sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple,and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/ft Cut__f� _ Fill_„ (cu/yd) -.* R (ace vHe; 4- a; roll ei,. S .(t- all -c�„AtwJS CV-R. eet -r( , S 0.t^^C, co� (nK-k- [over] OV .e.,,,44. stormwater calc worksheet-REV,11/3/2008 1 nib lv feww�ih ^�-�nL 1s4M`�- If 9 ZS e - I/I Iii .w IV 1RI 2 FA hoh Zi ITO o oF/ ,T) D JIX / `],fig Qc Q. I I LA W Icd Im T N U cu £ I N a jm I 04 .• fh � �h J i o R�14'80 ga?�549 ti/ 11 v yy O J m W 30 F 30 m I In o � a a LO �n� I I co I n Ir. W � I z o I°� m 2 � m ZI � I I I I I I I 1 6 I I I I I I it 211.34 12 7 N88'28'32'E 394.92 183.58 \O ' pN '� i°o 4y Q 0 MM ,>o c� z � �<t z 3 K a w � 9L a Z + a LL o �^ W S td � z lu .+ O x Q a W S yy s itt y3 Y �1 I c 0 .b R Mil Dec 08 09 02: 42p Kane Enterprises 360-379-0834 p. 3 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving, grave!roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE `\ �f NEW EXISTING "Structures(ail roof area) s /ft f G � d 4 Structures(all roof area) I f o b I sq/ft o. 1 Sidewalks sq/ft Sidewalks 36 CI Cl sq/ft Patios — sq/ft Patios Li � IV L V 'l $v. sq/ft Solid Decks sq/ft Solid Decks `��` (without infiltration below) (without infiltration below) sq/ft b Driveway,parking,roads,etc "C-. JJ�� — sq/ft Driveway,parking,roads,etc -(t 2 sq/ft Other e,........-- sq/ft Other sq/ft Total New � sq/ft Total Existing C/ 2- � q `"l s /ft .11 TOTAL NEW+TOTAL EXISTING* 6, 2y ( sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT 2 Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 3a`/ % Does the site have 35%or more of exi tin impervious surface? Circle: Yes O No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. if the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention(SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. .z%,i-e< ) l� ( b ER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) L , _-. ;.,.I c _ . r Taco ' ' r Y • E ; :fit " 7 a$' -. k. . Sis ,'' a _ __E.r#�a3;3,r��t��'`+r-_...c_^' stormwater calc workshect-REV.1 132D08