HomeMy WebLinkAboutBLD2010-00042 •LDING PERMIT APPLICATI• ML Review Type:
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00042 Received Date: 2/11/2010
SITE ADDRESS: 294 GREEN MOUNTAIN LN
BRINNON, 98320
OWNER: JEFFREY TRUPPNER PHONE: 360-796-4822
CHERISHA TRUPPNER
PO BOX 237
HOODSPORT WA 98548-0237 GREEN MTN SHORT PLAT
SUBDIVISION: Block: Lot 1
PARCEL NUMBER: 602352028 Section: 35 Township: 26 N Range: 02 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 9/23/2010
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW POLE BLDG GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 14,800.00 MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: 768 SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Pro 0
Total: otal: 0
Routing Date: --�_
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $251.25 LYK 02/11/10 113855 APPROVEr
Plan Check $163.31 LYK 02/11/10 113855
State Building Code $4.50 LYK 02/11/10 113855
MAR 25 1n
Total: $419.06
Jefferson County Plannin.
&Building Departmer.
Jefferson County Building Dion Permit Num. BLD10-00042
Applicant: TRUPPNER
BUILDING PERMIT INSPECTION APPROVALS applicable 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 �f l ., (lt Minimum setback from Green Mountain Lane right-of-way is 20 feet.
Minimum side and rear setbacks are 5 feet. HOWEVER,the proposed
detached garage shall be setback entirely off the designated BPA
Easement.
Erosion Control SEE CONDITIONS I &2
Post Holes q(L I U
9e1-
Foundation Footing
Framing (a_c• �v
Blocking
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00042
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 ON 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.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
4.) 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.
5.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
6.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
7.) The applicant shall permanently s ate the boundary of the Landslide Hazar a
Buffer from the remainder of the su ect property through installing logs, trees, adge
row, or any other prominent physical marking approved by the UDC Administrator.
8.) 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.
9.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark(OHWM) to the proposed manufactured home.
10.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed detached garage.
11.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
12.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
13.) 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.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) 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.
16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
17.) The building height is not to exceed 35 feet.
18.) Minimum setback from Green Mountain Lane right-of-way is 20 feet. Minimum side and
rear setbacks are 5 feet. HOWEVER, the proposed detached garage shall be setback
entirely off the designated BPA Easement.
19.) 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.
20.) 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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JEFFERSON COUNTY
444:3,1%,..i
DEPARTMENT OF COMMUNITY DEVELOPMENT
i 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
4,q www.co.jefferson.wa.us/commdevelopment
$grNa`�°
Master Permit Application MLA:
/6 �-
Project Description(include separate sheets as necessary).
02(4 er l� ��op O Ya,�i 1r���G� Prop2 P 1 �' fie-`
Number. `j04235 20 Z$ Size: (acres/square feet)
Site Address and/or Directions to Property:
c -t O -e ee (Y1nonk - L .r
Property s)of Record: ._ h�r.®;
Telephone: 19 -41 22 Fax: email:
Mailing Address: ki0 )( pQ 51 (- tAk,...ic`3
Applicant/Agent(If different from owner): t)-N,V\J ice,--
Telephone:, i (‘315.-z,-to2A Ui Fax: cpi(3(..06 I email:
Mailing Address: Q 11!iri-1.. 7a-2)1 iV)1(VI (...)a.- ci$,3i L
What kind of Permit?(Check each box that applies
❑Building 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C)"
❑Single Family Kr Garage Attached I Detached 0 Discretionary"Do or Unnamed Use Classification
❑ Manufactured Home O Modular ❑Special Use(Essential Public Facilities)"
❑ Commercial' 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat"
❑ Address 0 Road Approach ❑Binding Site Plan•*
❑Home Business 0 Cottagelndustry 0 Long Plat"
❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑SO 0 Plat Vacation/Alteration"
0 Mowed`Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management 0 Shoreline Management Substantial Development"
❑Site Plan Approval Advance Determination(SPAAD)' 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wrroless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
*May require a Pre-ApplFcatfon Conference "Requires a Pre-Appilcation Conference
Please identify any other local,state or federal permits required for this proposal,if known:
DESIGNATION OF AGENT
itit.
I hereby designate to act as my agent in matters relating to this application for permit(s).
OVVNER SIGNATURE_,� Date: t142
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 ifs knowledge. Any material falsehood or any omission of a material fact made by the owtter/a gent 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 at liabilities.judgments,court costs,reasonable attorneys 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 requited tater inspections. Staffs access and right of entry will be assured unless the applicant Informs the County in writing at the
time of the cation that hp she wants prigonce. /�
Signatunr
e Date: cQ1 I I U
The action or actions wit 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 Ad"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 adrnowtedges that he,she or it holds individual
and non flap tenable yes orlsfbility for adhering to and complying with the ESA The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:a-7/.Q t i 0
(::\Documents and Seatuisn\carat\Local Settings\Temporary Iauxner Fdes\OLK$(\Master PennitAt p&.1t .,12-19-2006.doc
• •
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Omni*of the parcel referenced herein,that they are not licensed contractors and that
they will be assu - e responsibility of the General Contractor for the proposed project.
tit Signature: [� _ Date: V2/10
GENERAL CONTRACTOR OR'MANUFACTURED HOME INSTALLER: PHONE' FAX:
� ! `,�- }�,nt S+,'/S a)(a Lit o) (,, i -533
` d1INo bWE i1 n S 1 p�Y'" '' EMAIL:
MAILING RE • ?,p .$ut?,(K31 vit Vvx t.y
•
CONTRACTORS LICENSE clo 1,l7 o 111-K9 WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: 1 PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
. Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 1
&New M.Wood Existing: 2 ❑Sewer
Addition 0 Steel Proposed: C5 Bank ❑Community System
C Atteration/Remodel ❑ Concrete Total: Z. Height 0 Individual System
ci Repair L Masonry SEP Permit#G 5 -y 3 Z
O Demolition Li Other: Bedroor s: Water Supply: I
Existing: 3 Setback Z Private well ❑ Two Party
Type Of fleet 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:
❑Underground Tank C1 Above ground Tank Size of Propane Tank:
O Heat Stove ❑Cook Stove 0 Woodstove 0 Fireplace Insert ❑Hot Water Tank ❑Pellet Stove D Other
js this appliance betna 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 BId App Review
2"0 Floor Heated I Consistency Review. 2` 3 0 0
Other Heated Base fee: 2- / `2`/
•
Mezzanine Additional Section:• --eS — 7
Heated Basement Plan Check fee: /6 3. /
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport, 0-1 �JC3 SUBTOTAL ,705-'U
Decks 1 911/Rd Approach fee: iiipi-
Other TOTAL: I r)OS Q (p
Receipt Number
� cashrcr,edat Number: /t 3 S
TIMATED COST(REQUIRED) Date: 1 6
.Fair m value of at labor and. riefs fo to finish
41"l YeCV . <�r'ete '�" °r' Initials: RN-C.
Documents and Settings\catsi\Local Settings AT norms Files\01.KS6\Muter Pans Application 12-19-2006.doc
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