HomeMy WebLinkAboutBLD2010-00225 MLA10-00247
II BUILDING PERMIT APPLI ION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00225 Received Date: 6/22/2010
SITE ADDRESS: 7534 FLAGLER RD
NORDLAND, 98358
OWNER: MARTIN H LOKEN PHONE: 360-385-5381
MARJIANN K MOSS
PO BOX 211
NORDLAND WA 983580211
SUBDIVISION: Block: Lot: TX 32
PARCEL NUMBER: 021333007 Section: 33 Township: 30 N Range: 01 E
CONTRACTOR: ADVANCED CUSTOM STRUCTURES LLC PHONE: 253-846-3211
7105 256TH ST CT E
GRAHAM WA 98337-9834
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE/SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 21,986.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 1,152
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $349.25 LYK 06/22/10 117891
Plan Check $227.01 LYK 06/22/10 117891 APPROVP1 ,
State Building Code $4.50 LYK 06/22/10 117891 AUG II
Total: $580.76
Jefferson County Harming
& Building fepartment
Jefferson County Building Division Permit Num - : BLD10-00225
Applicant: LOKEN
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 •1 ( ° fskc u S 4
Erosion Control Foundation Footing !�' , Jf f 2 pi 1'/ a�Q.
1.t1
Footing Drains I
Foundation Stem Wall
Straps(hold downs)
Ext. Shear Wall Nailing
Framing /G/_1�^l I
Blocking C
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION 9-40 ( ,kt'
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00225
1.) 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.
2.) VOLUNTARY MEASURES OF COASTAL &AT 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.
3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
4.) MANDATORY MEASURES FOR COASTAL 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 requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) MANDATORY MEASURES FOR AN AT 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. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
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.
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 project shall adhere to the B /lanagement Practices (BMPs)to controlSmwater,
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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of
Impervious Surface Coverage" to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Setback from Flagler Rd. (SR 116) right-of-way is no less than 30 ft., side and rear
setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then
the more restrictive setback shall apply.
14.) 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.
15.) 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.
r.i‘c6ON
c06. JEFFER•COUNTY •
`''' _ ,a DEPARTMENT OF COMMUNITY DEVELOPMENT
'-' `� a 621 Sheridan Street• Port Townsend • Washington 98368 ,
L L 2010
. ►" 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopmentk $ING
Master Permit Application MLA: 1 v - 2 1
Project Description(incl s arate sheets ne sary):
( 'o�� �r,� I lA �a ra7,1 iA 1A-t a+ -9t-or ate'
c
Tax Parcel 02( - 33 007 Property .• E)6 acre_ /24 got s` f'
Number: Size: 1 (acres/square feet)
Site Address and/or Directions to Property:
'753`t Fia5kr R,'ad1. Nor-d(aJ1 wt� >& 3SS
Property Own r(s)o Record: M a Y l v' L,oke-4. c- Ma rj i a►^v‘ M 05 S
Telephone: (3EO) 301-6737 Fax:(66)305 53St email: !t'►a r'-y t?isIajhif`shv i 4rrn
►Mailing Address: ) 24 6 ) No rd la ono(/ W/ 8 3 Se /
Applicant/Agent(if different from owner):
Telephone: Fax: email: _
Mailing Address: _
What kind of Permit?(Check each box that applies
Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
❑ Single Family ','Garage Attached etached j El Discretionary"D"or Unnamed Use Classification
El Manufactured Home 0 Modular / El Special Use(Essential Public Facilities)**
El Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry ❑ Long Plat**
❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* El 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:
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 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 acce nd right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any equired later. ections. Staffs access and right of ent will be assumed unless the applicant informs the County in writing at the
time of the a licati that h she wants prior n i .
i /
Signature: — r�� � Date: f�'17 ZCT l G
The action or actions Applicant will undertake as a res 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 n 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 i c pliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tr sfera a res sibility for adherin p and con-plying wit a ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature. tV Date: 6-(7-2eic
i
• BUILDER STATEMENT •
The signer of this stateme es hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will ssur lhg the ponsibility the General Contactor for the proposed project.
Sig atur Wi'r -1 t?l� / 171� �fDate: b 17— 2OIG
GENE L CONTRACTOR OR MANUFAC J HOMTALLER: PHONE: FAX:
/4 V av�c d C�c 5-t-awt tr,,fciav?S _ (2 3 g LL�- 3z'1 (Z5 ) 875-3232
MAILING ADDRESS: .2 1W Li &toct ti h 1' fR.0 , 1<i)f 12( EMAIL: r V ; I)ey L Com c a St, tge-E--
CONTRACTOR'S LICENSE s(pa►.tawa , wA qd 3b7 WAINS /
NUMBER: #A VAN C-593 17 NUMBER
ARCHITECT/ENGINEER: Da i e I Vr a vv�DC ke PHONE (54) •1Lq•3-F,fl 4 FAX:( )
MAILING ADDRESS: Z yi3 E--_, E l S f C't, 5/ Spc) a NE' i g Z// EMAIL d . m e e_ke Ci Kish , co WIProject Type: Frame Type: 1 Bathrooms: ^Io li1 Shoreli e: Type of Sew a Disposal:
:L W oo• Existing: t V (t'o) Sewer (N u p(t,t i.i Ay
addition Steel Proposed: Bank Community System f t'i eu-i-,
Alteration/Remodel Concrete Total: Height: Individual System c;2 r a
Repair Masonry -�� — `SEP Permit# "7-1 io 7
Demolition Other: Bedrooms: I r�t Water Supply:
Existing: Setback: Private well Two Party
Type Qf Heat: Proposed: Public
NOVle Total: _— Name of System:
If this is a Commercial Project 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: c,,CP
❑Underground Tank °Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑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: -7
2nd Floor Heated Consistency Review: l 3
Other Heated Base fee:
j��d Z5
Mezzanine di i al$g�Lion:
C11 -\Nci`l<IQ I.,it SL._-. . .Heated Basement Plan eck fee: ? '"7 ' 0/
Unheated Basement State Surcharge fee: /S-�1
r Unheated Pot Water Review fee: "� V
Garageport(Cithe...,\
U�F1����,�� `1 f 52 ^��UII SUBTOTAL ? U 0
Decks 911/Rd Approach fee:
Other TOTAL: $7 h
Receipt Number: // 7 `�/
'� Cash/Check Number: / ! /6� 9 7
ESTIMATED CST(REQUIRED) Date:
.Fair market va a of a labor and materials foundation to finish -�" �/()
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� OWNER,
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cn > o� INXIVANCED NORDLAND, WA 98358
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a PARCEL # 021-333-007 J51J71
o 0 CLIENT: MARTIN LOKEN dt MARJIANN MOSS P.O. BOX 44
PO BOX 211 7535i FtA juv C PORT ANGELES, WA 98362
NORDLAND, WA 98358 (360) 452-8500, FAX: (360) 452-3383
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