HomeMy WebLinkAboutBLD2010-00349 QUILDING PERMIT APPLICA•N MLA
Review Type:
62
I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00349 Received Date: 9/30/2010
SITE ADDRESS: 991 GRIFFITHS POINT RD
NORDLAND, 98358
OWNER: BIAO WANG PHONE:425-214-2128
MELODY L LIU
510 172ND AVE NE
BELLEVUE WA 98008-4118
SUBDIVISION: Block: Lot: T 34
PARCEL NUMBER: 021321009 Section: 32 Township: 30 N Range: 01 E
CONTRACTOR: BROCKMAN BUILDERS INC PHONE: (360)638-1125
33165 HOFFMAN RD NE
KINGSTON WA 98346
Contractor's License BROCKBI961ON Expires 9/15/2012
REPRESENTATIVE: BROCKMAN BUILDERS INC PHONE: 360-638-1125
PETER BROCKMAN
33165 HOFFMAN RD NE
PROJECT DESCRIPTIOr STAIRS TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER: 495
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
Routing Date:
-30-10
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $251.25 LYK 09/30/10 120146 APPROVED
Plan Check $163.31 LYK 09/30/10 120146
State Building Code $4.50 LYK 09/30/10 120146 DEC 222010
Total: $419.06
Jefferson County Planning
& Building Department
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Jefferson County Building Division Permit NumFer: BLD10-00349
Applicant: WANG
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 ��- _ l 07,
Post Holes 7 - l LA/j/9l_ 44, ! O l tv,r r'�lc X f�E
Framing
FINAL INSPECTION , . o1)L CS
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD10-00349
1.) A. The stairway shall be constructed of material, painted or stained so as to blend into the
natural color scheme of the shoreline bluff.
B. This approval does not authorize the removal of any large conifer trees.
C. Erosion control measures shall 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.
D. Proper disposal of construction debris shall 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 shall be placed in the waters or intertidal areas of Jefferson County.
E. 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.
F. During construction, all releases of oils, hydraulic fluids, fuels, other petroleum
products, paints, solvents, and other deleterious materials shall be contained and
removed in a manner that will prevent their discharge to waters and soils of the state. The
cleanup of spills shall take precedence over all other work on the site.
G. A permanent vegetative cover shall be established on denuded areas at final grade if
they are not otherwise permanently stabilized.
H. 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.
I. 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.
2.) 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.
3.) Prior to commencing development activity, the proponent is responsible for informing the
US Army Corps of Engineers (COE) in order for COE to determine whether a Department
of the Army permit or review is required. Generally, review is required for construction
and dredging in or around navigable waters of the US and for work or fill in hydrologically
connected wetlands. Contact the US Army Corps of Engineers, Seattle District
Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more
information.
I
• R319.3 Fastee
Fasteners for pressure treated wood shall
be of hot dipped galvanized steel, stainless
l steel, silicone bronze or copper.
', Exception: One-half inch diameter or
1 greater steel bolts.
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Contact the Buildin„ n, y
(360) - 379_44 - . c p earinlent at
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or revisions to the appI'o .ed 1
chan�� s ,
Mans. 't
FILE COPY
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AT TIME OUNDATION INSPECTION
PROPERNES MUST BE MARKED BY
STRING LI S TO VERIFY SETBACKS.
IF PROPERTY LINES ARE NOT MARKED A
\ l REINSPECTION FEE MAY BE REQUIRED
PRIOR TO FURTHER INSPECTION.
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(360 �3Uil�iir.;g department 31
- 379.4�4�(1
or revisionsprior to mai`in��
to the a , changes
pPr'oved Mans, �' -
FILE CUi-- i
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REVIEWED FOR CODE OMPLIANCE 'LE CC)py'
PLANS MAY NOT BE EL61a - 3 g
KEPT IN SA AN
NI-C /
excepting
are approves must
an NOTICE:Plans Al work
omisslons. with Contact the �3tiildiz�j Department A
any errors or conformance ��t the B p 1t� to making chant
pass inspection n d and regulations. (360) - - r prior all applicable codes or revisions to the approved plugs.
JEFFERSON C REVIEW
BUILDING PLAN
0 APPROVED AS SUBMITTED
APPROVED AS NOTED
00.
CI REJECTED
�Revlewer____X—.
Date�'
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,, JEFFERSON COUNTY
" DEPARTMENT OF COMMUNITY DEVELOPMENT
1 • 621 Sheridan Street• Port Townsend•Washington 98368
,S 360/379-4450• 360/379-4451 Fax
�NO,tO www.cojefferson.wa.us/commdevelopment
Master Permit Application MLA: ( -3(92
Project Description(include separate sheets as necessary):
54/ts di /.71e i gAcA f 2C,Ace.- Pec/G..
Tax Parcel Number. 6,12./3 2 la-0q Property Size: • (acres/square feet)
Site Address and/or Directions to Property:
9'9/ Grit i i'"`i-i��4e: 10a,d/o4� tv(. 5 7 �R.
Property Owne�r(ja of Record' A c:r O (,t.9Qtjq A'tGt Inc/oc ll Lie-4
Telephone: 7 2/y p?/ZK Fax: f email:
Mailing Address: 5-7 c /72 no a ,e L.�, ,fo` 44• ,orig..
g'
Applicant/Agent(if different from owner): Fe f'' t./'3/OCjx?q e-aCiC ,` )ld,js-WIC+.
Telephone: 4-38.`//ZS'- Fax: email:
Mailing Address: 33/GS Qil , //&"-- /J 1.44 7,-la,
What kind of Permit?(Check each box that applies
Uilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
,k"Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CI**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑,Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Apprddch 0 Short Plat**
❑Home Business 0 Cottage Industry - 0 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 ❑Shoreline Master Program Exemption/Permit Revisions**
0 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
❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
"May require a Pre-Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal,if known:
� I / DESIGNATION OF AGENT
�
I hereby designate eV/�p-+ r[/C�i to act as my agent in matters relating to this application for permit(s).
.
OWNER SIGNATURE t
C- 61t ----- Date: Z2-- 22)i 6
1 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 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 and ri ht of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an quired later inspecti s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the a.. t on that he or she ants prior notice.
Signature tom-+ 2 '...0 d
Date: q 1 2 �
The action or actions Applicant will 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 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 ieare In compliance ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans responsibility for hering to and complying with the ESA. The Applicant has read this disclaimer a signs and dates it below.
—? Signature _ i. ..3. v� -. q---- /
Date: !( �� Z O t 0
O:\PemutCentcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
SEP 3 0 2OG
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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:
Fes'
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ����� ( )
e vthnA4 t 71e/S J J . �,� E aCo ,fj/QUC s/t'I� a�O''!��'lE'�iG-
MAILING ADDRESS: �j3/b,�,J E-# 4'l.,�•
CONTRACTORS LICENSE h/�r/9��..� � 44' ¢j-'1 7�(p WAINS
NUMBER: L�t�G.o[./4,,69G .40A NUMBER FAX.( )
ARCHITECT/ENGINEER: PHONE ( )
MAILING ADDRESS: ' EMAIL
Fra a Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Project Type:New Wood Existing: u Sewer
tl Steel Proposed: Bank ❑ Community System
[-I Addition Total: Height: ❑ Individual System
El i] AfteratioNRemodel u Concrete Repair ❑ Masonry SEP Permit#
LI Demolition Other Bedrooms: Water Supply:
iJ Existing: Setback: Li Private well ❑ Two Party
TypeofProposed: ❑ Public
Heat Total: Name of System:
If this is a Commercial Protect you must answer the following: �/A Number of ADA Parking Spaces:
Number of Parking Spaces: Current Proposed:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Serv? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: H 4---
I Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove ► Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank t 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
o submit a tol buildingsn show
w and septic system comllpropes
lines,tank location and size,distances from the propanetank propertylines,
including the reserve area.
Square Footage 1 Current Proposed , r ,_: . , •
Main Floor Heated `r1,-u Tom: 'EH Bid App Review:
2na Floor Heated h •� - Consistency Review: }
4 d- Base fee: QC J
Other Heated • a'J •O5
Y
Mezzanine ` 7'` '37Additional Section: --,
Heated Basement ^ r Plan Check fee: t l�i� 3
Unheated Basement f'* .; State Surcharge fee: /� So
Other Unheated _,T0' Pot Water Review fee:
Ei
Garage/Carport "n
SUBTOTAL
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Decks/$a NS 27O f 9pc el`i Ak- rY 911/Rd Approach fee: ,__�-----
Other -.s 1r` :7 k my TOTAL $ (032,0(0
"� Receipt Number. 1"7_0 1 (4 CP
, Y, Cash/Check Number: ,
:___,____
ESTIMATED COST(REQUIRED) Date: 3 ,_,..3 I
.Fair market lue of elj labor and materials foundation to finish --____.-
Initlals� <;
G:\P \###FORMS###WRD FORMS\Master Permit Application 5-29-08.doc