HomeMy WebLinkAboutBLD2011-00047 ItUILDING PERMIT APPLICAI!JN MReevview Type: I
00025
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00047 Received Date: 3/2/2011
SITE ADDRESS: 1488 SHINE RD
PORT LUDLOW, 98365
OWNER: ARCH E VAN BELLE HOOD CANAL TR PHONE: 360-437-0279
M VAN BELLE HOOD CANAL TR
16325 123RD PL NE
BOTHELL WA 98011-7100 SQUAMISH HARBOR SHORT PLAT
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 721031019 Section: 3 Township: 27 N Range: 01 E
CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884
PO BOX 1110
SUQUAMISH WA 98392
Contractor's License WHITEJG952DN Expires 3/15/2011
REPRESENTATIVE: WHITEY JOHNSON PHONE: (360) 779-9884
PO BOX 1110 (360) 598-3308
SUQUAMISH WA 98392
PROJECT DESCRIPTIOr NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,750.00 ADD'L: HEAT TYPE: UH •
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 768 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 02043
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: . 9 .__
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $335.25 LYK 03/02/11 123254 APPROVE'
Plan Check $217.91 LYK 03/02/11 123254
State Building Code $4.50 LYK 03/02/11 123254 APR 13 i1
Total: $557.66 Jefferson County Planning
& Building Department
Jefferson County Building Dilion Permit Nz: . BLD11-00047
Applicant: ARCH E VAN BELLE HOOD CANt
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 5/2,s( / Minimum setback from platted private easement right-of-way shall be 5
feet,per administrative road setback reduction. Minimum side and rear
yard setback shall be 5 feet.
Erosion Control SEE CONDITION 2
Foundation Footing /as-/1/ 2"
Footing Drains
Foundation Stem Wall S 72S )/
Straps(hold downs) `Z?(,t( n
Ext. Shear Wall Nailing (J 2 mil,
Framing -?J I I i
Blocking
Wallboard Nailing 7 fa),
Drywell/Alt Drainage SEE CONDITION I
Address Posted t71\1 l
FINAL INSPECTION C� .
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD11-00047
1.) DESIGN CRITERIA FOR SPLASH BLOCKS:
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
SPLASH BLOCK.
A SPLASH BLOCK 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.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
4.) 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.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
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 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.
• •
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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.
10.) Maximum lot coverage is not to exceed 25(Yo. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from platted private easement right-of-way shall be 5 feet. Minimum
side and rear yard setback shall be 5 feet.
13.) 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.
14.) 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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ERSON COUNTY CCC I
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- -
Master Permit Application • . - MLA:
I .7--- _S. . .
Project DescriptiOn(Incitide 1 separa ---spfeag eetsaS ., ): - •
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N\2,t0 () b-l-c..S\-0-L, - - . 0i rn 191,4/3
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Tax Patrel Number:..7"/21 (5' I I-'Y • • Property.Size: I,67:1*fvf--.9- --5 I (acres/square feat)
Site Address and/or Directions to PrOperty:
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• •
I 4-8 S Fri i '' V...t7 Fif>c2,r- LAAI-.71.-.9-1A.T", lt)A
Property Owner(s)of Record; boz...e.-4i.--G. Wcii.._) 13454-4.,
. . . . ..- . .
. Telephone: t2 4- -7--6%171 . - . - AEC . . . email: •
-
- -bulling Address:J4eA t.L--,&..).-E-_-___• au -C30:1--14.1.01.,8,Du tA)A- :6113(6.5.- • - - . •-• -- - - . - . - ,. . -
-Applicant/Agent(if different from owner):-L•04-1•••nfl:- --1--:'.0.61-ki.. ...n, • - -. _. - . •- - - . .. -
Telephone: ' G,,c, -71q 9 043 4-- . Fmc . 1.,t, ''''zi.$ 22;en0 aryl a11:- J .. .
Mailing Addrets: 0 D.--7- 1., - kJ clE.' 2- tor edrige-A-45.gat..— • • - •
. •
What kind of Permit?(Check each box that applies . 13 Lot or Road Segregation . --.
0Building . ;0 Criticel Areas*wartistdp Plan-
- 0 Demolition Permit . , . 0 Variance(Minor,Major or Reasonable Ecothmic Use) • - - - -
0 Single Parnily -. - ilidf G.arage.Attached lo---d) Cl Conditional Use[C(a),C(d),or Cr'- 1 -
0 Manufactured Horne--,, _.0 Modular- • -'- -- • - .0 Discretionary'D.'or-0nnarned-Ute Classification
0 Commercial* • - . •• :- . . l3 Special Use(Essential Public Facilities)'1' 11 . •
0 Change of Use . . - 0 Boundary Line Adjustment
--. 0 Addtebb . .0-fkoad ApproaCh - . .CI Short Plat
0 Home Business • .- .-0 Cottage Industry - -- ' 0 Binding Site Plan
•
0 Propane - -- 0 l..cmg Plat" .
. 0 Sign - --7- ' — , -:131).1anned Rural Residential Developmeht • yAmendments** - -
.0 Allowed`Yee Use Consistency-Analysis• - .-. ' .0 Plat Vacation/Alteration**' - . - I :
I' -0 Stormwater Management 0 Shoreline Master Program.Exemption/P,* 7 Revisions.**
• - Dsjje plan-ApProVal Advance Determination($PAAD)*. • 0-Shoreline Management Substantial .: ,:'••I' :-: " .
.13 Temporary use. - . . . • ..-0 Shoreline Management Variance- .- --it, • - • -
• - 0 Wireless Telecommunication*- • - -0 Comprehensive-Plan/UDC/Land Use a..,,f47 -1?..: .r.
0 Forest Practices Act/Release of Six-Year Moratorium . - :0 Jefferson County Shoreline Master •. .!. ---- ' '-1 ,-I
- *May require a Pre-Appileation Conference • •-13 T-ree Vegetation:Request • - ' • .!. ..i, J .
..erence. . .
• . • . .. • • • -• • e*Rerinfre .afireAppcoafiOri Conf !- . . . '- •
._ .
. - - - • • - - - 1 k -- - .
- • •
Please identify any other local,state or fedsralpermits!equired for tills proposal,.if known:
1 . . .. .. .. .. -: -- •
1 - -. - •
4- . - - - - • -• . , . - - - - - - :- - DESIGNATION(*AGENT _- .- • - e • - - NI I - , - • , . .
-I hereby detignate-f2.714 - i1e.- - -PertJ' ' -: 'to act:as my agent in Matterarelafuja.p this
OWNER SIGNATURE • c9., '‘ '''____\s—e.:7-.Az ....._ .- • . Date: ' 2--g 7- -t- :
.,_.____.. - - -
By signing this application form,the ownedagent attests-that the krforMatinn 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 ownedagent with respect to his application packet
may result in this permit being-ntrU and void. .- . - - , ..• - . . . •
i further agree to save.indemnify and hold barmiest Jefferson County against all liabilities,judgMentt,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-perrllt.
I further agree to provide access and tight of entry te Jefferson County and.its employees,representatives or agents for the s :purpose of application
review and any required-later fnapections. :Staffs access and right entry VA he assumed unless the applicant Informs the pounty In wdting at the •
time Of the applioation that-he:or she wants prior hotipe. . -. . . - .: , . . - . -
i ! . -
Signature: - • - •- • - Date: - _ . I - . •- . -
- • - • . , .
. , .
I
The action-or actions Appticatitwfil undertake asa result of the issuance ofthls permit negatively impact upon one or more threatened or -.. ...
endangered species and could lead tea*potential lake*of an endangered species as those terms are definedinIthe federal law known as the: • .-.. - .
'Endangered.Species Act-or'.'ESA,'Jefferson County makes no assurancet to the applicant that the actions that will be en because this . .
eermitbas been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an ends speciesi regarding your..
nirjSdak
action(s)-even If- you are in compliance with the Jefferson County development Code.The Applicant acknowledges that he, •wit holds Individual - •
and non-transferable respcinsIbility for adhering to and complying with the Oft. The Applicant has read this discialmpt and signa and dates it below: * -
I •
•ssignature: Date: •i
-
-..%rs.....—.;.r.,..-.......%44-14-~1T1111CalliiiVnTITI reiRMSAr.w....t.nun 117nmsaVIVIserpr Pemit Arsnlinithwr 5-9.9-AR.tine. . . I . •I.' • .
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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 licei d contractors'and that •
they will be assuming the responsibility of the General Contractor for the proposed project.
Date_ . •
Signature:
GENERAL CONTRACTOR OR MANUFACTURED HONE INSTALLER: PiK1NE• FAX - `
e, ei,v) /71 1 egg :c346) .-4 8 .33c6
MMUNG ADDRESS: ?C) i 10 - AiivttS 14 le ►
WAIN3 CONTRACTOR'S LICENSE _ NtrMBER
NUMBER: +Nrfitre-J Z.13 0 PHONE ( ) Doc( _ )
ARCHITECT/ENGINE-FR: -•
HON
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MAILING ADDRESS:
Project Type'_ Type: -- Bathrooms_ t' A ' Shoreline: Type of Sewage Disposal: '
New if Wood •' - - Existing: - 0 Sewer
•
a Steel _" ProPosed: Bank - ii . 11 m .
❑ .Addition Total: - - - 0 ind-nnd System .
0 AlberatiortlRemodet O Concrete
0 :Masonry
D Repair - 0 Otter Bedrooms: W2ibet S ply:0 Demolition -. - Fxisting- - : Setback: 0_ ' - well 0 Two P rty: •
-
_. - -_ Proms: • 0'Public '"
Type of Heat • Total: • Blaine of -
If this is a Commei+cial ProtectYou must answerthe following:
Number of Parking Spaces: Current- - . Proposed: • Nui>>berof gPA Padang.
ptees: . . - - • .
ts.includes owners,tenants,employees,etc) Current•• t- -
Number-of occupants� Will have Fakte :ice?-YeS I Noy-• .. ,
IBC Oo Y- - • IBC Type of construction: you
if this is a Propane Tank andlor Aaallance Installation permit,mark all Items below that apply: ;
I Underground Tank I Above ground Tank Size of Propane Tank:
1 Heat Stove I Cook Stove I Woodstove I-Fireplace Insert I Hot Water Tank 1 Pellet Stove. I Other
;r>Stalled In a Manufactured l Mobile Home? Yes I No I =
�is_appliancebt;ing_ building •- - .
When applying.fora permit to install a propane tank you must also submit a site plan showing all of the buildings,a►l"property
Lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, •-
includm the reserve area. _ . <� s s
-- �.wµ s •Ya- L y � a.14..;,- .z. ?. ''"i i�.:a1 j .-, Z t t _ •
flare . . .. a
•
f �� ,.-- EH Bid App Review: I'.
Maas.Floor Heated . • , t-� - - „ •
Consisten y Review. -_ •
,
2—ra Floor Heated . _ E }=�`t` - -
: :
, other Heater 'Base fee: .y%
• Mezzanine - — - -, Additional-Section: ` • ----_--
,t Plait Ctteak foe- '`�. q
Heated Basement i"'1 L C7f 1� :.I1
Unheated Basement `State Sui�charge fee: - `
Other Unheated - " • � k Pot Water Review fee • ' o1104, I
•
• , • SUBTOTAL, I _
Garage1CarYxxt ' -7/g � . �6r,- ,,, . 8 W
:. Decks • 911/Rd-Approac�rfee:
=: ti -ream.: $piA5, .-
.ems ` Re rceipt Number (•-� ..
GasbiCheck Number • -
_ " . :.- alit .1 - �...1' _ _ ..• - .
TED COST(REQUIRED) - -
odtiaborandma Io nniath
GAP #FORMSW#WRD FORMS\Gment DRD Foams\Mastic Permit APPtication 5-29-0840c - 11 . .
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