HomeMy WebLinkAboutBLD2011-00057 tILDING PERMIT APPLICATION MLA Review Type:
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I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00057 Received Date: 3/16/2011
SITE ADDRESS: 13962 COYLE RD
QUILCENE, 98376
OWNER: KEITH S HOWARD PHONE: 360-509-6729
PO BOX 823
KINGSTON WA 98346-0823
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 601334031 Section: 33 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE W/ 2ND FLOOR UNHTD STORAGE -
UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 75,776.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 1,280 SHORELINE
CONST TYPE: GARAGE: 1,280 SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0 __ _
Total: 0 Total_----0`
Routing Date: C
3 ( it _ )
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $825.75 LYK 03/16/11 123297 t P P R OVE D
Plan Check $536.74 LYK 03/16/11 123297
State Building Code $4.50 LYK 03/16/11 123297 APR ;f nil
Total: $1,366.99
Jefferson County Plannir
& Buildinn DP'Rrtmr p
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Jefferson County Bui!ding Division Permit Number. BLD11-00057
Applicant: HOWARD
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 (4 _ Q�.,c,pS Minimum setback from Coyle Road right-of-way shall be 20 feet.
/" Minimum setback from the north(commercial forest lands)property
line shall be 250 feet. Minimum setback from the west(rural forest
lands)propety line shall be 100 feet. Minimum setback from the Type
Np stream shall be 75 feet plus 5 foot building setback.
Erosion Control SEE CONDITION 2
Foundation Footing F /Nr?
Footing Drains
Foundation Stem Wall 4 / 1/1/j U r� c
Straps(hold downs) "t� V
Ext. Shear Wall Nailing r. f-- /
Framing /V!'
�.i. / , 1-Wallboard Nailing
Drywell/Alt Drainage SEE CONDTION I FOR SPLASH BLOCKS
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# :BLD11-00057
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.) The identified Fish and Wildlife Habitat Area (Type Np Stream), shall maintain a
vegetative buffer setback of 75 feet. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to the proposed detached garage w/second floor.
4.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed detached garage w/second floor.
5.) 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.
6.) 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."
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.) A Stormwater Site Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Minimum setback from Coyle Road right-of-way shall be 20 feet. Minimum setback from
the north (commercial forest lands) property line shall be 250 feet. Minimum setback from
the west (rural forest lands) propety line shall be 100 feet. Minimum setback from the
Type Np stream shall be 75 feet plus 5 foot building setback.
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.
�gSON C44
od JEFFERSONNTY •
'� DEPARTMENT OF COMMUNITY DEVELOPMENT
`w ' `4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
qs.
NO www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: f ('
Project Description(include separ to sheets as necessary):
Mao br [(1 c ik rAd._ (9'io ffvf - ufti tit 1 LZ PI()IF)
Tax Parcel `--/
. Property
Number: (y 0 1 3.� / 0 ,--17 Size:
I ? (acres/square feet)
Site Address and/or Directions to Property: /,5 Ke., ;� (':r,.;, (-a 4_,e
Property Owner(s)of Record: /! i r /Y „ H 0 , -, ,q sr
Telephone: -% nO ,)J 7 C'%-` Fax: 5 A nr._
email:
Mailing Address: ( 0 . f a X R;--: ;%;,,,,c S ?Or-, c,0 A , ; :fi (d
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
W at kind of Permit?(Check each box that applies)
uilding 1 Variance(Minor, Major or Reasonable Economic Use)
I Demolition Permit i Conditional Use[C(a), C(d),or C]**
1 Single Family _ - ---, I Discretionary"D"or Unnamed Use Classification , - Y
I Gara e Attached Detached-% 1 Special Use(Essential Public FaCilit e s).**' ' ,it 'f' i )
1 Mctured Home 1 Boundary Line Adjustment
I Modular 1 Short Plat**
I Commercial* I Binding Site Plan** A
I Change of Use I Long Plat** MAR --
I Address I Road Approach I Planned Rural Residential Development(PRRD)/Amendments**
I Propane I Plat Vacation/Alteration** ) ,., rl_r i,,, {� (,
I Allowed"Yes"Use Consistency Analysis I Shoreline Master Program ExempllbN lgc �i ,4 r*t1 bU
1 Stormwater Management I Shoreline Management Substantial Development
I Site Plan Approval Advance Determination (SPAAD)* I Shoreline Management Variance
I Temporary Use 1 Comprehensive Plan/UDC/Land Use District Map Amendment
1 Wireless Telecommunication* I Jefferson County Shoreline Master Program Amendment
I Forest Practices Act/Release of Six-Year Moratorium
*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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he sh ants ' otice.
Signature: Date: /s'n7�
The action or a ions 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 if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable p ibilit r�d'hering to and complying with the ESA. The Applicant has read this disclaimer and signs,and dates it below.
/Signature: �% ` Date: 7.�0 71c'0<,,:c
•
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc
• BUILDER STATEMENT •
The signer of this statement does hereby certi that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assum•:g th' es!._ s' •ity).0v• General Contractor for the proposed project.
ignature: ��r/ Date: ,_ �'. �/
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
j New $ Wood Existing: // ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
0 Alteration/Remodel Ir Concrete Total: Height: 0 Individual System
O Repair 0 Masonry SEP Permit# 0-1 —`V>
❑ Demolition 0 Other: Bedrooms: ,i( Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Het: Proposed: ❑ Public
Lfl 14 O Total: Name of System:a) PI of
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:
i Underground Tank i Above ground Tank Size of Propane Tank:
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: 13
2"a Floor Heated Consistency Review: ((
Other Heated Base fee: • �'
i ,) ,S
Mezzanine AdditionalSection:
Heated Basement
Unheated Basement State Surcharge fee:
Other Unheated y , rGG , ' `assc' l�-t.J Pot Water Review fee: 01I I,>�
_ S yo r�sY3—k
Garage/Carport h`')ti 1 �D 37� Ct) SUBTOTAL 1 / 5
2 QC)
-Decks 911/Rd Approach fee: (_l0—_—.
Other ri TOTAL: $, ( O2 �t
7
Receipt Number: 1 2' -7
1511G Cash/Check Number: }, i 29
ESTIMATED COST(REQUIRED) Date:
����t_
•Fair market value of all labor and materials foundation to finish
Initials: — --"■4111111
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 07-14-2006.doc
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• •
;30N c,
wr °6�, JEFFERSON COUNTY
i DEPARTMENT OF COMMUNITY DEVELOPMENT
_.. ar 621 Sheridan Street • Port Townsend • Washington 98368
O� 360/379-4450 • 360/379-4451 Fax
LINO http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
IMLA# V i - J" PROJECT/APPLICANT NAME: /'�� t 4 s, (a1a Lk., ^i/Z--,
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
P site map. !,._,5� l.-L. 3 '�.,� `-ta G cc_�LS .e S�0art�,, _ 0,-.5 iG
Existing Conditions Summary •
2. Describe the existing topography. Indicate contours on the site map.
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3. Describe -the existing vegetation. Indicate native vegetation areas on the site map.
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a-,.s L\--L- ie__.iN•L, ,;r.r S C9 M -v.._ N -e. W l l-1<— i2--G e ca,----N
4. Describe the existing soils. Indicate soil type on the site map. / /'S��� t5_ / c-t�e-e_0 ` ._ ( / —S es'C R-,r P,a 3 2 A '(� Lr c.Zr Y
5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each.
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- - - • WATER PLAN
6. Describe any exc ess I-,- : _ - •- - - -. .y proposed use or activity: 9•3 �� w
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stormwater site plan template-rev.1=2008
•
13. Describe the water quality system.
14. Describe the conveyance system analysis and design.
VAR 1.
•
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15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
17. Describe the proposed surfacing material.
18. Describe methods for restoration of the site.
P
19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
"large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements, describe those conditions or
restrictions here.
stormwater site plan template—rev.10/21/2008
•
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
9. Control Pollutants.
�� -►.sue_ •y- _ r4 -- (.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
11. Maintain Best Management Practices (BMPs).
12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
Nv (•5 e--_
stormwater site plan template—rev.10/21/2008
9
•
SECTIONSediment II—and EROSION AND SEDIMENT CONTROL PLAN
on control measures may be depicted on the master land use application plot plan,a stormwater site plan, and/or a
separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan:
1. General.
a. Vicinity Map
b. Jefferson County Approval Block
c. Erosion and Sediment Control Notes
2. Site Plan.
a. Legal description of subject property.
b. North arrow.
c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas,etc.).
d. Identify and label areas of potential erosion problems.
e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable).
f. Show existing and proposed contours.
g. Indicate drainage basins and direction of flow for individual drainage areas.
h. Label final grade contours and identify developed condition drainage basins.
i. Delineate areas that are to be cleared and graded.
j. Show all cut and fill slopes indicating top and bottom of slope catch lines.
3. Conveyance Systems.
a. Designate locations for swales, interceptor trenches,or ditches.
b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion &sediment control.
c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts.
d. Shows grades,dimensions, and direction of flow in all ditches, swales,culverts and pipes.
e. Provide details for bypassing off-site runoff around disturbed areas.
f. Indicate locations and outlets of any dewatering systems.
4. Location of Detention Best Management Practices (BMPs). Identify location of detention BMPs.
5. Erosion and Sediment Control Facilities.
a. Show the locations of sediment trap(s), pond(s), pipes and structures.
b. Dimension pond berm widths and inside and outside pond slopes.
c. Indicate the trap/pond storage required and the depth,length, and width dime,nsior ' 1(:,' ,1 ' "i` 1
d. Provide typical section views through pond and outlet structure. J°-1i�`-
e. Provide typical details of gravel cone and standpipe, and/or other filtering devices.
f. Detail stabilization techniques for outlet/inlet.
g. Detail control/restrictor device location and details.
h. Specify mulch and/or recommended cover of berms and slopes.
i. Provide rock specifications and detail for rock check dam(s),if applicable. lu:
j. Specify spacing for rock check dams as required.
k. Provide front and side sections of typical rock check dams.
I. Indicate the locations and provide details and specifications for silt fabric.
m. Locate the construction entrance and provide a detail.
6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and
illustrated with detailed drawings.
7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than
sediment(e.g.,concrete wash water).
g. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on
the construction site. Sampling stations should be located upstream and downstream of the project site.
11
stormwater site plan template—rev.10/21/2008
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ER IC J. 9NIEZAK, P.E.
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(253) 405-2200 ejs.engineering0gmail.com
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