HomeMy WebLinkAboutBLD2011-00116 itILDING PERMIT APPLICATN MLA
Review Type:
04
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00116 Received Date: 5/9/2011
SITE ADDRESS: \ SOARING EAGLE RD
OWNER: JAMES M BETTNER PHONE: 360-437-7704
MARY A BETTNER
152 SOARING EAGLE RD
PORT LUDLOW WA 98365-8231 CEDARHOLM VILLA
SUBDIVISION: Block: Lot: 109+
PARCEL NUMBER: 942300055 Section: 19 Township: 27 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED LOG CARPORT - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 14,363.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 784 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:
� �-
II
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $251.25 LYK 05/09/11 123480 APPROVE'Plan Check $163.31 LYK 05/09/11 123480
State Building Code $4.50 LYK 05/09/11 123480
JUN ) 2011
Total: $419.06
Jefferson County Plannin,..
& Building Department
r
Jefferson County Building Division Permit Number' BLD11-00116
Applicant: BETTNER
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Cod
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
Erosion Control
Post Holes
Straps(hold downs)
Framing
Blocking
Wallboard Nailing
Drywell/Alt Drainage condition 2
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
I N.r
EE TTA)-✓L acknowledge that by not paying the renewal fee for building
permit# D ((-oothat my permit and all associated land use permits will be cancelled. If I
should choose in the future to proceed with building I will need to apply for a new permit and
adhere to the current building codes for that time. I have chosen to pick up my building plans
so the Department of Community Development is no longer responsible for them.
Signatur
7',, _ Date Q r J
2
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• •
CONDITIONS for Building Permit# :BLD11-00116
1.) The road approach permit(RAP11-00025) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
2.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
3.) 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.
4.) 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.
5.) 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.
6.) MANDATORY MEASURES FOR •STAL 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.
7.) The project shall adhere to the Best Management Practices (BMPs) 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 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.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
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.
e
44,4"gO0,1 p0t, JEFFERSON OUNTY •
• j DEPARTMENT OF COMMUNITY DEVELOPMENT
1 ` '.4 621 Sheridan Street• Port Townsend •Washington 98368
4., ..... . . .\ 360/379-4450 • 360/379-4451 Fax
gS,�NGp www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: t I — 1 OCA
Project Descri tion(include separate sheets as necessary):
Tax Parcel Number: 9423095 SS Property Size: 3/i 262 000 Sf (acres/square feet)
Site Address and/or Directions to Property:
1C XC SoAi2/A/` &AGI.E a Lher !,t.N3Low , iVA . 4836 5-
Property Owner(s)of Record: ' ES in cf 47.44eV Ailuv BETT/tt/ER
Telephone: 3C0O- 43 7- 77o4 Fax: 360-43 T 770 le email:J-be rfnereP b C.»
Mailing Address: /52 SOAi/A1 L CAGLE QL7,40 ,b L.DL LOW, WA 9,836G
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
h t kind of Permit?(Check each box that applies
wilding Demolition Permit ck I ❑ Critical Areas Stewardship Plan
{ 0 Variance(Minor, Major or Reasonable Economic Use)
El Single Family ❑ Garage Attached Detached ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* El Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑ Home Business CI Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑ Long Plat**
El Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed'Yes' Use Consistency Analysis ❑ Plat Vacation/Alteration**
1 3tormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
U Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Manager V 0
❑Wireless Telecommunication* ❑Comprehensive PIanC � t ct a ei ent
El Forest Practices Act/Release of Six-Year Moratorium El Jefferson County Shar ine Master Program Amencintient
*May require a Pre—Application Conference ❑Tree Vegetation Recuelst
*"Requires a Pre-AR'licatioc�,,�cnfere9ce�Q1t
Please identify any other local,state or federal permits required for this prr�o�ill, it 1t bwn: L t JJ
at/ tte t
DESIGNATION OF AGENT JEFFERSON COUNTY
I hereby designate to act as my agent in matt rs re0t111 toCttlil apPNtatifEtt4lfb4Epermit(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 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 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 i tion that he o he nts prior notice.
Signature: --- Date: '---?"-/47 —2-0 it
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 if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable responsibili or a hering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: < ---% Date: 3-- /Q - zo//
,
G:\PermitCenter\###FORMS###\DU)FORMS\Master Permit Application 5-29-08.doc
4
• 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 respo ibil' of the General Contractor for the proposed project.
Signature: ,` % Date: ..3— it> — 20//
L
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:
K New 0 Wood Existing: LI Sewer
Ii Addition I I Steel Proposed: Bank U Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: [I Private well ❑ Two Party
Type of Heat Proposed: ❑ Public
/VIA 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:
i Underground Tank i Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 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.
r 4 .'1 kd i s } vk" ,X it '��?� ,1. it t Ertl1ti i*1:
Square Footage Current Proposed i^"ii ,`ak.r ,09 :, fit,µ,. . m n -., w )lam°4.b . v, n„0
Main Floor Heated �Y•x ,-t EH Bid App Review:
2"°Floor Heated { ,"'il , r , y
Consistenc Review:
Other Heated ( Base fee: t •�
Mezzanine 4i' Additional Section:
a. rir z
Heated Basement 1 't ' w ' Plan Check fee:
Unheated Basement x 1" f,, ;,'„� State Surcharge fee: i '3(3
Other Unheated .. iii ' t Pot Water Review fee:
- ,'• 1JC0 P((If)
Garage/Carport "` SUBTOTAL
Decks ,_ �-4" •11 Approach fee: < i`�
Other rt "+ a `�n� •
r TOTAL $ek_6 ,04
uwl' ,.„�}
3
•°c'r ' 9 ,v Receipt Number: I 4'D
: } Z,7 Cash/Check Number: 1 -log
ESTIMATED COST(REQUIRED) Date: _—
.Fair market value of all labor and materials foundation to finish
Initials:
GAPcmvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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