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HomeMy WebLinkAboutBLD2011-00119 MLA11-00106 OUILDING PERMIT APPLICAN Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00119 Received Date: 5/10/2011 SITE ADDRESS: 993 KEN'S WAY QUILCENE, 98376 OWNER: ROBERT BAYERSDORFER PHONE: JENNIFER HARVILLE 4726 42ND AVE S SEATTLE WA 981181630 SUBDIVISION: Block: Lot: T 17+ PARCEL NUMBER: 601102009 Section: 10 Township: 26 N Range: 01 W CONTRACTOR: MCCLANE CONSTRUCTION INC PHONE: 360-379-8245 PO BOX 7 PORT HADLOCK WA 98339 Contractor's License MCCLAC1931 KJ Expires 9/10/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 240 VALUATION 50,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 312 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 1 Prop: 0 -...__...._.___ Total: 2 Total: 1 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $643.75 LYK 05/10/11 123489 APPROVED Plan Check $418.44 LYK 05/10/11 123489 State Building Code $4.50 LYK 05/10/11 123489 JUL 9i) 2011 Total: $1,066.69 Jefferson County Planning & Building Department • Jefferson County Building Div on Permit Number: BLD11-00119 Applicant: BAYERSDORFER 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 7 iio) i Erosion Control {( aI Foundation Footing /I7-b tl 1 ii.../ Footing Drains /P-°tc -(( j Foundation Stem Wall ell zi, it U c-. 71L 6 /� Underground Plumbing �l fteA'r-rt9( -►0-►I Under Floor Framing t4/A Straps(hold downs) ON Ext. Shear Wall Nailing c31121 tt Rough-in Plumbing )10-29 II Framing 10-U_(( Blocking OA . I Airseal (C -/ Insulation:Walls /Or/10 -/( q;' Insulation: Floors $-11)_A ( Insulation: Ceiling /V_'2°. /( Int. Shear Wall Nailing P/r Wallboard Nailing 1 p-Z-1-t t Gas Line: Interior 1J,A Gas Line: Exterior 1) / Propane Tank tlik Heat/Chimney Clearance IJIA Drywell/Alt Drainage / -201r I l Address Posted Ji jlieI Ii FINAL INSPECTION ;I f/,I:f I4 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00119 1.) 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. 2.) A vegetative buffer of 50-feet from the top of the shoreline bluff shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 3.) A Geotechnical Report was prepared by Stratum Group dated April 6, 2011 and submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 50-feet from the top of the shoreline bluff shall be measured perpendicularly from the top or toe of the geologic hazard. 4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 5.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 6.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 7.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 8.) 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. 9.) 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. 10.) The project shall comply with Con.tion Stormwater Pollution Prevention (Se) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) The building height is not to exceed 35 feet. 15.) Building setback from Ken's Way right of way is no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is 80 feet from the top of the shoreline bluff. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 05/03/2011 13:46 3603854223 CAPITAL ADVANCE PT PAGE 02/03 COUN TY("4,:g.:46N f COdIA illibi DEPARTMENT OF COMMUNITY DEVELOPMENT }\a` -` "�A - 4 ' p _, „. ' '<.. 621 Sheridan Street- Port Townsend •Washington 98368 " 9tla/r►i,ti' & �� 3601379-4450 • 3601379-�4451 Fax www.co_}efferson.wa.us/cdmmdevelopment —1. a �`� F Master Permit Application MLA: 1 - (0 L Project Description(include separate sheets as necessary): i''x3C A del 1-770/ Tax Parcel Number: Eo 0( 1 0 2. 001 Property Size: C (acres! quare feet) Site Address and/or Directions to Property: 9'3 K 5 UJ 71 , o r-F-- ivy' E- Iz cf - ,5 1,,,', Property Owner(s)of Record: Rot- ` e-yC- r 7 — .. Telephone: -2 c0 G 3C1 / '7— Fax: email: Mailing Address: Applicant/Agent(if different from owner): ki -C--% J£ �.4 a-'�'- ( U OH4 Telephone: 36 d 3-7 7 r yam' Fax: r trait: /1 t�i �S 4LY/) „,,,,co/..... Mailing Address: 10C)) 7 -_ (), Z>t o-.- What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ❑Building 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) 'Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]" ❑ Manufactured Home .❑ Modular' •• 0 Discretionary"D"or Unn ur• • o� l 1 ❑ Commercial* ❑Special Use(Essential P ' P. O Change of Use 0 Boundary Line Adjustm , r_ ❑ Address 0 Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry ❑Binding Site Plan"• 0 Propane CI Long Plat"• I MAY 1 0 2011 ❑Sign • -- ©Planned Rural Residentia elopmeiit(PRRD)tAmendment J 0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration `"- 1 . i ❑Stom•twater Management 0 Shoreline Master Program Exemption)& jpps*" ❑.Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management 3ubstTldpploor11-LOPMENT ❑Temporary Use 0 Shoreline Management ►-•rr .c- ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Ad/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 DESIGNATION OF AGENT I hereby designate JP y� eC�t to act as my agent in matters relating to this application for permit(s). • OWNER SIGNATURE 111. TA •.1.r Date: S S s By signing this application form,the owner/agent a eats 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 try the ownerlagent 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 right of entry to Jefferson County and its employees,representatives or agents for the Sole purpose of application , --- review required la spectlons. Ste s access and right of entry will be assumed unless the applicant informs the County in writing at the time of e icatf he wants prio olio Signeture: ... .r>( S J Date: l s 1 11 /� The action or actions Applicant will unde ke as a resu of the issuance of this permit may negatively impact upon one or more threatened or endangered species and Could teed 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 applicantthat the actions that will be undertaken because this permit ha n issued will not violate the ESA. Any Individual,group or agency can file a lawsuit on behalf of an endangered species regarding your actlon(sI'ev n ou are'n co nee with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- ns it adhering to a corn lying with the ESA, The Applicant has read this disclai er err`!signs and dates it below, ',!Signature: - Date: --- s 11 G:\rrrmitCcnterl###FORMS##t#\DRT)FORMS\Cuxrcnt DRD Firms\Master Pcnnit Ano&estion 5-29-OB.doc lo • 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: If t e e L.. 4L J1 2d AJ 5T" (3d)?7c7 rZ,(S ( ) • MAILING ADDRESS: ,O, 3 - %or, /744 jjc pG,� EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: PG6,6-4 - / 3( K t.f NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal: Li New Wood Existing: I 0 Sewer `Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: I _ Height: ( Individual System O Repair ❑ Masonry Sv SEP Permit# 75 --`{iK O Demolition ❑ Other: Bedrooms: ' W ter Supply: Existing: -- -- Setback: Private well ❑ Two Party Ty e of Heat: Proposed: o r ❑ Public I ...,- C Total: Z 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove 1 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=Ol#Ii ' Amount Revision — Main Floor Heated Gk cfp' EH Bld App Review: 2nd Floor Heated Consistency Review: 1 Other Heated R' , Base fee: 15 Mezzanine -A� hc)f Q. : ti Q `ICI 7 ' F Heated Basement Plan Check fee: it , g.Z_4 Unheated Basement State Surcharge fee: 5L c Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL g LI Cl / ^�; r • Decks , 911/Rd Approach fee: --- ILJ 1 N Other TOTAL: $ ' 0 `'I S ( _ Receipt Number: f a-I&o, C ' ' Cash/Check Number: ESTIMATED COST(REQUIRED) ' N Date: /, , .Fair market value of al/labor and materials foundation to finish r (t-1- Initials: ,--/ e--- ---) C;:\PermitCenter\### ###\DRD FORMS\ DRD Forms\Master Permit Annlicarinn 5-29-Ail Mr ------t- • • , qii; .----.., rrl 1., , . s-', • • • . • . . ,. • 1 ,.• . , • hill--1,6 I •-C•.3 .1 1 I . i I I I + • , t C ...''.;' .45 ..e:*e7::CCT7 ,.• ..- 1 1. I ' I. 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