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Home My WebLink AboutBLD2011-00231 it MLA11-00185ILDING PERMIT APPLICAT N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00231 Received Date: 8/15/2011 SITE ADDRESS: 762 MOUNTAIN TRAIL RD BRINNON, 98320 OWNER: TONYA SHRUM PHONE: 503-292-7501 NORMA BRIDGES 8400 SW FAIRWAY DR PORTLAND OR 972252758 OLYMPIC CANAL ADDITION 7 SUBDIVISION: Block: 14 Lot: 66 PARCEL NUMBER: 981901406 Section: 16 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW FREESTANDING DECK TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 7,727.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 288 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $153.25 LYK 08/15/11 128026 APPROVED Plan Check $99.61 LYK 08/15/11 128026 State Building Code $4.50 LYK 08/15/11 128026 AUG 2011 Total: $257.36 Jefferson County Planning &Building Department Jefferson County Building Division Permit Num BLD11-00231 Applicant: SHRUM 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 t Foundation Footing 1—C'f Framing 7 _q_1 2-j j FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD11-00231 1.) This permit complies with the approved Site Plan Approval Advanced Determination issued on April 20, 2009 and as revised on June 24, 2010. See SPAAD ZON09-00011 for findings that apply to this property and project. 2.) This parcel is within a no shooting area per JCC 8.50. 3.) Flood hazard reduction measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15). 4.) Construction Materials and Methods of Construction to Reduce Flood Hazard (i)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 5.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 6.) 1) All new construction and substantial improvements shall be anchored to prevent flotation, collapse, or lateral movement of the structure. 2) All manufactured homes shall be anchored to prevent flotation, collapse, or lateral movement, and shall be installed using methods and practices that minimize flood damage. Anchoring methods may include, but are not limited to, use of over-the top or frame ties to ground anchors. 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. III ��'SOly co JEFFERSON COUNTY ;7 ' 1' DEPARTMENT OF CO MMUNITY DEVELOPMENT ti 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax it p- www.co.jefferson.wa.us/commdevelopment BINS Master Permit Application MLA: /v?- A 11 - 185 Proj ct Descri tion(include se arate sheets as necessa : L, ck(p�-�' StAr,a't r� Tax Parcel Number: 9 / 1 v / 19 ,t (40 7) 2 Property Size: $// 9'0 0 (acres/square feet) Site Address and/or Directions to Property: '((OZ. M t n'f-Al t• IL2 (5A,prol WA -32.40 Property Owner(s)of Record: L 1.211-v‘y ¶,4 ,14_ Telephone: -03 — 2-92— 73 Fax: 5b3 -Z� 7 email: Mailing Address: g4 O ,� iv /cc-et rw4ry . ;Vv Or 1 a D C/7z•0 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation *biding 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a') . , ❑ Manufactured Home . .0 Modular - - 0 Discretionary"D"or, min,- ❑ Commercial* 0 Special Use(Esspntia�l Pv:'i�� ** ❑ Change of Use 0 Boundary Line A justjnent I ❑ Address 0 Road Approach 0 Short Plat** I i „ ❑ Home Business 0 Cottage Industry 0 Binding Site Pla i1 i , ❑ Propane ❑Long Plat** LI 11 0 Sign -.. - 0 Planned Rural R side ' -t PRRD/ d ents** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/AI ration** JEFFERSON COUNTY O Stormwater Management 0 Shoreline Maste '''ildiltRetttlitRIPAsions ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Developmen ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 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 ❑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 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 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 pr ide access and r'' ht entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re fired later inspecti s. Staffs access and right of entry will be assumed unless the applicant info s the County in writing at the time of the agp i tion that he or she rior notice. Date: �3/// Signature: The action or actions Appl cant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and' uld 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 th SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo are in compliance w the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tc nsfe le responsibility for ad rin/tooaand complying with the ESA. The Applicant has read this discla+rge rrig,si%nstafd dates it below. \ • \Signature: V�-( .%ij�hr , Date: iS / / r • • BUILDER STATEMENT The signer of this sta'ment does hereby certify Pat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin the responsibility of the Ge(iesa�Contractor for the proposed project-. / V�)/l/(l n , D �� / 1 �Signature: G �1't- �Zl wAr1`l"L.i Date: /GENEGENERAL CONTRACTOR OR aNUFACTURED HOME INSTALLER: PHONE: FAX: RAL ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal: *New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of eat: Proposed: ❑ Public 1,)f�-a 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 i Woodstove 1 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 ftgr Office UseQ n ::7. `Amount ROYISI0n _ Main Floor Heated EH BId App Review: 2n°Floor Heated Consistency Review: 1 Other Heated Base fee: IC?)- , Mezzanine ASe io kfh) �q� r Heated Basement Plan Check fee: ti gc;-VI -Unheated Basement State Surcharge fee: O Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks OP1 still n 911/Rd Approach fee: Other TOTAL: $CI(r.-1, al, Receipt Number: ' 2a0 Cash/Check Number: __ ig3� TES IMATED COST(REQUIRED)__—‘ Date: • a rr-naNeet vaI b1 a717ab`or and materials foundation to finish 29-1 SE I-4.` Initials: