HomeMy WebLinkAboutBLD2011-00337 •
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BUILDING PERMIT APPLICATION Revi ew Type:N IVIL ype: I
e I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00337 Received Date: 12/14/2011
SITE ADDRESS: 1430 SCHWARTZ RD
NORDLAND, 98358
OWNER: SHIRLEY A SANDOZ TRUSTEE PHONE: 360-379-5670
SHIRLEY ANNE SANDOZ TRUST
PO BOX 201
NORDLAND WA 98358-0201
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 021212001 Section: 21 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW GARAGE ADDITION ON EXISTING SLAB TO SFR - UNHTD, NO
PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 21,246.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 784 SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 4
Prop: 0 Prop: 0
Total: 3 Vital 4
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $349.25 LYK 12/14/11 128394 APPROVE')Plan Check $227.01 LYK 12/14/11 128394
State Building Code $4.50 LYK 12/14/11 128394 JAN 3o 2012
Total: $580.76
Jefferson County Planning
& Building Department
•
afferson County Building Division Permit Num BLD11-00337
BUILDING PERMIT INSPECTION APPROVALS
applicable Code: 2009 International eBuilding Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the
A inspection.pplicant: SANDOZ TRUSTEE
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 Minimum setback from Schwartz Road right-of-way shall be 20 feet.
Minimum west and north property ine setbacks shall be 5 feet.
Minimum setback from OWHM, as identified on the site plan, is 220
feet.
Erosion Control SEE CONDITION 2
Foundation Footing
i.; -G; ''I- �y- - Dw,AGr will S''igGty ?'l.(AZ, v+= I�hSi TTCo D-cipTeA
Footing Drains
Foundation Stem Wall
Straps(hold downs) 2- 3_/ - I >
Ext. Shear Wall Nailing •7, 3-j 2._ /`o7/3
Framing 2- 3 /Z 6/ / >>
Blocking 7 2_ f
Wallboard Nailing -`� -- , rl
Drywell/Alt Drainage SEE CONDITION 1
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD11-00337
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.) 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.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
5.) A vegetative buffer of 30-feet 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.
6.) 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.
7.) Prior to and during approved confition activities, the perimeter of the landsl411,azard
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."
8.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
9.) 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.
10.) 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.
11.) 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.
12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
13.) 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.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) The building height is not to exceed 35 feet.
16.) 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.
17.) 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.
18.) Minimum setback from Schwartz Road right-of-way shall be 20 feet. Minimum west and
north property ine setbacks shall be 5 feet. Minimum setback from OWHM, as identified
on the site plan, is 220 feet.
II
firiiik5°N
cL JEFFERSOUNTYDEPARTMENT OF COMMUNITY DEVELOPMENT
•
621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
�� O$ www.co.jefferson.wa.us/commdevelopment
81N
Master Permit Application MLA: I 1 -
Project Description (include separate sheets as necessary):
la r
Tax Parcel Number. ,Z/ Q.I a 0 C`) / Property Size: �
7,, ek_CJLR ..4 i (acres/square feet)
Site Address and/or Directions to Property:
)2q30 SCrct,x..) RF�T •Rod N Q02o 4_,A /I.1_
Property Owner(s)of Record: S4-1 liZ („.y SII k)-1 c-
Telephone: 36,0 - 3-7 c) -rj(o-7 0 Fax: email: SCt;nG6n=� ��� e
Mailing Address: iT,O. 80 X o / N 0 2b LA K)i) - y n' Ct�ri
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
❑Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family ;13 Garage Attache Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular 0 Discretionary"D"or Unnamed Use Classification
0 Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑Home Business 0 Cottage Industry ❑ Binding Site Plan**
0 Propane ❑ Long Plat*
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management-Variance
❑Wireless Telecommunication* 0 Comprehensive�Plartr i ulz.e dment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson Coun Shorr �► :' - r�fn a •. e t
*May require a Pre-Application Conference ❑Tree Vegetation Request
**Requires 13 Pre-Application Conference
----Please•identify-any-other-local;state-ory-federahpermitsrequired-for•thi�prQ p osat'if kf�own:
LI iU,
i
DESIGNATION OF AGENT JEFF RS N C •
•
I hereby designate to act as my agent in atterp f tr cation for p:rmit(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 application that he or she wants prior notice.
Signature: Date:3-e. C_ . /3_,/2 6 I (
The action or actions Appli t will undertake as a result he 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 responsibility for adhering to andcomplying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
�:;Signature: C .li-o_ � _ct,r�c�C Date: b2C.9J -10/
G•\Permiteenrer\###FCIRMSiatit\Mr)F(11?AAc\r'.........r pr,II..-...,.\Al--.-_n___:. r ..,.„" ,
• - a.
• •
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: C,C/U_K� _ �{/A. C�Q/V.. Date: \I-C C_ . y J oZ / /
GENERAL CONTRACTOR OR MAiNUFACTURED 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:
❑ New p(Wood Existing: 3 r.- ❑ Sewer
X Addition ❑ Steel Proposed: C Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 _ Height: / ' 'Individual System
❑ Repair ❑ Masonry QC) SEP Permit# SI 7- 00 1 kp I
❑ Bedrooms:Demolition 0 Other: Water Supply:
Existing: 3 Setback: ❑ Private well 0 Two Party
Type of Heat: , Proposed: 0 c a0 - .Public
...JUL.0 J� r'i --.
., Total: 3 ,Name of System:-P(-k-t)I
ON(,)
If this is a Commercial Project you must answer the following: __ V_r _
Number of Parking Spaces: Current Proposed: rNambet-gf DA pc
Number of occupants(includes owners,tenants,employees,etc) Current \. '_ pc se
IBC Occupancy IBC Type of construction: Wills you have Food Service? Yes / I
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i •
1 Underground Tank 1 Above ground Tank Size of Propane Tank '
I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank j -i P Ilet Stove 1 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No I JEFFERSON COUNTY
When applying fora permit to install a propane tank you must also submit a site plafi`iit$Fiiiika! ' ` ' ! li 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 O. ]y',.= Amount Revision
Main Floor Heated Q.600 ,i .,c yc " • EH Bid App Review: •�3
2nd Floor Heated i Consistency Review:
`e OtheHis f fi�ti �A. Base fee: as _
3 .
Mezzanine Additional Section:
Heated Basement ' -. �.0 Plan Check fee: '--1 O i
Unheated Basement u State Surcharge fee:
Other Unh •eated — : Pot Water—— if Review fee: I`10 R/
Garage/Carport O ! u 4 a` SUBTOTAL '3 U _7 rY^
•
Decks 911/Rd Approach fee: �
Other �C(S�►J�
TOTAL: $ 3(0G) . -7(0
Receipt Number: 9QA-
Cash/Check Number: 3--In,0
ESTIMATED COST(REQUIRED) Date: -(, (
-11
•Fair market value of all labor and materials foundation to finish `f
,f,1 j 5 7 00 0 Initials: _
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