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Home My WebLink AboutBLD2012-00027 7 BUILDING PERMIT APPLICAtN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00027 Received Date: 1/30/2012 SITE ADDRESS: 361 S BAY WAY PORT LUDLOW, 98365 OWNER: LAWRENCE R GEARHEARD PHONE: 206-842-1498 MICHAEL F GEARHEARD 10674 NE VALLEY RD BAINBRIDGE ISLAND WA 981101339 OAK BAY WATERFRONT SUBDIVISION: Block: Lot: 57 PARCEL NUMBER: 976800037 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: MICHAEL J ANDERSON PHONE: (360) 531-1011 330 CLEVELAND ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr ROCK RETAINING WALL TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 3,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 104 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Total: �fotal: Routing Date: Type Amount Paid -Bv. Date: Receipt: Approved/Date Permit $83.25 LYK 01/30/12 131410 ` 5 p R c v Plan Check $54.11 LYK 01/30/12 131410 State Building Code $4.50 LYK 01/30/12 131410 .. Total: $141.86 APR 11012 Jefferson County Planning & Building Department Jefferson County Building Division Permit Num : BLD12-00027 Applicant: GEARHEARD 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 cl Miscellaneous (4 rL rock wall Miscellaneous - Z drainage 5 4 ct t t 1 PIN T� FINAL INSPECTION .1.4_? FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD12-00027 1.) The applicant shall implement the approved HMP. PRIOR TO BUILDING FINAL, THE APPLICANT SHALL CONTACT DCD (360-379-4450) TO SCHEDULE A SITE VISIT TO REVIEW PLANT INSTALLATION RELATIVE TO THE APPROVED HMP. A BUILDING FINAL SHALL NOT BE ISSUED UNTIL THE MITIGATION AREAS HAVE BEEN REVIEWED AND APPROVED BY DCD FOR COMPLIANCE WITH THE APPROVED HMP. 2.) 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. 3.) 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. 4.) 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. 5.) 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. 6.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) Building setbacks from S. Bay Way are no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is no less than 30 feet. pSON.4, ,% JEFFERSO1 UN1 Y • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 k. >. . 360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment ISZZINC Master Permit Application MLA: j a_ 11 Project Delion Cndudezr7rate sheets as necessary): — Tax Parcel''Number: . q7..0 /9 n3 - Property Size: (acres/square feet) Site Address and/or Directions to Property: 3101? 5 , 13 w1 AL la cJ/y j f 1,04 Property Owners)of Record: PR LC/- 4/L 2k41Z11 -17-.) Telephone: -20/c 0342----1 4(4 Fax: email:bop f , ,ceekt Mailing Address: G 0&14'/(!/%VA-11 kr(I-d-, 4/L2B R).Dt e_- i• 4 9A- '1E L L' Pf l_ ii Apjilicant/Agent(if different from owner): till\.LL-1 P-1, A-Wi BIZ t)1--) Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ),Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),of C)** ❑ Manufactured Home. .❑ Modular- • - - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat*` ❑Home Business 0 Cottage Industry 0 Binding Site Plan'* ❑Propane ❑Long Plat** _ ❑Sign -- - - ❑Planned Rural Residential Development(PRRD)!Amendments*" ❑Allowed"Yes'Use Consistency Analysis 0 Plat Vacation/Alterrtioa,' J. ❑Stormwater Management 0 Shoreline Master Prograt ' .s.F ) ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Manager-tent gubstan ❑Temporary Use 0 Shoreline Management'Variance f ❑Wireless Telecommunication* ❑Comprehensive Plarilli nq fr1 District Map 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County qlorOtkitt Mrogram Amendm t *May require a Pre-Application Conference 0 Tree Vegetation Request, - I . .. **Requfr�s a - ''•:.; -.Roo CaPrfer+6rrCa_ _ PteaSt.'iUentitq dl fotlier oeat,state-ch Mich al poridsw- hared for this P a.m,21,if Numtlits I,t,OLTLTY • DEPT-OE CODIMUNITY DEVELOPMENT , DESIGNATION OF AGENT I hereby designate ,/I ' i / '1 / 'V to act as my agent in matters relatin to this application for permit(s). � /Ir/ MIK Date:/OWNERSIGNATIJRE BByy 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. t 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 Jeffe - County and its employees,representatives or agents for the sole purpose of application review and any required later ins Pions. ` •.'s a••_-- c right of entry will be assumed unless the applicant informs the County in writing at the time of the appil.:'• u r ,, , she wan i r notice ignature: ffrA/�. I 1- 11-4- Date: ilie I The action or actions Applicant will undertake as a result o e 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 riot 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 mplance h the Je o County development code.The Applicant acknowledges that he,she or it holds individual and non-trans le sibility for hexing to nd plying with the ESA. The Applicant has read this dis aimer signs and dates it below. Signature: vee Date: 1 i TO - G:\PerrnirCenter\###FORMS###\DRD FORMS\Cuaent DRD Fomu\Muter Pcrost Application 5-29-08.doc • BUILDER STATEMENT • The signer of this statement does hereby certify that ,hey are the Own of the parcel referenced herein,that they are not licensed contractors and that they i I be ssuming respo i ility of t e ener VII Dont ctor h pro sed project. 7.- Signature /f f/4-- /c�CX Date: _ � / 'L ' b' GENERAL CONTRACTOR OR MANUFACTUR 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: O New 0 Wood Existing: ❑ Sewer O Addition 0 Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: Height: 0 Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: 0 Public 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: 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 .Reyision • Main Floor Heated EH Bld App Review: 2nd Floor Heated --- --------- - -- Consistencyy Review: Tr F1eated . Base tee: S •025 Mezzanine Additi • P - 1 — Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated. - Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Othef �_ l� it-A9 VAT TOTAL: $SS ( - 0 1`Y�C Receipt Number: Cash/Check Number: C'l . ,.. ,4 • ESTIMATED COST(REQUIRED) Date: �� -- .Fair market value of all labor and materials foundation to finish 3Lcc - Initials: %_ `_ G:\PeimitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc AdO3 ... -114 ♦♦♦.♦.♦♦7 D (.1) cp I •♦♦•♦ CO N 'Kt- d' r CO C %\Ln O p a+ILH.L21QN rn co 'I— Ln - CZ 'r1 ‘..10 ti) ccp rn COO r c, t U) .:1 •— _1 5 g --0 FE � . I I- W � W Q w � J., � Q W cDC) n QD h o CV. .a m v0O w x ®o Q Iw— •cC 0. 0-1lk z � o Li_J m o r i � l + � � ji, I. 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