HomeMy WebLinkAboutBLD2012-00083 MLA12-00052
•JILDING PERMIT APPLICATON Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00083 Received Date: 3/14/2012
SITE ADDRESS: 474 BLUE MOUNTAIN RD
CHIMACUM, 98325
OWNER: MELVIN E MILLER PHONE: 360-732-0280
ROBERTA F MILLER
474 BLUE MOUNTAIN RD
CHIMACUM WA 98325-8790 COUNTRY RIDGE
SUBDIVISION: Block: Lot: 19
PARCEL NUMBER: 801045019 Section: 4 Township: 28 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE W/ 2ND FLOOR STORAGE AREA -
UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 26,300.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: 576 SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Am Paid Bv: Date: Receipt: Approved/Date
Permit $411.45 LYK 03/14/12 131546 APPROVED
Plan Check $267.31 LYK 03/14/12 131546
State Building Code $4.50 LYK 03/14/12 131546 APR 10 2012
Total: $683.26 Jefferson County Planning
&Building Department
Jefferson County Building Dillon
Permit Num.. BLD12-00083
Applicant: MILLER
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 4l 5
Setbacks /(7 • inimum setback fro lue Mountain Road right-of-way shall be 20
^l/� feet. Minimum north and south property line setbacks shall be 5 feet.
Minimum east property setback shall be 100 feet to the adjacent rural
forest lands.
Erosion Control SEE CONDITION 2
Post Holes t/ ,,LL(`/ Z.
Footing Drains
Straps(hold downs)
Framing -4V3II7
Blocking 1
Drywell/Alt Drainage SEE CONDITION 1 (SPLASHBLOCKS)
Address Posted
•
FINAL INSPECTION .5-1231 I v
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00083
1.) DESIGN CRITERIA FOR SPLASH BLOCKS:
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
SPLASH BLOCK.
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.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
4.) 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.
5.) 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.
6.) 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.
7.) Critical Aquifer Recharge Areas m•quire special protection measures to mite 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) 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.
14.) 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.
15.) Minimum setback from Blue Mountain Road right-of-way shall be 20 feet. Minimum north
and south property line setbacks shall be 5 feet. Minimum east property setback shall be
100 feet to the adjacent rural forest lands.
'( 0e.�� tVc JEFFERSCOUNTY •
ti ' ` , ' DEPARTM OF COMMUNITY DEVELOPMENT
`' 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
4.,1S, O•ti www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( Z —5
P ject Description (include separate sheets as necessary):
i-G-C.L irk ( ft .! - ? ulth l 1-1") I11V-
Tax Parcel Number: 1:'?I - e£/-v 19 Property Size: (acres/square feet
Site Address and/or Directions to Property: r- ",:- ��
M n ._ ; C� D�i ` 1, \
`17,i Q/uC, I {tu,,1-Ain R0 1 1 c.hir,+0.ck r.-, , i,,,'A qw. c 1 1
Property Owner(s)of Record: Mel v,t1 ? Robe r to, Al i I le,- I `� ` `I
Telephone: 3kp- 3) - oa S'el
P Fax: !1 I e1r�1 11: ' II
MailingAddress: H 7 H /? Ivlou n ta,n /� d , , I ILJ
h� Paaci, rj,,n74elim, 1,y) 11E3a5 ..
Applicant/Agent(if different from owner): Sound 8,,tel,m1 5•y3 / ft2 5 Li JC fCRSC!,,CnI;STY
Telephone: 3too-H37- ,;tI '1 Fax: 3mo- '13v- 12,Ib pF_pT_A1IC01"1Ib';h i 1J6NTy s <,
Mailing Address: 3 'i TSoi„dyke Road, Per 1 1-.d/o co WA 9e 3vs` /,otmn;1•co..,
What kind of Permit? (Check each box that applies
®Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit __ 0 Variance (Minor, Major or Reasonable Economic Use)
0 Single Family Et Garage Attached etached 5 ❑ Conditional Use tO O
,C a C ,or C]**
0 Manufactured Home 0 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 0 Short Plat**
0 Home Business 0 Cottage Industry 0 Binding Site Plan**
0 Propane 0 Long Plat**
❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
0 Allowed"Yes"Use Consistency Analysis 0 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 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 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
pESIGNATION OF AGENT
I hereby designate Sour d Lute ,nj Sys t e lint_ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �(, S t'[4.5
L4 �(✓f l 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 ri ht of entry will be assumed unless the applicant informs the County in writing at the
time of th applicati flat he r she wants rior notic .. _
Signature: ' / _ , - (_ Date:
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-trKsferabl r sponsitiiility for 4dhering toand compl i with th�tSAy he Applicant has read this disclaimer and signs and dates it below.
Signature: 1 III fl/�
l_J`r'.,�1 - _�-- ,, '\.,.. Date:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• 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:
SOLtrtGI /-,j, Icl1r,i S`5 1"e , J nc (30) 937- r a I q ( 340) 1/3 '7- /,z l6
MAILING ADDRESS: 3S `1✓c �7G cm el A - o a c EMAIL:
r� �i I 30L.ticibu1ld,nl S.5t'I's `ilai'pad,Ca,,,
CONTRACTOR'S LICENSE Port Lk,Ilow, 1UR 71(3ets WAINS
NUMBER: S C u N I)/35 0.2-7 N M NUMBER
ARCHITECT/ENGINEER: Cl Ff aarkr_r k,,,,,,�,.,-,.y PHONE (�07) 7,3E - 73-5 1 FAx:(5i i)73k• 7Ss"7
MAILING ADDRESS: .�k66 ivevia,„W,c: y�rntrr 8lva 41-,loY, iicl17an,/,u.%A 9`i 35'.1 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
51 New 2, Wood Existing: ❑ Sewer
Addition ❑ Steel Proposed: Bank ❑ Community System
• Alteration/Remodel ET. Concrete Total: Height: N Individual Sy to'�?
D. Repair ❑ Masonry SEP Permit# 'i'-i I52
✓ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: F Private well U Two Party
T pe of ea : Proposed: L Public
ut R.11 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:
1 Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i 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 For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: rT(C)
2nd Floor Heated Consistency Review: 222
Other Heated Base fee: S
Mezzanine Additional Section:
Heated Basement Plan Check fee:
7. 3\
Unheated Basement State Surcharge fee: 4,.. 50
Other Unheated Pot Water Review fee:
Gc lr.X.r i t-•A.,LA .Q S%G 1()1 GJ�Cog 'l.7(7 A�13
arage/Carport SUBTOTAL
s70 Io-1 LisA - �1 2
Decks 911/ d"Approach fee:
Other _ TOTAL: $ I Zlx.3.!O
Receipt Number: f -I C I I ^
- ---.- Cash/Check Number: 113.1(1Z
yJ
ESTIMATED COST(RE RED)) Date: i
.Fair market value—o a labor and materials foundation to finish ��� .- , 1 {---•_�
c 2/ 7 U C) 60 Initials: c_
9)
_
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
1
l-7p1
111e lv,,A (`/II ller
Al 7 �lo
'9 13(,, _ fu„ ,.0' Pio�ca' 6
/�t A
�a r c_ ) z t' Fj O I- IJ`-I_;- n_ 17 `�
4.0
fil
< N
cc, In l „.:: /fa'
(
10
L
{ ry
Sound Au,i8,r,y SyS ten" s ..(",.:. ,j
l 3 SLib 'Thor n cl y Re. Po•',.^1 ^
Port r_u,l(o,..,, lAM 7, 3 I:,S
3/o 'i 3 7 I Z ! 1 ( -
f l
f
s ' — _ — — 1
S'v
f •
t�
1
$,
{ , ,
1 .
. ,
.,
1
j i
,k,I J!/
/ /.
{ 'OD '
l tio
r l
'
tI yoc0'
/f
PBSer tie. f
Ora,,,,f.eld
.----------7/
its 4, / N
ya e,
E-- pi' 6,4' {
IL.
- J.SS
DI oiji )loCYS -0 if,,, /r/to 7? s,1..PY!
?CCE LGV'al- 1
tidy•
17
n FC- 1 vYl ,�
n 3G `��/ tv l� �', ) \
k ell
1►
1. —136 $r � / / 3�0 �"Rik�
f /a0£ yq }t i ,_/ A
/00
(ii"--- .... ( II
•
ELU�
I-4
ril
o a�
z ..
I Iu i] =