HomeMy WebLinkAboutBLD2012-00098 41PU
ILDING PERMIT APPLICAliN MLA12-00064
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00098 Received Date: 3/26/2012
SITE ADDRESS: 173 NICHOLSMITH LN
BRINNON, 98320
OWNER: RICHARD WHITE PHONE: 360-877-4988
JEANNINE C WHITE
21220 NW 31ST AVE
RIDGEFIELD WA 98642-8523
SUBDIVISION: Block: Lot: TX 33
PARCEL NUMBER: 602231009 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: SUNRISE CUSTOM CABINETS PHONE: 360-427-2448
CHUCK RUTHERFORD
70 E HEATHERWOOD CT
SHELTON WA 98584
Contractor's License SUNRICCO61J5 Expires 4/21/2013
REPRESENTATIVE: CHARLES RUTHERFORD PHONE: 360-427-2448
70 E HEATHERWOOD CT
SHELTON WA 98584
PROJECT DESCRIPTIOI' RETAINING WALL
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 38,400.00 MAIN:
CODE EDITION: 2009 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: 840
GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $532.65 LYK 03/26/12 131576 A P
�
Plan Check $346.22 LYK 03/26/12 131576 /-� .
State Building Code $4.50 LYK 03/26/12 131576 JU�
Total: $883.37
Jefferson County Planning
&Building Department
•
Jefferson County Building Division Permit Num.: BLD12-000
98
Applicant
WHITE
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
Foundation Footing ._� /`)75
TION
NAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00098
1.) 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.
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.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
6.) 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.
7.) 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.
8.) 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."
9.)
110 11,
10.) 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.
11.) 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.
12.) Stormwater from the new detached garage will be directed into an exisitng catch basin.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The building height is not to exceed 35 feet.
17.) 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.
18.) 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.
19.) Minimum setback from Nicholsmith Lane right-of-way shall be 20 feet. Minimum side and
rear property line setbacks shall be 5 feet. No development shall occur within the BPA
easement without prior written agreement from BPA.
ow �, JEFFERSON COUNTY w • �
DEPARTMENT OF COMMUNITY DEVELOPMENT
• 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
81N '' II
Master Permit Application MLA: 17 — 1p`-1
Project Description(include separate sheets as necessary):
EXCAVATION FOR & CONSTRUCTION OF A FOURTEEN FT. HT(;H Rrnr.m7y BLOCK WALL
Tax Parcel Number: 602 231 009 Property Size: 4 . 8 ACRES (acres/square feet)
Site Address and/or Directions to Property:
173 NICHOL SMITH LANE BRINNON WA
Property Owner(s)of Record: RICHARD & JEANINE WHITE
Telephone: 360 887 4988 Fax: 360 887 4114 email: N/A
Mailing Address: 21220 NW 31ST AVE RIDGEFIELD WA 98642
Applicant/Agent(if different from owner): CHARLES L RUTHERFORD
Telephone: 360 427 2448 Fax: 360 432 0181 email: N/A
Mailing Address: 7OE HEATHERWOOD CT SHELTON WA 98584
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 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]'"
❑ Manufactured Home .0 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 0 Long Plat**
❑ Sign 0 Planned kurai Residential Development(PRRD)/Amenciments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Mast r_ero• -•• !Ili• TIM• - •n• **
❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Mang ejri- r ial De��r•F �•�
❑Temporary Use 0 Shoreline Man.g .1' •.•
❑Wireless Telecommunication* 0 Comprehensiv: Oa /UDC/Land Use District Ma - dment
(3 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson Coun Siipteline,Master Program Am: : t
* May require a Pre—Application Conference ❑Tree Vegetatio Rec�Vpst i !-
**R••uires : Pre-Application Conference
Please identify any other local, state or federal permits required for this propbsai-,��gNTY
rP OF COMMUNITY DEVELOPMENT
DESIGNATION OF AGENT -
I hereby designate CHARRLES L RUTHERFORD� to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE /�" �� /V 7 Date: 2 V, 2G/ Z
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: /f 4s,..s/ Date: -c' 2a, G
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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 4-4-4-4 /i 14- e Date: '71?2�4-41 -2y, ' '/Z-
• • •
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 assuigthe rQsponsibility a enrae actor for the proposed project.
Signature. b ,7,L, •lCC,Y� Date: 7 6? 7207
GENERAL CONTRACTOR OR MA UFACTURE HOME INSTALLER:
PI IONE: FAX:
SUNRISE CUSTOM CABINETS
MAILING ADDRESS: ( 36C, 427 2448 (36 ) 432 0181
70 E HEATHERWOOD COURT EMAIL: SHELTON WA 98584
CONTRACTOR'S LICENSE WAINS
NUMBER: SUNRICCO61J5 NUMBER 91 2133875
ARCHITECT/ENGINEER: PRECISE ENGINEERING PHONE , - -
MAILING ADDRESS: 1011 MELLEN STREET CENTRALIA EMAiI 980 1137
�roject Type: Frame Type: Bathrooms: WA 98531
Shoreline: Type of Sewage Disposal:
New 1 Wood Existing:
Addition 1 Steel Proposed: = Sewer
C Alteration/Remodel i= Concrete Total: He Height: CommualtS stemm
g
Repair Masonry Individual System
Demolition -._W Other: Bedrooms: SEP Permit#
ECOLOCYExisting: Water Supply:
BLOCK WA L L Setback: pp y'
Type of Heat: Proposed: I Private well Two Party
- -le l=�P.ic Total: Public
---V----
Name of System t ' Miij
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:
lBC 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 UndergrdtTnd 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 [ irrent Proposed For Office Use Only Amount Main Floor Heated EH Bid App Review: Revision
26°Floor Heated Consistency Review: U-
Other Heated Cd ta
Base fee:
Mezzanine .52 (,
Additional Section: -
Heated Basement
Plan Check fee:
Unheated Basement 3 y(p •22
State Surcharge fee:
Other Unheated Pot Water Review fee: 4 .
--
—____.
Garage/Carport SUBTOTAL
Decks �S 3. 37
911/Rd Approach fee:
Other
ECOLOGY BLOCK TOTAL: $��s3•37
WALL 14X60 840
Receipt Number: l 3 ( -l(10
ENGINEERING ATTACHED Cash/Check Number: nn
ESTIMATED COST(REQUIRED) "I y UP
Date:
•Fair market value of all labor and materials foundation to finish
$38 , 400 .QO Initials: 1
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