HomeMy WebLinkAboutBLD2012-00110 IIPReview
UILDING PERMIT APPLICA4N 00075
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00110 Received Date: 4/4/2012
SITE ADDRESS: 325 SILENT LAKE RD
QUILCENE, 98376
OWNER: RAYMOND POCHE' PHONE: 360-355-0006
ARLENE POCHE'
PO BOX 396
RAVENSDALE WA 98051-0396 SILENT LAKE LARGE LOT
SUBDIVISION: Block: Lot: 6
PARCEL NUMBER: 701355006 Section: 35 Township: 27 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 DESCRIPTIOI NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 16,140.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 864 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Tatat 0 —
Routinq Date: --
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $279.25 LYK 04/04/12 131610 APPROVE.'
Plan Check $181.51 LYK 04/04/12 131610
State Building Code $4.50 LYK 04/04/12 131610 JUN e, te' ' ?
Total: $465.26 Jefferson County Planninr-
& Building Departmen+
• • —
Jefferson County Building Division Permit Number: BLD12-00110
Applicant: POCHE'
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 lJ Z) • "L 1C.
1 'L -
Erosion Control
Post Holes /
Straps(hold downs)
Framing 71 011 L 9-
Blocking
Drywell/Alt Drainage
Address Posted ts\�_
FINAL INSPECTION 7'
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00110
1.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
2.) A setback of 35-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
3.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The.building height is not to exceed 35 feet.
10.) 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.
11.) Silent Lake Road setback is 20 ft, side setbacks should be no less than 5 ft.
12.) SPLASH BLOCKS MAY BE USED FOR DOWNSPOUTS DISCHARGING TO A
VEGETATED FLOWPATH AT LEAST 50 FEET IN LENGTH AS MEASURED FROM THE
DOWNSPOUT TO THE DOWNSTREAM PROPERTY LINE, STRUCTURE, STEEP
SLOPE, STREAM, WETLAND, OR OTHER IMPERVIOUS SURFACE. SENSITIVE
AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT OF ALL DISPERSION
SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD.
13.) an area of 30 feet wide (15 feet wide of both sides of lot line) between 6 and 7 shall be
maintained as open space with no removal of natural vegetation or existing trees as
identifeid in the Silent Lake Large Lot Subdivision.
- - o% JDEFFERSOOOUNTY
,w ` gq DEPARTMEN, F COMMUNITY DEVELOPMENT
�' `� 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
�,q`s�tI1vG'c0•� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: t a - 75
Project Description (include separate sheets as necessary):
Crn.5tCtictrc,t of .).`/ x 3Cx `t' /P/e- J/)uric ,n5 garage.
Tax Parcel Number: TO 3s s OCt. J Property Size: S ,Ub' n,c.re.5 (acres/square feet)
Site Address and/or Directions to Property:
3,25 S,I!, f Lc kt. Roc.ccl I OL.,/c C, f_
Property Owner(s) of Record: RI,y mo 4 cl Pc c h e.
Telephone: 3 i.' - ?,Yb- /q 13 Fax: email:
Mailing Address: PO Qox 3 9i , Rerivenccjr_le vv'4 7:5'03"/
Applicant/Agent(if different from owner): Sc..;'id «,/c/,n5 .5 y,5 r'e.n s Ili c.
Telephone: E o-c/3 7 - i.i t 7 Fax: 'c,c • y 7 - i.2 15/ email: 5v.1 n<(1),:,IS,y.sy s to„i j 6-
Mailing Address: 3S`IL �ire-ndyk,:: fioa.d fie r"T L,.c//rr..�. (,...:4 YE i/, h,rirvc,) •Cc.»
What kind of Permit?(Check each box that applies
®Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance (Minor, Major or Reasonable Economic Use)
❑ Single Family ® Garage Attached Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use (Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑ Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
❑ Propane ❑ Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management ❑ Shoreline Master Program Exemption/Par **
❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Su sta I' u�p .
❑Temporary Use ❑ Shoreline Management-V,a�niarSc '`'. >r*\ I
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Mad�r'ehdment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Ameridriient
*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 So 6 u.,I 41,71 y 5 _ ` Via,,• to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE CA G"r-J� - --r / Date: el- /(-/.
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 • e access and . :.try to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any re ed later insp- tions. Sta a eib
and right of entry will be assumed unless the applicant informs the County in writing at the
time of the app' ion that he ors e , - r 'e!
Signature: ✓ z � / 1�/ • Date: c/_ y_ I
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 iss •. 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 — e in compl•- ce wi - -ffer •n ounty development code.The Applicant acknowledges that he,she or it holds individual
and non-trans r -.le responsibi ty f a. erin. • . . ort plying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: a 6•` ,-,-,--7 -��-�' -7
i Date: LA— 41 -f
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
BUILDER STATEMENT III
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:
Sa.-,rct 6,,id‘nS 515te .rs Inc (3G-o) 431 -izI 1 (3t-o) y37- /,2ifl
MAILING ADDRESS: EMAIL:
35'ib Tytcrncl,� kc_ /?cacl
CONTRACTOR'S LICENSE tic r 7 i U ci I c w, u. ATi 3 L'.� WAINS
NUMBER: NUMBER
SO U N O 8.5 O '7 N="1
ARCHITECT/ENGINEER: PHONE (5 C 1)?3b. '7 5.c 2 FAX:(,C1 )7 3 t-' 7>,7
uerIse.y in5ineetr i n.,
MAILING ADDRESS: �roc< it.1(:,,A.mh./.-_C:e,te. SIt,, V,2O,y Richly.1<!,w'4 q435-l EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
• New Wood Existing: L Sewer
• Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: F Individual System
❑ Repair ❑ Masonry SEP Permit# —300
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: / Setback: n Private well ❑ Two Party
Type of Heat: Proposed: /�f ❑ Public
Cul 4� Total: Na of S em:
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 1 Above ground Tank Size of Propane Tank:
I Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert 1 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: CA
2na Floor Heated Consistency Review:
D�f
�
Other Heated Base fee:
Mezzanine Additional Section: __________
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 1, 56
Other Unheated Pot Water Review fee: 1)0 Pk>mb
Garage/Carport SUBTOTAL
&'I1(pt361 ? r7CO3 .Z,(e9
Decks 911/Rd Approach fee:
(Sil.r .
Other TOTAL: $ " 13 2(g)
Receipt Number: ( 3 1 (p 10
- Cash/Check Number: SC!
ESTIMATED COST(REQUIRED) Date: LI_ (Z
•Fair market value of all labor and materials foundation to finish l
Initials: --------
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/� � 2600 N.COLUMBIA CENTER` RAYMOND POCHE l
m w O r `'17 0 BLVD.SUITE#208
o to o BER K F,Y P 24'x36'x9' POLE BUILDING FOUNDATION PLAN
"' d RICHLAND,WA 99352
N n HONE:(509)736 7552 325 SILENT LAKE ROAD
d N E n g i n e e r i n g FAX: (509)736-7557 QUILCENE, WA 98376
I ` f JEFFERSON COUNTY J
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