HomeMy WebLinkAboutBLD2012-00314 Q UILDING PERMIT APPLICA•N Review y pe20
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00314 Received Date: 10/4/2012
SITE ADDRESS: 980 BECKETT POINT RD
PORT TOWNSEND, 98368
OWNER: MICHELLE SEPAROVICH PHONE: 206-660-3672
19715 LINDEN AVE N
SHORELINE WA 98133
BECKETT POINT FISHERMAN'S CLUB
SUBDIVISION: Block: Lot: 17
PARCEL NUMBER: 932200617 Section: 23 Township: 30 N Range: 02 W
CONTRACTOR: SOLVANG PAINTING CO INC PHONE: 360-387-2658
280 GOUGH DR
CAMANO ISLAND WA 98282
Contractor's License SOLVAPCO24RQ Expires 12/18/2013
REPRESENTATIVE: GREG SOLVANG PHONE: 425-760-9988
280 GOUGH RD
CAMANP ISLAND WA 98282
PROJECT DESCRIPTION REMOVE & REPLACE EXISTING POSTS & BEAMS UNDER SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN:
VALUATION 20,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: ( Total:
Routing'Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $0.00 LYK 10/04/12 / P P R 0 V E 1
Plan Check $208.82 LYK 10/04/12 135279 �1
State Building Code $4.50 LYK 10/04/12 135279 OC dcg 2Q12
Total: $213.32 Jefferson County Plannir
& Building Department
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Jefferson County Building Division Permit Numb BLD12-00314
Applicant: SEPAROVICH
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
Framing ;, �(/�2
FINAL INSPECTION
)4"---c‘ -
FINAL INSPECTIONMUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00314
1.) 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.
2.) 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.
3.) This is for custom archeology conditions not already covered in the permit boilerplate.
This should be screened from the web. Try to avoid using specific locational information.
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.) The building height is not to exceed 35 feet.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
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APPROVED lyE
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SITE PLAN , ----
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OCT 1 2 2012
i DEpT.OFJ CEOFFMErRyiSUONNITYCODUErELOPMENT--ji
JEFFERS N COUNTY \,. . 1.,..1.
DEPT.OF CO VELOFMENT e.,c .
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�yON cot, JEFFERSOi�OUNTY
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al • ' \_ DEPARTMENT OF COMMUNITY DEVELOPMENT
h 14 621 Sheridan Street • Port Townsend •Washington 98368
3 .- 360/379-4450 • 360/379-4451 Fax
• ,, ,0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: t 0—aao
Project Description(include separate sheets as necessary):
Tax Parcel Number. c1 1 2 : 0 b /7 Property Size: 3 o ' ,r L
(acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: Al;c 1.e I e S e c. r:1 ;,, ;,
Telephone: ,. 7 a '';-.o o - . • '? Fax: email: •
Mailing Address: /q 7 i _y` , ;1 „ A c.. ,,,) S A o,-0,-c_ /. f t,,,.2 'i p 1 3 1 !.,a co.,,
Applicant/Agent(if different from owner): . s 5 v z.-v A 41.-,U ,._, , . c �� 2
Telephone: As,' o e n"s' r Fax: 3 by C 7 2 -- 4/�
/ g'ir email: -< c. ,, '�; :- , -,\
Mailing Address: -2 tc c' ,',..c(
What kind of Permit?(Chedc each box that applies 0 Lot or Road Segregation
I lBuilding 0 Critical Areas Stewardship Plan
0 Demolition Permit 0 Variance(Minor, ajor n
0 Single Family 0 Garage Attached/Detached 0 Conditional Use[4(i.Alt al
0 Manufactured Home 0 Mcdula; 0 Discretionary"D`pf 1}t: , r
❑ Commercial* 0 Special Use(EssOritoilFtublic Facilities)**
0 Change of Use 0 Boundary Line Ac ustiticint . , -)
❑ Address 0 Road Approach ❑Short Plat** - II
0 Home Business 0 Cottage Industry 0 Binding Site Plan' L,, 1
❑Propane 0 Long Plat** 1 i i
3'yn 0 Plannea Rural Residential DeigfD)/Amens ents**
o Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Aiteratio ''_PF CO:v;iiUNITY DEVELOPMENT
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions"*
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
O Temporary Use ❑Shoreline Management Variance
O Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 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:
DESIGNATION OF AGENT
I hereby designate G rz F& 5 a L .,,: r, to my agent in matters relating to this application for permit(s).
OWNER SIGNATURE //
Date: ...;`/2,9 1oiL
By signing this application form,the owner/agent attests at the information provided herein,and in any attachments.is true and correct to the best of 1
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.
l 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 ano 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: .t..,e, , , .,-,. r 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: t r; - ;,1 , Date:
o 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: Date: •
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
COL Ohlrt/<, PAIA,T, NG e'0 1NG (36o) ',g7 76ce (3bd) 57,2-4-/,/ ki--
MAILING ADDRESS: EMAIL'
.2$D CI00c..“ Roh r r; � .4..r� . 5ceiel;i eirec, Co (t)c. ..? ctiof - ( o•Y�
CONTRACTOR'S LICENSE i?F 2- WAINS
NUMBER: S o C r/A f C O 1 c/ r NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
C New Wood Existing: E Sewer
O Addition ❑ Steel Proposed: Bank 0 Community System
✓ Alteration/Remodel 0 Concrete Total: Height: 0 Individual System
g Repair 0 Masonry SEP Permit# L{bQ
O Demolition ❑ 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 H• eat 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: r--%—
2"0 Floor Heated Consistency Review: 2-22:-
Other Heated Base fee:
321.E
Mezzanine
R e' J —
Heated Basement Plan Check fee: 70 '•8 2
Unheated Basement State Surcharge fee: f 6°
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL .51'
Decks 911/Rd Approach fee: —________
Other TOTAL: $ t J f
Receipt Number: 155a7q
Cash/Check Number: 1 V�^
ESTIMATED COST(REQUIRED) Date: O
Fair market value of all labor and materials foundation to finish 1 Q-
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Initials:
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