HomeMy WebLinkAboutBLD2012-00332 •ILDING PERMIT APPLICATS MLA12-00232
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00332 Received Date: 10/18/2012
SITE ADDRESS: 114 CRAIG RD
SEQUIM, 98382
OWNER: DAVID A BAILEY PHONE: 360-681-7043
MARGARET A BAILEY
114 CRAIG RD
SEQUIM WA 98382-8719
SUBDIVISION: Block: Lot: TX 19
PARCEL NUMBER: 902042015 Section: 4 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION BATHROOM ADDITION TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 48
VALUATION 4,500.00 ADD'L: HEAT TYPE: UH
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: CON
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 1
Total: 2 Total: 3
Routing Date:-
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $111.25 LYK 10/18/12 135321 APPROVED
Plan Check $72.31 LYK 10/18/12 135321
State Building Code $4.50 LYK 10/18/12 135321
Total: $188.06 DEC 2012
Iefferson County Planning
8: Building Department
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Jefferson County BuildingDivision Permit Num�
BLD12-00332
Applicant: BAILEY
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 Minimum setback from Craig Road right-of-way and any private
L ingress/egress easement rights of ways shall be 20 feet. Minimum
north and south side yard setbacks shall be 5 feet. Minimum setback
from Eagle Creek shall be 80 feet from OWHM.
Erosion Control SEE CONDITION 2
Foundation Footing � ��-
Footing Drains
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing 13
L, L
Blocking
Airseal
Insulation: Walls 1.qq1,2
Insulation: Floors
Insulation: Ceiling 4(1I13
Wallboard Nailing (I
Gas Line: Interior
Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS
Address Posted
FINAL INSPECTION .1 1_13
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
. •
CONDITIONS for Building Permit# :BLD12-00332
1.) DESIGN CRITERIA FOR SPLASHBLOCKS:
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
SPLASHBLOCK.
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.) The identified Fish and Wildlife Habitat Area (Type Ns/Np Stream), shall maintain a
vegetative buffer setback of 75 feet. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to the proposed development.
4.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed development.
5.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
• •
8.) 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.
9.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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.) 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.
12.) Minimum setback from Craig Road right-of-way and any private ingress/egress easement
rights-of-ways shall be 20 feet. Minimum north and south side yard setbacks shall be 5
feet. Minimum setback from Eagle Creek shall be 80 feet from OWHM.
13.) The building height is not to exceed 35 feet.
14.) 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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OCT 302012
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
i
�A 4'4„gON °L,, JEFFERSON.UNTYIII
` DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
'1S, O$ www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: t a'�52
Project Description(include separate sheets as necessary):
Ali/7/0/V OF EtTHkzz.ttr/4 0/ c'u -T 745 6.-X/57/AI ' / 2
Tax Parcel Number: Cl C% 2 - (,.V Z - L`;I.5 Property Size: 5-/j(-WE (acres/square feet)
Site Address and/or Directions to Property:
I (Lale carrier 1zc►�-b sEUiut/G•-J}RR.r, q 8 38
z
Property Owner(s)of Record: 9 lifttit lb /- . InkP-0-/{- A A ?5 AIL(& '
Telephone: ;?6 0 -6't [ - 7 v 4-3 Fax: - emati: 0/PTA/iv 0 at-YPEti,ecr
Mailing Address: 1I4 CR1l&r 72.00); S'--(QU/il&a AJA 983f?7--
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
leBuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic 1.1R
❑ Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),P( o
o Manufactured Home 0 Modular 0 Discretionary"D"or Unh' " 1 L L .
L 1
❑ Commercial* 0 Special Use(Essential Pkib6c facilities)"
❑ Change of Use 0 Boundary Line Adjustmept-',
❑ Address ❑ Road Approach 0 Short Plat'* 1 I 0 C T 1 8 2012
❑Home Business 0 Cottage Industry ❑Binding Site Plan** 1 i ,i $
J)
0 Propane ❑Long Plat"* ,i `,
❑Sign 0 Planned Rural Residential De is*
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration JEFFERSON C UN
0 Stormwater Management ❑Shoreline Master Program ExlifiihdielikiiiiiPIT
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development*"
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* ❑ 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:
r L l��c;GY t 4. 7er�ris�" 3 OY\.�- .Fite G j viS�� c`�2'-►.- ? 14GCµ4i.+. '' .f(ca,L..
t( DESIGNATION F AGENTfN
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 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 i
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 attorneys 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 vide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any req fired tat i in ns. St access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli o that a ish is p Kir notice.
Signature: tit, t., Date:
The action or actions Applicant will undertake as aaresutt 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 is ued 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 y u are in pliance with the rson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer le regpo sibi' for Kenn b and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: - t
Date:
(%:\PermitCerxer\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
•
BUILDER STATEMENT
III.
The signer of this aternent dpos hereby certify ' they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu ' g the ire n dill b e C2e ral Contractor for the proposed project.
Signature: /L • 1 1 ' � ����(((( Date: I G' )U 17
GENERAL
CONTRACTOR OR MANUFACTURED 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:
_1 New XExisting: I Sewer
Xe Addition [' Steel Proposed: L Bank 0 Community System
❑ Atteration/Remodel L. Concrete Total: .. Height: 'Individual Syste
11 Repair E Masonry ,iiA SEP Permit# O '(S�
L Demolition ❑ Other: Bedrooms: ^ Water Supply:`
Existing: ocn Setback: Private well 0 Two Party
Type of_ysr Proposed: �1�2i 0 Public
IV PIP Total: JP!" NA Name of System:
If this is a Commercial Prolect you must answer the following: f - 1 ( (� �\� Fr---, [1
Number of Parking Spaces: Current: Proposed: Number o(AO l?arki u V'
Number of occupants(includes owners,tenants,employees,etc) Current ! sod
IBC Occupancy: IBC Type of construction: Will you have Food" price? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: . v..; ! t, -J 2
l Underground Tank I Above ground Tank Size of Propane Tank: .-L I 1
I Heat Stove l Cook Stove l Woodstove l Fireplace Insert I Hot Water Tank l Pellet Stove l LI .
J IPSON COUNTY
Is this appliance being installed in a Manufactured!Mobile Home? Yes / No DEPT.0E C,OMMIll DE'JElO° "ENT
When applying for a permit to install a propane tank you must also submit a site plan showingalf or Maw. .f , , .
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
c, z,,, s ,ta L,s s + ; i;F
Square Footage Current Proposed .� ..a•11,i° '- ; , - . '.,`' ` _ ?-_ :r. ' .,r.
Main Floor Heated EH Bld App Review:
t � ;� 1. 4 y r-y
r a I(U
2n0 Floor Heated t �, Consistency Review: 3
Other Heated ', , f:t ,; Base fee: t I -
25
Mezzanine Additional Section: —
' ' Plan Check fee:
N r;
Heated Basement ,�.,, 72_ S
Unheated Basement . State Surcharge fee:
Other Unheated k -,,- -tia^ Pot Water Review fee: ---.
Garage&Ca 1 oil SUBTOTAL
Decks of
911/Rd Approach fee:
4.
Other TOTAL: $ 28( .v.(2
9 Receipt Number. . 532 I
37bs at rg 7-7 Cash/Check Number.
e , '2
ESTIMATED COST(REQUIRED) Date: I(;
.Fair market value of all labor and materials foundation to finish � �" �
1'500 4 c. Initials:
G:\PermitCenter\###FORMS###\DRU FORMS\Master Permit Application 5-29-O8.doc
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DEPT OF COMMUNITY DEVELOPMENT
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