HomeMy WebLinkAboutBLD2011-00111 ILDING PERMIT APPLICASN MReAv1ew0083
0 Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00111 Received Date: 5/2/2011
SITE ADDRESS: 5411 SR 20
PORT TOWNSEND, 98368
OWNER: MICHAEL B BAIR PHONE:425-788-5831
ELAINE S BAIR
18808 NE 201ST DR
WOODINVILLE WA 98077-6624
SUBDIVISION: Block: Lot: T 39+
PARCEL NUMBER: 901051001 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: SEAN PARKER PHONE:206-999-1235
490 MADISON AVE N
BAINBRIDGE WA 98110
PROJECT DESCRIPTION CABLE LIFT TRAM TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 65,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Ro inq Date: �� A
Type Amount • .' : Date: Receipt: at E
Permit $748.75 LYK 05/02/11 123461 ptt1
Plan Check $486.69 LYK 05/02/11 123461
State Building Code $4.50 LYK 05/02/11 123461 FES q 2012
Total: $1,239.94 Jefferson County Planning
&Building Department
• 1110
04 JEFFERSON COUNTY
e 4))iir4 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450•. 360/379-4451 Fax
'l'k www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 1 1 1 3
Pro jDesscriipttion(induj arate-sheets as necessary):
Tax Parcel Number. n)1 I &tot Property Size: ., (acres/square feet)
Site Address and/or Directions to Property:
641I S' Tt" • : T�' 24 Pow- nividoeNtr
Property Owner(s)of Record: ii, 1 r t .. tk 61.044 we f gal
Telephone: *" -ILA, `45631 Fax: email:
Mailing Address: I NSO 6 je 4D1
Applicant/Agent(if different from owner): Prkw4 e1 ..
Telephone: .4 • - Fax: email:
Mailing Address: "LA eo: ► -rill: %, ®. :+' dew :#;
What kind of Permit?(Check each box that Igpuilding Critical Areas Stewardship Plan
❑ Demolition Permit dance(Mi • ocBeasonahIPFmnanicUse)__
O'Single Family EfGarage Attached/Detached ' Conditional U c ate(• , -\
❑ Manufactured Home ❑ Modular t]Discretionary • Ui a �*'Us§�(cee
❑ Commercial* ❑Specai Use( I Public Facilities)**
❑ Change of Use ❑Boundary Li 7•• .r( =nt
❑ Address ❑Road Approach i (7T,. ❑Short Plat""' % MAY - 2 2011
❑Home Business ❑Cottage Industry ❑Binding Site • :
❑Propane ❑Long Plat** 1 �,
❑Sign ❑Planned Ru R.- • -:_ - -••• • ---• ;ndments**
❑Allowed*Yes*Use Consistency Analysis ❑Plat Vaca i'• • eration•• JEFFERS r N COUN
❑Stormwater Management ❑Shoreline May = PIRVITAIN idi t£6h1FIRd sions**
L]Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development•*
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication• ❑Comprehensive Plan/UDC/Land Use District Map Amendment
Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*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:
e DESIGNATION OF AGENT
I hereby designate •i•oiada�, /� •� to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE. //%���i Date: .-mot "F`' 11
By signing this appl•- on 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 attomey'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 a•• and •-ht of en ,-•Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required - n o _ �.:i`a access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applica�• ; _oi.e - - • or notice.
S31nature: - Date:
fThhe action or actions Applicant will undertake as a result of the issuance of this permit may negatively knpact 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 .-i •lien•- • the rson County development code.The Applicant acknowledges that he s or it holds individual
and non-tran - •ill k .-�e to and complying with the ESA. The Applicant has read this disclaim and ns and dates it below.
.4ignature: Date: .5 f 2 // ,
G:\Peamtc enter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
•
• 0
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.andthat •
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date: _
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:• FAX:
Pi (- 0611Wi e-- (164 110 02 4 ( ) .
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: _ ,' `` NUMBER -
ARCHITECT/ENGINEER: e.;i,a l/11 ftC'1e.. G pr PHONE OA 1 lei 17415 FAX:( ) •
MAILING ADDRESS: EMAIL
Project Type:- , Frame Type Bathrooms: Shoreline: Type of Sewage Disposal:
New 0 Wood • Existing: o Sewer
O .Addition , JS:'Steel. Proposed: . Bank 0 Community System
❑ Alteration/Remodel IX Concrete Total: H j ht:( ❑ Individual System
❑ Repair ❑ Masonry, fi SEP Permit.#
Bedrooms: Supply: -
❑ Demolition .�. 0 Other: Waters
Existing: Setback:
Proposed• ' ❑ Private welt ❑ T Patty
Type of Heat ❑ Public Ai
Total. d Name of System:; et
if this is a Commercial Protect you rr�ust answertt�e foilowina
Number of Paticing Spaces: Current: Proposed: ' . Number of ADA Parking Spaces: •
Number of occupants.(includes owners,tenants,employees,etc) Current. Proposed .. . . • . •
. .: IBC-Occupancy:. ° IBC Type of construction: Wdl you have Fooff Service?.Yes I No . ..•if this is a Propane Tank;and/or Appliance Installation permit.mark all Items below that analy: .
1 Underground Tank. .1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove ; 1.Fireplace.Insert 1. Hot Water Tank I Pe let.Stove. 1 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 building's,all .ro ,
` lines,tank location and size,distances fro*the propane tank to all property lines,buildings and septic system components,
including the reserve arm. -
i
Sguare Footage Curre It 'Pro . P' � b_.
Main Floor Heated . :EH Bid App Review
r
2.-Floor Heated ' ' . --:.. .--,::':g4A Consistency Review , MEM • .
•
Other Heated ,F Base fee: MEI .
I.-Mezzanine * -illif Heated Basement {yam �: Plan Check fee: '
k R R P ., .
unheated Basement State Surcharge fee:
Other nheated. .'
'- h'x+'ar
Garage/Carport. • • ,'s • '— f v F. 1/lid e.
i
• �: ��il' imp
Deck II1III-I---
Other
. 123w
,gyp 14 .
ESTIMATED COST(REQUID) Date
.Fairmalka'Cval alit L• and erials foundation'to finish IIP --
e'
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1
Jefferson County Building Dieon Permit Num BLD11-00111
Applicant: BAIR
BUILDING PERMIT INSPECTION APPROVALS kpplicable 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 - Z2 1Z-14B q S /E5.2. ,2 0.
Post Holes
Foundation Footing rte- - Z�.f - /"� e ''Pt-we t ett cp"l` Z
�L ,
Framing r
Mechanical Systems
12Q_ (Ma l tPi Z 0 -ti/lkQ Q 0
FINAL INSPECTION ,5--fn
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD11-00111 Received Date: 5/2/2011
SITE ADDRESS: 5411 SR 20 Issue Date 2/9/2012
PORT TOWNSEND, 98368 Expiration Date 2/9/2013
OWNER: MICHAEL B BAIR PHONE: 425-788-5831
ELAINE S BAIR
18808 NE 201ST DR
WOODINVILLE WA 98077-6624
SUBDIVISION: Block: Lot: T 39+
PARCEL NUMBER: 901051001 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: PAUL OGILVIE CONSTRUCTION PHONE: 360-697-9290
22244 VETTER RD
POULSBO WA 983470
Contractor's License PAULOC*088PN Expires 5/3/2013
PROJECT DESCRIPTION: CABLE LIFT TRAM TO THE BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 65,000.00 MAIN:
CODE EDITION: 2009 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $748.75 LYK 05/02/11 123461
Exist: Exist: Plan Check $486.69 LYK 05/02/11 123461
Prop: Prop: State Building Code $4.50 LYK 05/02/11 123461
Total: Total: Total: $1,239.94
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 7 am the day the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY -THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
• .
CONDITIONS for Building Permit# :BLD11-00111
1.) The applicant shall comply with CASP CSP11-00012.
A BUILDING FINAL SHALL NOT BE ISSUED UNTIL A MITIGATION AS-BUILT HAS
'. 4r/ = EN SUBMITTED BY THE APPLICANT AND APPROVED BY DCD.
3.) 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.
4.) The applicant shall comply with the recommendations of the Geotechnical Report
prepared by NTI Engineering &Surveying for the proposal and subject property dated
March 2011.
5.) The Tram shall be painted so as to blend into the natural color scheme of the shoreline
bluff.
6.) This approval does not authorize the removal of any large conifer trees.
7.) Erosion control measures shall be in place prior to any clearing, grading, or construction.
These control measures must be effective to prevent soil from being carried into surface
water by stormwater runoff. Sand, silt, clay particles, and soil will damage aquatic habitat
and are considered pollutants when discharged to waters of the state.
8.) Proper disposal of construction debris shall be on land in such a manner that debris
cannot enter the water body or cause water quality degradation of state waters. No fill or
other material shall be placed in the waters or intertidal areas of Jefferson County.
9.) Any discharge of sediment-laden runoff or other pollutants to waters of the state is in
violation of Chapter 90.48, Water Pollution Control, and WAC 173-201A, Water Quality
Standards for Surface Waters of the State of Washington, and is subject to enforcement
action.
10.) During construction, all releases of oils, hydraulic fluids, fuels, other petroleum products,
paints, solvents, and other deleterious materials shall be contained and removed in a
manner that will prevent their discharge to waters and soils of the state. The cleanup of
spills shall take precedence over all other work on the site.
11.) A permanent vegetative cover shall be established on denuded areas at final grade if they
are not otherwise permanently stabilized.
12.) Fresh uncured concrete in direct contact with the water is toxic to aquatic life. All concrete
shall be poured in the dry and allowed to cure a minimum of seven (7) days before contact
with the water.