HomeMy WebLinkAboutBLD2009-00004 UILDING PERMIT APPLICA N MLA09-000002.
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD09-00004 Received Date: 1/7/2009
SITE ADDRESS: 270 RHODODENDRON LN
BRINNON, 98320
OWNER: ROYAL A SCHINDLER PHONE: 360-796-4190
VALERIE J SCHINDLER
270 RHODODENDRON LN
BRINNON WA 983209737 KEPHART SHORT PLAT#1
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 502151022 Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr STAIRS TO THE BEACH (REPLACEMENT)
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 10,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2006 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: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
1-1-0C1
Type Amuunt - :i• By: Date: Receipt: Approved/Date
Permit $181.25 LYK 01/07/09 105225 PPRJVEJ Plan Check $117.81 LYK 01/07/09 105225
State Building Code $4.50 LYK 01/07/09 105225 AUG t3 2009
Total: $303.56 Jefferson County Planning
&Building Department
• •
CONDITIONS for Building Permit# :BLD09-00004
1.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area.
2.) 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.
3.) A vegetative buffer of 30 feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area, which is between the top of the bluff and the Ordinary High Water
Mark.
4.) 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.
5.) 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."
6.) All construction activities shall not encroach upon the landslide hazard buffer. This
includes the storage or preparation of materials.
7.) 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.
8.) Prior to commencing development activity, proponent is responsible for informing the
Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine
whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10
WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are
defined as construction or performance of other work that will use, divert, obstruct, or
change the natural flow or bed of any of the salt or fresh waters of the state.
9.) In addition to Jefferson County permit conditions, the project proponent shall comply with
all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
Jefferson County Building lision ' Permit Ntr: BLD09-00004
Applicant: SCHINDLER
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:Cl0 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 1
Erosion Control
Framing structural framing report required by engineer
Framing building inspection for code complyance
FINAL INSPECTION yj/ � /4
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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cd. JEFFERSONCOUNTY •
rf.A3 DEPARTMENT OF COMMUNITY DEVELOPMENT
`') '� 621 Sheridan Street • Port Townsend • Washington 98368
Is>
360/379-4450 • 360/379-4451 Fax
-' p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: nq - 1
Project Description(include separate sheets as necessary): * G hsr7 Sep 14c,4 0E3 -23 S-
Tax Parcel Number: 5 0 Z f 5 !O Z 2- Property Size: /,5- 6q S ,t (acres/square feet)
Site Address and/or Directions to Property:
272 odoIeiid-6-rr Lh (G'1.Ac.-.. f4a.Z'i�tr- innar7 , ZeG y "c..d
Property Owner(s)of Record: /2oy-IA-t_ * 1JAL4- i-z, - r. __1(j--A,/B /?
Telephone: 0/0 0- 794 -.4 143 e, Fax: I.0-7 9 L.- 31 ZZ- email: Sc.A/h cr/evpa ucw,/
Mailing Address: 2"70 1Qh Iocitr-rdr ,7 Ln / g-rnnos..r lVQ fr3z0 CI 1)Lar a%f.rz�iri
Applicant/Agent(if different from owner): /
Telephone: Fax: email:
Mailing Address:
Wrat 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 ❑ Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use-Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
O Change of Use 0 Boundary Line Adjustment I n n: _
❑ Address ❑ Road Approach 0 Short Plat** 7 2Q��
❑ Home Business ❑Cottage Industry 0 Binding Site Plan**
❑ Propane ❑Long Plat**
❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑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 0 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:
DESIGNATION OF AGENT
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
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 appligatis Ait he r s s prior ice.
Signature: a �a77aZI Date: -7
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon on 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
andg non-transfer � on ibility f ��� complying with the ESA. The Applicant has read this disclaimer and sign and dates it below.
Signature:_ [�`, Date: /l 7/ 0
G:\PermitCenter\###FOAMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• 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 ass . the re errsibil ty of the General Contractor for the proposed project.
Signature: J Date: / �, a7
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: HONE: 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:
❑ New ❑ Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System
❑ Repair 0 Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ 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 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.
. t'
Square Footage Current Proposed .for;Office Use Only, . AmoUnt Revision,= ,
Main Floor Heated EH Bld App Review:
2"0 Floor Heated Consistency Review: --5- —
Other Heated Base fee: '�7 I 05
Mezzanine Additional Section: x—_--.
Heated Basement Plan Check fee: —]
I I �S
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL D n
Decks 911/Rd Approach fee: _____---
Other TOTAL: $Lifc0
Receipt Number: 105225
Cash/Check Number: '
ESTIMATED COST(REQUIRED) Date:
.Fair marked value of all labor and materials foundation to finish �-
/0) �e>a Initials: �1
. c_. _
D
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc