HomeMy WebLinkAboutBLD2013-00014 ° MLA13-00010
BUILDING PERMIT APPLIC ION
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00014 Received Date: 1/15/2013 1
SITE ADDRESS: 140 BEACH DR
NORDLAND, 98358 1•
OWNER: JO ANN JACKSON PHONE: 206-412-6173
2354 MINOR AVE E APT C
SEATTLE WA 98102-3605
FULLER'S ACRES
SUBDIVISION: Block: Lot: 3+
PARCEL NUMBER: 952200003 Section: 8 Township: 29 N Range: 01 E
CONTRACTOR: CAMPBELL CONSTRUCTION LLC PHONE: 385-1655
120 CURTISS ST
PORT HADLOCK WA 98339
Contractor's License CAMPBCL960JN Expires 8/29/2013
REPRESENTATIVE: CAMPBELL CONSTRUCTION LLC PHONE: 360-385-1655
120 CURTIS ST
PORT HADLOCK WA 98339
PROJECT DESCRIPTION NSFR W/A/G 75 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,584
VALUATION 214,000.00 ADD'L: HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 408 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 -:: 2
Total: 2 Total: 2
Routing ■- -:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,632.15 LYK 01/15/13 139904 APPROVED
Plan Check $1,060.90 LYK 01/15/13 139904
State Building Code $4.50 LYK 01/15/13 139904 MAR 13 2013
Potable Water Application $66.00 LYK 01/15/13 139904
Total: $2,763.55 Jefferson County DCD
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w `ON c;e DEPARTMENT OF COMMUNITY DEVELOPMENT
„, 621 Sheridan Street,Port Townsend,WA 98368
-G Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
: L, t E-mail:dcd @co.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD13-00014
APPLICANT: JO ANN JACKSON PHONE: 206-412-6173
2354 MINOR AVE E APT C
SEATTLE WA 98102-3605
SITE ADDRESS: 140 BEACH DR Issue Date: 03/13/2013
NORDLAND, 98358 Final Date: 10/15/2014
SUBDIVISION: 9522 Block: Lot: 3+
PARCEL NUMBER: 952200003 Section: 8 Township: 29 N Range: 1E
PROJECT DESCRIPTION: NSFR W/A/G 75 GAL PROP TANK in conjunction with a shoreline
exemption permit (SDP13-00004)
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: N
SPRINKLER SYSTEM yes (� no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/15/2014
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3-9
gteritt,..,N c . JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
4 360/379-4450 . 360/379-4451 Fax
AsztrNee www.cojefferson.wa.us/commdevelopment
Master Permit Application MLA: 5 -
Project Descriptio (include separate sheets as necessary):
CiAtrT -r new SG vt I4.. . am.d resiclo,da
Tax Parcel Number: /5 2.-Z" f3 '063 Property Size: �JO t E1-11 p quare fee
Site Address and/or Directions to Property:
/Sid .ea o� .eu� rAA 2 s v
Property Owner(s)of Record: -.TV T a cAs O:/—i - •
Telephone: 2-126• S'/Z &/73 Fax: mail son-J/ k •'
Mailing Address: 2.3 `Y /Yi GC-I.2-e Gei1447e a
Applicant/Agent(if different from owner): }/f) epA ( a�
Telephone: 36 ?v 9 /e 5$ Fax: r email:
Mailing Address: /"Ld 7L // / % 4)
What kind of Permit?(Check each box that applies
❑Building ❑Critical Areas Stewards,•• • _•
❑ Demolition Permit —// ❑Variance(Minor,Major or r��-• - - -
ingle Family I�TGarage Attached Detached, ❑Conditional Use[C(a),C(k) r Z
Manufactured Home ❑ Modular ❑Discretionary"D"or Unnagn • Use ..s
❑ Commercial* ❑Special Use(Essential?Putll(c Vacilities)**
❑ Change of Use ❑Boundary Line Adjustment ,
❑ Address ❑Road Approach ❑Short Plat** JAN 7 5 2013
❑Home Business ❑Cottage Industry ❑Binding Site Plan** l
❑Propane ❑Long Plat**
❑Sign Cl Planned Rural Residential Develo,-• y-i;+ •i -
❑StormwaterManagement Consistency Analysis ❑Shoreline Master Program Exem•i• -- l
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
O 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:
/ DESIGNATION OF AGENT
I hereby designate c.ip i G l�o� to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE AP 411111 / _ Date: / /Z
By signing this appl' : '• 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he or he nts prior notice.
Signature: Date: /421p/�12—
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-transf rable res nsibili fo herig to and complying with the ESA. The Applicant has read this discla' er signs and dates it below.
Signature: �� Date: /742.1 41 S
G:\PeanitCentet\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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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 PHONE: FAX:
I 15ii i /•—�C" 6toQ) 3 K•_1IoSS (3&O) 371—MOS
MAILING DRESS: i/ ( sf-, 72/ 0,410(4 if/. EMAL:
CONTRACTOR'S LICENSE di$ 4 WAINS
NUMBER: //h M p a.c4-- i6O
r Ni NUMBER
ARCHITECT/ENGINEER: / _v v`,�-,e_ 5I ,1 PHONE (3o) 50.i 142_FAX:( )
MAILING ADDRESS: /" EMAIL
PlpJect Type: Frapie Type: Bathrooms: Shoreline: Type of Sewage Disposal:
P' New W'Wood Existing: ❑ Sewer
❑ Addition - ❑ Steel Proposed: _ Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Hei^h• ividual System
C Repair ❑ Masonry SEPn Permit
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: Setback: ❑ P'vate well ❑ Two Party
Trype Heat; P
Proposed:Total:
xi,-
�Ji -7,� Public ?up 1
�v Name of System:
If this is a Commercial Proiect you must answer the following:
Number of Parking Spaces: Current: 0 Proposed: Z Number of ADA Parking Spaces: 0
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: R 1 IBC Type of construction: W ODP Will you have Food Service? Yes
If this is a Propane Tanlyand/or Appliance Installation permit,mark all items below that apply:
I Underground T k VAbove ground Tank Size of Propane Tank: *76
I Heat Stove VCook Stove I Woodstove it Fireplace#rafart I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /C
When applying fora 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,
includin• the reserve area.
Square Footage Current Proposed f.-1, t oiE,�e 1: :~ ',i, ,_ - , _.4k,'
Main Floor Heated (6g4- ,l EH Bid App Review: T S
TJ �' c
2"O Floor Heated € Consistency Review: 22C
Other Heated Base fee: 15
Mezzanine r% action:
Heated Basement ,l Plan Check fee:
Unheated Basement fib t- State Surcharge fee: 4
Other Unheated vk r Pot Water Review fee:
Garage/Carport = SUBTOTAL +t. 5
pp S
Decks 911/Rd Approach fee: P`f l
, Other 4 WO TOTAL: $� 4,1
U . 3 ,
i , Receipt Number. i (1C)'0(1'
4` Cash/Check Number: I
ESTIMATED COST(REQUIRED) Date: l-I !�
.Fair market value of all labor and materials foundation to finish
0 2- 14(000 Initials: '
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Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to
staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day.
day. Unless you receive a call from us,assume we will arrive on your requested inspection day.
• You may leave an inspection request 24 hours a day, and Inspections are available from
Monday through Friday.
• We cannot determine the time we will arrive in advance. However, if you call our office the
morning of your inspection,around 9:00 a.m.,we can give an estimate of when the inspector will
arrive. Our general office phone number is 360 379-4450.
An approved set of plans are to be on site with building permit for all inspections. If permit and
plans are not on site at time of inspection,a re-inspection fee must be paid prior to re-scheduling
another inspection.
If no access, no inspections will be performed,and a re-inspection fee must be paid prior to
re-scheduling another inspection.
Inspectors will not access a home that has personal affects inside when the owner is not present.
Commercial projects require 24 hour notice for inspection.
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD13-00014 Received Date: 1/15/2013
SITE ADDRESS: 140 BEACH DR Issue Date 3/13/2013
NORDLAND, 98358 Expiration Date 3/13/2014
OWNER: JO ANN JACKSON PHONE: 206-412-6173
2354 MINOR AVE E APT C
SEATTLE WA 98102-3605
FULLER'S ACRES
SUBDIVISION: Block: Lot: 3+
PARCEL NUMBER: 952200003 Section: 8 Township: 29 N Range: 01 E
CONTRACTOR: CAMPBELL CONSTRUCTION LLC PHONE: 385-1655
120 CURTISS ST
PORT HADLOCK WA 98339
Contractor's License CAMPBCL960JN Expires 8/29/2013
PROJECT DESCRIPTION: NSFR W/A/G 75 GAL PROP TANK in conjunction with a shoreline
exemption permit(SDP13-00004)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,584
VALUATION 214,000.00 ADD'L: HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: SETBACK: 85
DECK: 408 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $1,632.15 LYK 01/15/13 139904
Exist: 0 Exist: 0 Plan Check $1,060.90 LYK 01/15/13 139904
Prop: 2 Prop: 2 State Building Code $4.50 LYK 01/15/13 139904
Total: 2 Total: 2 Potable Water Application $66.00 LYK 01/15/13 139904
Total: $2,763.55
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 3pm the day before 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
Jefferson County 9 Buildin ision Permit er: BLD13-00014
Applicant: JACKSON
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next 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 \ LOCATION OF RESIDENCE PER SITE PLAN TO REMAIN AS
3 APPROVED BY EH VERIFY RESIDENCE HAS MINIMUM 21'&
53'SETBACKS ON NW PROPERTY LINE. Minimum setback from
Beach Drive right-of-way shall be 20 feet. Minimum side yard setbacks
shall be 5 feet. Minimum setback from top of bank shall be 85 feet.
Erosion Control SEE CONDITION 2
Foundation Footing 4 t/i I
Footing Drains "13
Foundation Stem Wall /1 3
Underground Plumbing
Under Floor Framing
Straps(hold downs) G623 13 jn
Ext.Shear Wall Nailing a3 . RA
Rough-in Plumbing yr-1_ i�7
Framing _I?> , Per c-o rrdc L-A.\
Blocking
Airseal ,'b--1 )s.
Insulation:Walls 609//3 ;f
Insulation: Floors 441'1 u
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Gas Line: Exterior
Propane Tank
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Mechanical Systems
Duct Test Cert
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Drywell/Alt Drainage 1I3 SEE CONDITION 1
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• •
FINAL INSPECTION &IA,,,j
FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD13-00014
1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BEAT LEAST 10 FEET FROM ANY
STRUCTURE,PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BEA MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A
DEPTH OF 5 FEET(4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BEA MINIMUM OF 4 FEET.
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 home location may not change from the revised plot plan date stamped 1/22/13. Any
changes require re-review by health as septic system is not shown accurately.
4.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
5.) The property owner shall comply with Water Conservation Measures(per list maintained
by the UDC Administrator).
6.) A Geotechnical Report dated February 10, 2001 prepared by Apollo Geophysics
Corporation was submitted in conjunction with a SPAAD application (ZON09-2). The
report addressed the stability of the geologic hazard area.
• •
7.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
8.) 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.
9.) 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."
10.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
11.) 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.
12.) 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.
13.) 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.
14.) The revsised site plan dated January 22, 2013 has been reviewed for consistency under
the UDC, and has been approved by Jefferson County Department of Community
Development. Any modifications, changes, and/or additions to the stamped, approved
site plan dated March 12, 2013 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
15.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
16.) 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.
17.) A minimum of two(2)on-site parking spaces shall be provided for the single family
residence.
18.) The road approach permit(RAP13-00014) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
• •
19.) 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.
20.) 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.
21.) Minimum setback from Beach Drive right-of-way shall be 20 feet. Minimum side yard
setbacks shall be 5 feet. Minimum setback from top of bank shall be 80 feet or for every
foot of bank height, the setback shall be the same as measured from the top of bank.
22.) The building height is not to exceed 35 feet.
23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
24.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
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