HomeMy WebLinkAboutBLD2007-00526 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
11/
UILDING PERMIT APPLICATION MRAO-005562
iew Type:Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00526
291 TIMBERLINE RD Received Date: 9/28/2007
SITE ADDRESS:
PORT TOWNSEND, 98368
OWNER: KENNETH LINCOLN PHONE: 360-683-6216
LINDA RISTICK
PO BOX 1631
PORT TOWNSEND WA 983680120
SUBDIVISION: Block: Lot: TX9+
PARCEL NUMBER: 001204009 Section: 20 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011MG Expires 7/8/2008
REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360)683-6216
PO BOX 3831
SEQUIM WA 98382
PROJECT DESCRIPTIOr NEW SFR (POLE BLD)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,314
VALUATION 160,555.00 ADD'L: 462 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 56 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: ID/I /O
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,335.35 CJZ 09/28/07 93242
Plan Check $867.98 CJZ 09/28/07 93242 APPROVED
State Building Code $4.50 CJZ 09/28/07 93242
Potable Water Application $58.00 CJZ 09/28/07 93242 NOV Cj 2007
Total: $2,265.83 Jefferson County Planning
&Building Department
Jefferson County Building Division Permit Num er: BLD07-00526
Applicant: LINCOLN
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 I(\t
Erosion Control
Foundation Footing :2-1 t �' ' 'ccr4la. Pc(
horszost, Pabc FrGs h 14-
Footing Drains
Foundation Stem Wall
Underground Plumbing
Under Floor Framing ,Z/2-7/o D,_
Straps(hold downs)
Ext. Shear Wall Nailing 3/i g oGa)/
Rough-in Plumbing ��17��'� � `- Ai3S Coy
Framing ,,._/1 5��..`�;?.1 ;7((-
Blocking
Airseal
Insulation: Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00526
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on October 1, 2007 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
SUSC aquifer recharge area.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) 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.
5.) The applicant is proposing to create or add 1866 square feet of impervious surface and
2176 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your
proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution
Prevention) of the Department of Ecology 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.) 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.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
8.) The site plan as submitted with the building permit application on September 28, 2007 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 November 9, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
9.) This approval is for a single family residence only. Any future permits on this site are
subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
10.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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 autormobile 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 requriements 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.
13.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
14.) The building height is not to exce35 feet. •
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) 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.
17.) 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.
18.) Minimum setback from Timberline Road right-of-way and private ingress/egress
easement rights-of-ways shall be 20 feet. Minimum side and rear yard setbacks shall be
5 feet.
19.) An address of 291 Timberline Road, Port Townsend has been assigned to the parcel.
Timberline Road is private (P241).
20.) Potable water is supplied by individual on-site well. A well review(USR02-0075)was
finaled on October 24, 2007.
21.) A building permit(BLD90-0609) for a mobile home was finaled on July 29, 1997. A septic
permit (SEP07-0009)was approved on May 8, 2007. A well review(USR02-0075)was
finaled on October 24, 2007.
/ ON c't\ JEFFER•COUNTY 1111
44.
y } DEPARTMENT OF COMMUNITY DEVELOPMENT
`'< 621 Sheridan Street• Port Townsend•Washington 98368
\ 360/379-4450 • 360/379-4451 Fax
www 4 � "'` p .co.jefferson.wa.us/commdevelopment
SEP 2 8 2007
Master Permit Application MLA: D l�7"5i02.
Proir^*Description(include separate sheets as necessary):
Tax Parcel Property C
Number: Q�� (1 061 Size: q> $( ores/square feet)
Site Address and/or Directions to Property:
,26 1 I IOil I et � , , act
Property Owner(s)of Record:
Telephone: Fax: email:
Mailing Address: iJ•h, fr,4 I(t31
Applicant/Agent(if different from owner): )iA \/, v r\(t 7 U'.1".5
Telephone: (C` r • Fax: (tJ ' 3—(POO[ email
Mailing Address: ) K.v. )s-j , (, - D —
What kind of Permit?(Check each box that applies
❑Building El Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit El Conditional Use[C(a).C(d).or C]**
Ingle Family ❑ Garage Attached/Detached CI Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular CI Special Use(Essential Public Facilities)**
❑ Commercial* CI Boundary Line Adjustment
❑ Change of Use El Short Plat**
❑ Address 0 Road Approach CI Binding Site Plan**
0 Home Business 0 Cottagelndustry El Long Plat**
❑Propane El Planned Rural Residential Development(PRRD)/Amendments**
0 Sign El Plat Vacation/Alteration**
❑Allowed`Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management El Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management Variance
❑Temporary Use El Comprehensive Plan/UDCILand Use District Map Amendment
❑Wireless Telecommunication* El Jefferson County Shoreline Master Program Amendment
0 Forest Practices Act/Release of Six-Year Moratorium El Tree Vegetaion Request
*May require a Pre—Application Conference **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 u' CI("7 `c'44g' -' to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE f" j�� � Zf /,�'
-% Date: F./ 7/0 7
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 it's 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.
1 further agree to provide access and right of entry to Jefferson County and it>employees,representatives or agents for the sole purpose of application
review and any required inspe ions. Staff&access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that o wants prior nob e.
Signature: Date: ) 3t G'
The action or actions Applicant viral 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.re ' •• *-adlwring,to_and complying with the ESA. The Applicant has read this disclain r and signs and dates it below.
Signature: s Date: ?J 0
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.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 assu.,' e re opsib4ityof th General Contractor for the proposed project. J�
Signature: "w°'�:::;:;:_-.�� Date: C� •�0
GENERALCONTRACTOR MANUF TUREDHOME INSTALLER: PHONE: FAX:
02 G' FAA/X:
` l
, {�
MAILINGADDRESS: Z t 4v lr\ Yyi t ( t, EMAIL: CJ//� Id I
i/: i A. bar.,X"u':S
CONTRACTOR'S LICENSE \ WAINS
NUMBER: 1 LAG 01 I 1 ti\( NUMBER
ARCHITECT/ENGINEER: (,;� PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
• New ..Wood Existing: J Sewer
J Addition U Steel Proposed: .2 Bank i Community System
J Alteration/Remodel U Concrete Total: 2 Height: sjndividual System
J Repair U Masonry SEP Permit# (*)-1-0C\
J Demolition U Other: Bedrooms: Water Supply:
Existing: Setback: Private well J Two Party
Type of Heat Proposed: 2. U Public
�.!4') Total: — Name of System:
r.ce - -
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: VIM you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
CI Underground Tank °Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured I Mobile Home? Yes I 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�U a Only Amount Revision
Main Floor Heated ) i " H Bid App Review: (g
takiki& \I.1 1
2°Floor Heated /,Z/ /j /rc,do Consistency Review:
Other Heated Base fee: 3
1 i , :35
Mezzanine Additional Section:
Heated Basement Plan Check fee:
etc142.
Unheated Basement State Surcharge fee: •cjC)
Other Unheated Pot Water Review fee: C1 3
Garage/Carport I SUBTOTAL C., g
Decks ;` d)911/Rd Approach fee:
Other TOTAL: $
1 ID7)�Receipt Number: 3 a.e:\a
�_ Cash/Check Number:
IOS1
ESTIMATED COST(REQUIRED) Date: a ' ��
.Fair arket value of all labor and materials foundation to finish
O // Initials:
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