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HomeMy WebLinkAboutBLD2012-00382 MLA12-00259 ItUILDING PERMIT APPLICATIN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00382 Received Date: 11/26/2012 SITE ADDRESS: 110 GROVES WAY PORT LUDLOW, 98365 OWNER: QUINTEN SHAY PHONE: 206-455-9650 11031 RENTON ISSAQUAH RD ISSAQUAH WA 98027-8696 THORNDYKE BAY SHORT PLAT#3 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 721194012 Section: 19 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: CATHERINE BAILEY PHONE: 360-775-5444 90 BISHOP RD PORT ANGELES WA 98363 PROJECT DESCRIPTIOr NEW ADU W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 1,250 VALUATION 170,005.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 1,250 CONST TYPE: SETBACK: DECK: 1,500 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Pro : Total: 2 otal: 2 4-_ Routing Da : Type Amou aid Bv: Date: Receipt: Approved/Date Permit $1,391.35 LYK 11/26/12 139775 APPROVED Plan Check $904.38 LYK 11/26/12 139775 State Building Code $4.50 LYK 11/26/12 139775 FEB '7 2013 Potable Water Application $64.00 LYK 11/26/12 139775 Jefferson County DCD Total: $2,364.23 \\+irlomor4\rh4.\fnrn,MR RI r Ann PIA m} 11/97/'X119 • • e: r �() DEPARTMENT OF COMMUNITY DEVELOPMENT 4 —1 621 Sheridan Street,Port Townsend,WA 98368 44 -< Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopmen t ' -cis E-mail:dcdaco.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD12-00382 APPLICANT: QUINTEN SHAY PHONE: 206-455-9650 11031 RENTON ISSAQUAH RD ISSAQUAH WA 98027-8696 SITE ADDRESS: 110 GROVES WAY Issue Date: 02/7/2013 PORT LUDLOW, 98365 Final Date: 12/16/2014 SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 721194012 Section: 19 Township: 27 N Range: 1E PROJECT DESCRIPTION: NEW ADU W/ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes 3 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/16/2014 Srmiik°N C. • • JEFFERSON COUNTY 'kilo i?? DEPARTMENT OF COMMUNITY DEVELOPMENT '� 621 Sheridan Street • Port Townsend •Washington 98368 ,,,.4. .,06' 360/379-4450 • 360/379-4451 Fax �S, NSp www.co.jefferson.wa.us/commdevelopment n. Master Permit Application MLA: , � Project Description(include separate sheets as necessary): ANA RPSi_cQAre-- Tax Parcel Number: /a II 91100— Property Size: (acres/square feet) Site Address and/or Directions to Property: -------- -- r Property Owner(s)of Record. Ger i i^-4-63,-, ( L u.. Telephone:JO _ ` 970.50 _Fax: i ,�,s 6 20,9/ j e il:�;e-L:n r••, Mailing Address: '1 G roves (tic i --� 9 .Va — Applicant/Agent(if different from owner): C+wkAvac t ; + ______.1 Telephone: 1(a0— 7 75-- .SW Ll y Fax: r FERAN COUNTY emai: ', • '. 1• o.au, / ' - dJgrori;"� LOPMENT Mailing Address: "O A i S I op ,� i e)r-E _, ,.ii�i�.r rr......— What kind of Permit?(Check each box that applies ❑Lot or Road Segregation puilding ❑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 Cl** ❑ Manufactured Home .❑ Modular • - . - ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial' ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ' ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑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 ❑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: ,, '0 ESIGNATION OF AGENT I hereby designate elolitgellijr 7 AILIPM to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � __ Date: 23 S ear 201 2 By signing this appf. 1 orm,th; grnerlagent;,+ hat the information provided herein,and in any attachments,is true and correct to the best of his,her or its know edge. 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 -•ainst Jefferson ounty as a result of or in consequence of the granting of this permit. I further agree to provide acce > -nd rig of entry to J;i'rson County and its employees,representatives or agents for the sole purpose of application review and any required - - inspecti. s. Staffs -. - ,,nd right of entry will be assumed unless the applicant informs the County in writing at the time of the applicai. • he or st- wants pri. • ? +^� Signature: _ Date: 2/ SG• 1 '2's IL The action o -ctio•_ •pplicant rtake a9,-,---sult of the issuance of this permit may negatively impact upon one or more threatened or endangered •ecies and coul•4--. to a poten lel"take"of an - dangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA." -fferson County ma,- no assurances to the applicant that the actions that will be undertaken because this permit has been issued will n. .iolate e ESA. Any'•'idual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you ar- complian - with the J- - on County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera• - r onsibility •r adherir . d complying with the ESA. The Applicant has read this c err signs and andjate�itbelow. Signature: _ / Date: J _o} + • IP .-- BUILDER STATEMENT • The signer of this st et Int does) reby ce • hat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assn tfie res.•dssibility• e General Contractor for the proposed project. c,��` Signature: �� Date: 21 5 E 1 `2,6 1 GENERAL ONTRACTOR OR MANUFACTURED HOME INSTALLERA A PFIONE: FAX: / ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Ty�p?5of Sewage Disposal: )3.. New pi,Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: 1.. Bank Community System ❑ Alteration/Remodel ❑ Concrete Total: 1 Height: 'individual System ❑ Repair ❑ Masonry SEP Permit# Bedrooms: Water Supply: L Demolition ❑ Other: Pp Y: Existing:,•--- - 0 Setback: Private well ❑ Two Party -,Type of Heat: Proposed: Z ❑ Public t0 Total: D- 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 Pro•ane Tank and/or A••liance Installation •ermit mark all items below that a••I : I Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert 1 Hot Water TTanlL I Pellet Stove I Other' Is this appliance being installed in a Manufactured/Mobile Home? Yes / o 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 F" Office Us? -Q,1tl;lr Amount . Revision Main Floor Heated " *-- ''' ' ' EH Bld App Review: Floor Heated Consistency Review: Other Heated — Base fee: . Mezzanine Additional Section: --.----•_- Heated Basement ,- Plan Check fee: CIO Unheated Basemen State Surcharge fee: Other Unheated Pot Water Review fee: i .%- Garage/Carport �� SUBTOTAL 1 Decks -, 911/Rd Approach fee: i OO X1 (0 —{ Other TOTAL: 97c 1 23 Receipt Number: t�I l3q 7 17 Cash/Check Number: �0 f 6 ESTIMATED COST(REQUIRED) (� Date: - • air ma a va ue o a a•or an.materia o Lod o n a nr /lac"-' "" _ Initials: z • /' .:.ko • --------______---" _ ANK•• 1 .r_- C-,(1) N MI 300 1 0 ..,-- N88°42'32"W 405.8.' --..NIMICIMIIVPIWIIV, ■ X X-%•4•90:101IIIMICIMIRIMIMPTVOINIMICIII.WIlIN, AMP // el i (.. . , . ._ L -,::,; 5.;;::.7,::.i::,:•:-:- -t-:,.;.;..E:7 ::::,:. ex.2 bedroom E.,4f1.:::::',.:T:41,4t::tryzinpll■ .--..:r...,..-- , i - eLnittIattRinP ...t:.:r 3io / f 6,(\s home I 4 ;/ 1 / • drainfleld area • .,4. t rn $ , -- R50 ■ ,., refer to permit ' \ ex. well -R100 SEP90-00566 A 0 0 0 41 X ' / ".?"''' i 4 -, ,I4-.. r1,20- .basearea7-------/---L-- -- :. -:,y) . / ;:-....r.. -.L.....V..,;,. ,..1.4,,4;;;;;; ;:-?;z:-:::,'.'' -•:':,.-:!:.:. "::::."'"1V'',-''':7. ",; ;;:•,:' ...2 30 Easement -'41300( , • • • . • f\) 4 ' /, APPROVED i' 4., o• PLAN SITE . , • ., ,,,:,. FEB — 6 2013 , ,.. . ' 53' 4 6. JEF,:4:',..• CO * 44.0e , DEpt oF r., ,v .. !.... ,! ' 1:4 .4; li #, , SIGNAFU 41ri , i TV r - - - -,-. A. / / /V, ; 1 .e-:) °' A cn 00, P - . , 4 ., 7-' --- : -e fog , . -,, I---) OfElIVE(l) , . £' , ° tli ,.:.!: OS ■ "1' ' 1 ;1 I JAN 31 2013 i ' I\ JEFFERSON COUNTY $' 'sx.,:s.;;;„ - , R DEPT.OF COMMUNITY DEVELOPMENT \ ---, . •1 V ,IP4 4 •-tit:*4 -..m■ \4 4 #• i . 7-------- ,-b 1i ' 114 .4 7211c14012 4 4. % \ ex.break $ . 6•0 to shoreline 1 : located @ X $ Gl...l...k.r14C.k.N3- o •. PK- 1 k 0 GI rtrYCS ifLi/".'Lk - --I•o• 1001* • --Vp PA—LUC)\OLO Lik3/1<. ef Sa-6 him MINI Oic-`-!J3 .-1111111nr $/1"---- . t -- . 1 $ /7/7//nH1 y' / ,/ / / \:\\\*\\\\\ a b co I [-..-_-). Zr ll--1 O O p V 0 La-0 O 0 O 0 1 '.. 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IT, DRYWELL -•-• O• n ADU RESIDENCE "����`((((��,'�� CIVIL ENGINEERING CARMEN SHAY p z DETAILS 170 GROVES WAWA80J06 on 6l nav na.n" �� 9. '`I P Lot J;ENO.BY TAX 0:ThORNDtI�SP p Ph 1310)1754444 ,jy `r/•' N R•.w SS•yisNr PARCEL/721 194 012;814,1275;R1E • crb.engineerIng. yahoo.com • �. Jefferson County Building Buildin tision Permit Number: BLD12-00382 Applicant: SHAY 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 '03 3 Erosion Control / Foundation Footing 3 0; Footing Drains 3I(41 0 Foundation Stem Wall t9 13 Underground Plumbing 3_1313 ro Under Floor Framing _' f'6 Straps(hold downs) 0/13 65 Ext.Shear Wall Nailing 4 _t 3 Rough-in Plumbing �L . Framing a/ � Airseal � i �; of ii Insulation:Walls 3 fl 1.1/ Insulation:Floors Insulation:Ceiling ,1/41/ Int.Shear Wall Nailing AY-A■ Wallboard Nailing 411 `tc .c G � Ail,- qc,y Gas Line: Interior A�� Gas Line: Exterior Propane Tank A Heat/Chimney Clearance Heat/Chimney Clearance IV A 37 +pLICNreA Wood/Pellet Stove 2/41/ Mechanical Systems h,//V A Duct Test Cert Blower Airtight Test /AI jig Smoke&CO2 11 1 Drywell/Alt Drainage 3 1 f l /3 ¢ Engineered plan-see condition 2 Address Posted i ! (� Water Meter Inspection �!. II 0 0 &card I :21---- tor S FINAL INSPECTION III 10 let FINAL INSP CTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD12-00382 1.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT DATED APRIL 3, 2012 STATING THAT THE STRUCTURE AND/OR FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 2.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMITAWRITTEN LETTER FROM CATHERINE R. BAILEY, PE STATING THAT THE STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE STORMWATER PLAN DATED MARCH 5, 2012 AS SIGNED BY CATHERINE R. BAILEY, PE. 3.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In-Stream Flow Rule for that region. The parcel is located within the Squamish sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 4.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 5.) The proposal shall comply with all of the recommendations in geotechnical report. 6.) 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. 7.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 8.) MANDATORY MEASURES F4OASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 9.) 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. As stated in the geotechnical report: For safety of the proposed structures, a minimum prudent building setback of 100 feet from top of the slope is recommended for all building structures. Setback recommendation is equivalent to a vertical height of bluff as measured at the maximum distance to uppermost bench level along bluff, and consistent with standard practice and county requirements. Additional setback is recommended if feasible, in recognition of potential loss of value to the developed property where shoreline landslides have encroached on development in other regional shoreline areas. 10.) 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. 11.) 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." 12.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 13.) 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. 14.) 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. 15.) 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. 16.) An engineered stormwater plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the engineer of record to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the engineer verifies plan compliance and submits a letter to Jefferson County Department of Community Development. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) 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. 19.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 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.) 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. 22.) Setback from Groves Way and Thorndyke Road rights-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 23.) The building height is not to exceed 35 feet. 24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 25.) To obtain an accessory dwelling unit(ADU)designation, the owner of the subject property shall reside on the premises, either in the main or accessory dwelling. \Uirlemark\data\fnrmc\F RI 11 Permit Rhin rnt 7/7/7013