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HomeMy WebLinkAboutBLD2012-00088 0 MLA12-00055 BUILDING PERMIT APPLICATS1 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00088 Received Date: 3/19/2012 SITE ADDRESS: 'Z OSPREY LN bru'1non c.)3A q.a32_0 OWNER: WILLIAM A SNYDER PHONE: 206-290-3940 15960 SANDY HOOK RD NE POULSBO WA 98370-7819 PULALI POINT PARTNERS LARGE LO SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 601195008 Section: 19 Township: 26 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,242 VALUATION 350,000.00 ADD'L: 608 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 217 CONST TYPE: 5N SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: 532 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 06085 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: Routing Date: 't• - 1 Type Amount Paid By: Date: Receipt: PV�L�1 DV Permit $2,393.75 LYK 03/19/12 131554 LLB.. Plan Check $1,555.94 LYK 03/19/12 131554 APR +n1 State Building Code $4.50 LYK 03/19/12 131554 l`i Potable Water Application $64.00 LYK 03/19/12 131554 Jefferson County Planning Total: $4,018.19 & Building Department a : t ( , DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 '` Tel:360.379.4450 I Fax:360.379.4451 Web:www.co..efferson.wa.us communi develo.ment ' ti E-mail:dcdnco iefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD12-00088 PHONE: 206-290-3940 APPLICANT: WILLIAM A SNYDER 15960 SANDY HOOK RD NE POULSBO WA 98370-7819 Issue Date: 04/19/2012 SITE ADDRESS: 312 OSPREY LN Final Date: BRINNON, 98320 Block: Lot: 8 SUBDIVISION: PARCEL NUMBER: 601195008 Section: 19 Township: 26 N Range: 1W PROJECT DESCRIPTION: NSFR in conjunction with a shoreline exemption permit(SDP12-00015) 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/6/2015 \\tidemark\data\forms\F_BLD_Occupancy.rpt i ��-0ON cod JEFFERSON�OUNTY S h ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 ) 360/379-4450 • 360/379-4451 Fax .gsN��p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 12"5'3 Project Description(include separate sheets as necessary): Tax Parcel Number: 6,O t 1 R 5 00 8 Property Size: _ �r] igh square feet) Site Address ana Directions to Property: s ( , 15I�c..Yli )Ofl LOA q .0 Property Owner(s)of Record: \AA l i►aw. Stnt.s eir Telephone: )-O 6-')...9'o-39 40 Fax: email: _ • -v►4 v"a . : l Mailing Address: 1 S9 bo So4A Dote`o. N c Po.s\Sbo W Cc ca370 Applicant/Agent(if different from owner: Telephone: Fax: email: Mailing Address: W at kind of Permit?(Check each box that applies i ❑Lot or Road Segregation uiIding ❑ Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) pc-Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a), C • • ** ❑ Manufactured Home -❑ Modular - ❑ Discretionary"D"or Un : . .d srlIMr a�c /7 ❑ Commercial* F4, V ❑Special Use(Essential ' fll I ❑ Change of Use ❑ Boundary Line Adjust ❑ Address ❑ Road Approach_ ❑Short Plat** ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** in r'" ' '; ❑Propane ❑Long Plat** f I ❑Sign .. ❑ Planned Rural Residen i a t= elopment(PRRD)/Amend-- s * ' ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteratio ** JEFFERSON COUNTY ❑Stormwater Management ❑ Shoreline Master Prog :m Evp-F9OctrAwrAfe.wi§iproNtik ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management u• a 1- 'eve opmen ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 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-identifyany other local;state-owfederal-permits-requirediorth'i sroTtoszl;fi 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 ate ' tions. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica' n t at e wa prior notice. e. 'Signature: Date: 3 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 nd non-transfers re o o ad ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ignature: Date: G:\Pen t Center\###FORMA###\Mtnpnu7,,rc\r ..nnr 1.-___'A.____ ,-. - _.. -- . C 4 III BUILDER STATEMENT The signer of this statemen ••- hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass in th-/,�j, sibility of the General Contractor for the proposed project. / ignature: ,t // Date: — . //e7 / 2 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 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: It New IIII Wood Existing: 93 0 Sewer O Addition 0 Steel Proposed: 0 Bank , 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 5 _ Height: X Individual System O Repair 0 Masonry SEP Permit# Bedrooms: - Water Supply: • Demolition ❑ Other: Existing: Setback: 0 Private well ❑ Two Party Ty of eat: Proposed: $l Public Total: Name of System: LUG If this is a Commercial Project ou must answer the followin•: 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•'Hance Installation •ermit mark all items below that a••I : 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 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, including the reserve area. Square Footage Current Proposed . For U_se`�r1ly_ Amount Revisit Main Floor Heated H Bld App Review: L- 1 Wit' 12%t©gt3=t 2M Floor Heated - eated y Review: 222 r &Offil "Oth rHe t d byx+rAP 318 Mezzanine ., Additional-Sestior*— '5L ease_ Z 3c)13 .-7 Heated Basement Plan Check fee: 1555:CO Unheated Basement State Surcharge fee: Other Unhe°+-1 1314 Pot Water Review fee: _ ' . 1'0-(01.49/C..4410i) Aii a, . RD Garage/Carppo SUBTOTAL 1 IQ J Decks S 32JI i(1 SL:4:ALI ', Approach fee: 222- Other TOTAL: $500(5. )q Receipt Number: 3 1 eSi-- Cash/Check Number: ESTIMATED COS ; 0 ran Date: �� .Fair ma : ,•ue of all labor and materia s foundation to finish O 000 Initials: -,., . ,u.u.ur-nn.rcuuu%nn n nr ,n x rc\r. non a.._..\a r n......:..s.....:.....:....c•o no.A,... 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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 a n Setbacks i‘-(?-12- l' mimum setbck from shoreline top of bank(as depicted on the site t plan)is 71 feet. Minimum east and west property line setbacks shall be 5 feet. Minimum setback from Osprey Lane right-of-way shall be 5 feet. Erosion Control SEE CONDITION 2&3 Foundation Footing a 1,4 Z /Z lFooting Drains . l Foundation Stem Wall ' )4 1 Zi fel; Underground Plumbing p/�,� �K Under Floor Framing tud/ 'mil Straps(hold downs) Q — `2 Ext.Shear Wall Nailing L" ..j Fys Rough-in Plumbing 1 1-, -t/--_ 0 4k Shower Pan RS// 3 � Framing t(s-e_ (Z fr Airseal (/ /I''-h 7 Insulation:Walls • e�- (o'l 7__ I �/� ' j Insulation:Floors 1412- C Insulation:Ceiling i t- ,1 t_. 4 Int.Shear Wall Nailing l 1-2.19 - tL Wallboard Nailing VI// Z F J Gas ' G . c error P ank Heat/Chimney Clearance -Vl0`rs-- pry Duct Test Cert tki , Blower Airtight Test :2_1(4/S— 1(65 ' - i D �I�p� c' ft>, Smoke&CO2 ' V '//c j Dryw nage SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted Ws-- fIn4= , ckL(914)-(/U x a-iU me. 0 • 25.7 FINAL INSPECTION b//c 111/gZS FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR . . CONDITIONS for Building Permit# :BLD12-00088 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE SHORELINE TOP OF BANK AS CLOSE AS PRACTICABLE TO THE CONSTRUCTION SITE PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT ENTER THE DABOB BAY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) 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. • S 4.) The total vegetative clearing area shall not exceed 6,000 square feet, excluding driveways & utilities. 5.) The area encompassed by the plat of Pulali Point may contain Native American archaeological resources. In the event that archaeological resources are encountered on the site in the course of development activities, the relevant lot owners and contractors shall immediately cease work and notify the Jefferson County Department of Community Development, the Department of Archaeology and Historic Preservation (DAHP), and the Skokomish Tribe. Work shall not be started again until the site has been examined by a professional archaeologist and appropriate measures are taken to avoid impacts to archaeological resources. 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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 9.) MANDATORY MEASURES FOR COASTAL 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. 10.) The property owner shall comply with Water Conservation Measures(per list maintained by the UDC Administrator). 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 vehill/shall be stored on any lot unless totally silned 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 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 setbck from shoreline top of bank(as depicted on the site plan) is 74 feet. Minimum east and west property line setbacks shall be 5 feet. Minimum setback from Osprey Lane right-of-way shall be 5 feet. 19.) 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.