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HomeMy WebLinkAboutBLD2014-00091 11143UILDING PERMIT APPLICA!ON BLD14-00091 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00091 Received Date: 3/14/2014 SITE ADDRESS: 51 HARMS LN PORT LUDLOW, 98365 OWNER: MICHAEL N NILSSEN PHONE: 916-849-8929 MARY J NILSSEN 46 VILLAGE WAY PMB 117 PORT LUDLOW WA 98365 PORT LUDLOW NO 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603199 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW ATTACHED FRONT DECK TYPE OF WORK RES s)* SQUARE FOOTAGE: TYPE OF IMP DEK ice' MAIN: VALUATION 81,000.00'gIw ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 521 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $146.00 MEB 03/10/14 148432 , Plan Check $94.90 MEB 03/10/14 148432 . ` State Building Code $4.50 MEB 03/10/14 148432 Total: $245.40 MAY 14 2014 Jefferson County Dc.. \\fir4cmor4\r4ofo\fnrmc\F RI fl Ann PH rn+ 'VIA/)h9A ,soN „,Oo� JPOERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ��SHr NG�os 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(a co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): (qqO ;6 3 i✓` 60 Tax Parcel Number. l .3 /0(j Property Size: r acres square feet) Site Address and/or Directions to Property: 5 , 1.4 et_,r wt s ,L r1 Pe i—t 1L C Gaa ct) It r 1 -/ � Property Owner( )of Record: 11q 1 t C�11 �.. aoAd iktaLi 131. ` 5 -r"- i Telephone: i $ i/ Fax: email: l G'' I w ' i CCrGt1 Mailing Address: to a oat, f'v l i v-7 Po ` - j.t d l2 tL O 4 . �► Applicant/Agent(if different frowner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation :Mudding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Econou' _ ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C a • - ❑ Manufactured Home ❑ Modular ❑Discretionary"D" *r . . �•r+.e- `or_ ❑ Commercial ❑Special Use(Esse i: ❑ Change of Use ❑Boundary Line Adj :nt ❑ Address ❑Road Approach ❑Short Plat** 1 MAC 0 2U 14 ❑Home Business ❑Cottage Industry ❑Binding Site Plan \\ ❑Propane ❑Long Plat** � ❑Sign ❑Planned Rural Resi • ti:. Development4f R ndmen s** ❑Allowed*Yes"Use Consistency Analysis ❑Plat Vacation/Altera ion**[ GN COON ❑Stomiwater Management El Shoreline Master Pr •ra �nr�_AFT ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Managem•• _.i. : a evelopment** ❑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: p L DE IGNATION OF AGENT I hereby designate To L r, I CAL , S` &14--1-e- to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 41 > / / 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application e or s ants prior notice. Signature: /mac« Date: 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-transferable res nsibili adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: • `,� %y 07/24/2013 • BUILDER STATEMENT • The signer of this statementdoes - eby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu ,ing the - pon-bility th neral Contractor for the proposed project. ?-/a / Signature: 1. .,. f Date: GENERAL CONTRACTOR OR •NUFACTURED HOME IN ALLER: PHONE: FAX: ►"4 L_Lti l&i.{.) /� �-)ei' S _ ) �!✓7 C./ g/(e)%97,,- in ING ADDRESS: Q -1 G�S /44�.6 ,EMAIL: ,---e1,520.. . GU ek-e ,�(,C'+ 1/v.�'',�-t 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 ❑ Steel Proposed: Bank ❑ Community System Li Alteration/Remodel ❑ Concrete Total: Height: I I Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Su• • . Existing: Setback: �te� • Party Type of Heat: Proposed: �.h,��1-!� Total: --- J�j 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 ___-��1 IBC Occupancy: IBC Type of construction: Will you have F,bod$ervjc tlFe, ,, P�E�, If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: S�, , gUN,�uF- Underground Tank Above ground tank Size of Propane Tank: i Heat Stove Cook Stove Woodstove Fireplace insert rehtO 1 evotStelleP I knaT retaW toH i 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2nd Floor Heated Consistency Review: 2 2: Other Heated Base fee: ` (4 ` Mezzanine Additional Section: Heated Basement Plan Check fee: iav,�-q •c1 Unheated Basement State Surcharge fee: v1 ^(t cr Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Llq 2 v ` W • Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: ft/4 1 Z Cash/Check Number: go ` rq ESTIMATED COST(REQUIRED) Date: lLf .Fair m et value of all labor and materials foundation to finish 100 Initials: rY'� t 07/24/2013 Standard Conditions for Resident�'aTDevelopment in Jefferson County I 1. LIGHTING: 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. 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. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: 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. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: 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. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07 SFR StdConditions 3/7/2013 1 Fisheries Service can levy per ies. Portions of Jefferson County, incluai g marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06_SFR_StdCondltions 9/6/2013 2 `kw4SON co 1, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT � 9Sf Date: Time Received: Cr Qpm Mon. Tue. Wed. Thur. Date: S BLD: /V- 9( Contact Name: Owner: c-7 /.., 1,tOA7' Contact Number: 360 30/ 3/7? Address: ( 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection x Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling d JEFFERSON COUNTY ; DEPARTMENT OF COMMUNITY DEVELOPMENT -.if!ti GEC /Aj^, Date: 7 Time Received: C! ameD Mon. 411, Wed. Thur. Fri. Date: 7/7 BLD: I LI- 9 I Contact Name: Owner: Contact Number: 360 33/ 3/ 79 Address: 5 ) 4A-1,u 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing )( Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling sON c t °a JEFFERSON COUNTY 9 SHI N01"° DEPARTMENT OF COMMUNITY DEVELOPMENT Date: r7 Z- Time Received: Z ¢5 a pm Mon. Tue.7/3 Wed. Thu . Fri. Date: BLD: 14 1 i Contact Name: Owner: aBL.5&O Contact Number: 360 3 i- 3179 Address: 5/ /1i4rzt5 1-4 206 Notes: eitieW ' ' i'Af ! 4i. 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Z D � r D K o� o D -o Fri C7J �7 .-. G 0 . Dz z D -� - � ° Cn �" O r^ '� I�l z D D -I rn co z m v 1 COD p 77 0 ! D co C� n —{ C7 rn(n C - 0 D -1 ri1 co z 7 u) C - �� 0 rn m o o C)1 " ' �'' z 77 ° 0 N N -I C z CO � NC� CJ� N P � C"iNC� O O O C.. ' r J � � NCO co N �"1 0J Z • N o ...� J � � CA � co0 • D 0 la o _ =*gin -i, --�, -,, ° �, Cp (T, --o CA 0 co C,/1 , ,:i_ n -Z il liiiiiiiiiiii • • Jefferson County Building Division Permit Number: BLD14-00091 Applicant: NILSSEN BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 //g/f C (/ Foundation Footing i3//7 7 1 fQ Framing / v A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION _ _l —!' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD14-00091 1.) 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. 2.) The site plan as submitted with the building permit application on March 10, 2014 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 May 12, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Developm 3.) This approval is for a deck 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. 4.) This parcel is within a no shooting area per JCC 8.50. 5.) Planner CZ \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 5/14/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00091 Received Date: 3/14/2014 SITE ADDRESS: 51 HARMS LN Issue Date 5/14/2014 PORT LUDLOW, 98365 Expiration Date 5/14/2015 OWNER: MICHAEL N NILSSEN PHONE: 916-849-8929 MARY J NILSSEN 46 VILLAGE WAY PMB 117 PORT LUDLOW WA 98365 PORT LUDLOW NO 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603199 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2016 PROJECT DESCRIPTION: NEW ATTACHED FRONT DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 8,100.00 ADD'L: HEAT TYPE CODE EDITION. 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER. SHORELINE: GARAGE: CONST TYPE: SETBACK: DECK: 521 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $146.00 MEB 03/10/14 148432 Exist: Exist: Plan Check $94.90 MEB 03/10/14 148432 Prop: Prop: State Building Code $4.50 MEB 03/10/14 148432 Total. Total. Total: $245.40 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