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HomeMy WebLinkAboutBLD2012-00034 WILDING PERMIT APPLICA1IN MLA12-00021 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00034 Received Date: 2/8/2012 SITE ADDRESS: 5523 SR 20 PORT TOWNSEND, 98368 OWNER: NANCY L ROWE PHONE: 360-385-3818 5523 STATE ROUTE 20 PORT TOWNSEND WA 983688745 SUBDIVISION: Block: Lot: T 32+ PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: BRUCE GLENN PHONE: 360-385-5477 1044 WATER ST STE#231 PROJECT DESCRIPTIOI NSFR W/ATTACHED BREEZEWAY TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,048 VALUATION 450,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: 2,048 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 701 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 4 Total: 1 r Totat- —4- Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,955.75 LYK 02/08/12 131431 APPROVED Plan Check $1,919.94 LYK 02/08/12 131431 State Building Code $4.50 LYK 02/08/12 131431 APR \I 2012 Potable Water Application $64.00 LYK 02/08/12 131431 Jefferson County Planning Total: $4,944.19 &Building Department � s°" c'rye. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,W..-1 98368 'I'el:360.379.4450 Fax:360.379.4451 Web:www.co.ief ferson.wa.us/communitydevelopmcnt �f� E-mail:dcd(d,;co.iefferson.wa.us `� 11 NC* CERTIFICATE OF OCCUPANCY PERMIT#: BLD12-00034 APPLICANT: NANCY L ROWE PHONE: 360-385-3818 5523 STATE ROUTE 20 PORT TOWNSEND WA 983688745 SITE ADDRESS: 5523 SR 20 Issue Date: 04/17/2012 PORT TOWNSEND, 98368 Final Date: 6/15/2015 SUBDIVISION: Block: Lot: T 32+ PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 1W PROJECT DESCRIPTION: NSFR W/ATTACHED BREEZEWAY 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 6/15/2015 1\tidemarkldatalforms\F_BLD_Occupancy.rpt 6/15/2015 4, STREAMLINE ► ENVIRONMENTAL 715 Grant Street • Port Townsend, Washington 98368 Phone(360)821-9960 • www.streamlineenv.com August 21, 2013 Mr. David Johnson Permit Specialist Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Re: Rowe Stormwater Infiltration Trench Installation Verification Rowe Property 5523 State Highway 20 Port Townsend, WA 98368-8745 Tax Parcel Number 901051004; MLA 12-21; BLD12-34 Dear Mr. Johnson, Please accept this letter as verification of proper installation of the subject stormwater facilities. I, Everett Sorensen, the undersigned, personally inspected and approved the installed stormwater infiltration & dispersion trench, installed according to plans prepared by me, and submitted to DCD on July 31, 2013. Thank you for your assistance. Sincerely, Streamline Environme r . ,r $0/0.' 0 fr• 4 '40 44 0 Everett A. Sorense 1�o. 4 32550 4 ,} Principal Engineer ':� 0IST1,4 ~ Aor (360) 821-9960 ``VOAIAt' - everett(4streamlineenv.com i'`1 , r :; Vii; 1.t Attachment: As-Built Site Plan with Downspout Infiltration & Dispersion Trench I-- _ i 1 -II J> rnyrn ill 40�• 7^ _ -U Irn G� ZLill > y XI � (n , i ° rti ∎.i 58 °$ 1 .3 � � O rnv, U, 1 "IN � °' z o \\S"� nt0 AY ii r c0 ri N �'f MEANDER LINE PER VoL V 5OFSURVEySP. 196 YEC,ETATION LINE & ORDINARY HIGH �-- WATER MARK to —, / �= —. , • . : �l� o. `� O ; fix oPOF _ . O (� ��® o Ma min. �' 'e,,;( I_06°-r�A u,mrmm2 .R ■ �A �—, �XpA rn moZA00 �S '.1`®�� o nm A m2m �_ IN • Ao� 2 -,r �\ o to RI rri p -_. 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Lr 120 + or - Z ,„,m OI C',o cuc.0 _CI -acs1tn � cjr Ill GN (II � > P3 ,oI JOHN & NANCY ROYNE RESIDENCE a a` C -� ° rn O c� r x1 (P s F r= A-'m OOU1 - x1 (j1 OrnC O = rn N >_< o 0 3 g 5523 STATE ROUTE 20 („ u, rn r —I — c m 'm yid O CP CP ill rn G 0, z (l rn rn o o PORT TOWNSEND WA 98368 , kn ti rn z y z rn N H Z ti 0 - u) i.n w � � rn � �, � rn 70 o � 1 • i ( �SOt1 coO t' JEFFERSON COUNTY r DEPARTMENT OF COMMUNITY DEVELOPMENT 4 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax �',ry�. �p'� www.co.jefferson.wa.us/commdevelopment O' Master Permit Application MLA: i 2—V r • Projeq Descri (inclue separate sheets as necessa ) I Tax Parcel Number. G Q jO S1664 Property Size: (1.44....►4.j (acres/square feet) Site Address and/or Directions to Property: 5 S.2-'3 5•12" 20 ?i aiCT 1 0,4,s r /01/0-1° /2 1,01-51-ate, s.?,2-0/F-0-4- Property Owner(s)of Record: ItiK A 0� .-. • )b(43t4' • Telephone: i0i • - a• Orr , Fax: email: L 7�' dan Mailing Address: 'l 444,4 41,-"I‘• ' - Applicant/Agent(If different from own:r): e K __ I-Telephone: '% 1 f mail:Fax: Q �r 5 cep Mailing Address: ft .., VVh_st.kind of Permit?(Check each box that applies ❑Lot or Road Segregatio n tbuilding ❑Critical Areas Steward i• -.1. ❑ DQmolition Permit ❑Variance(Minor, Major o .: ,,,r: V Ingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(..1, • ❑ Manufactured Home .❑ Modular ❑Discretionary"D"or Unr slit Ise Classification ❑ Commercial' ❑Special Use(Essential Put acil " ❑ Change of Use ❑Boundary Line Adjustme, I id - 8 2012 ❑ Address ❑Road Approach ❑Short Plat"" I, I ❑Home Business ❑Cottage Industry ❑Binding Site Plan" ❑Propane 0 Long Plat" JEFFER30 QU NTY •• ❑Sian • ❑Planned Rural Residential D IQ �) rIli is" ❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration-a' ❑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-/tppleatkf»Conference- - edba identify duly villein twat,etatv4b lady.at pettnita reyuhed ful Wrte p •V.--alr ;f k, t . 4ESIGNATION OF AGENT I hereby designate -a'AA( f' Cr Y l'C n/ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 'ti G` t P Date: / I ( i 1_ By signing this application form,the owner/agent attests that the inforrnation 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. Stags access and right of entry will be assumed unless the applicant Informs the County in writing at the tine of the application that he/or she wants prior notice. l �/�0 Signature: ti IU`"C.,� ( p.,�/ J�C( Uf, ��/Jlk �' Date: I 1 ( 141 .)- The action or actions�.pplicant 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 wilt be undertaken because this permit has been issued wkl 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-transferlable resppnsibliity for hiring to and complying with the ESA`The A(ppjicant has read this disclaimer and signs and dates lt below. Signature: ,t, - r �"SZ.., ket.:It.( s . -'). ' Date: 1 I I71)- GA PerrnitC.enrcr\###FORArs#if#\DRD FORMS\Current DRD Fo \M*Mer Pemo Anni,,yr:nn s-"o.nn,+K • • 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 as uming the resp ibilt of the General Contractor proposed project.. / Signature: a_54-4- _ J Date: 1-- l4-[2/ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHRECT/ENGINEER: el st4e V C X.e PHONE (140 4J2,--- QA, MAILING ADDRESS: I ) I 1. e-51 fi oUT-` -vixtet- Us'1g egn CQ ► 0•eau"- Project Type: Framype: Bathrooms: Shoreline: Type of Sew.ge Disposal: � 3- food Existing: D -1 Sewer I _rAddition :i Steel Proposed: �} -- Bank ❑ Com unity System Alteration/Remodel 0 Concrete Total: ,,[[�3 Height: divldual `ystem _. Repair C Masonry (495 SEP Permit# a • 'a ' Demolition ❑ Other: Bedrooms: Water Suppl r...`- Existing: Setback: ❑ Pri to wet C Two Party Type o Heat: Proposed: ---�— tf21_ Name lof yst fi Jr,,`f Total: _BO_ If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: 'I Proposed: Number of ADA Parking Space-: 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 Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: a;-L ���!_ " ' I Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water T.•• I Pe Ie tifE tQf =j 1 1I E . Is this appliance being installed in a Manufactured 1 Mobile Home? Yes 0 i " When applying for a permit to install a propane tank you must also submr a site plan showing all of the buil•ings,all ' ••, lines, tank location and size,distances from the propane tank to all property lines,buildings andfseptic_sy$,ter/fl61 mp•1'. including the reserve area. Square Footage Current Proposed ForQffice UseQnly,, . A . , es '..m:� ,. I Main Floortigated _ fit:" 'c EH Bid App Review rrI p7 OF('OMMU`IT!DEVELOPMENT • c:4fi'F, t�[V'. c drloor Heated "rL t) ' Consistency Review:• . r � igt aa nt6.r Heated £ a� , : Base fee: 9%61 5 Mezzanihe ' HeatecU3asement q•. Plan Check fee: (,I 04 - Unheated Basement r _", M State Surcharge fee: Other Unheated .' Va f . Pot Water Review fee: ,-- _ nr Garage/Carport . - !'-tom SUBTOTAL Decks r/�1 512451 , +^` 91/Rd Approach fee: �k151� OthetSJ ut Ko %w� tog 1s TOTAL: S-199.(719 !` f,5 Receipt Number: 1 3 I [-I 51 -: Cash/Check Number: f '� r(n ESTIMATED COST(REQUIRED) Date: �Q,� •F, : at value o a ,•• end materials foundation to finish OO , -- ) Initials: G:\l'ertrvr(:enter\###FOAMS###\UIU.)FORMS\Master Permit Application 5-29.08.doc i tl _— - 51'-6"— - 4'-0" 20'-0" 4'-0" 0" G - _–_ `�1....,...i.,.......".----. __ ...... ...______ ___ _._.____ • cp., .,11 k lib i� >N 1, rn p 2'-6 112" i p o Ca rn° I © Z I n P rn ta ' z I .111 G m 15crp.) - IF117: - r 'ilim. rP 11'B., 1 � rg�l aw 14 MEM z P p z-17. 4 El mg ni o 71 Fri:3 --IN �_(__-Il NC r0 I flax MI L�I z n G A w y AZ $� N II ■.E_„.1 MSI 111M111 1 or _Ilm i b 6 S� rn r cat!Ill I 5r % oz I� to �, I g I '' -i -.: I L^> 1�,. 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V m 3 Er O 2 II I k b r m l I N N VL u -11 11-it s'--\ 1`!` CR I w I I I k d I rJ' ° I I -I x I III -i ` �\ A \ I 10 IN �\ h NI\/ W� -1 I1 1 a I N o H . �-^_1,- II 4 - a. II I ' �S `� b -1+-4- cV\\- -+I � -r I l \ Il r-- \ I ----1-----t, G a II c c © ti� . ® �II III I 5.-y"- / fY-6" 5'-6112" '� -^-11.1 1 tr-6•• / 1o'-io" n N 1I IX 9'.3" n 11 ' PI s II 5Fr' N Z to to I I r- I co Y I i V. \\\.% I b z� $ fl v '1 J \ L / 21'-6" / •.. r' M c-) r• T Fri (( (l/1 m C N O Z QO ffil • 00 /] O IV �t L J Jefferson County Building Di ion Permit Nu : BLD12-00034 Applicant: ROWE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 Erosion Control 9G (/).) Foundation Footing •"'"7 / 1� /413' p lox / 71) Footing Drains l� Z- � Foundation Stem Wall ?AD; 0/Yl3hlL.S� -ZS'-1 z i-NTKi PA- �,� G/i Underground Plumbing /Z 3 Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 3 I ( 3 [ ` Rough-in Plumbing Framing Airseal Insulation:Walls Insulation: Floors 6/. �/�� � , / � ot /Z--lD 9 Insulation: Ceiling [/LL Etcrr iN Ok 7/13 Int. Shear Wall Nailing 8%7/f3 f, / Wallboard Nailing{ 817/13 Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted ( / ô/(c( FINAL INSPECTION ta/(o/fS f'y FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD12-00034 1.) There is an existing sewage transport line between the proposed home and the existing carport. Foundation for home or any footings to be 2' minimum away. 2.) The setback from the SR 20 right-of-way shall be no less than 50 feet and side setbacks shall be no less than 5 feet. To comply with recommendations in the geotechnical memorandum, (1) the building setback along the shoreline shall be no less than 80 feet from the top of the bluff; (2) no clearing, grading, or placement of fill materials shall occur within 65 feet of the top of the bluff; (3) the setback for decks, patios, roof downspout dispersion system, and septic drainfields are 65 feet from the top of the bluff. 3.) 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. 4.) 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. 5.) A vegetative buffer of 65-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (Slope). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 6.) 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. 7.) 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." 8.) All construction activities shall not encroach upon the Landslide Hazard buffer. This includes the storage or preparation of materials. 9.) 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. 10.) The project shall adhere to the Bilklanagement Practices (BMPs) to control omwater, 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. 11.) A 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 Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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.) The building height is not to exceed 35 feet.