HomeMy WebLinkAboutBLD2014-00230 • BLD14-00230
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00230 Received Date: 7/1/2014
SITE ADDRESS: 130 PLEASANT HARBOR RD
BRINNON, 98320
OWNER: SUSAN J LIND PHONE: 425-232-7459
THOMAS F LIND
130 PLEASANT HARBOR RD
BRINNON WA 98320 CEDAR COVE SHORT PLAT
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502104046 Section: 10 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt REBUILT EXISTING DECK- SAME FOR SAME
(No Change in sq ft.)
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP `DEK � MAIN:
VALUATION �d �
ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 372
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: 36281
BEDROOMS: BATHROOMS:
Exist: Exist: 0
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $168.00 SRE 06/30/14 148822
Plan Check $109.20 SRE 06/30/14 148822 APPROVED
State Building Code $4.50 SRE 06/30/14 148822
Total: $281.70 JUL 16 2014
Jefferson County DCE
11tidem arkldatalform s1F_BLD_App_Bld.rpt 7/1/2014
__ •LDP- -z3b
4w4'ON Cop JEFFERS. COUNTY
h • ' , DEPARTMENT OF COMMUNITY DEVELOPMENT ' ; L�
621 Sheridan Street • Port Townsend •Washington 9836:
360/379-4450 • 360/379-4451 Fax
�qs �p� w'iw.co.jefferson.wa.uslcommdevelopment JUN 3 0 2014
j
Master Permit Application M A.
Pro'ect Descri ption (includ sepr to s eets as necessary): DEPT.OF COMMUNITY DEVELOPMENT
be �e louutt ZI 0 <f o cf b
•
Tax Parcel Number: CeilhfkjggMtaiggegEdiaproperty Size:a ,- 400 (acres/square feet)
Site Address and/or Directions to Property:
/307 PieaSgn f r1 oY V ,�t�i /4 14 0/t W4
Property Owner(s of Record: / /4'I•• '° • 4 s44-.-1 �a,�
Telephone ii „ — Fax: ,[� Qemail: S U A ME M/ - )* C�3Y�
Mailing Address: /30 � t7 ' ' . /r , / 1 -b)11 wit /&32.D
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
❑Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit El Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]**
❑ 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 Rurai 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:
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 later inspections. Staffs access and right of entry will be assumed unless the applicant informs the Coun in writing at the
time of the applica rC he or she wants r notice. h V G�
Signature: tASh - --r _ 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-transferab onsibility for aact..j.ring to corn g with the ESA. The Applicant has read this discllaaoner nd signs,and dates it below.
' (C/
Signature: fa ( Date: ��D(/l
G:\PemvtCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
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°�K JEFFERSON COUNTY JDEPARTMENT OF COMMUNITY DEVELOPMENT /!(/I NG-Co
Date: '
�i/i!/ Time Received: //`D/ am m Mon. Tue. Wed. Thur. Fri.
Date: 6/,3�
BLD: /41 - 06236 Contact Name:
Owner: i�,rJO Contact Number: 3€ 4/ZS 73 7 .c44
Address: i36 P&-&-#15 492. Pp 206
Notes: . .,E 15 i4-4)
Dace
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks Under-ground Framing J` Underground 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
Screen: 01 REAL PROPERTY MASTER Mode: INQUIRY
Auto Roll : OFF
Parcel # 000502104046 eo Cd 250210411441 •
CEDAR COVE SHORT PLAT Nbhd Cd 1220
2(LYING W OF CO RD)
Loc ID
* Taxpayer Cd LIND 0200 LIND, SUSAN J T/P Chg Dt 7/05/2011
* Title Owner T/P Chg Usr JA
Tax Code 0441 Status TX TAXABLE Land Use 1100 RES-SINGLE
Affidavit 116175 Vol/Page / C/U Code
COMPLETE ADDRESS WINDOW
Taxpayer
LINDO2O0 SUSAN J LIND
THOMAS F LIND
130 PLEASANT HARBOR RD
BRINNON WA 98320
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JUN 3 0 2014 - I
JEFFERSON COUNTY -V- I •
-r'?nF COMMUNITY DEVEtOPMENT
+` -a
Ilk 1
•p Front Parcel Review •
Parcel 502104046
Printed: July 10, 2014
SUSAN J LIND Site Address(es):
THOMAS F LIND 30 PLEASANT HARBOR RD BRINNON, WA 98320
130 Pleasant Harbor Rd
Brinnon, WA 98320
Parcel Number: 502104046 S-T-R: 10-25N-2W Total Acreage 0
Legal Description CEDAR COVE SHORT PLAT 2(LYING W OF CO RD) Land Use: 1100
Flood District: Fire District: 4 Planning Area: 11
Flood Map(FIRM) Panel No: School District 46 Zoning:
COMP PLAN
DESIGNATION:
COMMUNITY PLAN: UGA: UGA Trans
[ 1/r Plot plan states "property line"
[ Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[ V,— Legal Access to Property YES NO
[ ice}' Parcel Tags or Scanned Documents YES NO
[ V}— ESA's: Special Reports Nearby YES NO
[ 1.,k- Designated Ag YES NO -
[ t■Y Shoreline Designation NO 1a L JhJ
[ l-}' Shoreline Slope Stability: ES ee"�/
Stream Type:YES NO
FWHCA: YES ( "7 C
Wetlands: YES
Rare Plants:YES NO
Seismic: YES NO
Landslide: YES NO
Flood: YES NO
Erosion: YES NO
Aquifer Recharge Area:YES NO
SIPZ: none At Risk High Risk Coastal
CMZ: none High Risk Moderate Risk Disconnected CMZ
Stormwater site plan sub' itted: Yes No
Forest Lands: YES 0
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[ l( Mineral Lands: YES 141,
[(x Agricultural Lands: YES Ck
[ ti]' Archaeology: YES to�
,,,r- No Shooting Zone: YES Io
[lam} Stormwater: New Impervious Surface Land Disturbing Activity ESA's
Stormwater Req's:Min Req#2 Min Re #1 thru#5 Min Req#1 thru#10 Engineering
[ Vr Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO
[E4- Landscaping Required: Yes No
[ rf. Parking Spaces Required NO 2 Other
l Vf Building Height: 35' UBC Standard
[ V Impervious Surface covers ercentage:
Resource Lands&Public: 10° Rural Residenti.OPP. Rural Indus. Per UDC Sec 6.7
Rural Commercial: 60% Area of Building overage:60%in Rural Industrial Lands only
[ 1,e Total Building (s) Size:
RVC:20,000 SF CC: 5 00 S'F NC:7,500 SF GC: 10,0S SF All others:subject to sep' water constraints/None specified
[ 1.� Setbacks: Front: '�IJ Left Side: b Right Side:subject
Rear: -----
Shoreline Setback:
LSHA Setback:
[ i( Road Classification:
Road Approach: EXISTING Q'D RAP
[ L SEPA Required: YES XEMPT
[ Flood Certificate:
[EA--- Existing Case(s)&Condition(s):
Violations: Yes No
[ l.}-- Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ 14r Lots/Require Declaration of Restrictiviovenant Yl i Oys tbmitted: YES NO
[V]" UGA No Protest Agreement Y���.__ submitted: YES NO
[ 14-- Site Visit conducted YES 41►,1•'
[ Ler Require Final Zoning Approval YES CIO
[ VADMIN: Setbacks entered in Permit Plan case 0 YES
New Parcel Tags entered in Permit Plan OP YES
Special Reports Scanned 0 YES
No parcel tags found for parcel
Cases Associated with APN 502104046
Cases Name Review Type Status Planner
BLD06-00123 GAUL F
Application Received: 3/17/2006 Permit Issued/Case closed: 4/5/2006 Case Finaled: 5/3/2007
MECH PERMIT- HEAI PUMP SYST
BLD14-00230 LIND P
Application Received: 7/1/2014 Permit Issued/Case closed: Case Finaled:
REBUILT EXISTING DECK- SAME FOR SAME
(No Change in sq ft.)
MLA04-00001
BLD04-00008 MLA04-00001 MARTIN I F M LINDBLAD
Application Received: 1/2/2004 Permit Issued/Case closed: 1/22/2004 Case Finaled: 9/2/2004
CARPORT ADDITION
SEP13-00024 LIND F
Application Received: 2/26/2013 Permit Issued/Case closed: 2/6/2014 Case Finaled: 6/2/2014
Permitting a previously installed pump vault (DF serves 2 separate properties)
SEP78-216 valid and filed here.
PRJ04-00003 MARTIN F
Application Received: 1/7/2004 Permit Issued/Case closed: Case Finaled:
Drainfield serves both residents on parcel 502-104-046 & 502-104-039.
Drainfield located on Parcel 502-104-046
SEP78-00216 MARTIN F
Application Received: 3/13/1975 Permit Issued/Case closed: 6/5/1978 Case Finaled: 6/5/1978
Drainfield serves both residents on parcel 502-104-046 & 502-104-039.
Drainfield located on Parcel 502-104-046
SOM78-00216 GAUL RCR
Application Received: 6/5/1978 Permit Issued/Case closed: 6/2/2014 Case Finaled:
Drainfield serves both residents on parcel 502-104-046 &502-104-039.
Drainfield located on Parcel 502-104-046
1ltidemariodatalforms\R Parcei_CRMLA.rpt 7/10/2014 Page 2 of 2
(9 (' i ( tf-' Cd4I'
\1 ■•0 47'.--- i 1 L..' 6 ---6 24_1! 0 ci 0 LE(c,
` c0, JEFFERSON COUNTY
al IA, DEPARTMENT OF COMMUNITY DEVELOPMENT
,p,t' `7a ,� 621 Sheridan Street • Port Townsend • Washington 98368
O 360/379-4450 •• 360/379-4451 Fax
4` INO� http://vvvvw.co.jefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA#i PROJECT/APPLICANT NAME: /� ( ,x')14,1 4 S L.. C K
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as "small,""medium," or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
PARCEL SIZE(I.E., SITE)
Size of parcel acres �/ `U An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet if J O 6 sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,
and salal; herbaceous plants such as sword fern, foam flower, and fireweed.
LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated, and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
Does the project convert%acres or more of
Construction site for structures sq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank, etc. sq/ft Circle: Yes No
Well, utilities, etc. sq/ft Does the project convert 2 1 acres or more of
native vegetation to pasture?
Driveway, parking,roads, etc. sq/ft
Circle: Yes No
Lawn, landscaping, etc. sq/ft
Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance G sq/ft Cut ( Fill C , (cu/yd)
[over]
stormwater calc worksheet Rev 9-9-2010—REV 9/92010 1
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with
respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its
collection. Mon Jun 30 09:14:18 2014
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Jefferson County Building Division Permit Number: BLD14-00230
Applicant: LIND
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 ��'�ps e
Foundation Footing / d/5
Framing 4/3e /15 ,7
P€611)/& l yl
ina- 1. A16717°414
erdosed
/9014"6,-0.230
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 4/30/15
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD14-00230 Received Date: 7/1/2014
SITE ADDRESS: 130 PLEASANT HARBOR RD Issue Date 7/16/2014
BRINNON, 98320 Expiration Date 7/16/2015
OWNER: SUSAN J LIND PHONE: 425-232-7459
THOMAS F LIND
130 PLEASANT HARBOR RD
BRINNON WA 98320
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502104046 Section: 10 Township: 25 N Range: 2\A
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: REBUILT EXISTING DECK- SAME FOR SAME
(No Change in sq ft.)
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 1,058,300.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 372
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: 36281 Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $168.00 SRE 06/30/14 148822
Exist: Exist: 0 Plan Check $109.20 SRE 06/30/14 148822
Prop: Prop: State Building Code $4.50 SRE 06/30/14 148822
Total: Total: Total: $281.70
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
• •
CONDITIONS for Building Permit # :BLD14-00230
1.) DWJ
2.) 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.
3.) The site plan as submitted with the Building Permit application on July 1, 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 July 10, 2014 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 7/16/2014