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HomeMy WebLinkAboutBLD2006-00085 • MLA06-00080 BUILDING PERMIT APPLICATION Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00085 Received Date: 2/28/2006 SITE ADDRESS: 120 ROCKY PT RD BRINNON, 98320 OWNER: DANIEL R CARLSON PHONE: 360-571-0308 KATHLEEN N CARLSON 2019 NE 179TH ST APT Z113 RIDGEFIELD WA 986428605 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 502294010 Section: 29 Township: 25 N Range: 02 W CONTRACTOR: GERALD HALSEN CONSTRUCTION PHONE: (360)796-3045 PO BOX 398 BRINNON WA 98320 Contractor's License GERALHCO27MW Expires 7/15/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR & 500 GAL U/G PROP TANK WI COVERED BRIDGE ENTRY 216 SQ. FT. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,632 VALUATION 275,000.00 ADD'L: 1,103 HEAT TYPE: RAD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 216 SHORELINE: CONST TYPE: GARAGE: SETBACK: 34 DECK: 273 BANK HEIGHT: 26 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 1 Prop: 2 Total: 3 Total: 3 Routing Date: St Nag-/cam Type Amount Paid By: Date: Receipt: $1,973.75 LYK 02/28/06 79173 Plan Check $1,282.94 LYK 02/28/06 79173 JUN as 2006 State Building Code $4.50 LYK 02/28/06 79173 JOEMs?Cietr67 i' a9tnir�y Potable Water Application $55.00 LYK 02/28/06 79173 &Building Department Total: $3,316.19 Ciaa CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD06-00085 SITE ADDRESS: 120 ROCKY PT RD Issue Date: 06/22/2006 BRINNON, 98320 Final Date: 4/15/2008 APPLICANT: DAN KATHLEEN CARLSON PHONE: PO BOX 657 BRINNON WA 98320 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502294010 Section: 29 Township: 25 N Range: 02 W PROJECT DESCRIPTION: NSFR & 500 GAL U/G PROP TANK W/ COVERED BRIDGE ENTRY 216 SQ. FT. with retaining walls. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes o j THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/15/2008 I:\F_BLD_Occupancy.rpt 10/29/19; 1 • • 1 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00085 Received Date 02/28/2006 SITE ADDRESS: 120 ROCKY PT RD BRINNON, 98320 Issue Date 06/22/2006 APPLICANT: DANIEL R CARLSON PHONE: 360 571 0308 KATHLEEN N CARLSON 2019 NE 179TH ST APT Z113 RIDGEFIELD WA 986428605 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 502294010 Section: 29 Township: 25 N Range: 02 W CONTRACTOR: GERALD HALSEN CONSTRUCTION PO BOX 398 PHONE: (360)796-3045 BRINNON WA 98320 Contractor's License: GERALHCC27MW Expires: 7/15/2006 PROJECT DESCRIPTION: NSFR & 500 GAL U/G PROP TANK W/COVERED BRIDGE ENTRY 216 SQ. FT. r.:�;,,, ---k kV., _ CALL IN FOR THE REQUIREDINSPECTIONS THAT APPLY O Y R PROJECT. ��� c Y�� SETBACKS: �/ (6- 5ff A4c // z/ e6 4y UFF �� G9� ER: b� /� D,6G�� Footing: D Foundation: 6 l/ Z./el, a�� w.4 91/ to-1-`�-� � Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : C1C1,NAiu,v&r/ , fA L-.1 ti-10-1.4" go/,ar Clog Svc o•s 7/i1/47 Sheathing: Framing: --{7-2 7 Plumbing: (0--(e-r97 Propane ank Lies: 1- �L I t7b-b- Insulation'`\,-©`7 Sheetrock:' OR 74/t7 " Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: 7, , 0 (A/ LV -O Final/Occupancy Approval: l� 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE • SPECIAL CONDITIONS FOR CASE A BLD06-00085 1.) 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. 2.) 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 catchmerts 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. 3.) 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. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 8.) The building height is not to exceed 35 feet. • • 9.) Minimum setback from Rocky Point Rd right-of-way is 20 ft. Minimum Y setback from Hwy 101 right-of-way is 50 ft. Minimum setback from the top of the bank adjacent to the shoreline is 13 ft 2 in, as depicted on the site plan. Setback shall be measured from the waterward most edge of the structure, excluding decks and eaves. Minimum side and rear setbacks are 5 ft. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) 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. 12.) 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. 13.) 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. 14.) All stormwater shall be infiltrated entirely onsite. All stormwater discharge shall be routed away from bluff and shall not be discharged over the bluff. If stormwater is unable to be infiltrated onsite, a separate shoreline permit is required prior to tightlining stormwater to the beach. 15.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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.) A minimum of two (2) on-site parking spaces are required for the single family residence. 17.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. I:\F_BLD_Perm it_B uildng.rpt 10/29/1999 • ` ON . . OOP PJEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT _ - 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450. 360/379-4451 Fax " BINS q O� www.co.jefferson.wa.us/commdevelopment �� 2 82��6 Master Permit Application MLA: . V Project Description ude separate sheets at"` ' .5 F—P.J 6 P��h /Je ►jcv L)Li op21t sr�,f t • Plirta9e en-171 cooff.e0 Tax Parcel Property N .54 ,g 9 470/O Size: /4,36p G (acres/square feet) Site Address and/or Directions to Property: 410 Igoc t y Pr ,< .t/it t2,U, , 9 IW() Property Owner(s)of Record: BAN lEL x, �' eig rf/L a=6,c./ ,tJ dig L5.44_1 Telephone: 3&"-51/-133 08 Fax: email:1019LKi Ai 67714 071)c0 e Aat.c'ari Mailing Address: . 419 ,V�) i7 4 ! Sr., RPr. Z l/3 -/P '!E[.D, wig 9ff6Y� Applicant/Agent(if different from owner): 4-EkA 1--73 Of;t SE.t/ U!w 57:- Telephone: ,. '4 a-1? - 'O C/5" Fax: email: Mailing Address: ido i34-k t t,-/ -f,J a/, a?A 9il3a0 What kind of Permit?(Check each box that applies) A Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit a Conditional Use[C(a),C(d),or C]** -A Single Family a Discretionary"D"or Unnamed Use Classification L".5arage Attached/Detached - No7 A 7 1 N/ / alit. a Special Use(Essential Public Facilities)** Manufactured Home 0 Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use a Long Plat** 0 Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** tPropane a Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use a Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference — **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 4-J�� L.. /l/-1- EA1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /t--��tket.443e ,6, ,/ Date: ,A/03S/I)fr 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 it's 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 attomey'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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. > Signature: /d�L ->F is/&it k 4 e z,_ — Date: d io78Y, 1 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'lake"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 responsibility for adhering to and complying with the ESA. The Applicant has read this disrpcaain r and signs and dates it below. Signature: ,Citikei.141, C -Lt-tc r_-- Date: 0f/0l�5.e/e,k G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • OWNER 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 assuming the responsibility of the General Contractor for the proposed project. p a Lv06 Signature: Date: I, 1 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: er6-4- ►cz ,9-c�4.cl ee,v r7/Y)�c/ (3 ,0)� 3y6'76 — o ( ) MAILING ADDRESS: �OQ�OX J{q�g 6R„,mA om, /,( qgg )EMAIL: 1 CONTRACTORS LICENSE WAINS NUMBER: eorELAL.i4C0p1 rn 0 Q4//5fQ4. NUMBER ARCHITECT/ENGINEER: r 1 i f t /'/Al PHONE (%a )796-yy64fc FAX:(�(,fp)196 31/A5 MAILING ADDRESS: /v,/ PC,‘,4 614AiT 6„,b•, de,,,,,,,`„, EMAIL ..&E014/t-y@..fj,QTr1L./Ai4 •A/£T 96'3a o Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ¢ New K Wood Existing: / ;Sewer ❑ Addition ❑ Steel Proposed: / 0 /(„1 Bank ❑ Community System 0 Alteration/Remodel ❑ Concrete Total: ,2 S.3/t1 Height: Individual System ❑ Repair ❑ Masonry a1' SEP Permit# G ti;f_&7 .Li 1 ix, Demolition 0 Other: Bedrooms: Water Supply: Existing: '4 Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: / / iA,u T Total: c3 .2 ' Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current -D N A Proposed: 121?/ Number of ADA Parking Spaces: D M4 Number of occupants(includes owners,tenants,employees,etc) Current 1-t.:`F, Proposed L /i P.- IBC Occupancy: U/,/A IBC Type of construction: 1./. f; Will you have Food Service? Yes / No 1&/A ? If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: X Underground Tank hbove ground Tank Size of Propane Tank: 5O0 AG. ❑ Heat Stove 0 Cook Stove g Woodstove IA, Fireplace Insert A Hot r Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes N) When applying for a permit to install a propane tank you must also subm a site plan showing all of the buildings,all properly 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 For Office-Use Only i. Current Proposed E Main Floor Review: " /-Q- vv !o(9r5( , q 5 � 2ND Floor Base f 44 3`°Floor --Additional Section s Ni) Mezzanine: •Plan Check fee: ' AM _Heated Basement `� Su //. rdtarge Unheated Basement ' Pot Wat&' fee: /1/i f Other Unheated $1 1/Rd Approach fee:':: Garage/Carport Ail' TOTAL: ;. ' i r Decks a,. (p if Receipt Number• 7q( ) 'L Other CashlCheckNumber NI- 15 - ESTIMATED COST(REQUIRED) 11D({l%'). ' 0 Date: , •Fair market value of all labor and materials 1[wurdatiQn to finish p� � i Q____?7-5, d40. , Initials: , G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • I 4 r ro I f ( / 40-1 I I/4' 8,-0• DECKING ,. / t 3'-8' / .8-I I I/4' 18'<• s / 3'-6' 5'-5 I/4' / 4'-7' 4'-6' 6'3' 4':5/e' 15'-7 5/8' 3'.p7 2'3• ill 405•DM9. . •Dn ea ul En' Li 111:1, ��� ., �� III MI 30 ONO 503 CV 2C•DM 2C••DM - q 4 GUEST ,d•OM rigrdi N rn t IN .7 ';. ! !::II... 1 U \ :+�� g ` VV 3• .nc w �I� '\\� yp IV N N P 4 `0+ CLOS. d A O ci Z I Q 6, Q 4 ail w bilkIIIYY IIIW # d Z I6• pr. uim W og v rn eNAI N n 3-O' 1, ' s ' n a RI F a r ] 0 r ` > I I I k c° O -.1Q F.x 21'-10 I/4' I I n O m II X 6 2' a 6' '� r 3 2' I N CI wur. n/ ��_��■11� ' 1 IIMMI ■L_ A�I QN \ Ni � i i llli • ,. ,r, � � '�,, i,, ,1Q I11 ■., i�NTRY i Gi , " I a YZ lowi . ■■m ■m 1.11 MEM N E imolai IIA 1�I 1 __ 61 x I... 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