HomeMy WebLinkAboutBLD2011-00050 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY .
itILDING PERMIT APPLICA N MReviewT00005
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00050 Received Date: 3/7/2011
SITE ADDRESS: 1351 LINGER LONGER RD
QUILCENE, 98376
OWNER: RONALD WORLEY PHONE: 425-4S3-8830
CANDICE WORLEY
1351 LINGER LONGER RD
QUILCENE WA 98376
SUBDIVISION: Block: Lot: T 17+
PARCEL NUMBER: 702251012 Section: 25 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI ADDITION & REMODEL TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 600
VALUATION 59,370.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 1
Total: 3 Total: 3
Routing Date:
3_7_ I i
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $713.75 LYK 03/07/11 123262 APPROVED
Plan Check $463.94 LYK 03/07/11 123262
State Building Code $4.50 LYK 03/07/11 123262 JUN
$1,182.19
Jefferson County Planning
&Building Department
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parcel 702 254 015 North
appr_475'
5'
33. 48'
Atickion ; _=y
existing ,t- tvellb 17'
garage/shop 2b 9 19
25
w 2
56' 29'
approximate location sa
driveway o
30' a 0
residence -
28 �'
reserve Fes'E i 2 N
dram field ;:,=
existing
i . 1f ! i
398'
tax parcel 702 251 015 PERMIT # BL1
1 1 5 Fr
ffERSON COUNTY OCR . ya .
APPROVED
SITE PLAN
JUN 2 ! 20 Worley Quilcene Home Addition(688 sq_ft_)
Ronald&Candice Hsu Worley
ErSON COUNTY
^` c; \lUN1TYDEVELOP\4ENT 1351 Linger
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Quieene,WA.98376
425.453.8830
Tax Parcel:702 251 102
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JEFFERSON COUNTY
DEPARTMT OM
621 Sheridan EN OF C
Street Port Townsend MUNITY DEVELOPMENT•Washington 98368
360/379-4450 • 360/379-4451 Fax
414, ' '• www.cojefferson.wa.us/commdevelopment •
Permit Application MLA: J 1-�
Project Description(include -.-rate sheets asecessary):
Tax Parcel Number. ?Cs Z / D(2-- Property Size: / / r. (acres/square feet)
Site Address and/or Directions to Property:
/ 3 s'( L I'• - ' 2011b OZ. C.A.. t e.4Ar•C / 104- 7
Property Owner(s)of Record: - d /__ • p ,
Telephone: f IS yea I-f-3° Fax: email: LOC>i tL-r oi - • 1.Ca%
Mailing Address: /1S/ Z.NI—eet /.tJN.►pYaL Rct 40r/d.e / 10 AL 4'r3 47
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
❑Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI"
❑ 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 Rural 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 Corr 4�y L 1f
Please identify any other local,state or federal permits required for this proposal,if kno EI V E L)
DESIGNATION OF AGENT f A�ID /�yy 1'
I hereby designate to act as my agent in matters relating to this application Mt'pbmtll
OWNER SIGNATURE / L Date: /--- :7 -- /7
By signing this application form,the ownedagent attests 1 =t the information provided herein,and in any attachments,is true and correct to thebest 4,
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 County in writing at the
time of the application that he.. - . r ` prio 'otice.
Signature: �� ,' . /.,A Date: / 7 `f/
The action or actions Applicant will undertake as a r..utt 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 Acr 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 -'arson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable ...sibility '.r-dhed 1r and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .414 �. .," Date: /" ? • '//
ar so'
G:\PeunitCenter\###FORMS###\DRD FORMS\Master Pe mit Application 5-29-O/1doc
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BUILDER STATEMENT
The signer of this statement does herebycertify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibifrt of the GeneMI • rector for the proposed project. //
.e �.- r--.7 //
Signature: . �� Date:
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:
❑ New Wood Existing: its '1 Sewer
y Addition ❑ Steel Proposed: / Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 Height skIndividual System
❑ .Repair ❑ Masonry SEP Permit# ,SC? g.5-?7
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: __r_ Setback: A. Private well ❑ Two Party
Ty .f Heat Proposed: ❑ Public
FC �LiC Total: Name of System:
rop
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
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes 1 No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove i Cook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance beinq 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,
includin• the reserve area.
''''1..-..-.;.7.74-7-7.:..-A-.4 �
S•uare Foote.e Current ••. 11 _ . , i • :s , _
Main Floor Heated / Oo EH Bid App Review: /
2 Floor Heated . Consistency Review
.
Other Heated ^" ` •y.- Base fee:
Mezzanine H='----'7 -. 1 1q 7'
Heated Basement ' Plan Check fee:
..
Unheated Basement rt :' State Surcharge fee: /' 5C
" .
Other Unheated °_ Pot Water Review fee:
Garage/Carport 6E Y a SUBTOTAL . �
• ° ID 11 ' .sh. r. , .
. Decks 911/Rd Approach fee: _ _ _ —2..L.,s t I I II
Other n TOTAL: $ t
-�_ Receipt Number
' Cash/Check Number
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4
ESTIMATED COST(REQUIRED) Date: —�- tj�jtjjjjJ�"jIJ
•Fair market value of all labor and mat foundation to finish � i
i'VOC)r D Initials: cj' ■C��—
G: emutCcnter ##FORMS### I)RD FORMS\Master Pemut Application 5 29-0840c <
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Jefferson County Building Dion Permit Number: BLD11-00050
Applicant: WORLEY
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 SEE CONDITION 4- SILT FENCE OR HAY BALES MUST BE
CORRECTLY LOCATED AND INSTALLED PRIOR TO
BEGINNING ANY GROUND-DISTURBING ACTIVITIES.
Foundation Footing
Footing Drains
Foundation Stem Wall
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
Airseal
Insulation: Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line:Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage SEE CONDITIONS I THROUGH 3 FOR DRYWELL.
Address Posted
pct m ► W 1Q C1
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLCf11-00050
1.) IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2005 DEPARTMENT OF
ECOLOGY STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON,
THE PROJECT PROPONENT SHALL ADHERE TO THE FOLLOWING
REQUIREMENTS:
A. STABILIZE CONSTRUCTION ENTRANCES WHEREVER TRAFFIC WILL BE
LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER
PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
B. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED
SUBGRADE.
C. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED TO PREVENT SEDIMENTS
FROM BEING TRACKED ONTO THE PAVEMENT.
D. 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 ONSITE.
E. ANY QUARRY SPALLS (OR HOG FUEL) THAT ARE LOOSENED, WHICH END UP
ON THE ROADWAY, SHALL BE REMOVED IMMEDIATELY.
2.) THE PROJECT PROPONENT SHALL ADHERE TO THE DRYWELL DESIGN
CRITERIA, AS SPECIFIED IN THE 2005 DEPARTMENT OF ECOLOGY STORMWATER
MANAGEMENT MANUAL FOR WESTERN WASHINGTON, INCLUDING:
A. ALL INFILTRATION SYSTEMS SHALL BEAT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
B. FOR SITE SPECIFIC SYSTEMS, INFILTRATION SYSTEMS SHALL BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
C. THE BOTTOM OF THE DRYWELL MUST BE A MINIMUM OF 1 FOOT ABOVE
SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
D. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
E. DRYWELLS ARE 48 INCHES (MINIMUM)AND HAVE A DEPTH OF 5 FEET(4 FEET
OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL).
F. SPACING BETWEEN DRYWELLS SHALL BE A MINIMUM OF 4 FEET.
G. FILTER FABRIC (GEOTEXTILE) SHALL BE PLACED ON TOP OF THE DRAIN
ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
3.) PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES OR
CONSTRUCTION, THE PROJECT PROPONENT SHALL CLEARLY MARK THE
CLEARING LIMITS.
4.) THE MARKED LIMITS OF CLEARING SHALL BE NO CLOSER THAN 30 FEET FROM
ORDINARY HIGH WATER MARK(OHWM), WHICH FOR THIS PROPERTY IS AT THE
BULKHEAD. A SILT FENCE OR A STAW BALE BARRIER SHALL BE LOCATED NO
CLOSER THAN 30 FEET FROM OHWM AND SHALL BE INSTALLED AS PER BMP
REQUIREMENTS SPECIFIED IN THE 2005 ECOLOGY STORMWATER MANAGEMENT
MANUAL FOR WESTERN WASHINGTON (BMP SPECIFICATIONS ATTACHED).
5.) 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.
6.) VOLUNTARY MEASURES OF CAL &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.
7.) 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.
8.) 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.
9.) The applicant shall provide mitigation for redevelopment of the existing house, as
described in the approved CASP (submitted March 7, 2011) except that no mitigation
performance bonding shall be required. Once the mitigation project has been fully
implemented, the applicant shall contact Jefferson County Department of Community
Development (360-379-4450) to schedule a review of the mitigation area. FINAL
BUILDING CERTIFICATE OF OCCUPANCY SHALL NOT BE ISSUED UNTIL DCD HAS
APPROVED THE MITIGATION PROJECT BASED ON REQUIREMENTS IN THE
APPROVED CASP.
10.) In the event that any archaeological artifacts or Native American human remains are
discovered, construction shall stop immediately and the project proponent shall call
Jefferson County Department of Community Development (360-379-4450), the
Department of Archaeology and Historic Preservation, and the Tribes. Failure to cease
construction and contact all applicable agencies and tribes, may result in penalities by
state and federal agencies.
11.) 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.
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 vehiclhall be stored on any lot unless totally scr/ed
from view of neighboring dwellings nd 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.
17.) 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.
18.) 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.
19.) The setback from the Linger Longer Road easement shall be at least 20 feet, the side
setback from adjacent parcels is 5 feet, and the setback along the shoreline of Quilcene
Bay is 30 feet.
20.) 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.
21.) Flood hazard reduction measures are to be used as required by the Jefferson County
Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter
15.15).
22.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited
unless designed to automatically equalize hydrostatic flood forces on exterior walls by
allowing for the entry and exit of floodwater. Designs for meeting this requirement must
either be certified by a registered professional engineer or architect or must meet or
exceed the following criteria: a. A minimum of two openings having a total net area of not
less than one square inch for every square foot of enclosed area subject to flooding shall
be provided. b. The bottom of all openings shall be no higher than one foot above grade.
c. Openings may be equipt with screens, louvers, or other coverings or devices provided
that they permit the automatic entry and exit of floodwater.
23.) The applicant shall adhere to all conditions in the shoreline exemption permit
(SDP11-00004).