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HomeMy WebLinkAboutBLD2007-00334 tILDING PERMIT APPLICA1IN MRLA07N003350 Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00334 Received Date: 6/21/2007 SITE ADDRESS: 172 CIRQUE DR BRINNON, 98320 OWNER: R & J FAMILY TRUST PHONE: (360) 779-9995 26265 TWELVE TREES LN POULSBO WA 98370 SEAMOUNT ESTATES DIV 4 SUBDIVISION: Block: Lot: 12+ PARCEL NUMBER: 993500012 Section: 30 Township: 25 N Range: 02 W CONTRACTOR: ALLIANCE HOMES PHONE: (206) 730-3625 17925 HWY 99 LYNNWOOD WA 98037 Contractor's License ALLIAH*943NW Expires 8/16/2008 REPRESENTATIVE: ROGER RICKER PRONE: N9N 26265 TWELVE TREES LN POULSBO WA 98370 PROJECT DESCRIPTIOP NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 768 VALUATION 108,944.00 ADD'L: 768 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 368 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 6/daityl Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,044.15 KAS 06/21/07 91321 APPROVED Plan Check $687.70 KAS 06/21/07 91321 State Building Code $4.50 KAS 06/21/07 91321 Potable Water Application $58.00 KAS 06/21/07 91321 SEP V 2007 Total: $1,794.35 Jefferson County Planning &Building Department Jefferson County Building Dos ion Permit Nurir: BLD07-00334 Applicant: R & J FAMILY TRUST BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 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 Appro al Signature Notes Setbacks , , Erosion Control Foundation Footing - fif) Footing Drains HI Foundation Stem Wall /g/� by 1/47 Underground Plumbing II- by JDC Under Floor Framing i.t•'2_6 07 v4_ Straps(hold downs) TnF - 15— f of—Ill n�� I ,,j� 7- Ext. Shear Wall Nailing I /II'Dt Rough-in Plumbing fo/_n_aq Framing Blocking _ 1 Airseal (0-2At Oci 9E— Insulation:Walls ' (oZ -O Insulation: Floors C . d----6 r Insulation: Ceiling �r/--� r -- r Int. Shear Wall Nailing C` _ V tg 111 Wallboard Nailing was- mh Gas Line Fileri%r -Rrgane Tank Heat/Chimney Clearance''�/I 1 0 ,�,�_ Drywell/Alt Drainage )pJ_10 €i Address Posted 0—0 C GA FINAL INSPECTION 5_3 to FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00334 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 20, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: intermediate/unstable shoreline slope stability; spotted owl; landslide hazard area 2; SUSC aquifer recharge area. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) The applicant is proposing to create or add 1200 square feet of impervious surface and 1500 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 7.) 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. 8.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 9.) The site plan as submitted with the building permit application on June 21, 2007 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 23, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a single family residence 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. 11.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 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 autormobile 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 requriements 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 pa. spaces shall be provided for the single fey residence. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 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.) Minimum setback from Cirque Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stircter setback(s) shall apply. 20.) An address of 172 Cirque Drive, Brinnon has been assigned to the parcel. Cirque Drive is a county local access (C206709). 21.) The lot was created through the Seamount Estates Division 4 on August 22, 1977 under AFN 244177. 22.) The parcel is served by the Seamount Estates public water. 23.) A septic permit (SEP88-0216)was finaled on June 27, 1988 and an EES was conducted by Envirocheck. 24.) According to the county GIS mapping, the landslide hazard area is greater than 200 feet to the west on the adjoining parcel and greater than 200 feet to the east on the other platted parcels. The proposed residence is located 12 feet from the north boundary and 11 feet from the east boundary and is approximately 768 square feet. 25.) ALL WOOD AND TRAILERS TO BE REMOVED FROM DRAINFIELD AND RESERVE AREA. ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. PERMANENT PROTECTIVE BARRIERS ARE REQUIRED AROUND DRAINFIELD. 26.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. REMOVE ANY EXISTING WATER LINE <10' TO OSS COMPONENTS. 27.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK. 28.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT. . $ON C'0 0JEFFERSO•OUNTY •EEflflf1I)Eln W \, DEPARTMENT OF COMMUNITY DEVELOPMENT 1/4 ~' "\ 621 Sheridan Street • Port Townsend • Washington 98368 'UN 2 1 2007 360/379-4450 • 360/379-4451 Fax �q�, 020� www.co.jefferson.wa.us/commdevelopment $IN FFFFQt)I\ iliv ori' Master Permit Application MLA: 0 3_) 7 - Project Description (include separate sheets as necessary): Property _ , Tax Parcel Number: �j p�? - `� Size: ! -/C f ,1'I �e. fy ( cres/square feet) Site Address and/or Directions to Prop: /��-, (!fI ,C ,K: — l�`''i j�/�2/, Z.16 - Property Owner(s)of Record: :7) V J f--44W//y /t,./t,y7 Telephone: L-T7 i'i,`/ - � Y Fax: -..Y-1t/e email:fy-ickei Mailing Address: -(-:;Z 6}z,` //� ,..--/c,e t''=- / c' jl.r" 5)/ A/-t y%i; 7-'70 A.et> i Applicant/Agent(if different from owner): Telephone: `C 77 -5 f% Fax: ;; Y / email:.4z-r��°�2C�d4,,c Mailing Address: ..%,1- / ' ' , , •, ' `�f /-?/Pc-,,/�-10 i/pp; j O What kind of Permit?(Check each box that applies) )(Building ❑Variance (Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** X Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ 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 ❑ 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 �/�{ T // to act as my agent in mattersma relating to this application for permit(s). OWNER SIGNATURE ,e'` igitgat.e_/' �r���,1-Gc-I/- C� 1r in A...) GJ 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 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 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 in peptions.Access and right of, ntry to this property shall be requested and shall occur only during regular business hours. „------7 /(� Signature: --'��' �� 3� r 6t4f&(J O ) Date: (_g9 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 ack wledges that he,she or it holds individual and non- transferable responsibility for-adhefing to and complying/with) a ESq, The Applicant hasiread t is disclaimer and signs and dates _below. Signature: '_ .--r,, ,. 1Ct,� L S C e,0 � �/ �/ c CI.1'-ttk li Date: , _ I G/ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0 BUILDER STATEMENT 111 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 •ontractor for the proposed project.t. Signature: _ = Date: 6 --: / —zI2 GENERAL CONTRAC'fOR ORA NUFACTURED HOME INSTALLER: PHONE: FAX: Lir ce ..-teS (36d) L/26 .47Y (34U)44220g11:fle— MAILING ADDRESS: po ---,;z 70() , 1,1 EMAIL: CONTRACTOR'S LICENSE 6((,4 it 9 y,3 4 c i WAINS NUMBER: / NUMBER ARCHITECT/ENGINEER: le f L. /r,.►..,�f PHONE ('36O) Liu OS/I FAX: ( ) MAILING ADDRESS: (� EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: yNew bd Wood Existing: ❑ Sewer ❑ Addition qi1 Steel Proposed: 0- Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: / IK Individual System/-lq.J ❑ Repair ❑ Masonry A ,' SEP Permit# (� ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: /1 6lo� 6 L- Total: -f ? `t Naelof 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 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: l.I Underground Tank Li Above ground Tank Size of Propane Tank: ❑ Heat Stove U Cook Stove l 1 Woodstove [i Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes Sro i 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 Bld App Review: 7Gb' .SCE 13a_g - b ti-,-: 2nd Floor Heated �•�t Consistency Review: _ 76 K 5G t. ) <<1- 15 .re Other Heated I Base fee: Mezzanine `t --1 ,,Rvi,k 'ip-1,Rvi,k 1.4 \I:Ai'ip-1 ,, Additional Section: Heated Basement � � Plan Check fee: Unheated Basement ?i�' rltt �C ll? State Surcharge fee: Other Unheated i ' t Pot Water Review fee: Garage/Carport I t�qi'il\W A'ti ` 11,1 C� i g SUBTOTAL Decks % 911/Rd A proach fee: Other AL: �TOT $ �Ci�(,' 1 / l Receipt Number: CI Cash/Check Number: I ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish tii l,9 11l,' 7 75— Initials: � ( 9LLf G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 2A O 1 n m 1 T rcil4t-1 ....:,...2 i.....:;:.:11,, .....m4 . , o '� v a r i• N -M , 1 f t r . ' . L1. ti O ca vs v �y , I C , ('��� :t • �` : 0 s m w I \ v co. , 'N V1 1y U ' b Q4 r ' kl z , . -‹,...§,,,,,,,,v # r . ',4i1 4-... h, 1 ,..,,,_ A 4=--. . . i- - ' ..---t. , . .%3 L m � .\ ,0 D y ii . �J., `� ) Do , '°,,-.,.\ ; . A A ,\ zli . N'''›s -v Z 4�� d' ~ .) c C)). 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