HomeMy WebLinkAboutBLD2007-00584 • 7 - �1
Jel Ferson County Building Division Permit Number: BLD07-00584 1
Applicant: SHAFFER
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 clay'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
Foundation Footing /�
/f4lFFEe._ INa-rq.�cEh
Foundation Stern Wall
Straps(hold downs) /ye
Ext. Shear Wall Nailing qt./ te7
Framing 44434
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-�� & toa1
Wallboard Nailing
Drywell/Alt Drainage
Address Posted
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FINAL INSPECTION 0 /,
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FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
i
• BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD07-00584 Received Date: 11/16/2007
SITE ADDRESS: 804 WALKER WAY Issue Date 2/12/2008
PORT LUDLOW, 98365 Expiration Date 2/12/2009
OWNER: BLAINE P SHAFFER PHONE: 360-437-9140
RAMONA D SHAFFER
425 SHINE RD j
PORT LUDLOW WA 983659277
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 821084001 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
4P� .� q-Fitz
PROJECT DESCRIPTION: NEW DETACHED GARAGE - UNHTD,'Rt9 B (Di (5C.71 r2o-i
TYPE OF WORK GAR SQUARE FOOTAGE: 1
TYPE OF IMP NEW
VALUATION 38,369.00 MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,536 SETBACK:
DECK: i
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $532.65 LYK 11/16/07 93500
Exist: 0 Exist: 0 Plan Check $346.23 LYK 11/16/07 93500
Prop: 0 Prop: A I State Building Code $4.50 LYK 11/16/07 93500
Total: 0 Total: /i Total: $883.38
Directions to Site:
SEE DIRECTIONS & MAP IN FILE
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 ATTATCHED
• .
CONDITIONS for Building Permit# :BLD07-00584
1.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD.
2.) A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND
RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR
DRAIN OR DRAINAGE DITCH.
3.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM)to the proposed structures.
4.) An additional setback of five(5)feet is required from the edge of the buffer area to the
proposed structures.
5.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
6.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100)feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Setback from Walker Way right-of-way is no less than 20 ft., side and rear setbacks are
no less than 5 ft. Special setback to the East of 35 feet from commercial ministorage. If
an environmentally sensitive area (ESA) is present, then the more restrictive setback shall
apply.
13.) Exterior lighting for residential usahall not exceed twenty feet(20') in height it the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
14.) The building height is not to exceed 35 feet.
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.) Use BMP C220 to stabilize drain inlet(culvert) downslope of construction. Use BMP C202
or C209 to stabilize chanel inlet downslope of construction. Use BMP C151 and C152 to
control polutants from concrete handling and sawcutting. Copies of these BMP's are
attached to the approved site plan.
JEFFERSOOOUNTY
DEPARTMENT OFC
62. Sheridan Street ` y�x�xuwmneno ` VVoahinQUonO83O8
360/379'4450 ^ 380/379'4451 Fax
vmww.00jeffemon.wa.uo/conu�da�U�vod �[OO'�
�-��
Master Permit Application MLA, .r` la,C�G ��U�T0 Dp0 , \ ' / ,� /_'_/
Project� D»oohphon0ndudonopomVanheetua»n~~^L������UN �JUNl( U�u
--� ~
Tax Parcel "
� ~ Property '
Number: ���'-\ ` ������(�(l ( Size: �� (aomo�quamfeot)
8hnAddm000n�orDimoUnnxVoPmpe�y: -
Property Ovxner(s)ofRmoord' &�``�� i
. �'
Telephone: Fax: oU
_ om :
Mailing Address: «f2�� ���/ ��~� �-- --
Applicant/Agent(if different from owner):
Tnlephono: -53--� Fax email:
Mailing Address:� 4t�~ ^~
/ / / �
What kind of Permit? (Check each box that applies
O8ui|ding ~' OVar�noe(N�-' Major~ Reasonabl
e E^"""""^Use)UDomo|hionPom � O Conditional Use yC(a)' C(d)'orClO Single Family tgGarage Attaohod/w����o Oumnnsmnary^D^orUnnamedUoeC|oo»ifioaUonO ManufacturedHomo u Modular O Special Use(Essential Public Facilities)
^°
O Commercial*
O ChungoufUoo OBounda�Line A�uatmont
U Short Plat^°
O Address O Road Approach O Binding Site Plan
°°
O Home Business 0Co8ago1nduotry O Long P|ut°°
OPmpano O Planned Rural Residential Development(pnRo)/Amondmonto^°
OSign O Plat V000dnnA\|te ration°°
O Allowed^You^Use Consistency Analysis O Shoreline Master Program Exemption/Permit Revisions
°°
OStonnwm&erManagement O Shoreline Management Substantial Development
°^
O Site Plan Approval Advance Determination (SPAAD)° O Shoreline Management Variance
O Temporary iUse O Comprehensive P|an/UDC/Lond Use District Map Amendment
O Wireless Telecommunication^ O Jefferson County Shoreline Master Program Amendment
O Forest Practices Act/Release o/Six-Year Moratorium O Tree VogetainnRequest
'May require a Pre-Application Conference **R
equires
Please identify any other ymco|' state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
�
hereby---�'-`` - ' ---.-~ ~ m act asmy agent in matters relating tn this application for pormit(o).
OWNER S
.�.,°.,"� Do�o� �� ~
^/ * �
By signing this application ounn.the owner/agent attests that the information provided hevuin and in any a�oo»monm muuo and oonno to the a*uoo o,
mv.mro,iroknowledge. Any muxone|�|xonoouo,any omission v,omateno!oo�made '-thouwnevaqont*imm'- ~nem�omioappnnn' packet
may�muum this pann*uemg nu|lundvu�.
|further agree m save,indemnify and hold harmless Jefferson County against all liabilities,judgmomo court costs,reasonable 000mey'u fees and
wh
ich Joma�nnouun�aoomov�ofv,m consequence ov`the granting of'thisponnit
|fv�oe,agree tupmvme access and n �
o��ofoo� tuJeOemunCoun�unu�oomp|oyoex.mpm,entot� ~eoo,000n� for mexo|' purpose o,unnno�iun
mv.ewand any required|ote,inopemi Stafassumeunlessthefs "
a.\n"=^c""",\###nommu###\ouoxoxMs\w",",Permit apnxcati^"12'1v-2006.a.c
• BUILDER STATEMENT 0
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 theGeneral Contractor for the proposed project.prrot.
Signature: /C"_, -��—r = �'-` -�'-- Date: 1r ) /
f/
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:
i! New kYs. Wood Existing: . ❑ Sewer
❑ Addition ❑ Steel Proposed: I Bank ❑ Community System
❑ Alteration/Remodel H Concrete Total: - I Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit# bi t'6 .2-
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: • Private well ❑ Two Party
Type of Heat: Proposed: 0 Public
r )"ti< Total: �"i Name of 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:
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other
Is this appliance being 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,
including the reserve area.
' ' 1 : Amount 'Revisron� q 11" ,'?3:
Square Footage Current Proposed For Office Use,�r;t.y :. , :'
Main Floor Heated EH BId App Review: ^ S ece_
2nd Floor Heated Consistency Review: t S F1
Other Heated Base fee: Fla._
Mezzanine Additional Section: —.----
Heated Basement Plan Check fee: J 2"/G a3 ,
Unheated Basement State Surcharge fee: 1 i1 c�C.
Other Unheated Pot Water Review fee:
Garage/CarN rport, 42d l 53 3813 SUBTOTAL 0°I ?9 ���. I q,
Decks 911/Rd Approach fee:
EXr44-v-3--
Other TOTAL: $ (az
Receipt Number: <1`"= - 1 0)
751
Cash/Check Number: •- I 1 r
ESTIMATED COST(REQUIRED) Date: ( (, (f C, -I��l'j�(
.Fair market value of all labor and materials foundation to finish `-1`
41 Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
•
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' , JEFFERSON COUNTY - .____________________ [j
1 DEPARTMENT OF COMMUNITY DEVELOPMENT ! JAN 29 200
621 Sheridan Street • Port Townsend •Washington 98368 8
360/379-4450 •360/379-4451 Fax P
http://www.co.',efferson.wa.us/comm�develo ment/ x c r'- rr�ur;TY
STORMWATER SITE PLAN SUBMITTAL TEM
PLATE
I MLA# 01- c G 3 PROJECT/APPLICANT NAME: 6
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Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
uiy �F� �- EA N t-t—� �, c�0 l-e � .-I ( 7Y ,C.i Yd-1.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing soils. Indicate soil type on the site map.
5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site—above,below, and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each.
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate location on the site map.
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8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities, roads,and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.).
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Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation,of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
g, Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e.,per BMP T5.30
in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas
within the site: Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
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10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for"large"projects or projects that involve the potential for dispersion of contaminants.]
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11. Describe the performance goals and standards applicable to the project.
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12. Describe the flow control system. �� /� � ��
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13. Describe the water quality system.
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14. Describe the conveyance system analysis and design.
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15. Describe the source of fill material,physical c_hafacteristics of fill material,and deposition of excess material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
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17. Describe the proposed surfacing material. ,t
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18. Describe methods for restoration of the site.
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19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
"large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
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stormwater site plan template—rev.10/1/2003
7
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the
template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.
SECTION I—CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or
will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page
2-15).
12 Required Elements—Construction SWPPP
1. Mark Clearing Limits.
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2. Establish Construction Access.
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3. Control Flow Rates.
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4. Install Sediment Controls.
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5. Stabilize Soils. p
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6. Protect Slopes.
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7. Protect Drain Inlets. _lc, (;1. c Di„ea...1 U�Gi� 41"(fit.A.,f
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storrnwater site plan template-rev.10/1/2003
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12 Required Elements—Construction SWPPP(continued) GCS C 2D2 t- C
8. Stabilize Channels and Outlets. 4-0 v154 0�; �l Ikirifi it
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9. Control Pollutants. `
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10. Control De-Watering(the act of pumping a o
r ay from an active construction site).
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11. Maintain Best Management Practices(BMPs).
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12. Manage the Project.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
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3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
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stormwater site plan template-rev.10/1/2003
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b.- Description of special requirements for working in or near environmentally sensitive areas.
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4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
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5. Construction Phasing.
a. Construction sequence G(C-0 1j v 00,2er perms 7—
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b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
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II. Wet Season Construction Activities.
a. Proposed wet season construction activities. 6',� G�-
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b. Proposed wet season construction activities for environmentally sensitive areas.
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
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b. Diversions.
c. Waterways. (((
d. Runoff/Stormwater Detention Calculations
10
storrnwater site plan template—rev.10/1/2003
1110 •
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs
(not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected perry.
a:. - eZd aZ. 47
(LANDOWNER OR AUTHOR! REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED:
12
storrnwater site plan template—rev.10/1/2003
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8528 REGISTERED THE DRAWINGS AND PLANS SET FORTH ON THIS SHEET AS INSTRUMENTS OF SERVICE ARE,ANO CD
SHALL REMAIN,THE PROPERTY OF KIRK BOIKE,ARCHITECT. DOCUMENTS SHALL BE USED FOR S Z E
ARCHITECT THE CONSTRUCTION OF ONE DWELLING ONLY. ADDITIONAL USES OF THESE DOCUMENTS IS ki
m fiY O � . �oT.-. FORBIDDEN WITH OUT THE ARCHITECTS WRITTEN APPROVAL WRITTEN DIMENSIONS ON THIS n O n,p g _T`.
D (O , - DRAWING SHALL HAVE PRECEDENCE OVER SCALED DIMENSIONS.CONTRACTOR SHALL VERIFY ECog SI Ei x
D m S Z n ALL DIMENSIONS,CONDITIONS,ETC,PERTAINING TO THE WORK BEFORE PROCEEDING. THE m N rn M O
T C D II _ D KIRK'E.BOIKE ARCHITECT MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR CONDITIONS b1 Ip S''n ji:
/y0 D 1 m - ySHOWN ON THESE DRAWINGS.ANY SUCH VARIATION SHALL BE RESOLVED BY THIS OFFICE PRIOR rya ?01^'10
W STATE OFWASHINOTON m o a
(Y1 Z r Q 9 N FTO OR COST ETO RECTIFY SAME.
OR THE CONTRACTOR SHALL ACCEPT FULL RESPONSIBILITY ; D 2p