HomeMy WebLinkAboutBLD2005-00536 - CANCELLED THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00536 Received Date 08/19/2005
SITE ADDRESS: 853 FAIRMOUNT RD Issue Date 09/15/2005
PORT TOWNSEND, 98368
APPLICANT: B E DOUGLAS PHONE:
MEAGAN R DOUGLAS
853 FAIRMOUNT RD
PORT TOWNSEND WA 983689346
SUBDIVISION: Block: Lot: T 7+
PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR:
PROJECT DESCRIPTION: 125' PIER, RAMP, FLOAT & BUOY (implements Shoreline
Secondary Permit SDP 03-17).
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing:
Foundation:
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
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
•
1.) The proposal is required to comply with the Jefferson County Shoreline Secondary and
Substantial Development Permit (SDP 03-17) approved November 5, 2004 by the Hearing
Examiner subject to 20 conditions of approval (listed below).
1. Prior to issuance of the Jefferson County Building Permit, the applicant will be required
to submit the following:
i. A small parcel Drainage and Erosion Control Plan as required by the Jefferson County
UDC and described in UDC 3.6.10.f. Once the subject permit has been issued, the
applicant shall fully implement the provisions of the submitted Drainage and Erosion
Control Plan; and
ii. A revegetation plan that indicates native plant species to be used for the purpose of
shore bank retention, locations of plantings, and timelines for planting. This permit does
not authorize the removal of any trees.
2. Proper disposal of construction debris must be on land in such a manner that debris
cannot enter the water body or cause water quality degradation of state waters.
3. All lumber and other materials treated with preservative shall be sufficiently cured to
minimize leaching into the water or shore bed, in accordance with the Best Management
Practices approved by the Washington Department of Fish and Wildlife.
4. In order to minimize visual impact, the pier, ramp, and float shall be constructed to
harmonize with the local shoreline environment to the maximum extent practicable. This
includes utilizing appropriate color(s), texture, non-reflective materials, and other design
characteristics.
5. Construction shall be in substantial compliance with the site plans submitted to
Jefferson County during the permit process as they exist now or are hereafter amended
by Jefferson County and/or the Washington State Department of Ecology.
6. No fill or other material may be placed in the waters or inter tidal areas of Jefferson
County.
7. Work within the jurisdiction of the Shoreline Program other than as described above
shall receive separate review from this office.
8. Substantial progress towards completion of the project shall be performed within two
years of the issuance of the permit.
9. Prior to construction, the proponent shall contact the Jefferson County Department of
Community Development at (360) 379-4450 with estimated project timelines for
monitoring and plan compliance.
10. Prior to the onset of construction, the applicant shall provide the Department of
Community Development with the name and address of the contractor carrying out the
project.
11. The applicant shall comply with the requirements of the Hydraulic Project Approval
#ST-F7590-01 issued on June 23, 2004 from the Washington Department of Fish and
Wildlife. Please contact Randi Thurston, WDFW at (360) 895-6123 with any question.
12. The proponent shall notify the US Army Corps of Engineers (COE) prior to
commencing construction of the pier, ramp, and float to ensure that the requirements of
the Section 10 Permit of the 1899 Rivers and Harbors Act are met. Contact the US Army
Corps of Engineers, Seattle District Regulatory Branch, PO Box 3755, Seattle WA 98124,
(206) 764-3495, for more information.
13. A building permit is required from the Jefferson County Department of Community
Development prior to the construction of the pier, ramp, and float. This shall include
engineered stamped plans to ensure that the design of the over-water structure is safe in
this marine environment.
14. Prior to the issuance of a building permit for the pier, ramp, and float, the applicant
shall submit a landscaping plan to DCD and Randi Thurston WDFW for review and
approval. At a minimum the plan shall be for two 3-4 foot wide by 15-20 foot long areas
located at the top of the bank as specified by the Corp of Engineers Permit(Log item 10).
This area shall be comprised of native shrubs planted on 3 foot centers and native trees
planted on 10 foot centers, and with a minimum 80 percent survival rate after five years.
15. Prior to the issuance of a building permit for the structure (pier, ramp, and float), a
flood certificate meeting the requirements of the Jefferson County Flood Damage
Prevention Ordinance (Ordinance No. 18-1120-95) shall be submitted to DCD for review
and approval. This shall include ensuring that the structure has low flood damage
potential, proper anchoring, and elevated or flood-proofed utilities.
16. Utility service for the pier and dock shall be on or under the decking. Lighting shall be
• •
shielded to prevent unnecessary glare off-site and to not impact navigation. No overhead
lighting is permitted.
17. Structures, equipment, and materials shall be maintained. Structures, equipment, and
materials shall be removed as soon as practicable upon the cessation of a project's
operation or the structure becomes so dilapidated that it requires total replacement. If the
structure is not maintained or utilized for over one (1) year, it shall be removed regardless
of future anticipated use unless prior permission has been granted by the Jefferson
County Department of Community Development based on the showing of good cause.
18. Boats that are occupied shall not be permitted to moor at private docks, piers, and
floats longer than three (3) days unless pump-out facilities are available in the immediate
vicinity.
19. Buoys shall be discernible under normal daylight conditions at a minimum of 100
yards. The buoy shall be marked with the owner's name, address, and phone number.
20. The buoy system shall be adequate to withstand the maximum expected physical
stress that the environment and moored craft will place on the buoy. No more than two (2)
boats shall be secured by a mooring buoy.
2.) In addition to Jefferson County permit conditions, the project proponent shall comply with
all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
3.) Prior to commencing development activity, the proponent is responsible for informing the
US Army Corps of Engineers (COE) in order for COE to determine whether a Department
of the Army permit or review is required. Generally, review is required for construction
and dredging in or around navigable waters of the US and for work or fill in hydrologically
connected wetlands. Contact the US Army Corps of Engineers, Seattle District
Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more
information.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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SITE PL •. t HI
` ° 59' 36 N, 122° 52' 05" w A�I )� `
f :
• Fairm.nt Road,Port Townsend, WA f
_
SEP • 1 2 2005 -5'contour is
located approximately 80'
.moi.+,��•_ *"!"sod 325'from revetment
JEFF-•SON COUNTY'amp and .p t 6'BY 411'FLOAT
DEPT.OF COMMU TY DEVELOPMENT � DISCOVERY RAY
SIGNATURE:
4'BY 40'RAMP
MLLW AT Rt!' NORTH
120'
6'BY 125'PIER 5'contour at
120' the bulkhead/beach
Line of MEM intersection
ROCK REYETMENTIBLUFF 73 icy------130' _
4 l
80' 208' / .
I LOVLNG
' Pills DOUGLAS I -
33'shove
LARSON I beach/bulkhead I t
Intersection $ "` g
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co r P Q f E N J,,�re e_r s.9e- • - '
Purpose: Recreational access to water i Proposed: Pier, ramp and floats
Datum: MLLW = 0.0 (NOS) In: Discovery Bay
Adjacent Property Owners \I Near: Chimacum, Jefferson County, WA
W:Stan Larson Number: 200300539 Appliocant: Bruce Douglas
E: Robert Loving Page 1 of 3 Date: 20 June 2003
t
DISCOVERY BAY -5'contour is
Located approxitnatel;y
325'from revetment
1 74'
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L 40' - 1
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6'by 40'Twostub Two-foot 4'by 40'
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float pilings wide grating ramp
A
Fixed pier
APPROVED
SITE PLAN 125' 20'
1--- NORTH
SEP 1 2 2005
JEFFERSON COUNTY
DEPT.OF CeMMUN YE ELO'M T
SIGNATURE r,�/ iw
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l Revetment
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Pier is approximately
14'above the seabed
4,
MIHW=72' :� --- -- -� —
MLLW' — +� {__ __
MHW(7.2')Is
Water depth under float 20' 3.3'above
at MLLW-2':at MHW=93' I 1 beach/bulkhead
Intersection
Purpose: Recreational access to water Proposed: Pier, ramp and floats
Datum: MLLW =0.0 (NOS) c a fP ,;c&Iv5,e.retr''S In: Discovery Bay
Adjacent Property Ownersr.� 1- Near: Chimacum,Jefferson County,WA
W: Stan Larson Number:200300539 Appliocant: Bruce Douglas
E: Robert Loving Page 2 of 3 Date: 20 June 2003
Figure 9.Planting plan view
6'BY 40'FLOAT DISCOVERY BAY
4' BY 40' RAMP
NORTH
6'BY 125'PIER /
A total of five elderberry shrubs (Sambucus spp.), {
,i▪vc adia� aiuUa uk,Guu
oiiciId 114 tori) l i , ( �,
and four evergreen huckleberry shrubs _-__`..1-__:,.___1,_ i€ 'i
(Uaccinium ovation) . s's 'I
X41 [ 1 !
will be planted on 3' centers in u°
the two areas indicated
The areas planted with native vegetation will be ___{
maintained in a natural state for
the live of the project(pier, ramp and float).
208' P'nr�.itr.
15'
20' WELL
I
A SEPTIC TANK I
J
11111 72,29'
192.9'
APPROVED
SITE PLAN
SE3 12 2005 it
111) .0. /r
_/
JEFFER.•N COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
SIGNATURE:
Douglas Pier,Ramp_and Float Project•27
� 111.1
ILDING PERMIT APPLICAN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368 MLA05-00496
PERMIT #: BLD05-00536 Received Date: 8/19/2005
SITE ADDRESS: 853 FAIRMOUNT RD
PORT TOWNSEND, 98368
OWNER: B E DOUGLAS PHONE:
MEAGAN R DOUGLAS
853 FAIRMOUNT RD
PORT TOWNSEND WA 983689346
SUBDIVISION: Block: Lot: T 7+
PARCEL NUMBER: 902241006 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr 125' PIER, RAMP & FLOAT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 30,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: 500 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routinq Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Plan Check $441.75 SLE 08/18/05 76474 APPROVED
Permit $287.14 SLE 08/18/05 76474
State Building Code $4.50 SLE 08/18/05 76474 SEP 1 5 2005
Total: $733.39 County Planning
„Jefferson
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DEPARTMENT OF COMN Ct} • A�
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�� 621 Sheridan Street• Port Town �� 3,)',1
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`AS , ( 360/379-4450-800/831-2678 � ___
"�liV www.co.jefferson.wa.us/commdc 0�,,k; 9
Master Land Use Permit Application Forn -
PROPERTY INFORMATION
Tax Parcel Number.
C:f {'T tiY t i ,+4::..21i11.1 : +L11'i{tet 4i
Subdivision Name: !v Lot Number. TAX Ur 7_-
Property Size: /, /0 Ac PE.5 (acres/square feet) Existing Use of Property: 5/46-1.:E._ FAivl I t-4/RESIt7e;_icr
Site Address and/or Directions to Property: gs'53 F--/WM ci4— i.Zi) a.P; 1��:,;,v50y i g FA-1—rvi 177 1 YS G;
•D►5Co\.,`ER-iAK.
APPLICANT&OWNER/INFORMATION
Applicant(if applicable): A f Y LE trfrt 4r'i Telephone: (31,-o)3 g 5•- iftfi"3
Address: 5-a-! SA-I A-G5'TEAD WAY
City: 7G?I-- r�VJNSEI'i. -te: W'E Zip Code: ' B 3t'c a Email Address Sege fiy11iOt5.l'j-r
Applicant's Signature: • W" •
Property Owner(s)of Record: aR(A CE- 11)0Li&LAS Telephone: (Ef'2 Si Co 1-/i -3`/"6
Address: 26 3 P VI/EST LA1(1 _ S4-NA14f'ii.lei PAR k'tiV W NC-
City:
v-City: ti VDik,tb fr) State: ii--A Zip Code: 77 6 f.'5 Email Address WOO Ii 2. 4,14.,,E
I acknowledge that the applicant above is applying for a building permit on my property.
Owner's Signature: .411 r_I .
hereby designate A Y. LII TM A is-1 to act as my agent in matters relating to this application for permit(s).
S// `i/ 2-0'13
( ROPERTY WNER SIGNATU E) (DATE) _
DESCRIPTION OF PROPOSED USE OR ACTIVITY(include separate sheets as necessary)
Co 5Y IR;Aci A- Ne w pi F.i, Wi?-, P 4-N FL-c4-T; /15' 1��// A-1,
A MOR IN Cs. 3 i.i0,'-
[THIS SECTION FOR OFFICE USE ONLY] -
Refer to the specific sections of the UDC referenced below for more information and further requirements.An asterisk(*)indicates
that a supplemental application or questionnaire may be required. -
Type I Permits ` Refer to:
❑ Septic Permit/Evaluation of Existing System(EES) UDC Section 6.4.1 and Chapter 8.15 JCC
❑ Building/Demolition Permit UDC Section 32.1 and Table 3-1
0 Allowed'Yes"Use Consistency Analysis UDC Section 3.2.1 and Table 3-1
❑ Home Business Table 3-1 and UDC Section 420
❑ Stormwater Management* UDC Section 6.7
❑ Road Access* UDC Section 6.8
0 Boundary Line Adjustment* UDC Section 7.2
❑ Minor PRRD Amendments UDC Section 3.6.13.15 '`-,
❑ Sign Permit* UDC Section 6.15
❑ Site Plan Approval Advance Determination(SPAAD) UDC Section 8.7
0 Shoreline Master Program Exemption7Permit Revisions UDC Section 5
❑ Temporary Use(based on use may be Type II or Type Ill)* UDC Sections 4.38 and 4.39 - (OVER)
Ot.C.Ci.c f p aC,cCof
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. c0� JEFFERSON NTY •
DEPARTMENT OF CO f•.
ito
_ �l(Bl \/ELOPAENT
621 Sheridan Street • "oft o4nsend •WashinO9
4, 360/379 4450 •• 360/3 9 � 1 t---- - ___A
Is., G�O www.co.jefferson.wa.0 cgrmmdevelopment III i 1
it
AUG 1 8 2035 t
, f li
Master Permit Application j MLA: 1
Project Description(include separate sheets as necessary): r 3 =
Tax Parcel Property
Number: 0:, ` c--1+1 - UCS(0 Size:
/ A---cg_.- (acres/square feet)
- Site Address and/or Directions to Property: `3 5 3 F/41 RMc J r-RD Po R F roWia/5EN D - Ate -R FM-544 i i I r5
Property Owner(s)of Record: 3R\AC�_ D0LK:A.-j E• M EPtc-A14 'jou G-1-A-5 49/N4 DI SCaVC-Ryi3 j'
Telephone: ( -5) ((1-I - 3 if z 7 Fax: ` email:
Mailing Address: ao WEs i L 4 j< ,�i 5'A /14410 t PA-K,KWAtri Ne R :4aoti D tr/�. `1'&"15 4-
Applicant/Agent(if different from owner): MA-Rt NE Sag -i t' i4 SP S5friENTS - 1✓1 (e 4j
r�,1
Telephone: (3(001 �
.� S -4 ?-3 Fax: (3{c c.) 315--(.}-J.1.f- email: 'c=.(`C , I�Spc .C 0N►
Mailing Address:
What kind of Permit?(Check each box that applies)
Euilding ❑ Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
Ft-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: 5E4.:7-/U Lf54CE!
5A6S IA-PiAt Dcwi.,0VAtE� i-��w,i ,:i (-f-pi— (k`�)PIA/
i
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 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 inspections'.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. t + ) /
Signature: �.�f`/ (.t.L s Date: 24 A )
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-transferable responsibflity,for adhering to and complying with the ESA. The Applicant has read this disclai er and signs and dates it below.
Signature: l t ij
._ Date: /IC f
G:\PemutCenter\FORMS\D.RD 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.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
l l " StYf /2-f t cii;, . 77 L c�-7/_i (3)1PU) i S ._ S C 1 j ( )
MAILING ADDRESS: /7 v 'n 1 C 5-"?' 04.....2i.---A g 144 EMAIL:
CONTRACTOR'S LICENSE // GSiLf>.� WAINS _
NUMBER: L y K SC, --Xf()�c. Ti NUMBER L-/}k.E.56,', - /j3",,JA
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Fr-Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: 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:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ 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,
includin! the reserve area.
Square Footage For Office Use Only
Current Proposed Amount
Main Floor Consistency Review: "'
to
2 Floor Base fee:
Z'- (t 5
3' Floor Additional Section:
Mezzanine: Plan Check fee:
Heated Basement State Surcharge fee: 4G
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
1 V''t• I
Garage/Carport el g
TOTAL:
DecksReceipt Number: i /r;ILI
yup
Other�jE� � � �, FLc��� .1""
t r Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: ci C
•Fair market value of all labor and materials found tion to finish !' .C
0 000c 00 Initials: -K--t---Th
nitials: f- a ,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc