HomeMy WebLinkAboutBLD2007-00446 GILDING PERMIT APPLICAT N MLLA0700466
Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00446 Received Date: 8/10/2007
SITE ADDRESS: 345 BLUEBERRY HILL DR
QUILCENE, 98376
OWNER: HORIZON HOLDINGS PHONE: ((360) 796-4234
PO BOX 234
BRINNON WA 98320
BLUEBERRY HILL LARGE LOT
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 601105001 Section: 10 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: JIM KENNEDY PHONE:
PROJECT DESCRIPTION NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE AND
W/ATTACHED HEATED WORKSHOP(380 SF)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,226
VALUATION 122,164.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 380 SHORELINE:
CONST TYPE: GARAGE: 207 SETBACK:
DECK: 528 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 2
Total: 1 Total: 2
Routing Date:
/10 /6 ti
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,122.55 KAS 08/10/07 93105 APPRDVEflPlan Check $729.63 KAS 08/10/07 93105
State Building Code $4.50 KAS 08/10/07 93105 SEP 2007
Potable Water Application $58.00 KAS 08/10/07 93105
Total: $1,914.68 Jefferson County Planninc
& Building Department
Jefferson County Building Dion Permit Num BLD07-00446
Applicant: HORIZON HOLDINGS
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 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 / 2 o-7
Erosion Control
Foundation Footing /d - g"-b 7
AT>>F n 2 C2 W df 1 li C 4141\ ,L� TO 210 qe
Footing Drains lo-2q-Y7
Foundation Stem Wall 1 /07
Underground Plumbing
Under Floor Framing
Straps(hold downs) I0
1 i tog •
Ext. Shear Wall Nailing . ,
Rough-in Plumbing t 0_1 2-Jq
Framing � /� //
Airseal 6' 6- / (
Insulation:Walls
Insulation: Floors
Insulation: Ceiling _,
Int. Shear Wall Nailing
Wallboard Nailing t_.5' _ 1 I Pr'A
Gas Line: Interior 1Y4
Gas Line: Exterior br4
Propane Tank 1 J 4
Heat/Chimney Clearance l%. /7 �1�
Drywell/Alt Drainage !
Address Posted ;Pig//7
FINAL INSPECTION WV/7 •
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
i
CONDITIONS for Building Permit# :BLD07-00446
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on May 11, 2006 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:
Category II Wetland; Osprey nest at Camp Harmony.
2.) A Special Report was prepared by Joanne Bartlett with Wiltermood Associates dated
February 21, 2006 and submitted in conjunction with the application to address the
category II wetland.
3.) A setback of 100-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
4.) 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 contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
5.) A permanent physical separation along the upland boundary of the wetland 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.) The applicant is proposing to create or add 3,351 square feet of impervious surface and
12,300 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5
of the Department of Ecology Stormwater Management Manual for Western Washington.
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
7.) A Medium 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.
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 August 10, 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 September 21, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
10.) This approval is for a Single Family Residenc 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 Rural Residential 1:20 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.
. 7 ,
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(( )' NI ON 44
I
.i c O p JEFFERSON COUNTY 1A,4 DEPARTMENT OF COMMUNITY DEVELOPMENT AUG I . : ..
621 Sheridan Street• Port Townsend• Washington 98368
1 ti 360/379-4450 • 360/379-4451 Fax
Iffti
•www.co.jefferson.wa.us/commdevelopment �� i�'`,.
•q`SkINd'SO 110P
Master Permit Application MLA: C; "7_ 4( .
Project Description(include sep rje sheets as necessary):
GG'//if //Z'7?411c73 64-all ESE= I( Oa-kr L1op
Tax Parcel % L� ` - �/,t Property
Number: L) ` 0 1 l/ Size: g /e-f( (acres/square feet)
Site Address and/or Directions to Property: 3 c IJ l V(``-o:, d2 ii/ u Z 4 ` �,f L C� t5`
Property Owner(s) f Record: , /.loi /r ,
C A) Ho L Di"'
Telephone: 7 6`"'Y�Z- (% Fax: email: S.4/C go/ �i..) 6'i '41 -
e•
Mailing Address: r,0, �j 2- 3 t/ i3 '2./•Wt/V ' J4- 1F,3 Zo c.c'!-t,_
Applicant/Agent(if different from owner): / HAIL/ SW err--k- Gam, f'442i'/e/r —
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
3uilding ❑Variance(Minor, Major or Reasonable Economic Use)
C Demolition Permit ❑Conditional Use[C(a),C(d),or C)**
Single Fa r' a ,, / ary " nsification
g.
Garag: :j Detached ' ❑Discretion Special Use(Essential"DorU Public
named FacilitiesUseClas)**
Manufactured Home
°Boundary Line Adjustment
Cl Modular °Short Plat**
Q Commercial* ❑Binding Site Plan**
Q Change of Use °Long Plat**
Q Address I Road Approach in Planned Rural Residential Development(PRRD)/Amendments'*
Et Propane ❑Plat Vacation/Alteration**
DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
OStormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless 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 fan other local,state or federal permits required for this proposal, if known:
N/ 4
-/� ESIGNATION OF AGENT
�V�
I hereby designate /Li <C-?/V/�c, ),/ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE / /V W`1• 4! 4-27-- Date: 71 Iµ kit V 7
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 provi e access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any req 'ed later inspections. Staffs ss and right of entry will be assumed unless the plicant infqrrps the Coun in writing at the
time of the appf ion that he or sh nts or' n �� � ate (c A }{;�1�1f b
Signature: � Date: l •7
�
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 esponsibility for hering t and complying with the ESA. The Applicant has read this di claimer and signs and dates it below.
Signature: i t — Date: / / 411- 0 P"
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
0 •
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 th responsibility of the General Contractorrf/ffor the proposed project.
Signature: /,t-�_. 1. z 6/` `Date: Z.l " 0 ' - CI 7
IT.GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 1 -,
( ) , i A )'
MAILING ADDRESS: �� � ��` EMAIL:
CONTRACTOR'S LICENSE WAINS "IG 1 0 2007
NUMBER: .. 211.
NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FM:+( )
MAILING ADDRESS: EMAIL ifi �r ��f t (t�{� l I ci i
Project Type: irit0000$1,11 `}Q r�is: Shoreline: Type of ewa a isposal:
New INx W t YP 9 P
Istin : ❑Sewer
Addition Steel Proposed: 11' Bank El Community System
❑ Alteration/Remodel 0 Concrete Total: I. G- Hei individual System
❑ Repair 0 Masonry I Yo,- SEP Permit# (��
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: �rivate well El Two Party
T e of Heat: Proposed: / LJ Public
6�C.t✓G'T�i- Total: y l/ 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:
0 Underground Tank 0 Above ground Tank Size of Propane Tank:
0 Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p 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.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated / •-t [ GH Bld App Review / (�
C.
"a Floor Heated 0 Consistency Review: 1 5 j2
Other Heated d . ��� 25Deleir 2/ SN Base11
55
Mezzanine ��l�� Additional Section: _ 1
All
' V Heated Basement Plan Check fee:
'7 aqt (12D
Unheated Basement State Surcharge fee: -1. 5
°
Other Unheated - - :Water Review fee:
-w .v .
Garage Carport Q°7 Lisa SUBTOTALQ. ,
ecks g, 1 l� 2d Approach fee: L- xt ,,S'
Other l � , TOTAL:
1 ceipt Number: q 31 O 5
' Ca_s�h\eck Number: a15 4
ESTIMAT" ( l A ate: j '1(� (y
.Fair' .. VI CM.auv.auu IIIasv. ,...__ ation to finidti ^_� S 1V V
�./V a _.!.__.- Initials: �q"��,
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