HomeMy WebLinkAboutBLD2007-00353 THIS BUILD :ENG IS NOT
FINAL ED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY .
Ordinance No. 12-1203-12.
"Pursuant to this Ordinance, effective January 1, 2013, if your permit is less than five years old, additional renewals may
be approved at the current annual renewal rate. If your permit is older than five years from the date of issuance, in order
to be considered for an extension, you must submit a request in writing to the building official and must provide a
justifiable cause for an extension. Payment of all accrued renewal fees is required prior to approval of an extension."
R105.5 Expiration.
Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180
days after its issuance. or if the work authorized by such permit is suspended or abandoned for a period of 180
days after the time the work is commenced. The building official is authorized to grant. in writing. one or more
extensions of time. for periods not more than 180 days each. The extension shall be requested in writing and
justifiable cause demonstrated.
R105.6 Suspension or revocation.
The building official is authorized to suspend or revoke a permit issued under the provisions of this code
wherever the permit is issued in error or on the basis of incorrect, inaccurate or incomplete information. or in
violation of any ordinance or regulation or any of the provisions of this code.
Jefferson County Building Dillon Permit Numb./ BLD07-00353
Applicant: CULVER
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes
To schedule inspections. call (3601379-4455
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
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 1) MUST COMPLY WITH GEOTECHNICAL REPORT
2)MUST RE INSPECTED AND-CERTIFIED BY GEOLOGIST
Address Posted
.. i7_,Q CITaa At 1 ri.....,R, . ,c)
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED "-I°
THIS PERMIT IS VALID FOR ONE YEAR
CONDITIONS for Building Permit# :BLD07-00353
1.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN
LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT
DATED DECEMBER 6, 2005 STATING THAT THE STRUCTURE AND/OR
STORMWATER FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH
THE REQUIREMENTS OF THE"GEOTECHNICAL REPORT." THE LETTER SHALL BE
STAMPED BY THE LICENSED GEOLOGIST/ENGINEER.
2.) The road approach permits (RAP05-00027 and RAP06-00104) must be inspected and
finaled by the Jefferson County Department of Public Works prior to the final
inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of
Public Works at 360-385-9159 for the final road approach inspection.
3.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
4.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area. A setback of 30-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
(indicate type of development).
5.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
6.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
7.) All construction activities shall not encroach upon the Landslide Hazard buffer. This
includes the storage or preparation of materials.
8.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
9.) 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.
10.) 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.
11.) MANDATORY MEASURES OF HIISK 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.
12.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
13.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
14.) 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.
15.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
16.) 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.
17.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
18.) The building height is not to exceed 35 feet.
19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
20.) 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.
21.) 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.
22.) Minimum setback from the edge of S Beach Dr(aka Burner Nelson Rd) right-of-way shall
be 20 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas
further impact setbacks.
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JEFFER N COUNTY
/ 14, r �A DEPARTMENT OF COMMUNITY DEVELOPMENT
R I illk
` 1.4 621 Sheridan Street• Port Townsend •Washington 98368 I
360/379-4450 • 360/379-4451 Fax U U N 2 Q ''''1
' r p� www.co.jefferson.wa.us/commdevelopment
81N i
Master Permit Application MLA: c1\ 3_
Project Description(include separate sh is as necessary):
J,v-tC)L! f .vvt; ty kkti... \v, ()‘,.../c1<_
fax Parcel 9�� M Property
Number. c CV 6 7 Size: kV/87.. Ii2aQS rt.'i (acres/square feet)
Site Address and/or Directions to Property: 3 Cj c�v\'�ej e�C� �,r
Property Owner(s)of Record: ,\c Li E. 0.v\,/e{
Telephone: 360 sat-q 3C1 S Fax: email:
Mailing Address: �ck I Sd��- - e&Cv1N. le,
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
i
WI}at kind of Permit?(Check each box that applies)
tliBuilding . D Variance(Minor,Major or Reasonable Economic Use)
❑Demolition Permit D Conditional Use[C(a),C(d),or C]**
pingle Fa ❑ Discretionary"D"or Unnamed Use Classification
0 Garage ' Cached etached D Special Use(Essential Public Facilities)**
D Manufactured Home ❑ Boundary Line Adjustment
C]Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑Change of Use / ❑ Long Plat**
3-Address 3 2)k /Road Approach 1\0 P D Planned Rural Residential Development(PRRDyAmendments**
❑Propane D Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
D Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* D Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Ad/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 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 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 attomey'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 acrpz5 and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requir ter inspections.A ss right of entry to this property shall be requested and shall occur only during regular business
hours. 6/ /
Signature: (----- Date: 4/'Y7 ,
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 a • ompliance th the fferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfers { ponsibili dh to and complying with the ESA. The Applicant has read this di nd signs and dates it below.
Signature: di
Date: c� 02imer 7
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER BUILDER STATEMENT •
The signer of this state nt does hereby ce ' that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumi response ili of General Contractor for the proposed project.
Signature: Date: 6/2- O 7
t�
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:
ii New [ ' Wood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: I Bank W ommunity System
O Alteration/Remodel IL( Concrete Total: Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit#
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 ,Private well ❑ Two Party
Type of Heat: Proposed: I i Public
Total: Y� Name of System: . . -
0a i9_E L ttl0. •
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 FlAbove grand Tank Size of Propane Tank: 5/00 94
CIHeat Stove ❑ Cook Stove ti, 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,
including the reserve area.
Square Footage For Office Use Only � I
Current Pro sed L: 0
Main Floor �� Consistency Review: '
2"t'Floor tease fee: �
3fd Floor Additional Section:
Mezzanine: Plan Check-fee:
Heated Basement State Surcharge fee: ` 5
Unheated Basement Pot Water'Review fee:
Other Unheated 9l llRd Approach fee: t
1!'
Garage/Carport J I�
TOTAL: $ 1 tr,y� I ..1
11 41/� 1DOD sg .� 1 ,4>
Decks pa,,� � tt�
iiii -s= Fr y___.`.' Ir t. R` '"pt Number: q H 0(6
Othe o h/Check Number. _ ;i.
ESTIMAIEEH6 T'(REQUIRED) Date:
.Fair market value of all tailor and materials foundati .to inish J U N .2.� / ;fir�' '
1
-Initials:
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