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HomeMy WebLinkAboutBLD2019-00506 - 01 PERMIT APPLICATIONa JEFFERS.N couNrY O DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-3794450 | email: dcd@co.jefferson.wa.us www. co.jefferson.wa. us/com mdevelopment BUILDING PERMIT PERMIT #: SITE ADDRESS OWNER SUBDIVISION: PARCEL NUMBER: BLD19-00506 1130 BECKETT POINT RD PORT TOWNSEND, 98368 MARIANNE VANDIVER 5OO SW 328TH COURT FEDERAL WAY WA 98023 Received Date: lssue Date Expiration Date PHONE: 206-9194590 9322. BECKETT POINT FISHERMAN 932200717 Section: 23 Township: 30 N Range: 2V1 11t12t2019 12t9t2019 12t9t2020 CONTRACTOR PUGETSOUND SHORELINE 3490 SWEDE HILL RD CLITON WA 98 PHONE: 360-914-7441 PROJECT DESGRIPTION: MAINTENANCE & REPAIR OF BULKHEAD WITH SHORELINE EXEMPTION APPROVAL SDPl9.OOO16 & FLOOD DEVELOPMENT PERMIT TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: RES REP 33,000.00 2012 u-1 5N SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: HEAT TYPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS:Exist: Exist:Prop: Prop:Total: Total: Type Amount Paid Bv: Date: Receipt: Permit Plan Check State Building Code Scanning Fee Tech Fee Total: $410.00 $266.50 $6.50 $24.00 $35.35 SRE SRE SRE SRE SRE 11t12t19 11t12t19 11t12t19 11t12t19 11t12t19 1 87539 1 87539 1 87539 1 87539 1 87539 $742.3s 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. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379.4455. Request must be received by 3pm the day before the inspection is needed. Final lnspections require 24 hour notice. Office Hours 9:00 am - 4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY. SEE ATTACHED Jefferson County Building Permit Num BLDl 9-00506 Applicant: VANDIVER BUILDING PERMIT INSPECTION APPROVALS Appticable code: 2012 lnternational Buildins Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor & lndustries. The electrical permit must be signed off by the State lnspector prior to the County's Framing lnspection lnspection ltem Date Approval Signature Miscellaneous to be performed by the engineer ofrecord or upon final that all work was performed per engineering and Setbacks in same footprint Foundation Stem Wall Retaining wall Pl',* f"d/\*, skut-o)l ,61. o*' bl o-o r-isk r75c oa/ final inspection will not be scheduled untilthe following are completed and signed off by the applicable Department: o Septic Permit Final/Complete for any building contoining plumbing o Public Works Permit Final (where opplicable) o Building Permit Conditions ore met o Land Use Conditions met signed olf FINAL INSPECTION /rq/)na rut'/ N MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR FINAL I 1.) Stormwater and Erosion Control: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. Erosion control measures must be in place prior to any clearing or grading and prior to beginning any construction, as sand, silt, clay, and soil are considered pollutants. Flood Development Permit: The proposalwill be located in Discovery Bay, in an area that is mapped on the Federal Emergency ManagementAgency Flood lnsurance Rate Map Panel No. 5303'1C0110C as Zone AE & SFHA with High Flood Risk. The proposed project is subject to the requirement for a flood development permit, which is incorporated into this decision. The proposal meets the definition of development but not structure in the flood damage prevention ordinance, as codified in JCC 15.15.050. TheAdministrator has determined that a HabitatAssessment is not required. Flood hazard reduction measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter '15.15) Materials and Methods Construction Materials and Methods: (1)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage; and (2)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. All materials that may come in contact with water shall be composed of nontoxic materials, such as wood, concrete, approved plastic composites or steel, that will not adversely affect water quality or aquatic plants or animals. Materials used for structural components shall be approved by applicable state agencies for contact with water to avoid discharge of pollutants from wave splash, rain, or runoff. Wood treated with creosote, copper chromium arsenate or pentachlorophenol is prohibited in shoreline water bodies. 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. Fill materials placed within shoreline jurisdiction shall be from an approved source and shall consist of clean sand, gravel, soil, rock or similar material. The use of contaminated material or construction debris shall be prohibited. The applicant shall ensure that wet concrete does not enter the marine environment as wet concrete has the potential to negatively affect water quality and habitat conditions. ln the event that wet concrete extends beyond the footprint of the existing bulkhead, DCD (and other federal or state agencies) may require mitigation. Protective measures include, but are not limited to, using a fast curing additive, beginning the work as the tide goes out, ensuring the curing occurs during a low tide, using forms to prevent wet concrete from flowing beyond the existing footprint of the bulkhead, and implementing an appropriate spill prevention plan. Driving or taking heavy equipment onto the beach is prohibited. All work shall occur from the upland side of the project area. The proposal shall retain existing vegetation. Any disturbance within the shoreline buffer shall be restored immediately. lnadvertent Discovery of Cultural Resources: The applicant shall comply with the lnadvertent Discovery Protocols, as presented in the lnadvertent Discovery Plan attached to this permit. All contractors and personal shall be familiar with the inadvertent plan. lf any possible historic, cultural artifacts are inadvertently the applicant shall immediately allwork on the project and shall notify the Washington State Department of Archaeology and Historic Preservation (Stephanie Jolivette, 360-586-3088), Jefferson County Department of Community Development (360-379-4450), and affected tribes. Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive review from this \\tidemark\data\forms\F_BLD_Permit_Bldg. rpt 12t9t2019 Qu,,-r, NG PERM tr APPlrce0r.r Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 BLD19-00506 Review Type: PERMIT #: SITE ADDRESS OWNER: SUBDIVISION: PARCEL NUMBER: BLD19-00506,1130 BECKETT POINT RD PORT TOWNSEND, 98368 BECKETT POINT FISHERMEN'S CLUB % GOODING O'HARA& MACKEY 242 TAYLOR ST PORT TOWNSEND WA 98368-5717 932200717 Section: Received Date: 1111212019 PHONE: 9322 - BECKETT POINT FISHERMAN Block: Lot: 23 Township: 30 N Range: 2\ CONTRACTOR PUGETSOUND SHORELINE 3490 SWEDE HILL RD CLITON WA 98 PHONE: 360-914-7441 REPRESENTATIVE:PHONE PROJECT DESCRIPTION: MAINTENANCE & REPAIR OF BULKHEAD WITH SHORELINE EXEMPTION & SHORELINE PERMIT SDPI9.OOO16 TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: RES REP 33,000.00 2012 BATHROOMS: Exist: Prop: Total: SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: Type HEAT TYPE: HEAT TYPE: # OF STORIES SHORELINE: SETBACK: BANK HEIGHT: Amount Paid Bv: Date: Receipt SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: Exist: Prop: Total: Approved/Date Permit Plan Check State Building Code Scanning Fee Tech Fee Total: $410.00 $266.50 $6 50 $24.00 $35.35 SRE SRE SRE SRE SRE 11t12t19 11t12119 11t12t19 11t12t19 11t12t19 1 87539 1 87539 1 87539 1 87539 1 87539 $742.35 oo DEPARTMENT OF COMMUNITY 621 Shcridan St(cct, Port'[ownscnd, W.\ 98368 Tet 360.379.#50 | Fas: 360.379.'l-t51 Srcb: urwrv.co.iefferson.wa us / communitydcvelop merrt E-mail dcd@co.ic ffetson.wa.us PERMTT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven, -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanled by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Onh Related Application #s: Buildine Permit # MLA# N0v /gFFEQsory ,l ao coua* oqo Site lnformatlon Site Address and/or Directions to Property: Assessor Tax Parcel Number: Access (name of street(s)) from which access will be gained: Description of Work (include proposed uses) Present use of propertyl Wastewater - SewaBe Dlsposal Thls property is served by Port Townsend or Port Ludlow sewer system? lf not served by sewer identified above, identify type of septic system below: YES Nol(. Tyoe of Sewage System Serving Property: _ Septic ,,/ Community Septic Septic Permit #: Name of System:Case #: Are other residences connected to the septic syste m? Yr< Additions or repairs to sewage system: ls it a complete or partial system installation: N/A, Has a reserve drainfield been designated? Date of Last Operations & Maintenance check: NID Complete_ _Partial _ Yes_ No_ Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: '9[oo o o il or sent to 0wner lnformation t* q?2 en@b*\ * q?a?\@I Owner Please P Property Owner: Name: Address: Phone #:E-mai )with project info. (select only Date: sheet withNote: For attach awith Authorized other than owner) ? I Address: Consu lta nt E-mail Address: E NOtorls this anProfessional: Architect Surveyor Name: Address: Phone #: Engineer Name: Address: Phone #: Consu ltant E-mailAddress Consultant E-mailAddress: NO YES NO YES for this project?ls this an Authorized for this project?ls this an Authorized Professional: Profusrional: Architect_ _Surveyor _Contractor License # Architect _ _ Surveyor _ _ Contractor License # Name: Address: Phone #: Name: Address: Phone #: Engineer Engineer o K By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and corre-ct to tfre Uesi of his or her 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 making any issued permit null and void. I further agree to that atl activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federa employees, represer l, state rson County and its ns. Applicant maY request notice ofth permit issuance. Signature Print Name: Date: - ,144-4q-l4rdD" u^-trr_ ftnn{ }.lpnra:Wc- o DEPARTMENT OF COMMI-INITY D 621 Shcridan Street, Port'I'ownsend, WA 98368 o oeo Site lnformation ^Owner Name:Assessor Tax Parcel #: of Bui d New Addition Replacement Repair Relocated Demolition ,* 1A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors # new bedrooms # new bathrooms existing existing total bed total bath Heat Source Select all that apply: Heat Pump Electric Heating Oil Wood Propane For Department Use Only Related Application #s: Receipt #:Date: Payment #: Enter the square footage (sq/ft) that applies in each field liupplcnrcntal Sl;lL l Proposed Sq/FtStructureExisting Sq/Ft ICC Valuatioh (office use) Residential / Commercial Main Floor Residential / Commercial Second Floor Additional Floors - heated / unheated Basement - unfinished Basement - finished space or habitable Detached Garage - heated / unheated Attached Garage - heated / unheated Garage 2nd fl - unfinished storage Garage 2nd fl - finished space or habitable Carport - 2 walls or less Deck - uncovered Covered porch [rc Iar0Other (shed, barn, pole bldg,etc.) Estimated Cost of P .oDuireds s ueofp o o List existin bui i.e. hous ra a un S ba mobile hom othe All Existing Buildings on Property Use The signer of this statement certifies 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: Print Name:_ 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 or her 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 making any issued permit null and void. Signature Print Name Date: _ Building Permit Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning Zoning Other New Address Technology Fee -5% Total Fees "LlL,b{ i to 'tt) Jw op :Srsd- SBLeo 3flr.o€- s24,oo SG.so C8' 45 5 CC: t\ tjr?}d,uno,, Wrl IVun 11-oooufu wdr iln*ca'c Jrt ir ptanne rSb?1'Q-ocotb I Builders Statement Use t