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
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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_
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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
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Builders Statement
Use
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