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Home My WebLink AboutSUB2019-00003 - 01 APPLICATIONDEPARTMENT OF COMMUNITY DEVELOPMENT fj2l Sherielarr Street, Por:t Tr-rs.'tisenil, \\'.:\ 98-i68 F,-ma il: clcd((4c,:.ie lft r:sur.rva.r:s l1li PERMIT APPLICATION MARttmg Assessor Tax Parcel Number: Site Address and/or Directions to Property: ut I l,q,t Access (name of street(s)) from which access will be gained: W,( ur",b 4 st. Present use of property: Description of Work (incl t144 ude proposed uses)L This property is served by Port Townsend or Port Ludlow sewer system?YES Nox if not served sewer identified a eofse Type of Sewage System Serving Property Septic Septic Permit #: Community Septic Name of SYstem: Are other residences connected to the septic system?tUo i ldditions or repairs to sewage system: I i, l, , complete or partial systenn installation: j Has a reserve drainfield been designated? I O.te of Last Operations & Maintenance check: m below: Case # Complete . Yes X Partial No_ Attach last report to application X/vt Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: Suu\q-ccDb 'I'el: 360.379.44.i0 I I'as: 3(10.379.-1451' \\'et:: ' JHFI ,r'pq.r," - . steps !n the permit process: r*'1".F;insot\c coufvry,cD -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 accompanied 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. I Fo,r Department Use Only Related Anplication #s: Building Permit # MLA # Site lnformation The authorized agent/representative is the primary contact for all project-related questions and cor / e-mail req uests and information about the application to the authorized agent/representative a nd respondence. will copy (cc) The County will mail the owner noted below. The authorized agent/representative is respo nsible for communicating the information to all parties involved with the application.It is the responsil I is not blocked o bility of the authorized a gent/representative and owner to ensure their mailbox accepts County email (i.e., emal r sent to "nk mail" Property Name: Address: Phone #: Owne 4 f a,a C€sc 4r cc j60 - 165 - 093\E-mail d ress: Please contact Authorized Agent/Representative with project info. (select only one) Pro Owner ture:Date: Note: For with multi attach a sheet with each information and ll cr^ Name: Address: Phone #:E-mailAddress Engineer Name: Address: Phone #: Architect Surveyor Contractor License # Consultant E-mailAddress Engineer Name: Address: Phone #: Architect Surveyor contractor License # Consu lta nt Engineer Name: Address: Phone #: E-mailAddress: Contractor License # comp and Istate and county laws and regulations agree to provide access a employees, representatives or agents for the sole lication review and any request notice ofthe Cou visits related to this Architect Surveyor By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correit 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. all activities I intend to undertake or lete associated with this permit will be performed in compliance with Consultant I further agree to that all applicable federal, r purpose of app the property for Print Name:fr Mctsr, application and su $+1a,,i nd right of entry to J, required later inspe efferson County and its ctions. Applicant may nt permit issuancebseque DateSignature to enter upon 10t Authorized Owner lnformation Professional:ls this an Authorized for this NO YES Professional:Is this an Authorized for this NO YES for this NO YESProfessional:ls this an Authorized E-mailAddress: DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 We b : www. co. ieff erso n. wa. u s/co m m u n itvd eve I o p rLe nt E-mail : dcd@co.iefferson.wa. us SU PPI-E MENTAL APPLI CATI ON BOUNDARY LINE ADJUSTMENT (BI-A) uln#PROIECT/RPPI.ICANT NAME: Submittal Requirements Y A completed Permit Application. Representative authorization is required if application is not signed by owner, rl Boundary Line Adjustment application fee, as set forth in the Jefferson County Fee Ordinance, as amended. a. A single application may be submitted for multiple BLAs for adjacent parcels, lots, tracts or sites within a binding site plan. However, standard application fee (s) shall apply to each BLA after the first two per additional parcel, lot, tract or site b. ln instances of lot consolidation, standard application fee (s) shall appl9 based on the number of resulting parcels or lots. ( Five (5) copies of a clean and legible drawing suitable for recording showing the following The proposed lines for all affected lots, tracts or parcels, indicated by bold solid lines; The existing lot, tract or parcel lines proposed to be changed, indicated by light broken lines; The location and dimensions of all structures/improvements existing upon the affected lots, tracts or parcels and the dislance between each such structure/improvement and the proposed boundary lines, with structures proposed to be removed from the site depicted with broken lines and structures to remain on the site depicted with solid lines; A north arrow indication and scale; All assessor's tax parcel numbers for the affected lots, tracts or parcels; The location of the property as to quarter/quarter section; The location and dimensions of any easements within or adjacent to any affected lots, tracts or parcels; m The location, right-of-way widths, pavement widths and names of all existing or platted streets or roads, whether public or private, and other public ways within or adjacent to the affected lots, tracts or parcels, The area and dimensions of each lot prior to and following the proposed adjustment; The existing onsite sewage system components and reserve areas and the proposed location for onsite sewage systems and soil test pits for all affected lots that are not currently served by an onsite sewage system or other approved wastewater treatment system ; The location of all existing and proposed water and storm drainage facilities; and The approximate location and extent of any environmentally sensitive areas designated under Article Vl-D of Chapter 18.15 JCC, including any flood hazard areas lying within the existing or revised parcel boundaries. The following notice will be recorded on the drawing when the parcels that are part of the Boundary Line Adjustment include, or are adjacent to, Environmentally Sensitive Areas (ESA): Notice to Public: Current Jefferson County geographic information systems (GlS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard, erosion, aquifer recharge area, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicanUowner shall contact the Jefferson County department of commuhity development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements; ln cases where the requirement to provide written verification that the resultant lots can accommodate on-site sewage system from the Jefferson County department of environmental health has been waived, the following notice shall be recorded on the drawing: Notice to Public: Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. a. b. c. d. e. f. s. h. k t. Page 1 A copy of any Covenants, Conditions and Restrictions (CC&Rs), deed restrictions, or planned rural residential development (PRRD) agreements pertaining to or affecting the property. lf an individual septic system is proposed (i.e., as opposed to connection to either a community drainfield or municipal sewer system), the applicant shall provide written verification from the Jefferson County department of environmental health that the lots, tracts, parcels or sites, as each would exist after the boundary line adjustment, are adequate to accommodate an on-site sewage disposal system. The location of soil logs must be shown on the drawing to show land area sufficient to meet environmental health requirements for each resultant lot, tract, or parcel that does not contain a dwelling. This requirement shall be waived for resultant parcels that: a. Are larger than 2.5 acres; b. Have existing residential structures; or c. Have limited the use of the resultant parcel to agriculture, forestry, or open space through conservation easements, restrictive covenant, or similar legal arrangement. The Open Space Tax program shall not be used to fulfill this requirement !The application shall be accompanied by a current (i.e., within 30 days) title company certification of the following: a. The legal description of the total parcels sought to be adjusted; b. Those individuals or corporations holding an ownership interest and any security interest (such as deeds or trust or mortgages) or any other encumbrances affecting the title of said parcels. Such individuals or corporations shall sign and approve the final survey prior to final approval; c. Any lands to be dedicated shall be confirmed as being owned in fee title by the owner(s) signing the dedication certificate; d. Any easements or restrictions affecting the properties to be adjusted with a description of purpose and referenced by the auditor's file number and/or recording number, and e. lf lands are to be dedicated or conveyed to the county as part of the subdivision, an American Land Title Association (A.L.T.A.) policv mav be required bv the director of the department of public works. 1 Please provide abief ption of the of the proposed boundary line adjustment. Ae (r e.,1 f 2. Please provide Existing Legal Descriptions of all affected lots, tracts or parcels. (Attach additional sheets, if necessary.) Parcel A: Parcel B: Parcel C Parcel D Page 2 3. Please provide Proposed Legal Parcel A: of all affected tracts or parcels. (Attach additional sheets if necessary.) a<* Parcel B Parcel C; Parcel D: 4. All owners of the subject properties must sign the application below to signify agreement to the proposed boundary line adjustment. The applicants hereby certify that all of the above statements are true and the plot plan provides an accurate representation of the proposed boundary li issued on this application may be revoked if ine adjustsnent, and the applicants hereby acknowledge that any permit such statement is found to be false. a. b. c. d. Date: Date: Date: Date: 9-cl Page 3 DEPARTMENT OF COMMUNITY DEYELOPMENT 621 Sheddan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.37 9.4451 rJy'eb: www.co.ie fferson.wa.us /communiwdevelooment E-mail: dcd@co.iefferson.wa.us PERMIT FEES WORKSHEET Parcel # Permit # 7021,44020Estimated Cost of Project BLA Building Base Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning New Address Road Approach Tech Fee Total Fees Sa+e.oo s214.oo Sz+.oo $s+.zo S1,138.20 ,O Cb\t''n5?,L );q, Receipt Number: Cash/Check/CC: Date: lnitials: \t Office Use s\) \q' t JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 | Web: www.co.jefferson.wa.us/communitydevelooment Tel: 360.379.'1450 | Fax 360.379.445'l I Email: dcd@cojefferson.wa.us SguarcOItIE Res ource Center I Building Permi|r E lnspecfions I Development Review I Long Range Planning April3, 2019 FRANCESCO & ARIANNE BERTUCCI PO BOX 551 QUILCENE WA98376-0551 RE: SITE ADDRESS: 504 W COLUMBIA ST CASE #: MLA19-00017 DeaT FRANCESCO & ARIANNE BERTUCCI: Jefferson County Department of Community Development staff have reviewed the application materials for the above proposed project and have determined that your application is not complete. The following information is needed by July 2,2019 to constitute a complete application: Upon review of your application for a boundary line adjustment, it is noted that the adjustment as proposed does not comform the JCC 18.35.080(9): "Create a nonconforming lot, tract, or parcel or increase the nonconforming aspects of an existing lot, tract or parcel relative to Chapter 18.15 JCC;" and (i) "Create a lot, tract, or parcel that crosses zoning district boundaries, with the exception an adjustment across rural residential densities." Please contact me to discuss your options which include re-design and re-submittal, or withdraw and refund of used fees. Pursuant to JCC18.40.110(3Xb), if an applicant does not submit additional information, does not request additional time to submit the required information within the ninety (90) calendar day period, or does not appeal the decision, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Please advise the Department of Community Development in writing of your intentions. Sincerely, David Wayne Johnson Department of Community Development Staff c: File \\tidemark\data\forms\F_MLT_lncApp_Req I nfo. rpt 4t3t2019 Jeffurcn Couty Code Chapto 18.35 LAND DTVISIONS DRAFT WORK PRODUCT SUBJECT TO REVIEW ?age 3132 (4) Facilitate adequate provision for water supply, sewage disposal, drainage, streets, schools, parks, recreational areas, fire protection and other capital requirements; (5) Require uniform monumentation and conveyancing oflots, tracts and parcels by accurate legal description; (6) Facilitate the expeditious processing ofdevelopment applications through the adoption ofclear, predictable and uniformly applied land division regulations; and (7) Implement the goals, policies and substantive requirements of the Washingon Slate GroMh Management Act (Chapter 36.70A RCW) and the Jefferson County Comprehensive Plan. [Ord. 8-06 g l] 18.35.030 Applicability. ( l ) This chapter applies to the division of land into flour parcels for short subdivisions and of five or more parcels for long subdivisions. This chapter further applies to boundary line adjustments and binding site plan review and regulation. (2) Property boundary lines separating two or more lots ofrecord may be adjusted only under the specific provisions set forth in this chapter. (3) The process for resubdivision, alteration and vacation ofany existing suMivision is identical to the process for initial subdivision. AII such subdivision applications shall conform with the applicable sections in this chapter goveming the subdivision ofproperty into lots, tracts or parcels. All proposed plat vacations shall comply with the requirements and cnteria set fo(h in RCW 58. I 7.21 2, as now adopted or hereafter amended. (4) Where this chapter imposes greater restrictions or higher standards upon the development ofland than other provisions ofthis code, laws, ordinances or restrictive covenants, the provisions ofthis chapter shall prevail. (5) Punuant to Chapters 79.125 and 58. I 7 RCW, tidelands may not be altered in any fashion under this section. Tideland acreage may not be included or given other consideration in any land division, plat alteration, or boundary line adjustment. The authority to alter platted tidelands lies with the departrnent ofnatural resources. [Ord. 8-06 $ l] 18.35.M0 Exemptions. This chapter does not apply to the following: (l) Divisions ofland into lots, tracts or parcels each one ofwhich is one-sixteenth ofa section ofland or larger, or 40 acres or larger ifthe land is not capable ofdescription as a fraction ofa section ofland; provided, that for purposes ofcomputing the size ofa lot that borders on a streel or road, the lot size shall be expanded to include that area that would be bounded by the center line ofthe street or road and the side lot lines ofthe lot running perpendicular to such center line; and provided fuIther, that within the commercial forest district (i.e., CF-80), each lot, tract or parcel shall be at least 80 acres in size; (2) Cemetenes and bunal plots while used for that purpose, (3) Divisions ofland made by testamentary provisions or the laws ofdescent; provided, that this exemption shall not be construed to permit inter vivos transfeB, and provided further, that any structure or use on the property must comply with all other applicable county regulations, and (4) Divisions ofland relating to the acquisition ofa lee simple interest in land by public agencres, including, but not limited to, drvisions made for road or public right-ol-way conveyance or widening purposes. This exemption shall not be construed to include acquisitions ofeasements. [Ord. 8-06 $ l] -,fi$il S\rt +€ ?o rx !<.rA( +- L+1 DryfuP-15 Commented UPl]: Verify Comp Plan reference after CP The Jeffrson Couty Code is cumt though Ordinmce l-16, passed February l, 2016. revisions