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HomeMy WebLinkAboutBLD2016-00477 - 01 PERMIT APPLICATION UILDING PERMIT APPLICAION Review Type: Jefferson County Department of Community Development BLDI 6-00477 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD16-00477 Received Date: 10/27/2016 SITE ADDRESS: 592 SNAGSTEAD PORT TOWNSEND, 98368 OWNER: ERIC KTHORSON PHONE: 360-379-6995 JENNY M THORSON 592 SNAGSTEAD WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001295005 Section: 29 Township: 30 N Range: 11/\ CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW GARAGE/SHOP- UNHEATED NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,704.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2015 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 800 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $432.00 SRE 10/27/16 165811 Prop: Prop: Plan Check $280.80 SRE 10/27/16 165811 Total: Total: Consistency Review $255.00 SRE 10/27/16 165811 Approved/Date Scanning Fee $21.00 SRE 10/27/16 165811 State Building Code $4.50 SRE 10/27/16 165811 cam` EH SEP/RES Rev $129.00 SRE 10/27/16 165811 APPROVED V Total: $1,122.30 NOV 2 2 zcis Jefferson County DCD \\+irlcmor4\rh+n\fnrmc\F RI fl Ann Rid rn+ 1C1/97/')(11 k .. 4(,4 SON c0� DEPARTMENT OF COMMUNITY DEVELOPMENT .44 . 62'I Slwridan Sn c t,Pot r'Um nsend.\\_A 98368 4; ..‹ Tel:'3(01-9 0 I I i:360.379.44 1 \V"eb:www co ietrerson IA a uslecrnmustinclef do�aeet, :r -v 1 .,,,,d.ticcf((i co.it r1erscu?��t.us . 1 'IIrNG" ° 1 ' n 1. PERMIT APPLICATION OCT 21 2016 Steps in the Permit Process: jFF�RS4 -Review application checklist to ensure all information is completed prior to submitting application. Dv�TV DCD -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. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 0 0 1 2 S Site Address and/or Directions to Property: 41 2 Sii s-f"ectd �, Access(name of street(s)) from which access will be gained: 5'y‘ .S 'ec i tit Present use of property: Ffe,ye},c , ., Description of Work (include proposed uses): (..7c,ii5,4. v ..)-e�,t4. 0 . . 3etr R ✓ ci lie Jxc4`f' S-4:-.e> -cirt, d •- NI‘---, i2'3i„.c'r ... f,),) i^,t _ t,c-, r Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO i..------ If - If not served by sewer identified above,identify type of septic system below: Type of Sewage System Serving Property: 1.----- Septic Septic Permit#: ..»p ? g c 6 Ci 9 Community Septic Name of System: Case#: Are other residences connected to the septic system? /t; Additions or repairs to sewage system: Is it a complete or partial system installation: Complete ✓ Partial Has a reserve drainfield been designated? Yes C"---- No Date of Last Operations&Maintenance check: .5--/4 --2 v (C Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: • The authorized agent/representative is th mary contact for all project-related questioned correspondence. The County will mail /e-mail requests and information about th application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e. County email is not blocked or sent to"junk mail"). ' Applicant/Property Owner Information Property Owner: Name: , ti'l C cth Jett b [ 1Gi rSc rt, Address: ,5"`iZ . i.i`t,'' ` T Ema'�) At�'l" v t1�5et .cQ' 4.9 A- c , Lf... Phone#: 3 6 o, JCS.69. 5- � il Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: ,,,c . .-j2 _ Date: AO -/G L / 6 Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(it other than owner) Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor '` Consultant Name: C 0 124r_ left>ua\Arm License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: L,- Lr,, P License# Address: Po i.., 90/'r )5P kw,e 1 w-eo ?i z.za Phone#: 5-2)7 S35- 7 21 Z E-mail Address: fora r S «C(tgi►.W,(, Co Nn Professional: Is this an Authorized Agent/Representative for this project? NOi YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. r Signature: Cy-' tom.. -1---®print Name: 'p^r`c_ 7G c� t� Date: /a - / -2c/.6 . The authorized agent/representative is th mary contact for ail project-related questions d correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner information Property Owner: } Name: Errc ct a4k j•-e 14M &A n Address: S---12,„ Sri ev.5 fey c�r C.kJcx , i7 r1 i jilt 1,4 j /-t if 3 C' Phone#: 37? 6 ' $5 E-mail Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature:( ittC7✓ Date: /0--/b —I C Note: For projects with multiple ovihers,attdch a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(if other than owner) Name: Address: Phone#: E-mail Address: Professional: is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's i tent to enter upon the property for visits related to this application and subsequent permit issuance. Signature Print Name: JtA,n j 1 1,1 prsl n Date: /6 /10 DEPARTSNT OF COMMUNITY DEQ' OPMEN'T(G-ON �oe, 621 Sheridan Street,Port Tom.usend,WW A 98368 W A "I:d36 .3T).445() i Fay 36(13-9A4-51 (� ma � �'<I�.�a1���-c«k�tker,oi�tiva.uti'ccamstttunit�ds��-eloi�mczar\\:\,....... . E-mail:dcdhu_ci .ietierson.w'st.0 �sH I N G`�O� SUPPI.MENTAL APPLICATION RESIDENTIAL R COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: y-;e,_ ciple) lenity `rito►- 'e,kk. Assessor Tax Parcel#: CYO j ..Gj. c e>T Type of Building New ✓'--- Replacement Relocated Addition_ Repair~ _Demolition_ *A separate permit is required Select One: Single Family Residence _ Modular _ Other I-' list Proposed Building/Project Number of floors I #new bedrooms 0 existing total bed #new bathrooms 0 existing total bath G) Heat Source Select all that apply: Electric Heating Oil Wood Propane Enter the square footage(sgeft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation(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 8 00 3 SJ `c4-0-1 6 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 Other(shed,barn, pole bldg,etc.) Estimated Cost of Project(Required): $ 2,5-06 0 $ List existing buildings on property(i.eiuse,garage,accessory dwelling unit, she1rn,mobile home,other): All Existing Buildings on Property I Use 7 eto.P hoPrt>c41h02444 /06.cr d•-ktc Builders Statement 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: &tie' `"f Print Name: .►L I—k Wry"cr( Date: /0 _/O /6 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: E,t4fc Print Name: Date:it) -/O 1 6 For Department Use Only Building Permit Fees Building Base Plan Check Review 2-60 . b° Land Use Review $255.00 Septic Review $129.00 Potable Water Technology/Scan $21.00 State Fee $4.50 Other Fees Shoreline Exemption 1 Zoning Zoning Other New Address Total Fees Receipt# Date: Cash/Check/CC: • Bernt Ericson Excavating,Inc. 360-385-3602 2281 Hastings Ave. West Port Townsend, WA 98368 PROPERTY INFORMATI . ' 1 . r, 1 \ Location:592 SNAGSTEA ti Tax ID:001295005 OCT 2 f 2016 Mail To: ERIC THORSON U PO BOX 1871 Use: �EFFERS PORT TOWNSEND,WA oN"I 4NTY DCD 983680059 GENERAL SYSTEM TYPE:pressure Owner:ERIC THORSON ON ID:SOM98-00004 Fold Fold '— ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Here Here Inspected:10/18/2016 - Inspection Type:ROUTINE - Correction Status:Corrections in progress Company: Work Performed By: Submitted 10/19/2016 by: Bernt Ericson Excavating,Inc. Tim Thomas Tim Thomas , This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development. COMMENTS&GENERAL INSPECTION NOTES Deficiencies Were Noted: Corrections are in progress. I No as-built on file(on line)but everything identifiable on site and in good condition. GENERAL SITE&SYSTEM CONDITIONS Fully Inspected The General Site and System Conditions were: Ed All Components accessible for maintenance,secure and in good condition: YES Surfacing effluent from any component(including mound seepage): NO YES Components appear to be watertight-no visual leaks: NO ES Improper encroachment(roads,buildings,etc.)onto component(s): NO Component settling problems observed: Abnormal ponding present for one or more of the disposal components: NO NO Subsurface components adequately covered YES NO Owner compliance issues noted NO Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NNO N/A If deficiencies were identified on last inspection were they corrected before or during this inspection? (If NO,describe in notes,NA=no deficiencies on last report): NO-/n Progress OSS Components,structures and appurtenances located per as-built/record drawing(reference Septic Permit#in notes). If NO,describe in notes and if no as-built exists or changes made,state NO and provide record to Health Dept NO Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, describe in notes): _ I The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO NO Is the SEP case in a finaled/completed status?(if NO explain in comments) YES ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-2 Compartment Fully Inspected This component was: YsS Component appears to be functioning as intended: YES Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Effluent Filter Cleaned(N/A=Not Present): YES In Progress Effluent filter/screen needed cleaning on arrival1 Compartment 1 Scum accumulation(Inches,if other specify): Compartment 1 Sludge accumulation(Inches,if other specify): t 1 Compartment 2 Scum accumulation(Inches,if other specify): 0 Compartment 2 Sludge accumulation(Inches,if other specify): NO Pumping needed: Approximate Gallons to be pumped(if needed)by Certified Pumper: Report10:549215 View inspection reports online at www.onlinerme.com Page 1 of 2 This component was: Fully Inspected Component appears to be functioning as inten Compartment 1 Scum accumulation(Inches,if other s eci YES p fY) 0 Pump vault screen needed cleaning on arrival Compartment 1 Sludge accumulation(Inches,if other s eci No P fY$ 0 Pump Vault Filter cleaned(N/A=not present): Pumping needed: NO NO Approximate Gallons to be pumped(if needed)by Certified Pumper: urnp:Effluent Pump This component was: Fully Inspected Component appears to be functioning as intended: Controls functioning: YES Dose setting different than original(If YES,detail in comments) YES Dose setting adjusted to meet as-built/record drawing specifications(by the O&M Specialist) NO NO Tested gallons per minute flow: •anel:Control•1 Pump This component was: Fully Inspected Panel functioning(including alarm): YES Pump 1:on minutes(override in parentheses-if present): 000:68 Pump 1:off hours(override in parentheses-if present): Pump 1:gallons per dose(override in parentheses-if present): 6 Pump 1:ETM hours(override in parentheses-if present): 0019035 Pump 1:Cycle Count(override in parentheses-if present): 0 rain field:Pressure 012190 This component was: Fully Inspected Component appears to be functioning as intended: YES Lateral lines flushed: YES Average squirt height(if performed)(feet,if other specify): 5 Ponding present?If YES explain in comments: NO This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance. ReportiD:549218 View inspection reports online at www.onlinerme.com Page 2 of 2 • • Start Here Does the site have 35% Yes See Redevelopment Minimum or more of existing ► Requirements and Flow Chart impervious coverage? (Figure I-2A.2). No Does the project convert 3/4 r acres or more of vegetation to Does the project result in lawn or landscaped areas, or 5,000 square feet, or No convert 2.5 acres or more of greater, of new plus ► native vegetation to pasture? replaced hard surface area? \No Yes Yes Does the project result in 2,000 V square feet, or greater, of new plus All Minimum Requirements replaced hard surface area? apply to the new and replaced hard surfaces and converted Yes No vegetation areas. Does the project have land Minimum Requirements #1 disturbing activities of 7,000 through #5 apply to the new Yes square feet or greater? and replaced hard surfaces and the land disturbed. No V Minimum Requirement#2 applies. Figure 1-2.4.1 Flow Chart for Determining Requirements for ...,. New Development DEPARTMENT OF Revised June 2015 ECOLOGYPlease see http://www.ecy.wa.gov/copyright.htmf for copyright notice including permissions, State of Washington limitation of liability, and disclaimer. .j N co DEPARTMENT• OF COMMUNITY DEVELOPMENT 4{ 621 Sheridan Street,Port Townsend,WA 98368 Wc;, ,�C Tel:360.379.4450 I Fax:360.379.4451 Web:«ww.co.Jefferson.wa.us/communitvdevelopment j� =rte E-mail:dcd@ co.iefferson.wa.us 16'1/j N opo PERMIT FEES WORKSHEET Name Eric &Jenny Parcel# 1295005 Estimated Cost of Project $35,000.00 Permit# Building Base Fees Building Base $432.00 Plan Check Review $280.80 Land Use Review $255.00 Septic Review $129.00 Potable Water Technology/Scan $21.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees I $1,122.30 I Office Use Only Receipt Number: I(c`7el 1 Cash/Check/CC: ,'�� Date: \0f d----V1 LO ft Parcel Details Page 1 of 2 II II ''''*''''''' i ff C t * -- - - 0 '''P -- 0--1 .''' i ' e erson oun y „,,, O't 4 ' , ',. 6',1" ', ;:, *#,/, ,t Y1aer„ f �6€an t 1fstI .,, �a. 1Vebcam OIC 0 1 0 D lrtrlli sear s Parcel Number: 001295005 SEARCH Parcel Number: 001295005 Printer Friendly Owner Mailing Address: ERIC K THORSON JENNY M THORSON 592 SNAGSTEAD WAY PORT TOWNSEND WA98368 Site Address: 592 SNAGSTEAD WAY PORT TOWNSEND 98368 Section: 29 School District: Port Townsend (50) Qtr Section: SW1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 0111 Planning area: Quimper (2) Sewer: Drainage: Bank: View 1: View 2: Zoning 1: RR-5 - Rural Residential Zoning 2: Zoning 3: Sub Division: Assessor's Land..._Use Code: 1100 - Residential - Single Unit Property Description: DOE RUN LOT 2 SUBJ/EASE Tax, A/V, SaSales._P hotos,.,_and. Permit Data Bldg Data Map Parcel Plats &Surv_eys peptic Monitoring Info Jefferson County $ =g HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?value=001295005 10/27/2016 e Front Parcel Review 0 CP/6-061- T4 Parcel 001295005 Printed: October 28, 2016 ERIC K THORSON Site Address(es): JENNY M THORSON 592 SNAGSTEAD PORT TOWNSEND, WA 98368 592 SNAGSTEAD WAY PORT TOWNSEND, WA 98368 Parcel Number: 001295005 S-T-R: 29-30N-1W Total Acreage 5 Legal Description DOE RUN LOT 2 SUBJ/EASE Land Use: 1100 Flood District: Fire District: 1 Planning Area: Flood Map(FIRM)Panel No: School District 50 Zoning: fiZ I :5 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans Plot plan states "property line" Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) . Legal Access to Property YES NO Parcel Tags or Scanned DocumentYESYES lb. 4 ESA's: Special Reports ►.earby Y NO react�1 S/[ 0(\ () Designated Ag YES 4 4 Shoreline Designation: YES l • [ 4 Shoreline Slo - tability:�YES 9 Stream Typ- NO t ? ` '1 ill � t U FWHCA: NO , % GtV. Pd � - \&c W kA)-e4-(aa . Wetlands:6f o ;� c9-4-5 \ Gt, (' � Trosec Rare Plants: S lei Seismic: 4.' NO Landslide: fg: .0 r11 ! U 7 • •ILA Flood: YES Erosion: YES i Aquifer Rec,. ge ea 0 NO 5 - SIPZ: 0ra At Ris High Risk Coastal CMZ: 0 e High Risk Moderate RiskDisconne ted CMZ Stormwate ite plans itted: YesNo ( 1i M WO(' / L Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding k] Mineral Lands: YES a q... Agricultural Lands: S v1'i Archaeology: YES No Shooting Zone: YES e Stormwater: New Im e ' s Surface `(I-69.�sand Disturbing Activity f l t 15of,I ESA's Stormwater Reqs: in Req# Min Re #1 thru QRS Min Req#1 thru#10 Engiifeering ] Notice Provisions/D1 osure:Airport NO MRL YEs 6 Forest Lands 6NO Landscaping Required: Yes l 6c� 3 Y Parking Spaces Re wired NO ib Other yBuilding Height: UBC Standard ImperviSurface coverage a �� Resourceous Lands&Public: 10% Ruralcentge:Residential 25° Rura Industri er UDC Sec 6.7 P Rural Commercial: 60% Area o wilding Coverage:60%in Rural Industria ands only Total Building (s) Size: A7\ RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified kSetbacks: Front: 9b t Left Side: 5 t Right Side: 5 j Rear: 1 Shoreline Setback:LSHA Setback: t ` v� ( 1a '?�U Road Classification: �r) (v.‘. 2.5_) Road Approach: EXISTING OT, Q'D RAP [4 SEPA Required: YES PT ��f � �� \l-'S660---)CWC) b4 Flood Certificate: /`1/ f Existing Caste &Condition(s): t ?O ,t +( Violations: �e No C 1/V1 rdedf Subdivision: Yt4FN -a a Over 5yrs=UDC , c A A- Plat Conditions: . . I.C -SU f <5yrs=Plat Conditions on plat or Old Ordinance 1 rit Lots/Require Declaration Ary_. Covenant E , submitted: YES NO UGA No Protest Agreement YES , submitted: Y� NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 001295005 Review Cases Name Type Status Planner BLD16-00477 THORSON P Emma Bolin Application Received: 10/27/2016 Permit Issued/Case closed: Case Finaled: NEW GARAGE/SHOP- UNHEAI ED NO PLUMBING SEP98-00004 COM98-00089 THORSON P Application Received: 4/20/1998 Permit Issued/Case closed: Case Finaled: Stormwater drainage tront his lot damage onto adjacent lot. New drainage ditch dug BLD98-00231 THORSON F Application Received: 4/17/1998 Permit Issued/Case closed: 5/7/1998 Case Finaled: 7/20/1999 single family residence with detached garage CAR98-00007 MOK F Application Received: 1/14/1998 Permit Issued/Case closed: 2/24/1998 Case Finaled: 2/24/1998 CAR98-00104 THORSON F Application Received: 4/20/1998 Permit Issued/Case closed: 5/4/1998 Case Finaled: 5/4/1998 single family residence with detached garage SEP90-00475 MOK C Application Received: 4/9/1990 Permit Issued/Case closed: 4/24/1990 Case Finaled: SEP98-00004 THORSON F Application Received: 1/12/1998 Permit Issued/Case closed: 2/24/1998 Case Finaled: 12/10/1998 SOM98-00004 THORSON RCR Application Received: 12/10/1998 Permit Issued/Case closed: 10/18/2016 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 10/28/2016 Page 2 of 2 BLD16-00477 *BUILDING PERMIT APPLIC ON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD16-00477 Received Date: 10/27/2016 SITE ADDRESS: 592 SNAGSTEAD PORT TOWNSEND, 98368 OWNER: ERIC K THORSON PHONE: 360-379-6995 JENNY M THORSON 592 SNAGSTEAD WAY PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001295005 Section: 29 Township: 30 N Range: 111 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW GARAGE/SHOP- UNHEATED NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,704.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2015 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 800 SETBACK: CK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $432.00 SRE 10/27/16 165811 Prop: Prop: Plan Check $280.80 SRE 10/27/16 165811 Total: Total: Consistency Review $255.00 SRE 10/27/16 165811 Approved/Date Scanning Fee $21.00 SRE 10/27/16 165811 State Building Code $4.50 SRE 10/27/16 165811 EH SEP/RES Rev $129.00 SRE 10/27/16 165811 Total: $1,122.30 \\firlcmnr4\rinfn\fnrmc\F RI fl Ann Rid rnf 1(1/'77/7(118 • • ON 4c, S cod DEPARTMENT OF COMMUNITY * 'VELOPMENT (2 C Sheridan Street.t Parr l on nsend,Al A 98363 Te I. ) 2,9.44 0 j Iu. 360.379 4451 \�eb: co.ic tersun.\t 4 us Icor llluu\dr\cic,,rnenr l mail:cl«I(a o�c ti=erson�c r-us 0:144/? tt�s�1 NG,c© Ft`s 4907 l , PERMIT APPLICATION cc,10O4 J?0,, Steps in the Permit Process: CO -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. �q 06 -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. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 0 0 I 2.61 "'p Site Address and/or Directions to Property: •Scl 2. _SP)Cyt s-freea..4 Access(name of street(s)) from which access will be gained: 5Yrq, ..5•,f'E' 2tQ jct Present use of property: leen% ; e Description of Work (include proposed uses): Coil 5,� �, C s1 >✓ �2 � Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by sewer identified above,identify type of septic system below: Type of Sewage System Serving Property: fr Septic Septic Permit#: -- C1097_-- Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete ✓ Partial Has a reserve drainfield been designated? Yes r/ No Date of Last Operations& Maintenance check: 2 c> (C Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: The authorized agent/representative is terimary contact for all project-related questio•d correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. it is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner Information Property Owner: �s Name: EY'I �' QheQ 'Tel/11 y Gi B st,r1„ Address: c1 Z 5�atio,7J A r. ta� Phone#: . 4O.3 j9.�,c( j it Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: /o -%a . / Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(If other than owner) Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature: —print Name: 'i- -T� o cst . Date: /ca - 10 -2c/6 The authorized agent/representative is th'rimary contact for all project-related questions and correspondence. The Count will mail /e-mail requests and information about the application to the authorized agent/representative and will copyn ail (cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner information Property Owner: �}- Name: ; `n-c q pkEJC.14h� 12-1,e t1 Address: -- n r, f P, 4 c c;7 Pori Phone#: 34 c,) 37 6 q $5-- E-mail Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature:f ,TZ `�etL-- Date: /0 -/t -/ / Note: For projects with multiple ovi ers,att ch a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative(If other than owner) Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: Professional: is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License# Address: Phone#: E-mail Address: 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. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's i tent to enter upon the property for visits related to this application and subsequent permit issuance. Signature: 9/ Z ' - - Print Name: RA n ! 1 ors eh / J Date: C6 --/0- /10 • `c4,SON O� 6D21ESPherAR idan TStMreetE,PNarc Tiow®nsFendC,l M95M8UNITY DEVELOPMENT W i cl:36ft3 ')445ii ('a':36i).3 9.4431 �-C web:„1twco.ieEfcrsixr.titi �.��lccailimuAtit�tierelC;Pn1(2rxr ilc.tiut._c')hffersofl.Wa.tis � I/ N GCf". SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: _K-771,- Ienny ` 1tor-Se Assessor Tax Parcel#: 00 actcc Type of Building New i/' — Replacement_ Relocated _ Addition Repair Demolition *A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors 1 #new bedrooms p existing total bed #new bathrooms 0 existing total bath b Heat Source Select all that apply: Electric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation(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 8cpo 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 Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ Z 5'o6 CI $ • List existing buildings on property(i.eZiouse,garage,accessory dwelling unit, shec,barn,mobile home,other): All Existing Buildings on Property Use key 6,ar^cf-e Builders Statement 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: &tC,ee ` Z ayv,— Print Name: E-07(-- lt,r5'c .. Date: /0 -/O ._ /6 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: Ev'ic. 677-1.4.)-6^5c42.c42. Date:j0 -I O _! 6 P For Department Use Only Building Permit Fees Building Base Plan Check Review Land Use Review $255.00 Septic Review $129.00 Potable Water $172.00 Technology/Scan $21.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees Receipt# Date: Cash/Check/CC: . ... I • r c'o DEPARTMENT OF COMMUNITY DEVELOP i .„, 4,: I 621 Sh ridl in StrLei Port' jwtiscnd,\\`_\"R_>68 1 1 I' A�' Tel: 361).?-9 445o t tN:360.3-9; .-44 2 4 'J " 7 �i b Wei): WW 0)ICffe Sf)11AN.1.w. c�ommunin-de 1, • \\......... f ,n til:dccM_cc>.leffc=ticmae 1.11s �. IS ,c0 /0: STORMWATER CALCULATIONE O KSH $.1k V ?0j6 co&It, MLA# I—. 7�-�/ PROJECT/APPLICANT NAME: f.,�.,_i'""€`(', t Ut a7;r^�A'„,4;,'1, C® DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application,or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel -) acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 1' • 0`- sq/ft Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include,but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/4 acres or more of Construction site for structures i 7%1-0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2 1.4 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes , No Lawn, landscaping,etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance ` ' sq/ft Cut , Fill ij ` (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways,parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater talc worksheet–REV.10/20/2014 1 STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) /0 1t sq/ft Structures(all roof area) 4;/7 sq/ft Sidewalks sq/ft Sidewalks iZ r sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads,etc sq/ft Driveway, parking,roads,etc sq/ft Other sq/ft Other sq/ft Total New s Ift �0 3 9 Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* t/ `, 1 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: % Does the site have 35%or more of existing impervious surface? Circle: Yes No I- FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicantjowner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. /C) /c ...../ (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE MONO` SMALL _ MEDIUM LARGE. netratEwpMENt Star rater Site Pla+s Yes No stormwater talc worksheet—REV.10/20/2014 2 Start Here Does the site have 35% Yes See Redevelopment Minimum or more of existing ► Requirements and Flow Chart impervious coverage? (Figure l-2A.2). No VDoes the project convert 3/4 acres or more of vegetation to Does the project result in lawn or landscaped areas, or 5,000 square feet, or No convert 2.5 acres or more of greater; of new plus ► native vegetation to pasture? replaced hard surface area? \No Yes Yes Does the project result in 2,000 square feet, or greater, of new plus All Minimum Requirements replaced hard surface area? apply to the new and replaced hard surfaces and converted vegetation areas. YeS No Does the project have land Minimum Requirements #1 disturbing activities of 7,000 through #5 apply to the new Yes square feet or greater? and replaced hard surfaces and the land disturbed. INC) Minimum Requirement#2 applies. ,P°` 6�540a . 217 4-frre/To p �6 y r 4/2/g,-e/'5 !r► Figure 1-2.4. 1 MOM" Flow Chart for Determining Requirements for New Development DEPARTMENT OF ECOLOGY Revised June 2015 Please see http://www.ecy.wa.gov/copyright.html for copyright notice including permissions, State of Washington limitation of liability, and disclaimer. • • `,3ON cob JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment /sNI NGo Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(@.co.jefferson.wa.us SquareONE Resource Center j Building Permits & Inspections I Development Review I Long Range Planning October 28, 2016 ERIC K THORSON JENNY M THORSON 592 SNAGSTEAD WAY PORT TOWNSEND WA 98368 RE: SITE ADDRESS: 592 SNAGSTEAD CASE#: BLD16-00477 Dear ERIC K THORSON: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Element#3 from Minimum Requirement#2 of the 2014 Department of Ecology Stormwater Management Manual (SWMM) requires the project to control flow rates for the new shop. Please submit a stormwater method that complies with the prescriptive flow control methods listed in the SWMM. Alternatively, please submit a stormwater site plan prepared by a licensed engineer that complies with the SWMM. Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 1/26/2017. As required by Jefferson County Code, JCC 18.40.110(3) and (6), if the information is not submitted or additional time to submit the required information within the ninety(90) calendar day period is not requested, the application would be considered abandoned and therefore withdrawn and application fees will be forfeited. Jefferson County Code provides that the Department of Community Development shall not be responsible for notifying the applicant of an impending expiration, thus any further notification would not be forthcoming. Sincerely, EMI= MO-eit2 Department of Community Development Staff c: File