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Home My WebLink AboutCAR2020-00006 Application & Desk NotesWq DEPARTMENT OF COMMUNITY DEVELOPMENT ��, 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 1 Fax: 360.379.4451 Web: r ff . r e ❑rnin siii e i >> E-mail: { cBe �.'effcier n.0 us PERMIT APPLICATION Steps in the Permit Process: -Review application checklist -i:o ensure all information is completed prior to submittin, -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 _ if Assessor Tax Parcel Number: 990 600 238 Site Address and/or Directions to Property: End of Camano Lane, off the cul-de-sac. Access (name of street(s)) from which access will be gained; Camano Lane Port Ludlow Washington' ashin ton — i Present use of property: Raw land. Description of Work (include proposed uses): Critical Area Review for setback from Wetlands Or seasonal i stream fur propose ui ing Oeve opment. Wastewater - Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit #: Community Septic Name of System: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Has a reserve drainfield been designated? YES V NO Complete Partial Yes � No Case #: Date of Last Operations & Maintenance check: y ` Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: I o-2 The authorized agent/representative is the primary contact for all project -related questions and 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., �;I i nr.t kinA-1 nr cant to `ail rnk mail"1 Applicant/Property Owner Information Property Owner: Name: Michael acid Irene White ,address: PO Box 891, Manchester, WA 93353 Phone #: 360-471-132.7 � E-mail Address: whitei45@mSn.com Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature:. - Date: Note: For projects with multi le 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: J License # _ Address: Y e # E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO � YES Engineer Architect Surveyor _- Contractor Consultant 'Na" .e: 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: 1' 1. llti4 I1. I_.•I1 tlJ Ii :'1\.1GI e.3�. 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 Ape Counl <s intents enter upon the property for visits related to this application and subsequent permit issuance. Signature: [Q �'`L Print Name: Irene White Date: 9/16/2020 ... .,I 2 MICHAEL A WHITE IRENE J WHITE PO BOX 891 MANCHESTER, WA 98353-0891 Up Front Parcel Review Parcel 990600238 Printed: September 24, 2020 Site Address(es): . WA Parcel Number: 990600238 -T-R: 8-28N-1E Total Acreagc 0 Legal Description �� UDLOhd NO.2 AREA 2 38 Land Use: 9100 Flood District: Fire District: 3 Planning Area: Flood Map (FIRM) Panel No: School District 49 Zoning: [ ] Zoning S [ ] Setbacks: Front: Left Side: Right Side: Informed by JCC 18.30 or Title 17 for Master Planned Resorts: Shoreline Setback: Critical Area Buffer Building Setback: Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO List: [ ] Sepcial Reports Nearby YES NO List:_ [ ] Shoreline Designation: YES NO [ ] Critical Areas Geologically Hazardous Areas YES L aD Shoreline Slope Stability: Landslide Erosion Seismic CMZ: none High Risk Moderate Risk Disconnected CMZ Report Submitted FWHCA. ES NO Stream type: Pond or Lake < 20 acres �> ae qc,,Marbled murrelet/Spotte4 owl marine nearshore Wetlands: YES "t m at '�'`��'rR T-y,fc- k! Flood: YES List FIRM map: Flood Certificate: Aquifer Recharge Area:YES SIPZ: Q� At Risk High Risk Coastal [ �] Site Visit conducted Z]iE�b NO [ ] Notice Provisions/Disclosure Forest Lands: YES NO Airport YES No MRL YES No Agricultural Lands: YES No No Shooting Zone: YES. NO [ ] Archaeology: YES NO 3 -71 Rear: [ ] Stormwater: New Impervious Surface Land Disturbing Activity Stormwater Req's: Min Req #2 Min Req #I thru #5 Min Req #1 thru #10 Engineering Drainage District Review Required [ ] Stormwater Pollution Prevention Plan Submitted: Yes No [ ] Impervious Surface coverage percentage: Resource Lands & Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec.6.7 Rural Commercial: 60% Area of Building Coverage: 60% in Rural Industrial Lands only [ ] 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 Land Use Reciuirements [ ] SEPA Required: YES EXEMPT [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other [ ] Building Height: 35' UBC Standard [ ] ADU Proposed YES NO Square Footage: [ ] Total Building (s) Size: 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 [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] Require Final Zoning Approval/inspection YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Recorded Date of Subdivision: 11 FN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance Title Notes Updated Parcel tags found for parcel 990600238 1.) Fish & Wildlife Habitat Based upon review and an on -site inspection by DNR and 03/06/2018 WDFW (MLA12-00090), your parcel is adjacent to a designated Type NS stream channel and is regualted under JCC 18.22.250(2). Cases Associated with APN 990600238 Cases Name Review Type Status Planner • \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2020 Page 2 of 3 CAM20-00225 DO M Joel Peterson Application Received: 8/14/2020 Permit Issued/Case closed. 8/24/2020 Case Finaled- What will be necessaryo in�{`�cluTe`m building permit? Has this lot been surveyed? If not, what is the cost? (more below) A local trail cuts through the parcel, will there any legal battles? Seasonal streams near area. Challenges? Sewer & power connection fees? Additional lots: 983401406 & 983401407 (Paradise Bay) On a bluff. Engineering & Building requirements? Setbacks? If time allows: 990400481 (Machias) CAR20-00006 WHITE P Application Received: 9/22/2020 Permit Issued/Case closed: Case Finaled: Critical area review for seTac cs mom wetlands or seasonal stream for proposed building/development \\tidemark\data\forms\R_Parcel_CRMLA.rpt 9/24/2020 Page 3 of 3 p i p O 0 Cn g �P` G O ID T Q! 4 I 1 n O y M W O O• 10 in O WE or)Ocn T m l0 1 M I�1 1n r r O N p O O p ID O w O O O in Ql a) Q1 rlf T;. s '��. -ON, T^ N O W O:• 09 Qi L y, pO V a ffl Vl a C i _ `• t - -_y • IVj ip ML - Jr• ■ _ ' Y .= i . . - L 1 r - • __ % aLr - - - - - ��- IMP 5 IF 17 WL • _ - — ■ �- - ■ _ r.L 1 - = 1 1 u r IL • I 7 T =1 Lm r - 1 ' 1. -'Ll i ri r E - ILamp JF 12 Aj im Ed --r- - - - - := - - .--r i ■ - �€_ �__� -mot A i