HomeMy WebLinkAboutBLD2020-00420 - 01 PERMIT APPLICATIONUp Front Parcel
Review Parcel
Date Completed:
Owner Name:
Add. Name:
Mailing Address:
Site Address(es):
Parcel Number: S-T-R: --Total Acreage
Legal Description Land Use:
Flood District:Fire District:Planning Area:
Flood Map (FIRM) Panel No: School District Zoning:
[ ] Zoning ________________________________________________________________________________
[ ]Setbacks:Front:_______Left Side:__________Right Side: __________ Rear:_______________
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 NO
Shoreline Slope Stability:____________Landslide____________Erosion_____Seismic___________
CMZ: none High Risk Moderate Risk Disconnected CMZ__________________________
Report Submitted________________________________________________________________________
FWHCA: YES NO Stream type: __________________________ Pond or Lake < 20 acres________
Marbled murrelet/Spotted owl_____________ marine nearshore______________
Wetlands:YES NO ___________________________________________________________________
Flood:YES NO List FIRM map:_______________________________________________________
Flood Certificate: ______________________________________________________
Aquifer Recharge Area:YES NO___________________________________________________________
SIPZ: none At Risk High Risk Coastal ________________________________________[
] Site Visit conducted YES 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 _____________________________________________________________
4
No
4
No
No
None
No
None
Slight
9100
35-27N-1W
N/A
None
No
Yes
No
4
No
No
JERADEAN & JOHN MASCIOCCHI
JERADEAN & JOHN MASCIOCCHI TRUSTEE 595 SILENT LAKE RD
QUILCENE, 98376
No
701355002, BLD20-00420
701355002, BLD20-00420
Yes
4
4
NONE
4
No
No
2410 NE DUNCKLEY ST
PORTLAND OR 97212-1557
No
4
No
4
None
No
4
4
9
No
RR-5
9/1/2020
4
Yes
No
SILENT LAKE LARGE LOT LOT 2
none
Land Use Requirements
[ ] SEPA Required:YES EXEMPT _________________________________________________
[ ] Landscaping Required: Yes No_______________________________________________________
[ ] Parking Spaces Required NO 2 Other_______________________________________________
[ ] Building Height: 35' UBC Standard __________________________________________________
[ ]Stormwater: New Impervious Surface_____________Land Disturbing Activity ________________
Min Req #1 thru #5Stormwater Req's: Min Req #2 Min Req #1 thru #9
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 _________________________________________________
[ ] 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:_______________AFN____________________________Over 5yrs=UDC
Plat Conditions:_____________________________________<5yrs=Plat Conditions on plat or Old Ordinance
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No
No
4
4
4
The proposed New Single Family Residence meets the 250' setback requirement for the
adjacent commerical forestry parcel and meets the 100' buffer plus 10' setback from the
OHWM of the Silent Lake shoreline.
No buffer or geotechnical report is required for the proposed development within the
seismic area (The two adjacent properties have no geotechnical reports for the
development within the seismic areas).
JCC 18.22.530 (11)(b) Seismic Hazard Development Standards:
Development activities or actions requiring a project permit within a seismic hazard area
shall be in accordance with JCC Title 15.
(15) Seismic Hazard Areas – Standards. Development may be allowed in seismic hazard
areas when all of the following apply:
(a) The standards of subsection (1) of this section shall apply.
(b) Structures in seismic hazard areas shall conform to applicable analysis and design
criteria of Chapter 18.15 JCC.
N/A
N/A
Amanda Hunt
Not REQ'D
4
No
4
No
4
No
N/A
4
2
4
3,672 sq/ft
4
4
4
4
No
No
Exempt4
4
4
Yes
4