HomeMy WebLinkAboutBLD2020-00586-01- PERMIT APPLICATIONBUILDING PERMIT
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street | Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
BLD2020-00586
4/2/2022Expiration Date
4/2/2021Issue Date
11/2/2020Received Date:
PORT LUDLOW, 98365
SITE ADDRESS:
PERMIT #:
OWNER:
1ERange:28Township:6Section:821063015PARCEL NUMBER:
SUBDIVISION:
ANDREW J REED
PO BOX 442
POULSBO WA 98370-0442
PHONE: 360.340.8823
N
410 NO NAME RD
CONTRACTOR:OWNER/BUILDER
PROJECT DESCRIPTION:NEW MANUFACTURED HOME
SEP20-00115
TYPE OF WORK
DECK:
# OF STORIES:
CONST TYPE:
5NCONST TYPE:GARAGE:
UNHEATED:OCCUPANCY:
R-3OCCUPANCY:
EEE
HEAT BASE:2015CODE EDITION:ADD'L:VALUATION
TYPE OF IMP NEW MAIN:
SQUARE FOOTAGE:MOB
OTHER:
SETBACK:
BANK HEIGHT:
155,000.00 HEAT TYPE:
HEAT TYPE:
1,500
SHORELINE:
SEWAGE DISPOSAL:
Exist: Exist:
BATHROOMS:BEDROOMS:
1PWELLWATER SYSTEM:
CON
Prop:
Total:Total:
Prop:
3
3 2
2
Amount PaidType By:Date:Receipt:
$672.00Permit HLR 11/05/20 194692
$288.00Consistency Review HLR 11/05/20 194692
$139.00EH SEP/RES Rev HLR 11/05/20 194692
$139.00Potable Water Application HLR 11/05/20 194692
$24.00Scanning Fee HLR 11/05/20 194692
$63.10Tech Fee HLR 11/05/20 194692
$1,325.10Total:
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.
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
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 Inspections 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 Division
BUILDING PERMIT INSPECTION APPROVALS
Permit Number:
Applicant:
Applicable Code:
BLD2020-00586
2015 International Building Codes
REED
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 & Industries.
The electrical permit must be signed off by the State Inspector prior to the County 's Framing Inspection
NotesApproval SignatureDateInspection Item
Setbacks
Erosion Control Two drywells, both measuring: 5.5 feet in diameter and 5 feet in depth.
MH Foundation
Blocking & Tie Down
Skirting & Ventilation
Address Posted
WRIA 17Water Meter Insp LUDLOW, RESERVE MANAGEMENT AREA
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
FINAL INSPECTION
A fnal inspecton will not be scheduled untl the following are completed and signed of by the applicable Department :
·Building Permit Conditons are met
·Land Use Conditons met and signed of
·Septc Permit Final/Complete for any building containing plumbing
·Public Works Permit Final (where applicable)
CONDITIONS for Building Permit # :BLD2020-00586
1.)This approval is for a new single family residence only. Any future permits on this site are
subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
2.)The site plan as submitted with the building permit application on November 10, 2020 has
been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated March 24, 2021 shall be resubmitted
for review and approval by Jefferson County Department of Community Development .
3.)The Geographic Information Systems mapping review identified the following Critical
Areas on the subject property: slight landslide hazard area and FWHCA with Type 5
non-fish habitat stream.
4.)Geologically Hazardous Areas in Jefferson County are characterized by slope , soil type,
geologic material, and groundwater that may combine to create problems with slope
stability, erosion, and water quality during and after construction or during natural events
such as earthquakes or severe rainstorms.
5.)The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer of 75 feet. The setback shall be measured horizontally from the Ordinary
High-Water Mark (OHWM) to the single family residence.
6.)An additional setback of five (5) feet is required from the edge of the FWHCA buffer area
to the proposed single family residence.
7.)The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
8.)The applicant is proposing to create or add 3,600 square feet of impervious surface and
32,582 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements #1 through #9
of the Department of Ecology Stormwater Management Manual for Western Washington .
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
9.)A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully implement
the provisions of the submitted plan. No clearing for roadways or utilities shall occur on the
project site until clearing necessary for the installation of temporary sedimentation and
erosion control measures have been completed.
10.)The applicant has proposed and been approved to utilize downspout full infiltration to
manage stormwater from roof areas. The soils were evaluated by using the septic soil
logs and found to have three or more feet of permeable soils and the anticipated water
table is at least 1 foot below the bottom of the proposed drywell/infiltration trench. The
drywells will be designed per the requirements of the Stormwater Management Manual for
Western Washington BMP T5.10. Two drywells are proposed , and both must accomodate
90 cubic feet of gravel. Both drywells must be 5.5 feet in width by 5 feet in depth per
standards of BMP T5.10A in the 2019 SWMMWW.
11.)The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology In Stream Flow Rule for that region. The parcel is located within
the __LUDLOW_______ sub-basin in a designated Reserve Management Area ; as such,
conservation standards per state regulations require the following:
1. A permit-exempt well serving an individual user shall not exceed a maximum of 500
gallons per day (gpd) or an annual average more than 350 gpd, for all permit-exempt uses
authorized under RCW 90.44.050. (WAC 173-517-120(1)(b))
2. A well serving a group domestic system shall not exceed a maximum use of 500
gallons per day (gpd) or an annual average more than 350 gpd, for each residence, and
shall not exceed a total use of 5,000 gpd for the group. The design and construction of
group domestic systems must be consistent with applicable state department of health
requirements and applicable Jefferson County or Clallam County requirements . (WAC
173-517-120(1)(c))
3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION ; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology
at 360-407-6300.
\\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 4/2/2021
Up 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
No
4
Yes
No
None
No
Coastal
Slight
None
N/A
No
Yes
No
556.5'196'
4
No
No
No
N/A
154'180'
Case #: BLD2020-00586
No
821063015
821063015
No
4
4
NONE
4
No
N/A
No No
4
No
4
None
No
4
Non-fish habitat (Type 5)
4
No
RR-10
RR-10
March 24, 2021
4
Yes
No
none
No
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
Reviewed By:
Additional Notes:
No
No
4
4
4
Slight landslide hazard does not impose constraint on development or require a
geological assessment. Type 5 stream is located farther than 75 feet from proposed
development site. No FWHCA constraints imposed on development. No further critical
area concerns on site.
Stormwater management plan approved with MLA20-00070.
Project approved.
N/A
N/A
Private
1.5%
Bryan Benjamin
N/A
4
No
4
No
No
32,582 SF
N/A
4
2
4
See MLA20-00070
3,600 SF
4
4
4
4
N/A
No
No
Exempt4
1,500 SF
4
4
4
N/A
Yes
4