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HomeMy WebLinkAboutBLD2011-00194 - CANCELLED • CONDITIONS for Building Permit# :BLD11-00194 1.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES - Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is upgradient(above) or on the same contour MUST be setback a minimum of 10' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is downgradient or lower MUST be setback a minimum of 30' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Surface drainage, roof run-off, splash blocks, etc. must be directed away from ALL septic components. 2.) The existing well for this development lies within the WRIA 17. This is an existing water use, previous residence on parcel was demolished. Per Washington State Department of Ecology a determination that the well is exempted and not subject to the in-stream flow rule for domestic use, metering, and exempt well irrigation. 3.) A Geotechnical Report was prepared by Stratum Group dated September 30, 2010 and submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. 4.) 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. 5.) An Engineered 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 and contact the Jefferson County i Department of Community Development to arrange a schedule to inspect the property for V)i) plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. III • FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 11.) Building Setback from Fairmount Road is no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline Setback is no less than 30 feet. I 4„gON C, S 0 ,�4� o� JEFFERSON COUNTY $(0F,k 3 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 ` '� 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �l5,$ING`ZO" www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: (.• IL', 1. Project Description(include separate sheets as necessary): Construction of Single Family Residence Tax Parcel Number: 902241007 Property Size: 0 . 5 9 9/2 6, 0 9 2 (acres/square feet) Site Address and/or Directions to Property: 841 Fairmount Road, Port Townsend, WA 98368 Property Owner(s)of Record: Victoria Winteringham Telephone: 3 6 0-3 7 9-2 92 4 Fax: email: Mailing Address: 311 Forest Ave, Vermillion, SD, 57069 Applicant/Agent(ifdifferentfrom owner): Henry Souza (DBA) Designs by Souza, Inc. Telephone: 360-379-8338 Fax: email: henry@designsbysouza.com Mailing Address: 164 Swanson Ave, Port Townsend, WA 98368 What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) M Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary" " me se Classifiication , ❑ Commercial* 0 Special Use(E •ar �►t bl sTe V ❑ Change of Use 0 Boundary Line 'u I__- (� ❑ Address El Road Approach ❑Short Plat** 1 0 Home Business 0 Cottage Industry 0 Binding Site PI ❑Propane ❑Long Plat** ,J 0 Sign 0 Planned Rural 'psi htial Development(CPRRD)/A -i •ments'" ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/ elra 'n" ❑Stormwater Management ❑Shoreline Mast r Pr sions" ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Man gem fiS ment** ❑Temporary Use 0 Shoreline Man NITY DEVE OPMENT ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate Henry Souza DBA Designs by Souza, Inc. to act as my agent in matters relating to this ppli tion for permit(s). 7-OWNER SIGNATURE Date: 7 Z�e 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,her or its 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right. - try to Jefferson C and its employees,representatives or agents for the sole purpose of application review and any re uired later inspections Sta s access right of e try will be assumed unless the applicant informs e County in writing at the time of the app' tion that he or sh s pri•r notice ,Signature: n. ( Date: Z/ The action or ctions Appli nt wi undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been iss -d will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo are in compliance with the —rson • • .-•- •. - •.e.The Applicant acknowledges that he,she or it holds individual and non-transf-r•.le responsibility for a••e ing . -- r compl 'ng with the ESA. he Applicant has read this disclaim d igns a dates it below. l-,r Signature: s/ _Add_Add ad ���`� . Date: / 7i/ / / G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 • BUILDER STATEMENT The signer of this statement does hereby certify 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: All Save Construction & Management , LLC ( ) ( ) MAILING ADDRESS: 340 Chimacum, WA 98325 EMAIL: CONTRACTORS LICENSE WAINS NUMBER: ALLSASC915LE NUMBER ARCHITECT/ENGINEER: Designs by Souza, Inc . PHONE (3 6 d 3 79 8338 FAX:( ) MAILING ADDRESS: 164 Swanson Ave, PT. WA 98368 EMAIL henry@de s ignsbysouz a.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New c Wood Existing: 0 Sewer ❑ Addition N Steel Proposed: 4 _ Bank ❑ Community System c Alteration/Remodel Concrete Total: Height: [X Individual System ❑ Repair 0 Masonry SEP Permit# O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: X Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: 2 30 ' Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank 1 Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. �� ,{ .34,_t3 (add _.,; Square Footage -n Proposed 'For fice1JseOnlyG ,. ;>„ .s ,. Amount. Revision Main Floor Heated °= f EH Bld App Review: 11( 856 ' *� a -(3- 2n4 Floor Heated ,1 681 Consistency Review: -Au Other Heated �,1 c Base fee: r.g -1 C l L ?,(��G Observatory 457p . , �` ) I�i -�Vl.) Mezzanine , sa : Additional Section: 2'17-.7:-:;!-Mi ., CL) ...%1OLUS Heated Basement 9 0 3 tqt i -1-o = Plan Check fee: Sr"j a N� Unheated Basement State Surcharge fee: � 11 KL ra Other Unheated r Pot Water Review fee: q� 4 I CO Garage/Carport : `' _ SUBTOTAL o met--o�� . r1 ' r0�4I { Decks Main 318 , 911/Rd Approach fee: LX(ten 2f" Other Patio 488 =' � TOTAL: $((ail . (j G a• ]o t �.' Receipt Number: I a-r-ta 14 d©'lb a Cash/Check Number: i 4/ R �r �.y' �(J"j 1p ESTIMATED COST(REQUIRED) Date: a I_ 1 ( 3 -/ - L3 •Fair market value of all labor and materials foundation to finish t--- $1, 100, 000 . 00 _ -Aaft.C(,� Initials: M��,-p • G:\PermitCenter\###FORMS###\DRI FORMS\Master Permit Application 5-29-08.doc b - i , I. 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I 1 T 123'-0" Z 132 0" g- 01 D m m N c — c m 0 'o —8 W c a ro v 2 CD D 0 C N n) WINTERINGHAM BLD11-194 841 FAIRMOUNT RD MLA11-161 Approvals Req'd Prior to Final Inspection / v SEP _CX7CXo�j / RAP ZON SIPZ DPW cjpecial Inspections and Reports Are Recjuired by Engineer of Record *All Medal Fabrication, *Welding (copy of welder certificate to be kept on site) *high 5trength A3255olt5 *Framing *Site Compaction *Mechanical Installations L -i1 *Concrete