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HomeMy WebLinkAboutBLD2012-00257 - 01 PERMIT APPLICATION• tILDING PERMIT APPLICATON Review 00184 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00257 Received Date: 8/21/2012 SITE ADDRESS: 444 E MOORE ST PORT HADLOCK, 98339 OWNER: RICHARD L SCHMIDT PHONE: 360-301-6898 REISAM SCHMIDT 111 CURTIS ST PORT HADLOCK WA 98339-9564 IRONDALE #1 SUBDIVISION: Block: 32 Lot: 9-13 PARCEL NUMBER: 961803205 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,848 VALUATION CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 TotaL - 2- —� Routing Date: — Type Amount Paid By: Date: Receipt: Approved/Date red/Date APPROVED Manufactured Homes $222.00 LYK 08/21/12 135124 Potable Water Application $64.00 LYK 08/21/12 135124 Total: $286.00 SEP2 T 2012 Jefferson County Planning & Building Department 116rlem�rlArl•4n\fnrr..c1 C RI f1 inn 131r1 rni R/9119M9 ON CQ • • ��w JEFFERSON COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT r - '" 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �, c5 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: `q' tp q Projecj Description(include separa sheet as necessa ): 5e- l,v-p �lav�u. e � , , Tax Parcel Number: �C 44.5 �� ab Property Size:i VcR7,5-00 (acres/square feet) Site Address and/or Directions to Property: �C/ 845i- ire ,9 W)i-i- 41-Otce ,iip9,- 9 g35 9 Property Owner(s of Record: ∎ 5 e4'-/)1/ /��!�� Telephone: 3� 0 01' • i i7C Fax: CL email: I yUIIL�� �a A� Mailing Address: ��� PO ♦T ' N_/ VMS V Applicant/Agent(if different from owner): / G. Telephone: Fax: email: Ii/Q , Mailing Address: i. What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑ Critical Areas Ste ❑ Demolition Permit ❑Variance(Minor, -'• •1'1r.�� . . a� • . •• a Ya ❑ Single Family ❑ Garage Attached.!Detached ❑Conditional Use[ (.:) •••' .�4 .- 1 V E ' Manufactured Home .❑ Modular - - ❑Discretionary"D" r named Use Classi Ica • ❑ Commercial* 0 Special Use(Ess ntla f ll'ublic Facilities)** ❑ Change of Use ❑Boundary Line A ji.isunent AUG 2 1 2012 ❑ Address ❑ Road Approach ❑Short Plat** I LI U ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan L- ❑ Propane ❑Long Plat** j JEFFERSON c ❑Sign - ❑ Planned Rural Res'._, l'.IQp el9m RD Amen. ents** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** PM Ni ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions' ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development•" ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Ple sse jdenti y any other local,state or federal permits required for this roposal, if o n: DESIGNATION OF AGENT I hereby designate - •• ,�/�� •to act as my agent in matters relating o this application for permit(s). OWNER SIGNATURE .�� ■' 124.._, ��!be/!LL/(% Date: o� (�2'� 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 attorney'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 • - '•e access and rig of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a requi -d later inspectio r S aff's access .nd right of entry will be assumed unless the applicant informs the ounty in writing at the time of the a •li . '•n th5t he or she• ; l or notice. / r �/ Signature: *A , Al.. 1 L. /a Date: !1 The action or actions Applicant will 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 be ed will not violate.,the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev n if yo are in complia wit fie Jefferso unty development code.The Applicant acknowledges that he,sh or it holds individual and non-tra fer ansibility f f atl gg tg a plying with the ESA. The Applicant has read this disli e 7d 7 ap 1 dates it below. Signature: � C ,�/rfd� Date: U �l C- r • O c m 0 C I K 0 3 eFi n S K 2 C W Z c st .` ❑ ❑ ❑ ❑z3- ? o F m s m m T c 6' o ° 7: N E. n 3 3 ? O0DDZ�. z m z z cil m m m m c y, o w a N 0 CD 0 3 '0 amp z w 0 z ; 1- m C. m °- ? = o o A 3 T (1) 3 ui 2 m m m o 3 m 3 f 7I o p GI; 1 m 3. n m m = o in 4p R.a • O o o o o y o _. v o -o o x - n w m m m S O �r �,`� - m c m o "0 f7 cOi o 0 7 .p o z o O a m ,� o m 7 7 2 !m zqy zz , 0 o 0 Ps cr 8 R_ 3 3. (I) --, gclii" tr-;'r 0 x o \\ y 62 1 7 h A .M N a c ° Qo (T, —� o o , g 7 m 3 c a A � ' N m ! If m t C'O C N • D?�` w r M ` "�>a 3 fz 'N 5• O y 3 r� ti "^^ S 4� ,t ��. i�� x 0a O W m,, k�Y" rk t1'.' xi € p 1-, g yt}-, a -,,,,-',4, 'O�7 5 N 7 O N -onto a m QI-'7 Y u `, ' t% , rr k- - S , -ae • y x N p O N u..- 3 (-7; p g O O f co. O f o s. = Z N r v Q. 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N = S =ry � p -1 F 4 N E O < = r ' - -I N --I N N a * (/ W N I D N > N q m >r r s F w �"'� O } II. 0 _ °p b lO N 1 V r ,� W Il ) o` V" •l �' 7 3 c0 o in= � 'c�'� QOm� T � c� v Er-, cg . . w N 7 N N i N () .i r 'O ycn t g g o 3r 4t 3 m - 3 v a 3 z ° m v ° gf BUILDING PERMIT EXPIRATION NOTICE Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 March 14, 2014 RICHARD L SCHMIDT REISA M SCHMIDT 111 CURTIS ST PORT HADLOCK WA 98339-9564 RE: SUBJECT: FAILURE TO SCHEDULE AN INSPECTION SITE ADDRESS: 444 E MOORE ST PERMIT#: BLD12-00257 PARCEL: 961803205 LEGAL DESCRIPTION: IRONDALE #1 BLOCK: 32 LOT: 9-13 PROJECT DESCRIPTION: M/H DEAR RICHARD SCHMIDT The Community Development Office sent you an Inspection Reminder Notice indicating the need to renew your permit. To date, a final inspection has not been successfully passed. A Certificate of Occupancy/Final approval must be received before occupancy or use of the structure. To keep your Building Permit Active, you must pay a $228. renewal fee. This will keep your permit active for one year after the date of expiration. If no renewal fee is received by expiration date, no inspections can be performed untill fee is paid. A Final Occupancy will not be approved until the septic system permit is finaled by the Environmental Health Department. Please contact me at 379-4450 between 9:00 a.m. and 12:00 p.m. Monday through Friday to discuss any required corrections or to answer any questions. If we do not hear from you within thirty (30) days from the date of this notice, we will proceed with cancelling your building permit. If the structure is installed we will place a notice to title and to receive a final you will need to apply for a new permit, pay new fees, and comply with current building codes. 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CO -- -- 2 Y. 0 0 H L CO O O • T Z CS N T 10 O C H N 70 -C JACK WVESTERMAN III • Jefferson Conn•ourthonse ASSESSOR PO Iles 1220, Port Townsend, WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S�NAME/MAILING PPADDRESS: NAME: I`l l�, 4 1\ / Sig . �C�m L a ADDRESS: t ` Wall 53 �s T. /2:r OkJ WA 9 0 33 PRONE NO. .?&D ' 3p/ ' 6,R9b The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1)MOBILE HOME DATA: C IE El V I `j�f J (A) MAKE t 1`�✓1 (B) Mt IL AUG 2 1 2012 3 (C) YEAR 19 760 i (D) LENGTH 0 (0 (E)WIDTH 1" •-i`■ ill"' • ' Tu` 1 117 I. DEPT.OF COM UN 1OY R'JELOPMENT 7 O i � I (G) YOUR PURCHASE PRICE (Do not indnde sa—ies ax) ( inn t ASE DATE f 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW' MOVE TO QUESTION 3) ' (A) FROM WHOM DID YOU PURCHASE MOBILE a eN "` 6 IsEt. 1 4 %[P € ADDRESS 7656 / LA6-L2, gt31W1LA-0, 93 (B) WAS MOBILE HOME ASSESSED IN JEFFERSON CO�UN Y LAST YEAR. Yes No If Yes, Previous address of mobile.7195c FL#& LE K PI) i ')4b If No, What County was Mobile assessed in last year. 1/1 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: ^^ C NAME do ADDRESS OF PARK n V� Lot/Space #il t (C) IF NOT LOCATED IN MOBILE HOME K: 0PE� c NAME OF LAND OWNER: �) L44 LOCATION ADDRESS 14 E 1110ogE ST NANitJ - , 04 REAL PROPERTY PARCEL #/DESCRIPTION 4 �y-`--3 ^_ 5 i WASiga I re of applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician Date /O -/O1 time received/23Y am 1 i r Mon. Tues. Wed: Thur - Fri. BLD: .0 — ,R 5 Date: /40 ^l I OWNER: r1 Contact Nantes o p ADDRESS: f -7 G i146044_O. -& Contact Number:360 43Q/ Gn 9O 4 Notes: . - 206 Foundation Plumbing - Framing Propane Tank 'Mechanical Setbacks _ Under-ground Framing Underground Furnace Footing __ Rough In Air seal Above ground Gas _ _ Stemwall _ Hydronic Exterior shear _ Exterior lines Oil Straps Interior shear Interior lines _ Ducts q Post Hole Ventilation . _ Appliance _ Underfloor Gas/wood stove Man-Homes - Setbacks ' Insulation. `i-,t Final Inspection Foundation s} Block&Tie floor _wall ceiling Address Posted i Y‘ r ti MIIL 1,--~_ a r. ._ Y Date / me received , V'L --/ am i 0 Tues. Wed_ Thur. - Fri BLD: / ) c ,2-,Sc. /?/ Date: ( d' OWNER: /SSG 4. (V / 1 Contact Name: '^ � ADDRESS: f ( 47 L �LA4"'-e S T Contact Number:360 -?t✓/ ' ..52:M.:. T 206 V fi . Notes: - w Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground _ Furnace _ Footing Rough in Air seal Above ground Gas _,_, Stemwall __ Hydronic Exterior shear _ Exterior lines _ Oil Straps Interior shear Interior lines _ Ducts T— - Post Hole Ventilation , Appliance Underfloor - _ Gas/wood stove__. Man•lionies Setbacks Insulation - Final Inspection____ Foundation'_� . i Block&Tie floor _wall ceiling Address Post `d 4 r y__ • . • 1 I i II house 1 I1 Roof — 1.. 1 1 serves up to - I i 700 sf.Of roof fl —:.I 1: i -re*: temp:, IP .= b II lock �� �:: am . i� I ,. :. of Downspout extension !! NTS Splash IF E1 triiiiilloill'I'41-4 b.. 1: ij , I. Figure 3.7 Typical Downspout Splashblock Dispersion 1 I ' ! I; : I, I 1 3-16 Volume ill–Hydrologic Analysis and Flow Control BMPs ebruary 2005 • Design Criteria for Splashbtacks A typical downspout splashblock is shown in Figure 3.7. In ground is sloped away from the foundation and general,if the vegetation and area for effective there is adequate . disperse storm moil If the dispersion,splashblocks will adequately a ground is fairly level,lithe structure includes downspout t,or if foundation drains are proposed,splashblocks with is m a tensions may be a better choice because the discharge point away from the foundation. Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as descni below. The following apply to the use of splashblocks: 1. A vegetated flowpath of at least 50 feet should be maintained between the dischargo point and any property lino, structure, steep slope,stream,wetland,lake, or other' l g surface. Sensitive area a buffers may count toward flowpath lengths. I I 2. A maximum of 700 square feet of roof area may drain to each . 'splashblock. 3. A splashblock or aped ofcrushed rock(2 feet wide by 3 feet long by 6 inches deep)should be placed at each do Y downspout discharge point. 4. No erosion or flooding of downstream properties may result 5. Runoff discharged towards landslide hazard areas must be evaluated by a professional engineer with geotechnical expertise or a qualified geologist: Splashblocks may not be placed on or above slopes than 20%or above erosion hazard greater areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and jurisdiction approval. 6. For sites with septic systems,the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the Pob'raphy clean drainfield or where site conditions (soil g ( permeability, distance between systems, etc)indicate that this is unnecessary. February 005 rY Volume!I!—Hydrologic Analysis and Flow Control BMus 3-15 • • • Whenever possible,the entrance shall be constructed on a firm, compacted subgrade. This can substantially increase the effectiveness of the pad and reduce the need for maintenance. Maintenance • Quarry spans(or hog fuel) shall be added if the pad is no longer in Standards accordance with the specifications. • If the entrance is not preventing sediment from being tracked onto pavement,then alternative measures to keep the streets free of sediment shall be used. This may include street sweeping, an increase in the dimensions of the entrance, or the installation of a wheel wash. • Any sediment that is tracked onto pavement shall be removed by shoveling or street sweeping. The sediment collected by sweeping shall be removed or stabilized on site. The pavement shall not be cleaned by washing down the street, except when sweeping is ineffective and there is a threat to public safety. If it is necessary to wash the streets,the construction of a small sump shall be considered. The sediment would then be washed into the sump where it can be controlled. • Any quarry spalls that are loosened from the pad,which end up on the roadway shall be removed immediately. • If vehicles are entering or exiting the site at points other than the construction entrance(s),fencing(see BMPs C103 and C104) shall be installed to control traffic. • Upon project completion and site stabilization,all construction accesses intended as permanent access for maintenance shall be permanently stabilized. Ddveway shall meet the requirements of the permhtlrq aaencY II is recommended that the entrance be crowned so that noon aPd drakes()tithe pad -'•� a , Instal driveway culvert II there lsaroadside (r deck present 4-9'quarry spalls _ ;, Geoleztile '- M• 17 min.thftlmeta r‘.J Provide WI width of ,> Ine area Figure 4.2—Stabilized Construction Entrance February 2005 Volume I!—Construction Stormwater Pollution Prevention 9-9 • BMP C105: Stabilized Construction Entrance Purpose Construction entrances are stabilized to reduce the amount of sediment transported onto paved roads by vehicles or equipment by constructing a stabilized pad of quarry spalls at entrances to construction sites. Conditions of Use Construction entrances shall be stabilized wherever traffic will be leaving a construction site and traveling on paved roads or other paved areas within 1,000 feet of the site. On large commercial,highway,and road projects,the designer should include enough extra materials in the contract to allow for additional stabilized entrances not shown in the initial Construction SWPPP. It is difficult to determine exactly where access to these projects will take place; additional materials will enable the contractor to install them where needed. Design and • See Figure 4.2 for details.Note:the 100' minimum length of the Installation entrance shall be reduced to the maximum practicable size when the Specifications size or configuration of the site does not allow the full length(100'). • A separation geotextile shall be placed under the spalls to prevent fine sediment from pumping up into the rock pad. The geotextile shall meet the following standards: _ Grab Tensile Strength (ASTM D4751) 200 psi min. Grab Tensile Elongation(ASTM D4632) 30% max. Mullen Burst Strength (ASTM D3786-80a) 400 psi min. • AOS(ASTM D4751) 20-45(U.S. standard sieve size) • Consider early installation of the first lift of asphalt in areas that will paved;this can be used as a stabilized entrance. Also consider the installation of excess concrete as a stabilized entrance. During large concrete pours, excess concrete is often available for this purpose. • Hog fuel(wood-based mulch)may be substituted for or combined with quarry spalls in areas that will not be used for permanent roads. Hog fuel is generally less effective at stabilizing construction entrances and should be used only at sites where the amount of traffic is very limited. Hog fuel is not recommended for entrance stabilization in urban areas. The effectiveness of hog fuel is highly variable and it generally requires more maintenance than quarry spalls. The inspector may at any time require the use of quarry spalls if the hog fuel is not preventing sediment from being tracked onto pavement or if the hog fuel is being carried onto pavement. Hog fuel is prohibited in permanent roadbeds because organics in the subgrade soils cause degradation of the subgrade support over time. • Fencing(see BMPs C103 and C104) shall be installed as necessary to restrict traffic to the construction entrance. 4-8 Volume Il— Construction Stormwater Pollution Prevention February 2005 MANUFA•URED/MOBILE HOME INSTA!LATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00257 Received Date: 8/21/2012 SITE ADDRESS: 444 E MOORE ST Issue Date: 9/27/2012 PORT HADLOCK, 98339 APPLICANT: RICHARD L SCHMIDT REISA M SCHMIDT 111 CURTIS ST PORT HADLOCK WA 98339-9564 SUBDIVISION: IRONDALE#1 Block: 32 Lot: 9-13 PARCEL#: 961803205 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: M/H MAKE: BENDIX YEAR: 1976 SIZE: 66X28 Directions To Site: To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. Office Hours 9:00 -4:30 MONDAY-THURSDAY 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 Inspection Item Date Approval Signature Notes Setbacks a Minimum setback from East Moore Street right-of-way shall be 20 feet. /0- r Z Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 MH Foundation /O-I_/2 Blocking&Tie Down /e.7_1( Z EL7� Skirting&Ventilation Gas Line: Exterior Propane Tank - Pressure Test Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY-SEE REVERSE • • SPECIAL CONDITIONS CASE # BLD12-00257 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARYAND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) The road approach permit(RAP012-00022) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 4.) 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. 5.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 6.) The application was revieweccthe Jefferson County Department of Comity Development staff on September 12, 2012for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code(UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: unstable shoreline slope stability; coastal SIPZ. 7.) 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. 8.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 9.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 10.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) The applicant is proposing to create or add 1900 square feet of impervious surface and 1848 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington 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. 13.) 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. 14.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 15.) The site plan as submitted with the building permit application on August 21, 2012 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 September 27, 2012 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) This approval is for a manufacture home 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. 17.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 18.) A Restrictive Covenant for Irondale/Hadlock Sanitary Sewer System No Protest Agreement was recorded on September 27, 2012 under AFN 570226 with the Jefferson County Auditor. 19.) A Declaration of Restrictive Cant has been recorded on June 14, 200•er AFN 533980 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 20.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 21.) 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. 22.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 23.) This parcel is within the Chimacum Creek no shooting area per JCC 8.50. 24.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 25.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 26.) Minimum setback from East Moore Street right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 27.) The building height is not to exceed 35 feet. 28.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 29.) An address of 444 East Moore Street, Port Hadlock has been assigned to the parcel. East Morre Street is a county local access (C677709). 30.) The parcel is served by the Quimper public water system. 31.) A septic permit SEP06-00049 was approved on July 7, 2008. A road approach permit (RAP12-22)was approved on September 11, 2012. 32.) The parcel was created through the Irondale#1 Subdivision on June 3, 1909 underAFN 27961. 33.) NOTICE: This permit does nilicuse the proponent from complying with 4111L local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species(defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a"take"occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service(http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 11tidemark\data\forms\F_BLD_Permit_Mobile.rpt 9/27/2012