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HomeMy WebLinkAboutBLD2002-00065 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD02-00065 Received Date 02/11/2002 SITE ADDRESS: 173 NICHOLSMITH LN Issue Date 05/30/2002 BRINNON, 98320 APPLICANT: RICHARD D WHITE PHONE: (360)887-4988 JEANNINE C WHITE 21220 NW 31ST AVE RIDGEFIELD WA 98642-8523 SUBDIVISION: Block: Lot: T 33 PARCEL NUMBER: 602231009 Section: 23 Township: 26 N Range: 02 W CONTRACTOR: LUMBERMEN'S HOMES PHONE: (360)426-2614 PO BOX 3327 LYNNWOOD WA 98046-3327 Contractor's License: LUMBEH*011JK Expires: 05/01/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: p [ ] SETBACKS / Fo tings: \ ( - ]Z -D . [ ] Foundation: t+.1CoNA 1-t4-o7- [ ] Underground Plumbing/Underground Insulation: F--h< ,e,$t- -fie)--c--r. [ ] Shear Wall _.2i6 a-' [ ] Framing/Prumbin L i [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] Zoning Final Approval: w At,�6- r•CPE►t [+] Final/Occupancy Approval: ;-} ,1 ; HEALT DEPARTMENT APPROVAL REQUI E PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIOt Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY- SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • 16.) A Small Parcel Sediment n d Erosion Control 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 Department of Community Development to arrange a schedule to inspect the property for 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. 17.) The site plan as submitted with the building application on 2/11/02 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 5/3/02 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) Maximum lot coverage is not to exceed 25(Yo. Lot coverage is defined by the amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) Nicholsmith Lane is classified as a private road and requires a minimum 20-foot setback to all development. The side and rear lot lines require a minimum 5-foot setback. 20.) The building height is not to exceed 35 feet. i:1F_BLD_Permit_Buildng.rpt 10/29/19 • • SPECIAL CONDITIONS FOR CASE BLD02-00065 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 2/27/02 for 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: Fish and Wildlife Habitat(Type 5 Stream), Susceptible Aquifer Recharge Area, and Landslide Hazard Area I (low). 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin (see attached). 5.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark(OHWM) to the Single Family Dwelling. 6.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed single family dwelling. 7.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 9.) 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. 10.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 11.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 12.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 13.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 14.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 15.) The applicant is proposing to create or add 3,340 square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Sediment and Erosion Control Plan. • BUILDING PERMIT APPLIMI Review TION 00063 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00065 Received Date: 2/11/2002 SITE ADDRESS: 173 NICHOLSMITH LN BRINNON, 98320 OWNER: RICHARD D WHITE PHONE: (360)887-4988 JEANNINE C WHITE 21220 NW 31ST AVE RIDGEFIELD WA 98642-8523 SUBDIVISION: Block: Lot: T 33 PARCEL NUMBER: 602231009 Section: 23 Township: 26 N Range: 02 W CONTRACTOR: LUMBERMEN'S HOMES PHONE: (360)426-2614 PO BOX 3327 LYNNWOOD WA 98046-3327 Contractor's License LUMBEH`011JK Expires 05/01/2000 REPRESENTATIVE(S): STEVE HOLT LUMBERMENS HOMES PO BOX 700 SHELTON WA 98584 PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 768 VALUATION 116,634.00 ADD'L: 384 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 768 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARA CONST TYPE: DECKLE 512 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: _ —CO, horeline Aquifer `�' `�� ��6 Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: APPROVED Permit $1,088.95 MAM 02/11/02 45625 Plan Check $326.69 MAM 02/11/02 45625 MAY 3 0 2002 State Building Code $4.50 MAM 02/11/02 45625 Application $30.00 MAM 02/11/02 45625 Jefferson County Potable Water & Building Department Total: $1,450.14 tf (..A4 8E--24'2002 09:52A FROM:Lumbermen'sHomes 360-427-0988 To:13603794451 P:2/2 - _ � _ _ _ - �` 741) lilt .1 - - IP I! 1 �u +.J DRY-RY-_ 1 I Ib"xe" cc!.a.car4c,_ _ # — - _ _ -- — T - -Fr&ug 2-44— : 1 i i.. - __ ¶ FAN cart ` -Uti llty+ —. «. — _ } 11} ,--- I 4111-1 - - ' 2 --7-1P/Cc) t^�r I fa. I I _ IA I ! t 1- � ito - III �_ F _• 1 _it I 1 3 } �'� I _ __ ._ - - 1 - li 1 r .� L, � � _ _ S �� - I ' I I I. r il R s2cz°corfrG,Iwo _.. N - .�r,,. .' _... — - (4)BY1J17S 6'0a 50TM11i,14Y8-Tt'.mF 2 } _ Al ' ___ _ — — ��Recreatior► 1 11 7 ,� �' 11 - ------ _.I 1 -.. 56 x 12[IL,5h1. / - 1 - III 1 11 ri Li '' _ - - = 4 G. SLAB_ - t-- - LI1 • I li CO 111 ve A fliliP I _,_ — — — —T . - — e,1 ..... -— i--— — ,4$-501 I- -60t 511,- ill-" FM,- FX17. W,P. • a }e SED .� ......, f f (.. ,6) r 2 0 PrZl815-4-a6"DEC---try. • 4x8 P.T.art Ifl?) - . „ \ d'.0" ¢9UNc.0 r rr7 n �fl Jefferson County Department of Common' a msnt f [ ;i 21 Sheridan Street,Part Town.;lid WA 88368(3603 370-4450 w 'A u! FEB 1 b-D0 , 0 ,,, � De .„ . .. ,, O JEhtt wn .t1UtV iY„ i 'l. A pi O O Q - 0 n �' Cl .EPT. OFCOMM - code - on U O xIIN CO v1MUNITY DEVELOPMENT Project Description: Building Type: Project Type: Frame Type: A' Single Family New X Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: Industrial Li Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ,, ❑ Sewer 0 Community System ,. 'Electricity Oil Proposed: Proposed: Individual System ❑ Woodstove Propane Total: L_._ Total: 2-- If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: Private well ❑ Two Party Well C Public:Name of water system: Square Footage: / For Office Use Only Q 00 l S//� Main Floor / ���s,4 U C C-�C�� CReV Y GROUP 3 2ND Floor 5 iry. c/.4-- Z 23 D 2•-7 2- Base fee I (3 , QS 3rd Floor Plan Check fee 3 z(•j. (p ? i Htd Basement `Lr C/A- y 4loo S'` i State Surcharge fee `f•r S O Unhtd Basement Subtotal 1 4 55-q r I`1 Garage/Carport Pot Water Review fee 3 0 ' 0 0 Decks :'r/Z- -/" SI 20 •DD _ 911/Rd Approach fee - " Commercial t ,, �O-'3 .�d T TAL I ''C' R1 ' I Li Industrial \\�S1 l Receipt # '456' 6 Other C'ash/Check# 7 9 O g` Total Valuation: Initials N Or Date �� � row Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. • By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the,applicant's prop or structure shall be requested and shall occur during regular business hours. II , G i / .. j Signature: 1. �, Date: /.- / Ve: O rye«= r I 7\ Jef son County Department of Community evelopment I 4 k•OS°1`T cow 621 Sheridan Street,Port Townsend WA 98368 (360) 37974450 ;} 47 FEa � I2aa2 �SkTNGC Universal Plot Pla JErr�n�� .JuN DEPT. OF COMMUNITY DEVELOPMENT Fill in the following blanks as completely as possible: Project Description: NWT ,/ZFC/Z)rAgz- 9 Digit Parcel Identification Number(from your tax statement): 3/ 009 Site Address 911#: Road Name: /?f A'WV Zip Code: Legal Description Subdivision Name: Block: Lot(s): Section: 1 Township: 2a Range: _W Parcel Size (acres or square footage): Z 37 � /7c Property Owner: g lc�fi$eE-0 Phone: .940 Mailing Address: -/ZT0 /Yea• 31. rAVe se/ (d`- /7 LL (ixr, Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: ^' goy „/EivJ Ants <S'tt'UC' / if- Phone: Mailing Address: O /yDX00 s/ftt/� General Contractor: / Or Manufactured Home Installer: L l/MM/JF/t !,vJ/74i*?A-s Phone: 56 0 /q Mailing Address: , ffe x, 7e.e) $ � / tprg 2' j-�j'�� Contractor's State License Number. C Expiration Date: Septic Designer: ---- tom 1 e ,Ph orv�//Z�rt' one::a Czar (//7; Mailing Address: /C)C f /A,t1 A, f ,r , Gl '/C,A; Architect:/Engineer: FGf -/t ''/� 3�G— 0 Phone: j 4� � Mailing Address: 0 Fx /®Z .�/�7CL744' 1.0,7- 7C 5 G� Loan Lender/General Sig/ rC ///f' ('o, c- /i"ifi2/eA= Phone: L>'fiz€W 2 Contractor's Bond Holder: /')A/?XF4, 5--Aert-4 e fi,t`,e-/-( yz 7_70 9—.5 5-5" Mailing Address: 2-2 3.j /72 y--- r Y //' /✓a" wee,o'lf-X4 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan • • T� STORMWATER CALCULATIONS Owner/Applicant: /'T%f//'1 Ur xft/vit'f�' 1(,/yfj� 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: Drainfield area cleared sq.ft. Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 402-.2 3/— G'CC7 = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. O 1. North arrow Existing Structures (all roof area) sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. O 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. • 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: O 8. Wells and/or water lines • Construction Access Route Stabilization: ❑ 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with O 10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of ❑ 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned ❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, 0 1 3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base • 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices (BMPs). • Maintenance: O 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of ❑ 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 BUILDING PERMIT APPLICATION Review 00063 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00065 Received Date: 2/11/2002 SITE ADDRESS: 173 NICHOLSMITH LN BRINNON, 98320 OWNER: RICHARD D WHITE PHONE: (360)887-4988 JEANNINE C WHITE 21220 NW 31ST AVE RIDGEFIELD WA 98642-8523 SUBDIVISION: Block: Lot: T 33 PARCEL NUMBER: 602231009 Section: 23 Township: 26 N Range: 02 W CONTRACTOR: LUMBERMEN'S HOMES PHONE: (360)426-2614 PO BOX 3327 LYNNWOOD WA 98046-3327 Contractor's License LUMBEH'011JK Expires 05/01/2000 REPRESENTATIVE(S): STEVE HOLT LUMBERMENS HOMES PO BOX 700 . SHELTON WA 98584 PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 768 VALUATION 116,634.00 ADD'L: 384 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: 768 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 512 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: J t F&W Landslide _ 1 Shoreline Aquifer Z� Q.._, Forest: Commercial Rural t +fy Pbt Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,088.95 MAM 02/11/02 45625 5FACs © L Plan Check $326.69 MAM 02/11/02 45625 State Building Code $4.50 MAM 02/11/02 45625 V Q`�-- Potable Water Application $30.00 MAM 02/11/02 45625 n.2 Total: $1,450.14 ��i� r _* \ 2'1457 00 PLOT PLAN: Richard & Jeannine White Sec . 23, TWP . 26 , R-2W Tay. Surv. Vol . 10 - PG PG . 113:r Parcel # 602 231 009 / \\ Scale 1 " = 100 ' M \ ^ O O V a L �� copy D Y , A vED _ .90 c *__ �� / SITE PLAN / ' wF« MAY 3 2002 A 9a a t oo/ \ JEF E O TY �N�s \ \ DEPT.OF CO EVELOPMENT N T it2D / r \ SIGNATURE: 54A/D film ■ 1 ' Q DiSft rzi'IOq N 2�p • V\ purl, ('Nn1i3E. l Q` ~-- — DT-.1' 1 . Icl [j R fiRt� F E B 1 1 2002 i Li V �RiraA,p ..� L —_.I DR/o,Nf/f a"- ��'~F JEFr ch:ivrr �„Jury iY ---s-- v`v�� DEPT. OF COMMUNITY DEVELOPMENT • APPROVED t STORMWATER PLAN MAY 3 2002 JEFFE,s ' 7 NTy GN T OF CO « ;� REV ME 9 SI�;:�nTt;kE: A/ - r