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Home My WebLink AboutBLD2002-00169 411 BUILDING PERMIT APPLI fION MLA02-00155 Review Type:l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00169 Received Date: 3/26/2002 SITE ADDRESS: 395 FORT GATE RD NORDLAND, 98358 OWNER: LEONARD V MERMOD JR PHONE: (360)379-1881 REBECCA J MERMOD 395 FORT GATE RD NORDLAND WA 98358-9516 SUBDIVISION: INGMAN-NUTSFORD SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 021202049 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTION GARAGE/STORAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,600.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 2,560 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: F&W Landslide � 6Z- Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $401.35 MAM 03/26/02 45891 AkvPE® Plan Check $120.35 MAM 03/26/02 45891 State Building Code $4.50 MAM 03/26/02 45891 APR u 200? Total: $526.20 DEPT.OF COMMUNITY DEVELOPMENT SIGNATURE: 0 ,ON � � of Community levelopment 4�w¢ f } % ter. r� n 'A IE 4►:; ; ; I,; Street Port Townsend WA 11311 MO 311-4450 .1 cl A 1 (0) 7,..,.,L7,..‘‘. ', o C on ,..\17 --E :;:il.“0•1%.M Np po p U _,.....----) FII JEE Ftnovrr .JUN iY I Oil2 6 ,� Project Description DEPT. OF COMMUNITY DEVE (�►E I Building Type: Project Type: Frame Type:, y ^' Single Family K New DEPT. OF CJ❑ .Wood 't_' tLOPMENI >. Garage Attached/Detached ❑ Addition X Steel ei a ' ❑ Alteration/Remodel = ConcreteIII 7. Commercial ❑ Repair 1..7 Masonry :Multi-family/#of Units ❑ Demolition E. Other Industrial = Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer Community System E. Electricity ❑ Oil Proposed: Proposed: ❑ Individual System E Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: E Heat Pump ❑ Conventional 1 Alternative ❑ Other Permit# SEP qc—t 65" Water Supply: _ Private well C Two Party Well= Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 39:00 2tin Floor Base fee ,/C/, 3 5� 3rd Floor Plan Check fee if 2 o' q Htd Basement __ State Surcharge fee �-/ Li ,' t L nhtd Basement �� Subtotal J try 3 ., a Garage/Carport Z S GC3 cre 7 2.5&-C1) j Pot Water Review fee -� _ Decks 911/Rd Approach fee Commercial TOTAL Indusrrial Receipt# li i Other Cash/Check# #547 a Total Valuation �0 Initials ,, I : � '' Or Date f/i-� 07 M Estimated Cost; 3/ 0-c7z) 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 reapest 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. (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 property or structure shall be requested and shall occur during regular business hours. Signature: ,( Z'' ,-----a.// Date: 3 —,F"C'2_ OVER ► 14:HOME\PLNCNIR\INFOBLDG\FORMS\BLDpermitApplicadon 11-8-01 0 0 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 #: BLD02-00169 Received Date 03/26/2002 SITE ADDRESS: 395 FORT GATE RD Issue Date 04/3/2002 NORDLAND, 98358 APPLICANT: LEONARD V MERMOD JR PHONE: (360)379-1881 REBECCA J MERMOD 395 FORT GATE RD NORDLAND WA 98358-9516 SUBDIVISION: INGMAN-NUTSFORD SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 021202049 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION GARAGE/STORAGE REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [`i4/�atiOrrearj ."). v i-e [ ] Foundation: 1/ [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] ramin Plumbing: p K. t p -y-o [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: /"VlA !Jo P luvv bi1e1J4 _ [ ] Zoning Final Approval: N/A 4(�prOV&4 Si-ft P 1a1 [ ] Final/Occupancy Approval: GK coy- //b/03/V HEALTH DEPARTMENT1/0 PROVAL RE*.IIRED 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 INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE BLD02-00169 1.) The application was reviewed by the Jefferson County Department of Community Development staff on (date) 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: Special Aquifer Protection Area and Sole Source Aquifer Recharge area, Stormwater. 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 are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas(1)All Industrial Land Uses(2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) 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. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, and within 500 feet of any marine shoreline shall be required to infiltrate all stormwater runoff, to the maximum extent practicable, onsite. 7.) The applicant is proposing to create or add 4,587 square feet of impervious surface and 1,800 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Erosion and Sediment Control Plan. 8.) A Small Parcel Erosion and Sediment 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. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. 11.) Minimum setback from Fort Gate Road is 20 feet. Minimum side and rear setbacks are 5 feet. 12.) The building height is not to exceed 35 feet. 13.) This parcel has been designated as RR1:5 under the Jefferson County Comprehensive Land Use Maps effective August 28, 1998. 14.) Fort Gate Road (C598409) is a county local access road. The road approach is existing. An address of 395 Fort Gate Road has been assigned to the parcel. 15.) A building permit (BLD96-00226)was finaled on 2/5/1996 for a single family residence. A septic permit was finaled on 1/24/1997 for a three (3) bedroom system. 16.) Per septic approval, a 30 foot protective setback from toe of primary and reserve mound areas shall be maintained free from parking, driving, clearing or other disturbance. 17.) This parcel was created thr.. h the Ingman-Nutsford Short Plat recordetarch 24, 1980 under Volume 1, pp 137-138. 18.) The site plan as submitted with the building application on March 26, 2002 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 April 2, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 19.) This approval is for a detached garage/storage building 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. i:1F_BLD_Permit_Buildng.rpt 10/29/19 I I I I I z F-+ 1 c v x 0 Ul ..! 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