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UILDING PERMIT APPLICAION MRLA03 00eview p363
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00405 Received Date: 6/26/2003
SITE ADDRESS: 302 PORT HADLOCK HEIGHTSRD
PORT HADLOCK, 98339
OWNER: DONALD YOUNG PHONE:
302 PORT HADLOCK HEIGHTS
PORT HADLOCK WA 98339
60 3542
SUBDIVISION: 3OR H344-ADLOCK HEIGHTS MH PARK Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONSTRUCTION PHONE: 1(800)551-2761
PO BOX 3831
SEQUIM WA 98382
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BUILDING ON LEASED PROPERTY
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 336
VALUATION 7,920.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES: 1
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: PUD 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
C�/3� d3 Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: /� ct�/E
Permit $153.25 RAC 06/26/03 58030 �/
D
Plan Check $99.61 RAC 06/26/03 58030 SEP - 5 22003
State Building Code $4.50 RAC 06/26/03 58030 Jefferson County Planning
Total: $257.36 &Building Department
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• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00405 Received Date 06/26/2003
SITE ADDRESS: 302 PORT HADLOCK HEIGHTSRD Issue Date 09/5/2003
PORT HADLOCK, 98339
APPLICANT: DONALD YOUNG PHONE: (360)344-3542
PO BOX 682
FORKS WA 98331
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONSTRUCTION PHONE: 1(800)551-2761
PO BOX 3831
SEQUIM WA 98382
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: NEW POLE BUILDING ON LEASED PROPERTY
REQUIRED INSPECTIO S:
[ ] SETBACKS: mil-/r—cs-
[ ] UFFER:
[ ] Footing: g
[ ] Foundation:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing: . /0-131
1 Plumbi g:
[ ] Propane Tank/ Lines:
[ ] Insulation:
f 1 Sheetrock:
[ ] Septic Sytem Final Approval:
1 Zoning Final Approval:
] Final/Occupancy Approval: :" '' I r
HEALTH DEPARTMENT 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
• •
SPECIAL CONDITIONS FOR CASE # BLD03-00405
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 28, 2003 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 Recharge Protection Area, Coastal Seawater Intrusion Protection Zone
(SIPZ).
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.) 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.
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.
5.) 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.
6.) 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.
7.) MANDATORY MEASURES OR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
8.) The applicant is proposing to create or add 336 square feet of impervious surface and 336
square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County
Unified Development Code requires that your proposal adhere to Best Management
Practices (BMPs).
9.) 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.
10.) 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).
11.) This parcel is a legal nonconforming lot designated as Rural Residential 1:5 under the
Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998.
12.) This parcel was created through the Port Hadlock Heights Mobile Home Park Binding Site
Plan April 15, 1998 and recorded under AFN 409746, Vol 1, pp 28-32 with the Jefferson
County Auditor. The binding site plan was reviewed by Jefferson County Department of
Community Development under BSP94-0001.
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes rooftops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Minimum setback from Port Hadlock Heights Rd is 20 feet. Minimum side setbacks are 5
feet. Minimum rear setback is 25 feet(outside of the 25'natural vegetated buffer).
16.) A minimum of two on-site parking spaces are required for the parcel.
17.) Port Hadlock Heights Rd (P516) is a private road. An address of 302 Port Hadlock
Heights Rd has been assigned to lot 16.
18.) A building permit(BLD98-00040)was approved February 11, 1998 for a manufactured
home installation.
19.) Jefferson county PUD provides potable water to this site.
20.) A septic tank was permitted under SEP98-00014 and finaled March 16, 1998. Community
drainfield "B" (SEP95-00291)serves this site and was finaled January 4, 2002.
21.) The revised site plan as submitted with the building application on July 14, 2003 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 4, 2003 shall be resubmitted for review
and approval by Jefferson County Department of Community Development.
22.) This approval is for a Pole 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.
23.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
24.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre 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 Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13)or more unlicensed or inoperable
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 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
• Jefferson County opartment of Community Development
r.�� r oN °� 621 Slu lan Street,Port Townsend WA 8836813601378-4450
kt, -,
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p ps0
Project Description:
Building Type: Project Type: -Frame Type:
❑ Single Family X/New X"Wood
,tom
e ttached ched.) ❑ Addition ❑ Steel
❑ Molar 0 Alteration/Remodel 0 Concrete .
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition 0 Other:
❑ Industrial
❑ Other.
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
x( Choose one:
Existing I Existing: �"`6 0 Sewer ,Community System Ifr Electricity ❑ Oil
Proposed: Proposed: 0 CI Individual System ❑ Woodstove ❑ Propane
Total: (, Total: sk0 If not sewer,fill out the following: ❑ Heat Pump
0 Conventional ❑ Alternative 0 Other
Permit# SEP
Water Supply:
❑ Private well 0 Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor
Consistency Review 47.00
2ND Floor Base fee I 53 . a.5
3rd Floor Plan Check fee—65% 'c31 . (D
Htd Basement State Surcharge fee ' ,t 0
Unhtd Basement 50- Subtotal �4, 3 co
Garage/Carport J.) �.S';, %! l , Pot Water Review fee
Decks 911/Rd Approach fee Q
Commercial TOTAL //301 , 3
Industrial Receipt# 5 RAJ 3 3 .. (P�G-13
Other Cash/Check# .5 S26
Total Valuation: Initials U
Or g�3, K Date COP6, 03
Estimated Cost: . J(j)(,.) „ /
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 co,sequence of the granting of this permit.
I further agree to pro:.•acces ,Oflb
d ..h . • .. ...n County and it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right. entry to theoperty or structure 'all be requested and shall occur during regular business hours.'
Signatu :• Date: l li_ _s
OVER " '
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
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