HomeMy WebLinkAboutBLD2003-00519 UILDING PERMIT APPLIC MLA03-00473
N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00519 Received Date: 8/15/2003
SITE ADDRESS: 7560 CENTER RD
QUILCENE, 98376
OWNER: MERRILL J LINCOLN PHONE: (360)732-0286
PO BOX 2686
SILVERDALE WA 983832686
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801174001 Section: 17 Township: 28 N Range: 01 W
CONTRACTOR: NELS JOHNSON &SONS TRUCKING AN PHONE: (360)379-9520
PO BOX 561
PORT HADLOCK WA 98339
Contractor's License NELSJST033BG Expires 09/12/2005
REPRESENTATIVE: PETER BAHLS PHONE: (360)379-0135
NORTHWEST WATERSHED INSTITUTE
2215 SE 55TH AVE.
PROJECT DESCRIPTION REPLACE DRIVEWAY & CULVERT WITH BRIDGE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 30,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
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
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: A .°J R Jt/E
Permit $441.75 MJA 08/15/03 58379 1'�
Plan Check $287.14 MJA 08/15/03 58379 SEP 1 5 2003
State Building Code $4.50 MJA 08/15/03 58379
Jefferson County Planning
Total: $733.39 & Building Department
• BUILDING PERMIT APPLITION MLA03-00473
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00519 Received Date: 8/15/2003
SITE ADDRESS: 7560 CENTER RD
QUILCENE, 98376
OWNER: MERRILL J LINCOLN PHONE: (360)732-0286
PO BOX 2686
SILVERDALE WA 983832686
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801174001 Section: 17 Township: 28 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PETER BAHLS PHONE: (360)379-0135
NORTHWEST WATERSHED INSTITUTE
2215 SE 55TH AVE.
PROJECT DESCRIPTIOt REPLACE DRIVEWAY & CULVERT WITH BRIDGE
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 30,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
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
Z,0�03 Shoreline Aquifer
- Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: /�PPRA /J Q V,E
Permit $441.75 MJA. 08/15/03 58379
Plan Check $287.14 MJA 08/15/03 58379 SEP ' S 2003
State Building Code $4.50 MJA 08/15/03 58379
Total: $733.39 Jefferson County Planning
& Building Department
sots �, S Jefferson[Sty a �tnent of ftn Development
w�I °�, 521 Markin Street,Port ToWt l WA Gil 370-4450
w
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Au 7 �eU OID
100
�Sm ��° r. IPip_ 0cat00ra
JEFFERSON C,I✓ j�TY DCD
Project Description:
Z.,,,ilt----c_D (P-v6 c , � —
Building Type: Project Type: Frame Type:
❑ Single Family 1.1.1 New ❑ Wood
❑ Garage Attached/Detached ,❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel Concrete ,(a. -(CDT
❑ Commercial ❑ Repair ( ❑ Masonry
❑ Muki-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial c n
Other: 2V \ I % 1
Bathrooms: Be.!'oms: Type of Sewage Disposal: Type of Heat:
Choose one: V--"..__
Existing. Existing. ❑ Sewer ❑ Community Sydt'1 Cl Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:
❑ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor Consistency Review 47.00
2ND Floor Base fee AA I 1 S
3rd Floor Plan Check fee—GJr o�o a U'1 . 6 1
Htd Basement State Surcharge fee t4. 50
Unhtd Basement Subtotal el 'SO. 3
Garage/Carport Pot Water Review fee
Decks 911/Rd Approach fee
Commercial TOTAL 7013 r 3 Y
Industrial Receipt# &3 1
Other Cash/Check# /Z Z 7
Total Valuation: ___ Initials �� ' .
Or - Date '8fr-----1 S —0
Estim ed Cost: 69,_ C L7 .---"---
_-
If with' 200' of the Shoreline,------ , r
Distance to Bank or Ordinary High Water Mark lam/ 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 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 provide access a.• .:ht of entry to Jefferson County and it's employees 4, ,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to :appli,ant's property or s •cture shall be requested and shall occur during regular business hours.
Signature: ,� A Date: J �2
(�� OvER
H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00519 Received Date 08/15/2003
SITE ADDRESS: 7560 CENTER RD Issue Date 09/15/2003
QUILCENE, 98376
APPLICANT: MERRILL J LINCOLN PHONE: (360)732-0286
PO BOX 2686
SILVERDALE WA 983832686
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 801174001 Section: 17 Township: 28 N Range: 01 W
CONTRACTOR: NELS JOHNSON & SONS TRUCKING AND EX PHONE: (360)379-9520
PO BOX 561
PORT HADLOCK WA 98339
Contractor's License: NELSJST033BG Expires: 09/12/2005
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION: REPLACE DRIVEWAY& CULVERT WITH BRIDGE
REQUIRED INSPECTIONS:
[ ] SETBACKS:
[ ] UFFER:
[ ] Footing:
[ ] Foundation:
[ ] Underground Plumbing:
[ ] Underground Insulation:
[ ] Shear Wall :
[ ] Framing:
I 1 Plumbing:
[ ] Propane Tank/ Lines:
[ ] Insulation:
11 Sheetrock:
[ ] Septic Sytem Final Approval:
I 1 Zoning Final Approval:
[ ] Final/Occupancy Approval: / ate
HEALT DEP MENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS P MIT 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
S CIAL CONDITIONS APPLY-SEE REVEE
SPECIAL CONDITIONS FOR CASE BLD03-00519
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 9/03/02 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: Type
II Stream.
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.) The applicant is proposing to remove an existing culvert and replace the culvert with a
bridge. This proposal has received endorsement from the US Fish and Wildlife Service.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal adhere to the Small Parcel Stormwater Plan during the construction
process. The applicant is responsible for controlling all sediment and erosion on the
property. Filter fencing or other controls are required to mitigate the impacts of
sedimentation leaching into the stream channel.
5.) 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.
6.) The Washington Department of Fish and Wildlife issued Hydraulic Project Approval (HPA)
for this activity on August 19, 2003 under Log Number ST-F7182-01. The HPA expires on
October 31, 2004.
7.) Prior to commencing development activity, proponent is responsible for informing the
Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine
whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10
WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are
defined as construction or performance of other work that will use, divert, obstruct, or
change the natural flow or bed of any of the salt or fresh waters of the state.
8.) In addition to Jefferson County permit conditions, the project proponent shall comply with
all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
9.) Prior to commencing development activity, the proponent is responsible for informing the
US Army Corps of Engineers (COE) in order for COE to determine whether a Department
of the Army permit or review is required. Generally, review is required for construction
and dredging in or around navigable waters of the US and for work or fill in hydrologically
connected wetlands. Contact the US Army Corps of Engineers, Seattle District
Regulatory Branch, PO Box 3755, Seattle WA 98124, (206) 764-3495, for more
information.
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(3).
11.) The site plan as submitted with the building application on August 15, 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 9/03/03 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
12.) This approval is for the removal of a culvert and placement of a new bridge 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.
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