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BLD2004-00013
BUILDING PERMIT APPLICATION MLLA0400013 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00013 Received Date: 1/9/2004 SITE ADDRESS: 31 N DUQUESNE AVE PORT TOWNSEND, 98368 OWNER: JASCHA KOZELISKY PHONE: (360) 643-3320 912 S JACOB MILLER RD PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 123 Lot: 15-19 PARCEL NUMBER: 962112307 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW GARAGE ATTACHED TO MFH TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13,576.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 576 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 f I I I QLI Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A / r Permit $237.25 KAS 01/09/04 62408 Plan Check $154.21 KAS 01/09/04 62408 FEB 1 3 2004 State Building Code $4.50 KAS 01/09/04 62408 Jefferson County Planning Total: $395.96 & Building De artment !1)1061 611/0/t/lMt • soN .H defforson lil�i,1 art of Commdty DBYNOpm� 4). 621 Sheridan Street,Port Townsend WA 88388[350]370-4450 1 a AppGcii©us » Project Description: Building Type: Project Type: Frame Type: ❑ Single Famil• N New �/Wood Rc Garage: 1 etached ❑ Addition 0\Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • O Commercial 0 Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial O Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing. ❑ Sewer ❑ Community System 0 Electricity ❑ Oil Proposed: Proposed: ❑ Individual System 0 Woodstove 0 Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional 0 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 4 0' 2ND Floor Base fee Q 3 ,rT 7 s 3rd Floor Plan Check fee-65% /5t ' Htd Basement State Surcharge fee '/,- 5 0 Unhtd Basement ?Co ��y Subtotal q . ' to Garage/Carport ( 3 S iv, -� Pot Water Review fee = _ Decks 911/Rd Approach fee ` RA-0'63-c)y6 Commercial TOTAL 7-//��Lo� •9 l� Industrial Receipt# `'f'oR Other Cash/Check# ipZ,C7d- Total Valuation: 7 (o Initials /v Or Date et Estimated Cost: 9� coo ... 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 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 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. i Signature: J Date: 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 #: BLD04-00013 Received Date 01/9/2004 SITE ADDRESS: 31 N DUQUESNE AVE Issue Date 02/10/2004 PORT TOWNSEND, 98368 APPLICANT: JASCHA KOZELISKY PHONE: (360) 643-3320 912 S JACOB MILLER RD PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 123 Lot: 15-19 PARCEL NUMBER: 962112307 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NEW GARAGE ATTACHED TO Manufactured Home REQUIRED INSPECTIONS: [ ] SETBACKS: [ ] UFFER: [ ] Footing: ryf n/vf) o2/,31�c [ ] Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : [ ] Framing: 11 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: 1 Sheetrock: [ ] Septic Sytem Final Approval: 1 Zoning Final Approval: [ ] Final/Occupancy Approval: . /( ' /51C4 t.nw i HEALTH DETMENT 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 # BLD04-00013 1.) The application was reviewed by the Jefferson County Department of Community Development staff on January 16, 2004 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 Areas and Coastal Seawater Intrusion Protection Zones (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.) The subject property is near an airport where a variety of airport dependent uses occur that are not compatible with development. Potential discomforts of inconveniences may include, but are not limited to: noise, aircraft take-offs and landings. 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.) 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. 8.) VOLUNTARY MEASURES COASTAL &AT RISK SIPZ: • Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 10.) MANDATORY MEASURES FOR 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. 11.) The applicant is proposing to create or add 625 square feet of impervious surface and 576 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal shall adhere to Best Management Practices (BMPs). 12.) 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). 13.) The revised site plan as submitted on February 4, 2004 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 February 5, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a garage attached to the manufactured 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. 15.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 16.) 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). 17.) Maximum lot coverage is nTrto exceed 25%. Lot coverage is defined atount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) Minimum setback from N Duquesne Ave right-of-way is 20 ft. Minimum setback to the platted right-of-way at the western parcel boundary is 20 ft. Minimum side and rear setbacks are 5 ft. 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) A septic permit (SEP03-00266)was approved on Npvember 6, 2003 for a system of 240 gallons per day. 22.) N Duquesne Ave (C678509) is a county locan access road. A road approach was reviewed under RAP03-00246, and an address of 31 N Duquesne Ave has been assigned to the parcel. 23.) This parcel was created through the Irondale Division No. 5 under AFN 29795, filed of record April 2, 1910 in Plat Book 2, page 135 with the Jefferson County Auditor's office. 24.) This parcel is served by Jefferson County PUD. 25.) A Declaration of Restrictive Covenant was recorded October 21, 2003 under AFN 476791 with the Jefferson County Auditor binding lots 15 thru 19 of Block 123, Irondale Division No. 5 for the purpose of meeting bulk and dimensional requirements and minimum land area. 26.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's 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. 27.) PRIOR TO FINAL -ALTERATION PERMIT MUST BE SIGNED OFF BY L&I FOR ATTACHMENT OF GARAGE TO MANUFACTURED HOME. 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