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HomeMy WebLinkAboutBLD2004-00076 4110 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00076 Received Date 02/9/2004 SITE ADDRESS: 72 GEORGE LESLIE DR Issue Date 02/25/2004 PORT LUDLOW, 98365 APPLICANT: NEW HOMES LLC PHONE: (253) 826-4261 1125 57TH ST E STE D SUMNER WA 98390 SUBDIVISION: GARTEN ESTATES Block: Lot: 21 PARCEL NUMBER: 952900021 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: V G LAND LLC PHONE: (253) 826-4261 1125 57TH STE STE D SUMNER WA 98390 Contractor's License: VGLANL*972CQ Expires: 02/18/2005 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE REQUIRED INSPECTIONS: [ ] SETBACKS: A& 0/4/ [ ] UFFER: 10eni [ ] Footing: iJ 3/h / / [ ] Foundation: dK rid t efyt,s 3/!L/4$* [ ] Underground Plumbing:Doaasvace Dea►as #IuF,LTRarbarE uck OK 01/641 Li' [ ] Underground Insulation: [ ] Shear Wall : F £Riok SN&AR.1& DIk.024d w/eanAkia /Arrz-e,i a Saw.aeli oK S,/3/ [ ] Framing: Ok 4121I0-14i f 1 Plumbing: Ok 4/ _I(b ! [ ] Propane Tank/r Linen i f [ ] Insulation: Gxr qt�5 Alit-i �L/A S Ok- % � ,4 f 1 Sheetrock: ,OK5/3,47 l _ [ ] Septic Sytem Final Approval: 1 Road Approach Final Approval: [ ] Zoning Final Approval: ( 1 Final/Occupancy Approval: ,1 -;/ HEALTH DEPARTMENT AND PUBLIC WORKS 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 A BLD04-00076 1.) The application was reviewed by the Jefferson County Department of Community Development staff on February 22, 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: SARPA& SUSC aquifer recharge area. 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.) The applicant is proposing to create or add 2346 square feet of impervious surface and 13,412 square feet of land disturbing activities. 7.) 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. 8.) A Medium Stormwater 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.) The revised site plan as submitted on February 24, 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 25, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) This approval is for a single family residence with attached garage & deck 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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). 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from George Leslie Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 17.) The lot was created through the Garten Estates subdivision on February 14, 2003 under AFN 456764. 18.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 19.) An address of 72 George Leslie Drive, Port Ludlow has been assigned to the lot. George Leslie Drive is a private road (P581). 20.) A septic permit (SEP03-0308)was approved on January 30, 2004. 21.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Plan effective August 28, 1998. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 ,.FEB-24-2004 TUE 05:46 PM FAX NO. P. 03/04 R :VISED S ,�y p i _.T__._ __� J/ = --____ _. , 'dated.......: `�\, .`\\ V ..., Ras been APPRO DL i 1,0�1 ` by JEFFERSOr vie • ! « DEP1.OF •I ',-,1 D* a .PMa i , _______ � _�-- �- Y 1r-•-fi -.S 1 \ 2 _I, J I ., - -24'.. .- _ , .es. q. 1 :.;*V4... '4.gId I \ 1 '...x.r., CD ItIt CD 1 * � 1IILEN;IoNS. i ,., ..* 39'WIDE .I •'• I I ' {ly I „1,1, d, "• 0. 4V PUT V i J (!1 "w t i ' i! f.• " • t .., , a. a "fit; :.;..MB Atn w ONLY '•A,. c' o . y 1 CD :J ram- /--�� \ ct \ ( ,..., . , ,e'o N i i IWL� w u 'j,,' \� `�� IQ C) - CD . — — — `—.' ..I! lei - ., , „„,. \\— // N\#5 7 . 00' •Ir, - \ 0 ' I-) (72) GEOR E LESLIE DRIVE PERMIT # SLD ----- 0 4 - 0076 I.\DI 1Iir,oviPI 1101,3\Cinrtin Iss;I e,l'tu(.dn, J!.4/3004 4:36:42 PM,rir:,,,do„ JEFFERSON COUNTY DCD 4' $ " JEFFERSON COUNTY ,-_ ‘,._ DEPARTMENT OF COMMUNITY DEVELOPMENT . ,- . 4, 621 Sheridan Street • Port Townsend • Washington 98368 . ; 8 2004 O 360/379-4450 . 360/379-4451 Fax ' pit. STORMWATER SITE PLAN SUBMITTAL TEMPLATE ' MLA# (YA LJ 0 ---7 d. PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, 1 applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submi separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on thi site map. CoyS;--Yeeic.T 4 si,ti c./i: �.4.0►s i c.Y k'r s,,, ,C•vc..E on/ AG4 c/f O, - T",L Z. LbrS -47'-- 4.4•rtr',".1 rss-arms. APicrc.r..Z,t7 A.er-ir-AZ 6 4-,4.c...4 I.€ G..,ic '.. AadrzoCa -,..r.a rt.Y //3 a F 7 4iC 5',ziE o. Ty,E 1.0 . Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. %w,s L..lic.G d,C '.+/r,'sc4fCd to.11 ''A . Sirrc /'1 ,. SG/4 47Z.f- /j/Fi ce-f47 ' .LOrs W/GC_ /5/C J.:0,r 2.4 l z.r 3, 19 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. - -7/ g&r, . 'C- i- /4 4 S lg irc%C.- Ca,+r/e.‘ri£z.)- GG.‹.a' CSs '• .LOW V/ '7:' %exn/ �var.fc..n .6rC 4.✓ /moat../cG '' (.,(AST i ' 5 c s SG4rarG..4, /3.eda r 4. Describe the existing soils. Indicate soil type on the site map. ?/./# Tz .1.,7*i21E PC-AT Gees/sr-S c) .4 Vize}' S. t,11.7f-' 46/61 GO01/SP61:4.4/G1.-- 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. STaier... Ld•CT4C.e X,/ T-ie2•46r4%9. %AIX()44/74 CQ' L' r P,7 _.1 . nip 1.t/^4^-1',v1 4.)4 rzCG i.•/ 77,14-•K. .Q i✓Y /7/2.4/^i J Ai,c z_ /3#c PZ o 3-r4 c.r- G..,/T/-I Si L.T S c c.S AotiC, e/lArc ,Cl' (4.t/ A /26:67 tli.42, A AS/l 4 6. D9 escribe any excess levels of noise .-nerated ty tpq� s� • Ly. Ala/l.t� .0�/l iiv�i Go Si t-►4r'd tii� live . % I/ 1.€�►c fr az✓l/.✓ e.417,w4 Al al-4 5 lcD2 f�NO 7,e.t/, R .PeLAN ,. Ala/Sx" ,xr: NAIL- 6ei 5 Af 1.4JS ,-'T G. , FEB 2 2 2004 -°„ # — stommatersiteplantemplate-rev.10/1/2003 JEFFERSON OU Jy • O 0 5 DEPT OF CO r DE LOPME SIGNATURE: Jill _1 JEFFERSON COUNTY DC' • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 1-a rs 2 3 Z Z 5 tI Z 4 i42r L.6c.o r 7 /A/ GLoSA- Pieex/.•1 , i 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). ApJac4"-'r L..otiv 14s43 rid 5,'14Lr FanttLr fZ 5*/r��•v� T�"..) 1 /- A6erc4 5 0'_o YJ ate vA i Nr /-I,t. t- war , I.tw r J o zi Permanent Stormwater Control Plan • This portion of the Stormwater Site_Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g, Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. -7Th6:- Sore-S saKii: VERY PE'4vious 5tl.T S ocJ .S IAJILc. 45 rZ 1"1S7-41.,c,ep (N A,c_c_ Gs1-GL3 orzas.,,,1S i o 1=7t2 E ViNT G0NrAt ftJA-r,AJG 5'T7Zr &.'1s 1A3 p,2 t-,t) I..G°rC� A S to r L c_ A.s /Aj S r.c:% ry a.J o N A I..L. OdWI1/41 SLofr/9 40.E 3 µ.1tT nor` Af/go log 11 rIE. svz.T- 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. a tvkttNt"ntZE. 64t.JO Goh/gOL /.1LC.. P/ST V,C1i£d/ 2-AN17 AVIQ T'a PK t: •o.t/ i 4 A iv 1-' AI S 7-ie%a."4. s o/Z /1Qur FE'E S_ 12. Describe the flow control system. w /errs L' f•► ,Ya.N.% t3}- 7-4 E- N s r Oa-c -3.4N i c_.c. SLoP '`T Ta PeC tJ,CAI A it r,ZOS/e.%' e eLf7'S F � stormwater site plan template-rev.10/1/2003 r. �� 1 6 " ' 1 1 • 13. Describe®t4 water quality system. 1.c.LA.rY,"4_ 1! F/2c.) v, vi<+2 - F v Lo-'.c— i i - 0 t sT,2,(1 I �_ _ f# .. .. If14. Describe the conveyance system analysis and design. ��_ FEB 1 8 20 04 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 4LL S/Tr3 I.c.1ILL 14AVr riAln//Mkr. C7r5rcirca.o../e- _. 4,A1.v /.1 A��•c.. £_ c-c- ST-RY ps+., ,c.o.GA. A--X/Jj-i.11at 5 1^.C'_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of th Uniform Building Code. /`I),,,,Ai ci.•t C ti S Tc !3/CAL 1"IC S d i 4-S 17. Describe the proposed surfacing material. A- 18. Describe methods for restoration of the site. -.as..) /sot/a"..a C.7- 7-1> T•v.0 Si T,eE rj.4(-le- Fels-r(9 A C. o p20/'ve, t. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. /4/4 PERMIT # Bill n 4 - n o 7 JEFFERSON COUNTY OCD stormwater site plan template-rev.10/1/2003 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will.be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. 12L-A T /S ,4Li fit av Gi/ .rz a Fo)C G d J/J nell LT/v-Al • 2. Establish Construction Access. G ON�iGH c /d.1 ,4 cd.r . .1" 1..4J/LC- Irr, L/S 1.3 ea d,l( T 4 c-hf S/7)C 1L-An/ d I Al cart' Coxls;i2kcr, / 1C7t4'•/ WJZ ae Aid ?" 1-4i3- Pr2.S di) ✓,E) o F 61e 7 C /Zxl3Ti.+/4 ge-ao; /41,,i.d/psti rjr: /0"'I.. Cd.6.1,04 cra 7+-�.✓r j d % � .T/T� 6vRTleiG 0461"/ pf=rf- 3. Control Flow Rates. 6 e4.J wi 4 M.r'J,dai/z r Y 5 T�04r r 41 9LA.G;Jc SAY 15 1LS / ouoe GlIC_Vt-i 1 11,IrcP S 4. Install Sediment Controls. i L L a'C. .S774 GG av%, d n/ Q.L.L 0614 44/L L SG a/0XT - A/l10 ' 2 CY,01-1 Glerr' c.ia. 4. /4IZ EAS„ 5. Stabilize Soils. I5Scs/Z S O/G S 7744-tr i2 /41ini•imizi a tJ AI L.dfr$ 2 G /2 7 , 3 4 %/4i 121s S 7- G F T7 rt. I�t-mac- 1 SV 12 .ac..or.v.E-LY FG&T S444e/=.14 cf'S 6. Protect Slopes. /n/47/c... . •C T-b 7j o SG os'�S 7'- AJ "4: 7. Protect Drain Inlets. • S/G7-- Sac./ - GtJ/z. tr/C • /�s/S�7¢GGrd stormwater site plan template-rev.10/1/2003 8 • FEB 1 8 2004 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. f Aildelae,Ve O7.irGr'rs 4 Alp Pee O r ACT 13 if /A S7;4 G f-/t4,) 64/c.,1 4-.' ' J/GT /< i , i i Nl A /P. ()Pe2l.t7—C Lcc.FarioNS_ 9. Control Pollutants. f i4r.Gc..crY 6 y f/4 Y 13A/ oiy 5it.1 Tim-vc.. 5 7-'o �►.-�...*�z.� TN KC FGocl c / 5k'airnr-vi.W'c.-Li , i7 i Six"*":1c.p 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /�, 4 11. Maintain Best Management Practices(BMPs). f.Qpr.-c.T 0ie4, «,1 TL.GTS/ Go�c/Tie'O- POLGGI%A,vrs .PA7, /GG-t. iC SL ' f- S.7 /�d� G�JE�a�v trt1 7-3 7-c. 12. Manage the Project. Sy®�•���vi�-v�.A�v i GNP'- -- .t/ 411/Z,aS er,Cicy on/ .4 i 1 t,Y A 5 t S 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, resident areas, roads). S 4,iG c_ 03/i /•z/ I AGGO2/sZ le., j' 1-1/..C. D64.1^.04/Gc_ 5Go J1AC #-)T G AGc G.e/Tic. b. Description of the downs eam drainage path leading from the site to the receiving body of water(minimum distance of 4C yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. cr,a.e;p-- 5ii2,6:7-a.01_ To L.ar Z3 / z y ,, ZS 2 6 4 - U076 stormwater site plan template—rev.10/12003 JEFFERSON COUNTY OCD b. Description of special r uirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence G 7' t/c c C Fo.G , c 4.AJO are.- ' Qu,c, fc c./^r®A Tra�v Gc.�rs-:�c�cr ?4c y ,L.c.N"Ps Ga<7.E / CLoSr ati' 4.oi Gv/a-.AJ .ytrc_ lam:23S/6"J Al 3t b. Construction phasing(if proposed) PV-03.c.C' i4 l 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. 5 4.a/ .a S SA ll. Wet Season Construction Activities. a. Proposed wet season construction activities. 57.4 Mrs /--S 6—A- . b. _Proposed wet season construction activities for environmentally sensitive areas. T/i gPO.000/c/AT7E /4 S NiCr$- /�`��� S '.,SS/7"e ' /.t 21C.4 r4.v.O <""Oi✓.Si/L 'c7 AGCO.CL�iNG, .f+ rid �R 7. Financial/Ownership Responsibilities. a. Ig�eentify the property owner responsible for the initiation of bonds and/or other financial securities. V� b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 0V. rev /.(o, tt LLc . 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable a. Sediment Ponds/Traps. A/ b. Diversions. c. Waterways. /t/.Q— N d. Runoff/Stormwater Detention Calculations W ormwater site plan template-rev.10/1/2003 10 • 0 MLA04-00072 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00076 Received Date: 2/9/2004 SITE ADDRESS: 72 GEORGE LESLIE DR PORT LUDLOW, 98365 OWNER: NEW HOMES LLC PHONE: 1125 57TH ST E STE D SUMNER WA 98390 G 53AR\826-4261 SUBDIVISION: EN ESTATES Block: Lot: 21 PARCEL NUMBER: 952900021 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: V G LAND LLC PHONE: (253) 826-4261 1125 57TH STE STE D SUMNER WA 98390 Contractor's License VGLANL*972CQ Expires 2/18/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 938 VALUATION 163,000.00 ADD'L: 1,351 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 400 CONST TYPE: DECK: 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: F&W Landslide 41C� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Aalcv0re Q V E ._ Permit $1,346.55 KAS 02/09/04 62543 State Building Code $4.50 KAS 02/09/04 62543 FEB 2 5 2004 Potable Water Application $52.00 KAS 02/09/04 62543 Jefferson County Planning Total: $1,403.05 & Building Department Cep-n• ` • a Jefferson County Department of Community Development �' r e;ti 621 Sheridan Street,Port Townsend WA 88368[36D1378-445D S . 4 4 j ��:/�v W U O O O \ils ,/ , • ._ � VV pij 0 ca 0(3n . , : , Project Description: "a Buildin. i.e: Pro Typ : Frame Type: daftenEW oo. Gara e Attached/Detached Additiod i ,teel Modular Alteration/Remodel Concrete • Commercial Repair Masonr y Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: Sewer Community System Oil Proposed: 2 Proposed: 3 ndividual Syste� woo stove Propane Total: 7.S Total: If not sewer,fill out the following: I-Ieat Pump venti alb Uternativ G Other Permit# SEP OS-t�o.'Dc, Water Supply: �14 ?. ' Private well Two Party Well Public:Name of water system: Square Footage: g 1 For Office Use Only Main Floor /�8 0 �t23.� . c Consistency Review 4 p . 0 Q 2ND Floor /3J ( aell ' giq j. Base fee • t31-(14,.S$—' S(o tc 'd`e 3rd Floor Plan Check fee r.2 Htd Basement State Surcharge fee r 5O Unhtd Basement ,r!t l3 - Subtotal I.) . Gc [394•O5—''' Garage/Carport `7 p t422 Pot Water Review fee .00 Decks 911/Rd Apnrnach..fee extes-[(iJEr fLII QiU*r-Z Commercial TOTAL I Lf$1-.QS Industrial Receipt# 6920 Other 0 oN e gi. 7b7��n ash/Check# ����3 Total Valuation: (GI-g11 V c (Gq 514•6 nitials c"-'P.-/ Or _ Date 74 Cl (6Lf 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. J further agree to save,indemni 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 suit of or in consequence of the granting of this permit. I further agree to provide ccess and righ of ntn'to ferson County and it's employees,representatives or agents for the purpose of applicatio review and any required later inspections. Access and right of ent to the ap licant p ern•or tructure shall be requested and shall occur during regular business hours. Signature: Date: 2 2601 OVER ► FI:HOMI\PLNCNTR\INFOBLDG\FORMS\BLDpertnitApplication 11-8-01 t Y � , r` SEC 18 ;�,;tic, / 39' / / 11.-10" / 15'-2" / 12' / / 4'-9" / 3' / 4'-1" / 5'-1" • ''PORCH`• .1..5�X 3'•• lSok1 .M y, \ LLLLLLLLLLLLLLLL, LLLL Nook LLLL LLLL LLLI LLLLLLL a, LLL12'6"x 8'6"-LL LLLL LLLLLLLLLLLLLLLL '' \ ;,. LLLLLLLLLLLLLLLL \ \ \ Soso LLLLLLLLLLLLLLLLL L 1�L-y(4)16"SHELVES LLLLLLLLLLLLLLLLLLLL •. LL CLLL4LLLLLLLLLLLLLILY' LLLLLLLq LLLLLLI I I I I I LL LLLL LLLLLLLL a LLLLLLL freeswnding LL L 1� =dLLLI Fie Llh� ry LLLLLLL+s+and� LL,,� - Dining LLLLLLL—B48 �LL L �� r(LLL`LL^^L11 LU in v ii' x il' LLLLLKitchen LLLLLL ' "' LLLLLLL m O1 LLLL.-,-,--ram LL 1 L �M�'4-4 III— I LrLLLLL LLCL O' ':+' IV LLLL; m O L— LLLLLLL L F LLLLLL; REFER w :➢BERj, lid i� h*'w I�� L L ,, L L BLW39/4230 \—\ L LIP. "T 1" i 1 N LLLi in : _gii € I ti V - rn Family Garage 15' X23' 19'6"x19' �I s C N _ Concrete slab is 23" m IC from main flr. o, [" 3 L r 16' x7' O.H.D. �: a LLLL .. L -, - L Entry LPL L 6'6"x 6'LL \ \ Soso LL �\"LLLa tO \ \ / 4'-6" l'• / 17'-9" / 21'-3" / PERMIT # QLO 1ST WALLS,#1 - i JEFFERSON CO Nil PC DRAWN BY:DW New Homes, LLC ►Select New Homes SHEET: CHECKED BY:DW 1125 , St. E. #D plan 2289 1 DATE:10-21-0o Sumnerer,WA 983905 (253)826-4261 1st Walls Finishes SCALE: 1/8"=1'-0" X:\Templates\Select\Drawing7:tlwg,11/14/2003 2:31:34 PM,TOBY g , Iv.? '': aiweio vet afy OP - / 39' / / 11'-10" / 15'-2" / 12' / / 4'-10" / 3' / 4' / 4'-6 3/4" 1 6' 1" 4'-7 1/4"f 6050 is N rn \ \ :;N \ \ 3050 Master - tLLLL v 1� LLLL 14'6" x 17' -- LLLL LLLL Sitting_ 1LLLLLLLLLLLL 'a li 6x 9'6" 0 _ 'cp-LLLM. Bath LLLL LL11'6" x 9'-LLL °i _LLLLI L L`LLLLI _LLLLLLLLV§1qQLLL L LLLLI 130" a_ LLLLI ® KNEE (4)15^ �y 12"Shelf 668 shelves sB LLLL, �, Bedrm 2 ^••'`► LLL4. W.I.0 o Zz I 11'6" x 11' LHali Bath 11' 6"x 9' - `� r. a '71 0 0 +1� 7'6"x 9'a O :. '; �'' m LLLLL L I cn M /!_ 3 _LLLLL \s- m � _ �' "" n, r 1 L 12"Shelf \N m (D o-P (4)18 \ shelves Fs,- \ 40BP © -- N\ i , O:p O f fsl Bonus e 7- 12' x 26' '�`•� 7.1 /V (approx.) Bedrm 3 F *R2&R4:2050 :. 11'6"X 11' *R3:2030 ~ O 3050 3050 \ \ • 2050 3050 2030 r+ \ \ \ ., / 4' / 3'/ 7'-3"- / 3' / 4' / 1`4'-6" / 3' / 1-2' 3' / / 17'-9" / 21'-3" / t:r, i '.4 UI Le ,� RMIT # BLD 2ND FLOOR; ROOMS & FINISHES Q 4 _. JFFFFR"cf1iu rrgjNTY : . ,. DRAWN BY:DW New Homes, LLC Select New Homes SHEET: CHECKED BY:DW 1125 57th St. E. #D plan2289 . 6 DATE:10-21-00 Sumner, WA 98390 2nd Walls; Rooms & SCALE: 1/8"=1'-0" (253)826-4261 3 BR, Den, 2 Bath Finishes of 1 X:\Templates\Select\Drawing7:dwg,11/14/2003 2:31:44 PM,TOBY