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BUILDING PERMIT APPLICA MRAOwTyp
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00165 Received Date: 3/17/2004
SITE ADDRESS: , ( 'OSPREY LN
BRINNON, 98320
OWNER: PAUL&LISA MUTTY PHONE: (206) 842-6115
J C RUSK&C A WILLIAMS
9435 BATTLEPOINT DR NE
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: PULALI POINT PARTNERS LARGE LO Block: Lot: 4
PARCEL NUMBER: 601185004 Section: 18 Township: 26 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License SEAHOSI077KS Expires 11/17/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI` NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,618
VALUATION 200,000.00 ADD'L: 426 HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 320 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUBLIC 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
/e4y Shoreline Aquifer4
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
APPROVED
Permit $179.16 KAS 03/17/04 62762
Plan Check $1,009.94 KAS 03/17/04 62762
State Building Code $4.50 KAS 03/17/04 62762 MAY - k, 2004
Potable Water Application $52.00 KAS 03/17/04 62762 Jefferson County Planning
Permit $1,374.59 KAS 03/17/04 62760 & Building Department
Total: $2,620.19 301Q2n � Qr
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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 #: BLD04-00165 Received Date 03/17/2004
SITE ADDRESS: 264 OSPREY LN Issue Date 05/4/2004
BRINNON, 98320
APPLICANT: PAUL&LISA MUTTY PHONE: (206) 842-6115
J C RUSK&C A WILLIAMS
9435 BATTLEPOINT DR NE
BAINBRIDGE ISLAND WA 98110
SUBDIVISION: PULALI POINT PARTNERS LARGE LO Block: Lot: 4
PARCEL NUMBER: 601185004 Section: 18 Township: 26 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License: SEAHOSI077KS Expires: 11/17/2005
PROJECT DESCRIPTION: NEW SFR
REQUIRED INSPECTIONS:
[ ] SETBACKS:?.
[ ] UFFER: a
[ 1 Footing: LJL4(coos 5-(0-64
[ ] Foundati 2 n:
[ ] Stormwater FINAL Approv-I:
[ l Underground Plumbing:
[ ] Underground Insulation: (�
[ ] Shear Wall : d".-1)c7-c /lac-APowwt , 1.2 •2,1 oy
[ l Framing: /7410(_ ,a /ter '- /5
I 1 Plumbing: 5, 2/ l A
[ ] Propane Tank/Lines: (A/C -?r., �/ Ay
[ l Insulation: 4- ,= re.z f+e,=' r`r/ gi c' / fref,
I 1 Sheetrock: r R _
[ ] Septic Sytem inal Approval:
1 Road Approach Final Approval:
[ ] Zoning Final Approval:
I 1 Final/Occupancy Approval: -/ 'o�
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 FORRASE A BLD04-00165
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 4/8/04 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: Shoreline
(conservancy), seismic hazard, eagle habitat, and stormwater.
2.) A Type 1 Stream (Fish and Wildlife Habitat Area) has been identified on the subject
property. The stream will require a setback of 30-feet. The setback shall be measured
horizontally from the Ordinary High Water Mark(OHWM). Fish and Wildlife Habitat Areas
shall also have Buffers and Building Setbacks established.
3.) Stream buffers are areas that shall be maintained in their natural condition, however,
minor pruning or alteration of vegetation may be permitted as long as the function and
character of the buffer are not diminished.
4.) Among the native conifer species which may be used in buffers or for re-vegetation
include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis),
Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar
(Thuja Plicata), and Western Hemlock(Tsuga Heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer Circinatum),
Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus
Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa),
Bitter Cherry (Prunus Emarginata), Oregon White Oak(Quercus Garryana), Cascara
(Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz
Scouleriana).
Among the native shrub species which may be used are: Sevice-Berry (Amalanchier
Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean
Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark
(Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa
Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry
(Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium).
5.) The potential for archaeological resources in the immediate area were identify during the
Pulali Point Large Lot Subdivision, and is a condition on the face of the Plat. An
Archaeological Survey was conducted on the parcel by a professional archaeologist as
part of septic review (CAR 00-407), which did not locate archaeological resources on the
property.
6.) 13. If archeological resources are encountered on the site in the course of development
activities, the relevant lot owners and contractors shall immediately cease work and notify
the Jefferson County Department of Community Development, the Washington Office of
Archeology and Historic Preservation, and the Skokomish Tribe. Work shall not be
started again until the site has been examined by a professional Archeologist and
appropriate measures are taken to avoid impacts to archeological resources
7.) The proposal is required to comply with all of the conditions listed on the Notice to
Potential Purchasers listed on the face of the Pulali Point Large Lot Subdivision. One of
these conditions addresses impacts to schools. It states that prior to the issuance of a
building permit, the applicant shall provide proof of payment to the Brinnon School District
the sum required under the agreement recorded by Auditor File Number 365630. This
agreement clarifies that this condition applies to the issuance of a building permit for a
residence, which would impact the school district.
Applicant paid $500 School Impact Fee on May 4, 2004 (receipt 64241)
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8.) The parcel is located within 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.
9.) The identified Fish and Wildlife Habitat Area (Type 1 Stream), shall maintain a vegetative
buffer setback of 30 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark(OHWM) to the single family residence.
10.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed single family residence.
11.) The applicant shall fully adhere to all conditions and requirements of the WDFW approved
eagle management plan and conditions approved March 17, 1993. This includes being 50
feet back from the OHWM (Shoreline Bluff) and 50 feet from large trees shown of the map
prepared for the Eagle Management Plan. No Clearing is permitted within these 50 foot
buffer areas. This is reflected on the revised site plan submitted on April 30, 2004. No
vehicle access is permitted on the pedestrian easement located along the northern edge
of the property.
12.) VOLUNTARY MEASURES OF 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.
13.) 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.
14.) 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.
15.) The applicant is proposing to create or add 2,952 square feet of impervious surface and
6,370 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 Stormwater Plan
for a Medium Project.
16.) The project shall adhere toe 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.
17.) A Stormwater Plan for a Medium Project 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.
18.) 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).
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
20.) 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).
21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
22.) The building height is not to exceed 35 feet.
23.) There is a 20 foot setback from the edge of the right-of-way for Osprey Lane. There are 5
foot side setbacks. The rear setback is 50 feet from the shoreline bluff and 30 inch fir tree
identified on the map for the Eagle Plan.
24.) The revised site plan dated April 30, 2004 associated with Building Permit Application
(BLD04-00165) submitted on March 17, 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 May 4, 2004 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
25.) This approval is for a single family residence 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:\F_BLD_Permit_Buildng.rpt 10/29/1999
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3-02-200d 4:36PM FROM 320 TERRY AVENUE N_ 2063321631 P. 2
twredie
i swJe�t rson County Department of Commcmity Development
621 Sheridan Street,Port Townsend WA 98368(360}-319-4450
Ir) 13 .
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Permit --- . ,
OOc�`�OQC�
Project Description:
a.
Building Type: Project Type: Frame Type: ' '
, togle Famifb illiMINP Wood
Garage Attached/Detached Addition Steel
Modular Alteration/Remodel Concrete
Commercial Repair Masonry
Multi-fanuly/#of Units Demolition Other. �_._.....-
Industrial
Other: _
8atheoom4: Bedrooms: Type of Sewage Disposal; Type of Heat:
Choose one:
Existing: -f Existing: Sewer Community System 1"ectriaty Oil
Proposed? 3 Proposed; _ Individual System Woodstove Propane
Total: -___5-- TotalIf not sewer,611 out the following: Heat P+"e.
Conventional Alternative Other_
ki Permit# SEP i
Water Supply:
Private well Two Party Well Public.Name of water system; jit-AM M►wT'" Izoreft-'t ( rAtt..TN e-S
Square Footage: C)[J� . �4 For Office Use Only t/�
Main Floor _�aV l $� 105,`� ' Consistency Review _a
2�"Floor 4ZL s� 00
Al y - Base fee /5-5 3••15
3r,1 floor Plan Check fee .. /0 0 9. 94
/
Htd Basement State Surcharge fee 7. 5/ a
Unhtd Basement Subtotal F b .
OCI
Garage/Carport Pot Water Review fee '
Decks 4\(3 911/Rd Approach fee . /Ili- 0<
Commercial la, TOTAL '9- s•
industrial l Receipt# 10- 7 .0 1 10,27 Goal
Other 3a6 P f!EO Cash/Check# 7 q ' Z d S 7-5t -/ / i
Total Valuation:_ i la Initials e /l/
Or ar r--C°e- bate 3 /7 _o
7—
Estimated Cost: / Q OD P
r
If within 200'of the Shoteline,
Distance to Bank or Ordinary High Wa t Mark _ 5�► ft.Bank Height $ ft.
l$r eigaing the appkcaaon form.the applicant/owner a mita that the information provided herein is nut and comet to the beat of their knowledge. My material fattehood or any
omicrhm of a material fact made by the applicant/ownertvhh teapect to this application packet may retail in this pumit tieing not and void.
I(rather wok to tare,indemnify and hold baendeea Jefferson Comity seine t at liabilities,judg enre,court costa,reasonable attorney'a feat and expenses which may in any way unit
.gainer jeffemon Coaety as a moan of or in conaequeo.e of the granting of this permit.
I further agree to provide a as and right of entry to Jefferson County and let employees,representative*or arm for rite purpose of application review and arty enquired later inapacuone-
Aeuas and right of entry applicant's property or atructute hall be requested and shelf occur during regular bueinto hours.
Signature: - Date: 71/t L..//0 !
OVER Po
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