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BLD2004-00413
• BUILDING PERMIT APPLICION MRLA04-00 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: B LD 04-00413 Received Date: 6/22/2004 SITE ADDRESS: 1582 WOODLAND DR OWNER: GEORGE T GERCZAK PHONE: (360) 301-4505 (b FARRELL BIBB 1002 CASS ST PORT TOWNSEND WA 98368-6305 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 13 PARCEL NUMBER: 999900113 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: CHERRY STREET BUILDERS PHONE: (360) 379-5595 1002 CASS ST PORT TOWNSEND WA 98368 Contractor's License Expires 15/4/2O05' C 4S SBQTSKZ REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,975 VALUATION 260,073.00 ADD'L: 853 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 280 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: 6,(' z F&W Landslide �{ /off e1 Shoreline Aquifer I Forest: Commercial Rural Type Amount Paid By: Date: Receipt: P R P1r�rgeh� 7 E r Permit $1,945.75 RAC 06/22/04 64550 !"'t( U �/ Plan Check $1,264.74 RAC 06/22/04 64550 AUG - 4 2004 State Building Code $4.50 RAC 06/22/04 64550 Potable Water Application $52.00 RAC 06/22/04 64550 Jefferson County Planning & Building Department Total: $3,266.99 eaku . r SON co al Jefferson Department of Con11Nnily Developed� f tt 621 Sherhi�Street,Port Townsend WA 88368(360)378-4450 5. t �S N �aAppIcfl© Building Type: P roj' ct Type: Frame Type: GI/Single Family R' NewY'ood C? Garage Attached/Detached ❑ Addition 2 2 2( ❑ Steel ❑ Modular ❑ Alteration/Remodel JU ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System Q'Electricity ❑ Oil Proposed: 2•_, Proposed: 3 individual System 8400dstove ❑ Propane Total: Total: — If not sewer,fill out the following: ❑ Heat Pump Pi-Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: re--Ft 25iza)J Cc' PA,17 Square Footage: ! '17.5 Office Use For Office Use Only Q- Main Floor tT7 Di q •2C Consistency Review 4 O.Od ^ 2ND Floor 3 5 3 /i 1.1.51E-.3C1 Base fee t tri4 s•7 S- 3rd Floor Plan Check fee 121:04•71{. Htd Basement State Surcharge fee 4-so Unhtd Basement Subtotal 2..`2 -q q Garage/Carport b/ Pot Water Review fee $5'•00 Decks 2-r�C� 5 c1e q. 6-0 911/Rd Approach fee 0 Commercial "-------------iF�a 013 - TOTAL `3 3�/. q 1 Industrial 2 b Receipt# 'tSst., Other Cash/Check# 52 Initials Qg-e• 7.-- 21----_____07t) Date Co(2z10t Estimated Cost: L 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 res .f or in consequence of the granting of this permit. I further agree to provide ess. , t of 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 en. to the p' is ro erty or structure shall be requested and shall occur during regular business hours. Signature: / kiPV}LI Date: L� 7 416, OVER ► G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004 0 BUILDING PERMIT IIIP Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00413 Received Date 06/22/2004 SITE ADDRESS: 1582 WOODLAND DR Issue Date 08/4/2004 APPLICANT: GEORGE T GERCZAK PHONE: (360)301-4505 (V FARRELL BIBB 1002 CASS ST PORT TOWNSEND WA 98368-6305 SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 13 PARCEL NUMBER: 999900113 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: CHERRY STREET BUILDERS PHONE: (360)379-5595 1002 CASS ST PORT TOWNSEND WA 98368 Contractor's License: CHERRSB975KZ Expires: 05/09/2005 PROJECT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: 4/4-, SETBACKS: ]„ UFFER: is Footing: --- ski Foundation: •;,av;',...,--, x' ] Stormwater FINAL Approval: Underground Plumbing: Underground sulation: Shear Wall : II-1,-`'oy ff.], Framing WjCm�rp ��•( f` Plumbing—4,2 —13' -a [ ] Propane T k/Lines: -• 7- = (Pt7( p ,2-84' (--(,—DS --rdAtj1 %-(I1i' '54 Insulation: [,/ Z.Z. --a ' d Sheetrock: .; ..f-,:z:. . ' _ {41 Septic Sytem Final Approval: K. Road Approach Final Approval: [ ] Zoning Final Approval: b4 Final/Occupancy Approval: `' �0 as-- 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 OSE t BLD04-00413 • 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 28, 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: Critical Aquifer Recharge Area (SARPA), airport noise & Stormwater. 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.) 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 3,648 square feet of impervious surface and 4,248 square feet(excluding driveways)of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a stormwter plan for a Medium Project. 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 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. 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 site plan as submitted with the building permit application (BLD 04-413)on June 22, 2004 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 July 28, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) 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. 12.) This parcel is lot 13 of the V�6odland Hills No. 2 Phase 1 Division 2 reco• July 1, 2003. This property is designated Rural Residential 1 dwelling per 10 acres by the Jefferson County Comprehensive Plan adopted August 28, 1998. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) The front setback is 20 feet from the edge of the right-of-way of Woodland Drive, a county road (C682109) located to the south. The side setbacks are 5 feet from the property line (east and west). The rear setback is a 50 feet(vegetative buffer)from the northern property line, which is a plat condition. I:\F_BLD_Permit_Buildng.rpt 10/29/19