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BLD2004-00490
• e -----1 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00490 Received Date 07/23/2004 SITE ADDRESS: 2900 CENTER RD Issue Date 09/29/2004 CHIMACUM, 98325 APPLICANT: MICHAEL K JENNINGS PHONE: (360) 779-2855 ANN M JENNINGS 2900 CENTER RD CHIMACUM WA 98325-9780 SUBDIVISION: Block: Lot: T 7 + PARCEL NUMBER: 901263008 Section: 26 Township: 29 N Range: 01 W CONTRACTOR: M W ENTERPRISES PHONE: (360)697-2701 17304 LEMOLO SHORE DR POULSBO WA 98370 Contractor's License: MWENT**066NN Expires: 8/3/2005 PROJECT DESCRIPTION: NEW SFR W/ATTACHED CARPORT& DECK(S) - LOG HOME ALSO 500 GAL AG PROPANE TANK REQUIRED INSPECTIONS: SETBACKS: o - -�.- Id)".22—O UFFER: /(�/�I [W Footing: bit._ ca -IV 2,2. /4.... ?J4- APOJi' ix r Foundation: weir,. at cf2'gf 2--- KEPI/hOJAJL 4,i4LL. eh< /,40, Stormwater FINAL Approval: (10 - Jv L y 1010 CO Underground Plumbing:t(C t,v-) q( ��' Underground Insulation: off S z5//Os I� ,E� - Shear Wall : ` O Framing: , k s/z.�/CIS fi Plumbing: Qk W/�hirb�r, 5/z�//SI Propane Tank//Lines: Insulation: Qr{L.)1" cYt. i ) a 4 c Sheetrock:O)( '! ? - `5j--(y-) _ 7'7 pxi Septic Sytem Final Approval: Road Approach Final Approval: ( IA} [ 1 Zoning Final Approval: fV Ii4 f 1 Final/Occupancy Approval: aK -Pel r 0 /ef3// 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 A ,w • SPECIAL CONDITIONS FOR CA # BLD04-00490 1.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback)that exceeds the standard buffer requirements by fifty(50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100)feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 4.) 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. 5.) The identified Fish and Wildlife Habitat Area (Type II Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM)to the single family residence. 6.) An additional setback of five (5)feet is required from the edge of the buffer area to the proposed single famly residence. 7.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100)feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Minimum setback from Center Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Environmemntally sensitive areas further impact setback. 14.) 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. 15.) A minimum of two (2)on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildngspt 10/29/19 I 1 MLA04-00463 BUILDING PERMIT APPLIKTION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00490 Received Date: 7/23/2004 SITE ADDRESS: 2900 CENTER RD CHIMACUM, 98325 OWNER: MICHAEL K JENNINGS PHONE: (360) 779-2855 ANN M JENNINGS 2900 CENTER RD CHIMACUM WA 98325-9780 SUBDIVISION: Block: Lot: T 7 + PARCEL NUMBER: 901263008 Section: 26 Township: 29 N Range: 01 W CONTRACTOR: OLYMPIC TIMBER BUILDERS LLC PHONE: (360)437-0313 5175 PARADISE BAY RD PORT LUDLOW WA 98365 Contractor's License OLYMPTB001 M1 Expires 8/13/2004 REPRESENTATIVE: THE HOSFELDTS PHONE: (360) 437-0313 5175 PARADISE BAY RD PORT LUDLOW, WA 98365 PROJECT DESCRIPTIOI NEW SFR W/ATTACHED CARPORT & DECK(S) - LOG HOME ALSO 500 GAL AG PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,560 VALUATION 308,256.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: 1,560 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 600 SHORELINE: CONST TYPE: SETBACK: DECK: 804 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: 3 Prop: 1 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: F&W Landslide 0v 7 Shoreline Aquifer 117 CPL, l (` Forest: Commercial Rural i Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,164.15 KAS 07/23/04 66497 APPROVED Plan Check $1,406.70 KAS 07/23/04 66497 State Building Code $4.50 KAS 07/23/04 66497 SEP 2 9 2004 Potable Water Application $52.00 KAS 07/23/04 66497 Jefferson County Planning Total: $3,627.35 & B ilding Department I . 07/24/2004 14:30 36077997 Q MJ TRUCKING PAGE 02 T°i c p,w61�..:'' "..ea 1 VIS 0 B .2, o cc ca-� . tea 1 to,°1.' ` CCU c��vwuv�l,"w .K . 40) - 't a 213 ""` .w h.�y.•' ,v 4 7 ' 33'•Z 1i5D. /O ' ......._ _ • 1 ..____ OVE, � . - • o • • SITE PLAN �.7" •w NCI' .M•kft4 A . k., \>,if:.:::1,9".;. -... ^} .r SEP tre . ' '�i- ,�., :,,''yet :. ` • c 2 • c• � T.3NP , S L,�""!tom: , p r JE'FFERSO yv,,Nr yl' , t'_ ' %b d• ...--(-/' \io4,.1.6. Nc` 'p C(a0s SIGNATURE:OMM DY EV 1s�i'�t Y ' N Nlklaai srph.iw <e, N (1) qq�� )1`AirU4=lScr,•0 iST (gy p ;, Th. pa2►x0 n oel_oE'A 2 kA41 kwt 4-# •Sl"-n-z!oe , , ,:::„..„.)— f..---li -- (- -0.1S ae•it ti c• k ' O1 Ta+" ..`i `".— j F:laJ NKi‘x b,-� CO-+ W.r▪M C tit Q wJ �/� + S ee r • r�Y+•o▪' ~ {, I�, 1 ��� 71�h tC X vl cox. rr�..aw.,- 3 ) N _ ~f a Ic 4,7MH Nbff•Cic _r ..• to .4�•1 • P.. wn It ZC''' w'00 . W1 .f9.R C'•fOM' !q off! ' �'�; y A�` �b., ..� t 1104 VI�: R� e�� ° ', • �( i',. M� A/ l• r t l.~..V.w•4 M �. fa. 4 ... t t14 •S r�[ • `� . - 1%lit '.":-- -/2 --T\ � ��N t v \h n4 ,. ` " & Sri ! a CS�ij V e . .4k4'1, r....ty ..> r \V? : e... iF .• \. ,,/\\rr. ..4.......................: /ie. I ..---Ve . i N- t • . • i 'cle (,•• • • 111/* b a -o �,t;rtl- -‹-,,,,, . . . zi ..1;�M , y ',o �hb Z0 3J'dd GDU CO dd3t t M'6LE09E LL 9I P00Z/EZ/40 • • iiiiIk .t . , i =__ ___JEFFERSON COUNTY ;DEPARTMENT OF COMMUNITY DEVELOPMENT !1 I. JUL 2 3 j s , 621 Sheridan Street • Port Townsend •Washington 98368 i 360/379 4450•360/379-4451 Fax i G httpJ/www.co.jefferson.wa.us/commdevelopment/ r, ; , �, CO r 4, R ,. STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Oi' C,--3- PROJECT/APPLICANT NAME C Y\L\e—Zi \ Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a sitee map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a 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 the site map. (A__, 7�C�-e-� .-f 'ram c.7�, �_Le AL,)-....„...... Existing Conditions Summary 2_ Describe the existing topography. Indicate contours on the site map. �5 �. A. v w`_-'----) 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. "PP�-, -N• '`--.. 4. Describe the existing soils. Indicate soil type on the site map. -r 2 E'i'`�y '- -�c-I\,- ...i L- 'N---v✓" 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, 1>`t ST710 G\ //14 f V r US S'f/ tIt'�'S Q Is�r9-,ram6=: -to 2 o u/go 5 c-c l` it-e! - 6. Describe any excess levels of noise generated by the proposed use or activity: AJO A-Pg- APPROVED STORMWATER PLAN stomnvater site plan template—rev.10/1/2003 SEP A A 5 2 2 2004 JEFFERSON COUNTY __ — �T� _ _ -0E1R1r�F SKNATUPF: �►' _ • • 7. Describe significant geographic features and critical areas (i.e., environmentally se n` 't�1 tt Y� 8i _�ucMes'weflands str` rhs steep slopes,etc.)on the site. Indicate location on the site map. i !t LI att 2j { 8. Describe the general vicinity of the site,including adjacent land uses and structures, rlit s_�gaEl_s aiitltgenaitiVek i&if`ard?a (streams,wetlands,lakes,steep slopes,�c etc.).elk �� �--- �--1 c ) e Pt)4-0 2 /-4--r�,�� i s77 S7-0Z/—re_:-,re-( 2 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. 4 i.r!e 72A.2y rt c v , 4 /.S'o 41'r z -y77-7 ,11 s t e53- :.0.'7- e"/ p ,,00 > n 0'' u'c-LL eqf , .5 P.-/—e,O f 7 -ct2-4 ,,v.t,7 .:Jf • 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. /Nf O 6E-1 5� '77,tZ. C. -, 4�-� t f/S T./"-'4 C.�S t — N F-10 /fiDsvlt` 12. Describe the flow control system. stormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. IP s . ",, it[1 JUL 2 - ` t ;. f _ o t FrFPSON C ta)y-v 14. Describe the conveyance system analysis and design. f� P . Lir f'�?v�RAl,f,lrT`r p \ topm ;, 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. O f = S /i 1)/3 f'c9s4z_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material A 18. Describe methods for restoration of the site. ploi' S 5 o 7 Z'4 ,ter- r-- .0D5p,4 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. /1-4 7/1" 20. List here and include any special repo 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. , svA stomwater site plan template—rev.10/12003 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 T . 1. Mark Clearing Limits. ( t.� p !LC ( ' !ti ?1 jj [c� t 1/t-t,4) -?6f S'l?/.1- •t I ce2(19 ,a,�. i JUL 2 3 2004 1, . 2. Establish Construction Access. t -- - ' t ,Ea .._ 3. Control Flow Rates. 4. Install Sediment Controls. TAP- .) ' —z 5. Stabilize Soils. 6. Protect Slopes. AJOi hi s fit e.6L � 7. Protect Drain Inlets. / 8 sMmweter site plan template—rev.1W12003 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. f JUL 13 2004 + EE 9. Control Pollutants. lr(((( C: ttY DfAP ,Y:�l �lF.Yt.t.11Pft p,,_. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. MaintainBest Management Practices(BMPs). j1//A- 12. Manage the Project. 1// 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). Ari b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). '0 /U.C' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. — stormwater site plan template—rev.10/1/2003 9 • . b. Description of special requirements for working in or near environmentally sensitive areas.. - - •/r/ 1 &ill 2 3_ 2004_ 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristi .tle soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 4/0 5. Construction Phasing. a. Construction sequence t LA-it b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. ft-c,t_G, -ttLL 5 I ( b _c- II. t Wet Season Construction Activities. & PT a. Proposed wet season construction activities. • A../M-(2-t0 (7-- b. Proposed wet season construction activities for environmentally sensitive areas. Af NE 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Ai-6)5 b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. A) C 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. 4`) /Pc- c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template-rev.10/1/2003 10 • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. V��c -k j - ZZ—C)4(LANDOWNER OR A RIZED REPRESE VE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: JUG. 2 3 2 stormwater site plan template—rev.10/1/2003 12 Jetierson County I I,1 artment of Community Development (4ON ?\t 1 621 Sheridan Sip,Port Townsend WA 08388(3601378-4450 4. i ? rmo p © © ........, p_ icci A.,©rn 9NG�S ,, .. l' .. .; - - _-_- -- Building Type: Project Type: Frame Type: Single Family 1 1' `� $ New. Wood ❑ Garage Attached/Detach ���' ❑ Addi'on ❑ Steel • ❑ Modular _L' Alter tion/Remodel ❑ Concrete ❑ Commercial ' ❑ Re ' ❑ Masonry ❑ Multi-family/#of Units G Demolition L Other: l . ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: .2- Existing: 3 Sewer 0 Community System ❑ Electricity ❑ Oil Proposed: 2.•5 Proposed: 3 $ Individual System ❑ Woodstove 1A.Propane Total: 2.5 Total: 3 If not sewer,fill out the following: O.Heat Pump L 'Conventional LI Al ernative 0 Other Permit# SEP Water Supply: j!ii Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: Office U. For Office Use Only A Q Main Floor l Too f12 Consistency Review 4O t Q d 2ND Floor Base fee a' L7` i S 3u Floor an Check fee (14 CG•10 Htd Basement t 56 O t"✓ '� Man State Surcharge fee It". S-0 Unhtd Basement (fir Subtotal '23 ,mil Garage/Car (o00AcTi �.�` 'I v� Pot Water Review fee Lti .0 0 Decks (30 1 (r`1 So•2f 911/Rd Approach fee V Lc-5-tt N(T Commercial TOTAL `37 V p °3 Industrial Receipt# , 4 C 1 Other Cash/Check# 4k 1 Initials Pa-S Date I(23(O T Estimated Cost: 50 %DOC' If within 200' of the Shoreline, T`l/A 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 attomey'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. Signature:_ ''(bbt.• —_ Date: —Z - 1. a OVER ► G:\PermitCentcr\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004