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BLD2004-00491
i OB UILDING PERMIT APPLICAON MLA04-00456 Jefferson County Department of Community Development Review Type:f 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00491 Received Date: 7/21/2004 SITE ADDRESS: 411 SHINE RD PORT LUDLOW, 98365 OWNER: MICHAEL HARRIS DAWN HARRIS PHONE: (360)437-9629 411 SHINE RD PORT LUDLOW WA 98360 SUBDIVISION: CARLSON SHORT PLAT Block: Lot: 2+ PARCEL NUMBER: 821334080 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/DECK(S) ALSO 120 GAL AG PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 200,000.00 MAIN: 1,976 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R_3 OCCUPANCY: UNHEATED: #OF STORIES: 1 :ONST TYPE: 5N OTHER: ONST TYPE: GARAGE: SHORELINE: DECK: 294 SETBACK: EWAGE DISPOSAL: CON BANK HEIGHT: t\TER SYSTEM: PUD DROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA ;t: Exist: Wetland ): 2 Prop: 2 Erosion I: 2 Total 2 Seismic Streams Flood Way Floodplain nq Date: F&W Landslide � ' L'� I Shoreline Aquifer Forest: Commercial Rural Amount Paid By: Date: Receipt: $1,553.75 KAS 07/21/04 66487 A IsPIM E D heck $1,009.94 KAS 07/21/04 66487 uilding Code $4.50 KAS 07/21/04 66487 SEP - 8 2004 Water Application $52.00 KAS 07/21/04 66487 Jefferson County Planning Total: $2,620.19 & Building Department • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00491 Received Date 07/21/2004 SITE ADDRESS: 411 SHINE RD Issue Date 09/8/2004 PORT LUDLOW, 98365 APPLICANT: MICHAEL HARRIS PHONE: (360)437-9629 DAWN HARRIS 411 SHINE RD PORT LUDLOW WA 98360 SUBDIVISION: CARLSON SHORT PLAT Block: Lot: 2+ PARCEL NUMBER: 821334080 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/DECK(S) ALSO 120 GAL AG PROPANE TANK REQUIRED INSPECTIONS: tSETBACKS: DX( 9/0/ ' ] UFFER: _Ae ,1,J Footing: OK ,? 0/o4j ,�t Foundation: D/ W/&'i iiwgs Ø1/' " kt, Stormwater FINAL Approval: 17Y< 'I r0-Gs-0 4 Underground Plumbing: kl Underground Insulation: 44 Shear Wall : #1< ////arS .J Framing: j>!C 2/i4/05oil -IN1 Plumbing: 0e /i//HHabe0' 31 fr,4 j►4 Propane Tank/ Lines: / (' me- 34i� 1.....] Insulation: Ok 2�2-4 65 J4 Sheetrock:jK 5/7/05 _ ,pil] Septic Sytem Final Approval: I 1 Road Approach Final Approval: [ ] Final Approval: 1-� [�. Final/ ccupancy Approval: ` G I 1 LI 1 Seit. 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 • gik SPECIAL CONDITIONS FOR E BLD04-00491 1.) 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. 2.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) 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. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Shin, right-of-way is 20 ft. Minimum setback frcfii SR 104 right-of-way is 50 ft. Minimum side yard setback is 5 ft. 11.) 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. 12.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Bu ild ng.rpt 10/29/1999 • Jefferson Cmntytment of Community Development 621 Sheridan Street,Port Townsend WA 08368 E3601378-4450 Iy 4.4 o 4. .- '} p� m o U + 0 Appcfl©n Project Description: Nlcvi iNcjl,l: IIL vL 1DeNCt -. I `.L . Building Type: Project Type: Frame Type ''�e��'' Fatnil�� �,-�F 1.1 Addition i i Modular Alteration/Remodel Concrete Commercial Repair J. Ma gttry Multi-family/#of Units Demolition OPT. Oc (. OthtitOPME!T Industrial Other Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing © Existing 2 Sewer Community System �i •' Proposed Proposed: (individual System v ...sto a Pro ane Total: .7- Total: —2— P If not sewer fill out the following: •eat Puma onventional Alternative Other Permit# SEP Water Supply: ,c Private well Two Party Well Public:Name of water system:Y U 1) ' l Square Footage: ff For Office Use Only Main Floor 4 cAlk• (II COS.' Consistency Review 48. 00 2ND Floor Base fee 1553-1 S 3rd Floor Plan Check fee t o 0l .Ck4_ Htd Basement State Surcharge fee 4 •SD Unhtd Basement Subtotal '2(DI(. t q Garage/Carport 4 �f Pot Water Review fee 85• O Decks Z CA C n f S /�-' . 56 911/Rd Approach fee exkcsn N Er Commercial .—$ !a . TOTAL alb( _ is Industrial IPReceipt# b f 4-7 Other Cash/Check# s3-77 Total Valuation: Initials PP-. ) Or Date -1l2,t ( o 4--- -- Estimated '.st: ' ^) ex,c, If within -t I' •f t, . - e, — Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. t— 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 rextrexc 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 entrym 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 o or structure a be requested and shall occur during regular business hours. Signature: / Date:. 5/4 ,,,fL , _ OVER ► H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApphcation 11-8-01