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BLD2004-00628
�UILDING PERMIT APPLICA�ON MReview T0581 ype:l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00628 Received Date: 10/4/2004 SITE ADDRESS: r .0,t4CARNEGIE AVE PORT TOWNSEND, 98368 OWNER: DENNEY RUTHERFORD PHONE: (509)835-5832 SANDY SWEENEY 1309 E 30TH AVE SPOKANE WA 99203-3235 SUBDIVISION: IRONDALE Block: 152 Lot: 1-5 PARCEL NUMBER: 962115201 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License CRANSCC070J7 Expires 3/10/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE & DECK ALSO 2 A/G 120 GAL PROPANE TANKS TYPE OF WORK RES SQUARE FOOTAGE: L P6 Radial-a- fah TYPE OF IMP NEW MAIN: 2,029 Checked cm/ wc5F( VALUATION 220,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 770 SHORELINE: CONST TYPE: DECK: 375 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 �Q, 5"f�� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /� Pr'i e v Permit $1,671.35 KAS 10/04/04 67736 /`'1 � Plan Check $1,086.38 KAS 10/04/04 67736 State Building Code $4.50 KAS 10/04/04 67736 NOV - z 2004 Potable Water Application $52.00 KAS 10/04/04 67736 Jefferson County Planning Total: $2,814.23 & Building Department CoLLet-1 off` BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00628 Received Date 10/4/2004 SITE ADDRESS: 242 N CARNEGIE AVE Issue Date 11/2/2004 PORT TOWNSEND, 98368 APPLICANT: DENNEY RUTHERFORD PHONE: (509)835-5832 SANDY SWEENEY 1309 E 30TH AVE SPOKANE WA 99203-3235 SUBDIVISION: IRONDALE Block: 152 Lot: 1-5 PARCEL NUMBER: 962115201 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License: CRANSCC070J7 Expires: 3/10/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK ALSO 2 A/G 120 GAL PROPANE TANKS CALL IN FOR THE UIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: //-4-D� UFFER)=C- // - )i-v/ Footing: (kV C d ND(U/aG_//-/s a y FoundationfAllkoi y,2-/-D Y Stormwater FINAL Approval: Underground Plumbing: Underground Insul lion: (A/Shear Wall : c er')^.9)Ce'__'" -z_ e-5"'� Framing. ,3J1 /6' �// Plumbing. 3 icf/es Propane ank/Lin s: J /ia 9(r/e.� e�f fr&Z7 �- a(_ --0, 5-j-7_p� Insulation:, _?"Z Y f Sheetrock `7/// Septic Sytem Final A prov I (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 7`-y'/CS-� 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"# BLD04-00628 • 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.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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 Site 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.) 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)unlicenseir inoperable vehicles shall be stored on ant 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 setbacks from North Carnegie Avenue and North Lyter Avenue rights-of-ways shall be 20 feet. Minimum north and south property line setbacks shall be 5 feet. 14.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 15.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 16.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 ie e06� JEFFERSO•OUNTY , _ ,':`l DEPARTMENT OF COMMUNITY DEVVE�LOPMENT ..._. ...... - I' rilik 621 Sheridan Street• Port Towns$hd. Washington 98368 360/379-4450 • 360/379-4451 Fa* _,�Ne�O� www.co.jefferson.wa.us/commdeve[opment �r� 33 2`� �`l Master Permit Application ,.. .. MLA: " ng I.c; Project Description(include separate sheets as necessary): ._______ _ .__ S i I/1 7 L rC air 06,4 LC , 7 (/ `( 11 A7' tC C, ,GT tr z, _-_ Tax Pace! Property j Number: �1/ /f C / Size: (acres/square feet) Site Address and/or Directions to Property: elir/Ot /rr' - j)IVI5/DN A/6 (Ael acfnl le 1 10-) Property Owner(s)of Record: 1 ]U j\J Y. RU TI-/E P.Fo en + SANne.,i SGti t t E( 7 Telephone: S0'>] jS J33 Fax: email: Mailing Address: / jaG] E. 36-f'� 1J AG S/'jV 1,1E- ,,(ru,'- 1126 3- 3 2:3`7 Applicant/Agent(if different from owner): EA/,©"{ Ce q,'US T O/`' Telephone: 319 -2 73 O j-D/Z3r0 Fax: email: (rail,S c GI(7 Pa./ Mailing Address: ,i, l/t is o 7 cf 7 Pci I'^ Ir (1;¢ 4 (e C Gc If, A TP 3 3 C1 WOat kind of Permit?(Check each box that applies) ['Building ❑Variance(Minor,Major or Reasonable Economic Use) D emolition Permit ❑ Conditional Use[C(a),C(d),or C]** Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** 0 Manufactured Home ❑ Boundary Line Adjustment 0 Modular 0 Short Plat** ❑Commercial* ❑ Binding Site Plan** 0 Change of Use 0 Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** 0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stonnwater Management D Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate a et 51 C 4 c_1 ' v f Co to act as my agent in matters relating tl'this application for permit(s). OWNER SIGNATURE/E/''''. ti' vV � �r�lrlo •fillIM. Date: (� I By signing this application form,the caner/a ent attests that the information 9 provided herein,and in any attachments,is true a d correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 a• - and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and an, required . e ins.: '•ns.Access and right of entry to this property shall be requested and shall r only ring regular business hours. , Signature: 7 �u�1 • Date: , ? (''?r--- "V�t/ The action or actions Al),licant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has •--n issued will,no • -to the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev n' you are i ••• pli- ce wi i the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans -ble r--1. r ili• for adhe'ng to and complying with the ESA. The Applicant has read this disdainger nd signs-nd dates it below. Signature: i, A, "MP 411 1 ��_��' r , Date: I ©f G:\Peru er\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1 OWNER BUILDER STATEMENT • - '1 The signer of 's statement hereby ` ' that they are the Owners of the parcel referenced herein,tha`t.they are not licensed contractors and that they yitg be `'' ' g ' of the d Contractor forahe proposed project. Signature: Date: OCT <s GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: `'''FAX: - .rT.Or C.C., --Y-�— - ) `,rctgS (c •1 444 CO ( MAILING ADDRESS: ' () /5O/ Cl P<,rT. l 4:c 4- " EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: i NUMBER - �rq In;s e_L(• 7 US .l FAx:( ) ARCHITECT/ENGINEER: PHONE ( ) MAILING ADDRESS: EMAIL Project Type: frame Type: Bathrooms: Shoreline: ' Type of Sewage Disposal: D''New Dr Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Co pmunity System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ndividual Systemp4;2.t' ❑ Repair CI Masonry SEP Permit# CC'— I P'.----•- 0 Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: 0 Private well ❑ Two Party T of Heat: Proposed: ,3 Pt/Public C - (1?,,t f' h'q.t F Total: 3 Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this Is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: CI Underground Tank lVAbove ground Tank Size of Propane Tank: 1)-o ❑ Heat Stove ❑ Cook Stove ❑ Woodstove Fireplace Insert IYHot Water Tank D Pellet Stve ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No. When applying for a permit to Install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area. Square Footage i z ? x 7a•FJ. F ;' jam_, Current Proposed s A it y i . h i !n.tr -- ' ` ' e-= ; .1" i v e r,i r` --/7.,..' f L. ° ,f�.t '..-i s IIti-` .tl�y .-i*iz Main Floor Ogg 1 . ' 1 y `-`�-'47"a Y, i x ..;i1 # 1F tli2Nu Floor / " J t,, ; „{�� -'' ,,,,JF the t S:at. . _ 4 3 Floor y. ,g,, 1t s a,U '.7 : d : ' V...t B.. d '�' Ask .� tt a�..r ''"t - ,f �' ,.,: .; „,.., ,,,.. Mezzanine: ,cY ,^ ' '° '�- � �� '�-�� << , Heated Basement � � � � r J+ e�, h 4� `�. � �,4 ti� i$„�,���� � ky� a Y , L r sq , V 1 44% : , , t a^s -4,p as t,'_5it4t al n a. Unheated Basement h" i.xr fi°eriS,u A' i, ,.,; 5 y''IT: t �: r4 A" �. Other Unheated �' � i K "' < p L.r , �:',/;;;Vii, ',� °" � i-10,,Si IQi,., , L, - r r' '{'�{Q+ ,,�,'-- ."E. H+ .n �y ti •"1 11�'k •.- Garage/Carport a c�r"� _sir, , �< �•.,� �Vie. �2 r �,!,:' k,, r '�.l i t°' S `n'6s4'. it' .,rs 's.�` .- Decks Kit tic ? $" ��« ""s ���,,,,,,ttt�J� �/� � �,. .1> c ,•�,* .figY�"e�'� ;r�- ''�y' n.`5 .w,xt�`iS�`�eKx`. s.`` Other '- ti1 ti Y `�: 'b3 '�fA ' psi" d� `�.;i 44 l� t i 4 ESTIMATED COST(REQUIRED rrni F`' r '- ltr ,- �u� � ,, ". ,1,- .Fair market val a rand materials foun finish , ' s 7,. p 7vs 7 4.\ s�' ', ': ' ' � �} �•✓ ¢ , ._.,_ ,-G `.':r74 tS �-. �" k.,4 i"'!7"`,„a cr • °' et•n.k' V G:\Penn •' S\�_FOBMS\Master ation 7-8-04.doc