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BLD2004-00639
• fa BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00639 Received Date 10/7/2004 SITE ADDRESS: 1431 CAPE GEORGE RD Issue Date 12/3/2004 PORT TOWNSEND, 98368 APPLICANT: BRADLEY D PLOOF PHONE: (360)437-0661 JACQUOLYNE A PLOOF PO BOX 767 PORT TOWNSEND WA 98368 SUBDIVISION: GAGLIARDI LARGE LOT Block: Lot: 3+ PARCEL NUMBER: 001185003 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: PROJECT DESCRIPTION: NEW UNHEATED DETACHED SHOP CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. ->ETBACW_.: UFFER: Footing:9,i k ' a ',1-- Foundation co)c .p 1—t a Si Stormwater FINAL Approval: Underground Plumbing: ti V.f/cP6---- Underground Insulation: Shear Wall : Framing: 04G0143)) 31 i)Es Plumbing: // Propane Tnk/ Lines: Insulation:v -4 oi.-, /Vh,'/tr�2, N-Z( Sheetrockt. 0 K- f�a--i Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval:?4,t 1-1-DS 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*SE # BLD04-00639 1.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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). 4.) Maximum impervious surface coverage is 25% of the parcel. Impervious surface is defined as a surface area that creates a barrier to the entry of water into the soil in comparison with natural conditions prior to development, or that causes water to run off the surface in greater quantities or at an increased rate of flow in comparison with the flow prior to development. Common impervious surfaces may include roofs, driveways, patios, packed earth, and oiled surfaces. 5.) The building height is not to exceed 35 feet. 6.) Minimum setback from Cape George Rd right-of-way is 20 feet. Minimum side and rear setbacks are 5 feet. 7.) The proposal shall meet BMP T5.30 "Full Dispersion", with less than 10% effective impervious surface, greater than 65% of the site maintained as native vegetation, and vegetated flow paths a minimum of 100 feet. I:\F_BLD_Permit_Buildng.rpt 10/29/19 w Review Ty ',BUILDING PERMIT APPLICAON RA Ty 027 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00639 Received Date: 10/7/2004 SITE ADDRESS: 1431 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: BRADLEY D PLOOF PHONE: (360) 437-0661 JACQUOLYNE A PLOOF PO BOX 65009 PORT LUDLOW WA 98365-0009 SUBDIVISION: GAGLIARDI LARGE LOT Block: Lot: 3+ PARCEL NUMBER: 001185003 Section: 18 Township: 30 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW UNHEATED DETACHED SHOP TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 624 VALUATION 23,759.00 ADD'L: 384 HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PARCEL TAGS: YES NO___ BEDROOMS: BATHROOMS: STORMWATER: YES NO___AREA Exist: Exist: Wetland_ Erosion Prop: Prop: Seismic _ Streams _ Total: Total: Flood Way _ Floodplain Routing Date: , 23 � F&W Landslide_ I ���1 Shoreline _Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $377.25 KAS 10/07/04 67788 A PP C] "")V E n Plan Check $245.21 KAS 10/07/04 67788 f ..., State Building Code $4.50 KAS 10/07/04 67788 DEC - 3 2004 Total: $626.96 Jefferson Count &e_f Buildin County f'lannir.r 4Lp17 9 pepari►ne‘ - XpoliksI oo6, JEFFERSO,UNTY . 1 DEPARTMENT OF COMMUNITY DEVELOPMENT .I. ` 1 621 Sheridan Street • Port Townsend •Washington 98368 '-` 360/379-4450 360/379-4451 OCT - 7 2004 &1,9 O� www.co.jefferso.•nwa.us/commdFaxevelopment i j BINS i Master Permit Application � � MLA: ®`'T Project Descri tion(include separate sheets as necessary): 71uif pc>,;'(i cH F ft....— llf c ,^ u �f`1�( ^te.r `>,-, t y' Tlvp 3c.. Ni)12:.t.si e i W i W, ni., i../: Li.., of pt i2 ki , . Tax Parcel //���� �`, ci c l-+,o s �; -3a6r�i i^r. 3� Number: 0J ( 1 ��DLL P Size:erty ..� (E-, I (acres/square feet) Site Address and/or Directions to Property: C;. e e..� -` Property Owner(s)of Record: f3 i ; �i✓ C Lk �` �``�' �� Telephone: 3 ;(-) I - 14 Fax: _ email:j t:r.L ;e pi c.o 0 ck,wra.c+w,. Mailing Address: P, O , F5Ci)4. 7(c 7 Pc,,,-1- 1 6li:t.t-; u.`A- ci ss'3c sJ c„t d1.4(e_`.. 6 Applicant/Agent(if different from owner): Telephone: ax: email: Mailing Address: Wat kind of Permit?(Check each box that applies) ] ilding ❑Variance(Minor,Major or Reasonable Economic Use ❑ Demolition Permit CIConditional Use[C(a),C(d),or C]** ) ❑ Single Family .. CIDiscretionary"D"or Unnamed Use Classification ,arage Attache /Detach -� to 0 Special Use(Essential Public Facilities)** ❑Manufactured Horn 0 Boundary Line Adjustment ❑Modular 0 Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and 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 attorneys 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 its employees,representatives or agents for the sole purpose of application review and a uired later inspections.Access and right.f entry to this property shall be requested and shall occur only during regular business hours. Signature: t� Date: /) ` 7—2,K The action or actions Appli t will und- : as a r• . of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a •. -ntial"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 been issued will not violate the ESA. Any indivi. . ,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with . Je : on • . ty development code.The Applicant acknowledges that he,she or it holds individual and non-transfe -responsibility for ad•e ng to. d ..lying with the ESA. The Applicant has read this disclaimer and signs and da it below. Signature: __ rfjJ_.it& �`-� —� Date: �[i — —e G:\PermitCenter\FORMS\DRD vRMS\Master Permit Application 7-8-04.doc di OWNER BUILDER STATEMENT The signer of this statement does hereb -- illrery are the Owners of the parcel referenced herein,tha ey are not licensed contractors and that they will be . ming the respons,i of 1 : -1 Contractor for the proposed project. Signature-g!�' I Date: /69 7 67 i , GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: P •-- - - FAX: : EMAIL: ) +h.y.. Oct (- I 2004 ^MAILING ADDRESS: / , CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( �)f�F l, FAX:( ) MAILING ADDRESS: EMAIL P ject Type: F Type: Bathrooms: Shoreline: Type of Sewage Dispose. New ood Existing: . 4 ❑ Sewer ❑"Addition ❑ eel Proposed: ti Bank ❑ Community Syst n Total: He•' t: 0 Individual System t 4._ ❑ Alteration/Remodel 0 Concrete � � ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setba : ❑ Private well 0,T Party Type of Heat: Proposed: ❑ Public Total: Name of System: t If this is a Commercial Pro ect ou must answer the followin • Number of Parking Spaces: Current: roposed: Number of ADA Parking Spaces: Number of occupants(includes o , rants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: ' you have Food Service? Yes / No If this is a Pr are Tank and/or A liance Installation a 1 items below that apply: ❑ Underground Tank ❑ Above ground Ta Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove oodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being I ailed 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. ��a wN '� x �. t_F,; Square Footage �0:i Office''Use Only ' `; x' i Via:` ' Current Proposed t -U t' . Main Floor t t'1��• Consists Revievlt n k .. r, 2Nu Floor *- Base fee: ,� l 42 X D-L( 3 ' ao50• a F ra ' Additional Section `; � k . 3 Floor 1 '4 ��t' {I[, �y �r�i�/ate Mezzanine: +� l Plan Check fee:le` r �'' J 4 't z ., ; Heated Basement State-Surcharge fee. �. ,- yt , 'd" t"Imo+ '''''.*--,At: Unheated Basement �,,-.-p Pot Water j T , .q r, t ids P i i s ),. ; ,-,..,-'j,t,e aw,d • k v 9 7 � M. 911/Rd a , .„ . .ate a:. ; Other Unheated � k. 39 i at ° . Stut,..:1. SS �5 F �'. q�y. FS�€.'. 1 +rg 4 ,. ,,,,,-0- .,-. *Wg 41 .4 `4 Garage/Carport T • t. •VY , = , ti9 sou ;,, Decks Receipt-NUM r• :. yw ® A' �•4. � •,'�. 3 'a, .: - .3. fi ' Other Cash heck Number" ) 1rj 7 fl6 t 3 4-.) � ESTIMATED COST(REQUIRED) , ., Date: Lr r.. � *, ' *Fair market value of all labor and materials foundation to finish t k 10 -�":�-' Initials: . 4 ® pp9yypp. '` tiVT.,A 4' 4 (,/fit ,. ♦ .. G:\PermitCenter\FORMMS\DRD FORMS\Mastcr Permit Application 7-8-04.doc ZCo1-ou / / Io'-all 16,'-O" / f Zo 1+o / vIDIt,kVA-1--1CH \!Otz. tJ C k UP J$ IC _ o ' 5 1 to r o \/ z _ o ._,. 3- 4---L4- x G, F-I GA PE - 3H 2F GOV � p I�� x 2J4 a-i "510�,AC i- l o',,vf- tJ o, 0 ". < r_x15Tl�C'r _ - n 1- ; O to ,�` _^1_ L-- .oc \. ) '1 n 1= I S 7� 1 --1‘.— et.tnai.t.13+Acco VA/4 74, 2=8" µtAl. t R,cv N"):, cr-a-gc.,-/AJecAe4o 1,,(30r-, nA . Z' &— . ant I1-l0l--I Dr 1'IO1-1 Z SGAI-t;= V4'- I'-2" if. 1d1-al1 16,1--n11 t __A— z' µ0 7(.., LJ DoTGI-t root; tX 31 \L L �t,Itai -4(1" o ,___ Io'x IZ 0oof� 0- 0 0 -" F 31-10t2/ 316\12- H 3 b 1601 x z4' 4 c - -1 /�� - Cox(0' H t APt.. . - NIT �J�X STt�LL 1 0 ptJfiLH lo' X I Z' i o - poot', bl-►t�I NGr • DOQS� --r- I Bo-7o ' 1 \ \ �f$" --\- t-L_OO 2 '21A -, Contact the Building Department o Ap o i-r I o N art"I o I-t IL 6 G A Li:: %l l _ j'-D" at 379-4450 prior to making changes or revisions to the approved plans I NOTICE: Plans are approved excepting l`��` � WALL._Pai,ia5 any errors or omissions. All work must 1 pass inspection in conformance with I'lal- gyr-- / �,(062.,'36) Wall applicable codes and regulations , NOTICE OF LIMITED LIABILITY While every attempt is mode to insure that these plans are os widely applicable as HOMESTEAD DESIGN INC. possible,we an not Insure that they will be suitable for your specificconditions or P1 _CHUCK meet the requirements of your local bulding code. This It your responsibility. We recommend that a local building professional review these plans before you build. Box 2010- Port Townsend, WA 98368 The liability of Homestead Design shall be limited to the purchase price of the plans. Design © 1996 Homestead Design Inc. • PERMIT # BID • 04 - 0639 YDD • . : . i 4 'ai i(i.:PYV G 60.;.R,,,,G z.. .. ._ . : ..... ... .. • • „ „ . . ..... ... . _._.... . _> • , . . . _r_a.0: e. . . , , , . . : . . 1 N .. i • . . : . : :. : .pkv,,,,, a . a . ..... ._....._ ...............:—� ... ......_..._..__...._,_..._.........__'• ._........_.ram—,^._.-___... .. ,_. I � ' • • • • f \i . • . . APPROVED SITE PLAN __.._.. .__..._... ._.. �`��C.. _.« r DEC _ . 2004 V1 _ _ • ', JEFFERSON COUNTY Q... __. _... t P 217- :_ Jl _ ... -.... ._. .. DEPT.OF COM UNITY D V (yIE . .. V 1 SIGNATURE i . .$tormwate :•• M1 l t ._ .,�; • • -� equirea __ . 3fD • • • i ... • \. - . '•(."- r>"1-11;t4)-. -' ''' ' 4W.Viro. (Woe 1 . It.3.741 X.. . , It16:1 . . . We11 13e �( (... Qaraq Ab f. Lt+ r - -.... 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