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BLD2005-00535
• BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00535 Received Date 08/19/2005 SITE ADDRESS: 210 N VICTORY AVE Issue Date 09/28/2005 APPLICANT: MERIDIAN MTG INVESTORS FUND II PHONE: 605 5TH AVE S STE 850 SEATTLE WA 981044438 SUBDIVISION: IRONDALE Block: 143 Lot: 40+ PARCEL NUMBER: 962114329 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301 605 5TH AVE S STE 850 SEATTLE WA 98104-4438 Contractor's License: MERIDGL973BG Expires: 1/11/2007 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: DK( /0/16YeS UFFER: INK /gi�7c5,/ Footing: c)k /r/i4/n5 / Foundation: %X. /f-7/ifS- Stormwater FINAL Approval: Underground Plumbing: ,U)/�i Underground Insulation: 1q jA Shear Wall : oT2..c- / - '�—d1 i�--0� .46 Sheathing: (l� 7_ Framing: amo6<GC0,04 li -.,��!t rn.� : /+/o , Plumbing:9.4-4 iy� Propane ank/ in:s: /, _ d_ ; of - 1pox. OK ;5 1 O7 . Insulatio s : ; W iraingRin ., e8 Sheetro : Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: cr (a o ci1Z7 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO INAL INSP CTI N 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 MLA05-497 UILDING PERMIT APPLICAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00535 Received Date: 8/19/2005 SITE ADDRESS: N VICTORY AVE OWNER: MERIDIAN MTG INVESTORS FUND II PHONE: 605 5TH AVE S STE 850 SEATTLE WA 981044438 IRONDALE SUBDIVISION: Block: 143 Lot: 40+ PARCEL NUMBER: 962114329 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: MERIDIAN GREENFIELD LLC PHONE: (206)621-9301 605 5TH AVE S STE 850 SEATTLE WA 98104-4438 Contractor's License MERIDGL973BG Expires 1/11/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,485 VALUATION 135,660.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N GOARAGE:THER: 453 SHORELINE: CONST TYPE: DECK: 90 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Dated 1 9 /0 l Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,189.75 SLE 08/18/05 76294 APPROVED Plan Check $773.34 SLE 08/18/05 76294 State Building Code $4.50 SLE 08/18/05 76294 SEP 2 8 2005 Potable Water Application $53.00 SLE 08/18/05 76294 efferson ounty Planning Total: $2,020.59 : i di t, : •partment �o fZ F¢Eb irif e____ _ • .s /6 _ _____- OWNER BUILDER STATEMENT i The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposg t ojeft.8 2005 Signature: Date: �lJj((jj GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: •F•=_'�I FAX: N1��1 2. =,-1- 16 __ ( )Cai_`i50/ (20C.)CoJ-c76j MAILING ADDRESS: EMAIL: v►� CONTRACTORS LICENSE 'R7 'es k.. �( '21 G4Ce c , 5s a-r czZ-`t1pl WAINS @ e�t�� `I�e NUMBER: "y 4 NUMBER ARCHITECT/ENGINEER: M t- \ PHONE 1FX,k,o Iq sei FAX:(Zr) MAILING ADDRESS: 12 01 k-- 15J 1. M ( c2, t EMAIL 6--ACLI Kdt‘ JN . Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: 0 Sewer Addition 0 el Proposed: Z Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 7 _ Height: radiyidual Syst m ❑ Repair ❑ Masonry SEP Permit# ,r.; `�S --' ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ nvate well 0 Two Party Type of Heat: Proposed: V ublic mac. G Total: 3 Name of System: � If this is a Commercial Project 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: I Underground Tank_, t hove ground T__-ank /.cam.) a _ Size of Propane Tank: /ZG ,.-( I Heat Stove Cook Stove_:II Woodstove ("Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobi%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 For Office Use Only Current Proposed Amount Main Floor w:s f0 M Consistency Review: C 2""Floor ( Base fee: 3fa Floor Additional Section: Mezzanine: Plan Check fee: rn 3 3Q Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: CI'),- t — V I . Other Unheated 911/Rd Approach fee: V\ Garage/Carport 2", f Of 1_..)q a' TOTAL: $ t - Decks �DcL\ 1 q R 1 a` " ' Receipt Number: 1/_c:\e-t Other Q1 1 b Cash/Check Number: lace ESTIMATED COST ,-I L /? Date: y/ c .Fair market va of all labor and materi foundation to sh t `m r - , Initials: ) C:\Documents and et gs moc \Desktop\Master Permit Application 7-8-04.doc •orr ---- kS C©: JEFFERSON COUNTY .���-3 � ‘,..k --, DEPARTMENT OF COMMUNITY DEVELOPMENT ` ' ' " 621 Sheridan Street • Port Townsend • Washington 98368, „r ;- 360/379-4450 • 360/379-4451 Fax A i C; I o cu o www.co.jefferson.wa.us/commdevelopment 1 PIING Master Permit Application _30/l-/�. (m//i/ /�cs� �/ /I; , C�� ; j `�1-' Proje Description(include separate sheet s necessary): --Bo►L...mitt\1Cz rte_ t C9 (-( AC)-44 P Y"(- TaxAa--rxr. Irt--- �I-1- \i t c _Y -ov_ Parcel Pro ert Number: q(s)2-t Or- 1• Size: 52,S1-) (acres quare feet) Site Address and/or Directions to Property: J(1GX 14 V dr,,ety -A-vle— Property Owner(s)of Record: lt'Z-IDI N•.... C—nZ=cr$i tELP i Telephone: fl Co?_/ cf c>/ Fax: email:�S_�„�J� �2/q t� IvesIktawics_Ag_TATfte .cc:t4A Mailing Address: - 0 3NA Z ( t0.4-to -SE-iP"f-rL,Z t4A- 4Q,iil Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑Building ❑ Variance(Minor,Major or Reasonable Economic Use) , ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI** Single Fami _ 0 Discretionary"D"or Unnamed Use Classification arag Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufac tired me ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use 0 Long Plat** Address "(Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ropane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater 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 ❑ Wireless Telecommunication* 0 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 K-EN irvGrVtr�r to act as my agent in matters relating to this application for permit(s). OWNER SIGNAT Date: 'qilAS— 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 attorney'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 io Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. , Signat - Date: 9/4/06-- The action or actions Applicant 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 been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trap able-re�onsibility for adhe' q to and complying with the ESA. The Applicant has read this disCI neernd-signs and dates it below. Signatur l Date: /�/f t C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc 0 I r- 0 ��o 1 00.00' S 88d32'20" E Q AUG l 8 2005 n�1� �` Ire a1 cii +w�\ U 2 I 1 / X RESERVE AREA ` o W 50'x23' 2� l (j) a O c0i� -------� z U V 1 y miallimmiailwiimi. :�R,A.4 L - 0 'a R o~ 20' IIIIIIIIII CONCRETE TRUCK 111 BACKYARD WASH AREA `c_, FRONT YARD _ ti fk z 1 0 SETBACK �' i Z ua ��LI = 2 J QOC >.) _---,2 lea c, 7, / c...,..._____1 Lu it' 0 71.1.• 10' MIN. .{` �O O� iriMir ___ _ -11 3 to ��� o III 1 1. Yw�..../.(4.0..: ■ ' PLAN3-A j 4 F�- Was NN �' (OL.ri a'WZ Q111. �lnt 1 P. if)cir''3 -� S OO N �rn0 O JCS V M0 `f OZ 4/A! N�Po cn En pQ�I 1, - Q ZLA_ W o— Mli: `7�, !! "i ► fir'r' � O fY Z) a c)o= '? ��0.00 S 88d32'33" E �.1 O v, z o W,r220.00' r 453 34.37' W (4 oL0 t ; r wW .. OOP W W L�i11Q- - Stormwat rig , �s pS . ��n--fat r s s<e 1.�. J m- J Cl-M In Re uire� I��II�•...6Af I SITE-PLAN: OT I q , 0 'APPROVED ' -20 SITE PLAN PROJECT 11TLE PR* CT NO. VINYARDS AT KALA AUG 9 5 2005 .238700 DRAWING TIRE - LOT 16 PLOT PLAN 29- ULY2005 — 1 (' z, - li-I- 32-1 . o '° SCALE: Iu-2O FILE REF:DEPT. • C �•�•'- :�.'`� r PM NT M I T H U N SIGNATURE: L 4 SHEET REF: DRAWN BY: , -CH NUM: . Architects+Designers+Planners Pier 56,izoi Alaskan Way,Ste.200 Seattle,WA g8ioi TEL 206 621.3144. FAX 206 6zv.7ooS el 2004 MITHI IN INC. SPECIAL CONDITIONS FOR CASE A BLD05-00535 • 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) 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.) 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. 14.) 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. 15.) Minimum setback from North Victory Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 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