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BLD2005-00734
•UILDING PERMIT APPLIC•ON MLA05 00684 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00734 Received Date: 11/22/2005 SITE ADDRESS: 151 HEMLOCK DR PORT TOWNSEND, 98368 OWNER: RICHARD K DALEY SR PHONE: 360-379-2817 PATRICIA H DALEY PO BOX 2051 PORT TOWNSEND WA 983680240 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 42 PARCEL NUMBER: 940500041 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: LDR CONSTRUCTION INC PHONE: 360-509-5321 22101 INDIANOLA RD POULSBO WA 98370 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION PIE DETACHED POT BLD GARAGE © flu..T \t,tr J ( 5c r\ mrun TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,720.001 4� ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: U 1 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: g � SHORELINE: 64 CONST TYPE: SETBACK: DECK: Rtt ton i ne BANK HEIGHT: SEWAGE DISPOSAL: ALT S iSl WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: ll 1 /-q0S q,,or.>. Type Amount Paid By: Date: Receipt: Approved/pate ® P Permit $265.25 SLE 11/22/05 77432 ' ` i ll U v e I Plan Check $172.42 SLE 11/22/05 77432 FEB 14 2006 State Building Code $4.50 SLE 11/22/05 77432 Total: $442.17 Jefferson County Planning & Building Department 0.Q`c�C v • OWNER BUILDER STATEMENT 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 proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: pA 4 1 C�S PHONE: FAX: ll C'G7c.:5;�2 Li�7lCA+!, •d'C n ) —T (3 O ),pi t :5;3:1..I (c-- ) MAILING ADDRESS: /Cl, r/�(�i 01_4 4 1) tf�uL :f�'C2�/4' CONTRACTOR'S LICENSE LT? RC.Q { T q 9 0 cA, 1 / WAINS !� / NUMBER: %bl? COI r'5</e)/�� i NUMBER /VI/1 ARCHITECT/ENGINEER: u44,n T3eKE 4.A.,64A..: e2i/lc PHONE ( ) FAX: MAILING ADDRESS: cf/`3 £ (�I 5 r (..—. 5 ; A A L ,tL''/4 /1 EMAIL d wAt yt e i?K (�J At_s A. C e-t s, t Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: g New • Wood Existing: ) ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete - Total: —) Height,: >i Individual System ❑ Repair ❑ Masonry It/1l SEP Permit#/fin —, /6. ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: C' Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: c jJ //4 Total: C% 1�t A N Public Name of System:CI1 t)i. Per op f.Cx',.Gs Si G..drill(, 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 Api) If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 0 Underground Tank CI Above ground Tank Size of Propane Tank: J 0 Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert L Hot Water Tank ❑ Pellet Stove ❑ Other 1 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 For Office Use Only Current Proposed Amount Main Floor Consistency Review: NU 540- Lict, C*'� 2 Floor Base fee: a q3.a` (_ `j . ,)r) : zi.oD 3f0 Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: t„_ Unheated Basement Pot Water Reviewfee ? (,vCr1UAW (j(F Other Unheated 911/Rd Approach fee: Garage/Cat2Ort /!r� --7r 0L E_ BA 601- i J,41U AC) TOTAL $ Li v6 I . I . i Decks Receipt Number: tt L- Other Cash/Check Number: ESTIMATED COST(REQUIRED ` ''7 ?,Cat :> Date• t 1 f -- •Fair market value of all labor and m • bi1nwais ( E" �� • l ?.y c` c c : G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 3LVO5-7 rillij" 0 3 /'(, - I ?ksLC2—S4t '/ , \, 12 (40 ,'''' \ \ 1 I wri -(1_.• i z, 4,eKvutt-k. " Mi4f)d\'`i , 1\ {:1- 3 k— 1 KA 61- ii6q _.:`-'1----- ---------J \ 24 a . 0 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00734 Received Date 11/22/2005 SITE ADDRESS: 151 HEMLOCK DR Issue Date 02/14/2006 PORT TOWNSEND, 98368 APPLICANT: RICHARD K DALEY SR PHONE: 360-379-2817 PATRICIA H DALEY PO BOX 2051 PORT TOWNSEND WA 983680240 SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 42 PARCEL NUMBER: 940500041 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: LDR CONSTRUCTION INC PHONE: 360-509-5321 22101 INDIANOLA RD POULSBO WA 98370 509-448-6582 PROJECT DESCRIPTION: NEW DETACHED POLE BLD GARAGE WITH PLUMBING -SINK ONLY CALL IN FOR THE R QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: ,-(Q- ]•— k2 UFFER: ll __ Footing: 1-t�' Q1,(0--�—D(o Foundation: 5L4i l}fL ZA/Dg N Stormwater FINAL Approval: C,ter['Ees PQw ppr-S d I( 2/3* Underground Plumbing: Underground Insulation: AJ/,Q Shear Wall : Sheathin • Framing: 9'-q 0,-- Plumbing DK L// / IOB ie Propane Tank/ Lines: AO Insulation: /V/A' Sheetrock: N/A Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 7k ----c Kr-i 2/13/ft 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 410 SPECIAL CONDITIONS FOR CASE A BLD05-00734 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. g.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) 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. 13.) 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. 14.) Minimum setback from Hemlock Drive right-of-way shall be 20 feet. 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