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BLD2006-00071
• BUILDING PERMIT Jefferson County Department of Community Dell7--'. u'.mm'mm ."""IIlvelopment 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00071 SITE ADDRESS: 11 TOPSAIL LN Received Date 02/21/2006 PORT LUDLOW, 98365 Issue Date 07/3/2006 APPLICANT: FELTON LLC 17011 LEMOLO SHORE DR PHONE: 360-340-3512 POULSBO WA 98370 SUBDIVISION: PORT LUDLOW NO 3 PARCEL NUMBER: 990700059 Block: Lot: 59 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: FELTON LLC 17011 LEMOLO SHORE DR PHONE: 360-340-3512 POULSBO WA 98370 Contractors License: FELTOL*962D5 Expires: 3/25/2008 ��(���� PROJECT DESCRIPTION: NSFR W/ATT GARAGE, PORCHES & DECKS 1 I �"43 i4tg f41 CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. " ��� � ���`�� SETBACKS: d,k//j�,4 .�'/ UFFER: AL, /� Footing: 12k /074 glii Foundation: ;; ,— Stormwater FINAL Approval: Underground Plumbing: N/A Underground Insulation: /J/4 Shear Wall : Lxr 5,4017k IJp,u,x ok "S! Sheathing: .0k t//S/p� Framing: a tibrf`g[. oe, (? V 041 Fie t i. H ok 7/i y/ 7f/ Plumbing: Z)f 7/23/19P Propane Tank Lines: .A Insulation: I . �,z. , n mi Sheetrock: O/< 7 3r007 ' mall Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: %,k ,- P% g`r/ 'g HEALTH DEPARTMENT AND PUBLIC WORKS APPI OVA 6 / EQUIRED 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 ��' 1 i 1 JEFFERSON COUNTY RECEIVED 441 y DEPARTMENT OF COMMUNITY DEVELOPMENT ,° M 621 Sheridan Street• Port Townsend• Washington 98368 360/379-4450 • 360/379-4451 Fax FEB 2 12006 `ShTTNC www.co.jefferson.wa.us/commdevelopment Master Permit Application JEFF[R N r� � i,� MLA: Project Description(include separate sheets as necessary): • .Imgle ql; i�+�c:nec� � Tax Parcel Property Number: qq 0 110Q0 5 q Size: (acres/square feet) ite Address and/or Directions to Property: Car roe f," c'4i hi; ,r \Ac C /OO s of i 1 `J w e- w 1 l._uci Ix)u3 i "Pf operty Owner(s)of Record: e, Tpw LLC 4 lephone: 3(16p-'A40-3K 12 Fax: 3C,0'3g4-3q 4 '4- email: 'IVtailing Address: AQ UU Le.maLn Sho(-`e Or. i ?Ohl silo .l W 4 qIR? i 0 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address:// ' hat kind of Permit?(Check each box that applies) Building i Variance(Minor,Major or Reasonable Economic Use) 1 Demolition Permit I Conditional Use[C(a),C(d),or C]** Single Faml i Discretionary"D"or Unnamed Use Classification Garage AttachedfDetached [ Special Use(Essential Public Facilities)** Manufacture ome ❑ Boundary Line Adjustment ! Modular I Short Plat** Commercial* i Binding Site Plan*'' Change of Use I l Long Plat** i Address i Road Approach I Planned Rural Residential Development(PRRD)/Amendments** Propane I l Plat Vacation/Alteration** I Allowed"Yes"Use Consistency Analysis I Shoreline Master Program Exemption/Permit Revisions** 1 Stormwater Management I Shoreline Management Substantial Development** i Site Plan Approval Advance Determination(SPAAD)* I] Shoreline Management Variance I Temporary Use !, Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* 11 Jefferson County Shoreline Master Program Amendment I 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 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 to 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. � ,1 Signature ': / ``il iQ„ /tZ 9c p L\.C Date: (7/ iJ & 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-tr er le r spons' ility for adherin to nd complying with the ESA. The Applicant has read this disclaimer and1�signs and dates it below. Signature t -sop /' r' S cy.` \ C- Date: C,/15 (1&D _` I (.:\Documents and Settings\mochil\Desktop\Master Permit Application 7-R-114.doc do i OWNER BUILDER STATEMENT RE C K I r,��Il 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. 2 Signature: Date: FEB 1 2006 hENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: f fE �� pAILING ADDRESS: ��Q t Y t \_rn —C�O :AlC�C EMAIL: / tsG CONTRACTORS LICENSE WAINS NUMBER: (" rd * 62 b NUMBER ARCHITECT/ENGINEER: ( �1 1 "n] PHONE ( FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: 41athrooms: Shoreline: 4fype of Sewage Disposal: >, New x Wood Existing: ,(Sewer Addition I I Steel Proposed: 2. Bank r 1 Community System i Alteration/Remodel I 1 Concrete Total: 2. Height: -1 Individual System I Repair I ' Masonry SEP Permit# I Demolition , Other: 4edrooms: 41Vater Supply: Existing: Setback: I-, Private well I 1 Two Party 4ype of Heat: Proposed: :3 X Public E j t'-GA ri 4 c. Total: 3 Name of System: If this Is a Commercial Prolect 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 NI If this is a Propane Tank and/or Appliance Installation permit,mark all Items below that apply: �1 i Underground Tank `aC,gbove ground Tank Size of Propane Tank: t�1Q cyX.St 1, 16 I Heat Stove I Cook Stove I Woodstove ireplace Insert I Hot Water Tank I Pellet Stove I Other 'rL (V p Is this appliance being installed in a Manufactured I 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. 1 Square Footage ''ForO only nly i1 IRc Current Proposed ` 1';f II9 014III i!"I Amount ►'IGiain Floor Consistency Review. Review. 'tc.�;4I )- ` i .�, 2ND Floor Base fee: � 5 3fO Floor Additional Section AflittlOtiv, Mezzanine: Plan Check fee_ 7t r+ Heated Basement State Surcharge fee: ,..4 . --, , Unheated Basement Pot Water Review fee: Ci(, - r,•C. 'Other Unheated 9"1/Rd Approach fee: i -^ U c,; Cekrere c ?at'c4te S I Ce j:� F-., f" l V - starage/Carport I Co �C, TOTAL $ ,::4 -1 } Liz Decks Rm elpt Number: L(A k ilik itt lr4,! Ill #Illlh l�l^ Other Cash/Check Number (� '`a s,a',R c7 Lk b (REQUIRED) :. , Diite: I l( ' iki 1' `' '. �STIMATED COST REQUIRED �' ���:,� ) �+-� 40014 � y{ d" -Fair market value of all labor and materials fo ation to finish i i�`;la I1'�is `t„ 1 b bQ1 1t 5 flnttIals: : ' 'v ' " ': C. (::\Documenis and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc IOUILDING PERMIT APPLICAI!ON MLA06-00068 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00071 Received Date: 2/21/2006 SITE ADDRESS: . TOPSAIL LN PORT LUDLOW, 98365 OWNER: FELTON LLC PHONE: 360-340-3512 17011 LEMOLO SHORE DR POULSBO WA 98370 PORT LUDLOW NO 3 SUBDIVISION: Block: Lot: 59 PARCEL NUMBER: 990700059 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: FELTON LLC PHONE: 360-340-3512 17011 LEMOLO SHORE DR POULSBO WA 98370 Contractor's License FELTOL*962D5 Expires 3/25/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NSFR W/ ATT GARAGE, PORCHES & DECKSCD taOc O& A`s prof e., TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,571 VALUATION 125,685.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 168 SHORELINE: CONST TYPE: GARAGE: 440 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: blio(,2 Type Amount Paid By: Date: Receipt: Approved/Date j E r Permit $1,139.35 LYK 02/21/06 79115 Plan Check $740.57 LYK 02/21/06 79115 JUL3 z State Building Code $4.50 LYK 02/21/06 79115 Ji Potable Water Application $55.00 LYK 02/21/06 79115 exl1♦r5O Hannin &Building Department Total: $1,939.42 &Q • • °iv JEFFERSO% N COUNTY RECEW D offet , RTT OF CMMI DEVM 621 SheridanDEPAMEN Street• PoOrt TownsendUNTY • WashinELOPgton 98368 FEB 2 12006 ENT �'Q ' 360/379-4450 • 360/379-4451 Fax I1 0l http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COOL.f IV OCO STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# OV, io`6 PROJECT/APPLICANT NAME -t©p c Fe1:1©w Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. (1 • Q \ktTt 3 1 S1i QAOS111:14,01PQ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site ma . CI 7 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. JIFFFhSUAJ COUNTY op) (TM (1 ., / \ZUXaftini 4. Describe the existing soils. Indicate soil type on the site map. Gnat 0S1 / stt9 J\amQ &).13 _ 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. • SAM, a D Awn .ustiw )`QC fum j a • acre) 9/ L"'w'J Qtim. c S? �J LD 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED- STORMWATER PLAN— RanR MEI JUN 2 9 2006 Stormw 5 stormwater site plan template.doc-rev.10/12/2003 JEFF RSO U Require DEPT.OF �,, r • 1PME SIGNATURE ` /� / • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). �71'�afi -"c u1CVUtD Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. lil.f,XX dxsAASKiliA JSCflm 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] / � 11. Describe the performance goals and standards applicable to the project. ,vA -7� i) jv��j ,L� �'lt�r Tri ` — 12. Describe the flow control system. FE8 2 1 2046 J Pt '171- Jt4 4iJit�IJt� L .- .j� ' stormwater site plan template.doc—rev.10/12/2003 6 • • • 13. Describe the water quality system. INNS 14. Describe the conveyance system analysis and design. / rk 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Nl - 17. Describe the proposed surfacing material. clankfkOA s ( AM ) AO CZ Q aA 0 1 18. Describe methods for restoration of the site. �1 r rrcm. Larnt)c arnl , 1\-9c r aPArrjbads0 hletruKciQ 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. h1/ A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. MI 21. List other necessary permits and approvals as required by other regulatory agencies. I mit Er Fo de ll conditions that affect the drainage plan or contain more restrictive drainage-related require en s,describe tf�o d ijitions or restrictions here. FEB 2 12006 13/ 3I EFS]N cur flinp stormwater site plan template.doc—rev.1 0/12/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. gft(C iai 114. \CAraCytrA9 2. Establish Construction Access. 3. Control Flow Rates. I1 a 4. Install Sediment Controls. s/(rc -) 5. Stabilize Soils. 6. Protect Slopes. • A. 7. Protect Drain Inlets. r B 2 1 2006 SQeciA.0 slormwater site plan template doc-rev.10/12/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. S road.) 9n 9. Control Pollutants. 1' J ba944 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction yx)f 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. 2. Adjacent Areas. RECFAvE a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). FEB 2 1 2006 M3 1.0t/ H SoQ JEFFERSON alp to b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 5 11� c )trnwlnD IY 1lun n W Cnnti��K l 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. lqA MCMQ stormwater site plan template.doc—rev 10/12/2003 0 • • b. Description of special requirements for working in or near environmentally sensitive areas. N/ A- 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, permeability, depth,texture,soil structure). MCPAO 5. Construction Phasing. a. Construction sequence , t ` 4C'OWrd wo a •�o Dinx d.0\cl hornrt C Cril&Q b. Construction phasing(if proposed) Ni 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. rovide a proposed construction schedule. ��PCt7W baCiStb i'r Qr Occoma Cm , pA `. C�]f- of A& . II. Wet Season Construction Activities. at, Proposed wet season construction activities. (� t1 m r�l in Kura S1 fsCUil c v.olh 1At �Q,n ci rculva . OOnr)1,L b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. - t � a. Identify the property owner responsible for the initiation of bonds and/or other financialtsbculritie5. Fe..1A'an l.l.Co b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosibn and-sedimentation impacts. l ciyoo ii4oU LEA isiitoit 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. YUC 1� b. Diversions. (J Pt c. Waterwa ys. A 1 d. Runoff/Stormwater Detention Calculations ) I 1 stormwater site plan template.doc—rev.10112/2003 10 • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (-4.6/ 2t (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: FEB 2 1 2006 • gco stormwater site plan template.doc-rev.10/12/2003 12 • SPECIAL CONDITIONS FOR CASE # BLD06-00071 1.) 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. 2.) 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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). 5.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) 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. 8.) 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. 9.) Minimum setback from Topsail Lane right-of-way shall be 20 feet. Minimum west property line setback shall be 20 feet from Rainier Lane right-of-way. Minimum north and east property line setbacks shall be 5 feet. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed within the MPR-SF zone. 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