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BLD200600114
BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00114 Received Date 03/14/2006 SITE ADDRESS: 81 VANCOUVER DR Issue Date 04/12/2006 PORT TOWNSEND, 98368 APPLICANT: JUDITH K TEMPLE PHONE: 520-529-1516 CARL H SCHWERSINSKE 5872 N CAMINO ARIZPE TUCSON AZ 857184610 SUBDIVISION: CAPE GEORGE COLONY DIV 3 Block: 8 Lot: 15 PARCEL NUMBER: 938400815 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: MCFADIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License: MCFADDI969MA Expires: 7/1/2006 PROJECT DESCRIPTION: NSFR WATT GARAGE, UNHTD STORAGE LOFT, DECKS &A/G 120 GAL PROP TANK CALL IN FOR THE REQUIRED INSPE ONS THAT APPLY TO YOUR PROJECT. SETBACKS: Off( 5//b OG UFFER: Of< 5�/b/6G Footing: Ex1 IOE Pcrzl* EE DAJ f dK 5/0/ fr Foundation: 011ieaddigh&fEs OowAuS to S-r L) s/i4kh Stormwater FINAL Approval: Underground Plumbing: Underground1lnsul do� Shear Wall :' 7 �.� Sheathing: '?S .�te>3,6 Framing: -= �w�o�� Floc" Z{� W Gf Q e-1(-0,6 Plumbing:)4.... 8"--? -ob Propane Tank/ Lines: Insulation: b va Sheetrock: Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: 4 &i 4 ) 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 Qu ILDING PERMIT APPLICA.N MLLA06r001115 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00114 Received Date: 3/14/2006 SITE ADDRESS: VANCOUVER DR PORT TOWNSEND, 98368 OWNER: JUDITH K TEMPLE PHONE: 520-529-1516 CARL H SCHWERSINSKE 5872 N CAMINO ARIZPE TUCSON AZ 857184610 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: 8 Lot: 15 PARCEL NUMBER: 938400815 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: MCFADIN & DAVIS, INC PHONE: 360-379-1175 1095 TREMONT ST PORT TOWNSEND WA 98368 Contractor's License MCFADD1969MA Expires 7/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W ATT GARAGE, UNHTD STORAGE LOFT, DECKS & A/G 120 GAL PROP TANK �catd a ,,,,,,,; TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,100 VALUATION 200,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED:' mo " 5'0 # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 241 SHORELINE: CONST TYPE: GARAGE: 418 SETBACK: DECK: 256 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: , Type Amount Paid By: Date: Receipt: roved/ ate Permit $1,553.75 LYK 03/14/06 80851 APPROVE- Plan Check $1,009.94 LYK 03/14/06 80851 State Building Code $4.50 LYK 03/14/06 80851 APR I a. 2006 Potable Water Application $55.00 LYK 03/14/06 80851 Jefferson County Planning Total: $2,623.19 &Building Department tfr c of SPECIAL CONDITIONS FOR CASE # BLD06-00114 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. 9.) 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 Vancouver Drive right-of-way shall be 20 feet. Minimum side and 9 Y rear yard setbacks shall be 5 feet. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) FOUNDATION MUST BE 43' MIN FROM N PROPERTY LINE I:\F_BLD_Perm it_B u ild ng.rpt 10/29/1999 ¢SON • • 06. JEFFERSON COUNTY al A DEPARTMENT OF COMMUNITY DEVELOPMENT `-' ,'` `�p 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax q C7 www.co.jefferson.wa.us/commdevelopment SkrNa� Master Permit Application MLA: D(p- 115 Project Description(include separate sheets as necessary): `JI✓ ) x ., � 'FAvv\%L' c:-E; nC>.r,3:.fz,/ U\) AI A( - 6A - lit Tax Parcel Property Number: 1 e43 3 .( Size: - , 3 acres/ uare feet) Site Address and/or Directions to Property: k JAt y• tA' f - - - �FProperty Owner(s)of Record: "_A c-4.... ,f� nJi -,i rJ` - - -A r tT N T")_Apit i L . Telephone::' .' -"- :1~IS/c2 Fax: '-�:.�7=3 7,.j- I''_--;17.,LI email(:ite.,V.,_1 f'.'1:..jvz,guISt, it. Mailing Address: `��,? 0 `umit.> Az,11— ►vtiC,'- nip AL- 3'?71f�i' Applicant/Agent(if different from owner): °,A/t,%t:-k C*[t) cl mkt) i'',, 't„1.,);';,.Telephone:i;`x� :.7:�1->-SN:,`�. Fax: �")G�C7"�` � „_)-[�% 7�4 email: `>>r�A-0 ^C(- t�l/ .'1"A'. Mailing Address: /3 S T '. -, 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 Fpmily Discretionary"D"or Unnamed Use Classification Garag Attached-Detached °, ; special Use(Essential Public Facilities)** Manufaa turedl4ome Boundary Line Adjustment Modular Short Plat** Commercial* Binding Site Plan** Change of Use *i A D 1 ,1 29QCLong Plat** Address I Road Approach 1 i�ld� t `! aBilPlanned Rural Residential Development(PRRD)/Amendments** ..Propane Plat Vacation/Alteration** Allowed"Yes"Use Consistency Analysis Shoreline Master Program Exemption/Permit Revisions** Stormwater Management _ 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 * - ) `f-- • 7- J: , to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE � z---------- Date: _5-141'-0t;‘, By signing this application form,the r/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 inspe tions.A ass and right of entry to this property shall be requested and shall occur only during regular business hours. '7 , t • Signature: ` 4--- Date: j-/y'�y› 1 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 v late the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)ev n 1f-yqu are in c li nce wittarth efferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tranfable respogi/ ili f9r• a dl�rin to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: i I ,- �� s- [)t Date: -/9-00 I../ `t C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-R-04.doc 11/1 • • a'____ OWNER BUILDER STATEMENT )f\ f-t;:i �f 1( ` "17 ; -r The signer of this statement does hereby certify that they ar^a the-Ow ers 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 p ed..project. Signature;---- .. . Date: `---'" 2006 -1. GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: I FAX: �, .')7 2 MAILING ADDRESS: EMAIL: 7, ;.);v', 1 U�`j ,T,,�,�,t/lA.'"q.,�.... -:-.1- .:..�,tl Q�(�X'=�1� b 1)?� 1:...91"/^` CONTRACTOR'S LICENSE WAINS NUMBER: We/PAD1 LA C`1 iAA/� NUMBER ARCHITECT/ENGINEER: !� PHONE (:s _ o Mi.i.s (4'/1; FAX:( ) MAILING ADDRESS. `((a0l 1, y ) ^ i EMAIL af� J tee,tc1)514rr k'- T�t ✓le Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: .X New Wood Existing: '' Sewer Addition Steel Proposed: t. k Community System Alteration/Remodel Concrete Total: 2.- ?Individual System Repair Masonry - SEP Permit#t7/—<k�)S Demolition Other: Bedrooms: Water Supply: Existing: : Private well Two Party Type of Heat: Proposed: 7.-1 t Toa: `�' MCuP blic f.t-�tz'�,::/'-�'k=�F�F+t'•D'� 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 - Above g gL nd Tangy Size of Propane Tank: %20 65Ae:_.. i Heat Stov i Cook Stoves i Woodstove i Fireplace Insert i Hot Water i Pellet Stove i 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. - t pas-0`rlPui-. � L A, v 542 ,er\ Square Footage For Office Use Only t ,N Scpa rr S le5•00 Current Proposed t� Amount` Main Floort ' x i 1' G v% Consistency Review: .` ) ''���7fH i0i D 2""Floor t Base fee: !l 1 (P10• IS 15b5.1 104 .1 V Floor Additional Section: �______. Mezzanine: Plan Check fee: 16��I r] I Dq• (q . l b - Heated Basement State Surcharge fee: `1 CjQ Unheated Basement �IO r-1gg4I Pot Water Review fee: ct0.00 Other Unheated _ , 911/Rd Approach fee: s , �•iiYFr ��l c 3�4ia,5co 15a-cam Garage/Carport q `(3 C\i51 s 0 TOTAL: $ 6©ag,l� .I 5 ' Decks 'mCi, t 01? �jWReceipt Number: ODS e 1 Other �j '� Cash/Check Number: O ESTIMATED COST REQUIRED) Date: �� ' i i�r �.._ _...._. ..-- 1..� f ICJ .Fair ma wairee of all labor-arnt�foundation to finish v v j C� Initials: C:ADocuments and Settings\moclul\Desktop AMaster Permit Application 7-8-04.doc I01, 000 c' N w 1 5` N Iv .e sN N TIN I r_L S D oTj- �f .Ni: T J /e VG" `N p q q 1-0`�;:s Co UV c e -L. c c c c y ../‘�Q Nro � v Nc �C o NC N r o N E M s R I % J, J� _- z C (' ey Zr1 Z th • C C 11-0 -A _r yr'�. S P i Q < < §y _ • R-` p iV c U 7a 3 r c. V �� , d ___ _ . T 1' I — / ? 1\ I - .___ _, I r ._ w � - . vV .. 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THE DESIGNER w y MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR C' CONTRIBUTIONS SHOWN ON THESE DRAWINGS.ANY SUCH VARIATION SHALL BE Z RESOLVED BY THIS OFFICE. • i 30' r' ; - ... --\ V----7-P---------T---;71-1 , --I qti \ .•.., -,c I, i I ___,-1 --I , cz• -1 I c.) '11 , . • __--- -- ----. \ / I I — V; i ", . I k eIN h 1 - , 0 - ,7•1 ' I c i -,,, _ _ ,, __ \, _ _ I .i I b E‘. , `--, • % 1 _ I 1 I I 1 (\ ii S *, -0 I 't 3 c 7 (--; v, .2,, \ ' 0 ,- 7 \A\ )' (., g -1::ji "c‘IIC_ Z , N I , e: \‘‘ 1 I ..1:1.9 ,t1-- , e, n 1 I 7\ — c .L. I ' _t ,- ....,.' 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