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BLD2006-00236
! • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00236 Received Date 05/5/2006 SITE ADDRESS: 3286 TEAL LAKE RD Issue Date 06/5/2006 PORT LUDLOW, 98365 APPLICANT: STEVE & LINDA COOK PHONE: 360-301-2907 21 KEEFE LANE PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 98+ PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 120 GAL PROP TANK (EXISTING FOUNDATION) CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: S ty 'E -M IT Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Jk 9 OL Sheathing: Framing: Ofk 04/414G . Plumbing: DX ////06fr Propane Tank/ Lines: /L'T Jj_a-c Q ///S/1.1r;G� •' A a- (Zrl )6; Insulation: 4e •E14t- Ok if/s e6� 1 'M /I/I aG/' • Sheetrock: �otcSE O!� / 27 ts6 1.'�4a Pc-•� eV 1 /c7 Septic Sytem Final Approvae# l T be obtained before final of structure can be attem ted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: , I K -f'r-- 4fr rr'-,�//47 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 000,41 /vow;ap�a"%Aus `Naal41 D WtTH ,-/9 / I litUILDING PERMIT APPLICA N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00236 Received Date: 5/5/2006 SITE ADDRESS: 3286 TEAL LAKE RD PORT LUDLOW, 98365 OWNER: STEVE & LINDA COOK PHONE: 360-301-2907 21 KEEFE LANE PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: T 98 PARCEL NUMBER: 821333043 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W/ ATT GARAGE & A/G 120 GAL PROP TANK (EXISTING FOUNDATION) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 387,090.00 ADD'L: 2,490 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 1,408 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 1,040 CONST TYPE: SETBACK: DECK: 560 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 5 Total: 3 Total: 5 Routing Date: 5l8/06 Type Amount Paid Bv: Date: Receipt: APPROVEr Permit $2,606.55 LYK 05/05/06 81214 Plan Check $1,694.26 LYK 05/05/06 81214 JUNS 2006 State Building Code $4.50 LYK 05/05/06 81214 Jefferson County Planning Total: $4,305.31 &Building Department I fd s •• im.o„m4,,s-.. .af - SITE _ O. y Li q1 pli 4....i.e.. , . r, -w '' st 1,: ...„ �= I ` v \ s� • 4 O`I'� .gyp (1 Y J i -6- A- ,.iq j C5' a -C- I \ 4 I, (1— ! I— \ i ;.r..•il I I 1 4p a ' f n i`� 1...,: 'P 1 j_1 i E • ,:o- 74,I -- 2 i i , ..-s" ( \ . ( LI ,i 0 ,•: ©, 1 Gt1 • ..:14i,.). '''• - 111. $ N+74 . ..P 3, , , N ! o I 3 I t ,i by i I I 4 o 1,, 1..) A, I _._, I i _ , _, 1, k (3 __ _ 4 fir--�.. �r.rwerm2_ 1,.rrz,.._,,.y•" -:s 4Y 1 i, , �Y\ —0� _ � )y Q 11� a� �p k i 3 1 I I 1 I. r it13 1 Si 5f il N 11-. — / --.4I / , ' r :p'J > Q_6. I i ia Vk ' - 1 / /y ITfi.,-. , , „ ,8 nZ7 - u - - qO Y�I is'}'� 0 , i1 ---- 1---- i < V 'A. I, 90R 9 — RIN , ,7 i 1 t c.i. i • es A rk !..,..1 . _ ,,,j__ _ A il t--0 4 cc I i "\ 1 -k, .• - ',i a__.-..ici ts...... •,, IIE. 4.--3‘ •-1.: _ -IL , i \ '.• , !3 rt. 6 ID ‘ ‘, \ al) . f,,, 0 1 i - et' iu) , -64„ ,,, \,(11_141 : oil .. ,..‘ ) 4 ., l' :‘,.. a ... • 0 P- - - - *-) „ II , I I b 3 1 A 5'1-9 ai40+1 C1)11)\- VI,",..•• —-",--ii.: 2..........iii.:4KA '4, •%.-- I ' 1! I II ' N 1 .11 L., 0 1 .... ,t . . ,,. , 111 A 11114 I —..- e,0- •---- -_ -- -:'"---.'C'. A 0 n -I...,--..11h. rre. ,-L,-......_, -•••:• ..,... TT *-- ......4.... %.'6, a• •0 , I Y\ ..\ * . u ., i '. -----i) - 4 I 1' R • 1 r, 0 1 I r -___ ri ‘ - lei „ • 1 , .94S tc--,• ' ! .....,,,il•'It'at'-'-""-" --Jt!'"`"7,-..7- --) , ;4 LI I N3 • 4.,• _ ..- I . ' k. 1 ,.... _ — - — — - t 16 I I, /1-c,„4,,, / i v • ---25 ..."--- ) 1--'. 4„. _______ t:, - -_._ _b . - - —,). ,.. 4,,,,, w .. _ ' Nr--- I ...__ ' \ . ....46., . ( „ ...... \ J 6 ..--. X 8 CA*. .. N • 1, i --‘? . AA r,..... 73 ‘4,.... rt . A . ' . - ,P9x:,..if .°9*..6, -1.4QP•34 , . . . , .,... . . , . . - 0411 SPECIAL CONDITIONS FOR CASE A BLD06-00236 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) 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. 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.) 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. 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.) Minimum setback from Minimum setback from the easement located on the western boundary and southwest corner shall be 20 feet. Minimum south and east property boundary setback shall be 5 feet. Minimum setback from north property line (commercial forest land) shall be 233 feet. Environmentally sensitive areas further impact setbacks. 13.) The building height is not to exceed 35 feet. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 ���¢goN co�� JEFFERSOt UNTY • rzi DEPARTMENT OF COMMUND ',EVELOPMENT , �' �`\ E`4 621 Sheridan Street • Port Tgwnsend •Washington 98368 360/379-4450 • 360/379-445,1 Fax q�, 0� www.co.jefferson.wa.us/commdeveloprl�srat _ NN�IAATT Master Permit Application • ---` MLA: NO W Project Description (include separate sheets as necessary t'+rJ 10(7., -'j/ti�� (` i i ii l>esx L-C c=� j�,t ',6 u, a�� t Tc - u4-l"� Tax Parcel Number: �Z ii z� �' ? Property t /JJ li Size: ;(,, -, e- i �G1 4 (acres/square feet) Site Address and/or Directions to Property: 'a 2-S'(�, —t- A,L, L Ale P r , Property Owner(s)of Record: )7;I, ,�d i - / . "c,- Telephone: 3 (5. Ja t- 27'14 1 Fax: email: Mailing Address: -- �' ,.Z it-, G G- -t r ,ri 4.,.g''key- Applicant/Agent(if different from owner):!----cvd(L Telephone: Fax: /J ,�p email: Mailing Address: 2-1k -< ___c. A.f.4,_,?-iJ_e,cJ 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 C]** Single Famil t-re- '- P' 'rwr-'°w-r,o k/ i'"" ❑ Discretionary"D"or Unnamed Use Classification Gara ttache /Detached `t-i3 .o sup-TTic wel e 4 roco&,: yr g ❑ Special Use(Essential Public Facilities)** ❑ Manufacturemhome C] Boundary Line Adjustment ❑ Modular C] Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use C] Long Plat** ❑Address 11 Road Approach C] Planned Rural Residential Development(PRRD)/Amendments** . ropane C] Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis C] 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 0 Wireless Telecommunication* C] 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 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 insppctio t\ Access and right of entry to this property shall be requested and shall o ur only during regular business hours. C� 1 Signature: —l- /A.: ` Date: qa'' 0 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 Jeff,rson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable responsibility for adheri to d complying wit he SA. The pplicant has read this disclaimer apt�l si s and dates it below. Signature: _ �� Date: ��0c 1 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0 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,respon�ilj ofttlle General Contractor for the proposed project. Signature: `.. -6�.-v l f- Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL - Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: /New rp;_,f^':' - Dr)L-.- ,'Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: -, Bank Height: ❑ Community System KAlteration/Remodel II Concrete Total: i-Yfndividual System `5 0 Repair ❑ Masonry ' SEP Permit# SLY.crt''l z) 7 ❑ Demolition ❑ Other: Bedrooms: Water Supply: ��' o'"�D Existing: S back: ❑ Private well`�0�Two Party Type of Heat: Proposed: -7,, Total: ,213ublic ,. Name of System: If ci y''`' — ,yvix---7 - `1-Ex>1 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 H Underground Tank ,.g`Above ground Tank Size of Propane Tank: -1-=' -e) e.--( Heat Stove ,/Cook Stove n Woodstove C] Fireplace Insert krf Hot Water Tank ❑ Pellet Stove C1 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. • Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH BId App Review: (/� 2nd Floor Heated rt 0 fi � ,f�� f consistency Review: L Other Heated Base fee: (9160(0. Mezzanine Additional Section: Heated Basement / 14i,��pytplan Check fee: I i(ocI ,QC° Unheated Basement ] WI �� `� State Surcharge fee: �+ Other Unheated Pot Water Review fee: b I p co-39.71 Garage/Carport SUBTOTALOVQ,AdI() I15)3'5I Decks r 911/Rd Approach fee: �;9r> 13 .,...----- Other Other c._. 6 -1OTAL: $ Q� `o eipt Number: SIR I `� (A- O( Jiash/Check Number l 03 ESTIMATED COST(REQUIRED) Date: 515 v6 •Fair market value of all labor and materials foundation to finish 41 Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc { � � � n r 1. Z XJ p ! r' m 1 Ake,C.\, M ill --; '-'1 0 *,(` ii.' 4 ..„.., , ., �' 3 •;, o c ,. ,.... I.e 2 m ^^11 i ' 5S i g oi Wro m r ''''' N 4 . �.7 2.. 2r _________ , ,.) . ,. ..___________ 7 r . \l,k) .., ..tv; w � ' 1\3 > /\. m j l r' 7 ,-'7).---A›— 0 o - - 7/I ill 7--(i.--4.) 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