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HomeMy WebLinkAboutBLD2006-00678 • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD06-00678 SITE ADDRESS: 3135 SR 20 Issue Date: 02/1/2007 PORT TOWNSEND, 98368 Final Date: 9/19/2011 APPLICANT: BY PHAM PHONE: VERA PHAM 5055 BELL ST PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901172001 Section: 17 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW SFR (Revisedl1-25-09) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes ( THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON9/19/2011 I.\F_BLD_Occupancy.rpt 10/29/19 BIDING PERMIT APPLICATIOP MLLAO6 00651 Type: Review Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00678 Received Date: 12/1/2006 SITE ADDRESS: 3135 SR 20 PORT TOWNSEND, 98368 OWNER: WARREN J WESTALL PHONE: 360-385-0081 PO BOX 1159 PORT TOWNSEND WA 983680038 SUBDIVISION: Block: Lot: TX15i PARCEL NUMBER: 901172001 Section: 17 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: WILLIAM IRVINE PHONE: 360-379-1314 1980 CAPE GEORGE RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NEW SFR BLD#1 - KITCHEN & LIVING RM TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,228 VALUATION 453,600.00 ADD'L: 796 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 963 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 2 Total: 1 Total: I Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $3,032.15 CJZ 12/01/06 85295 Plan Check $1,970.90 CJZ 12/01/06 85295 ` State Building Code $4.50 CJZ 12/01/06 85295 FEBo2 2007 Potable Water Application $55.00 CJZ 12/01/06 85295 Total: $5,062.55 • CONDITIONS for Building Permit# :BLD06-00678 1.) 10 foot separation required between all water lines and any septic component. 2.) The septic system serving this building is permitted for residential use only and not intended for business or commercial uses. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on December 19, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Type 4 stream; landslide 1 &2; coastal SIPZ. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) A Type 4 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 7.) Stream buffers and landslide hazard area buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 8.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce(Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone(Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Uak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow(Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 9.) Marine shorelines and islands arelIceptible to a condition that is known as seater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 10.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 11.) 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. 12.) A Geotechnical Report dated November 25, 2003 prepared by Stratum Group was submitted in conjunction with this application. Additionally, an addendum dated January 3, 2007 to the geotech report was submit. The report addressed the stability of the geologic hazard area. A minimum setback of 15-feet from the top of the cut slope (area above the railroad grade) shall be measured perpendicularly to the proposed structures. The septic drainfield may be located within 50 feet of the top of the railroad cut slope. 13.) 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. 14.) 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." 15.) All construction activities shall not encroach upon the stream or landslide hazard area buffers. This includes the storage or preparation of materials. 16.) 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. 17.) 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. 18.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative buffer setback of 100 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed strucrures. 19.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed structures. 20.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 21.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 22.) VOLUNTARY MEASURES OF COAL &AT RISK SIPZ: 41110 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. 23.) 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. 24.) 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. 25.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 26.) The applicant is proposing to create or add 20,808 square feet of impervious surface and 44,382 square feet of land disturbing activities. 27.) An Engineered Stormwater Plan dated September 14, 2006 (received December 1, 2006) prepared by 2020 Engineering, Inc. 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. 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. 28.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 29.) The site plan as submitted with the building permit application on December 1, 2006 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated January 30, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 30.) This approval is for a single family residence consisting of 5 seperate buildings only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 31.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 32.) Not more than 2 unlicensed vehicle all be stored on any lot unless totally screed 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 33.) Minimum setback from SR 20 right-of-way shall be 50 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from railroad grade cut slope shall be 15 feet per geotechnical report. Minimum setback from OHWM of Type 5 stream shall be 100 feet plus 5 foot building setback, or 105 feet total. 34.) 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. 35.) 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. 36.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 37.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 38.) The building height is not to exceed 35 feet. 39.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 40.) The parcel is designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 41.) The parcel is served by an individual on-site well. 42.) A shoreline exemption (XMP99-0022) was cancelled on September 13, 1999. A forest practices application (FAP99-0005) was finaled on October 30, 1999. A SPAAD (ZON04-0016) was approved on April 30, 2004 and was finaled on December 1, 2006 upon submittal of the SFR permits. Two septic permits (SEP06-0232 & SEP06-0233) were issued on September 22, 2006. SEP06-0232 is for Drainfield A and SEP06-0233 is for drainfield B. Both are for 600 gpd. 43.) An address of 3135 SR 20, Port Townsend has been assigned to the parcel. SR 20 is a state principal arterial. 44.) PRIOR TO FINAL BUILDING U Y, PROPNENT SHALL SUBMIT A WRITTEN LETTER FROM 2020 ENGIN R G, C. STATING THAT THE STORMWATER FACILITY HAS BEEN CONS UCTE N ACC RDANCE WITH THE REQUIREMENTS OF THE "STORMWATER MA AGEM T TE HNICAL MEMORANDUM" DATED SEPTEMBER 14, 2006 AS SI ED S. BUEHRER, PE OF 2020 ENGINEERING, INC. 45.) A DOT Access Connection Permit (#46251) was approved by DOT on September 5, 2006 and is subject to the terms and provisions of said permit. 46.) Roof drains and any other drainage •e discharged to a location that will not pose . risk of surface flow over the railroad cut slope. If the home is built above the cut slope, the stormwater should be conveyed via tight line to an infiltration area on the level area of the former railroad grade. Per letter dated January 3, 2007 from Stratum Group, the submitted 2020 Engineered stormwater plan is consistent with recommendations of the Geotech Report dated November 25, 2003. Buildings 1, 2, & 5 and driveway areas will discharge stormwater in a dispersed manner into areas of amended soil and into existing natural swales with existing natural infiltration. Building 4 will discharge stormwater into a rain garden with and subsequently into a dispersion trench and onto an existing gravel road drainage route that will convey water to the base of the slope where it will infiltrate into the ground behind the old railroad grade on the west side of the property. The stormwater plan drawing indicates that Building 3 will direct its stormwater into the rain garden planned between buildings 3 &4. NOTE: GEOTECH RECOMMENDS THAT HALF THE STORMWATER FROM BUILDING 3 BE DIRECTED TOWARDS A DISPERSION TRENCH LOCATED SOUTH OF BUILDING 3 TOWARDS THE EXISTING NATURAL INFILTRATION AREA. Jefferson County Building Dillon Permit Num. BLD06-00678 Applicant: PHAivi BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 200'3 ,:;ernational Building Codes To schedule inspections, call (360)379-4455 ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 3/14/2008 Setbacks Setbacks 11/4/2008 Erosion Control - Foundation Footing 3/14/2008 Foundation Footing 11/4/2008 Footing Drains 11/4/2008 Foundation Stem Wall 4/17/2008 Foundation Stem Wall 11/7/2008 Foundation Stem Wall 4/18/2008 Roster Block Wall O.K. excwpt final course&Hold downs 4/18/2008 Underground Plumbing 10/29/2009 ok to cover partial plumbing Straps(hold downs) -Ext-3hrear wan Maftin—. Rough-in Plumbing I-_I 2 1 ( ; -Framing <.r) _I L.) R' 1--� Airseal - —I( � Insulation:Walls , 2,3 -1 c: >r•1�� �� Insulation: Floors I / � �'� ( J c— r' L A- Insulation: Ceiling q ; 2_1 ,1c tout [cc. Int. Shear Wall Nailing Wallboard Nailing — Gas Line: Interior { Gas Line: Exterior Propane Tank ! i - Heat/Chimney Clearance Drywell/Alt Drainage Address Posted C b,ll 193 12-CLIT)%4.t, 447`1D ' � UAL( 4 zg ti u Z�.._ to -mac Q FI AL INSPECTION q--115, bi . FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • r STRATUM GROUP 1451 Grant Street, Bellingham, WA 98225 Phone(360)714-9409 January 3, 2007 Bill Irvine 1980 Cape George Road Port Townsend, WA 98368 Re: Geology Review of Stormwater Plan MLA#: MLA06-00651, Case #: BLD06-00678 Jefferson County, Washington Dear Mr. Irvine: I received a memo from Michele Farfan of Jefferson County Department of Community Development regarding the stormwater plan for the proposed development at Warren Westfall's property. Jefferson County requested that I review the stormwater plan for consistency with my geology evaluation of the property that was completed in November 2003. I have reviewed the stormwater plans for the site prepared by 2020 Engineering and spoke with the Jennifer Ramsey the project manager at 2020 Engineering regarding the stormwater plan. The stormwater plan will disperse stormwater runoff on the site in a manner consistent with the recommendations I made in my November 2003 report. Buildings 1, 2 and 5 and driveway areas will discharge stormwater in a dispersed manner into areas of amended soil and into existing natural swales with existing natural infiltration. Building 4 will discharge stormwater into a raingarden with and subsequently into a dispersion trench and onto an existing gravel road drainage route that will convey water to the base of the slope where it will infiltrate behind into the ground behind the old railroad grade on the west side of the property. The stormwater plan drawing indicates that Building 3 will direct its storm water into the raingarden planned between Buildings 3 and 4. The only change I recommend is that half the stormwater from Building 3 be directed towards a dispersion trench located south of Building 3 towards the existing natural infiltration area. Stratum Group appreciates the opportunity to be of service to you. Should you have any questions regarding our reconnaissance please contact our office at(360) 714-9409. Sincerely yours, Stratum Group `� i p washj .i c>„:04,...... Dan McShane, M.Sc., L.E.G. - Licensed Engineering Geologist ` .� ; _ �� JAN 8 2007 v \' _ • S4 , Y 7i' ; f )EVE.1.OPMENT j L._ S- - 0 _, ScoLL ZFiga m�Z F I P. ��_�o� wWg 5a � i v f—f''I fe � o8w �zrii �o ZF� l' LL U. II i, - II J a� ° \yb p o o If c) >-wW2z$W� cfy2 41 o f °z. iD.44 \ _ v�i Nv�i iiLLfV 02Kg gK wjO,oKSO0a7Q,g ` r't*. — Ot zT .4 M m.�aw_wa omccu.crUmC)K?to ZLL• � z�M Z 5 5 5 13 ® 1 t_ m m m Z ! 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( re 7 A . / , fi , <! -4',i•,' i\ 2 13 ‘ 4 / '.i i ' 0 Cc'\ ,...,:ii, , ( un NA co IIS a���` %/%�� Lb w 4 sti NNN4t,' . - ' .., 71 ° NO11441P/ \ -------. -ro g i ` , o \ z1� / _ _ 4 \ N. lj 13 Ct N \ \ o a \ N \ z 1 \ yb� \ N v 004, )\'' Y \ \ O 1 . 1 I 0 II -1 ,¢90N C al, ,OG JEFFERSON COUNTY I,' i i- -- --- - ' DEPARTMENT OF COMMUNITY DEVELOPMENT '' ` `4 621 Sheridan Street • Port Townsend •Washington 98368 DEC 1 - 2D'OE 360/379-4450 • 360/379-4451 Fax I 1q $ www.co.jefferson.wa.us/commdevelopment S NO Master Permit Application -- MLA: j�(0 _ (QF, Project a cription(include separate sheets as necessary): Tax Parcel / frol / Property Number: I L / [ 7 2. E'er' ( Size: (c) . 2 acre quare feet) Site Address and/or Directions to Property: j 1 '2-S- ( ..iht U.. t 2 j -Pc),LT Tvi�y ic( jCT4 t .)t k,.4 Property Owner(s)of Record: =b0- �v ,,,) , LAJ ;t°'ciL Telephone: 7(:%'G-3e)5-. -GC"F, k Fax: email: tvw ,�� coe u 44. o Mailing Address: �j-7'�'"i+ I(S - 7.dZT- ou...)ICj senits , t.,.,A. c -.5 r�e-,, Applicant/Agent(if different from owner): (t?//....c_i A VLF I�N//4 Telephone:7,t7 Q 7`XI; 1 "i Fax: rj t- "j • 19 ( email: jr2•fli./E ,d.`,- , 1..Lc tA-t. Mailing Address: i% ' CIc C 2 L t 2—s) Pori-4 TbL:�[,.:SL---: , r.3, cr64-_-,L,ce-, What kind of Permit?(Check each box that applies) *Building ❑Variance(Minor,Major or Reasonable Economic Use) O Demolition Permit ❑Conditional Use[C(a), C(d),or C]** ).sngle Family ❑Discretionary"D"or Unnamed Use Classification Q Garage Attached/Detached ❑Special Use(Essential Public Facilities)** Q Manufactured Home [JBoundary Line Adjustment d Modular °Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use ❑Long Plat** El Address I Road Approach []Planned Rural Residential Development(PRRD)/Amendments** Et Propane OPlat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** OStormwater Management ❑Shoreline Management Substantial Development** ['Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* OJefferson 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 iq On, t Q'(ii E to act as my agent in matters relating to his a plication for permit(s). OWNER SIGNATURE Date: CI I� (Xo By signing this application for ,the o er/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. An erial 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 i specti.ns. Staffs access and right of entry will be assumed unless the applicant inf rms the County in writing at the time of the applicatio at he or it' . a.- '- - (� the Signature: b Nw1�� Date: O tc The action or actions App' .nt ' undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and •uld lead o a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act". - '."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-transferab e si '. d complying with the ESA. The Applicant has read this dis laime and signs and dates it below. Signature: Date 2C (0(9 D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc ! 411 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 assu ing the o ' •• eneral Contractor for the proposed proje . I/ Signature: Date: �Z(a l047 GENERAL CONT OR MANUFACTURED HOME INSTALLER: PHONE: FAX: _ ( ) i ( ) 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 0 Wood Existing: ❑Sewer ❑ Addition 0 Steel Proposed: rs Bank 0 Community System ❑ Alteration/Remodel ® Concrete Total: 7- Height: 1;1 Individual System ❑ Repair 0Masonry SEP Permit# 6—23 Z ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ZsPrivate well ❑Two Party Tw of.". ,t/ Proposed: ---/-- r ❑Public ....Qie � Total: f (v Name of System: 0 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 4this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank 0 Above ground Tank Size of Propane Tank: Sao Heat Stove .Cook Stove ❑Woodstove PEireplace Insert XHot Water Tank 0 Pellet Stove In 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 U e Only Amount Revision Main Floor Heated Z ZL� `�Q �p� 12 EH Bld App Review: / C3 2"tl Floor Heated 7�� �� 3 ,3° Consistency Review: i Other Heated Base fee: 3,o3�t . +� Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: //`` b0 �1 • Other Unheated Pot Water Review fee: 9 0 5 I Garage/Carport SUBTOTAL l/ .3 Decks 911/Rd Approach fee: Other ,y /y aa`f fl' t TOTAL: $ eceipt Number: 85 5 3 31 J Ip� Cash/Check Number: ��� ESTIMATED COST(REQUIRE Date: �(i/o6 .F�aifmarket value of all labor and materia undation to finish 9 53,God Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc A FR I SATE RES I DENSE FOR J I M NESTALL MARY GEORG I A 5155 HIOHWAY 20, PORT TOWNSEND, WA g8368 - TAX PARCEL #g01172001 560-37ci-1514 (BILL IRVINE PROJECT MANAGER) PROJECT DATA: NEW PRIVATE RESIDENCE ZONING: RR 1-5 LEGAL DESCRIPTION: SECTION IT TOWN5HIP 2q RANGE I W, PARCEL I OF SURVEY (VOLUMN 13/ PAGE 150) THI5 PROJECT SHALL COMPLY WITH THE FOLLOWING CODES: 2005 I.R.G., 2005 WSEC, 2005 VIAO NORTH BUILDING FLOOR AREA FIN15HED HEATED SPACE LIVING ROOM/ KITCHEN WING: 5,024 Sq. ft. MEDIA ROOM WING: 1,515 sq. ft. OFFICE WING: 1,444 Sq. ft. BEDROOM WING: 1,170 so. ft. GUEST WINO: 2,IgO soy. ft. TOTAL FIN15HED HEATED SPACE: 10,223 Sq. ft COVERED PORCHES: 5,000 say. ft LOT COVERAGE: LOT: 243,136 soy. ft. LIVING ROOM/ KITCHEN WING FOOTPRINT: 2,442 say, ft. MEDIA ROOM WINO FOOTPRINT: 1,155 soy. ft. OFFICE WING FOOTPRINT: 554 sq. ft. BEDROOM WING FOOTPRINT: I,IIq scl. ft. GUEST WING FOOTPRINT: 880 scl. ft. TOTAL FOOTPRINT: 1,053 scl. ft. TOTAL COVERED DECKS: 2,120 soy. ft. TOTAL LOT COVERAGE: 16,286 soy. ft. OR 5/5" DIAM. REBAR WITH PLASTIC SURVEY GAP MARKED "NTI BROWN L5 0014" N 4q°II'04" E 5 88°48'S ''E 45.1 V-- - l� 516" DIAM. REBAR \\ ` 1250 6ALLON SEPTIC TANK e 1250 GALLON PUMP CHAMBER IMPERVIOUS SURFACES: LOT: 245,156 sq. Pt. LIVING ROOM/ KITCHEN WINO ROOFPRINT: 2,612 sq,. ft. MEDIA ROOM WING ROOFPRINT: 1,111 scl. ft. OFFICE WINO ROOFPRINT: %2 sq. ft. BEDROOM WING ROOFPRINT: 1,260 sq. ft. GUEST WING ROOFPRINT: 1,005 sq. ft. COVERED WALKWAYS/DECKS: 2,120 scl. ft. UNCOVERED WALKWAYS: 1,546 Sq. ft. PARKING: 1,61,51 sq. ft. DRIVEWAY: 15,130 say. ft. TOTAL IMPERVIOUS SURFACES: 25,688 Sq. ft. OR 11.8% ADJACENT PROPERTY 12.5 ACRES TAX PARCEL # q01-I'II-OOI 5 8804e> 54" E _ 71q.g4' 154.75' - - A. t Rog�• - •• N 88048'54" W r4q�.g0' ' 8g4.11' 5 NEW 6LENDON DRAINFIEL05: MODULE L2 C MODULE 5 MODULE D 50' DIAM. AR WITH PLASTIC 5URVEY * MA RHORDA 1�5 56525" I I I TBM. #1 / / / \ / 5/6' DIAM. REBAR ITH P1rA5TIG GAP MARKED "NTI A I,g��p- ` _ ASSUMED ELEV. GAF 2 / 201X40' WELL, E5NIT. 2 EASTIN6 WELL5 `sod i ADJACENT PROPERTY: PARCEL 2 VOL. 13 OF SURVEYS, P6. 130 AN--__-__-_-______-_-_-_-._-_____-_______-__-__-_.-__-__-_____..________-__-__-1 VIOINIT"' MAP N.T.5. J-------- 14% \20% / UTILIT 300' i 300 ;n v PORT TOW15EV ' PORT TOHEEp BAY . 4 T 3155 STATE RCUIE 20 PORT Ta*mv, YW J' CONSTRUCTION ACCESS ROUTE FROM UP SLOPE/SIDE SLOPE OF DRAINFIELDS U)i / JEFFERSON COUNTY DCD BUILDING PLAN REVIEW 0 APPROVED AS SUBMITTED '0 APPROVED AS NOTED 0 REJECTED Date - Z JoIi Reviewer L Jl NOTICE: Plans Ore approved excepting any errors or omissions. All work must pass Inspection In conformance with all applicable codes and regulations. Contact the Building Department at 379-4450 prior to making changes or revisions to the approved plans SPECIAL INSPECTION REQUIRED Structural obsereatI014 Letter Re<luire(l Framin; I11specti011 NORTH X SPECIFIED GORING TEMPERATURE AND TECHNIQUES. 1 12/22/Ob PERMIT RE5UBMITTAL 12/01/06 155UE FOR PERMIT REV DATE DE5GRIPTION © RICHARD G.N. BERG 30M INDEX TO DRAWINGS I. PROJECT INFORMATION, SITE PLAN AND INDEX 2. BUILDING LOCATION PLAN 3. SHEAR WALL AND HEADER SCHEDULE, TYPICAL DETAILS 4. TYPCIAL WINDOW AND DOOR DETAILS 5. BUILDING DETAILS 6, BUILDING DETAILS T BUILDING DETAILS 8. LIVING ROOM/KITCHEN WING FIRST FLOOR PLAN q. LIVING ROOM/KITCHEN WING SECOND FLOOR PLAN 10. LIVING ROOM/KITCHEN WING FOUNDATION PLAN 11. LIVING ROOM/KITCHEN WING FRAMING PLAN 12. LIVING ROOM/KITCHEN WING SECTIONS 15. LIVING ROOM/KITCHEN/GUEST WING NORTH 4 SOUTH 14. LIVING ROOM/KITCHEN/OUE5T WINO WEST ELEVATIONS 15. LIVING ROOM/KITCHEN/GUEST WING SOUTH 4 EAST ELEVATIONS I6. MEDIA WING FLOOR PLAN IT MEDIA WING FOUNDATION PLAN le). MEDIA WINO FRAMING PLAN \ Iq. MEDIA WINO ELEVATIONS 4 SECTION 20. OFFICE WINO FLOOR PLANS 4 SECTION 21. OFFICE WINO FOUNDATION, FRAMING PLAN 22. OFFICE WING ELEVATIONS 25. BEDROOM WING FLOOR PLANS 24. BEDROOM WING FOUNDATION, FRAMING AND SECTION 25. BEDROOM WING ELEVATIONS 26. GUEST WINO FIRST AND SECOND FLOOR PLANS 21. GUEST WINO BASEMENT PLAN AND FOUNDATION PLAN 28. GUEST WINO BASEMENT FRAMING PLANS NOTE TO OWNERS OONTRAGTOR5 AND E31JILDING OFFIOIAL5: I. THESE PLANS ARE INTENDED TO CONTAIN ALL INFORMATION REQUIRED TO DEMONSTRATE COMPLIANCE WITH APPLICABLE BUILDING AND ZONING CODES. IN CASE OF ANY INFORMATION THAT APPEARS TO BE LACKING, PLEASE GONTAGT THE ARCHITECT IMMEDIATELY. 2. THESE PLANS CONTAIN THE MAJORITY OF THE INFORMATION REQUIRED TO BUILD THE STRUCTURE SHOWN ON THE PLANS. HOWEVER, IT 15 NOT P0551BLE TO ANTICIPATE EVERY PIECE OF INFORMATION NEEDED FOR CONSTRUCTION. THE ARCHITEGT5 HAVE MADE A GOOD FAITH EFFORT TO STRIKE A REASONABLE BALANCE BETWEEN PROV15ION OF INFORMATION AND COST OF THE PLANS, THE PLANS WILL INEVITABLY CONTAIN MINOR DISCREPANCIES AND AREAS LACKING IN SPECIFIC INFORMATION. DURING THE COURSE OF CONSTRUCTION, AS THESE AREAS EMERGE, THEY WILL REQUIRE ATTENTION AND RESOLUTION. THE BEST RE50LUTION OF ISSUES OF THIS TYPE IS M05T OFTEN ACHIEVED THROUGH A JOINT DECISION MAKING PROCESS INVOLVING THE OWNERS, ARCHITECT AND GONTRAGTOR(5). STRUCTURAL 0E35ERVATION PROORAM 1. THE ENGINEER OR ARCHITECT RESPONSIBLE FOR THE STRUCTURAL OBSERVATION, THE CONTRACTOR AND APPROPRIATE SUBCONTRACTORS SHALL HOLD A PRE-GONSTRUGTION MEETING TO REVEIW THE DETAILS OF THE STRUCTURAL SYSTEM TO BE STRUCTURALLY OBSERVED. 2. THE ARCHITECT OR ENGINEER DOING THE STRUCTURAL OBSERVATION SHALL SUBMIT REPORTS TO BOTH THE COUNTY OF JEFFERSON AND THE STRUCTURAL DE51ON ENGINEER. SHEET: OF SHEETS DRAWN BY: DPK DATE: 12/01 /Ob 5GALE: I. = 50'-0" E 0 U y V y Li ry � m o I- a'2-m �913 W 3 L U boIU o® IYI- v Wok V O 3 6 t ��O o FZ Q E u 7 . c 4J u isli u.e � z L o� u� m O O 6 z LU p w w ---Il m :< fi 0. 'U Il LU � 6a•_s =� §\ ƒ NVH � a � 0 w& !(, S 7 � \ - ----- ---- - � � ƒ � « } / % / 0 k LL « § k 2 k } « w La �