HomeMy WebLinkAboutBLD2006-00679 • • MLA06-00651
BUILDING PERMIIT APPLICATION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00679 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: TX15-
PARCEL NUMBER: 901172001 Section: 17 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: WILLIAM IRVINE PHONE: 379-1314
1980 CAPE GEORGE RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOli MEDIA ROOM BLD #2 - NO KITCHEN
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,595
VALUATION 239,250.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 584 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 2
Total: 0 Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,777.75 CJZ 12/01/06 85295 .
Plan Check $1,155.54 CJZ 12/01/06 85295
State Building Code $4.50 CJZ 12/01/06 85295 FEB . 2007
Total: $2,937.79
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•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00679 Received Date: 12/1/2006
SITE ADDRESS: 3135 SR 20 Issue Date 2/1/2007
PORT TOWNSEND, 98368 Expiration Date 2/1/2008
OWNER: WARREN J WESTALL PHONE: 360-385-0081
PO BOX 1159
PORT TOWNSEND WA 983680038
SUBDIVISION: Block: Lot: TX15-i
PARCEL NUMBER: 901172001 Section: 17 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: MEDIA ROOM BLD #2 - NO KITCHEN
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,595
VALUATION 239,250.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 584 SETBACK: 65
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM PWELL Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $1,777.75 CJZ 12/01/06 85295
Exist: 0 Exist: Plan Check $1,155.54 CJZ 12/01/06 85295
Prop: 1 Prop: 2 State Building Code $4.50 CJZ 12/01/06 85295
Total: 1 Total: 2 Total: $2,937.79
Directions to Site:
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. -L:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE ATTATCHED
• •
CONDITIONS for Building Permit# :BLD06-00679
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 Oak (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
(Sam bucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry
(Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium).
9.) Marine shorelines and islands areeceptible to a condition that is known as sater
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: 10
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 vehiclitiall be stored on any lot unless totally scrod
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
38.) The building height is not to exceed 35 feet.
39.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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 OCCUPANCY, PROPNENT SHALL SUBMIT A WRITTEN
LETTER FROM 2020 ENGINEERING, INC. STATING THAT THE STORMWATER
FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS
OF THE "STORMWATER MANAGEMENT TECHNICAL MEMORANDUM" DATED
SEPTEMBER 14, 2006 AS SIGNED BY MARK 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 drainag1 discharged to a location that will not pos•isk 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 Divton Permit Numb•BLD06-00679
Applicant: WESTALL
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that clay's inspections.
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
Erosion Control
Foundation Footing
Footing Drains
Foundation Stem Wall
Underground Plumbing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
/..
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JEFFERSON COUNTY
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� DEPARTMENT OF COMMUNITY DEVELOPMENT
4 621 Sheridan Street• Port Townsend •Washington 98368 -
360/379-4450 • 360/379-4451 Fax 1 r '. i.
"4 www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MI-A: 0C - 1;Gj,
Proj ,e�ir iption(include separate sheets as necessary):
f0._ n v-- i440 kel -,
Tax Parcel { Property
Number: 7C,?/ j 7 2. E.'C'S ( Size: flj . 2 acres quare feet)
Site Address and/or Directions to Property: i '2-) c ( i hH ANL,/ 71 j Y0/'C T t SCr N LC
Property Owner(s)of Record: Cubs -- r,,) , (ry i t''ci.-� t
Telephone: iv O•-3 : . ,LC* ,I Fax: email:.3.t,w E;`-__:,( G`L� V itt 02-�.
Mailing Address: �t I(' �d
_.. zi T )S6,- f (,,,A.. c3 ',3 r;
Applicant/Agent(if different from owner): (i ii ..t A j,'jA I tV iA(�
Telephone::ir:C 'i 1 i Fax: 3?T • 19 l email: jt2W/U E e w N`c? !.L-t°tA-t
Mailing Address: i% ' C ?r Z=ZC-)t' 2A7 .7o'2-i TZ:i4:/c,i SC--,".t ` \..t_;:, e/E, 1,..-.'6
What kind of Permit?(Check each box that applies)
45}auilding ❑Variance(Minor,Major or Reasonable Economic Use)
d Demolition Permit ❑Conditional Use[C(a),C(d),or Cj**
. .. ngle Family ❑Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑Manufactured Home °Boundary Line Adjustment
El Modular °Short Plat**
0 Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
R Propane ❑Plat Vacation/Alteration**
DAllowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
OStormwater Management ❑Shoreline Management Substantial Development**
OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless 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:
-T ` c b'kt.0 --.)) t (/k C-i't t 2C'`v:"Cr: LC• t}ttZS1
DESIGNATION OF AGENT
I hereby designate (4,j►/.a aqIM I l2\(iN to act as my agent in matters relating to his a plication for permit(s).
OWNER SIGNATURE l� Date: l I Zt
By signing this application for‘rrdt.e... t,
e oer/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. Anrial 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 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 . a..� (
'•- - /�
Signature: 1 awl Date: 9 L0 the
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 o'and complying with the ESA. The Applicant has read this dis laimej/and signs and dates it below.
Date: [
Signature: g1f2 /OC
((
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.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 assu ing the o . e eneral Contractor for the proposed proje /
Signature: Date: >`z(O lOQ
GENERAL CONT 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 ❑ Wood Existing: ❑Sewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
d�
❑ Alteration/Remodel ® Concrete Total: Height: II Individual System
❑ Repair Jzp Masonry SEP Permit# —,23Z Z33
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: Private well 0 Two Party
Typ of Heat: Proposed: i 0 Public 1
4- Total:
!t Name of System: i
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 this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
Underground Tank 0 Above ground Tank Size Propane Tank: SOO
0 Heat Stove ❑Cook Stove ❑Woodstove Fireplace Insert Hot Water Tank 0 Pellet Stove p 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 ?) -I Bld App Review:
1.995 ma kill.
2"°Floor Heated ' Consistency Review: `0
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: 1 I lb tj4it
Unheated Basement State Surcharge fee: r�U
t
Other Unheated Pot Water Review fee: (i .1
Garage/Carport SUBTOTAL �a/GlJ 2�
Isi
Decks 911/Rd Approach fee:
Other/77
C.a[M'c laird,
Sv`I l' I Vt,, TOTAL: $
Receipt Number: bbaC1 )
ESTIMAT D) i _Date: _----i U/
.F - rket value of all labor and n rials foundation to finish , 1 ( >
2 3 7' 250 I' Initials: 2006
...s C?""
DEC 1
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A PRIVATE RESIDENCE F0� JH NESTALL MA C IA
3135 HIGHWAY 20, PORT TOWNSEND, WA a8368 - TAX PARGEL #1011-12001 360-37q-1314 (BILL IRVINE PROJECT MANAGER)
PROJECT DATA:
NEW PRIVATE RESIDENCE
ZONING: RR 1-5
LEGAL DESCRIPTION:
5ECTION 11, TOWNSHIP 2q
RANGE I H, PARCEL I OF SURVEY
(VOLUMN 13/ PAGE 150)
THIS PROJECT SHALL COMPLY WITH
THE FOLLONIN6 CODES: 2003 I.R.G.,
2003 NSEG, 2003 VIAO
NORTH
BUILDING FLOOR AREA
FIN15HED HEATED SPACE
LIVING ROOM/ KITCHEN WING: 3,024 sq. ft.
MEDIA ROOM WINO: 1,515 sq. ft.
OFFICE NING: 1,444 sq.. ft.
BEDROOM NING: 1,110 soy. ft.
GUEST HING: 2,110 sq. ft.
TOTAL FIN15HED HEATED SPACE: 10,225 say. ft
COVERED PORCHES: 3,000 sq. ft
1-9- COVERAGE:
LOT: 243,g36 sq. ft.
LIVING ROOM/ KITCHEN WINO FOOTPRINT:
2,442 sq, ft.
MEDIA ROOM WING FOOTPRINT:
1,155 soy. ft.
OFFICE WING FOOTPRINT:
554 sq. ft.
BEDROOM HING FOOTPRINT:
I,IIq sq,. ft.
GUEST NING FOOTPRINT:
980 soy. ft.
TOTAL FOOTPRINT:
l,Ob3 sq. ft.
TOTAL COVERED DECKS:
2,120 sq- ft.
TOTAL LOT COVERAGE: 1(9,2b6 sq. ft. OR 6.681%
IMPERVIOUS SURFACES:
LOT: 243,g36 sq. ft.
LIVING ROOM/ KITCHEN WING ROOFPRINT: 2,612 5q. ft
MEDIA ROOM WING ROOFPRINT:
I,gll sq ft.
OFFICE WING ROOFPRINT:
6162 sq.
ft.
BEDROOM NING ROOFPRINT:
1,260 sq.
ft.
GUEST NING ROOFPRINT:
1,00b soy.
ft.
COVERED NALKHAY5/DEGK5:
2,120 soy.
ft.
UNCOVERED NALKHAY5:
1,,546 sq
ft.
PARKING:
1,611 say.
ft.
DRIVEWAY:
15,150 sq,
ft.
TOTAL IMPERVIOUS SURFACES: 2b,66b sq. ft. OR II.bY
� 2 ADJACENT PROPERTY
\ y� 12.5 ACRES
5/5" DIAM. REBAR KITH TAX PARCEL 401-III-001
PLASTIC SURVEY GAP MARKED
"NTI BROHN L5 0014" 1250 6ALLON 1250 GALLON ��
SEPTIC TANK �� GHA
N 4q°II'04" E 5 8b°4rj'5 '' E _ _ _ 5 88048'54" E lgq.14'
0 42'-----%45:1 / /\) /1 \ 154.1b'
DIY} STATE POLITE 20
PORE TOW", Kk
NORTH
VIGINIT'r MAP
N.T.5.
`�0-
"J
5 NEW oLENDON BIOFIL, R DRAINMELD5: Ste\<99\ /
,\ MODULE I 147.
20%
\MODULE 2 '.
ti MODULE
M �'ULt- 4 5% v/ UT I JTY
/OL ...E �'J" ,;-• •• \
Mori. E
-20%
/ x
I.I. <;Y /
5% /
bl.g8' 21 nw /
q .ao' /
N bb°4b'54" N
5/8 DIAM. AR WITH PLASTIC
_ _ _ _ _ _ _
- - - - _ / / / / SURVEY � MARKED "NTI
RHORD,K 5 36825
TBM. #1
5/W DIAM. REBAR/WI P�A5TIG�5U VEY\ v I ��
GAP MARKED 1114T A 1,8,��86°- \ 1
\ \ - ASSUMED ELEV. Cr 2
Li
/h 20'X40' WELL, ESN T. \ /'
2 EXI5TIN6 HELLS \ r'
ADJACENT PROPERTY: /
PARCEL 2
VOL. 13 OF SURVEYS, P6. 130 /
/ \ /------ z
�5/V DIAM. REBAR
.j {/POSE•�WA
,T
pE
�R MODULE f1]
I D
I01 OR MORE
ROM ALL SEPTIC
SYSTEM PARTS
5-1 %
/
/ m1p CONSTRUCTION ACCESS ROUTE FROM
UP 5LOPE/51DE SLOPE OF DRAINFIELDS
r �I
DEC
{
• r - - _)EVELOFMENT
APPROVED
SITE PLAN
12101106
ISSUE FOR PE IT
REV
DATE
DESCRIPTION IEE ERs uxr
nrpT eo
INDEX TO DRANIN05
I. PROJECT INFORMATION, 51TE PLAN AND INDEX TIERMOT
2. BUILDING LOCATION PLAN
3. SHEAR HALL AND HEADER SCHEDULE, TYPICAL DETAILS
4. TYPGAL WINDOW AND DOOR DETAILS JIEF�ERSGN CV,
5. BUILDING DETAILS
6. BUILDING DETAILS
1. BUILDING DETAILS
b. LIVING ROOM/KITCHEN NING FIRST FLOOR PLAN
q. LIVING ROOM/KITCHEN NING SECOND FLOOR PLAN
10. LIVING ROOM/KITCHEN NING FOUNDATION PLAN
II. LIVING ROOM/KITCHEN NING FRAMING PLAN
12. LIVING ROOM/KITCHEN NING SECTIONS
15. LIVING ROOM/KITCHEN/GUEST NING NORTH & SOUTH
14. LIVING ROOM/KITCHEN/GUEST NING NEST ELEVATIONS
15. LIVING ROOM/KITCHEN/GUEST NING SOUTH $ EAST ELEVATIONS
16. MEDIA NING FLOOR PLAN
11. MEDIA NING FOUNDATION PLAN
lb. MEDIA HING FRAMING PLAN
11. MEDIA NING ELEVATIONS d SECTION
20. OFFICE NING FLOOR PLANS $ SECTION
21. OFFICE NING FOUNDATION, FRAMING PLAN
22. OFFICE NING ELEVATIONS
25, BEDROOM NING FLOOR PLANS
24. BEDROOM NING FOUNDATION, FRAMING AND 5EGTION
25. BEDROOM NING ELEVATIONS
26. GUEST NING FIRST AND SECOND FLOOR PLANS
21. GUEST NING BASEMENT PLAN AND FOUNDATION PLAN
2E5. GUEST NING BASEMENT FRAMING PLANS
NOTE TO OWNERS, GONTRAGTOR5
AND BUILDING OFFIGIAL5:
. 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, PLEA5E CONTACT THE ARGHITEGT IMMEDIATELY.
2. THESE PLANS CONTAIN THE MAJORITY OF THE INFORMATION
REQUIRED TO BUILD THE STRUGTURE SHOHN ON THE PLANS. HOWEVER,
IT 15 NOT P0551BLE TO ANTICIPATE EVERY PIECE OF INFORMATION
NEEDED FOR CONSTRUCTION. THE ARGHITEGTS HAVE MADE A GOOD
FAITH EFFORT TO STRIKE A REASONABLE BALANCE BETWEEN
PROV15ION OF INFORMATION AND COST OF THE PLANS. THE PLANS
HILL INEVITABLY CONTAIN MINOR D15GREPANGIE5 AND AREAS
LACKING IN 5PEGIFIG INFORMATION. DURING THE COURSE OF
CONSTRUCTION, AS THESE AREAS EMERGE, THEY HILL REQUIRE
ATTENTION AND RESOLUTION. THE BE5T RE50LUTION OF ISSUES OF
THI5 TYPE 15 M05T OFTEN ACHIEVED THROUGH A JOINT DEG15ION
MAKING PROCESS INVOLVING THE ONNER5, ARCHITECT AND
GONTRAGTOR(5).
STRUGTURAL 05SERVATION
PROGRAM
I. THE ENGINEER OR ARGHITEGT RE5PON51BLE FOR THE STRUVURAL
OBSERVATION, THE CONTRACTOR AND APPROPRIATE
SUBCONTRACTORS SHALL HOLD A PRE-GONSTRUCTION MEETING TO
REVEIN 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 DESIGN ENGINEER.
EXGERPT5 FROM TABLE 1104.4
REQUIRED VERIFICATION AND IN5PECTION OF CONCRETE CON5IURGTION
VERIFICATION AND INSPECTION
GONTlNJOU5
PERIODIC
4. VERIFYING USE OF REQUIRED
_
X
DE51GN MIX
5. AT THE TIME FRESH CONCRETE 15 SAMPLED
X
_
TO FABRICATE SPECIMENS FOR STRENGTH
TESTS, PERFORM SLUMP AND AIR CONTENT
TESTS, AND DETERMINE THE TEMPERATURE OF
THE CONCRETE.
6. INSPECTION OF CONCRETE
x
_
PLACEMENT FOR PROPER
APPLICATION TECHNIQUES.
1. INSPECTION FOR MAINTENANCE OF
_
X
SPECIFIED CURING TEMPERATURE AND
TECHNIQUE5.
DRAWN BY:
DPK
DATE:
12/01 /06
5GALE:
1" = 50'-0"
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