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HomeMy WebLinkAboutBLD2006-00680 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00680 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: TX151 PARCEL NUMBER: 901172001 Section: 17 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW OFFICE BLD #3 - NO KITCHEN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 722 VALUATION 216,600.00 ADD'L: 722 HEAT TYPE: PRO CODE EDITION. 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK SETBACK: 65 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,648.95 CJZ 12/01/06 85296 Exist: Exist: Plan Check $1,071.82 CJZ 12/01/06 85296 Prop: 0 Prop: 1 State Building Code $4.50 CJZ 12/01/06 85296 Total: 0 Total: 1 Total: $2,725.27 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. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED • I , )1--all°`' „.,;)._ —4L,_ 3L 06-- d ,1 w Jul C s. nc re— d r NOV 3 0 2009 • Jefferson County Building Division Permit Number:—BLD06-00680 Applicant: WESTALL BUILDING PERMIT INSPECTION APPROVALS applicable 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 day'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 • CONDITIONS for Building Permit# :BLD06-00680 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 areekeptible to a condition that is known as siker 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: • 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 vehicleiall be stored on any lot unless totally scr•d 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.) 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 drainage 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. • • 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 'pt Was j i,rw?` � T+, 00\ ?r� it o.� I Dan McShane, M.Sc., L.E.G. JAN - $ 2007 t ^'t L .Y: Licensed Engineering Geologist k Engineering G •, . �„ 137• ;l T, e �7"1 s ° 1EVELOP_ MENT < zw e Ili e — itio 6 ai Q .8u -t 2. a a E 1- M CZ �oCr li rt jQkilg ' �31wwgm wJ v CO tLx.5>' —ogPI I _ I z 7 QJ o,-,8W0 a z p`L \ 0 O ZO OmzUzm i1 8 ��dOw °pQd z / ytj_\, (/) d Sze Z ii mzaw_wa omtru aOm LTA C1 ?uJ oi _ lL Z e ( i 11 m m m • \ W I � � •� � 11 • I • t��� L `�• ^� ", e, . . g JAN - 8 2007 I v li` ' •� � /rr \ / Q IL7 m.,_ I • gbooZZ�, ^� P - ir,4�� i e a-- m 3 I co • -- .I .' ' ;-Jt � //),\0BI" •`�� , I J� ELOPh:SENT \ `' S t\ ..�� `; •.� - $ w s O of 09 r" \ x , o, i/ m N kr-bo 4 �+ • co \ .9<( i 1, �, t �`' ` Z �_ / 1 lip \ ` \ �' I 'hbY a § / . rs Nei 1� _ v. \ .,stl ` 8 s 1N14/\. ' Atip..:1____ -. _ ...,571 .0 -- . v a I m� `— 1 N \ ; If _ /l , o4 \ N i � , — 1/ g NN ; W `\• ,, JW N col CN 11, cc \ ` \ I 4 \ z Y4- \ \ y O s ti p \ \ 1 _ 1 I MLA06-00651 IPILDING PERMIT APPLICATI N ReviewType: 1 Jefferson County Department of Community Development 621 Sheridan Street Part Townsend, WA 98368 PERMIT #: BLD06-00680 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 983680033 SUBDIVISION: Block: Lot: TX15-i 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 DESCRIPTIOr NEW OFFICE BLD #3 - NO KITCHEN TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 722 VALUATION 216,600.00 ADD'L: 722 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: I �1 ( lCC' Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,648.95 CJZ 12/01/06 85296 _ 1__ :- „ Plan Check $1,071.82 CJZ 12/01/06 85296 State Building Code $4.50 CJZ 12/01/06 85296 FEB Total: $2,725.27 c7 r�r,„ r ON �, • - -- �� o� JEFFERSON COUNTY r-., I, ` �'�' ' j DEPARTMENT OF COMMUNITY DEVELOPMENT �, __. _ — + '� 621 Sheridan Street• Port Townsend E. Washington 98368;' 360/379-4450 • 360/379-4451 Fax EC — �q $ www.co.jefferson.wa.us/commdevelopment 4 S�NC"� ` 1 11 Master Permit Application MLA: fl -Ub .it•r Project a cription(include separate sheets as necessary): [_ S , — �3�� (44 3 - c-e:e. n o �� l Tax Parcel C ' Property Number: ( 7 2. CC' ( Size: ( . 2 j Er-es/Square feet) Site Address and/or Directions to Property: 1 '2 -j ibH LCIA%- 7E h -Pc - ,vt Sc1 1 L(4 Property Owner(s)of Record: C•j-66-Q- �y ,J , Lc.;- Telephone:"jic AC.-3 .)5 -Cx)E,` Fax: 4. , email: �yc'"(tiO�� 6(,t C��E-� Mailing Address: �'r- -.-sy., j(S�7 -Pd2 r-r u-jl5E-,-uc� r (�A ,-'�e i:.,) Applicant/Agent(if different from owner): (.1)ILL.t A ii'b1 1 w I Telephone::,& I "Si`4 Fax: r • t9 ( email: 112.[IJVE e ,.,c,:,.b`,:_l .•LC`u-t Mailing Address: i%Er' C_- -fir C 2zZL-)t 2�.. )or) . Tzis.>i.:SLR.: , r.v:. cje% 14...ce-3 What kind of Permit?(Check each box that applies) ,15Building ❑Variance(Minor,Major or Reasonable Economic Use) Cj Demolition Permit ❑Conditional Use[C(a),C(d),or C]** ;.. ngle Family ODiscretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** CI Manufactured Home °Boundary Line Adjustment d Modular °Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use °Long Plat** El Address 1 Road Approach °Planned Rural Residential Development(PRRD)/Amendments'"" l Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment OForest 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: N-1-1 AZ±L_ > (CIr l+V.C--c`i-k u-- - t:-2 4t W ,4k.-.2:3-1 DESIGNATION OF AGENT I hereby designate (.4j VL,L, +AW.. (Zi liV G. to act as my agent in matters relating to his a plication for permit(s). OWNER SIGNATURE Date: CI I2�CX. 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 is 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 ittb, • .'--� - Signature: b M� Date: -2.0 (c(r' 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 laimeyyand signs and dates it below. Signature: Date'(2f 0(Q D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • • 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 ' he eneral Contractor for the proposed proje . Signature: Date: tZ(a OQ 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: .2`New 0 Wood Existing: ❑Sewer ❑ Addition 0 Steel Proposed: I Bank 0 Community System ❑ Alteration/Remodel ® Concrete Total: ---I— Height: 0 Individual System ❑ Repair fa Masonry SEP Permit# 4 6— 23 Z/2.33 ❑ Demolition '0 Other: Bedrooms: Water Supply: Existing: Setback: Private well 0 Two Party Ty of Heat: Proposed: r 0 Public c Total: fU J Name of System: e�cdrz6 ❑ 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 of Propane Tank: <0 C Cleat Stove ❑Cook Stove 0 Woodstove DitFireplace Insert if 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 �7z Z 4 ilia-. EH Bld App Review: � `a 2 Floor Heated Z b Consistency Review: —' c ,pia. '`� Other Heated Base fee: l j (p 1 i -41r Mezzanine Additional Section: Heated Basement Plan Check fee: 1 I gr ( [9 Unheated Basement State Surcharge fee: (�-- 560 Other Unheated /-- Pot Water Review fee: Garage/Carport (la SUBTOTAL /�� , ( Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: b6. -°\(tO _ _ ___.._Cash/Cheek Ntur> er: -4\�7. ESTIMATED COST(REQUIRED) Date: 1 a 1 ` Op Fair market and materials foundation to�. — \ 025,.... — /�J 6 cro Initials: J D:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc J6—.1 ;EVELOPMENT Yi ubTs1»LY �a40...10NPJaPIJ .Lquy BrBLBb dM ON35NM01. Od *MB-bLE xoA ObOB-W. (09E) B9EB6 VII[K r MI 12/0d OC AdMH91H 6LIL 13�fl5 NO 1AV161L �'I �0 /�f 1'd1SDM N 3 �"d'S1311H ?�d CA 01 o ' 9S9 ClN1-01�! 9NiM N2H�1_I1 /WOOS NIA LOd3JN3016321 T o T 1 i , \ 1 / f. 8 e_8 iii Ira O o-,vc O ra d 9 0 m & I o gg . 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CO w m A PRIVATE RED DENGE FOR J M WESTALL � MARY GEORGIA 5155 HIGHWAY 20, PORT TOWNSEND, WA 'a8368 - TAX PARCEL #1011-12001 360-37ci-1314 (BILL IR\/INE PROJECT MANAGER) PROJECT DATA: NEW PRIVATE RE5IDENGE ZONING: RR 1-5 LEGAL DESGRIPTION: 5ECTION 11, TOWN5HIP 2g RANGE I N, PARCEL 1 OF 5URVEY (VOLUMN 13/ PAGE 130) TH15 PROJECT SHALL COMPLY WITH THE FOLLOWING CODES: 2005 I.R.G., 2005 WSEG, 2005 VIAO BUILDING FLOOR AREA FINISHED 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: 1110 sq. ft. GUEST WING: 2,1110 sq. Ft. TOTAL FINISHED HEATED SPACE: 10,223 sq. ft COVERED PORCHES: 5,000 sq. ft LOT GOVERAGE: LOT: 243,g36 5q. ft. LIVING ROOM/ KITCHEN WINO FOOTPRINT: 2,442 sq. ft. MEDIA ROOM WING FOOTPRINT: 1,188 sq ft. OFFICE WING FOOTPRINT: 854 5q. ft. BEDROOM WING FOOTPRINT: 1,111 sq. ft. GUEST WING FOOTPRINT: 880 sq. ft. TOTAL FOOTPRINT: 1,083 sq. ft. TOT -AL COVERED DEGK5: 2,120 sq. Ft. TOTAL LOT COVERAGE: 16,286 sq. ft. OR 6.68% 5/8" DIAM. REBAI' WITH PLASTIC, SURVEY GAP MARKED "NTI BROWN L5 '8014" N 410II'04" E 5 88°455' E 0.42'-----;'-45.11 IMPERVIOUS SURFACES: LOT: 243,g36 sq. Ft. LIVING ROOM/ KITCHEN WING ROOFPRINT: 2,612 sq. Ft MEDIA ROOM WINO ROOFPRINT: [,III 5q. ft. OFFICE WING ROOFPRINT: g62 sq. ft. BEDROOM WING ROOFPRINT: 1,260 sq. ft. GUEST WING ROOFPRINT: 1,008 sq. ft. COVERED WALKHAY5/DEGK5: 2,120 sq. ft, UNCOVERED WALKWAYS: 1,846 sq. ft. PARKING: 1,6611 sq. Ft. DRIVEWAY: 15,150 sq. Ft. TOTAL IMPERVIOUS SURFACES: 28,655 sq. ft. OR 11.5% 7e v� 1250 SEP GALLON r1250 GALLON F4 SEPTIC TANK / �, GHA / .11", 4° ADJACENT PROPERTY 12.5 ACRES TAX PARGEL # 901-111-001 5 88048'54" E lgg.14' 154.1- ---.-- 5 NEW t�LENDON BIOFIL R DRAINFIELDS: MoDULEFI P/ MODULE 2� I "W 50H 40 PVC, TRANSFO PIPE HITH 1"If THREADED tih° MODULE G" GAP GLEANO TS UNDERM� C HOPE d0)T5 'VERY 100'. ;LE / MOD: � PARCEL I I '..E :S 5.6 ACRES I i MOD', F E VOL. 13 OF SURVEY? P6. 130 � ' - ,. p / TAX PARCEL # 901-' `'2-001 - % 20% -- OVULE I MEDIA WI W zso �I - _ - OVULE 8 < L/ I Iyfi 1 F05ED HATER MODULE INE 10' OR MORE ----- r t..Li / / r / J ROM ALL SEPTIC -N �� / SYSTEM PARTS5-1 15% / 5/8" DIAM. REBAR N 8g4.11' / 5/8 DIAM.C-AR)HITH PLASTIC ---------- \�� / /� 5URVEY MARKED "NTI HORD,K 5 56825" R 5/W DIAM. REBAR ITH TIG�SV�VE1` - �/ v I 1 1 GAP MARKED "NT� PI,ASA 1,8,���6"� ASSUMED ELEV. qF 2 20 X40 HELL, E5P T. \ 2 EX15TINO HELL5 06 / ADJACENT PROPERTY: PARCEL 2 VOL. 15 OF SURVEYS, PG. 150 / hL>> MMIXX.i ulSir'"I. UTILITY VWXvIltr BAY J� VICINITY MAP N.T.5. 300 BEM STATE RdRE 30 PORE Tn"eo, M CONSTRUCTION ACCESS ROUTE FROM UP 5LOPE/51DE SLOPE OF DRAINFIELDS NORTH - ------------------ / DEC 1 l.. Y r^ � jEVELOPMENI NORTH _ APPROVED SITE PLAN 12101106 ISSAPEREV DATE DETE o 0T. OF O 1 �'P OPM NT J1UpM t V 0.L: INDEX TO DRAWIN05 I. PROJECT INFORMATION, SITE PLAN AND INDEX 2. BUILDING LOCATION PLAN 3. SHEAR WALL AND HEADER SCHEDULE, TYPICAL DETAILS 4. TYPGAL WINDOW AND DOOR DETAILS 5. BUILDING DETAILS 6. BUILDING DETAILS 1. BUILDING DETAILS 8. LIVING ROOM/KITCHEN WING FIRST FLOOR PLAN I. LIVING ROOM/KITCHEN WING SECOND FLOOR PLAN 10. LIVING ROOM/KITCHEN WINO FOUNDATION PLAN 11. LIVING ROOM/KITCHEN WINO FRAMING PLAN 12. LIVING ROOM/KITCHEN WING SECTIONS 15. LIVING ROOM/KITCHEN/GUEST WING NORTH 4 SOUTH 14. LIVING ROOM/KITCHEN/GUEST WING WEST ELEVATIONS 15. LIVING ROOM/KITCHEN/GUE5T WING SOUTH 4 EAST ELEVATIONS 16. MEDIA WINO FLOOR PLAN 11. MEDIA WING FOUNDATION PLAN 18. MEDIA WING FRAMING PLAN 11. MEDIA WINO ELEVATIONS 4 SECTION 20. OFFICE WING FLOOR PLANS 4 5EGTION 21. OFFICE WING FOUNDATION, FRAMING PLAN 22. OFFICE WING ELEVATIONS 25. BEDROOM WING FLOOR PLAN5 24. BEDROOM WINO FOUNDATION, FRAMING AND SECTION 25. BEDROOM WING ELEVATIONS 26. GUEST WING FIRST AND SECOND FLOOR PLANS 21. GUEST WING BASEMENT PLAN AND FOUNDATION PLAN 25. GUEST WING BASEMENT FRAMING PLANS NOTE TO OWNERS, GONTRAGTOR5 AND BUILDING OFFICIALS: 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 CONTACT THE ARCHITECT IMMEDIATELY. 2. THESE PLANS CONTAIN THE MAJORITY OF THE INFORMATION REQUIRED TO BUILD THE STRUCTURE 5HOWN ON THE PLANS. HOWEVER, IT 15 NOT POSSIBLE TO ANTICIPATE EVERY PIECE OF INFORMATION NEEDED FOR CONSTRUCTION. THE ARCHITECTS HAVE MADE A GOOD FAITH EFFORT TO STRIKE A FEA50NABLE BALANCE BETWEEN PROVISION OF INFORMATION AND G05T OF THE PLAN5. THE PLANS WILL INEVITABLY CONTAIN MINOR DISCREPANCIES AND AREAS LACKING IN SPECIFIC, INFORMATION. DURING THE COURSE OF GON5TRUGTION, A5 THESE AREAS EMERGE, THEY WILL REQUIRE ATTENTION AND RESOLUTION. THE BEST RE50LUTION OF I55UE5 OF THIS TYPE 15 MOST OFTEN ACHIEVED THROUGH A JOINT DECISION MAKING PROGE55 INVOLVING THE ONNER5, ARCHITECT AND GONTRAGTOR(5). STRUGTURAL OBSERVATION GROGRAM I. THE ENGINEER OR ARCHITECT RESPONSIBLE FOR THE STRUVURAL OBSERVATION, THE GONTRAGTOR 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 5TRUCTURAL OBSERVATION SHALL SUBMIT REPORTS TO BOTH THE COUNTY OF JEFFER50N AND THE STRUCTURAL DESIGN ENGINEER. EXGERPTS FROM TABLE 1704.4 REQUIRED VERIFICATION AND INSPECTION OF CONCRETE 6ON51-URCT10N VERIFICATION AND INSPECTION CONTINUOUS PERIODIC 4. VERIFYING USE OF REQUIRED _ X DE51GN MIX 5, AT THE TIME FRESH CONCRETE IS SAMPLED X _ TO FABRICATE SPECIMENS FOR STRENGTH TE5T5,PERFORM SLUMP AND AIR CONTENT TESTS, AND DETERMINE THE TEMPERATURE OF THE CONCRETE. 6. INSPECTION OF CONCRETE x _ PLACEMENT FOR PROPER APPLICATION TEGHNIQUE5. 1. INSPECTION FOR MAINTENANGE OF _ x SPECIFIED CURING TEMPERATURE AND TEGHNIOUE5. DRAWN BY: DPK DATE: I2/01 /O6 SCALE: 1" = 50'-0" E N yI J W{ �) F Q IILLII 3 O lL s V LLA I.L { Ul iLI O 6 v� Q�r� I -moo a -LD! �< o t-- IL t� E LLI ffl LN z L w v Q w Q C T w z LH II to O o� I If - LH SHEET: or- 2 �5 5HEET5