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BLD2006-00685
BUILDING PERMIT APPLICA , N M Review T0655 Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00685 Received Date: 12/4/2006 SITE ADDRESS: 161 WAWA POINT RD BRINNON, 98320 OWNER: CHRISTOPHE J LOWE PHONE: 425-957-7702 KIM H LOWE 16053 SE 63RD ST BELLEVUE WA 98006-5661 SUBDIVISION: Block: Lot: TX341 PARCEL NUMBER: 602242009 Section: 24 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE REPRESENTATIVE: HENRY M SOUZA PHONE: DESIGNS BY SOUZA INC 164 SWANSON PROJECT DESCRIPTIOr ADDITION AND REMODEL REMOVING ONE BEDROOM AND ADDING TWO BEDROOMS AND ONE BATH ,, il¢.c�CS IO-15-a1 CANi+ Fvr ic£) `1 4' Iccc-r TYPE OF WORK RES ' ` u SQUARE FOOTAGE: i FZC c 1 TYPE OF IMP ADD MAIN: 684 efvi� On- Ackc r�� Zr)1 ii(Cr W(i Alrl C{� VALUATION 50,000.00 ADD'L: +d(T HEAT TYPE: WOD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GAR AGE: ?a5 SETBACK: 25 DECBANK HEIGHT: 20 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: -1 Exist: 1 Prop: 2 Prop: 1 Total: 2 Total: 2 Routing Date: I a)5 ) -f ' Type Amount Paid By: Date: Receipt: Approved/Date Permit $643.75 KAS 12/04/06 86916 Plan Check $418.44 KAS 12/04/06 86916 State Building Code $4.50 KAS 12/04/06 86916 Potable Water Application $0.00 KAS 12/05/06 Total: $1,066.69 • BUILDING PERMIT Jefferson Co Department Port Townsend,ItWADevelopment 621 Sheridan (360)379-4450 FAX (360)379-4451 Received Date 12/4/2006 PERMIT #: BLD06-00685 Issue Date 01/12I2007 SITE ADDRESS: 161 WAWA POINT RD BRINNON, 98320 CHRISTOPHE J LOWE PHONE: 425-957-7702 APPLICANT: KIM H LOWE 16053 SE 63RD ST BELLEVUE WA 98006-5661 Lot: TX34� Block: SUBDIVISION: Section: 24 Township: 26 N Range: 02 W PARCEL NUMBER: 602242009 PHONE: CONTRACTOR: OWNER/BUILDER CA Furnace, 10-15-o'T &,rtstcn - DDt PROJECT DESCRIPTION: ADDITION AND REMODEL REMOVING ONE BE,DROONI AND ADDINGr TWO BEDROOMS AND ONE BATH t CALL IN FOR THE REQUIRED INSPECTIO SHAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: ) Footing: Ole' � ''�' le Foundation: i 5T7 CCTV 1 Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: V1 Framing: Plumbing: Propane Tank/ Lines: 1. Insulation: Sheetrock: —, ' Septic Sytem Final pproval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/ Occupancy Approval: TO HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR FINAL RENEWED PECTIC THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY BUILDING INSPECTION HOT-LINE 379-4455.CALL s 9200 a mR 4IN ADVANCE TO SCHEDULE INSPECTIC Office m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE REVERSE i SPECIAL CONDITIONS FOR CASE A BLD06-00685 1.) 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. 2.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of 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. 9.) Minimum setbcak from Wa Wa Point right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum rear setback adjacent to the shoreline bluff shall be 30 ft. • BUILDER STATEMENT The signer of this stateme doe e certify that they are the Owners of the parcel referenced he,—f,that they are not licensed contractors and that they wit,be assum e res nsi I. of th Ge eral Contractor for the proposed project. Signature: Date: /e -( Z-d� GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New El Wood Existing: 1 ❑Sewer Addition ❑ Steel Proposed t Bank ❑Community System 0 Alteration/Remodel El Concrete Total: 2 Height: 0 Individual System ❑ Repair ❑ Masonry 20 SEP Permit# SEP06-00251 ❑ Demolition ❑ Other: Bedrooms: e.,be- Water Supply: Pp Y: Existing: 1 C1iututd Setback: El Private well 0 Two Party Typelif Heat: Proposed: 2 ❑Public iNVOO, L4CTlt,C. Total: 2 25 Name of System: If this is a Commercial Proiect 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: LI Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove ❑Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove Li Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use,Only Amount Revision Main Floor Heated EH Bld App Review: 5 L}t+(0: .5a (o5.r _ 2 °Floor Heated O 0 Consistency Review: 1 Other Heated !� �� �/ 0 0 Base fee: (01/�J.. 1-15 St.CD Mezzanine Additional Section: Heated Basement o 0 je ; -1 5 4 tL n 0 ) ; heck fee: 4/8,41-11 Unheated Basement 0 0 -- ,t ;. State Surcharge fee: .. .,,,, 5 Other Unheated 0 0 Pot Water Review fee: ClD•bD Garage/Carport 0 0 �'."{ xl` li SUBTOTAL ## r�� Decks t Lowe( 150 150s1w t 911/Rd Approach fee: G L Other �.pp lJl $so.. Cf� 9t. � l4TOTAL: i U`F. lat 5� 1 �. Receipt Number: '(PI I co 413141 D, ,ter Cash/Check Number: i1�6� l$Ogs E REQUIRED) .5 Uw Date: .Fair market value of all labor an materials foundation toltnish 1,2 4- Die 10 45-07 $50,000 �- da Initials: Ve,v t e crn"1 b ' A dwlA arcip L.ovat - cite - Adcen- c p A..Deetc. ) BUILDER STATEMENT this statem e. certify that they are the Owners of the parcel referenced here' that they are not licensed contractors and that •assum'•- �° lo th Ge eral Contractor for the proposed project D di. ure: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New O Wood Existing: 1 ❑Sewer O Addition ❑ Steel Proposed: i Bank 0 Community System O Alteration/Remodel 0 Concrete Total: 2 Height: 0 Individual System ❑ Repair IDMasonry 20 SEP Permit# SEP06.00251 ❑ Demolition El Other: Bedrooms: to be, Water Supply: ute Existing: 1 et,A a ) Setback: p Private well 0 Two Party Type pf Heat: Proposed: 2 zs ❑Public WOOD.�, L;(j,L Total: 2 Name of System: If this is a Commercial Project you must answer the following: . Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: WII you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 0Underground Tank 0 Above ground Tank Size of Propane Tank: O Heat Stove 0 Cook Stove ❑Woodstove OFireplace Insert d Hot Water Tank d Pellet Stove j 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 Onl Amount Revisiop el Main Floor Heated EH Bid App Review: / I i'20-C�i �V i�l t.u 2"°Floor Heated u515 t,45 4 LI4 C05-1. consistency Revie (05.co ^[V�•��;:L p I I�elo7 Other Heated Base fee: hFc (t 1=-ali 0 0 1' (o�'J_"15 51 °p 10 ,'° Mezzanine 0 ° F r AddtttSnal Section: �R IS ( �1 I� „Kr, Heated Basement £, k fee: - , ° ° VT) 41 8.41.1. I ,`- Unheated Basement ° 0 r ;,,, State Surcharge fee: a-w SD Other Unheated 0 0 Pot Water Review fee: CID•OD Garage/Carport 0 0 rr i? y SUBTOTAL !a$ ' r Decks L. .e! 150 150+1(e 11/Rd Approach fee: ?Q c7r DI q .y:�a -try.t Other axO- CVO v`ao4 !, `TOTAL $ a `�.�p� rJ1 00 mac_ ' Receipt Number: 8( 9 I C q 31..j l a C1/5 2 >Cj ' �� i CashlCheck Number: r I-IC) , )SO85 `A3 1 E Un ED) , j t Date: `11 I,L�10;0 (0 15�7 1.1.2 C'-Cfl .Fair market value o all labor an materials foundation to ish $50,000 1�-r ba Initials: 0 r --If V.o.vitaen1(o'Addlid,tfM4,I-sx.at•r _- 9le- ALtd-O cn-r, k.tecic- • 0 10.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) A minimum of two (2) on-site parking spaces are required for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 (Af'1,044?"Stw cad, JEFFERSP` COUNTY ' DEPARTM . OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend • Washington 98368 1$ �y 360/379-4450 • 360/379/-4451 Fax p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0(0-•(p 53 Project Description(include separate heets as necessa : IS e VL'k.iJ c:t f 7-7`--- .. CL i u-C' 14- -. ti .:ACCE'iliA5 Outs Oqc Lvd-Iii . Tax Parcel Property Number: 602242009 Size: 2.8 acres (acres/square feet) Site Address and/or Directions to Property: 161 WaWa Pt. Rd Property Owner(s)of Record: Chris Lowe,Kim Hoang Telephone:425-957-7702 Fax: email: cjl_somerset@hotmail.com Mailing Address: 16053 SE 63rd St, Bellevue,WA 98006 Applicant/Agent(if different from owner): Henry Souza Telephone: 360-379-8338 Fax: 360-379-1327 email: henry©designsbysouza.com Mailing Address: 164 Swanson Ave,Port Townsend,WA 98368 What kind of Permit?(Check each box that applies) (]Building 1 Variance(Minor, Major or Reasonable Economic Use) i Demolition Permit *t < ❑Conditional Use[C(a), C(d), or V �p Single Family ❑Discretionary"D"or Unnamed _ I +fi t30 :4 if yii ❑.Garage Attached/Detached ❑Special Use(Essential Public Facilities)** Ell Manufactured Home C)Boundary Line Adjustment ES Modular LlShort Plat** Commercial* (°Binding Site Plan** I Ell.Change of Use ❑Long Plat** 0 .1 Road Approach C5 Planned Rural Residential Dev lloklept:(P139D Ondnf is*' Propane ❑Plat Vacation/Alteration** - • t' 0 i 1 iU(j 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 Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment EWireless Telecommunication* LiJefferson 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 herebydesignate Henry Souza 9 � to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: I d - 1 `'f._r(9 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of his, her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspect ns. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application th e,or e a prior notice. Signature: 0 --( Z ©/'Date: I �O 1 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not 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 complia e ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable pops f r h i and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: — Date: / 0 —( z.-,Z _ p i; z i— is I ri i if ; 1R14.,;(s wg r ,JE hire..! ! •I��I ii f)( j 6 vi d r� §4 ,; ,_._..a®li x �+ 114- — — ——it , r -1 1 $ it r-14-1 !",..V 1 / WW i < O I ii �I 4 0 0 it RI .. Or' $ $$ 1 q $ ,,i --� F i .. 41 i . .' '' 46,46 -- l _ —..-.- I 4•-0" ` 4,0" 4 li ,� i9•. � 1.42 2,6' II'-ID' 4- D6•-II' / ! f ' 41•-E ' s by:Steum k& LOWE ADDITION 164 Swanson Ave Pod Townsend,Washington 98368 161 WA WA POINT Voice(360)379-8338 Fax(360)379-19136 henryGdesignsoysouza,com Brinnon,Washington 98320 �04.6' PROPERTY LINE D \ , lllT, r --I i En m / o � / I ° > / z I I � I I / AX 1 I \ ri-i-C)-( i 4 � — I /4' -\; rn I / I '�'� I i I rn (Jl i I -6 �(" X �1 N �t -rni O \ rtt r�r't \ i I D d Fri CU rn i ` . I _ I .� L == c� ..,. , v 0 rI I G - -- - - r\ 10' MIN. o z C` e — ` lig-?s3 ,.._ rnC .7..z.„. g e= y N r—y C — _ - - IN i m IQ r -0 u rri,iz II o� il r Ili ! 41, r� I rn J r3 r » pzD I zrn n irad xi x �,y \ 8 66 N i I > .'-,1 1 iPt Z 'c� c� Cr1 V" ; I r y 4,� C '' I I cn r z Co �d -0 1 r r �o r x I I - 0 , d H II 133 la rni n \ 92 Iii N �n r > 0 urn D0 is cst GOo 7\3?-`51' F1130 >(-7 zrn\J s j,i7,.x ::_, r\, 00 X) o c5' rn � OQ 0o G. 3 �a / I „ ul ca- , ___.-__:j CI) rn (c' IF—H. i --i./ > 'gill- � O11 Ii: G - I 0vawom ' rni gb -, - ".-rNi III lis ct.,...;; X 0 ‘CV r-T-, N Z -_I x Cm\ c9 :. ,•' + 7 Orn p D :; 1) S z . 71 p mow' ` ` : � s� LOWS ADDITION \C-k*". 4"1": q ...._. ^ m2, CI i 164 Swanson Ave Port Townsend,Washington 68398 Voles(380)3794338 Fax(360)379.9136 henry6deegnabyeouza.com +4,.' 161 WA WA POINT -. ..MI Brinnon,Washington 98320 4