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BLD2007-00128
• • 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 #: BLD07-00128 SITE ADDRESS: 201 STARK RD Issue Date: 05/8/2007 PORT LUDLOW, 98365 Final Date: 6/13/2011 APPLICANT: ROBERT L GARTEN PHONE: 360-437-2852 201 STARK RD PORT LUDLOW WA 98365-9513 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821344023 Section: 34 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NSFR TO REPLACE EXIST M/H & A/G 120 GAL PROP TANK (BLD07-00128) 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 j,to THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/13/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Si ILDING PERMIT APPLICA MLA07-00154 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00128 Received Date: 3/27/2007 SITE ADDRESS: 201 STARK RD PORT LUDLOW, 98365 OWNER: ROBERT L GARTEN PHONE: 360-437-2852 201 STARK RD PORT LUDLOW WA 983659513 SUBDIVISION: Block: Lot: T 65+ PARCEL NUMBER: 821344023 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: HI-LINE HOMES PHONE: 253-840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*981BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR TO REPLACE EXIST M/H & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,716 VALUATION 153,805.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,296.15 LYK 03/27/07 89660 Plan Check $842.50 LYK 03/27/07 89660 AIDIDR %JEIJState Building Code $4.50 LYK 03/27/07 89660 Total: $2,143.15 MAYS 2007 Jefferson County Planning &Building Department Jefferson County Building Digion Permit Num", BLD07-00128 Applicant: GARTEN 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 (/`14 I 41 Underground Plumbing Under Floor Framing 44nx Straps(hold downs) -7VILVt9 / /q Ext. Shear Wall Nailing 715151 1 v / n// Rough-in Plumbing 7 ZsIeI /1/ ii v , Framing61/ OK Blocking ?/25/6 N Airseal 7/ZS/41J aiK Insulation:Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing L_ Wallboard Nailing q Gas Line: Interior 1/24/of Gas Line: Exterior Zh f oPir Propane Tank 7 Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION c- (0--(( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00128 1.) No plumbing has been reviewed or approved for the new detached garage (BLD07-00129) by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 2.) BARRIERS ARE REQUIRED ALONG THE PROPOSED DRIVEWAY PRIOR TO FINAL APPROVAL. CONTACT ENVIRONMENTAL HEALTH FOR INSPECTION. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on May 7, 2007 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: Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1) All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 8.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) The applicant is proposing to create or add 1184 square feet of impervious surface and 5275 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 10.) 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). 11.) The revised site plan as submitted on March 28, 2007 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 May 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a single family residence and a detached garage 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than 2 unlicensed vehicillhall be stored on any lot unless totally s ed from view of neighboring dwellings and rights-of-way. Such screening shall mee 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. 15.) Minimum setback from the edge of SR 104 righto-of-way is 50 ft. Minimum setbcak from the edge ofthe ingress/egress easmenet is 20 ft. Minimum side and rear setbacks are 5 ft. 16.) 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. 17.) 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. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) THE EXISTING MOBILE HOME SHALL BE REMOVED PRIOR TO FINAL INSPECTION. 21.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 22.) A septic permit (SEP89-00155) was finaled on November 11, 1989 for a 2 bedroom system. 23.) Stark Rd (C504309) is a county local access road. The road approach is existing and an address of 201 Stark Rd has been assigned to the parcel. 24.) A minimum of two (2) on-site parking spaces are required for the single family residence. (i)v.- s. ,O< JJEFFERSON LoUNTY i._ • Wri. DEPARTMENT OF COMMUNITY DENIEN ': ; F `' `4 621 Sheridan Street • Port Townsend •l lahington'983 360/379-4450 • 360/379-4451 Fax 1,9, otp� www.co.jefferson.wa.us/commdevelopme 2007 Master Permit Application MLA: 017— I Project Description (include separate sheets as necessary): rl ,'� )) 1 (C Al S FP E-c p y i (v ri- Gr/11 ,a /.V �ro ,,K f c Tax Parcel ' Property Number: , 3 i 3 fig 6-` 3 Size: 22 C t--f,S (acres/square feet) Site Address and/or Directions to Property: 9EJ -S f?k `f?©.9b Property Owner(s)of Record: p h cam.r L. kJ)/Mr'?N Telephone:3(' -if 3 1 —,---.2 G.2-... Fax: email: Mailing Address:a Qi_ .S'l.AP - D ?( L -cdn/j,G(_.' cig t,-'j Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Family 'Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** Propane 0 Planned Rural Residential Development(PRRD)/Amendments** Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *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 rre // 03-66/,2, ° F to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE )C � Lei Date: _ — 1p U ` 7 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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appliicatio5trizr she vy�nts r' r no Signature: I'-- A i ,,.o Date: 3`1/ -d' /y The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transseraab responsibjlity for he i to an complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: �i - f_�'/L?-�1 ✓(ec%�QA Date: —6-0-7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: �Dole-s (5 0 ) 3'7y- / '9y (3co)3.y- '" / MAILING iv,c.z.;,i,t—e DDRESS: / /N1r7L 9 G f B T EMAIL: CONTRACTOR'S LICENSE �I O WAINS NUMBER: re 1471/ Lg rll-rP NUMBER ARCHITECT/ENGINEER: . QJ SuMt,rtA4 PHONE (,cJC )547_900 FAX: ( ) MAILING ADDRESS: PA SC-e iti45// (1 9 Of EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New k Wood Existing: ❑ Sewer ❑ Addition ti Steel Proposed: 'n2 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: ;2 Heig t: Individual System ❑ Repair ❑ Masonry /� 1 SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ ovate well ❑ Two Party Type of Heat: Proposed: Public r/rc> v L Total: VA Name of Syst m: -712 A 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;lave Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i 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 F Ice-U Only Amount Revision Main Floor Heated (� , E Bld App Review: `r '-7) (t) 15- y5 , l c_ 2nd Floor Heated Co sistency Review: __ 1 CSC, Other Heated Base fee: 1,,c l 4` 15 Mezzanine Additional Section: , Heated Basement Plan Check fee: r/^ Unheated Basement State Surcharge fee: )t, `�D Other Unheated Pot Water Review fee: �j iZ pi(A(C1Yit/ti- Garage/Carport SUBTOTAL C Decks 911/Rd Approach fee: Other TOTAL: $a (I--It+\. Receipt Number: (D► 1`) Cash/Check Number: 991010 ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish (C)00 - Initials: l G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc p a� -Aa g ~m 2 S(lt A; 2mvr�p--I g!>; n 54m>vZO i; mWc rn rmmc-n rn'' iCiw OAn' m 'An0 mrn � m m RI57 .' 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