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BLD2007-00150
• BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-00150 Received Date: 4/9/2007 SITE ADDRESS: 102 DENA LN Issue Date 6/6/2007 CHIMACUM, 98325 Expiration Date 6/6/2008 OWNER: BISHOP LOGGING COMPANY PHONE: 360-301-1979 371 BISHOP HILL RD CHIMACUM WA 983259709 BISHOP HEIGHTS DIV II SUBDIVISION: Block: Lot: PARCEL NUMBER: 933500012 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2009 PROJECT DESCRIPTION: NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,404 VALUATION 107,492.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 672 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,038.55 LYK 04/09/07 89697 Exist: 0 Exist: 0 Plan Check $675.06 LYK 04/09/07 89697 Prop: 2 Prop: 2 State Building Code $4.50 LYK 04/09/07 89697 Total: 2 Total: 2 Potable Water Application $58.00 LYK 04/09/07 89697 Total: $1,776.11 Directions to Site: SEE DIRECTIONS & MAP IN FILE 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 07- BUILDING PERMIT APPLICAT!N MRL Review Ty 177 ype Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00150 Received Date: 4/9/2007 SITE ADDRESS: 102 DENA LN CHIMACUM, 98325 OWNER: BISHOP LOGGING COMPANY PHONE: 360-301-1979 371 BISHOP HILL RD CHIMACUM WA 983259709 BISHOP HEIGHTS DIV II SUBDIVISION: Block: Lot: 12 PARCEL NUMBER: 933500012 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979 371 BISHOP HILL RD CHIMACUM WA 98325 Contractor's License BISHOBC093D6 Expires 1/11/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI, NSFR W/ ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,404 VALUATION 107,492.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: Cc TYPE: 5N GARAGE: 672 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total:.____ Routing Date: C -� q\cn Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,038.55 LYK 04/09/07 89697 APPROVED ,rCD Plan Check $675.06 LYK 04/09/07 89697 State Building Code $4.50 LYK 04/09/07 89697 SUN (p 2007 Potable Water Application $58.00 LYK 04/09/07 89697 Total: $1,776.11 Jefferson County Planning & Building Department . is!ONc �w O6, JEFFERSOUNTY �; 1' It W y,,, A DEPARTMENT OF COMMUNITY DEVELOPMENT 11�� IN c! i' "\ ` ' 621 Sheridan Street • Port Townsend • Washington 98368 �y 360/379-4450 . 360/379-4451 Fax qS,IiiNOO www.co.jefferson.wa.us/commdevelopment APR O 9 2 Master Permit Application MLA:MaLL Mall dill Project Description (include separate sheets as necessary): Tax Parcel Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 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 ❑ Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 application- at he or she v,,ants prior notice. Signature: Z- c-« Date: 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-transferable sponsibility for adherin to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: �,�� 7 Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc Jefferson County Building Divon Permit Numb. BLD07-00150 Applicant: BISHOP LOGGING COMPANY BUILDING PERMIT INSPECTION APPROVALS kpplicable 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 '177 Erosion Control Foundation Footing Footing Drains Foundation Stem Wall '1`L-©'7 Underground Plumbing Under Floor Framing 7//DfG7 64_ Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 9`"t-/- 07 Framing ? 2`x-- o� Blocking Airseal q- yso 7 Insulation:Walls Insulation: Floors Insulation: Ceiling 9 Javt� Int. Shear Wall Nailing Wallboard Nailing c - w'C-oriv Gas Line: Interior V:--y_© Gas Line: Exterior "2-ri,07 Propane Tank Heat/Chimney Clearance 5 out_ t C`R` , Drywell/Alt Drainage Address Posted FINAL INSPECTION .0-21- ? , Nv S' €©►'L CAAN v� i, FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00150 1.) PRIOR TO OCCUPANCY: FINAL APPROVAL OF SEPTIC SEP06-307 IS REQUIRED. 2.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 3.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK& PUMP CHAMBER. 4.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 5.) The project shall adhere to the Best Management Practices (BMPs) 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. 6.) The applicant is proposing to create or add 4,400 square feet of impervious surface and 4,200 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) A Medium Stormwater Plan 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 and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. 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. 8.) 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). 9.) The site plan as submitted with the building application on April 9, 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 June 6, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a new single family residence with attached 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to excee5 feet. ... „ • IF CO v IF 1 IR_....A , -of ��i olv c0, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT A / 0 9 20117 621 Sheridan Street• Port Townsend•Washington 9n 360/379-4450• 360/379-4451 Fax 4q www.co.jefferson.wa.us/commdevelopment EfFEllmit....„) )� F111IN` dElp Master Permit Application MLA: Cu - IT!7 Project Description(include separate sheets as necessary): Nei*" Con3 f''u c/sev A 44.-1/4 el.-el 5a ra t _ Tax Parcel Q2 Property Number: / J35Q0©/ Size: � ,r' (f c; S (acres/square feet) Site Address and/or Directions to Property: /Da ,Dena ,4W, i/4,maGG�" k/�. Property Owner(s)of Record: ,/g,,s-X+J/1 5,-a I 1 r.� co,..x l Telephone: ,.n0 .3a/ / 9 "7 Fax: 36O-- )3a-ii'J'f,S email: Mailing Address: ,3 / 8rsfi� , /I/ /Q�, C /- ut c o or- dv-/7 Applicant/Agent(if different from o ner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) wilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Gngle Fa II ODiscretionary"D"or Unnamed Use Classification Iarage ch Detached OSpecial Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment El El Commercial*ular °Short Plat** °Binding Site Plan** 0 Change of Use ❑Long Plat** Q Address i Road Approach []Planned Rural Residential Development(PRRD)/Amendments-* El Propane OPlat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑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 [Wireless 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 attomey'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 applicati that he or s wants prior y c�-O _ Signature: it--' Date: / ! 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-transfera responsibility forty adhering and complying with the ESA. The Applicant has read this disclaimef and signs and dates it below. Signature: c Date: `"— 7—O 7 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: f..s1:a, 8co/1tt.s C"rt.V (30)32 1979 (36 2�.2- ' J AILING ADDRESS: 3 7( i34.5 c," lit/ fell, C.4//r ew,ot EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: 513/yO& 0 93 9 C NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: .14 New jE'Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: Bank - 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height:, .75 Individual System ❑ Repair ❑ Masonry 4 SEP Permit# 06— )C1.3o8 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Q Setback: ❑ Private well Two Party Type of Heat: Proposed: .Z ❑Public k7rcei. c ivpe I. Total: 4/4 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: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: C]Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove ❑Cook Stove 0 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 fy�/ q 1(4053. la EH BId App Review: (Og aD 2nd Floor Heated Consistency Review: n 54) Other Heated Base fee: 1• Mezzanine Additional Section: s. Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: 9 2 l' aos___.,.0 Garage/Carport / 7 g- 1 pU SUBTOTAL `' J ), Decks 911/Rd Approach fee: Other TOTAL: $ ,Q Z) Receipt Number: Sgeif)a1 Cash/Check Number: /"t QI`7 ESTIMATED COST(REQUIRED) CEO'7tiq7►6 Date: .Fair market value of all labor and materials foundation-to finish /O 6/ 2OO. Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc XI 17 c. m • 1 , } O. , i C i. o c _ _ . 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