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BLD2007-00255
JILDING PERMIT APPLICA1N MLA07-00273 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00255 Received Date: 5/24/2007 SITE ADDRESS: 1210 PROSPECT AVE PORT TOWNSEND, 98368 OWNER: ANTHONY BUERNER PHONE: 360-379-8945 NANCY BUERNER 1210 PROSPECT AVE PORT TOWNSEND WA 983682614 IRONDALE SUBDIVISION: Block: 149 Lot: 1+ PARCEL NUMBER: 962114901 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: BUERNER CONSTRUCTION PHONE: (360)379-8945 71 E EUGENE ST PORT HADLOCK WA 98339 Contractor's License BUERNCC065J1 Expires 5/3/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ADDITION & REMODEL TO EXISTING SFR (ADD 1 BATHROOM & PROP FIREPLACE) TYPE OF WORK RES SQUARE FOOTAGE: TYPE ADD VALUATION 55,391.00 MAIN: 618 CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 1 Total: 3 Total: 3 Routat� Type Amount Paid By: Date: Receipt: Approved/Date Permit $685.75 LYK 05/24/07 91080 AppRc \/ElD Plan Check $445.74 LYK 05/24/07 91080 State Building Code $4.50 LYK 05/24/07 91080 Total: $1,135.99 JUL 3 2007 Jefferson County Planning & Building Department Jefferson County Building Div lion Permit Num BLD07-00255 Applicant: BUERNER BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that 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 �� Q Underground Plumbing U \ Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 7.is'1 Rough-in Plumbing t, -2o -v`SJ No �-' A A V �t G-fi .z �� s.aiL Framing . C Blocking Airseal G--Za,_as( Insulation:Walls - 1 Ck I Insulation: Floors . J Insulation: Ceiling 7 or Int. Shear Wall Nailing 7 / g Wallboard Nailing 7/2,Lt s c Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION kZ_11_oy'C C J Igor-) 12.i y1agb -Pez)." 14- re/L. 1�� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00255 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 14, 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: SARPA aquifer recharge area; coastal SIPZ. 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) 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. 5.) Marine shorelines and islands are susceptible to a condition that is known as seawater 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. 6.) 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. 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.) 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. 9.) The applicant is proposing to create or add 2427 square feet of impervious surface and 2427 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.) The project shall comply with Col*lction Stormwater Pollution Prevention (SO) 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. 11.) 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). 12.) The site plan as submitted with the building permit applications on May 24, 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 15, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for an addition and remodel to a single family residence 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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. 16.) 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. 17.) 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. 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.) Minimum setback from Prospect Avenue and South Carnegie Avenue rights-of-ways shall be 20 feet. Minimum south and west property setbacks shall be 5 feet. 21.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28,1998. 22.) A Declaration of Easement was recorded on December 5, 2000 under AFN 439307 to establish and create a drainfield easement on parcel 962-114-905 for the benefit of parcel 962-114-901. 23.) An address of 1210 Prospect Avenue, Port Townsend has been assigned to the parcel. Prospect Avenue is a county local access (C680609). 24.) A wet season evaluation (OTH98-0050) was conducted for SEP99-0213 that was finaled on February 3, 2006. A building permit(BLD02-0540) for a single family residence was finaled on February 7, 2006. A road approach permit (RAP02-0223) was finaled on January 10, 2006. A building permit(BLD05-0703) for a propane tank and fire place insert was finaled on December 6, 2005. 25.) The lots were created under the Irondale#6 Subdivision on June 28, 1910 under AFN 30490. 26.) The parcel is served by PUD#1 water. �4>4SpN cps. JEFFERSONWUNTY ((.� -s, • l DEPARTMENT OF COMMUNITY DEVOUPPME{ t\ I � 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax qs, pip www.co.jefferson.wa.us/commdevelopn--Vt SIN Master Permit Applicationv. LA: Crl -c-q 73 Project Description (include sepprate sh ets as necessary): Tax Parcel Property // Number: �e v, //y 0 ( Size: / (?102 OCR (asfee/square feet) Site Address and/or Directions to Property:`` Property Owner(s)of Record: R is Z' , l,a4'tGc 6ite- ✓1'teia-_ Telephone: -� O • -3 Jam'/-yc.</� /J Fax: /�4-Rx' email:.44,G64" ,& MailingAddress: I /C7 ' i O�m�t P Ct Giro - 7- . ^rvrt Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies KBuilding ❑Variance (Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** 0 Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** 0 Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑ 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 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 applicat' n t he or she wants prior notice n Signature: , 7L 14'tcy /yr-ct>//n-0— Date: .V:4//0 7 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-transfer res sibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:G� ----�� /) 2G{e?/14.GZ Date: J—/:,4q/t77 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER ST 411 ATEMENT 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 ER: PHONE: FAX: `�C/ i' tj 6vctc line/t- (3w) 3 79—y9yS-- ( )L2 , MAILING ADDRESS:If / /0 Y,-.. S.A (i f? 7 , EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: &0/ —I SlQ SS NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: i2 New ,1Q Wood Existing: ❑ Sewer ki Addition ❑ Steel Proposed: / Bank ❑ Community System )K( Alteration/Remodel ❑ Concrete Total: 3 Height: Individual System ❑ Repair ❑ Masonry SEP Permit# `19—CV=03 ❑ Demolition ❑ Other: Bedrooms: 3 Water Supply: Existing: --/ Setback: ❑ Private well ❑ Two Party T e f He t: Proposed: / Public Tyr f Total: 3 a. % Name of System: >''GC D Ifi 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 / Np If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert t. HOT Waler T.nK. 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 For Office Use Only . Amount ' Revision` Main Floor Heated , (o/, ` �j l EH Bid App Review: (PS 2n0 Floor Heated Consistency Review: ' Other Heated Base fee: LL 3575 Mezzanine Additional Section: • Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL (8 Decks 911/Rd Approach fee: EAktsi 1 Other TOTAL: $ ( Receipt Number: 9 1 ow Cash/Check Number: — ESTIMATED COST(REQUIRED) 1 -D Date: •Fair market value of all labor and materials foundation to nrsh a`-lt )U1 . 3 q ooc) Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc Yj'ik G ?' ;.'' >.; & ;:•. ,...:':, J,L=-.?�''+w: rLs ':'tir+i.t, i -�. .{,J•J'w+. R_ -:",,; or 't,r r ;K,� sE^ - ., ,,. .7„r r--, _ �,T4R ,,.. '�i.7 , gi `�� �5 ,{,v 1.:i Nt+-i0 r. r( v '' , r.a 1' �, ry .'�i.,v 5 tt'+ '( ;r�s tt.: T' h YJ"-51-il St 1 nyi R Y .::1,+ ,.,.p,.[, �,; Y., .. :.:i�r ,. '1 I�FiiM J��w�' ��. A ey ��. f. 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