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BLD2007-00397
tUILDING PERMIT APPLICA.JN MLA07-00412 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00397 Received Date: 7/19/2007 SITE ADDRESS: 35 MC DONALD COVE RD BRINNON, 98320 OWNER: RICHARD H BUMGARNER PHONE: 360-796-4769 PO BOX 474 BRINNON WA 983200474 SUBDIVISION: PARCEL NUMBER: 502282005 Section: 28 Township: 2 Block:5 N Range: 02 W t: 1 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE PROJECT DESCRIPTIOt NEW ADDITION & REMODEL -ADDING 1 BEDROOM & 1 BATHROOM IN ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 75,000.00 MAIN: 681 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE HEAT BASE: HEAT TYPE: OCCUPANCY: R_3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: 570 CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 1 Prop: 1 Total: 2 Total: 2 Routing Date:M /c / I 7 75 Type Amount Paid By: Date: Receipt: Approved/Date Permit $818.75 CJZ 07/19/07 91434 State Building Code $4.50 CJZ 07/19/07 91434 APPROVED Plan Check $532.19 CJZ 07/19/07 91434 Total: $1,355.44 AUG I 2007 Jefferson County planning &Building Department • FLiferson County Building Division Permit Number: BLD07-00397 Applicant: BUMGARNER BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 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 /62 —/C—D Footing Drains ' ( Foundation Stem Wall Under Floor Framing ((_tci_07 ()L. k(AAVIC. Av1-cik 04.0C1165 Fuodit • Straps(hold downs) 3�146Ext. Shear Wall Nailing 7og Rough-in Plumbing "*C 9.. Framing Nig/, Airseal /6 Dh Insulation:Walls I-t,i Insulation: Floors Ate ' Insulation: Ceiling �, � Int. Shear Wall Nailing Ra Wallboard Nailing 4/1,9108 011well[AltDraiRage. �9 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# :BLD07-00397 1.) A MINIMUM OF 2' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION DECK FOUNDATION/PIER BLOCKS AND EDGE OF TRANSPORT/SEWER LINE. 2.) A MINIMUM OF 2' MUST BE MAINTAINED BETWEEN DECK FOUNDATION/PIER BLOCKS AND EDGE OF SEPTIC TANK AND PUMP CHAMBER. 3.) REASONABLE ACCESS SHALL BE PROVIDED TO SEPTIC TANK AND PUMP CHAMBER. 4.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on August 30, 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: conservancy shoreline designtion; eagle; SUSC aquifer recharge area; coastal SIPZ. 6.) 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. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) 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. 9.) 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. 10.) 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. 11.) 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. 12.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 13.) The applicant is proposing to cre or add 681 square feet of impervious surfOand 1081 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. 14.) 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. 15.) 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). 16.) The site plan as submitted with the building permit application on July 18, 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 August 30, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 17.) This approval is for an addition of bathroom and bedroom to an existing single family residence and shoreline exemption 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. 18.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 20.) 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. 21.) The building height is not to exceed 35 feet. 22.) 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. 23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 24.) 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. 25.) 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. 26.) Minimum setback from McDonald Cove Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be 50 feet. 27.) An address of 35 McDonald Cove Road, Brinnon has been assigned to the parcel. McDonald Cove Road is private (P100). 28.) A building permit(BLD02-0253) for a bathroom remodel was finaled on August 22, 2002. A building permit (BLD05-0486) for a detached garage was finaled on October 19, 2006. A septic permit(SEP73-0027) was finaled on June 28, 1973 and is now filed with SEP05-0035 that was finaled on September 25, 2006. A shoreline permit exemption (SDP07-0058) will be issued with BLD07-0397. 29.) The parcel is served by a commey water system. • 30.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by WDFW on September 14, 2305 and applicant on September 18, 2005. /*:.:'' �r`-.70.ttf r,,.: I/*:. " � JEFFERS N COUNTY ----- - -.---------,r.:: — / -,, AN DEPARTMENT OF COMMUNITY DEVELOPMENT I �11 f' 621 Sheridan Street• Port Townsend •Washington 98368 i `,�lrA r;i�'��'"u ,, f 360/379-4450• 360/379-4451 Fax ,NO,�t,7� www.cojefferson.wa.us/commdeveloOftnt 1 8 2007 Master Permit Application - --� JLINTY MLA: Project Description(include separate sheets as necessary): 0- s� A-de t > ,� �.E�iylf k ( P /(Ia�� 1be(it�L. ,,,,�� tba� / i>I4fi/"� Tax Parcel Property Number: 50 7_7_ d L 0 D s Size: O ©/,Ss Ay>;S (acres/square feet) Site Address and/or Directions to Property: 77e )7 /c, of o f W 1y/o l 3/;O!>'tL So cJ f 35ItwCDoxald e'rv__) 73}^Dinan trli4,V 5t)J turyi /CJ,✓ It Dr'vct&s y I'iRe, Property Owners)of Record: Z'ic- G jL L.y sly? Bi m&ar),ef^ Telephone: (3 (Q o) 7 9 b—'-t 7 4ej Fax: email: Mailing Address: P(5 13 o% 4-n q , gr,n,„..e->h L4)cx.., 1 1(3 Zv Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies uilding ❑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 0 Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** El Stormwater Management El Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 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 oror federal permits required for this proposal, if known: Raid 6 o-1G 1°1 ( # ) J ?GC17 Se 1?2a0 -t10-2, ` 6P/A,,, 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. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap icatio th he or she wants prior no ice Signature: Date: 7_' ` C —07 The action or actions Applicant will undertake as a result of the issuance oft isipermit 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-trap r�e�sibility for adhering to and co with tSA. The Applicant has read this disclaimer and signs and dates it below. Signature: J f L� J � Date: "7-'1 g•� 0 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc AMIt= BUILDER STATEMENT The signer of this statement does hereby certify that they are theor for Ownersp of ro the posed parcelpro ject.referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contract the Signature: 44,Qpte: 7— j 1s —Q 7 GENERAL CONTRACTOR OR MANUFACTURED HOME IN ALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE MAILING ADDRESS: ( ) FAX:( ) EMAIL Project Type: Frame Type: Bathrooms: u New Shoreline: Type of Sewage Disposal: Wood Existing: i LI Sewer Addition L1 Steel Proposed: / Bank Alteration/Remodel Li Concrete Total: Communitya Systemm Li Repair LI Masonry ti Height: Individual SEP Permit#StP DS-00O3$ II Demolition U Other: Bedrooms: 1 /! Water Supply: Existing: / Setback: Type of}feat: Proposed J Private well U Two Party t�lG L �ltltXJ Total: 2 9 0 1 J Public COWth l&ftel y Caek Name of System:eiv, J�axa,/,( /C4 f dI be i�,s�1e�Sc/ra�.y��' tva-� S ys�e� 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 Ty pe 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 In Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove ❑Woodstove ID Fireplace Insert IJ Hot Water Tank 0 Pellet Stove ❑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 E_ 76, g f 1 I C`� ('r� H Bld App Review: 2"°Floor Heated ConsistencyReview: Other Heated Z.- a '5-3 Base fee: Jii 3 Mezzanine 1 Additional Sections Heated Basement shi5(et{net Plan Check fee: Z. 19 Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport 1-5 1 SUBTOTAL I t Q1 3 Decks [ C 911/Rd Approach fee: _I O Other C� 3�Q' '7 �x ISilf.r 2 c' c) � TOTAL: $ Receipt Number: 9 Cash/Check Number: ESTIMATE OSTIREQU1REJj) tt 1 -, Date: ' V arket value of all labor and mate�a(' s foundation to finish I r-1 ('' LC`- I 71/ill 07 >�'C% I �< nitials: — J vcyre s•� /aft- w 1 qet��- Jrft C:\Documents and Settings\care]\Local Settings\Temporary Internet Files\QLK86\Master Permit Application 12-19-200f.doc 1' oUNTY L i DtVELOPMENT • li- VI cA --I 0 c0-c(il2t:)), ' 0.,)., V1(i1 0_._1-).., (-&ot-'-_‘-',_-: oo o F' � F �' s 1 c o 1 fi U / ~'` ►_ , /\ R F______,. v3 � i v) X 4 ,, ui 6- -NI t3 . i c) 1 t, , . , _ , ..,.+,,, --„ o x- C 11. 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