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BLD2007-00411
• I 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 PERMIT #: BLD07-00411 SITE ADDRESS: 1913 DABOB RD Issue Date: 09/11/2007 QUILCENE, 98376 Final Date: 1/26/2009 APPLICANT: ERIC MONROE PHONE: 360-301-5686 CLAUDIA MONROE 1913 DABOB RD QUILCENE WA 98376 SUBDIVISION: NELSON MONROE SHORT PLAT Block: Lot: B+ PARCEL NUMBER: 801213022 Section: 21 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ COVERED DECK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/26/2009 I:\F_BLD_Occupancy.rpt 10/29/19 MLA07-00431 •UILDING PERMIT APPLICA.N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00411 Received Date: 7/25/2007 SITE ADDRESS: 1913 DABOB RD QUILCENE, 98376 OWNER: ERIC MONROE PHONE: 360-301-5686 CLAUDIA MONROE 1743 DABOB RD QUILCENE WA 98376 NELSON MONROE SHORT PLAT SUBDIVISION: Block: Lot: B PARCEL NUMBER: 801213022 Section: 21 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ COVERED DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,408 VALUATION 265,284.00 ADD'L: 1,232 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 1,216 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: ! .0-1 Type Amount Paid By: Date: Receipt: ���vD®��� Permit $1,923.35 LYK 07/25/07 92918 Plan Check $1,250.18 LYK 07/25/07 92918 State Building Code $4.50 LYK 07/25/07 92918 SEP V.\ 2007 Potable Water Application $58.00 LYK 07/25/07 92918 Jefferson County Planning Total: $3,236.03 &Building Department Jefferson County Building Dion Permit Nur.: BLD07-00411 Applicant: MONROE 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 /f,,S'D 7 77-�#'1 Erosion Control q/s/o 4 Foundation Footing do r3� pas Fob VkGL o 411410 5 Footing Drains '/4/08 Foundation Stem Wall a,0.•17-c77 U� v Under Floor Framing Straps(hold downs) /A//Of gcr w/ DR 4/'�Po,p` Ext. Shear Wall Nailing it De jam`",dj OK Rough-in Plumbing T , Nag/ Framing / 5. S Pi Blocking 41/5/es8 Airseal 67/5/r b �''� Insulation:Walls ?fifr Insulation: Floors //)-//O? Insulation:Ceiling �/zikl Int. Shear Wall Nailing ,iA Wallboard Nailing 4NR:A Gas Line: Interior Gas Line: Exterior 10/A Propane Tank N/�A Heat/Chimney Clearance C1 5 08 /' / v Drywell/Alt Drainage p4/.. �9 " /'LNtLl husrALLED /4/449 lie Address Posted 0,/of FINAL INSPECTION I Zv CIC � ety‘+LhOn IZ40 FINAL INSPECTION MUST BE APPROVED PRIOR TO G OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00411 1.) The application was reviewed by the Jefferson County Department of Community Development staff on September 4, 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: Type 5 Stream; Slight Landslide Hazard; Suceptible Aquifer Recharge. 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.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) A Type 4 & 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 50- 100 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 7.) Stream, Wetland and Landslide Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 8.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry(Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray(Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sam bucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 9.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 10.) Landslide Hazard Areas and thei`sociated buffers shall remain naturally veiled. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 11.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 12.) All construction activities shall not encroach upon the 30 buffer. This includes the storage or preparation of materials. 13.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 14.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative buffer setback of 100 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Single Family Residence. 15.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Single Family Residence. 16.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 17.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 18.) 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. 19.) The applicant is proposing to create or add 2,880 square feet of impervious surface and 4,000 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. 20.) 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. 21.) 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). 22.) The site plan as submitted with the Building Permit application on July 25, 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 September 11, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 23.) This approval is for a Single Family Residence with covered Deck 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. 24.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 25.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 26.) Not more than 2 unlicensed vehiellpshall be stored on any lot unless totally silned 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. 27.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 28.) The building height is not to exceed 35 feet. 29.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 30.) Building setback from 11 foot gravel easement driveway shall be 20 feet. Right side yard building setback is 100 feet. Left side & rear yard setback is 5 feet. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 31.) This parcel was created through the Nelson Monroe Short Plat under AFN 518693, recorded December 8, 2006 , Volume 5, page 45-46 with the Jefferson County Auditor's office. 32.) Access to the site is from an ingress, egress easement AFN 281562 accessed from Dabob Road. An address of 1913 Dabob Road has been assigned to the parcel. ON Cb JEFFERS COUNTY • 1/4 a DEPARTMENT OF COMMUNITY DEVELOPMENT q 621 Sheridan Street • Port Townsend • Washington 90368 360/379-4450 • 360/379-4451 Fax .qs Gip www.co.jefferson.wa.us/commdevelopment iINLn r' 4.4 Master Permit Application MLA: Q7-43I Project Description(include separate sheets as necessary):New construction of a two story 2640 square foot single family dwelling at parcel#801213022 Tax Parcel 801213022 Property Number: Size: 8.74 acres (acres/square feet) Site Address and/or Directions to Property: From Center Road(just past SR104 overpass)turn left onto Dabob Rd.,Quilcene,traveling South take a left onto easement _ road with address number 1917. travel roughly 800 feet on this unnamed road and the driveway will be located on the left \��4 YhJo KCS, 131�Al2�et�S�J yde. Property Owner(s)of Record: Eric and Claudia Monroe Telephone:360.732.0386 or cell:360.301.5686 Fax: 360.344.3323 email: claudia_monroe@excite.com Mailing Address: 1743 Dabob Rd.,Quilcene,WA 98376 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies VIBuilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** p Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** El Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management O Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑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,indemnity 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 app' ion that e sh �nts�prriioor notice. Signature: �r/{iv� Date: 16 July 2007 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 e esponsibi.ty r adh ' g to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: -- Date: 16 July 2007 C:ADocuments and Settings\caral\Local Settings\Temporary Internet Files\01.K86\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 as uming the resp sibili the General Contractor for the proposed project. Signature: tf} i Date: 16 July 2007 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Zenovic and Associates PHONE (360 ) 417.0501 FAx:( ) MAILING ADDRESS: 301 East 6th Street#1,Port Angeles,WA 98362 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: V New X' Wood Existing: 0 Sewer Addition Steel Proposed: 2.5 Bank Community System I Alteration/Remodel Concrete Total: 2.5 Height: V Individual System Repair I Masonry SEP Permit#SEP 06-00288 /.l Demolition 1 , Other: Bedrooms: Water Supply: Existing: 0 Setback: V Private well :_1 Two Party Type of Heat: Proposed: 3 ❑ Public Furnace and Wood Stove Total: 3 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: 0 Underground Tank In Above ground Tank Size of Propane Tank: ❑Heat Stove ❑Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank ❑Pellet Stove 0 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 j �04 EH Bld App Review: Lp0 C0 1408 �C 2nd Floor Heated j 10'.1244 Consistency Review: � � 1232 Other Heated Base fee: 1g �_.j 9 Mezzanine Additional Section: 1 Heated Basement Plan Check fee: I V Unheated Basement State Surcharge fee: " I ' Other Unheated Pot Water Review fee: q-5. u Garage/Carport SUBTOTAL Decks of 12. 911/Rd Approach fee: 1216 t--XLS'i li':Xa- Other TOTAL: $ q2 Q Receipt Number: G zq ) -S 1408 Cash/Check Number: I -)q-7 ESTIMATED COST(REQUIRED) Date: ^� .Fair market value of all labor and materials foundation o �h — 1 12 x 70, , 0Q Initials: /--" C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc r ; I. ---) `. 1 N--4 y 40 L i1 ' • i ,! • ' 3°x34 5N _ _ V .I,8� 'ir3 st•% li III t Y j i �l o.1 1 1 f tip t • 1 N 1 I 11 < ' ;� 1 _ ' 17 1 j j x i i 1 ? 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