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BLD2007-00577
4 at UILDING PERMIT APPLICAN Revie 0-10-1 \c± Type:: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00577 Received Date: 11/14/2007 SITE ADDRESS: 3921 EAST QUILCENE RD QUILCENE, 98376 OWNER: STANLEY M NEALEY PHONE: LINDA A HERZOG 11011 166TH PL NE REDMOND WA 980522746 GLENVIEW SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 701311022 Section: 31 Township: 27 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/2007 REPRESENTATIVE: GREG BARRON PHONE: 360-765-3749 7425 THORNDYKE RD 360-765-4551 QUILCENE WA 98376 PROJECT DESCRIPTIO1` NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 780 VALUATION 160,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: 240 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 480 CONST TYPE: SETBACK: DECK: 220 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 2 Total: 1 Total: 2 Routing Date: i l /9 k 7 Type Amount Paid By: Date: Receipt: Approved/Date Total: APPROVED JAN II ?pig Jefferson County Planning &Building Department Jefferson County Building Di Lion Permit Nun.: BLD07-00577 it Applicant: NEALEY BUILDING PERMIT INSPECTION APPROVALS applicable 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 clay'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 I—Q-0 Erosion Control 5 l ,/1/P nl SEE CONDITION#2&3. SILT FENCE REQUIRED AT 50 FOOT �G STREAM BUFFER AND AS SHOWN ON SITE PLAN TO THE — WEST OF THE BLDG. Foundation Footing I-17—OS — , J 2r58014-141,1,%) Footing Drains Foundation Stem Wall t/2.3h* # D� Underground Plumbing /OA Under Floor Framing vile* 4 o Straps(hold downs) 9/IC Og Bei-A ENas oK (s-rkisrs) 3//9/0 Ext. Shear Wall Nailing 8 BorN galas &FIS-I NAu44ts, OK 3109 Rough-in Plumbing /(;4(1a. Framing 5/7/Ot Blocking 5/7/4B N Airseal 5/7/O D,� !l eonealen (SEA* BOX Gu Ert 24//1.1-5J Insulation:Walls .5//O/ . Insulation:Floors //,J/c0 , ./ Insulation: Ceiling y/72 K Int. Shear Wall Nailing Wallboard Nailing 5/w/a Gas Line: Interior N/A Gas Line: Exterior XVA Propane Tank N/A Heat/Chimney Clearance j,/z/C,� - Drywell/Alt Drainage SEE CONDITION I FOR DRY WELL SPECS. Address Posted ///1// Ifif FINAL INSPECTION //�� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00577 1.) DRYWELLS SHALL BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE OR SENSITIVE AREA. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMIEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM OR COARSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) A SILT FENCE SHALL BE INSTALLED AT THE WETLAND BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENC-I SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 4.) THE HOME MUST BE 100' FROM THE EXISTING PUBLIC VVELL AS SHOWN ON THE REVISED PLOT PLAN DATED 12-11-07 i 5.) The septic system only has capacity for one residence, an ADU is not allowed on this septic system. 6.) 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. 7.) 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. 8.) The identified Fish and Wildlife Habitat Area (Type 5 Streams), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 9.) An additional setback of five (5) feet is required from the edge of the stream buffer areas to the proposed single family residence. 10.) A permanent physical separation along the boundary of the stream 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. 11.) Stream 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." 12.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 13.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 14.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. ! 15.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 16.) 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. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) 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. 19.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 20.) Minimum setback from East Quilcene Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If and ESA is present, then the more stricter setback(s) shall apply. 21.) 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. 22.) 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. 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.) The building height is not to exceed 35 feet. 4 t/`��aN cob JEFFERSON COUNTY • W ~, A DEPARTMENT OF COMMUNITY DEVELOPMENT In ''4 621 Sheridan Street • Port Townsend •Washington 98368 k• �,... ., 360/379-4450 • 360/379-4451 Fax —.,� limo Master Permit Application MLA: 0 l t (05 Project Description(include separate sheets as necessary): Tax Parcel / Property rr S' F— Number. 7 of . i (��2 Size: 1,L' f,Q� j I. (acres/square feet) Site Address and/or Directions to Property: r i Property Owner(s)of Record: 5 i 11 hl LLi y M. N L'/-1 LC 1 &' L/ni WI A. Ni i zocc Telephone: (y:.5) '?3 - ?,$. Fax: email: f Yl/1her2ocl fv•77ck2S/-oe•/ Mailing Address: J/D // - /(64h Pi,� ',r /U/= / f'�D/726/40 , IA)fh 9a.0k G2• JJ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Wh't kind of Permit?(Check each box that applies I iuilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑)pemolition Permit ❑Conditional Use[C(a),C(d),or C]** Single Family ❑Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ 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** 0 Propane ❑ 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)* ❑Shoreline Management Variance ❑Temporary 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 ❑Tree Vegetation 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 G"?L`CT e,c3/4 N /IcinL to act as my agent in matters relating to this application for permit(s). / J S4,st.VI CE:s; /NC- OWNER SIGNATURE, r " /1 /Z_ --t7 Date: /0 //�r 1 C' 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 appli at h or she wan,prior notice. Signature: j . /L-e--''4:. -f'`i-? Date: /0// c / 0 1 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 ble responsibility for ad 'ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /G L -1/1.-4-1".. ‘.-.7 Date: /U/j cf,U`7 G:\PennitCenter\###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:. ..,-/';':.'.i f Date: _ AV/ a/0 7 GENERAL CONTRACTOR OR MANUFACTURE HOME INSTALLER: PHONE: FAX: I1�X-311(1t2 f J c S '_L rt fbQ 7t5"31'1 066 7 CC-`TSS I MAILING ADDRESS: "7 ,,c r hvr`��t/ f. Z-1 EMAIL: CONTRACTOR'S LICENSE rr�� 1 _ / / WAINS NUMBER: <'fl 4SL O 7 7 k S NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL P9ject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: N- New .Wood Existing: 0 ❑ Sewer Li Addition ❑ Steel Proposed: V Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 7 Height: 'individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other Bedrooms: Water Supply: Existing: t0 Setback: pp y Type of Heat: Proposed: �_ 'Private well LI Two Party yp Total: L] Public -Lod+ 1 Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Currant 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: I Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert 1 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 For Office Use Only Amount _ Revision Main Floor Heated 7KV � � �3�� 4U EH Bld App Review �? 2"Floor Heated ` Consistency Review: I Other Heated Base fee: t 13 aq,, Mezzanine Additional Section: Heated Basement Qo Plan Check fee: 1./0 I1603. _ 8(fret Unheated Basement State Surcharge fee: 1.5d Other Unheated Pot Water Review fee: ci3. _ Garage/Carport [�{� SUBTOTAL -( t7U IIric► 1° a,51 a (°`1 Decks 42U 911/Rd Approach fee: :2'O 5.1 Ex% rtiS Other �,5\a`cc�TOTAL: $ U8, Receipt Number: 9 3. c ? Cash/Check Number: f (00 ESTIMA . - • - •. - D) r __ Date: 1( Ili' C, FFai arket value of all labor and :terials loundagon to finish \ (CIO o G§ NOV 1 4 ? lals: e25-- G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 1 \\ ^ � . ! --s\ - z cn -0 O I O 0c-, ,Li, G I I 0X D c c ca coo , � � O< x3 . m m . x r = r • w ri D _ \ W ro 73IV N Ir O 0 NV I - ZJ IV N — Ir CID --4 77 t9 = c �1 Z D xr 1 - 'T WAS DRY z m 401 CO0 m N N ON £ CO: Z r --.--)' E -f r ' STEP > z1 <> --I \ CO 0 p z T 'i 3 0 _. I4 z c-, N 1 1. 4 6 X 4._._....._ ,..__I...._.._-..1 �......._..__._....I.._.-.....__..,_.....I - 3 X 3 46 X 4 41_3„ 4'-3„ /fe / / /L 12'-6"�_� / 7 �> / // 6 -5„ A / / J / / 1 0'-9 1 �2„ / / W -0 7 J o -1 oi C ..D 73 D El u i D D .--, N D Z £ O X z r- (_ c-) z m m m O N oz 3 z m 0 __ n 3 z - ° � F9 con v) - z CDN.) , WM v) �. Z Z W D o = ID fU m7 D N H A • • O • 12'-9 1 /2" / / 10'-2 1 /2" / / 12 -2 1 /2" / / 7 -11 ' / / / 4 -6 / 4 -3 / II'i 5' X 2' 4'6" X 4' 1 \ I --- T n l_ I � o 1 (�� «r, 1 r. 3 _, o� o u i o W 3/ H REFER © —:—sis \ ci. 7 x (-7,--se -it L _ N 4).Q6 /1 I\ \6/ liar < c -7 _ 0 w x 1 r— a? I L >. _ - N ED 3s _ N 4- w CO rno IV -P COD I\.) C t' X 6' 8' 113' PROPERTY LINE S 90°00'00" E 150.00' CD SCALE: 1 IN = 20 FOOT WELL INE MESH SCREEN CATCH BASIN TARP DRAIN DETAIL MARK CEBTER OF HME WITH I' CAPPED PVC OR OTHER NEANS FLUSH WITH SURFACE J' mm MIN. P ABOVE SWONAL HIGH GROUNDWATER TABLE �a l Sr Y-AUs1- be- II1StCcji' pQrallel �'p S`D' Cornm mcz-m r,� o�- [a/nd d�s%vfbin,� ct�7'Yi � e SP 4- pc,vlat shall lae, ins�a,�ee� A h ra L STAN NEALY / LINDA HERZP5 TAX PARCEL SECTION 31 701311022 TOWNSSHIP; 27 N RANGE 1 W, W,MI PROJECT ADDRESS 392"1 EAST QUILCENE QUILCENE WA. 98376 RECE � D DEC 2 8 2007 JEFfERSH COUNTY 00 wl cn >- cD m o CD o z w QCD Q o � o 0 O S'D IIT # f-05 0 W Z au wRt?: PLT