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BLD2007-00608
ItUILDING PERMIT APPLICATON MLLA0700655 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00608 Received Date: 12/17/2007 SITE ADDRESS: 652 WHISPERING CEDARS LN CHIMACUM, 98325 OWNER: MATTHEW F HALL PHONE: (360) 379-5445 STACY L HALL PO BOX 1417 PORT HADLOCK WA 98339-1417 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 901351004 Section: 35 Township: 29 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*981BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,477 VALUATION 283,663.00 ADD'L: 1,286 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 622 SHORELINE: CONST TYPE: DECK: 228 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: 'a1 \ce,\C) 172 Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,024.15 KAS 12/17/07 95663 AFPRcVE� Plan Check $1,315.70 KAS 12/17/07 95663 State Building Code $4.50 KAS 12/17/07 95663 FEB Potable Water Application $58.00 KAS 12/17/07 95663 Total: $3,402.35 Jefferson County Plannint &Building Department Jefferson County Building Dion Permit Numr: BLD07-00608 Applicant: BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2006 LInternational Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control �! Foundation Footing 3/5/� (911/ AL-READY 14RAD Footing Drains Foundation Stem Wall 3/5„to el/Under Floor Framing J 3/b4fa8 EV- DK 4)/eem 641 - Bc..cXi,us PEA, PGAiu RE . Straps(hold downs) 3/24f0$ 1 Ext. Shear Wall Nailing L I 3/i6/o8 ii�Y',F- n��� 7 3(31/aJ Rough-in Plumbing SOS/o0 7K Framing 1)j/Lf' � - -rrc`r %a,.! i F SEE LOK CVO.) 5700r Airseal Insulation:Walls 4 '& 4 Insulation: Floors Insulation: Ceiling f kereb eel uwt o Al Int. Shear Wall Nailing Wallboard Nailing Drywell/Alt Drainage SEE CONDITION#1 FOR SPLASHBLOCK REQUIREMENTS. Address Posted FINAL INSPECTION - IZ,-O FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00608 1.) A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE PONIT AND ANY PROPERTY LINE AND STRUCTURE. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFIELD AREAS. THIS REQUIREMENT MAY BE WAIVED IF SITE TOPOGRAPHY CLEARLY PROHIBITS FLOWS FROM INTERSECTING THE DRAINFIELD OR WHERE SITE CONDITIONS (SOIL PERMEABILITY, DISTANCE BETWEEN SYSTEMS, ETC.) INDICATE THAT THAT THIS IS NECESSARY. 2.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP07-254 IS REQUIRED. 3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) 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. 10.) 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. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from Whispering Cedars Lane right-of-way shall be 20 feet. Minimum north and west property setbacks shall be 5 feet and minimum east property setback to the adjacent commercial forest lands shall be 250 feet. , ON ,�4��"S , cod. JEFFERScOUNTY • W j DEPARTMENT OF COMMUNITY DEVELOPMENT `' `r `d 621 Sheridan Street • Port Townsend •Washington 98368 D E C 1 7 2007 360/379-4450 • 360/379-4451 Fax �q� A,p) www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: O'l 4)55 Project Description(include separate sheets// as necessary): i Iii 1 YZm it14,1E'- ..Z77C .sF P C'l4 f1kr. I,✓l! 5 i1 z; Tax Parcel Property Number: cj 1 S S ( 004 Size: (C) Ck c✓e:3 (acres/square feet) Site Address and/or Directions to Property: 47 U 4-0 1 `( C!v►k r vvt i r e7 `e c- ( j s I L� i�11 Sf t rJ C tea✓ CG � c-' b ' L- C' (.}k.sp. iv-, ' reel\,( c��tvvlci:iLt04 G41b lO .) 2--' Property Owner(s)of ecord: " yi14rr1ai 3 57-14c 7 Ho ( I Telephone: 360 3/ -S`/YS Fax: "�2-c; �S,r' -_315G email: �►(d I��✓ et' 1,i>Ir4 t'r z Mailing Address: r) jz J'-I 17 f.('"T I41'-Y%lt- : c.3 A ?13 `/ -J Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies AlBuilding 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** Ag Single Family -Garage ttached IDetached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ 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 ❑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 /)14— -ik J to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ///C.#/r„�// Date: l 1/2107 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``apl�ication that a wants prior notice. Signature: /� Date: /� /2/2 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 le repo i ' for adhering to and complying with the ESA. The Applicant has read this disclaimer a d signs and dates it below. Signature: 4- Z Date: / //2 e7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT w The signer of this statement d es hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming e re Way of the General Contractor for the proposed project. Signature: 7H / - Date: GE ERAL CONTRA TOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: � v , .F � ,,�> g O ) 37 - / 75`/ ( o) 37% ``I17/ MAILING ADDRESS: .� ( r l Y EMAIL:CI'(,L;e,.' ivk'yz K;AI� 4�.vf' CACc. I-�. I tiC.v es e.L �. CONTRACTORS LICENSE WAINS NUMBER: tt` l'i yte VI *�WJ I R 1 NUMBER ARCHITECT/ENGINEER: 11 ,,-\,,..,. P� PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: .5 Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: 2, 5 Het: X Individual System ❑ Repair ❑ Masonry SEP Permit# O 7-25`1 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ;, Two Party ape of Heat: Proposed: 7 ,// ❑ Public t.'rl�) r V Total: l`1'/ Name of System: (i ILC�W ._. 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: DEC 1 7 2D07 i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No i Li 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. * -a�t.� Y"u I t ''' Square Footage Current Proposed 4For;Office Us<e QnIy,: " _ .A[1 itai tt"`�.. Main Floor Heated r EH Bid App Review: W 2nd Floor Heated > • , 2l. Consistency Review: G c Other Heated "- Base fee: aCa1 i5 Mezzanine A `` . Additional Section: Heated Basement Plan Check fee: I3o. �� Unheated Basement State Surcharge fee: 3d Other Unheated Pot Water Review fee: q3 c-° Garage/Carport 55.5�' , SUBTOTAL z 1 ,35 Decks �� .� 911/Rd Approach fee: .�� E'�c✓1 C-('Cc� Other TOTAL: $ L-ac - 5 Receipt Number: 96 67(0 ash/Check Number: 51 37 ESTIMATED COST(REQUIRED) Date: , /D-7 •Fair et value of all labor and materials foundation to finish / i 7 t 2 1. Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc c . -'4\�� i l - • 7D N - < o CT a s m (wl r-_ a N 1-1 ... C QOli po ' Z' A• a � -Z{I y TAA � -{ HA �Hr' r»X m H • o V 0 = a < a 70' cr 7' -i m - rri -i -1 RQOm nT NZ WC O -4 m CONTINUOUS tmn N a GI v r- a 0 1 DOUBLE JOIST r J to _ m c Z mom O r- ax a O ai1� — m A -� O cn -1 r-m o v m 70 'N 3 --1-).. ~ X -(NJo y -n p v -1 X7 v D �ACO -� H 1-..) 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BOX 1417 ' '� PLAN PORT HADLOCK, WA 98339 111-111t.....:.°1 ::11Lt M E S 0 0\ v c m (360) 379-5445 ,- 0 .i ,:)(.,m wwco HiLine Homes corn \ 1"` V O` `� ©copyright 2005 HiLine Homes SITE PLAN JAN 31 2008 1EFFER DEPT. OF c SIGNATURE;_ - �FOCGx--f �.�° a t-(•�SE� _ J�c�tau,xl Paget rrkft'�.7i Prco, Ec l— . Tau -Pyr' cr C- is- s /au Jr��FAim �"`;2 t,ol-i,`..P-rk)c_ cc- DAi? MINTT'HUVJ --SlTAeY HAII ISO 13^x lull 360, 3T9, sg4/5 wk', 3G0.395 �o�T i�fcll�c�, W�, `Id33`P