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BLD2008-00296
• UILQING PERMIT APPLICA1 MLA08-00325 N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00296 Received Date: 7/1/2008 SITE ADDRESS: 441 RIDGE DR PORT TOWNSEND, 98368 OWNER: GARY R GUNNING PHONE: 509-466-9515 PATRICIAAGUNNING 4 0-411 717 E GARLAND AVE SPOKANE WA 992073027 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 74 PARCEL NUMBER: 940500073 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: S B C CONSTRUCTION PHONE: (360)732-7530 PO BOX 1228 PORT HADLOCK WA 98339 Contractor's License SBCCOCI961JT Expires 4/26/2010 REPRESENTATIVE: HENRY M SOUZA PHONE: (360) 379-8338 DESIGNS BY SOUZA INC (360) 379-9136 164 SWANSON PROJECT DESCRIPTIOP NSFR W/ATT GARAGE &MG 100 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW ,MAIN: 1,444 VALUATION 267,950.0O CODE EDITION: 2006 ADD'L: HEAT TYPE: HTP OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: 1,347 # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 715 SETBACK: DECK: 1,043 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 _ - Total: 2 Total: 3 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date APPROVED Permit $1,934.55 LYK 07/01/08 100480 Plan Check $1,257.46 LYK 07/01/08 100480 State Building Code $4.50 LYK 07/01/08 100480 SEP Ia 2008 Potable Water Application $59.00 LYK 07/01/08 100480 Jefferson County Planning Total: $3,255.51 & Building Department Jefferson County Building Dion Permit Num. BLD08-00296 Applicant: GUNNING 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 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 Silt fence. Foundation Footing Footing Drains Foundation Stem Wall i �.,< <— ntvi„ Gubte �q IQ�S> 5S '_ 4, Underground Plumbing . ;_o Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing /3.-.11-o'1 fe? Rough-in Plumbing e(„i 1,c� ,�(2 j - o ler-G I{t )oq 4 Framing _L'.�_L)c�, ft Blocking `I Airseal +K 6C r h Insulation: Walls k_J r) Insulation: Floors ` Y J Insulation:Ceiling Int. Shear Wall Nailing Wallboard Nailing _c-3-797 �.- Gas Line: Interior y- 3-0? Gas Line: Exterior �D' _ 9`"- Propane Tank Q� Heat/Chimney Clearance Drywell/Alt Drainage Drywell proposed. Address Posted FINAL INSPECTION —0, DT i zo\I 4 t f(ZtoeTr) FrNpL. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • 0 CONDITIONS for Building Permit# :BLD08-00296 1.) PRIOR TO OCCUPANCY& BUILDING FINAL- DOCUMENTATION REGARDING PROPER SEPTIC SYSTEM FUNCTION SHALL BE PROVIDED TO JCPH FROM A LICENSED SEPTIC DESIGNER OR INSTALLER. 2.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS. 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. 3.) 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 TRENCH 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. 4.) 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. 5 ) 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. • 6.) VOLUNTARY MEASURES OF C•TAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 7.) 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. 8.) 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. 9 ) A 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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 automobile 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 requirements 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. 12.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 13.) Maximum lot coverage is not to exceed 25% except on parcels one acre in size or smaller, where the administrator may approve a larger lot coverage. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. The administrator determined that lot coverage on this parcel shall not exceed 55%. 14 ) Ridge Drive setback is 20 ft, rear setback is 5 ft, side setbacks should be no less than 5 ft and the sum of the side setbacks should be at least 15 ft; 15.) The building height is not to exceed 35 feet. 16.) The development will be serviced by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 17.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. • 18.) 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. k��,SON 06. JEFFERSOh�UNTY • y 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street Port Townsend,•Washington 98368 360/379-4450 • 360/379-4451 Fax .ys0� www.co.jefferson.wa.us/ccrmmdevelopment N Master Permit Application JUL - 1 2008 MLA: Project Description (include separate sheets as;ecessary): Ii MZ ) Re‘lj26J Gvc liJ4 Tax Parcel Property Number: q 40 50Q0 3 Size: a5'O/-) (acres quare feet) Site Address and/or Directions to Property: *41 P io A #1,vS , Ppii'" ra o, (I A-- q*,3L g, Property Owner(s)of Record: 6,44 1-- toP- {p K3 oi)4&)/i yr Telephone: �' 4-€ t. =/iS75L Fax: email: Mailing Address: ' 1- /a. 44- 414) 6 to/<,4-,- [.. 4- CfCj ZU'4. Applicant/Agent(if different from owner): /-1 Pi $1w �p/��- -6/6�yJy L� 24 ,.X, Telephone: 3G d 3158?4 d Fax:`.3(0 O 3 4 )3Z email: Mailing Address: G6 Q- cSt-J S3ATAde- Qr it3e4,9_, What kind of Permit?(Check each box that applies PS8uilding 0 Variance(Minor, Major or Reasonable Economic Use) 0 Demolition Permit 0 Conditional Use[C(a), C(d),or C]** $ingle Family $Garage ttac Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular hed 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑ 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** ❑ Stormwater Management ❑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* 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 60u O �tris to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE '74,iN`, Y / f Date: G,/1.3�Cy By signing this application form,the owner/agent attests t the information provided herein,and in any'attachtn///ents,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 app' atio t a he or she wants prior notice. Signature: — —. Date: !EV'o 4, The action or actions Applicant will underta 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 respo .bility for adhe 'nfTo d complying with the ESA. The Applicant has read this disclaim r and ' ns and dates it below. Signature: Date: /y 4; / 08- G:\PermitCenter\###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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: j36 e a1%)67 4t i7 0 (so) 132 753 a ( Y_ MAILING ADDRESS: P v a by /2 2 LI G pvaT p�L� EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: 06,61446 6O(4 4, ilk. PHONE (31 D ) 191 1333g Fax:(g D)3 ,/36 MAILING ADDRESS: Va SWA//35� 1416 I e EMAIL J� Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: $ New (,Wood Existing: — ❑ Sewer ❑ Addition f J Steel Proposed: 3 Bank -- ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ___ _Individual System ❑ Repair 0 Masonry _ SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: — Setback: ❑ Private well ❑ Two Party Type of at: Proposed: I.. g Public ,y pJ / li 144 Total: 2 Name of System: Quo 4 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: i Underground Tank (Above ground Tank Size of Propane Tank: id() GA4 _ i Heat Stove i Cook Stove i Woodstove Fireplaceensert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufac ured I Mobile Home? Yes /<;) 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 ;ForOffice Use,Only Amount. Revision.. Main Floor Heated EH Bld App Review: To r 2"°Floor Heated Consistency Review: Other Heated Base fee: (ill 'i , I-554 Mezzanine Additional Section: r Heated Basement / (7/-i 42(3 i6 ?� Plan Check fee:I &S8 r a57 'tic � /'2 Unheated Basement } 1- State Surcharge fee: Other Unheated 2�f' Pot Water Review fee: Garage/Carport �� ( SUBTOTAL f- Gc;- Decks 1.0* 26,-31'•. �' 911/Rd Approach fee: EA(S-7 kla Other TOTAL: $ ,4:5 j' 1 Receipt Number: {co 4 RO I OD,41,53 '• Cash/Check Number: I 33Lcp 3350. ESTIMATED COST(REQUIRED) y. 7 Date: p Ory .Fir rtta►kef value of all labor and malerials„1ou dation Wish/ 7 ,„ 2 6 />>. 00 Initials: j G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc i a i • 1; 0 1 es ( ND b•N y 2. 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