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BLD2008-00384
• MLA08-00400 NIILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00384 Received Date: 8/26/2008 SITE ADDRESS: 7278 SR 20 PORT TOWNSEND, 98368 OWNER: LINDA G BROWNLEE PHONE: (360) 379-3061 7278 SR 20 PORT TOWNSEND WA 98368-9308 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001282014 Section: 28 Township: 30 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 PO BOX 799 ELMA WA 98541 Contractor's License HILINH*981BT Expires 2/10/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 897 VALUATION 64,313.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 65 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: J 7 a /o(8, Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $748.75 KAS 08/26/08 102487 APPRO\JEED Plan Check $486.69 KAS 08/26/08 102487 State Building Code $4.50 KAS 08/26/08 102487 Potable Water Application $59.00 KAS 08/26/08 102487 NOV ID 2008 Total: $1,298.94 Jefferson County Planning & Building Department • I CONDITIONS for Building Permit# :BLD08-00384 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER MPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. 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 DRAINF:ILED AREAS. 2.) A SILT FENCE SHALL BE INSTALLED AROUND THE CONSTRUCTION ARE OF THE PROPOSED HOME, OUTSIDE 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 O ZIGINAL 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 C)F 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 PROPOSED DEVELOPMENT SHALL COMPLY WITH ALL CONDITIONS OF THE CASP APPROVAL. 5.) THE PROPONENT SHALL IMPLEMENT THE MITIGATION PROPOSAL AND BEST kl.),4,MANAGEMENT PRACTICES, AS SPECIFIED IN THE CASP PRIOR TO BUILDING FINAL. ALL PLANTINGS SHALL BE INSTALLED AND AN AS-BUILT PREPARED BY A QUALIFIED PROFESSIONAL SHALL BE SUBMITTED TO JEFFERSON COUNTY FOR jai`. REVIEW AND APPROVAL. 6. THE PROPONENT SHALL CONTACT THE JEFFERSON COUNTY STAFF BIOLOGIST ( 0-379-4462) TO INSPECT THE MITIGATION AREA PRIOR TO FINAL BUILDING NSPECTON. THE MITIGATION PROPOSAL MUST BE APPROVED BY THE JEFFERSON COUNTY STAFF BIOLOGIST PRIOR TO RECEIVING A BUILDING FINAL. 5Ae16R 7.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND/OR FOOTING/FOUNDATION DRAIN AND EDGE OF SEPTIC TANK AND PUMP CHAMBER. 8.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 9.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 10.) A minimum setback of 55 feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 11.) Wetland 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 12.) A permanent physical separation along the upland boundary of the wetland 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. 13.) A Stormwater Site 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. i 15.) Not more than 2 unlicensed vehlik shall be stored on any lot unless totally lined 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. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) Minimum setback from private ingress/egress easement rights-of-waya shall be 20 feet. Minimum north property line setback shall be 5 feet. Minimum east property line setback shall extend beyond 75 feet past the proposed house so as to not encroach upon the increased buffer width of the wetland. Minimum south property line setback shall be 55 feet from the foundation of the house to the edge of the category II wetland, as the buffer was reduced through the CASP process. 20.) 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. 21.) 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. 0 410 rdl Location, Soil, Contour sage: sheet k and Critical Area Ma As Indicated Olympic Wetland Resources,Inc P 7278 SR 20 '',,k, - 85650th Street Port Townsend WA 98368 June 2008 #1 1 Port Townsend,WA 98368 dent: Linda Brownlee 360 385-6432 7278 SR 20 Job#: diziellewellin@yahoo.com Port Townsend, WA 98368 2008-2308 ti Parcel #001 282 014 TOPOI map printed on 05/08/02 from "Puget.tpo"and "Untitled.tpg" 122°42'00"W 122°33'00"W WGS84 122°17'00" W * it CAW( ifl iiiiii Subject Property __ ST4 .'er . 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A ..,..,WMads sfg Mods x,.x� in � ;yyy,.�..,y5� �tw a tea.-;,_ 0 0 o ,8Z£ ,'OZ 9 z snv 0 TA - • L Y4H . :71 "0 > o u z �E 'C3 = e, (1) a) w V (Do N O z u4 00-, ((V 00 r+ a Q) 0 E '•" p p Cad .a O ,, ----► -0 a) ,4 el, _ _ 0 a) a� -0 _ tea. o a o Cip ,. o c .� rn 00 rn a p a ;_, W cis 0-, v, .14 cip o = 1:5; / Air f 0 ai - 0 00 - a) � x — cila •3 < ti �� a : 0' � Q offO0 � C 00 o .A • N w -C 0 2 .CIa g C 0 0 Oq CO 82 as�+ o v) w b - `a-o �- c ` •✓• 0 i c c c� N O ,: ao- o i� as cr, . 3 o O.Q is .G C V � a •5 N N C 3 �� 3 •3 C Q) 0 o a ;� t�,,� m ,� a � 0 1/3 z � : ,> -: .....—. + MOE ‘ J pox ssaaay JEfifEhS C(iON1Y DCU SON cOA JEFFERSON NTY �' j �..�, ti ' 5 3 DEPARTMENT OF COMMUNITY DEVELOPMENT ` o 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax AUG 2 6 2008 Ab°446S,IiINS www.co.jefferson.wa.us/commdevelopment Master Permit Application J MLASON CQUN�QCQ Project Description(include separate sheets as necessary): 5aA)e /\ A / RE .a.DM Ce- Tax Parcel Number: tip I 29 Z d I Lf Property Size: 5, U 7 AC2E S (acres/square feet) Site Address and/or Directions to Property: 72 7 e STAT g6.TE 2.D Property Owner(s)of Record: r'..�.il/04 6,• iJAo w,u LE E Telephone: 3(00 - 371- 306 I Fax: Mailing Address: 72 7 $ S,q 20 rT• 'ToO/U email: .sEtin, �,/.f- 98.36� Applicant/Agent(if different from owner): Telephone: Fax: Mailing Address: email: What kind of Permit?(Check each box that applies building KCritical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Jg Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** 0 Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Change of Use 0 Special Use(Essential Public Facilities)"* ❑ Address0 Boundary Line Adjustment 0 Road Approach 0 Short Plat** ❑Home Business ❑ Cottage Industry 0 Binding Site Plan** 0 Si n Propane 0 Long Plat** g 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Stormwater Management ❑Plat Vacation/Alteration** 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 Tree Vegetation Request , **Requires Pre-Application Conference Please identify any other local, state or federal permits required for this aproposal, if known: I hereby designate DESIGNATION OF AGENT N,� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE.==b 1.1 A 6 / 6/3 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 its 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'cation thatO he she+plants prior notice. Signature: „"1 , G_`),SE 8 - I ` ' /� _O 6 Date: J 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-transferable responsibility or adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 1 11,a4 -- Date: 8 — I 5-0 6 G:\PerrnitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.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. -T�(jn1uT'IiIS..�C Date: Lod Signature: �� ` .it..L.. PHONE: Fes' // GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: (HONE • J'7J� h'�DD FAX: 7/�� H��,c Ncv�nEs �-/ p sit 7��' po(3o)c 79 4 �174A, WA ' 1 8 5T( EMAIL: MAILING ADDRESS: WAINS CONTRACTOR'S LICENSE NUMBER: N I.LZN H 4 9 S (r3T NUMBER FAX:( ) V T. PHONE ( ) ARCHITECT/ENGINEER: (U � � I`CC EMAIL MAILING ADDRESS: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Project Type: g Wood Existing: ❑ Sewer LI New ❑ Steel Proposed: I Bank ❑ Community System ❑ AdditionTotal: 1 Height: Individual System ❑ Alteration/Remodel ❑ Concrete SEP Permit#SEr0 LI -17 ❑ Repairmo ❑ Masonryther: Bedrooms: Water Supply: l Demolition ❑ Other: Existing: Setback: i Private well )'Two Party Proposed: 2- ❑ Public Type of Heat:ELl�7�i� Total: Z Name of System: If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: 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 andlor Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove 1 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 commRoJefJt including the reserve area. . ` !! Amount Revision �� ', , �° Square Footage Current Proposed For Office Use Only App Review: Main Floor Heated D. a9 7 �a,�� 31EH7 196 2rd Floor Heated Consistency Review: 151, c 1 Other Heated Base fee: q` s, n5 Mezzanine Additional Section: —_ a l� /v ll' I Plan Check fee: Heated Basement 1 4. qE)(p,(py Unheated Basement `'t' State Surcharge fee: ^ 5 d Other Unheated AUG 2 6 val3 Pot Water Review fee: Lt • Da I l�UN Ub� SUBTOTAL �E�EL t l ��` Garage/Carport SSA t_U�U�tI L Decks 911/Rd Approach fee: Other NV /l Jam" 1 LJ 5q TOTAL: $ i I.q4 /7 Receipt Number: J 0 a 4S I Cash/Check Number: la Lk , ESTIMATED COST(REQUIRED) Li 313 ,Date: _- g LD$ •Fair market value of all labor and materials foundation iniih Initials: • ‘/, 72.E //,,- - T 14 7 G:\PeritCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . sJ),, c,i3 iv- r-- ( • :I,, --/ ) _cr.. :' - n ---i e ril c-- (-1-4 c-c-i f;';''•:' 5 R . 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