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BLD2009-00049
• BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00049 Received Date: 2/18/2009 SITE ADDRESS: 1051 SHINE RD Issue Date 3/9/2009 PORT LUDLOW, 98365 Expiration Date 3/9/2010 OWNER: JEANNE STAUFFER PHONE: (360)437-9540 BARBARA CASE 1051 SHINE RD PORT LUDLOW WA 98365-9287 SUBDIVISION: Block: Lot: TX61H PARCEL NUMBER: 821343006 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2009 PROJECT DESCRIPTION: NEW POLE BUILDING SHOP/STORAGE UNHEATED AND NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 19,000.00 ADD'L: HEAT TYPE: UH CODE EDITION. 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 720 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $307.25 KAS 02/18/09 105431 Exist: 0 Exist: 0 Plan Check $199.71 KAS 02/18/09 105431 Prop: 0 Prop: 0 State Building Code $4.50 KAS 02/18/09 105431 Total: 0 Total: 0 Total: $511.46 Directions to Site: SEE DIRECTIONS AND MAP IN FILE HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED Jefferson County Building Lesion Permit Nurlr: BLD09-00049 Applicant: STAUFFER BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Code. 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 •7 Minimum setback from Shine Road right-of-way shall be 20 feet. Mininx+�� s}de and rear yard setbacks shall be 20 feet. if an ESA is present, then the more stricter setbacks shall apply. Erosion Control SEE CONDITION 2 FOR CONST. ENT STABILIZATION Post Holes Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCKS Address Posted FINAL INSPECTION #E"7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00049 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 IMPERVIOUS 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 DRAINFILED AREAS. 2.) 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. 3.) 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. 4.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 5.) 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. 6.) 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. 7.) Outdoor residential storage shale maintained in an orderly manner and sha ate no fire, safety, health or sanitary hazard. 8.) 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. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from Shine Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall beefee . If an g§A is present, then the more stricter setbacks shall apply. of 110 12.) 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. 13.) 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. OUILDING PERMIT APPLICA•N MRAOW00041 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00049 Received Date: 2/18/2009 SITE ADDRESS: 1051 SHINE RD PORT LUDLOW, 98365 OWNER: JEANNE STAUFFER PHONE: (360)437-9540 BARBARA CASE 1051 SHINE RD PORT LUDLOW WA 98365-9287 SUBDIVISION: Block: Lot: TX611 PARCEL NUMBER: 821343006 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2009 REPRESENTATIVE: TOWN & COUNTRY POST FRAME PHONE: (425) 743-1555 REBECCA (425) 742-4378 16521 HWY 99 STE C PROJECT DESCRIPTION NEW POLE BUILDING SHOP/STORAGE UNHEATED AND NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 19,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 720 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: ala5101 Type Amount Paid By: Date: Receipt: Approved/Date Permit $307.25 KAS 02/18/09 105431 APPROVED Plan Check $199.71 KAS 02/18/09 105431 State Building Code $4.50 KAS 02/18/09 105431 MAR ' 2009 Total: $511.46 Jefferson County Planning &Building Department / ONc. • • 01,E JEFFERSON COUNTY t DEPARTMENT OF COMMUNITY DEVELOPMENT 13 r `- `� 621 Sheridan Street • Port Townsend Washington 98368 360/379-4450 • 360/379-4451 Fax q S$7NG www.co.jefferson.wa.us/commdevelopment ,`f '�� . i. 8 2 Master Permit Application M ,p, 0 q- Li" J Project Description(in ude s palate heets as n ce sary): 7 r1 �l -c�� ;e •Zrr-( f iti (3P/Uiy)/ t,sTax Parcel rr22 r� / Number: L' ` i . L•' 3 0 L)((7 Pro Size:perty / 9 Size: (acres.quart feet) Site Address and/or Directi/0 C perry: 3 ^ aA }��/�' / Property Owner(s)of Rec rd: -�" ,/�j �— q�J 4 mil Telephone: `..31,0 y. -1 - y Fax: ` 46 f email:Jt'Ct 1 r�1/5 a�G irlQt?r um Mailing Address:/ 5/ 'Lpt,e, t 'd/ ,� Applicant/Agent(if different from owner): Town and Coointry Post Frame Bldg./Rebecca Cort Telephone: (425)743-1555 Fax: (425)742-4378 rmi� email: � @permabiltcom Mailing Address: 16521 Hwy 99.Suite C,Lynnwood WA 98037 What kind of Permit?(Check each box that applies ✓ JBuilding 6 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ■ Conditional Use[C(a), C(d),or C]" ❑Single Family m Garage Attach-i /Detached A Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular Ci Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑Home Business 0 Cottagelndustry ❑Long Plat*" ❑Propane 0 Planned Rural Residential Development(PRRD)/Amendments*" El Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions'' ❑Stormwater Management 0 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 0 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: /1 /% EMI NATION F ENT I hereby designate C-LPL LVf/� YjCt-� �rfjy gent in matters relating to this application for permit(s). OWNER SIGNATURE— Date: 21/7/0 ) 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 nut'and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys 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 1unless the applicant informs�f the County in writing at the application time of the that he or she wants prior notice. C�e P Q}-�y'�ate: �` ( �//`-'`i Signature: The action or actions Applicant will undertake as a result of the issuance of this perrnit 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 for adhering to and complying with the ESA. Theppl" n has read this disclaimer a d signs nd es it below. Signatur �e e (4 Date: e77 7 C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\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. Signatures Date: it GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Town and Country Post Frame Buildings ( 425)743-1555 (425 )742-4378 MAILING ADDRESS: 16521 Hwy 99.Suite C,Lynn.WA 98037 EMAIL: CONTRACTOR'S LICENSE WAINS I FEr • NUMBER: TOWNCPF099LT Exp.06/09 NUMBER L. I :..;. ARCHITECT/ENGINEER: Tri State Engineer PHONE (425 ) 481-6601 FAX:( ) MAILING ADDRESS: 12930 NE 178th Street,Woodinville WA 98072 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Zi New Et Wood Existing: 0 Sewer ❑ Addition ❑ Steel Proposed: N/A Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: He' tyy:�� Individual Sy ❑ Repair ❑ Masonry F�t �SEP Permit# OZ-" .Cali ❑ Demolition O er Bedrooms: Water Supply: 1&LC, Existing: Setba : ❑ Private well a Two Party Type of Heat: Proposed: N/A XPublic N/A �� Total: me 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: ❑Underground Tank I`]Above ground Tank Size of Propane Tank: f 1, ❑Heat Stove ❑Cook Stove 0 Woodstove CI Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other It t V 11) Is this appliance being installed in a Manufactured I Mobile Home? Yes / No 14/,',an 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. , 3 ,mil, � --4 i ffice Square Footage Current Proposed ForO0sd , 4,; , it,' 100. Main Floor Heated EH BId App Review: 2'1°Floor Heated Consistency Review: 1 105 Other Heated Base fee: 30' k) Mezzanine Additional Section: Heated Basement Plan Check fee: 1 n ci r-, 11,. : ; Unheated Basement State Surcharge fee: `G ,� Other Unheated Pot Water Review fee: �- Garage/Carport SUBTOTAL zia, /" Decks 911/Rd Approach fee: . .....__-----..A Other ( /JJ " ..72_0 i�JaV TOTAL: $ 4�,Receipt Number: 103 t Cash/Check Number: / /^� ESTIMATED COS JREQUIREDI ____ Date: ! �Fair market va_109:6-falrikOr and materials fou •ation to finish 11__09 Qq, V v Ll Initials: C:\Documents and Settings\canal\Local Settings\Temporary Internet Ides\OLK86\Master Permit Application 12-19-2006.doc :VIiLi V YI Ilad11"II1111 ! LO/9 tiE-ad seu;snPul lI!8-ewJed 566100 --Zl � �d #ad3l — �/4 �.. d///j 3a(11VNOIS a36dOisR, 'UOIle00l 10e1100 ey;UI 6UIMEJp Slyl Uo UMoys ale Sall1!;;,f. 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