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BLD2009-00065
41Ik UILDING PERMIT APPLICAIN MReview Ty : I LA09 00 78 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00065 Received Date: 3/2/2009 SITE ADDRESS: 389A ARCADIA WEST PORT TOWNSEND, 98368 OWNER: LONNIE E HOLBROOK PHONE: (360) 381-5099 REBECCA R HOLBROOK PO BOX 946 PORT TOWNSEND WA 98368-0004 SUBDIVISION: Block: Lot: TX35 PARCEL NUMBER: 001171015 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: (253) 840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*981BT Expires 2/10/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NEW ACCESSORY DWELLING UNIT (ADU) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 897 VALUATION 68,400.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: 1 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 65 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $776.75 RAC 03/02/09 105503 Plan Check $504.89 RAC 03/02/09 105503 APPRcJVEIT' State Building Code $4.50 RAC 03/02/09 105503 p Potable Water Application $62.00 RAC 03/02/09 105503 APR0 Total: $1,348.14 Jefferson County Plannin, &Building fepartme&f Jefferson County Building •sion Permit Nurlr: BLD09-00065 Applicant: HOLBROOK BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 6447 (�? - Setbacks �"� Minimum setbacks from Arcadia west right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 2 FOR CONST. ENT. STABILIZATION Erosion Control Foundation Footing 51i/0tr Footing Drains / Foundation Stem Wall S-k/b% Underground Plumbing ✓ Under Floor Framing 5I19/01 Straps(hold downs) Ext. Shear Wall Nailing 5/7..., c Rough-in Plumbing (0-10 191 -- Framing —0-001 / Blocking Airseal Insulation:Walls `C�t7 Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 6,_2_1_ Wallboard Nailing Gas Line: Interior Gas Line: Exterior f Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Drywell/Alt Drainage SEE CONDITION I FOR SPLASHBLOCK CRITERIA Address Posted C—(9_C9 )t- FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD09-00065 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.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. EXISTING WATER LINE SHALL BE ABANDONED AND REROUTED. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than 2 unlicensed vehd) shall be stored on any lot unless totally s ned from view of neighboring dwellings and rights-of-way. Such screening shall me t 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the accessory dwelling unit. 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 setbacks from Arcadia west right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 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. ?. ...) 9-,& li i ss 7 F ijesT .ifIli�4 T { ciCT'030A)� 7UD k t t_ : ---� � " 38 5o9q ao i TES' k p (. A1o. 0�01 t�1 I c i ,,. i • U4 ROCKS E k �r a 4, sites . .i ._ . - Cle20 K r. i ! .,i 1,,. , 1 . .. , . .,, .‘,., i . i 1 : 4,--),.... .. Atk__MOISpatnaitt - - Vr Yl ! _ I � ` l ! "o 'tiw-gym - - -mot - L - .._ _ .,. - f E EGt C os � 4tDuu�S gic,u/.0 w u. 3 k if,.., ,, ,1 :'tooa ( W"" srik+G) 4. 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A A.)1 ik (JEST 11115 w a Per toga want class I id tr is 1 1' (' t 11 Tr-\ ,f-,• -,r /sow co o JEFFERSON t,OUNTY ' V DEPARTMENT OF COMMUNITY DEVELOPMENT �' t • 621 Sheridan Street • Port Townsend •Washington 98368 ..; 360/379-4450 • 360/379-4451 Fax �y p www.co.jefferson.wa.us/commdevelopment ,ifEF ;.,OUNIv Oil S' NpS Jii Master Permit Application MLA: 0°1 --1 Project Description(include separate sheets as necessary): ADv Tax Parcel Number: 00 ( 1 r1 / 011,5 Property Size: .5.(0 adfes (acres/square feet) Site Address and/or Directions to Property: 389 e i b IA (AJeST Pocr ToWNS Ji , (.JA 83(8 Property Owner(s)of Record: L AJ Jt , e ice 6ceM i4o c.6IC4Tn K Telephone: 3b0. 38( - $o g9 Fax: email: e rav€terS rear le(araii corn Mailing Address: P•0. 2 O)c 941(0 PO&T 7o WNSCfub, LJ 4 q 8 3(0 8 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) % Single Family 0 Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** 0 Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 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 i ctions. Staffs a ess and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that h r she wants pri r n ce. Signature: Date: )C .3-Oa- (goo/ 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 i c mpliance with th J rson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable re n ibility for adheri g nd co lying with the ESA. The Applicant has read this disclaimer sips claimer and and dates it below. Signature: t Date: /� 3- "a 009 G:\PermitCenter\###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. Signature: Date: GENERAL CON TRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 14IL-WC kOMF.S (a5 7'70 -444 e,k.laq( ) MAILING ADDRESS: S • f T A C.4 Eb _ EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: ()if)Dr,IAUpr k1th P p3wj S PHONE (. 63) r/b,.A2yL Fe( cr](r) I3a MAILING ADDRESS: 1(30(0 (9 r, Ave C., Pu flia,[AA 9S3h3 EMAIL wabt•ous QWIIinehomes•c0✓►'t Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ` . New Dc& Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Community System ❑ Alteration/Remodel Cl Concrete Total: I Height: Igt Individual System ❑ Repair ❑ Masonry -SEP Permit# OCo-L ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ( Private well I i Two Party Type of Het: Proposed: _a.— I1 Public 0.cf-r Total: a, Name of System: L)4LL F1 nl-S 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 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 beinginstalled 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 Oc� I-/ ) • e H Bld App Review: 2•oo ' 2m Floor Heated tot 'Consistency Review: D 13 0 Other Heated Base fee: 11/ '5 • Mezzanine Additional Section: __.-- Heated Basement Plan Check fee: lJ`r Sq • Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: ��T� I DD.OD' Garage/Carport SUBTOTAL Via Decks 911/Rd App oach fee: p (�F PtD LA+e_ l6 'tom. Other C.0>(-�� t'O --t G 5 1 143.° 1 TOTAL: $ 1( $S. 14 Receipt Number: 1 C 5505 Cash/Check Number: �D, 2 ESTIMATED COST(REQUIRED) �p� ,pa ,tate: ,tak6� .Fair market value of all labor and matrials foundatio o knish 55r 000,00 Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc p Doommp omo - oo O - - K m > KmoDvrn C) D � cn7Ja OKK2mP ry -.i - m \, rO � - Sr . 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BOX 946 o N Z 40 PLAN PORT TOWNSEND,WA 98368 H 0 MES car, rn ;mom (360)381-5099 www.HiLineHomes.com O ( -p ©copyright 2005 HlLine Homes