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BLD2010-00232
atUILDING PERMIT APPLICA•N MRA1eW� Jefferson County Department of Community Development pe:I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00232 Received Date: 6/30/2010 SITE ADDRESS: 141 CANAL LN BRINNON, 98320 OWNER: ERNEST E MUIR PHONE: DORIS M MUIR 2114 COLUMBIA BLVD# 119 SAINT HELENS OR 970511739 OLYMPIC CANAL ADDITION 1 SUBDIVISION: Block: Lot: PARCEL NUMBER: 980100310 Section: 21 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr SEWING ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 256 VALUATION 19,855.00 ADD'L: 256 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routing Date: COO} I o - Type Amount Paid Bv: Date: Receipt: Approved/Date APPHOVED Permit $237.25 LYK 06/30/10 117920 Plan Check $154.21 LYK 06/30/10 117920 State Building Code $4.50 LYK 06/30/10 117920 (5; pit Total: $395.96 Jefferson County Planning & Building Department 4 • Jefferson County Building Division Permit Num BLD10-00232 Applicant: MUIR 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 )_l2,-. FLT1) C .j pits-e-----klecy/' Erosion Control Foundation Footing .1 /2._ I7.,►1 Footing Drains �' /) Foundation Stem Wall /.„47 bntitergreuad bing Under Floor Framing , ( )ck #), P� d 9 s�9 h . - Straps(hold downs) I 1 L. °r �46 4 �I�31 /2 cke A -3 / > Ext. Shear Wall Nailing _ (;,_ Roug#a in Ptw+�biug Framing ';'1?//2- ADD Lt-ift„c-rzsiii c Blo Airseal ,t fri)t Insulation:Walls 1 1 -/L /7 'j� F/� / Insulation: Floors /v �,, G( itt„,_ plc_ y-7 7— Insulation: Ceiling !//, i 721- Int. Shear Wall Wallboard Nailing CZas Line: In1 rior Gas Line: Exterior Propane Tank ' Heat/Chimney Clearance Drywell/Alt Drainage Address Posted y 9f t ( cyvi ) P{t to . PLinc.)._C FINAL INSPECTION '? 2 7• (.7., / _72) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD10-00232 1.) THIS BUILDING PERMIT IS APPROVED BY ENVIRONMENTAL HEALTH BECAUSE IT SHOWS THE EXISTING SHED CURRENTLY OVER THE DRAINFIELD TO BE MOVED 10 FEET AWAY. THIS SHED ON THE DRAINFIELD IS A VIOLATION OF THE ON-SITE SEWAGE CODE. MOVING THE SHED AS SHOWN IS REQUIRED PRIOR TO FINAL APPROVAL OF THE BUILDING PERMIT. 2.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 3.) 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. 4.) 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. 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 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. 8.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 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.) Building Setback from Canal Lane right of way is no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is no less than 30 feet from the top of the shoreline bank. 11.) In order to meet the No Net Loss of ecological functions required under RCW 36.70A480(3)(c)(i), the applicant shall remove invasive non-native vegetative species (scotch broom) along the shoreline and replace with native vegetation. ( . ANO)N4 d ;....i\O —d 0 I.J., . , . -..,. i . ' .. „,,, 941( iii ,,, ,,,, iii5-"c , 111 ' VI sz. Q--\1 ,,, ___,_ ,,,/ 1 , ,._.__:, — ' ► ' : i. 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' .166 ,..1 1 [li IU1oj ::•: . :: i •.::::::,.......,:-..-.. • 120t r ,, . �w 06� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ''4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �°� www.co.jefferson.wa.us/commdevelopment KING Master Permit Application JU`, 3 0 2:ai0 MLA: IC) Project Description(include separate sheets as necessary): .M #scan 10 riv,5]r710.1 Tax Parcel Number: l9fdj 0 Q.3 /ra Property Size: SS' O ')( /-5 /c cres/square feet) Site Address and/or Directions to Property: SAL. Ln/ R / NAton/, WA . 7f?2v Property Owner(s)of Record: G4 N''- T 'r 1) u r /S /Yl q /f ., i-1 FA Is-H L. 72i4 e!, t Telephone: l e.c, -7 9 E T u3'9 Fax: email: e ill cf i'Yi A Az Mailing Address: e_3 Gu//? TLG!D */'y9 • S?A/&&is oR Applicant/Agent(if different from owner): 9/7eS/ Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑ Sign 0 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)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ 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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a i lion that he ors s p• r no /, „"Signature: ly�/�- Date: (P —30 —/() The action r 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 tederal 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-tr ns erable respon b.' for adh ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. /Signature. ,�_ -_ Date: (C, ^310 /!) • III 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 b s uming the respo ' y of the eral gontractor for the proposed prroject.7 Signatur : A Date: 6 7G-2 "'--L/ 0 ,GENE CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) • ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: 0 Sewer p/..A.ddition 0 Steel Proposed: Bank 0 Community System Alteration/Remodel 0 Concrete Total: Height: 1Individual Syste ❑ Repair ❑ Masonry SEP Permit# ? ( - 5 O Demolition 0 Other. Bedrooms: Water Supply: Existing: •. Setback: 0 Private well 0 Two Party Ty of Heat: Proposed: VI A,Public Total: f Name of System: 0 C ,. .,,. e.--,A,..,at4. ) 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 F.00d'Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 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 . ,_ 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 properly lines,buildings and septic system components, including the reserve area. wsi>�,+r i3 { 3 =fr &O g"%�'' a "Ifs 7.r + r >4 ;k,k, ,;X, a zr A -pt. g 1 r a '4. ,,rs - :,x, ,,`'k f'.. S ware Footage Current Proposed Mil x _'.4'i .h Main Floor Heated , , n '"Zt, EH Bld App Review: 0°Floor Heated n Consistency Review: ': Base fee: _ f c Other Heated � ;" 7• � 413 Mezzanine f C11 ",` Plan Checkfee; _ Heated Basement1 G ) y , • Irx Unheated Basement 4.6) State Surcharge fee: Other Unheated • Pot Water Review fee: ,L (11P) SUBTOTAL Garage/Carport 3 Z`� -7 ' IZ `P r r Decks , Approach Ah fee: r1/ vie V tanqi Other TOTAL: $ ' `--7 (go - 7 Receipt Number: 1 t- ri) .;� Cash/Check Number e `'ESTIMATED COST(REQUIRED) Date: .Fair a va ue 7flaborand-material foundation to finish (() 1- Z Q©Q Initials: > _�`� 41 nir••••11ftrai—..... 7f fp r% ___---_______-_----- Ak ?rfD es 41.16, 2 g . .. . . , I i IIIIIII1 ''' AL , 1 -T-1 0-\ • >,- 8 P --- x 1 I Ak4*.k4:" •—ta>css• '6;c. ^C1 ct K1 AS..4...i...i....411240.4%.4114%..•-•-•...404014131•NNI I10,4 1111/1111111•Rall IC. el; 1.1 ill CD4 ,/'' f. 111010,, I.4 • •• rxt5465TAR5 g AT LANP11,6 N /* .4 • , (:3 1 4 le .. ••• .• _ , • .44 i -P4 +4 51 •. p. 4 5 a 6.: 4 4 • .• k v man mom•; it •.imilin 6:1! $ Mir I), an 2 Ei 4 .• 0 i ... _...... ..................... - •R; as • ' • •. • 04 11. 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