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Home My WebLink AboutBLD2013-00141 1 0 BUILDING PERMIT APPLIC BLD13-00141 TION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00141 Received Date: 5/9/2013 SITE ADDRESS: 3275 BEAVER VALLEY RD PORT LUDLOW, 98365 OWNER: BRUCE HUNTINGFORD PHONE: 360-732-4582 BRENDA HUNTINGFORD 3275 BEAVER VALLEY RD PORT LUDLOW WA 983659243 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821072005 Section: 7 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: LOREN BISHOP PHONE: 360-301-1979 52 BISHOP HILL ROAD CHIMACUM WA 98325 PROJECT DESCRIPTION RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 156 VALUATION 12,053.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: Prop: Total: 3 Total: 2 Routing Date: 7 /3 Type Amount Paid By: Date: Receipt: APPROVED APPROVED Total: MAY 1 to 2013 Jefferson County DCD \\fiAomorWrhfo\fnrme\G RI 11 Ann RI,1 rn+ g iculn1Q CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00141 APPLICANT: BRUCE HUNTINGFORD PHONE: 360-732-4582 BRENDA HUNTINGFORD 3275 BEAVER VALLEY RD PORT LUDLOW WA 983659243 SITE ADDRESS: 3275 BEAVER VALLEY RD Issue Date: 05/16/2013 PORT LUDLOW, 98365 Final Date: 7/11/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821072005 Section: 7 Township: 28 N Range: 1E PROJECT DESCRIPTION: RESIDENTIAL ADDITION THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/11/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/11/2014 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00141 Received Date: 5/9/2013 SITE ADDRESS: 3275 BEAVER VALLEY RD Issue Date 5/16/2013 PORT LUDLOW, 98365 Expiration Date 5/16/2014 OWNER: BRUCE HUNTINGFORD PHONE: 360-732-4582 BRENDA HUNTINGFORD 3275 BEAVER VALLEY RD PORT LUDLOW WA 983659243 SUBDIVISION: Block: Lot: PARCEL NUMBER: 821072005 Section: 7 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: RESIDENTIAL ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 156 VALUATION 12,053.00 ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $223.25 ZAL 05/16/13 142060 Exist: 3 Exist: 2 Plan Check $145.11 ZAL 05/16/13 142060 Prop: Prop: State Building Code $4.50 ZAL 05/16/13 142060 Total: 3 Total: 2 Total: $372.86 Directions to Site: 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. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED r - 4i-'?. ON COQ k , r� JEFFER COUNTY . .., W ` DEPARTMENT OF COMMUNITY DEVELOPMENT ""° 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax Q www.co.jefferson.wa.us/commdevelopment 81N Master Permit Application MLA: Project Description(include separate sheets as necessary): ct "114-0,) Tax Parcel Number: 8,4- fj 7a - 0 OS- Property Size: ,7 4c e e g (acres/square feet) Site Address and/or Directions to Property: 32.-)c 5e c v<.- V.//� ,P) Po. J1/ - t✓,4 9;3_3- Property Owner(s)of Record: /'_ L i IFINIM4 , 1A1 Telephone: ,..3/0 0 132 Ll t t Z Fax: email: b MEN ,, iv-vYla,'l.. Mailing Address: 3)7 Ct pz°i CA.1/° P-L4,t4{icl.i) Gt1►'� 913/j— G Applicant/Agent(if different from owner): ■ . : e Telephone: 366-3 U/ - f f 7 `1' Fax: email: Mailing Address: S-2- .13...5 iv He/1 RP C/•,n ac.+.-, 4/, 9e'3.. S-- What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation J 3uilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) 'I Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑Road Approach_ ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan ❑ Propane ❑ Long Plat** ❑sign ❑ Planned Rurai Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑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* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment [J Forest Practices Act/Release of Six-Year Moratorium ❑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 Aw. ., AP, A a / to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE .■_A ' t./". WIOMA Date: S- 6-/3 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. S affs acce s nd right of entry will be assumed unless the applicant informs the County in writing at the time of the appli 1r.n that he or he wan -p'or notice Aid A Signature: 1_ /' . ." 1. Date: — / 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 e Jefferson ounty .evelopment code.The Applicant acknowledges that he,she or it holds individual and non-transfer.•• responsibility for ad r • to an. corn, in• ith the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: l � _��. . /� )/r1 A: Date: ,r? -t - i3 gm" V• r'.\n_..__:✓-__.__\uuuvno r,rcua+u\non vno,,gc\r......_.non c...---..\7.1 ..._n...:.n__v__.:__C nn no a__ • 0 1BUILDERSTATEMENT The signer of this statement does hereby -rtify th- hey are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a-.a mi g the respo sibility o t - G-neral •nt •ctor for the proposed project. r; I + J5, - Zal Signature L /.: �i . 1 — /1 A1 1 Date: ern GENERAL CONTRACTOR OR MANUFACTURED HOM/wSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: 2 ❑ Sewer % Addition ❑ Steel Proposed: 0 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 _ Height: y Individual System ❑ Repair ❑ Masonry SEP Permit# 9/-00 1/Y ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: Private well ❑ Two Party Type of Heat: Proposed: 0 ❑ Public Total: 3 Name 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 Pro•ane Tank and/or A••liance Installation •ermit mark all items below that a••I : i Underground Tank j Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove 1 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 components, including the reserve area. Square Footage [urrent Proposed ....- ce : .,'Oily: Amount. Revision Main Floor Heat9d ,3-6 S /S6 d5 cS� EH Bld App Review: 7F 'D — 0 • 2' Floor Heated Consistency Review: 67?.x� 00 Other Heated Base fee: *074;3• ; Mezzanine Additional Section: Heated Basement Plan Check fee: /1/,5 If Unheated Basement State Surcharge fee: Y_ 6° Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL , 7�'-k/ Liva 10 Decks 911/Rd Approach fee: ,—.49,-- Other TOTAL: $6 782-4-k, ' Receipt Number: /L/ O 0 Cash/Check Number: `6 �0 ESTIMATED COST(REQUIRED) Date: 9 / •Fair market value of all labor and materials foundation to finish r/ Initials: /0/000. -,.. •.,.._.__\11.44417C11,‘W444444\TlD)l D/lD TIC\!`..--......T Tl C.........\11k.......-De.■■■:.A•■••li...,.:....S')O!1Q.7...- 0 S f r?isoN Oa JEFFERSON COUNTY ' \ r�� DEPARTMENT OF COMMUNITY DEVELOPMENT 1"1 '\ '4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �� A0� www.co.jefferson.wa.us/commdevelopment '� •- I/60 Master Permit Application MLA: Project Description(include separate sheets as necessary): aoidi x;0,1 Tax Parcel Number: g�/- ?��- Q 0 _ Property Size: ,5 /ek re g (acres/square feet) Site Address and/or Directions to Property: 3,2-) ,V e a vt e-- V.// F p d Po, I,.)/ - 04, �i3.3— Property Owner(s)of Record: YU . °4' Si 6 "_A.1 NM= . Telephone: 3100 132 Ll t"tZ Fax_ / email: h MEN ,• / t4f'fYIA / Mailing Address: 3')1 S At o-°� (f/{f/Caj r1 p�U J 1 dJJ �`V J ,j— • 0t' Applicant/Agent(if different from owner): X o ern 8, s L/6 Telephone: 3 6 6-3 U/- 1 9 7 I Fax: email: Mailing Address: 5...2.- 46/-54,4 HI 7/ l?D C 1-,,,,a c K••-, v4 9?'3,,,7 s— What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation j$$uilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) '! Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]'"" ❑ Manufactured Home " .❑ Modular O Discretionary"D"or Unnamed Use Classification • Change of Use \_. ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat ❑ Home Business ❑Cottage Indust ❑Binding Site Plan** ❑ Propane v ❑Long Plat** . ❑ Sign .. ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Con•t stency Ana ❑Plat Vacation/Alteration** ❑ Stormwater Manageme t ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Adv-rice Dete - :tion(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunicati•- * ❑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 ❑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 Ao .1 Ar►. A.,�/ to act as my agent in matters relating to this application for permit(s). ;� OWNER SIGNATURE _I /Ak ti. �I/l�j Date: S- 6-I 3 s 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 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. S aft s acce s nd right of entry will be assumed unless the applicant informs the County in writing at the time of the appli t'•n that he or e want- p or noti - 1 Signature: 1�%L!� . A Date: S-i ° / 3 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 e Jefferson ounty•evelopment code.The Applicant acknowledges that he,she or it holds individual and non-transfer••I responsibility for ad ri•to an corn• in• ith the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: V►. .,l _4 •. : I 1A� A: ' Date: 'J -4 — 1 IP • • BUILDER STATEMENT The signer of this statement does hereby -rtify th. hey are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a-a mi g the respo sibility o t - G:neral '•nt •ctor for the proposed project. 77 �� I � 1 Signature ` l.. _IA . _ .441 Date: __ 5' 7 (..tlJ -fir% GENERAL CONTRACTOR OR MANUFACTURED HOMSTALLER: 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: O New X Wood Existing: 0 Sewer ;gf Addition 0 Steel Proposed: 0 Bank 0 Community System O Alteration/Remodel ❑ Concrete Total: 2. _ Height: y Individual System O Repair 0 Masonry SEP Permit# 91-00119 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 3 Setback: % Private well ❑ Two Party Type of Heat: Proposed: 0 ❑ Public Total: 3 Name 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 Pro•ane Tank andlor A••liance Installation •ermit mark all items below that a••I : 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 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 components, including the reserve area. ice U . A .1p„nt Revisiort S•uare Foota•e Current Pro•osed • Off ` _I , Main Floor Heated 5 E Bld App Review: - 1 /3-6g is-6 t ��. 261 Floor Heated insistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport BYO SUBTOTAL (019.043C. Decks 911/Rd Approach fee: Other TOTAL $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish /0 000. Initials: • -0 • 73 �1- O S rt -' 3490 • Z • e Q_m O ..1 m •t co r�m 0 c 1 \S 4 1 4r ` W O W • r m • A rt- fi i 8 0., 1 , 1, • . RCSe e'i/G - Z 0 m CV W 0 9 tn y 7` to CO Qo c- Ii' 6, _ G1�D Cl C.Dp CN 0 7-0 3 I; _",,,,,,,,,,,,, : a....s., ,/ '/' a z - a- - . ��. , n a tt Z -,1)0 , ---- , ''''",....,,,,,,,,, iti. >• K--- ,, a O. w al _ C it hi 3(PO' ....1;s 8e a ve A. IA, /l y tez 1 '4 Site Plan Checklist A Site Plan. All site plans shall be drawn with a straight edge & features shall be to scale using an engineer scale. For Residential Applications A site plan printed on 11 X 17 to scale(if on larger paper please submit 7 copies) Please show the following on all site plans. -North arrow Title block with the project name, address, drawing title, tax parcel number, &the name/address/phone of the person preparing the drawing. .e' All Property boundaries, dimensions, total parcel acreage or square footage dimensions. or- Building footprint square footage for all proposed'(existing structures[for Site Plan Approval Advance Determination (SPAAD) applications show buildable area rather than building footprint] S0' Environmentally sensitive areas such as ravines, seasonal creeks, bodies of water, wetlands, steep slopes, etc. .- On-site septic system location or sewer lines (existing or proposed) Show measurement from foundation to septic tank, drainfield, & reserve area. Show transport line. -8' Well location &water lines. Show 100' radius around well. 0' Impervious surfaces such as driveways or patios. Show driveways all the way to access road, not just to the property boundary. O Setback distances from property boundaries to structures, distance between structures, &distances from structures to environmentally sensitive areas such as wetland, shorelines, steep banks, etc. O Location of any easements&encumbrances such as utility or access easements. ❑ Method & location of stormwater disposal facilitates such as drainage swales, tightlines, dry wells, curtain drains, etc. ❑ For applications on marine or river shorelines show ordinary high water mark, top of banks& heights of banks. ❑ Locate the Propane Tank, Size of tank, A/G or U/G &distance from nearest bld. f.- . ---„,.....,,,, ?1 \ „\.r a - ‘a Z i , � U�d T10� 9 n n �ti b .� , I .� ; bz IbI -4 / \ , f. N I a 1 d 1 / 4 4 '`O b 4 4 4 111PA -I 4 E 4 4 4 4 4 I iri- I. 4 ,- A 4 4 F'.1 tp 1 4 - r 3 1 4 4 4 . 4 ' id ;i 'i > .a 4 4 "4 1 .8'a ri 4-1 It 5 zi . ...,,zp * ......- .__ ......... _ i i p i 11 . T Cl a Uj 1 N CI 8 p j IN u i 1_1 1 C3 / / . 1 A . o ) 1 . 1 ] \ill 1 /f* . t, \\ \, gi 1 ii orx - / DIMENSION • DIMENSION DIMENSION / I 111 I n .� qv, iii �+ • • i. s• a N , ` I I r �, r , 4 L Crt4j OW*.y , _ _ -- - 1 _ • — . . J v lt N PER1 LINE to PRO 1. ._._ ---- - — ----- — — GENTERL I NE VIEW STREET Review �p Front Parcel Parcel 821072005 Printed: May 13, 2013 BRUCE HUNTINGFORD Site Address: BRENDA HUNTINGFORD 3275 BEAVER VALLEY RD 3275 BEAVER VALLEY RD PORT LUDLOW, WA 983659. PORT LUDLOW WA, 98365 Parcel Number: 821072005 S-T-R: 7-28N-01E Total Acreage 5 Legal Description S7 T28 R1E TAX 7 S/EASE Land Use: 1100 Flood District: Fire District: 3 Planning Area: 6 Flood Map(FIRM)Panel No: School District 49 Zoning: P COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ Plot plan states "property line" [ Assessor's Map (Property lines o ubmitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ Legal Access to Property NO [ 0/Parcel Tags or Scanned Documents YES YZ:)- [ t-ESA's: Special Reports Nearby YES NO [ per'Designated Ag YES i [ '-f Shoreline Designation: YES NO [ C-]--` Shoreline Slope Stability: YES NO Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: c. .ES,)NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Ar-IMO NO S—Cl-C SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan su. . 'tted: YesNo [CA-- Forest Lands: YES �W Adjoining Forest Lands: Commercial/ Rural/ Inholding [ t/r Mineral Lands: YES [ OP Agricultural Lands: NO [ f rchaology: YES NO [ Stormwater: New Impervious Surface Land Disturbing Activity ESA's [ t/JStormwater Res'.. in Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering Notice Provisio '=R"osure: ' ort YEs NO MRL YES NO Forest Lands YES NO [ r��1� Landscaping Required: Yes [ (p Parking Spaces Re uired< 2 Other I Building Height: 5' UBC Standard [ ] , Impervious Surface coverag rcentage: Resource Lands&Public: 10%lip Rural Residential. 5% Rural Industiii)Per UDC Sec 6.7 Rural Commercial: 60% Area of Building overage:60%in Rural Industrial Lands only [ tom}' Total Building(s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to se ti water constraints/No4specified [ Setbacks: Front: 20 Left Side: t Right Side: —__ Rear: G� Shoreline Setback: LSHA Setback: [ 14" Road Classification: Road Approach. xisTlN NOT REQ'D RAP �] SEPA Required: "XEMPT [ kr Flood Certificate: [ Existing Case(s)&Condition(s): Violations: Yes No [ Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [14 Lots/Require Declaration of Restrictiv- ovenant YES ! 0 .ubmitted: YES NO [ C1C, UGA No Protest Agreement YES � ubmitted: YES NO [ --Site Visit conducted YES o'" [ Require Final Zoning Approval YES (OD [ £ADMIN: Setbacks entered in Permit Plan cas- YES New Parcel Tags entered in Permit Plan CIZIP YES Special Reports Scanned 4100 YES No parcel tags found for parcel Cases Associated with APN 821072005 Cases Name Review Type Status Planner BLD13-00141 HUNTINGFORD I P Application Received: 5/9/2013 Permit Issued/Case closed: Case Finaled: RESIDENTIAL ADDI liON BLD91-00284 GARTEN F Application Received: 5/10/1991 Permit Issued/Case closed: 5/20/1991 Case Finaled: single family residence BLD95-00221 HUNTINGFORD F Application Received: 4/26/1995 Permit Issued/Case closed: 5/3/1995 Case Finaled: 5/20/1996 Garage BLD98-00671 HUNTINGFORD F Application Received: 10/20/1998 Permit Issued/Case closed: 10/20/1998 Case Finaled: 10/22/1998 propane tank&stove SEP91-00114 HUNTINGFORD F Application Received: 3/8/1991 Permit Issued/Case closed: 3/25/1991 Case Finaled: 1/21/1992 SOM91-00114 HUNTINGFORD F Application Received: 1/21/1992 Permit Issued/Case closed: Case Finaled: \\tidemark\data Worms\R_Parcel_CRMLA.rpt 5/13/2013 Page 2 of 2 i � $ON 06. JEFFERSON COUNTY W +� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 OHO 360/379-4450 . 360/379-4451 Fax ' IN http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: "4/!.") 0/S 44/0 DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet .2 3 9� y0 0 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple, and vine maple; shrubs such as willow,elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures .2 OO sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well, utilities, etc. sq/ft Does the project convert 2'A acres or more of native vegetation to pasture? Driveway, parking,roads,etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance Zd 0 sq/ft Cut Fill (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV.9/9/2010 1 • . Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) o? OD sq/ft Structures (all roof area) 3000 sq/ft Sidewalks sq/ft Sidewalks D D sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc 6 COO sq/ft Other sq/ft Other sq/ft p Total New 2.0 0 sq/ft Total Existing / 200 sq/ft TOTAL NEW+TOTAL EXISTING* 9 ya v sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 19 % Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 6- /3 (LANDOWNER OR AUTHOR .44 REPRESENTATIVE SIGNATURE) (DATE) #a s axc ,v a`&k v" �A °r 4s:s 6 .� �' �.✓ .� F�" 2� x'�xsav^. .. eiVI z �a �v �'"� §away,;vA � ..� f & >y �.. $ '�q. �,?' 4x �} 4¢r� ��a'A�� l � �'a,�� a ��y��s ,��y"`��,� ,;t s }� �+��:.a3�{�s` a pe ott 't", '� '� + o- '' o ors d A s j a d3,{,.v`s t5 a � * �r zk �y r t�u; r so 3 y,� .BI ® a1r d', " a '� '4��a. z � X55^rf 3 � �?... iA fi,_. tit4 ms 'm C4'° ,b: nk ?r.,2�_,: b '4 v+06 ,n`�c 1t-.: stormwater calc worksheet Rev 9-9-2010--REV.9/9/2010 2 :I- O + m x....._rn -I no , a I xi ) J m U ..7\ 3G m NJv C3 . ,o m co c ry : £`L • v Q * - 0 -i q rn • P . ,, Rc5efvC 2 ra,., `, O /1 c CO Nb Q. o -v -- o W M L m , m r - - }• �y. ;- i • S Z L • P a k _., a _ _ .‘4111,17", - ",�, il I Q 3 F , Bea r/r A. 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P . _. � 1 tillvt !a�aE�rsart inu ..,IUmu.1.R14l11 O 4,24x. 8 csMT Wt/ i)< .,2 i , ,izaaWO -Tor '.ate i, !� ; t ;tDtnk Kirk Boike ARCHITECTS LLC•4601 Mason St• Port Townsend WA 98368 • 360 385 6140 .:6 • 5xarchitect@gmaii com T DRAWNGS AND PLANS SET FORTH ON THIS SHEET AS INSTRUMENTS OF SERVICE ARE.AND SHALL REMAN,THE PROPERTY OF KIRK BOIKE, ARCHITECT. WRITTEN DIMENSIONS ON THIS DRAWING SHALL HAVE PRECEDENCE OVER SCALED DIMENSIONS. CONTRACTOR SHALL VERIFY ALL DIMENSIONS,CONDITIONS,ETC,PERTAINING TO THE WORK BEFORE PROCEEDING. THE ARCHITECT MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR CONDITIONS SHOWN ON THESE DRAWNGS. ANY SUCH VARIATION SHALL BE RESOLVED BY THIS OFFICE PRIOR TO PROCEEDING WITH TIE WORK OR THE CONTRACTOR SHALL ACCEPT FULL RESPONSEHLITYjFFOR COST TO RECTIFY SAME. L t r czi i.... 4 c{1—v r r-"' ANE1►c�. ( '` Lti► - rbGS '/5 0 1.2„.1=1-4 ov_..° C("1...,,,,s.J- of$..,. 4A.?*4 M. .C. I 'ESy\,.EZ\�' ..."�=V∎ "�1l'vT�,h..�\\\\�C�4.�\i'.! -G t--tt .rZ.c. 2013 / III, 1 ,t 1 /;/ # I L , /'mac--- ____.�_ I I /,f - , 1 /; 1 _ +.,-.- _. _ - . 1 1 I ;/ k--� LEI f_ i ! i 7L ! ! \ "Th. .1 ill I �� -<'eZ\ il�\�.N�n :.x;,4`5 ., i ! r�r ! I to t �e . I a .64:3c)I Ti o t-k 1 1 1- T12.0 .,) , @ 2.4-t+ D.C-. rt*Z- - i-,C0t°- i 1::71Ch t-t 13"r I 1 __ _ i _ ibi - por?z,}4 vb ti - t- \ , 4x10 1z3i=2 t �Ir _ I IQ 0 r)F2! ! i .I 11 0 I I I is T. , N A, oy0 r � gt A ° a -1 T---- .------I- 0 L Jefferson County Buildinggvision Permit Nber: BLD13-00141 Applicant: HUNTINGFORD BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the.inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 Foundation Footing 5/16/2013 1p Foundation Stem Wall 5(` 4(3 r Under Floor Framing Co 4J)) p,„ Straps(hold downs) a613 /(► Ext.Shear Wall Nailing IC Framing q/4 /13 � tiLrur� )1/2,s/r3 , I .).56th-,17 M,x,) /2-4 3 eyi+/13 �5 F � , tb -zs-r_k3 c e.. .yl•�JLTL+v� 1 422a?Avt 1)Lk f 0SJ)3 9 & 5.5.6 FINAL INSPECTION 7////15i K for- 6 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00141 1.) 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. 2.) The site plan as submitted with the Building Permit application on May 9, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 13, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tiriamark\riata\fnrmc\F RI 11 Permit Rhin rnt .ri/1R/701:1