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Home My WebLink AboutBLD2013-00272 UILDING PERMIT APPLICAON BLD13-00272 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00272 Received Date: 9/3/2013 SITE ADDRESS: 144 SWANSON AVE OWNER: DANA E KOVAC PHONE: PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 OCEAN GROVE ESTATES#2 SUBDIVISION: Block: 8 Lot: 11,12 PARCEL NUMBER: 977100817 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 10/4/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ATTACHED GARAGE AND UNHEATED STORAGE ROOM, AND COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,362 VALUATION 220,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 170 SHORELINE: CONST TYPE: GARAGE: 572 SETBACK: DECK: 188 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,867.95 MEB 09/03/13 142446 APPROVED Plan Check $1,213.55 MEB 09/03/13 142446 State Building Code $4.50 MEB 09/03/13 142446 SEP 2 0 2013 Potable Water Application $66.00 MEB 09/03/13 142446 Total: $3,152.00 Jefferson County DCD \\firimmor4\rlofo\fnrmc\F RI Il Ann Rlrl rnf OMP,r114 • • 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#: BLD13-00272 APPLICANT: DANA E KOVAC PHONE: PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 SITE ADDRESS: 144 SWANSON AVE Issue Date: 09/20/2013 Final Date: 8/4/2014 SUBDIVISION: 9771 Block: 8 Lot: 11,12 PARCEL NUMBER: 977100817 Section: 24 Township: 30 N Range: 2W PROJECT DESCRIPTION: NSFR W/ATTACHED GARAGE AND UNHEATED STORAGE ROOM, AND COVERED PORCH THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM ye- no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/4/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 8/13/2014 .,.,- ..., ' : c_, L 0 L, 91/2' , ,.. c., ---- —10'-2 1/2"-—--- — I,-<\7 - \ V u, c_, I 2E48 Two_ 4036LS 0 I , \ \ N I I -1 ,,_. 1 c, L, F ---- i 1 i 1 1 l>' \ \ \ i r r'—'7.-----)—'-i"-----1 c7 1 \ [1171 I \ \ .-------,..,..--------) 1 I ,-zt 1,1 \ '1, I I I \._ 1 I \ s \ I I 1 I \ I zco N I i 15-'■(1.:t:%, P c 19* N 1 1 r • In e....... Storage 1/I 1 [6 \ 1 . ,. ., N 9'-8" x 15-11" . 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'11100 $ 17 /1 Property Size: 1'7, 2 50 54.Ff. (:. _. square feet) Site Address and/or Directions to Property: (4 L-( jw a✓n 50 h Ai ( Pis r-+ Zvw"s e.K CL l WA 9 r G , Property Owner(s)of Record: 0 4%AA. . _C I , I Telephone: 360- 714,Co 2:76. n Fax email: cnk.dr e bro lr�net Mailing Address: (t1 S(vati so / Pc Co 1..4 hst..cX' t wA $3G X Applicant/Agent(if different from owner): Osavtail aka r I lv t ?v-. Telephone: 3W - 3t G--g 4?Z Fax email: n;145 n i l.5 a t ss ® c fa t .-0^-1 Mailing Address: ' £% h . A t•A st✓tC' W ' - `36 ' What kind of Permit?(Check each box that apps building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Ma;or or Reasonable Economic Use ltSingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a), ❑ Manufactured Home ❑ Modular ❑Discretionary`D*or U r - 'L'2 ❑ Commercial* ❑Special Use(Essential • , `` ❑ Change of Use ❑Boundary Line ' - -- 1 ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** I S E P 3 2013 II ❑Propane ❑Long Plat** J ❑Sign ❑Planned Rural ,r r:..,,,o.,, w„ P�_ . ..- . tS** ❑Allowed'Yes'Use Consistency Analysis ❑Plat Vacation/Alteration JEFFERSON OUNTY ❑Stormwater Management ❑Shoreline Master Prog - -1 I illy,t1:,1 t.i Ct�.,'?f..':' ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Su' :ntial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑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 Appficatton Conference ❑Tree Vegetation Request **Requees a Pre-Appirica(ion Conference Please identify any other local,state or federal permits required for this proposal,if known: IA rr 1 I DESIGNATION OF AGENT I hereby designate () .c (iA (ta.r!'to �/�)to act as agent in matters relating to this application for permit(s). OWNER SIGNATURE 1 . m .Ktrjl o e 7 ,��r Date: t ' Z ' I'� By signing this application form,the ownedagent attests that the information provided herein,and in any attadenents,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 ownedagent 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 attomey'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 a will be assumed unless the applicant informs the County in writing at the time of the a plication that he or she tine. 0 dp 11 Signature: ��-r c--- + ` Date: 9- .-2-- ( -S 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 lake'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 wlti 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 ad nki• and • , Applicant has read this disclaimer and signs and dates it below. Signature: bC of uza.- F� rr 'a._ � �tli Date: ct '2-' i3 G:\PeamtCenter\###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 CONTRACTOR OR MANUFACTURED HOME INSTALLER PHONE: FAX: 1..��c.tJ � 1 v1 —OI3A Z-�e rr�,�d1t �blMCS +—Rt^�Ie1�le�(Y6o) 3I16__-cg71_2 ( f) MAILING ADDRESS: 11, l�w c,,.sa n._ r 1 yorr--r. �.scs�.�,t ill teq rl nc�oti t S A. Ct pi t•c�r� CONTRACTOR'S LICENSE WAINS J NUMBER: TNT E GµR 153 PO NUMBER C 1t 641111-43 S Cr,356 ARCHITEC/ENGINEER: ,n�,;,A4... n :h P PHONE (3o)riZ S-,sq4 q '+A x ( ) MAILING ADDRESS: EMAIL CPJ3 s ti'kq h ago,;,,g 6 yak cu ,co,..t Project Type: Frame Type: Bathrooms: Shoreli#fe: Type of Sewage Disposal: "New tot Wood Existing: ,� ❑ Sewer ❑ Addition ❑ Steel Proposed: � Bank l 'Community System ❑ Alteration/Remodel ❑ Concrete Total: Height ❑ Individual System ❑ Repair ❑ Masonry A/f�'t SEP Permit# l 3—000 r2. ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type o Proposed: � of gims c ikok-4-(,4Ay) ;.,. ei1M t►4 (P. Total: Name of System: Pvt.O t-I R,rcA-4 01,:v- Z(L (_ f %e L if this is a Commercial Protect 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: Wig you have Food Service? Yes I No If this is a Propane Tank and/or Appliance Installation permit.mark all Items below that sock: I Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove 1 Woodstove I Fireplace Insert 1 Hot Water Tarn I Pew Stove I Other Is this appliance being Installed in a Manufactured/Mobile Home? Yes / No When applying fora 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. S.uare Foota• _ Current • • • - • ',,,_• Amy� s.�=-_ Main Floor Heated 3 b _ = H Bid App Review: • 2"0 Floor Heated Consistency Review: 2 Other Heated Base fee: ( �j —6 -- 4 � 4e._ l O l0 a �,rc•✓ Mezzanine / Additional Section: Heated Basement / Plan Check fee: 12 13,55— Unheated Basement _ State Surcharge fee: S Other Unheated / �� I 1 Q '� Pot Water Review fee: Garage/Carport SUBTOTAL dti k of Ir S?2 � , Decks 911/Rd Approach fee: ✓ Other TOTAL: $ � ---. 1-1 °t . Receipt Number. 2 (,I CashlCheck Ntenber: to 14 = ESTIMATED COST(REQUIRED) _ Date: e1 Sl/J.Fair market value of Wed materials nit 220, 0 0 • °a / initials: r1Al • G:\Pete itCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • CC O H = O or 1.1- N -O Z LL. � O H O CO -7 O � -- -- CO � Q 0 ci- CD — LO ti Z O -O - LO Q O O L J -0 M O= -0 a--1 CO C U 0 = F- W O C Z +1 "0 H 0) 0) Q •- 7 L L L U r- Q .O U U U Q Z O 0 J O_ 0- = -- � U F- F- O O Cr) CO N N CD N CA -O O7 O O I U CO Ir '0 CO w C = 3 CO 3 F- CV CO CO �. O CO O CO # Cn J U 0 07 "0 CC CO Z C = • CO O_ I-I -- a- LLJ N � 3 Q 3 >- • F- � CV 3 F— CV Q CV CO O: "O CC O I— cd LC7 W CO W C W [I' co >. J W I- W CL d- LLJ � CO CZ I- O O O CV � LLI W Q 0 U O O= Z •- CC CV W CO X � O Q Z LLI CO CZ O J CA Q Q (CC ¢ > W W CO O O I- LLJ Z I- O O J Z 0 J Cr) Cr O Q w Y I- 3 CC CO J O O F- Q CC O U W "0 I- X W LLI J ]- F- tr U Z CO F- CD J J 3 Q -3 U O a Q W I- O W Y CO iT UJ CO = Z E NI- CC CD U J = 7 7 CL O Q Q d- O C9 O CO CO O +, � U O 0- • O_ Y CO - +-1 O P- O m 7 O CO I` O O O CC ti N O CO 07 Y CU O CO O � O NI- O O O -0 C_ � N U CD .- ,- O = # C O Q a) -- L a L 7 Y C — CD O 4-, CD O CD CD = CD •— = Y .0 CD U CO CD "0 7 CO 0 L C_ Q - O CO CL L C) CO X -F1 U "0 X CO CO O_ CO -- •- CO CD F— I— X cl— F— CO CO cf- X X F- Q Contractors or Tradespeople Peer Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L£tl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name INTEGRITY HOMES a REMODELING UBI No. 602541544 Phone 3603169472 Status Active Address 124 Swanson Ave License No. INTEGHR953PD Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 10/4/2005 State WA Expiration Date 10/4/2013 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date CHARLTON, DONALD E Owner 10/04/2005 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SG3504 09/29/2005 Until Cancelled $12,000.00 10/04/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 2 CBIC _C11SG3504 09/29/2010 09/29/2014 $300,000.0007/24/2013 1 CBIC C11SG3504 09/29/2005 09/29/2010 $300,000.00 10/05/2009 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period II https://fortress.wa.gov/lni/bbip/Print.aspx 9/3/2013 alb Front Parcel Review • Parcel 977100817 Printed: September 5, 2013 DANA E KOVAC Site Address: PAMELLA DENOTTER 144 SWANSON AVE 144 MYRTLE RD PORT TOWNSEND, WA 983E WA, Parcel Number: 977100817 S-T-R: 24-30N-02W Total Acreage 0 Legal Description OCEAN GROVE ESTATES #2 BLK 8 LOTS 11 & 12 SUBJ Land Use: 9100 TO EASE V522/P898 Flood District: Fire District: 1 Planning Area: 2 ,-- Flood Map(FIRM)Panel No: School District 50 Zoning: ,e/e /, COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property Y- NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES N9(/ [ ] Shoreline Designation: YES N O [ ] Shoreline Slope Stability: YES NO Stream Type:YES NOS: Fish& Wildlife:YES N' Wetlands: YES NQ' Rare Plants:YES N/ Seismic: YES N% Landslide: YES 1N9- Flood: YES N7' Erosion: YES N� Aquifer Recharge Area:YES N SIPZ: nAt Risk High Risk Coastal CMZ: no igh Risk Moderate Risk Disconnected CMZ Stormwater site submitted: YesNo [ ] Forest Lands: YES Nr' Adjoining Forest Lan s: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES I■„0---- [ ] Agricultural Lands: YES N2Y [ ] Archaeology: YES NO,- [ ] Stormwater: New Impervious Surface's/ , Land Disturbing Activity "I- e7 3/2 1- ESA's Stormwater Req's:Min Req#2 Min Re thru Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES N/ MRL YES ■ Forest Lands YES [ ] Landscaping Required: Yes Ny [ ] Parking Spaces Rewired NO /0 Other f 1 Building Height: ' UBC Standard [, ] Impervious Surface coverage centage: 0/Q Resource Lands&Public: 10% V Rural Resid : 239 Rural Industrifier UDC Sec 6.7 Rural Commercial: 60% Area of Building Ct erage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front:. Left Side: 5/ Right Side: 1/ Rear: 5-f Shoreline Setback: {-- LSHA Setback: -- [ ] Road Classification: , C(e(24 Ci 9 Road Approach: EXIS OT REQ'D RAP [ ] SEPA Required: YES EXEL [ ] Flood Certificate: ti,4 [ ] Existing Case(s) &Condition(s): "0-L Violations: Yes 150- "0_ [ ] Recorded Date of Subdivision: /-d1. 19 /`? =2 AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YE,S-NO, submitted: YES NO [ ] UGA No Protest Agreement YES Imo;submitted: YES NO [ ] Site Visit conducted YES NO,- [ ] Require Final Zoning Approval 'YES N(� [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 977100817 Cases Name Review Type Status Planner ADR13-00033 KOVAC F Application Received: 6/17/2013 Permit Issued/Case closed: Case Finaled: 7/10/2013 New address BLD13-00272 KOVAC P Application Received: 9/3/2013 Permit Issued/Case closed: Case Finaled: NSFR W/ATTACHELSGANAGE AND UNHEATED STORAGE ROOM, AND COVERED PORCH RAP13-00028 INTEGRITY HOMES& REMODE P Application Received: 9/4/2013 Permit Issued/Case closed: Case Finaled: RAP-Swanson Ave SEP13-00082 KOVAC P Application Received: 7/11/2013 Permit Issued/Case closed: Case Finaled: TANK ONLY \\tidemark\data\forms\R_Parcel CRMLA.rpt 9/5/2013 Page 2 of 2 Screen : 01 REAL PROPERTY MASTER Mode: INQUIRY Auto Roll : OFF Parcel # 000977100817 Geo Cd 300224402111 OCEAN GROVE ESTATES #2 Nbhd Cd 5560 BLK 8 LOTS 11 & 12 SUBJ TO EASE V522/P898 Loc ID OVA 0700 KOVAC, DANA E T P Chg Dt 7/16/2010 Taxpayer Cd K / g * Title Owner T/P Chg Usr JA Tax Code 0111 Status TX TAXABLE Land Use 9100 VACANT LAND Affidavit 114628 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer KOVA0700 DANA E KOVAC PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 98368-9223 Search Ke CMD 6 : End Window CMD 7: End of Job • . r • • L.P-Vo! 4 i /oFZ 171190 SHEET/Of Z Cr) ALBERT BALCH & HARRY COTTON'S OCEAN GROVE NQ 2 Sec. 24-T3ON-R2 W-W.M. • JEFFERSON COUNTY, WASH INGTON :°sws.e r ulsr0 yr trs's:"I_____..•— !ae•Je•K•J 2520.25 - 241' $ HUNT/NGFORO ST. C 775.52 a .. e.. f i4 8 a I a i s{� 744 sa.'' ° 4? 23 25 k 27 ? 20 $ 12 of .�, ,Z I.K e e J \ e� wi 5 11 111 W. la P �j * a Jsl1 Kls KH -. ` fp ��) N IV' a ^ f� 1j a �_.S\--L ery • ro.:r.< G[-f> 7f.rr 7.22 y 1.13 . ,)J r xq'JO'73 a R n J i' ze ' 6E i l er. 5 , 4.0's Js 6 . .,> >J 0 a C4. e a o Jfr' /S qe 1eb..0 ] ro rd. ♦° '-4, „ 4 b y ti a �rY YJM fA�r' 51 Q o .e >JJ re 70 + /J % NC e \.< a J \ ? . lz a '''.*";,,J1, r' /c y i p a : /2 xee•'•K•w J7 1, y t .4. s J 4,0 ry � , 6 Y J C• /p �0 . • > �: a Js>r it o b 1 k 8 z .. s it °k rj lt. .^ K J!l ° # ,i, 3 4. .., 175 Q;a eS.„ 9 ci a �� k` r4. e t -' •t,e, ns a MEM 2 Y l > T e T • a ,'"' ..5. 1 /••;,,,,,, ---,..., s -., ••?..- it, ril h epee 4sr � � � 4 �} r3ra'♦ ;111111 y ti lJ ? -.. i s o J_-r.a. . ti e�� ? is� CY 8 zo?_ e 'i ` ;1y xrorKr .1, ..i �\ _ W 45 ,. x.54 a•s v • .� 'J nJ e e e RO� >e' ., e' xra } > °0 120 '�. ,gyp la%. 7`° > 4 '. `\' r \ \ vj y t ♦.K `,E ,° CO - !`h' a .," o °� z krr ejy,etta 2 •? d'•l t o, 15534 $ _7 6 02.66 A 2 506 . .. �eeNn 2^te n. * e Or°.P o ^3sr; ST. a ..'4s err ''' ±.''N,'5$_ ? ■ zJ` R tt lay, ' > +` .'-"-1 al. _• /6 '\'\w�[ N {+r ll> !a4" ...' 7s.0 as.rr 7s.0 16.11 7s.0 >f.[r v f�.f2: r-°aro- s,. _ RR 6 ' \ / F. •.a r[ fr.0. ,4'''" 0.'r.- `�" , _ k /) " aet�16 tr error! [`��-„4.y• Jr 4 .' �. i o i 9 �' p S z 4. s• J/ a `' J l '. ,!N- :;,'�• JY•Ja a S! .J ! 76.22 aftt 76.22 72.22 4�rr 73.20 ,K.72 by 44 I•JO'K-! "-- 4r %8 '''',1)i . %Ix .• .g.U'l- Yk EEARINGS ore re/oli re to the W rhington Coordinate Syrtrm arid. r.,1wr 5rc:s er' MONUMENTS. IS monuments T."03'.,"+le T-iron stake!with - .i are r idenll//cation coprr and Jih oncrete.Found monument+r sneled der ubd'i of action. e i+ i' SCALE.'1,/00' /OO' t ' . • L.R—Vo( 4 pe2l 2oF2 SWEET 2 OF 2 ALBERT BALCH & HARRY COTTON'S OCEAN GROVE NQ2 Sec. 24 -7-30N-R 2 W-W.M. • JEFFERSON COUNTY, WASHINGTON SUBDIVISION OF SECTION IEDI-.ATION AND RESTRICTIONS This section was subdivided by survey to locate the boundaries of the U. S. Know all men by these presents that we, the undersigned, Balch Land Military Reservation by J. C. Phillips Jr., Engr. in 1912. Monuments Development Corporation owners in fee simple of the land hereby platted, set in 1912 were either 1 1/2" gals. pipes or 4" square concrete posts be•eby declare this plat and dedicate to the use of the public forever with the letters"USMR" cast in one side. These 1912 monuments have been all streets, avenues, places,and sewer easements or whatever public found and accepted as establishdhg the subdivision boundaries. The property there is shown on the plat and the use thereof for any and all bearings and distances between monuments are as determined by checked public purposes not inconsistent with the use thereof for public highway measurements in 1960. purposes, also the right to make all necessary slopes for cuts and fills 'upon the lots blocks tracts etc., shown on this plat is the reasonable C00/u:L�M01v�a POUND Osron original grading of all the streets, avenues, places, etc. shown hereon. `3001 as°9:if Also the right to drain all streets over And across any lot or lots where �O)s/a)) /91/s UN/(NOWN water might take a natural course after the street or streets are graded. r 3C•a9'IO'E fly= g j e f3 < All lots tracts or parcels of land embraced in this plat are subject to ;')i su..�9 and shall be sold only under the following restrictions: No permanent structure or building shall be constructed on any lot of this plat closer than 20 feet to the margin of any street or road except W that this restriction shall not apply to "Combs Place" or to portions of r, streets adjoining the longer sides of corner lots. No lot, tract or POUND usroa �� portion of a lot or tract of the plat shall be divided and sold, or resold, c)NC.roar. w or ownership changed or transferred whereby the ownership Or any portion / )s sr3.cr 2 of this plat shall be less than 40 feet is width at it s narrowest part, 10/Of 9.3) z except where narrower width is initially platted. POUND vr20R /i)sr3.s..f '/s�//jr.ss cost In Witness whereof we, the undersigned, the President and the Secretary, 339 904) 2 )9e'/.)/ �1L) 7LLA[wcLOST ®/ u93m.ri /$00815.s3 respectively of said corporation have hereunto set our hands and affixed ts.0 - sf S /3)s. s 1 99)c)Or r �cra)sES 5*I 3",E sea:fsrc ss)•3)•s• /" the seal of the corporation this __ 1, day of_.1=nY..q_ 196a. eone.n•N. O •* OC3.IN _ / a, FOUNOOJIM "l LOT " 542.E :� -e Ide6E t 'R• sd. iieiiss.)a 1 :$ wed __ 3))uces ° • ` O ' 1. - F'Py sevf•e• ' a ecre ar d e 40 11-1.,4 e.s. N} Mr Urn y/3Y$3/a.tS i 0010 2005. ACKNOWLEDGMENT ac /)F0014044 jar STATE OF WASHINGTON• Zs'..'.113 OD N/I9FN LL o3 COUNTY OF KIllS /4732 On thisi�r_aof 4_�1Yxid( ASy before me, the undersigned a Notary BEARINGS are relative to the Washington Coordinate System Grid. Public,-in and?or the Stile of-Washington, duly commissioned and sworn, COORDINATES are on the Washington Coordinate System, North Zone as deter- personally appeared Albert Balch and A. Stanley Sadoskl to me known to mined by traverses (closing within 1:10000) from the U.S. Coast and be President and Secretary, respectively of the Balch Land Development Geodetic Survey triangulation station QUIMPER, 1955, with further checks Corporation the corporation that executed the foregoing instrument and by 3rd order triangulation from stations QUARANTINE 1945 ana TURFY 1955. acknowledged the said instrument to be the free and voluntary act and Coordinates are intended for reference and checking purposes and not to deed of said corporation for the uses and purposes therein mentioned, define the positions of boundaries. and on oath stated that they were authorized to execute the said instrument DESCRIPTION and that the seal affixed is the corporate seal of said corporation. The land hereby platted is all of the NE Quarter of the SE quarter of Section -p 20 - 24, T 30N, 8 2W, WM, of Government Lot 4 in said section described as follows: , riel o__ Beginning at the point on the east line of said Lot4S 1° 28' 36"W 816.01 Notary Public in and for he State of feet from the NW corner of NE 1/4 of the SE1/4; thence N 88° 31' 24/'W4G.55 Washington, residing at_ q_ feet; thence N 65° 11' 44"W 119.50 feet; thence S 24° 48' 16"W 150.00 feet; - thence S 65° 11' 44"E 75.00 feet; thence S 24° 48' 16"W 197:91 feet; thence 5 37° 11' 44"E 246.23 feet; thence S 88° 30' 16" E 65.30 feet to the SW corner of the NE 1/4 of the SE 1/4; thence N 1° 28' 36" E 494.05 feet to the point of beginning. EXAMINED AND APPROVED CERTIFICATE FROM LAND SURVEYOR Approved by me this_O`"'day of_Fap,_v_y: _114: I hereby certify that the plat of Ocean Grove No. 2 is based on actual survey, C I Gam ,County Engineer with subdivision of section as shown hereon, that distances, angles and Lanes.}1 M.',/kw , directions are shown correctly, and that the monuments have been set. 9.£_. (J L.4 Approved by the Board of County Commissioner this_L _ day of f�A>ri f:f_Fy« rana Surveyor-Civil fagineer L'fiaiimaa,.taAtreallLI Coiissionai's ATTEST: �ti-+.'.4:•N \may.. ,-, CbruaEy I- or and Clerk, Board of County Commissioners TREASURER'S CERTIFICATE I, Treasurer of Jefferson County, Washington, hereby certify that all taxes on RECORDING CERTIFICATE r!ei•t)• the above property, together with the payment of advance taxes required before Filed for the record at the request ofy24/' ?.S_11tCC§;Bon filing of the plat, are fully paid up to and including the year0!c/4,t_,,,_. n l -_�.�!{�.�.,.7/e��1C,5�,�(c -a-0-�,--- 1ry /Q -1962 at —- past•% ^.//'f recorded in volume stu' i3" S. - ___-_�frl s, peg fe_✓n '1'rea er o e croon�'ounEy __�__of Plats, page_��__, Records of Jefferson County. enaEY natror 5epaiyy-101Eor • Maps Output • Page 1 of 1 ArcIMS HTML Viewer Map m ca , +3A, Legend 0 Selected Features JC_ROade Parcels-H County Zoning MvR.sf r,an. 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'q r ,: GOES, Bpi: C w of? atALSs ; Legend 3slasbtl Future• e JC_Roade f„,.. :,,, 1 2011 Aerial Photos P ; i I �{aa3 llFr I' 40011,.R 9100712 ,_ g smooA+a ISCLID FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity.Data contained in this map is limited by the ethod and accurac of its collection.Thu Se.05 16:16:54 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 9/5/2013 1 -,4 110 0 / • / I ;ECE u vErt 11U ' , 1 ' 7. Describe egnificart geographic features and critcal areas c_e., environment" sem I areas such as wetland - .ins, steep slopes,etc.) or tt:e s-te. Indicate location or the site map. , ; j SEP 11 2013 1V0--Abfrhal- 41.4.&-$. Li- , . i ____JEF-F-E-REA-C-i3liNfY _ L____ErzsioLVIUML0B0.02401r--- .__ L8----. Describe the gene-al vion:ty of the ste,indudirg adjacent land uses and structures,utilities,roads,and sensitiver'critical areas :stream's,wetlande,Laces,steep slopes,etc.1- • . I fe4 4 A 4-eri N44, w cs4-rfor-tt.-41 1,-;..t._ efti% eAl e.....e_vt-4- IC-4, .5'...,&.".10,.,‘ 4.--e.._. AJjc c ev. ca7faiti ( r . reit,441A 41 et I Sc )(( Cr.I Li lotor,t 0 g La;Ir.4., 14i..04, al"th NS .-,,rf_Afp,Jt.h-liu_4. -hwJ 5 .I. -1,... ,.-ttLEILco: ...,I1 t...44.:-,c e kc-f.sic,11,.... .._ rftfir- .1 ms...,(1,,,,j66,-. ILL. E."3-1- p rop,tp 4y 11.4 t 114% 4. .5'4.60.4 t„, 4 .- c ;4 sy Iii. /ivie—• Permanent Stonrwater Control Plan This jxxtior of the Storrnwater Site Plan arisists of the seiedion and installation of the appropriate stormwater control BMPs and facilities to remain in pace after construction of the protect is completed. -Medium"size prcects are required to have the totals calculated of all impervious surfaces. pollution-generating impervious sulaces, and poAltion-generathg pervious surfaces to verify that he thresholds for treatment feed:ties and flow control facilities are not exceeded. _ ... a Describe the dere oped site hydallogy,as proposed_ Indicate whether stormwater will be tuts+dispersed f,i.e.,per BMP T5.30 in the Manual)cr. if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas I w"..thin the site Lc ate these facilities on the site plan and differentiate proposed facillies from existing fealties. . Roo(' dekirtt .6/%0 &t&u +0 4is 4e_4"4--,Ac‘--te, -ID its‘df, Voc.kr in,"Li 4.1 Wit*" 26 ''' - 'jtr yeti A ro• ff_%,„ pdt:„, 4QktvJv'k pr ingeLee.,11.1 v.-1i 4'4 texit r-ewair *Air- IA c _N 0 1-4-L&Oka+ Ca vk Nor* stele. ef 6044- b t rmcieti 4 ci mow 5 ., , ,..; icic ki PIIIM' 1 ri $40.t.it- it. 51."-cit.. ov, &ink t'vli 4e rot,44- .41) 4....4 4V% Eta r'-AIME ,,,-.1-.l■-ier ii 61110t4 61 e eV - r"t f 1 1 IF' *A-' .ae s 10_ If the project requires the use of stormwater treatment faciities,describe the types of stormwater treatment facilities proposed for use on the s'te_ :mate these faelities on the site plan and differentiate proposed facilities from el.-sting facif-ties. [This is :Idimly for large"projects or projects that involve the potental for dispersion of contaminants.] _ A BLIallt eor__. tunitoN fen Let 0_11 hi?&S_f_ .i_ _ fOttc,;el ) Vs iti Id itte IA Pot 11:1 0- • • 1 -*.a I arra ell, 71,0- iv a... , ri t, , _ I - pup two rt A., , .__c,f__m,&__Aoua.._ _____t,z__two ,, , , ' ..te„i4 i.v iti kowt— a 4.4.,1 4 1st? I____ rogif etrezt -43 4--00-14-- 4.1_ Describe the pe-'-arnance goals and standards applicable to the project. r ..___.(bac...4: .10 Lt. on;In m a,I • E XiS4-;"5 p.,,e..c... 4 11,t. =It vit.rt e-ii. is 4vit4y" tatiov.) ytetr54/ 0.-a. 4 fuisfite rite.5e_ekr t:4S 8.4 lit 4, frii.,.47a 1") k yeti Tit: cone( Or 0 tvvwfv,•vvirek.i S IN r‘•t r 4'4"-k ,...Ace4s 1.4)tetur att.0•06•1 44,6,1-,,..-0( 14,41#46,-,1%.1,- =',. ieWittr-c4 V tr-41%4 t 0 int to4 it tit& tort i6r2 1.110_11 %04 int.fra a r ekue Away. . . I .- . 12. Describe the foL, combo:systerr. Acet tiee.,:...s 4-, 410-6;04 ,:..-6, v... let het 4 41 -/1 4., , -; . ; 49 ' St) tv%**iti&IAA<Ai, Cu..) 16...r bk T. 4k) .,4f 1 '1"4- / 2042. - ,.i.... -- ti. c _f_lbica_e_444cat---t4-4 kti av* "fff e• Li,..AtV4*---z,'-'4 -‘4.-2...'-"*".'"' i ' r4r4Lac-i—ar54.4-, 4. qs--$2ait- i Sktzm.pe.m-iir "1...4-, ...,,r..... 4k I •5,--- fAILS 4Lti.-1". tthSt tdiA 44"At".la. a r q f. tsto,tc..-kr-,c,...ti ,s-' d TV.< . tota .t 5 ik 1`,`'''' Plit-eirOVet I ic34411(-hfrke t.". dra:11.4*' 4-,J41-tr e 4:s,I z tc.---,, zek. fy 1 g 4.1..c. p44,,g, 944 eib A ck-LArgaLl lend..... A e., 0 lei.LA th e rt 41,...cy %kern/an alte pen inattgat--. te.. 1.2iatne REVISED date:, 4//2-...._. . • ,' ,,e-t ,c' 41, 0 „, , / ,' ! / / 13_ Describe the water quality system. 1 Sr.k 1-S &Pfc.:.(.( cirsj exL•sk (Air-1%1,VA SI e... • itc•-•(._ A"4.-- Ina ex,..i-4-,:-.3 fe,44..4'A -Keel-.viii or .-(Ark 6s- aftet.i-ec(. Stem.. __.c.1 vsLisibo-4-14- nk LL - , 6e_ piac.,e4 oa.er cira 4.,- tick eskr-11... Jur,.;g I oi-d-n...c i-11-wt. A A j ru sok OFF w t 0 be i•--1--)14-n3e." i4 .e4 Sods di...d. vale 4vt4ts ay.,,„ ' 4 — 14. Das.ribe the conveyance system anaiys's and des:gn. , ...sp„,...ts -ha 1,e.. -it re,...-....j-oaj ,,,,,..4-0 sr iersiAt ,i.tf oc-x-c o r A OS pip e. -ha claty I t's k 4- 414 m....;.94,..,,k. Sol {4.....) raft, n.,41., 9 r•rst..1" ct.,,t:4, eux.f.f.ti v430 fecer,.., • rad,/ .4 .,...p.• S --1-' Wig ci...... -iø L1113 t-c.., -1-14Ap" 515 si.i& ef rhilf ae,,A ..F.,..1- hr,:ssurA :f 1175 54,11; .t4ftsi 14,41 row/1.44mo dep45- c...4"..6.% ',dr*■IFI ka 1 11 -4 fr" 4 I Z.,4-0 4,t,..,,a ea tole/2014,4 4_ir;'N 4.41E9,1, i,"2 Cts...;:- '4C.4 4,... ,•,..tim.../ .-i•0 00_ft." fari..40.1 set islot /0 1+1...-1i, -Fen,L.efeks.• Int 1.n ei..-1- er,r a JIC 1 40 15. Describe the source of till material.phys:cal chamteristics of fi1.mateial,and deposition of excess material. n" tb4LJ excel. 41,,ti ft 1 I tvt I._44 4.,,j41j Le. • Cloavt .114K4 104-0 Or., t I c cir.tv ark 0 wit . Dim,-.., me i.e. ivt- f .A-tra.1 4v fnd4-.4k 4 . nu. (a p qr r 14.fil_. _ _._ A"9 ex c 451 4o 6e • . )1 it, `....: . ,.. -.:. . .e. 'e..3* .. ____ ____ .... . ----I 3. R-oposed methods of p:acement and compaction consistent with tire applicab'e standards on Appendix Chapter 33 of the 1 Uniform Building Cede_ , . , t .k.-1-r-iwk •F‘30-Ites 4o be. pirace_c dit 4,11c1it,tr- fa e&0-4% 54.4.14.4.6(e.. fei r fir Pe_Itektiwa, . i 17. Describe the proposed surfacing material i no I a. Describe methocs for restoration of the site. . . AN c.re.45 ...4- Oa 4-43-42,Se .4.411 "0_La C r,rt ri`ottiV■44200% „ 'o ., • , , ,...r , ...! •Al_ ,,,i,e , , I i ' cr- • •-1. .. • . - 44- ' ,tig4-h-LO frt. . SOPA./ 4 flat's' 4O1:a1A■d-4e Li°Ma.- ..0%A Li WAUle_it lea' __4 4w( ip 446^ire a lot 1 0 evx-e".446.1 .Sti re.6 j C3 r 4■441.4r- I -.3. An Operation and Maintenance Manual s required for each low control and treatment facility. rillis is normally recurred for I. "iarge"projects ally and cry those for which facitlies are revired to control flow or treat runoff.] If included,list the Manuals here. 1 _ Q "-SEP 1 2 201311 Ill i . ....... . .. 2-1 Est-here and kiciude any special reports or studies conducted to prepare the Storrinvat- ii :- ' - A) ; 1 -- -mi...■_ i__ANN -- JEFFERSON - EL71 COUNTY • . . . . . COMMURI im .op, ,. 21 List otter nec.essery perrrits and approvals as required by other regulatory agencies. If those •- 1-- s' -•-• • ;-.. .-1.,--•- conditions that affect drainage Wan or contain more restrictive drainage-related requirements,describe hose conditions or • restrid:ons here. 5Iftic— 534f.••• 1.-s & -f o g- 1-4 1-1 0 ' ...A....14,4m 414---:elL i c_%e s.1.4.c.i.. csif silt. i r!rxr.vriler sits On'crtviste-nh.IL21i2C08 REVISED date:i112--;._ , road : Page 1 of 1 ADDRESS INFORMATION FOR 144 SWANSON AVE ROAD NUMBER:C612709 ROAD NAME:SWANSON AVE ADDRESS:144 APT: REAL MILE POST:.144 APPLICANT:KOVAC,DANA ADDRESS CREATION DATE:07/10/13 PARCEL:977100817 LEGAL:OCEAN GROVE ESTATES#2 BLK 8 LOTS 11 &12 SUBJ TO EASE V522/P898 GRID:A-12-H FIRE DIST:6 ZIP:98368 POSTAL DISTRICT:PORT TOWNSEND PLANNING AREA: VOTING DIST: CEMETERY DIST: HOSPITAL DIST: SCHOOL DIST:50 WATER DIST: SITE LONGITUDE:0 SITE LATITUDE:0 SITE COORDINATE TYPE: ACCESS LONGITUDE:0 ACCESS LATITUDE:0 MODIFY DELETE ADDRESS NAME SEARCH REPORTS http://isserver/Address/RoadAddressDetail.asp?ROAD NUMBER=C612709&ADDRESS=... 9/6/2013 ` DEVELCMENT REVIEW TIME SI$ET Date Time Comments .1 It 0 I\- ' L. 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V 57° ---■ ,,, . 3 r..".... , --0 (*N ...... 1 3 ------F--- x.. -4 1 / a li ,- 0 - --1 , ...% \ / I,1, 0,5s1 z C;) I I/i' I 9 „,....„, ...„. . -3 1 P Vi 0 0 i r 06' i P si -,...... 0 , I,. n ' v-- ' , okl t. v) ; - .4"-* 4'. .......? / ,.. i...•■•• r /* r 14, 1 , r ite r '''.j' .'I b S Tr ; ' ...'. rri fr..... j-- -N i 5 rt, 0 1 r — i- 1 ; o A 0 kli° C ......) t;),9 0 I 0 cAN 014 Cr- /V°vac flom e, I4.04 -5 0 ow■sov■ R,.1 q.... 1 Por+ Tov4v13e ; t,4 tJA cn 36 71 i f ParCe 4 9/7100 gi 1 ertiocky-,2 ri Li DO V+al IJ CINOW 14 0 V%. i 1 1 q S'L.,to,v,,;tiviv., .A41?-.• Por4 ToL-.1rt,Se„"ci, WA\ :TS 3 4 15 . 3 6...o-3 I l c, - 0144 7 2...., . t • • • • • • • �gON co JEFFERSON COUNTY wwr G�� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment `-,ys: o, - Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdco.jefferson.wa.us NI NG Building Permits&Inspections I Development Consistency Review 1 Long Range Planning I Watershed Stewardship Resource Center September 6, 2013 4/--G -/3 DANA E KOVAC ,4j / /,,-) 4, ,,e - r >7 PAMELLA DENOTTER SPYt f 144 MYRTLE RD Y /1/1144 PORT TOWNSEND WA 983689223 RE: SITE ADDRESS: 144 SWANSON AVE CASE#: BLD13-00272 Dear DANA E KOVAC: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. The 2012 Stormwater Management Manual for Western Washington requires a 50-foot vegetated flowpath for splashblocks. The submitted site plan shows the flowpath from the gutters to the property boundary to be less than 50 feet along the west side of the property. Submit a revised site plan that meets the stormwater requirements for the western portion of the project. If you have any questions, I can be contacted by phone at 360-379-4466 or by email at dfrostholm @co.jefferson.wa.us . Please submit the above information to the Department of Community Development by December 5, 2013. Pursuant to Jefferson County Code(JCC) 18.40.110(3) and (6), if the applicant refuses to submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Siserely, r k___)114/1AAL, 1 4 vv. i Department of Corn ity Development Staff c: File DONALD CHARLTON JR \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 9/6/2013 II • JEFFERSON COUNTY ,:'',4 4SC ,-°� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 Web:www.co.iefferson.wa.us/communitvdevelopment �~�sj Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us N Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center September 6, 2013 DANA E KOVAC PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 RE: SITE ADDRESS: 144 SWANSON AVE MLA#: BLD13-00272 Dear DANA E KOVAC: Jefferson County Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, J / h4/(-4 L4 ./Li t Department of Community Development Staff c: File DONALD CHARLTON JR 124 SWANSON AVE PORT TOWNSEND WA 98368 • September 6, 2013 Dear Reviewer, RE: BLD13-00272 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: Comments must be received within fourteen (14)calendar days or by September 20, 2013. If no written response has been received within fourteen (14) days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at(360)379-4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attenti9tl to this matter. Sincerely, r' I 1 '► d c: j, 1 \\tidemark\data\forms\F MLT_AppSubstComplt.rpt 9/6/2013 • • BUILDING PERMIT APPLICATION BR vie OOpe2 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00272 . Received Date: 9/3/2013 SITE ADDRESS: 144 SWANSON AVE OWNER: DANA E KOVAC PHONE: PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 OCEAN GROVE ESTATES#2 SUBDIVISION: Block: 8 Lot: 11,12 PARCEL NUMBER: 977100817 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 10/4/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATTACHED GARAGE AND UNHEATED STORAGE ROOM, AND COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,362 VALUATION 220,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 170 SHORELINE: CONST TYPE: GARAGE: 572 SETBACK: DECK: 188 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,867.95 MEB 09/03/13 142446 Plan Check $1,213.55 MEB 09/03/13 142446 State Building Code $4.50 MEB 09/03/13 142446 Potable Water Application $66.00 MEB 09/03/13 142446 Total: $3,152.00 \\4irlcmnrlAd.fa 4nrmc\G RI Il Ann PIr1 rn4 0/A/7(11'2 . 00'4' 1l. JEFFERSON NTY r 3' ) ��• —2 z . VDEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washiington 98368 360/379-4450 • 360/379-4451 Fax -.4.? ce--,C www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(inrdudeseparate sheets as necessary): / j f 0,0 la 5 t.%x,l.. i is ki4 ,-t r i ctt €., a,il A.1±A k ic.E q A4-c a wCk 7 rka(r4a4t .1�t//4 Ls 4 ciA�.. Tax Parcel Number. -]—7(00 ff 17 J Property Size: 17, 2 5-0 55.f f (acr square feet Site Address and/or Directions to Property: 1L-1l--( v<c,n 56 h A.1v-.. k 4u,-+- `fi(,)"5 eat.(( OVA f '/ Property Owner(s)of Record: Octo.a , c L �I Telephone: %Q- 7'7 y-G 2?G Fax email: AcanicA 6)brow 41-1(3 4_1,4- ' Mailing Address: (t41. Sruc.K.sav Avg Pd-4-• - COI,/ StIncl c WA 1$3C X Applicant/Agent(if different from owner): Oc wry(,I Ck a -1 v t ?,r-. Telephone: 3(j) - 3t G— 4?2 Fax: email: r; ,-(Y- h�n,.es v c1-4144. ^'1 Mailing Address: ('L St...... v‘. c r- (.L o ,_25,_4_,( A $tW 3 G dr What kind of Permit?(Check each box that applies PrBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use U(Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), .■ , - ❑ Manufactured Home ❑ Modular ❑Discretionary"Er or Unn=I ,f`� n, -- tri V,v L❑ Commercial* ❑Special Use(Esserrtial ^ -- ❑ Change of Use D Boundary Line '•' -,+ ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan'* c _P v 2013 9 I ' ❑Propane ❑Long Plat*- ❑Sign ❑Planned Rural Residential i- •,.•..,,. •--• ' '_-'- - -nts** ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** JEFFERSON OUNY ❑Stormwater Management ❑Shoreline Master Program Ex- a r4,I,t1.1 :'4-'.1,1 al. — 13 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Sus :ntial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑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 4`*Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: r !!'' DESIGNATION OF AGENT I hereby designate l�)Aca I�: C r l-ta�1 Vii_to act as agent in matters relating to this application for permit(s). OWNER SIGNATURE kJ ,.G� 1 - i at-, / �n Date: ct' Z • I'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. Staffs access and right of will be assumed unless the applicant informs the County in writing at the time of the a plication that he or she wan lice. Signature: \mac— Date: 9 z- t -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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for ad %,'''14. and . , ' . e -- Se Applicant has read this disclaimer and signs and dates it below. Signature: � tia.� �W/%V Date: 9, 'Z-` f 3 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: O o c,(a C l v '(-6,1 -0 all I I 4-e 7 r'-1 °` rames +-- R e.,,Q 4 t j(360) I t -'j 4 7 _ ( ) MAILING ADDRESS: f 1,4 sw rh S J�, n ( 0,4-7-41,,,1 A S t j, EMAIL: t h lei r1 h('4:1 M t5 6) C.ji 1..1,1 w C-4?^1 CONTRACTOR'S LICENSE /� WAINS NUMBER: TNT E G-1-14 G-1-14 153 1'/�V NUMBER C (I SG..3$`o ARCHITECT/ENGINEER: El.;ciy -C_6,41,tr;h t l t PHONE (.v)rr ri S-$Lo f 4.1 Lf A x:( ) MAILING ADDRESS: ' EMAIL CPQ,thq,;.,ez ti..7%Q& jak do ,cc,r- Project Type: Frame Type: Bathrooms: Shoretiiie: Type of Sewage Disposal: teNew eil,Wood Existing: /- ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Sittommunity System ❑ Alteration/Remodel ❑ Concrete Total: Height O individual System ❑ Repair ❑ Masonry Nift SEP Permit# r 3-000 g2. ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: 7 Setback: ❑ Private well 0 Two Party Type of Heat: i Propose �� NI/Public pi t_d r s p •;.,-,x t 1rK t--.j Total: Name of System: P t K 44-( / If this is a Commercial Protect 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 1 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. S•uare Foote•e Current • • • Main Floor Heated 13 . f H Bid App Review: • 2"0 Floor Heated ' Consistency Review: Other Heated / ' Base fee: 1 / , c, -- O&M- H(+-. Mezzanine Additional Section: Heated Basement 1 Plan Check fee: ' 2. I. ss Unheated Basement / - _ State Surcharge fee: u c Other Unheated °_ ` '? . }V Pot Water Review fee: 6 , Garage/Carport - . SUBTOTAL L lnt.c(ti 911/Rd Approach fee: , J Decks g V� k--(4...:______ Other TOTAL: $ ��r' i -;5 ?)4.1 Ot , f` Receipt Number. \K 1`-c u r r _ Cash/Check Number O I t L ESTIMATED COST(REQUIRED) Date: q f q�/3 "Fair market value of al ` materials foundation to finish ( > 1 -} 12o ooc. .0 a Initials: rvlJg{$ 1 G:\PemutCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 5 1 n Al- C4 S' -'D 5t ...1 p P L G - O w -J N 0 G .- p a S3 _ N W • \ IIS / -i" i II 1 VV - Vite ..-4‘ I LI — — hr'uQwahh —� O (3 ''_in-rt � F W c,/ N a ro F O us 6- g a �, O s-) 3s A 4 >-- a (%. ,01tt I' ' —_J4 V 3 0-.:3:71/ / t /, a s y / lea N ! 1 s CI T 3 5 .a- .9 Z 0 G 1 :[ G Ate- i S o r n 0 OC1 h / I P .L;N 1.4.-- i., / o O 0 _ {(` -' �'^� �'._ ,, \ Z1 I r� rk. .:,` ( "s... / ., .. rh" mil' -tA-e.f.-- -. : ''' i ii....T....i±. i 1 "rt-t-it5 0 0 -N/ r?'..3. 1_ t/l O t" ` 1 02A(.411- ( k OUaC, Holy' — m (�1 r -�^OtNYt h °1 b 36 g ° , M yy Sv�a�SOh �1Q 1 t c � n g17ioo � m arcs 81"7 TT_ PrepartJ tf r^ c 11.y S1.,►ow,3o„s,, A4t...-0 Pore° ` ra - WA ,q134 ` o v 36-0-31(0 -14472.,, z I ___ . a c,_,,, ili _ t;- i C\I = W �� ''❑❑!! U 1--1' . . o - - Lu 10'-2 1/2" — C \ V c._.i w n I 2868 4038LS ® CI.✓ A n I I.. IIIIIII- � vx\ \ �� r ~' ,� I ' ---\ ---\ -I Ll ,O \\I, I ! • 1 I \ zo \ 1 ` Storage r 1 ° \\ 9'-8" x 15'-11" f N cv F — — — GARAQi ` I ;;a 25'-0" x21'-0" j ',- , I / / N II A I 4 i—i 4066..\ / T � i/ `,, i 0 ---------\' I ,�� 2T8 -,� i�C � cv OFFICE 1 _ " I 2666 / N 4' D 9' 8 7/16" o „ - - - I 0 T 9 6 x 8'-2" I .._.\ 6068 - \ / 0 BEDROOM C / ! \: 1 I I � I z , I 13'-3" x 2'-1" 2868 2668 1. 8 — — II T 40618. / 2868 _ 2650FX 1 0 CV SD \N N I C0 C o.. _. r 2468 /---\� -— 15 / 1 C i' J 1 Co ( c? 62448R % Di - i r j co 11'-3" I a m I. I 1\'re 1,--°° 0 1 " o T L_ _J — — -- — — — - - - T N 1 3 li I I .\ `?)) A/ C� I _ I ,i - e N. D ; 2' 112" I a I I v N-8'-10" C > 3 m 1 I — — v is I- r -`-� —`\� -- m a: - -B 824R o5B36 Dishwasher shCr(bal. io 0. g ,4, T I BCWA36' -._ .- _ 17' A.ftc-t✓r.Jo 5e �� - 505005 — 1 y, I 9'-7 1/2" 4'-9„ 1 c, s66021 — 4' 7 1/2"/2" 2'_g"; II 14' 8 1/2" 611 --5'—C A wz, 2068 - I I 4..r._ , ,._._. FAMILY I 14'-3" r> , 14' 2" x 30' 7" T Cy Master Bdrm r C 1 " 11'-5" x 13'-3" z r` Q, 17'-5 1/ --- 1 -\ } w I /—` I I / C .5., . I e 0V% / i _ <5,, 2'� i 1 LI -- 1 - " ..I■CI _ I— 3'-5 1/2" 5036RS //3\ <068 2850SC /n\ 2850SC A C } 1'-10" 2'-8„ 5,-1„ - -.2'-8„ -'2'-8„ X4' 61/2" i • 19' 9 c..,„,«J. i c L, 1 1 - u -1 --- -- 1 1 1 . • . • ON c ). JEFFERSON COUNTY [ Cc� C O M W •%, DEPARTMENT OF COMMUNITY DEVELOPME SEP 3 2013 621 Sheridan Street • Port Townsend • Washington 9: I.: q 0 360/379-4450 • 360/379-4451 Fax ti- NO http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: Devi 6 I t-er / Ixov4 c" ( 19 M e_ Dv1A.14 C tc r-lit r-. 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 • 361 f° acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet t?r 15-0 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 s/<acres or more of Construction site for structures 2r 55.O sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 2 00 sq/ft Circle: Yes Well, utilities,etc. 6 0 sq/ft Does the project convert 2'A acres or more of native vegetation to pasture? Driveway, parking,roads, etc. 11 110 sq/ft Circle: Yes 4; Lawn, landscaping, etc. 2 0 O sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance (it q 3o sq/ft Cut i 6 U Fill '170 (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 ,, rr EXISTING Structures(all roof area) 210 �t sq/ft Structures (all roof area) 0 sq/ft Sidewalks sq/ft Sidewalks 0 sq/ft Patios '2 t sq/ft Patios 0 sq/ft Solid Decks ( 5 2- sq/ft Solid Decks O sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc r, Ito. sq/ft Driveway, parking, roads,etc O sq/ft Other sq/ft Other 4 sq/ft Total New i I 5-7 sq/ft Total Existing 0 sq/ft TOTAL NEW+TOTAL EXISTING* LI i( 57 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: 14 Does the site have 35%or more of existing impervious surface? Circle: Yes 0 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 prope n. 411.11Lor.2.. AL /3/(3 (LANDOWNER OR AUT ORIZED R 'IrESENTATIVE SIGNATURE) (DATE) r `OF I s 5 f # -''ls"m .-t�`�S` } Y1e a 7 �`"'n v t :. v �' " x i E�rrn' itt ' �;v m' 'ems yr � 0.`t O®t,W1-",.•x40 n w M � •E i ARE V:LisE f . 03AtOjt*:auks ,"1.44W �� ., ay stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 • EcEil ViE77)1 v.501ST 41 C46 JEFFERSON COUNTY SEP 3 2013 74 DEPARTMENT OF COMMUNITY DEVELOPMENT Ittgbt _ 62". Shendan Street• =''ort Townsend• Washineten 98368 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 3601379-4450 • 360/379-4454. Fax In, 40 `T-TIINCe> h:tp://wvAtif.x.jefferson.wa.ustcommdevelopment/ STORM WATER SITE PLAN SUBMITTAL TEMPLATE A.!_k# PROJECT/APPI!CANT NAME Of IA il<OLIGtor■ ttonAAL-i" De C CI "- AA3-14131 o %A tic*.neS (I ,1:15s Please answer alt of the fc owing qi..estions to the best of your ability_ Where the question calls for depiction on a site map, the ay:icant rray choose to either incorperate the elements into the genera plot plan for the Master Land Use Application cr to submit a seTate storr-water site pan map. Protect Overview 1. Des:-:e the proposed developed conditions of the site. Inccate position and relative size at proposed unproven-erts on the site map. CIA414-Y-stc4- rico-) sivisr 4J( r•cslc.levmAi.- &Sgt.-46%44 a el 042. 5 4,0 744139 (...wentiti a-04 PtinLci.i vririf:t de€ r eel c17vixsr1at_Akt.4 _ SAA042. Aoc,, eir:kie....rael 4-o 44, jictircik of 41, t4 t0•3 11.1eft"St&&oitt '4414 g.,t4 KALI trag4•114. Existing Conditions Summary 2. Desz-"aa the existing topography. Indicate contours on the site map. Le4- Is I VO w /I,/ 4,4 ifs'e,„ dcril . z419 em 4/./ tfk cod 4-4: En t# I 6114 r-ecill C...+""010% fro". or-R, r .tf4q j.1,1■ 4-ei C6144% p ritO tr4D IZ._ Describe the existing iegetation. Indicate native vegetation areas on the site map. treff r.kr33-44j c Lim-4 tu:•14, reter...c(64,1 gra ci.r -1134- irtra lifted iV4 Oa A CL IfrteS Q144. C oft•Nt_ or.*b•■Erwl+C prir.„.4,i IA 4.- Is clin mien Of 8N erki4.- 6r7 _etn CI ctv•Ge •. • 9'03‘...34.1.A • Des:-:e the existing soils. Indicate soil type on the site map. o s -1-1.0-4,1LA.14 _3 ... - -- Describe the existing site hydrology(i.e.,c:rainage; behavior of water on the site—above,below, and on the gruur-d) Indicate storrnwater drainage to and frorr the site on the site map. Depict separate drainage basins on the site !rap, if appicaole.and:nd:czte acreage of each. dm;:■.3 ir I etv u e P- 01 ,,%1 eys- SAA rri etirro,r de.rf Se4•COMI Po- y No Paw. prrtric'ei Des: ee any excess levels cf noise gene-ated by the proposed•Jse or activiy: _CCIAS41%4C,41111A. 101 di,i_r_a.1 tAr■I el 1 7,-.3 fil Ca.ri . - lc otn Mar - 1112 fr2CC8 5 , . • III • ' 7. bescribe egnificart seogaphic features and critical areas (,--_e., enviror.rnentaIly sensitive areas such as wettaL:ros, streams, 1 steep slopes,etc.) :..,ri.The ete. Indicate lomfan or the site map. AL,____AL044 '4E--+:ts14m.cg.5, _ . _ ____, , 8. Describe the general viCnfty of the site, inch:id:rig adjacent land uses and structures,utilities, roads,and sensitiveicritical areas strewn,welands,,lakes,steep slopes,etc.). - _ 4 ,I i 10 t_c,keck Awry., LAi(.44- rot" / 1'1.4_be% c,4$41..e."4,41,46- fag, cftzfiszo3A,,,, A v..C__,,. Ajtc c co. cobactiAl-44-eArt----r4.41-c4-kaiet 1 -•••-i- f..- i Li tiOrmai-iallia—k144644.-4;?Ad 114'ot—Allifti4itec--pfritzd:S. xirb:1_1.4.1ii-lit.3 Alst 6-1414.-j 5. - —1,.- ....I-Le,c..34- co,....tr- cc.wit.i .S__Lis.di-c- hi..I,__1 t i 1 a A,y..6 i t i• ca The_ Earl- farbpvi ii;,e had .5'11rcle- erst.."e.t-4--rsA._ 3 +6--pniftdrij le" , -Gle- co"vbI .“'1) yl-ii Permanent Storrrwater Control Plan This portior of the Storriwater Site Plan CO1SiSiS of the seieion and installation of the appropriate stormwater control BMPs and facilities to remain in Pace after construction of the protect is completed. 'Meditrri- size pm-Ljects are required to have the totals calculated of all impe:viotis surfaces. pollution-generating impervious surfaces. and polution-generating pervious surfaces to very that he thresholds for treatment fealties and flow control facilities are not exc-eeded. a Describe the dere Oped site hydrology,as proposed. Indicate whether stormwater will be fuey dispersed;i.e., per BMP T5.30 in the Manual)cr.if not,what types of stormwater flow cortrol will be utilized for the site or specific threshold discharge areas .thin the site_ L.r.....t-ate these facilities on the site plan and differentiate proposed facitties from existing facilities. . _ R0 t)c- ci esti At .Frel A r t C r i e k r +0 l b 4 t r A l t=v-t 4 f- 4 0 -S e i r..3 1. 4/....i c s Cvm j 44•04tlf- 40 -,,L. Jig .u.c.c . 74 ' Ai:0 0 n•G.w" r 0° fliztlgotim41) MA4 b r k f I f *N t e L e z.I i.4 v a l e la e.re-a_C ACE-- 1. -Mt ' ik-1,0A COtiner cipJ pr N 0 r 44#‘ VG(L a f komk -4) be. rm. .i_ iv IT," * II. 5k,o,c14. 0" Ctila 1 g" 4.0 ros444-. 4 tinj k..4 A 4 ift t l r.0 .. ,:. a,5 4,1414.4:4.5 1 IvOt4,- 1 ':-:IP ‘I L, rigef ploft , I Chatutupoi4fda›.;-40 lywcit toM csarr r%s• 0.-0 re_ ...% J , rt. ircko f..re, . 10. If the project recLires the use of stormwater treatment faclities.describe the types of stormwater treatment facilities proposed for use on the ete_ Locate these fealties on the site plan and differentiate proposed facilities from eaCsting fedi:ties. [This is mime:1y for large- projects or projeJs that involve the poter:t:at for dispersion of contaminants.] -467V— • I- , I I 11. E„,escribe the pe-f,:rmance goals and standards applicable to the project. - .. .ftiair.4" lb i.e.- ...Z.Ni m,k i , E xis41", c.re...r.., 4.0 6..- dr s4i4w-L i s cam.f 4.4-1-j "ea clow smrses 0:-. ivy"). . .) Lit wriee,..11,1_ser es,prAt &J it .6 c i cItteiftkiti Inaiiir,„ yesaIeS C.wci. r ....Aajks,A1,1w.,_ ,,,Li .4,1,,....1 u.elf,444 Ii;ii.r;._ ij fir etA 4&Z 4...;: i t t -401.0-.3 I SO,164 4,4■;11 ID e._ ,-cp Awl-eel ,,,,,,i4-1., Chi' eir "e4141-at tie.,e4eciloin_wkek4_Nri .1- .. ,-... 0, hi...2 a, -1 1 . 12. Describe the foL, control system. 1 __Ci'le rre.i....S. r. cirx*.;.% jsrit, yfin eislILIPLeeii■Int"1.4.4.1:•.._ 114-4,...x r --Ike editfig .11141^ 41161 41144 Ili r r i 4^ ..-, - - -les e" Ti IA w4.,44/.04., do...41A 4., be. 5,..4.1_Acy,„e_ti 4,,,,,9 2012, 1.1--essivizzai—iff '.....Shcewg.c.43r- oble.. , ek.ix.....4..t '5., Lftle_34-RJ-". WA tica(14^4.1". M. of ct ca-tc-40-....4 s" Jerk • Liz 4'o . lik iy„, i. f.,,- -....,LLic;25: ,,.... c/........ - .aiLer c.o P tc,--,4.,--. wit( -is ic,- p./..,..r., cl.i eft, i -5 , P , , i L _1 .......4...i 5.c.ci t .c.....k: .,-1 e, 0..ritA din emu rt,.....y_ fr., 5k7frIVA...if ale plan tarratat! re,. :12132006 6 4 4 , 1111 • • 13. Desute the water quality system. I-e- 6v-erftt( .1.1) 04.4 es_,--rwi uJL . am_ no fea-k4r.r-,,r or_ c. /- Sferal,,_sm.rLE tis -o t ph:if-gr.:4 &Ale- dr,1w-76f—cf. Lurg ta..14-11.c.1-'r`ovt, 151 .if( ijitl 6,1,- ;441-1-rkkJ i4 ext%143 s.ils .1.••cf -ivek au" 4. Dam-be the conveyance system ana:ys's and des:gn. p 12) ---1 tS 4' II- -44-41".";* 24.2 r ADS pip lc, alAylt5s- kl- 41.../ .°1;#414ilt co' {4.0 raft, nreito r•rfts Aft-4.0-01 fc..cL1 d.....•••• A 0 +1,1s.r. 5S si. a+ fa&I'M&• TI•t0 Cist,011041 C,cry3tA3 52S,4/4. 01..4tr..4 41;11 ettoVit.4* rei 144 I?• cau,Actc.-1:0, Argi,■" "Jill f i:At% t 4-0 t.d• i;,-44cesi L 642.; vow, bi 4w -- 4, gjg,tria moat_41.0," F 4 te -CAt.....14+7..- lay:, 15. Describe the source of till material,phy-s:cal characteristics of tit;material and deposition of excess material. kavg- "14/ txcel• 1444 4411. tott4eir r4fJ Le franc (At Avcs-k an . Drs rbLie 03/41 furt•u.,4e-5,-r—iri {1314:44#4" +17 (mai Jr i411.4 Al p. 10141.14.., A A9 e X t•en 4e e , is. . *1•Jie -.5. Proposed methods of pracement and compaction consistent with tz-:e applicab`e standards on Appendix Chapter 33 of the Uniform Building Cede. ,j•d-f-evx +00-key -Iv be ritace-de: OA EA in ck:rivr- cc( tc•r4k St.:44.61z. +0 r FirfiV4-1 • 17. Describe the proposed surfacing material hi741 11 !Describe methods for restoration of Iv site. Art-45 f‘ C-644-1-0-S SOS ok C S-1:5141 041(.1.44 • fir;.1 I'AAA Of e r a 1/ „ Susg_sztt 04.4c.410 f •%. y ll &A twPi r eck coif( 0 C43,kl tee I a PvOltroal K-64,1 Styr,.65 P 444.4.r tn+j._ -1 -.3. An Operation art 1 Maintenance Manual s required for each flow control and treatment facdity. [This is normally reculred for arge"projects cnly and or .;those for which facitlies are required to control flow or treat runoff.] If included,list the Manuals here. 2 Is here and include any special reports or studies conducted to prepare the Storrnwater Site Plan. N IA 21 List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drai-age plan or contain more restrictive drainage-related requirements,describe those conditions or restrid'ons here. - , sit6 pan'fiwtate- 11".:21aCCe • CONSTRUCTION STOR;MWATER POLLUTION PREVENT ON PLAN (SWPPP The Co istrucien SWPPF addresses sezimert ant erosion c ntrol during, construction_ The B'4=s indicated by the applicant in the template that °:I:ov s mus .e installed on the grc.:nd during, a'I construction phases cf the project_ The proponent is =esponsiole for preventing seii rnent and A. asior impacts to envi:cnrentally sensitive areas and off ste areas. Consult the Constructer.Storrm^water Pc lut on Prevention (EWPP) Best Management Practices (BMPs) Packet fa guidance, particu'arly with rr:rai residential de■eloomerrt_ SECTION I-CONSTRUCTION SWPPP NARRAT'VE 1. Construction Staymwater Pollution Plan Elements. Describe how each of The Construct:or!SVilPPP elements"-.as been or will be addressed. denti y the ripe and locaion of BMPs used to satisfy the req fired elerre-it. If an element is no:applicable to the proposal.ju^t y in writing,. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on pace 3-7). 12 Req.jired Eler. 1s-Constrrr k n SWPPP 1. Mark Cle s 'ng Limits. tt 1t C1eo�r„nc� ar�e.a ii gkot.J.ti o•, (7t04 P��//1'+• Mori- of ar en. ryas I.esj.0. ere micwsiy cd .rcA. o1..t G • .S C. N i W ..1(1 TV Grp 4 dr•Jt tJ Lks_; ,,. • t F ^ t#` o4 o cr+t.e.- plr-JM4.._ o 1dt*/'.sfc a of Otai.1 L.e1 ..e_. ClectnY+{Q Qr'ee.J •ull( � _ f�e_41 INL.rI{i ah s. w;� Svtrut{� '1'1xe... 01.4 <A,A1( LsrtA �#� L . ciecrG�{' !S 1^cctSSA.y. ••1 2. Efstaalisr Construction.Access. { / ( ! ( Co.1lTw�1e�-ersy e. c $ !!gall( b r s4 Aye CU v i /_rhi�e•J rhucr,..4 -erf O� p1.4 p10 . . pp cceSs 4 I is & r•ni--r of -rt vl, fork 4* &Cc-Gm/necka f t Lea t-se_r Ut_kie e.S ClureI '1 � 1 S.©v,afrt 4iiz m. 0,0 st s. 3. Control +cw Rates_ t /f L "i it S:l4-- Dirk« 6 £u1T ra+ote so +- sic(P3 n LXCAvs7to+1 cS lb+ eta t�tq ilas s(i Lf Aft, ;,1�}!-.ase e4,-PT * Place .4y 44 less f .t .c( a+a•,a rle�,fThbtr. 4. Install Sed'ment Controls, Lea iT w J or ISAAC MM\� 0%) GN D to Ch [l7I t&r • p y P. 5. Stabilize pails. ` t &Act. S cwd crr keirk"/h4tfCh f 6. Protecl ena f S e►f I�cbc.s. c erevJoa sly • n1e at�i0•► ne. td. 7. Protec_ :-pin Inlets. NSA .stet site pr Waritie re f 2:7X36 - - r • • 12 Regz.i-ec Ele*-er►ts—C istructior. SV/PPP lctrwed) 8. Stabilize C'-arnels and Outlets. fA 9. Cortrol Po 1_t[ants. ( j ( ! 1 r I 5I tiu 40 O CS. c+� oltac'kic ca-li4rVi ctwAX c 7(.. KMOtt4 �4 Pt.()it,ce Ii• Sprat kit- si 3 dw . a»l e•klec * t oi) or ft...cl taS. &SIN. _a r - r ► .. - ..tl- r If10. Control DerAatering(41.e tactt of c4 raing groundwater/o stormwater away from an active cons•.ruc/lion site). If Lia1liCate• Apra wafi+2-� Cs.". iQi.`p.nn/�!-t . ail"��.aCtL Je+C.l•■ Pa��l'CI` 4e swc e AVC men 1,1101 -� Sr 1✓1 P'ilctSf. cf.se., ."4- ri_AA n�(g,a).L( 44, fling .w C�e+>ri��gt_ r,�,f 1. t*.rh;" Cr(A3Td ftsr. 11. Maintain Best Management Practf es(BMPs). .(tAkcA.A 4rGc_hy1 44;31 +c t.VTo1"'r 4.4 r. f Ps (Axe— wre c""C.d y /Crr.w*,rr.l COoirst.•ar- aQs � +Let; for rac ��a.s 4,004 S.1t. a,Re_oss G-C s f ra( ca..�l .1-e,.- w Flt, w c. A••, l""%..-i 12. Manage the Project. f Kf(rs t Cftv1 rg.0-A,{ 1,.,114 °-' s1 m am( r 1 j fwMR�O�*" tor,t:jr...c e— . 2. Adjacent Areas. a. tDescripticn of the adjacent areas that may be affected by site disturbarce (e.g., streams, lakes, wetlands, residential areas,-cads). r ., p F i' rPropsr-�:.Q3 •tt(IRCev. ��-rs fed€! e.Ce_ L.�x{ s: l� �Lait rP*Fe c. a e. hl)41, l•'kT�c1.1t oT nw14at a.hfc3 N1t]�l� R c!•! it yg- + - Ar1l4S. +s: f. doff vtfd- inuLAJL_ ca,s y .rl-x 4k -I 4Kr tt "1K@c' twt)1tt-tts# p�lf-4v�e_3 real+.. r Pvtr{ d.tr,�- jt1L durer►4 Car 1erifaa- oar, to., t►C rb I..t• t q -ter` erasra-1 4..e rx •ll t l , r11{- Ttn t e 4v�ct $.4ttxw. S44-(1.-416•r Wit.1.4 1J4 aGl a�. i s J, b. es rip`icn of the dowrsttrea,•n drainage path leading frorr the site to the receiving body of water(minimum d:stance of 400 ya cs). 1 t 'T i3 rtss4, ie •e..t c..#4 +.la&r- t∎�) ACS U� .r- in io+fi Wet) . • _ 1 , 4 1.El S a•zS •.■ ..a_ art t:Jtf4 Silo et Irs`�-_ •-. 1 •� �� :CCUr " ar,_ _ S. _ AA, _ 1.. _ _�A) _�: Gee , '� SIna:.R �ttcl-G,. 8E e..4-4,11, btu Cotn.w'I' Q0. (hz1hTtx.elsa -'s /VA res 41.al+Z3 600�f' C Environmentally Sensitive Areas. wq�e� irr `JLt C70�4�-cl s • J a. Descri tier envi:orr^.entally serslive areas t`•at are or or adacerr to the site. N/A. N[r site p"ar tE7JYale-!°v.10212C74 d Y. .. , • •b. Descriptic n of specie.requirements for work?ng in or near envircnmenta:ly sensitive areas. ,V1 4. Erosion Problem Areas. DescripPcn of potential evsion problems on site in the-context of the characte-istics of The :n-site soils(e_g.;erodittif_y,settieabiity,permeability,cepth,texture,soil structure)_ /`o4 5 Construction Phasing. a. Consstruc°.`on sequence . . e f _ elf. #.11. ._ ' i r-oe7L eAcl si r n&C.-‘4t. - p•ie siw., r 14 u r , 3 gi y9 3##% b. Cor'strun on phasing(if proposed) 7 d ale 3. Construction Schedule. Wet season is October through April 30(page 2-21 cf the Manual). Prot°de a proposed construction schedule. 1 f$f ktj p --�if o.�-,e1�A+ + - S So ya e-S �ra�t° +G *a 1-1 Ze ?) Few/v...31 ag° Qvit£ " t 6 3 �p 1140+.trt 4 ant s,rr6! Pt%) 0t-co.. ' .°t3 t t rr 1-e.v`.tr , fl>10.s 4 . 3"raa*�r'9 rti 4 r"! '� 24114 IL Wet Season Construeon Activities. ;cell 1:43 Ar r r a 2 o l 4i a. 'reposed wet season construction activities. Feutnccu :41" +L .4ji., -- 11 4g4f/v4- b. ;. sed wet season construction activites for envrcnrrentally sensitive areas. AI IA 7. FinancialiONnership Responsibil ties. - a. Identify ''e property owner responsib a for the initiation of bonds and/or other financial securities. Qsrt afi--4r 000.r,4 Met 4 b. Describe bonds and/or otter evidence of financial responsibiity for fiab_Iit} associated with erosion and sedi nentation irncacts Pamir A.ev( nit.Sr ' ' i ! I S. Engineering Ca °^n Provide Design Calculations on a separate sheet for the following. if applicaa e. a. SeiIrr:e `Ponds/Traps. b. Diersicss_ c. Yostertit_.ys. d. R..lof`/• ormwater Detentor Calculations j nrrirate,str>.elm tempi::3 rev -MT"p e ir, Y ' • ,( • SECTION I --EROSION AND SEDIMENT CONTROL PLAN Secimen:and Bros:on -trot meas;xes may be depicter en the master land use applicatior plot plan,a storrrwate:site plan.andlor a separate Constructi'an S•IVPPP site plan. his is a theck!st to enst:a that the':o+lowing are depicted o-a site plan: General. e_ Vicirity Map t_ Jefferson County;Approval B:ock c. Erosion and Sedment Control Notes 2_ Site Plan. a. Legal des oription of subject propely. t:_ Norco arrow_ c. Indicate boundaries of existing vegetation(e.g.,tree lines.pastra areas,etc.). d_ Identify and label areas of potential erosion problem . e_ Identify FEMA base flood boundaries and Shoreline Managemert boundaries(if applicab'e). f_ Show existing and proposed=tours. • • g_ Indicate drainage basins and direction of flow for incl'tidual d-einage areas_ t. Label final grade contours and identify developed condition drainage basins. i. Delineate areas hat are to be cleared and graded j. Show at c.rt and Fill s.opes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate oration for swales,interceptor trenches,or ditches. b. Show all temporary and penranent drainage pipes,oldies,or.c,--t-off trenches required for erosion&sediment control. c. Prov:de m nirrnurn slope and cove:for ad temporary pipes or cal.out pipe inverts. d. Shows grades,dimensions,end direction of flow it a. ditches,swales.culverts and pipes_ e. P:ovide details for bypassing off site runoff around disturbed areas. f. Indicate:orations and outlets of any dewatering systems. ! 4. Location of Detention Best Management Practices(BMPs. Identify:oration of detention BMPs_ E. Erosion and Sediment Control Fa ilities. a. Snow the locations of sediment t-ap(s),pond(s),pipes and stuctures. ix Dimension pond berm widths and inside and outside pond slopes_ z. indicate the traprpond storage required and the dept-.length,ard width dimensions. d. ?rov:ce typical section views through pond and outlet st uctur e. a- Prov toe typical details of gravel cone and standpipe, andlor ether filtering deices. • f. Detail stabilization,techniques fo:outlethniet. g. Detal ccrtrollrestrictor device location and details. i. Specify mulch and/or recornrended cover of berms and slopes. ?roe'de rock specifications acid detail for rock check darn(s),'f applicable. T. Saeoify spacing for-ock check darns as-eg mired. P-ovide'rent and side sections of typical nook check darns_ "rdicafe the locations and ormide details and specifications for silt fabric_ • T.. Locate he construction entrance and provide a detail_ . Detailed Drawings. Any structural practices uses that are not referercec in the Ecology Manua should be explained and illustrated wit-_derailed drawings. 7. Other Pollutant BMPs. Indite or'_a site plan`_`-e locations of BMPs to be used for the control of pollutants other than sediment(e.g.,cc-crete wash water:). 6. Monitoring Locations.. Indicate on the.sate plan the orate-gra'ity samprrg locations to be used for monitoring water qua:`ty on the canstrLcfcn site. Sampling stations should be located upstream and downstream of-the project site. e:Jr tr!n-%I1 Ian 1eny late -rev 91t2n0e 11 .r • • Stormwater Site Plan Changes If the des:gre:wishes to make changes-or revisions to the originally a-proved Stormwater Site Plan, the-proposed revisions snail be submitted to ;BCD Drier -o constr.:ctior. The submittal shall Include sLbstitute pages that include a; proposed changes, revised drawings showing any str.ct_rai changes,and any ether supporting information that explains anc sup: the reason= the change. Final Corrected Plan Submittal If the project included corstruction e;conveyance systems.treatment facifties.flow control fac'ritias, or str„vt ral source control Br Ps (not standard on-site stcr meter management 8MFs),the applicant shall submit a fnal corrected plan('as-bc:iits")when the project is co-rpleted. These shoo:i be eng:neer'ng drawings (stamped by a licensed civil engineer) that accuratey represent the project as constructed. APPLICANT SIGNATURE By sigring the Construction SWPPP worksheet, I as the app icant/owner attest that the information provided here n is true and correct to the best of my knowledge. I also certify that this application is being made with the full know:edge and consent of al; owners of he affected property_ dip lr"''' t 01/2113 (_ANL 31? ER OR AUtiORIZED F EPRE- ±ATIVE SIGNATURE) (DATE) THIS S?ACE MAY BE USE)FOR ADDITIONAL NOTES,IF NEEDED: c:ZMtvrai:3:0 prop tem-data—'+e'. 1&2"12008 12 iii ,cFSON cG JEFFERSON COU• ("# �\ G2 DEPARTMENT OF COMMUNITY DEVELOPMENT SSH f\G,�� Date: 'ii” Time Received: R 3? am/s Mon. Tue. Wed. Thur. 4. Date: e BLD: 13 -t7 2 Contact Name: Owner: Contact Number: 360 f7 2, Address: 1 c 1 Lf c5L.14-A Spy( 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection x Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ON c�5 co G2 JEFFERSON COUI • DEPARTMENT OF COMMUNITY DEVELOPMENT g Date: 713D Time Received: am Mon. Tue. Wed. ow Fri. Date: 7/3/ BLD: /3 _27 Z Contact Name: Owner: Contact Number: 360 ,'p6, 9q7 Address: / (i`f SI.)./47,00,J ,-Ij 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts X Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Q, Finallnspecti�n Setbacks Floor k Foundation Wall Address Posted Block&Tile Ceiling X • • ./' r' Qw¢5ON CC JEFFERSON COUNTY ( DEPARTMENT OF COMMUNITY DEVELOPMENT 4Sko9 Date: y ze Time Received: `I I Z-I (13 pm Mon. Tue Wed. T ur. Fri. Date: t/`zi1 BLD: 13 2.7Z- Contact Name: Owner: &Atm x Contact Number: 360 3f‘ 07z-i Address: 144 $04N0c,J Ave 206 Notes: —Pity l,oAa- 0A,L-t Pc- Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4,,-5°y cow JEFFERSON COON. • 14 e DEPARTMENT OF COMMUNITY DEVELOPMENT 'iSEirti°C°� Date: /.zi Time Received: /Z;457 am pm Mon. le, Wed. Thur. Fri. Date: //2.7/1 Yr BLD: /3 77-- Contact Name: Owner: i)qy' Contact Number: -369 -516 ''/7z- Address: 1i%t( .6l�19,ua,i Aver- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling gsox � 4,4'14-17%4,4'14-17% JEFFERSON COUN 4. - -o' DEPARTMENWIF COMMUNITY DEVELOPIVNT Date: 4"-RTime Received: 6, 0( Q1/13m Mon. Tue. Wed. Thur. ejV Date: 4—t BLD: 1?j R,-1 Zi Contact Name: Owner: V..P Contact Number: 360 Address: .,.. " 206 Notes: 13WCtC 1 w4 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing t/ Under ground Furance Footing Rough In V Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines {/ Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation — \ Final Inspection s&. Setbacks Floor Foundation Wall Address Posted , Block&Tile Ceiling • Inspections are required to be calleceby 3:00 pm to receive an inspection the a day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection,a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. - Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. • • �4w�SON C JEFFERSON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT lr'S'Ifl/46C Date: c-fte-/ Time Received: Zl6— amtC) Mon. Tue. Thur. Fri. Date: V-2— BID: /3 —A72— Contact Name: Owner: Contact Number: 360 3/67 9vn-- Address: /L{tf Sc,3.Arr ofJ /tfjL 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear- Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation. Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • . w45ON `o� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �SHIh05O Date: 3/tc.Time Received: '3 r? am/102 Mon. Tue. ed Thur. Fri. Date: �( Z BLD: 1`j•-2:7-2_ Contact Name: Owner: Contact Number: 360 '316o qt/72., Address: 1 Li 4 ts-'t.v, 5t,,I AU 6 206 Notes: r2 / P?J l 2 tk m(--i�c Foundation Plumbing Framing //// Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation. Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • •::,,, 0 >4472114,... irj'env-iv-4, 5.7:1 ifib.ZA afe:• (I VA 1 :04 , ....1 , ........ 2 ..---- r,... eet "-II' / ■ Date i °3 time received i :2--( am Z - ) Mon. ues .Wed, Thur. -Fri. _ - BLD: /3 2_7 7-- Date: 1/)+ OWNER: Contact Name. . , ADDRESS: 144 t.)5(4) Ave- Contact Number:360 .. 206 Notes: a. lii, q#77- Foundation Plumbing • Framing Propane Tank Mechanical - • . , Setbacks Under-ground Framing Underground Furnace ____ Footing Rough in Air seal Above ground - Gas Stemwail "DS Hydronic Exterior shear Exterior lines Oil _ Straps Interior shear Interior lines • Ducts Post Hole Ventilation Appliance Underfloor _____ .. Gashvood stove Man-Homes Setbacks • Insulation. . Final Inspection ,1 Foundation . VI) •-..? Bicck&Tie floor wall ceiling Address Posted i ¢gON co Iry ° JEFFERSON COUN a.. DEPARTMENF COMMUNITY DEVELOPNT SRI NO'C 4 Date: /-4 Time Received: Opm Mon. 4CP Wed. Thur. Fri. Date: ! *^7 BLD: t 3- 2.7 2. Contact Name: Owner: Contact Number: 360 0.14, cm 7i. Address: I L"f 5 LAJAtis efti AVIE 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove _ Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 110 Jefferson County Building Buildin Division Permit NumUer: BLD13-00272 Applicant: KOVAC BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 Setbacks I c j Erosion Control 1=7-)4 Foundation Footing r y _ o l _. -7-14/ Footing Drains �. Foundation Stem Wall Underground Plumbing Under Floor Framing 11l H Straps(hold downs) Ext.Shear Wall Nailing � 1111_14 Rough-in Plumbing �r Framing f.�' Blocking G!' r,., F is Airseal �` Insulation:Walls 111Z211y Insulation:Floors Insulation:Ceiling Int.Shear Wall Nailing fhq/Itt Wallboard Nailing 41,E 1 Gas Line: Interior i ,�r Gas Line:Exterior t �' Propane Tank Heat/Chimney Clearance Mechanical Systems Duct Test Cert Blower Airtight Test Smoke&CO2 Drywell/Alt Drainage It Address Posted 0 • 1 FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i • CONDITIONS for Building Permit# :BLD13-00272 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 application on September 12, 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 September 12, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) dlf \\tirlamark\data\fnrms\F RI 11 Parmit Rlrin rnt 9/90/9013 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00272 Received Date: 9/3/2013 SITE ADDRESS: 144 SWANSON AVE Issue Date 9/20/2013 Expiration Date 9/20/2014 OWNER: DANA E KOVAC PHONE: PAMELLA DENOTTER 144 MYRTLE RD PORT TOWNSEND WA 983689223 OCEAN GROVE ESTATES#2 SUBDIVISION: Block: 8 Lot: 11,12 PARCEL NUMBER: 977100817 Section: 24 Township: 30 N Range: 02 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 10/4/2013 PROJECT DESCRIPTION: NSFR W/ATTACHED GARAGE AND UNHEATED STORAGE ROOM,AND COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,362 VALUATION 220,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: SHORELINE: GARAGE: 572 CONST TYPE: DECK: 188 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,867.95 MEB 09/03/13 142446 Exist: Exist: 0 Plan Check $1,213.55 MEB 09/03/13 142446 Prop: 2 Prop: 2 State Building Code $4.50 MEB 09/03/13 142446 Total: 2 Total: 2 Potable Water Application $66.00 MEB 09/03/13 142446 Total: $3,152.00 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