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BLD2000-00252
BUILDING PE1MIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00252 Received Date: 4/26/2000 SITE ADDRESS: 1064 EGG & I RD CHIMACUM, 98325 APPLICANT: MARJORIE A BOYD PHONE: (206)860-2064 KAREN PAGE 348 15TH AVE SEATTLE WA 98122 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 801022004 Section: 02 Township: 28 N Range: 01 W CONTRACTOR: C 'NSTO' CONS ' •UCTION PHONE: 732-7208 Pt BOX •, (l "T H DL•C A 9833' ontr- tor's Li ense • ' C070 Expires 03/10/'996 20o i ARCHITECT/ RENA KLEIN ENGINEER : 501 N 36TH ST SUITE 218 SEATTLE WA 98103 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,280 VALUATION 116,914.00 ADD'L: 773 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 437 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W Plat Conditions , a"� Shoreline Aquifer Routing Date: (4. Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Permit $1,088.95 MAM 04/26/00 27200 APPROVED Plan Check $326.69 MAM 04/26/00 27200 c,, ± State Building Code $4.50 MAM 04/26/00 27200 MAY 0 5 2000 Total: $1,420.14 Jefferson County Planning &P.:i1:Er.; Dca::rt c cry, I:WF BLD A Bid. t 10/29/99 _ _ Pp_ rP r , J8fforsal County Departmont of Cony inogty seefupment i.e..7-icav 006 y, 621 Sheridan Street,Port Townsend WA 88368[3601 378-4450 t o pcfl©n Proj ect Description: Building Type: Project Type: Frame Type: Single Family XI New ), Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Proposed: IC Individual System Woodstove .Propane Total: _ Total If not sewer,fill out the following: ❑ Heat Pump Conventional 0 Alternative ❑ Other ernut# SEP 60•-O0b3O '67 4p P � O f t yO Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor I 2$© °�'� 10 I�p GI UBC OCCUPANCY GROUP qs- 2ND Floor 7 3 SGL. �I�.�j"]5 Base fee 1 O ' 3rd Floor Plan Check fee 2 Htd Basement State Surcharge fee 7, Unhtd Basement — Subtotal f 4 2-0• Garage/Carport — Pot Water Review fee Decks 4 ? SBA. 310 911/Rd Approach fee t Commercial `— TOTAL 1 Li Z O ! Industrial -- Receipt # , "© Other -- Cash/Check# (02l Total Valuation: --° Initials' ' . Or 11 (0° 1 Date ` ` 1 1 Estimated Cost: If within 200' of the Shoreline, —tkVt— Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct toe the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may. ay 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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall he requested and shall occur during regular business hours. Signature: c- ,-.p Date: �a r 3 v Cl) n d 3 co . II a rn 0 a) 01 rte- z c► a 0 3 u n Y n, z y Z 0 co i 2 100 '4,d o ....-:5, ° -0 A 0 elz -ono v, 9T tma 1,..CI Z ( r'k r • O a n v ti -v > Cil m r y m -< v Y v r - ° O -° m -I ma � r Z o :-- N o m o -� d c m z c c, a SETBACKS z '� m z �` �.0 N A EA Y , r t.-, '71 "ri V;) ,5 E .,(91,) P 9 .,,,,c) > r-r,-'4,,'. 1-d cr)I u) t-4 .c) v) .t> 1-m hi 0 dO a4 vo rr as r, ac , vv ri �; vo e, •. y 2 1►+ o A '� > ,f.� _ > d `p a9.. 5 E., a>. 11$ • y �3. tfi In el W Y/ y (� �+ N �� ffi a) AI t'-■ 9-) &"' VI c9, A / es), p= , 0 1-4 N.)4—t `C .�. O xA f ,f • ^ (D N fi ;s 7 w rD W ir. r V b W � d > 1 1 F � _ k !...5. IlL • ..--:----r tt. i h.' . v 1 F E W[/' m �, to.. Iv,. 0 CI) ?ir �" r .01...--. 61 n ; on \ '- 0 a., 1..,v.) CP g. g F... a. ,..., . MI so C rc o a o a o 0 0 N ; w o' �� ! . G1 oN `� 0 , �� ■1, �. a1 1d .� g pp b 0 gto N ' v N.1 k g 4...1 _ ,..V 0 b' d N t / .. t • y BUILDING PERMIT APPLICATION ` Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00252 Received Date: 4/26/2000 SITE ADDRESS: 1064 EGG& I RD CHIMACUM, 98325 APPLICANT: MARJORIE A BOYD PHONE: (206)860-2064 KAREN PAGE 348 15TH AVE SEATTLE WA 98122 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 801022004 Section: 02 Township: 28 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 732-7208 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License CRANSCC070J7 Expires 03/10/1999 ARCHITECT/ RENA KLEIN , ENGINEER : 501 N 36TH ST SUITE 218 SEATTLE WA 98103 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,280 VALUATION 116,914.00 ADD'L: 773 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: efC'________D-- GARAGE: CONST TYPE: SETBACK: DECK. 437 BANK HEIGH . e _0o SEWAGE DISPOSAL: CON ,.zaO WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion r é Exist: Exist: Seismic NO Streams 'are Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W i • Plat Conditio, Routing Date: Shoreline 1 quifer NU L f. Forest: Commercial yLORural eat t Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,088.95 MAM 04/26/00 27200 CrtticaI A�Plan Check $326.69 MAM 04/26/00 27200 State Building Code $4.50 MAM 04/26/00 27200 e��e �Total: $1,420.14 /Lj ) Required p•d"Vil I:\F_BLD_App Bld.rpt 10/29/99 , \ \ 1 ,k - g c' ' '---- 1 :tr. a` i N 1 4 r , i • i 1 i ) 5. A- 1 P t 44 la N 42:41 - 0 . IL 0 i -pa -_ erkl I ill , \11 i I ! -T I ,.*,sa, . 1 NEW HO S I ; 1 i 11: I WB6i." { q +1 . PfrotooD rt".14 grAl . , 1 04,1101 e1ttfav XXisTiNr__ARN _ i 14&I. Del 51nL , 24 t 201 NORTH • wkgiO • ./.1% SITE PLAN ,� . 1"=60' 1 D ?o' £& Iva' 14.0' RE: BUILDING PERMIT APPLICATION NO. PROPERTY OWN. ER(S) (Please Print) MA f-% 1PAD Ka .N PA66- LEGAL DE CRIPTION 16- Sbtrrr : - 6111E2ea. V-K-e SITE ADDRESS /7)('f 1 c L , (w/n a n,LLft S I'I CONSISTENT WITH THE REQUIREMENTS OF JErrt.RSON COUNTY INTERIM IN FOREST LANDS ORDINANCE (ORDINANCE NO. 01-0121-97), I AGREE TO PROVIDE ADEQUATE ACCESS FOR FIRE VEHICLES TO THE AFOREMENTIONED PROPERTY. SIGNATURE OF EACH PROPERTY OWNER c-P/C64/767 This form does not need to be notarized Please return to: Jefferson County Permit Center, 621 Sheridan Street, Port Townsend, Washington 98363 VOL 670 ,,.;Z Jefferson County Department of Community Development February 11, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 BINDING ADVANCE DETERMINATION FINDINGS AND CONDITIONS OF APPROVAL JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE Applicant: MARJORIE A BOYD 348 15TH AVE SEATTLE WA 98122 Critical Area Review Case Number: CAR99-00512 Project Description: Construction of Single Family Residence. Parcel Number. 801022004 S-T-R: -N- Site Address: 1064 EGG & I RD WA, FINDINGS: In accordance with the authority under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on January 21, 2000 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: landslide hazard, adjacent commercial/rural forest land. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on January 21, 2000 and confirmed the existence of the following critical areas and/or their associated buffers on the property:steep slopes, landslide hazard area, adjacent forest lands. 3.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 4.) Designated (rural/commercial)forest lands are located on the eastern/southern adjacent properties. According to the Jefferson County Interim Forest Lands Ordinance(Ordinance No. 01-0121-97), buffer and development restrictions are required on property located adjacent to designated forest lands. Please refer to the attached letter regarding buffers and development restrictions for this property. 5.) Designated long term forest lands are located on the southern and eastern adjacent properties, on which a variety of forest related activities may occur that are not compatible with residential development. These activities include spraying, pruning, harvesting, blasting, drilling, rock curshing, and vehicle movements, which can generate dust, smoke, noise and odor. Forest or mining activities performed in accordance with county, state, and federal laws are not subject to legal action as public nuisances. This binding advance determination is issued subject to the following conditions. CONDITIONS OF APPROVAL: 1.) A vegetive buffer of 30 feet shall be permanently maintained from the top or toe of the landslide hazard area. All buffers shall be measured perpendicularly from the top/toe of the landslide hazard area. 2.) Landslide hazard areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, replanting with native vegetation shall be required by the Critical Area Administrator. No alteration shall be made to the landslide hazard area or its associated buffer without prior authorization by the Critical Area Administrator. 3.) Surface drainage shall not be directed across the face of a landslide hazard or ravine. /07 All construction activities, including the storage and preparation of materials, shall not encroach upon the designated geologically hazardous area, or its associated buffer. Deveopment permits will not be issued until required forest land submittals are received and approved as per Ordinance 01-0121-97. A 175 foot setback shall be required between the southern property line and the single family residence. 6.) The proposed development shall be located on the subject property exactly as identified on the Universal Plot Plan, or other Site Plan, approved by the County as part of the triggering permit application. Applicant shall be responsible for contacting and notifying contractor(s)of the above conditions in order to ensure compliance at various stages of construction/development. Warren Hart, AICP Date Critical Areas Administrator I the undersigned hereby agree as to the presence of critical areas on the subject property as outlined above. I understand that no alteration of the critical areas or their associated buffers is allowed unless specified in the conditions above. According to the provisions of the Jefferson County Interim Critical Areas Ordinance, the presence of threatened or endangered species may alter the critical areas and/or buffers present on the subject property. Please sign and_retum to the Department of Community Development. r '-, 2- is-a) Applicant Si ature Date c: File 1:1F_CAR_BindingAdvDet.rpt 12/13/99 it . . • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Ap\e- `( hicozyN Applicant Name �� . i% _ k wilding Application _ Lan d Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application _ Other: 1 . Is there any standing or running water on the surface of the Lite-s _ No property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been _ Yes o r identified as a wetland or swamp? N (.Q If YES, please describe: csuOt 3. Are any ice, skunk cabbage alders or cottonwoods present Yes — No on your property or adjacent prope ies? If YES, please describe: pi- sect-_ 6LQck),JAA (c.10,1. / 16-Vs Ck 4)\ j SCJC`c'e OCC) c, c ,l 4. Are there any indications on any portion of the property or on any _ YES nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) a a 4 Q a 4 ❑ / / /' I / / / / / / / t l / / / / / , % ,❑ / / / / / / / // /// / % //% / // //,/ / // ❑ / / // I / / / / / / // �// //� 1 / / / / / / ///////�/ /��/'❑...„... I///// / / / / i,_ I////// /// / i __'❑ ///////// / / II1/////,/,/'i/— _.0 (Questionnaire Continues on Back) Page 1 of 2 • 6. Does the site have steep slopes with little to no vegetation? _ YES _�' No ' • , If YES, please describe: (A.;Q„Q 43F). 7. Does the site contain high percentages of silt and/or very fine t�QES _ NO sand? If YES, please describe: egafacs,Q - `\ cbCk_. 4. 9r 1OC Y-1 8. Does the site contain ground water seepage or springs near the _ YES VNO surface of the ground? If YES, please describe: By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature 7916 -d/150 tP,_ Date y' FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide 0 Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 STORMWATER CALCULATIONS Owner/Applicant: "" 1" ( K R}b& ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: f t)(fly e54,'-S? Drainfield area cleared 4W■ sq.ft. chi((� .V-IN 913 )5 Driveway Lengths ft. X Width ft. 9 Digit Parcel Identification No.: SO I "(:)22, = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. Igo O sq.ft. INDICATE the following information. Total Land Disturbance 15301) sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals GO 1 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) I i I 1 sq.ft. 1. North arrow Existing Structures (all roof area) �j sq.ft. 2. All property boundaries and dimensions Sidewalks 0 sq.ft. 3. Names of adjacent streets Concrete Patios QS sq.ft. X- 4. Driveway/s & parking spaces Proposed: X.-5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. S 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface 24-41 3 sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 8. Wells and/or water lines • Construction Access Route Stabilization: ❑ 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with ❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 11.1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned 0.12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, '®.13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base ❑ 14. Arrows showing direction of slope on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices(BMPs). �"WA-- • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of ❑ 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97