Loading...
HomeMy WebLinkAboutBLD2006-00078 - 01 PERMIT APPLICATION ILDING PERMIT APPLICA1N MRLA06-00p073 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00078 Received Date: 2/24/2006 SITE ADDRESS: 162 DUSTY RD BRINNON, 98320 OWNER: JEROME FITZGERALD PHONE: 208-886-2756 440 N 375 W SHOSHONE ID 833525146 SUBDIVISION: Block: Lot: T21 PARCEL NUMBER: 502104037 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: RICK DAVIS PHONE: 360-301-1478 280 WHALE RD BRINNON WA 98320 PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,263 VALUATION 237,012.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: 1,263 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 450 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: lagIDC° Type Amount Paid By: Date: Receipt: APPROVED Permit $1,766.55 LYK 02/24/06 79124 Plan Check $1,148.26 LYK 02/24/06 79124 MAY 15 State Building Code $4.50 LYK 02/24/06 79124 Jefferson County Planning Potable Water Application $55.00 LYK 02/24/06 79124 & Building Department Total: $2,974.31 THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF OCCUPANCY. .�ON L,O JEFFERSCCOUNTY f' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street•Port T T;*, 8 . . 360/379-4450. 360/37• . - '1\"! f ` , }, .q�,�NavO www.co.jefferson.wa.us/commdevelopment FEB 242006 Master Permit Application MLA: 0(Q- 1,3 Project Description(include to sheets as =*z•------- . / F 1 Ss ' A,/ yin,G;/ seIF /1 es- 'Mil a tg 'i Tax Parcel J ' Number: ,j 0) Pro -'o c L1 0 3 Size: 5-i �ji (acre /square feet) Site Address and/or Directions to Property: I Property Owner(s)of Record: - v. v. • - ,, Telephone: o,.IJg—(ic,c6— 0.1“, Fax email: Mailing Address: L/y 0 Al 7)5—S W S'/,o,SAvii p i . Ql, Applicant/Agent(if different from owner): 1�•'c k ",_ 4 Cl i S Telephone: 360-101 - j y i g Fax email: Mailing Address: 2—git5 LiJhaltd, / rd, XTi-,.0�nky What kind of Permit?(Check each box that applies) ii Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** )(`Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑Binding Site Plan** ❑Change of Use ❑Long Plat** ❑Address ❑ Road Approach ❑Planned Rural Residential Development(PRRD)Amendments** .2 ❑ Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management o Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: Rick DESIGNATION OF AGENT I\ I hereby designate 'c'c -' a s to act as my agent in matters relating to this application for permit(s). 7 OWNER SIGNATURE \ _,�i� � � f�.. . .. ��, /,� Date: °' /" 2.C'�U' 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 it's 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 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.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: ` • . A 0 '. /i Date: ?-72-2-4"C)-54-- —2l"©-54` 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 a• eri • to and complying,, •I. the ESA. The Applicant has read this disdaimer and signs and dates it below. Signature: _ Ar>^I.r/' - : Date: '7-2 C3U.5— "_ G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc OWNER BUILDER STATEMENT ■ The signer of this statement does hereby certify that they are the Owners of the parcel herein.that they are not licensed contractors and that they will be: •the responsibility of the General Contractor proposed project Signature: .a it as_ -.Iv i-�/_ /, i/,, , Date: '�'-- �' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL. project Type: Frame Type: brooms: Shoreline: Type of Sewage Disposal: J New.. Wood Existing: ❑ Sewer ❑ Addon ❑ Steel Proposed: 2 Bank ❑ Community System ❑ AlteratloNRemodel ❑ Concrete Total: Z Hei ht: Individual System ❑ Repair ❑ Masonry �� SEP Permit# Sr fodc-c'c ❑ Demolition 0 Other. Bedrooms: Water Supply: Existing: Setback: Private well ❑ Two Party Type of Heat: Pro �Total: ❑ Public '/ c - - Name of System: if this.is a Commercial Protect you must answer the followinsi: 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 isua Prohate Tank and/or A»piiance installation hermit,mark ail items below that apply: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: 1° ❑ Heat Stove ❑ Cook Stove ■ Woodstove 0 Fireplace Insert ❑ Hot Water Tank o Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes I No When applying for a penult to install a propane tank you must also submit a site plan showing all of u B. i , .petty lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area, t square Footage For"Office Use Only t I-15 R l/ -,, 4„..,,,,..,:: ,,,,,-:,,,,,,,_,:,4.,=-4,4,,,,,"' Current Proposed u r a vF �• :' Main Floor Cons ncy Review: 2""Floor Base fee: e 3 Floor ditional Section: Mezzanine: Plan Check fee: ] ' �i i Heated Basement t ! 1 Surcharge fep x l -2,( . 13c °.,(P Unheated Basement Past i fiaterhar fie Other Unheated 0--C°t/itd .;' f � o A1 ' t t Garage/Carport Decks � jj �� .; b .(p�C?0(p. �R ipt,Number t 4,,,,,, ...._ Other shrClteck Number: x ,_ CI } ESTIMATED COST(REQUIRED) Date: .Fair market valueY latitials tau isi / Mists: G:\Pam itCenter\FORMS\DRD FORMS\Master Permit Application 7-8 04.doc rat& L likk,V LO • 0 STORMWATER PLAN i APR 2 8 2003 MAY 15 teori cf,„ nk;.,. ‘ JEFFERSON COUNTY - 1 DEPARTMENT OF COMMUNITY DEVELOPMENT DE pT oir(FF.,;;Irizi.,0:1.,u,v14, Imam. St(iNAlliRE• 621 Sheridan Street•Port Townsend •Washington 98368 4.0"` 360/379-4450 • 360/379-4451 Fax ' a :• ei, http://www.cojefferson.wa.us/cornindevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE taA# in.-i4 0/0 - 0007 3 PROJECT/APPLICANT NAME: P*(74-2-jeMed - Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the sirt nap. i AI,. i , ,1 , f I i )4101.,10 Sek-ii f sdcte C ro 1„t: coilst+vC/ (ft(1, of .1cif oi--- 1,-(4. Yet,k,att-iP ciii, ex;5-4; v le ie i c Fey 1- ie 'thee _lop/. 1-il Existing Conditions Summary 2. Describe the existing topography.I Indicate conto rs o the site map. t 1 *4. . 4. .. / - ; e itl 4e "te'q ' *.# ---, L 4.' ,s i le f eye C4 4 ,4,15 '&41-3 .1 ele- rl ,, °'-C I ...7:.:,,, ' 3. Describeith: existing vegetation. Indicate native vegetation areas on the site map. — 4t • , 44 ... i,o.c- , ,,,,.1 44. 0 4 * 4f Al d' .Lvw,.1 ,31, b `40,.. i. ' .IMMEOMMEM 4. Describe the existing soits. indiolte soil type on the site map,. ) • / ‘..7 , ti. - e : L).-04,''.--) ,, o ,0 ,oc, ,,,, .. f = .-- t 1 14 ridev 1,5-vit ot", 3 -$1,0 („/ ‘tr 1' Y— 4(4, , rot y). 17,01 drox. f 5. Describe the existing site hydrology(i.e.,firainage;behavior of water on the site—above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acrea of each. I I LI—A frct 14 4,-e S tpt4 v b4,1 ‘-t t",,,-, 1 ivt. c kAi- si9pe cci---44 v'e4f 4 tk-i#.0:-±i'l.psite . F. 441.4.- t i is ill, o'C'e- •ti. " - 3 0 # * 0 * ' .. 14 * • 40 , . a , , 1.-, ir. ie, . •• •c ; E-1 1,, ,,,t4er i.5" ..ce.0 Sd ms 1 6. Describe any excess levels of noise generated by the proposed use or activity: Ar_Lakie,.. 1 1, i IA' 1 0 6 - 0 0 7 8 til a t stormwater We plan template-rev.10/1/2003 11"1% tIll UT( 11 5 ..,. APR •r-- ' I , 2005 i . 1 , . 7. Describe signifrant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, teep slopes,etc.)on theif ite. Indicate location on the site map. j '':: ' 1 rh a.. .petti. 403f 4eiorOcof iT 6I- e-Art-71--- c 4cfe e 0 Al p 01 --tr:prorw, ,S-4'# Q ............... .., . ... ... ....... -.ot . . °. .s. 3111"4"1 A' . Vir• 4. , . . 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities,roads,and sensitive/critical areas (streams,wetlands,lakes,steepa„s slopes,etc.). 1 4- .. fkr—r.t,i+ 'to I/n P Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium's size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(i.e.,per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and d* erentiate proposed facilities from existing facilities. . I , ort rrk4nd 10 r to c_ I.,S I erri 0 +Li e v-t.,00),) iv-0;4,N pi kor 441,, ett CY ire rr l" 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. 12. Describe the flow control system. stormwater site an template—rev.10/102003 6 • 1110 • APR 28 2065 .... ,. _ _ 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteriars of in material,and position of excess material. 0 8 / / Solid e_7 4 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. - if , ./, 18. Descri•- methods for restoration of the site. 4 11 i .. I J e,tt 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and includ- any special reports or studies conducted to prepare theiSto water Site Plan. 4,.. ....: . er:# o cgt 2 S $ stu. vt, 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. sarrnwater site plan ternplats-rev.10/1/2003 7 -., • r ; 8 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. f` ^t' . 1)61. �e , .. 4 2. Establish Construction Access. tk4. Ct 3. Control Flow Rates. • A. • • IIIPIPNIPMMIIMIIIPIIIPIINIL e • 4. Install Sediment Controls. 5. Stabilize Soils. 6. Protect Slopes. I 7. Protect Drain Inlets. storm water site plan temlate—rev.10/112003 8 : ` APR 2 8 2006 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outle I 9 Pontrol P lutgnts. i t (:),„..... e kr f gym.. 10. Co r�t�ol De-Watering(the act of pumping group water or st rmwater away from an ive construction site). Vic? fie` a` ` l 11 Maintain B t Management Practice (BMPs). i tt sxi4 � 4 t -,- r 12. Manage the Project. } 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stow water site plan template—rev.10/1:2003 9 L- • APR 28 2006 b. Description of special requirements for working in or near environmentally sensitive are:FP,k'rg, kJ 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of he characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soli structure). - $0 " 5. Construction Phasing. a. Construction sequence\.• 11 r e 4 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 4. Provide a proposed construction schedule. frrl 0 n - f1/4-1r, 01. 4- ) *. R12 5 4 II. Wet Season Construction Activities. a. Proposed wet season construction activities. #1.614V__ b. Proposed wet season construction activities for environmentally sensitive areas. ,t1 is 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. C, Waterways. d. Runoff/Stormwater Detention Calculations • stormwater site plan template—rev.1011,2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE . By s:gning the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (2A,..& .2te)e) (LANDOWNER OR '•-r ED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: APR 2 I. stormwater site plan template-rev.1011/2003 12 • • W:1591 Residential Structura1102 Davis-Fitxgeraldl9rawingsWFlaar Plan.dwg.31 2012 0 0 8 11A7:40 AM an° rn 3 000 ogo owmov np c�"v oo ao�m 0 oo gins oa 0 ...0 Cn Mill vmm--tmNVZ • ozr -io _�—x°NO °TIE— ^.P; oo °°� <3�� "n-,.^ m 2 00 pN�_" _'�� '<�..NO=. 30 � a�n ?33-^E. � "o�c iF o m0 mmNOxYC�m o° 3E 5a^oa..3_2_o^nm ."3n Q o o E-.1- 'cow n -' ommrm8v 0mm "poH ca 3To �mri-m.-0.cr c3'z.og,, ^0" x o`0 0 n- m'° Fl x z, cm^ .z�i, <,c0� g.- not>>opi' "i°z-. O�zm3 ' o '°z".3, Q 2 o3a oS"a� n nv = grm-„°.i. m., g.-p -OCO°.c,j-L '° F,000T o=nto°mm"m°3 0 0 O "LeO.'°gxw c°O-o -Ig E vm�-Imri r90 Om ° c03°"O� .°• oy in So �.. " .o'3 � � O,o o" N�rxm<z0 Zpm o-'f"<.00mm2"Om Sis.ES,V t;�zoa^`:_iao .. ° .. 3 "- 2" -a.3 G, m -Ix<myp�y0 ANp •mm�v o.oim.. m Fs?ny oA�f� o. 3�� °r°> 5.1 ^ V�o T'p°a,ocy O-i p �mvim�P RBI �° _°'y_ : p m "'°° m m 8' 2 omn� !E o"N moa°° T1E'L'i?_," ;214 z _ o m°°g' 00 nin °- i2=)'Og mmN 21.E8 v N o —1 In o '°n ° fTl 'c Alij 11.4 oi c d° .» Ooop . .'a I- ._nlm "S" � o �1 a o °zO.�°.� � A yy rrr� Z8:° O^ t1 o.�yNm3,36 c m R25"- EZx °.° H m m I 2 ” n�m3 rn O 2 N�mNx ,,,, z " ;4 ° a3^,,toI1.�0,, a_. o''o Z 3-`:9,° frl Z z in, F _ yo�coa mno�m nF"°.�om Fm oFv "poi � � N °- 'cJno."° Q o (n N OpTmN x< mz m3o ��a ..� " _� ? ra°� mooj°av � � r- ,� .._ o."�. v �3 -Ip�?Sm O� o- m;;,.N ° 303 °-gin 0 -5 °= _ate "� m o T. li o°i°- o !-FL n i<mzm m�n 0 ---. m <n,..°af.o- 3"^ cm"'o'°ma03 ' °"Om cam' - ,D�nn Z. ° ��a- -- o_ Z O OAZ�y ox °�mO OON^ "nV � -� 3=?.o N N .° �� n 2 V/ � �p.- CT lO � � 22m41x (mn� r^z° fdpim"m ° °2N a'o°�a"°Z..�' o?oc §v 0 3 m �I .c Q3o"D n° I. '^OZy�m i0 .._ ''o°" Vm -- a°. ° " D A no X25 O o22 Nz �o c)°x°0a5. vc3 mac o`k0.751 "`'e34 "^ ' r - �e,n Ln = Pgpiv vz ; N po"o'o mo -fro ""�'l"m°° ° a 4z " " Z. H c' "2-'_. ypN2�+ _ am in a°1rgnS? a3 "- „'oco"oc° 0i_ ao" 3i n frl O E 2� o Z �movF Z A npm+N•Zc "o ic ,13" ."N m� z. — D -g?a d Z (2<'r1N Zm 0 fin x °w Eon on3'H ° � < ' � m°ps mz ill Pill y `�Z "0^'<0 ° " ,< n mp- 8 pin ti N R. z m y p T1 Ig I O 9,, _z I• I - h •,---;,, UP k ✓' - 0 11 :Z ) • Asp AAm a n• 1 0 p.46 8 gyp° p DI I m PC( (\\„ ‘.° 111 4, --. 4 — t- ... „, oo Ro '4 ion p P3 .,, A1111111 N O �Gii'1'I'1;{7� l�il � OFF"2- 3 rni . la I -- ° m m Pas$ I11 6 8 \ m m- t E v i n � u'tE JILTiU]]]1 I II II 'P'_ =O k uu oo� - mu! P nu a o° 2 S".y .o. �g Z oo a CO m • z my_ P!! 1,3"MIN. m0 3 iIi o ' WO WI -- m a•I I• z `� A; Wa ��g gg<P o O — ., r :'v°r- f3,11" ': � El, ire° t m Z _ ��i L__AIL—— _ m AKR - P m -11 M. I]r M� mm 21 n m�{I7— -�ii�w■o IIn1R�� _ '? I f, nv as1 ox> \ : -13P.t Z Oil" Z N ' 3O �$ N } yN �mi A� " 4- E e n "I- �I FP ! a d s 0.4 M n o A Milli A z o i a OE t 0 • • / r.mL" FITZGERALDRESIDENCE MPB are WASHINGTON r.Cn O (:1!1 :9T- E MPB tem=gem �".�4 " TITLE SHEET AND - _ "'+� ENGINEERING a I MWB """"""�'m • REVISED SECTION "` CANADA ra"a�' 4040 Wheaton Way,Suite 202 Bremerton,WA 98310 !EXPIRES 05Y29I081 MWB 50 001 J / - -. ---" • leg-Oa 5'-0" / 9'-✓=" 2'-5" 6'-2" ./\ ,® III ` ei tc\-10 z o���Iu)'�:U!-��tai T'•Z�I�t �I ,It,t1 t _ xl � o p �.. 06e -- .� mfr m . It . 4 _ HOOD, LIGHT OVER -�1 1Tr. ,N ml cm.fti r- c� . $ --::S. -(7A-s71 z , 6 4.9M 17 11 �. 0 1T( _{ FULL. TILE .5P T.1 9 N . I ?13AO Xi 5' TUB AND 0j4 t3 Iv Fah:7% e\ `� -SHty� - 0,...., V. tie \ ma x. r iz �w N 120 2CEILING J015T5 I �.I to 2 x6 RAFTERS a J2 \..�---- 668 �--� DP 1 O . x Z Z -----u-- 1 'DN: cr ---- :4114::LII _ / n GOATS 77o 11 7 2-2x10 u .• "OmZi pp 0 Q �\ I —Now tn I. A < ` 2x6 OVER FRAMING, 16" O.G. . . ," �- ',.... 2 O 4 0/5'-6" \ 1 131-4" 21-4/ WIIIMEIMA IF _n n ro -D Q1 -o .1 1/: .A. � - _1,..1-_-_. .‘ _ �: � . _ -1 1.1v-:t] Ri- / in // % La z r m m til ,.;.- M A l,I' I w 1 mrini 11111 I% �, _ /§ r I / GLOSET N NI I IT' k x 0R t 51-1 CLOSET i -•69 = R gO "'fin 1 N N n�cn - $ N -0 tA a N 4-p ` 6 § xZ . �° O 1 k 4m mxx�.77 I-. C1 3�nrm V p pQ $V] zn k am q • � is..\ It O ~ -. . i 1 m\cnI.) b m a N N r1 ` I 2R�Z m 1m M 1 N N:::1 _aril i1,° .R\ MIL 266S L 1 t 1��l � g . i•P► � \ n \oil f• i ' ' �• ` / ;yICLO5 E I N • 2x6 CEILING JOISTS c . \�— a- 4 I 24" O.G. x6 RAFTERS '24" ..C74..,� 2x6 RAFTERS e 24" O.CI C/ AR TIE --- I 7 G. �W g .1:16-%` 468N I '' ••∎, ,:_& (.11 = I�u 1 fiN 1 .�i z - ,p- ] „ to a AI (1 Y , ,� r I _ ULL TILE SPL -F I* ° _-' TUB AND 5l O Mmi f _ R\��.\ 0 -- - - - ��' (1___ n 0 o 6 91/2►'(RED) `` 3'-O" 4'-O" 18 O" S 5'_0" 33'-O" '(REF) 3'-O" / 7'-O" 10'-O" 5'-O�► / 9'-0" 9'-0" / 2"(REN 6 1@ (tt z-irl® c "..„/ ' c,‘ -,.1,,,... __..1 . .- .. 1_....,---tt '� ;..\\\�.\1\`111.,., �\\\\\e\\\�► , \ `A I p to ti 10 FLR JSTS 16" o.G. [Ilk * // 5 ti CROSS 9RG. 77017E. MAX. 4 p x \ - -xm ./ % / l` � 7oNDo% a �' m �`a, / t 33'34 3_ x rgmsziN j -4 i ili / g 0 . P 4 ' i1 v N 1_ / alh./ 1 R ii o (SLOPE IF WDECK) . i—I- Li:1j s 1\ _ __ .___ N I / 2x8 PRESSURE TREATED O _ 4 / DEGK TS rb" o.c. m •§ x - / \ x O R 44 co p D _I ; �, O.G. :T;41.J ti a ` r x o FLUSH ,._ e , ---,„ - --,.......,— ._ . 3-2x10 F' ' 4-2x10 s - . _ 7 4 reMtkkiMMIKWWIT I -I L.,� .„..-.:-_...�.- mot. — �► N , 2x10 FLRJ5T5 a 16" �� r u.ut 0-.. III h, fV . 2x2 X-HRG. a T-O" O.151_4a N / 3'-2" 14'-6" "� Qi II!• r O_ -Al hkVr I I 5 -% ; - dw 1 . , t. 1LrT1i_ k = '�voi t 7d 2x10 FLR JSTS a 16" O.G. I1 _ , I �2x2 X-9RG. a 7'-O" O.G. MAX " 111 - 1 ----- I N r• n= t 6- z az ii - I, sz ti:i,' \ \ to _ Z gill ^a� w f j 1 FLUSH :D N aD 1111��1 ; ( I 2.2x10 _ , R x mom a �, u0-.0 l b D �'p 1/ imi (.... a. I ACC„ e.......,.. , _ _9P J 41 - hi IN ii• -n5 9: i • 1 P i: i ..,... _ L gib L - I0 V' 7 ‘4-2x12 `..�,;, � . u% rte..` - t 111+�4R�QOR'�i�4 6 -2x12 .,,N L � -1-,.. .� 9'-O” ix-6 N N c� x N X x O I ---A • • It 0 03. \ ,. liliel-1 ,r01 i ----' 4 \\ &% I 2 ■ i _! w 1 Ai r.-6 D ii: \\ ry X NCII s -,- �M 11I�`IMS► Me S1_ 4,111 Wi■P,__Wlir.10 *)C •20 N• a �� . Vii: t ° ;REF) - 9'-0" INIV 9'-0" `1. REF.) '(!'-T" 5/16" '(REF.) 3'-O" 7'-O" 18'-O" 5'-O" / / • C7 • ..r.... • • • • • .11:.) . 4111111 _ f rn . !-. . -..�.... . j OZ . i• 0 ! -z :w x e., y�r Q. • ..,_.._. . ,,i • • . I ' -1 : ! i ; .....4, , . • i vt.,.. ..,-6•L'2,-, 7 Tk*. -01- ; '7; . .._ ' `r f4 ....... •• c • , .. „..„:„.:,''•.,•:Al \\• • ,..:..,..1,I,.,...,:,,, ,.l ' '. to.. i i . . . • c I 4111, • ' • fi • • tr r r''':.‘„ " A11,1'4 • i.'& . • S . . , ...,, ,. 4,-..„.„ , , vcc,., *...... • . * ,,,,,,..e.,it. _ . , • . : „A,. ,.,.. „.. ( , ' ► , r . . • A d • • �a 1 d _ \ •-,' .: i4 Kph • . n i 4 I' • h ~ * • . ( '''*),, „„xc n • ■ • t, - 2 } • • zi. 'n ..... ._.. ....,. ' N .... ay _.1-.......... .. ...✓ Y • • a. , • \\;\ i • • • • • `. ....:............. • 9 i • • • .1 Q S �� •C', • } { •... ... », € d x .. •\ ...."i,, ;:i 0.4 . • . rn . l o • • . .. • .. ........ 1 T. #° x .. J.w i� : ...... • i. ., . .. _.© .» C", 4 y .<r yr ,u • V - Z 7"" r • FEB '4 4 �_ o 0 \ .......-- t z -a 0 x3 N r . 0 ° a o a 0 L_ d W) U . N y a H • ri) OM I .? M a �' T.1. W o •/9 �,. G,7 AG i z9 ti \'7. A p i o 5 W •� A • o d� "4 ,. i,:i .. g t- c '\ I/ ' a° •.,.._ \, Z. atiUA E" 5c AD �. ti. ,n W row-, o• I. - N VI i' Q ■ii O y 1 P N. X,Q� x cn / 4.0 an i CV ;431: r4 1 x Y4P, C,o beo LO Om W 111 0 _ P+ � p14 8V5 ��` N 0 O E� \ Q` N Q Lr' Vw7 gid w. Li .116 .6 A d. 1 \ \ ....4 . el SV°I �� \ , 0 E-1 v --�\ J j w v N all a .N. - .\4<>• CC 0 \\ \\N% ,.„.---- p, D / • ,�° ck si e.1 r . .ci%e .t9 4 0 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00078 Received Date 02/24/2006 SITE ADDRESS: 162 DUSTY RD Issue Date 05/15/2006 BRINNON, 98320 APPLICANT: JEROME FITZGERALD PHONE: 208-886-2756 440 N 375 W SHOSHONE ID 833525146 SUBDIVISION: Block: Lot: T21 PARCEL NUMBER: 502104037 Section: 10 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR CALL IN FOR THE REQUIRED I PE NS THAT APPLY TO YOUR PROJECT. SETBACKS: OK t D4, UFFER: 4 1/94 Footing: 0G�iir,G F oundation. 1p— e Stormwate FINAL Approval: Underground Plumbing: 0' (rb-V Underground Insulation: Shear Wall: Sheathing: Framing: 5Theatity f Pr ,Q .. ek A i v h Plumbing: t 0` "�' Propane TanlL/Lines: Insulation: '*N Waif at ! O Iii Sheetrock: 4-141.-69 � , 41,.e,va...,..._ N 4 Septic Sytem Final Approval MUST be obtained before final■ Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: - HEALTH DEPARTMENT AND PUBLIC WORKS APPROV, THIS PERMIT IS VALID FOR ONE YEAR OR f BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOUR: Office Hours 9:00 a.m. - HOT LINE AVAILABLE 24 Ht SPECIAL CONDITIONS APPLY-E,..... mavcrtb • SPECIAL CONDITIONS FOR CASE A BLD06-00078 1.) A vegetative buffer of 15-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction,the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 7.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three(3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 9.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 1 10.) As stated ted i n the geotechnical report dated July 7, 2005 prepared by Allen L. Hart Engineering Geologist, "All runoff from roofs, patios, driveway and parking areas, and similar hard surfaced areas should be intercepted and directed away from slopes and to appropriate disposal areas. The free flow of water over the terrace fill slope face should not be allowed due to the potential for erosion and slope damage". 11.) 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. 12.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than two(2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code(UDC)Section 6. Outdoor storage of thirteen (13)or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk(or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Setback from Dusty Rd. right-of-way is no less than 20 ft., setback from Hwy. 101 right-of-way is no less than 20 ft.side and rear setbacks are no less than 5 ft. If an environmentally sensitive area(ESA) is present, then the more restrictive setback shall apply. 18.) The applicant/owner shall follow all recommendations as stated in the geotechnical report dated July 7, 2005 prepared by Allen L. Hart Engineering Geologist. 19.) A minimum of two(2)on-site parking spaces is required for the single-family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999