HomeMy WebLinkAboutBLD2009-00405 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
•BUILDING PERMIT APPLIC ON ML 395
Rev iew iew T Ty ype:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD09-00405 Received Date: 12/8/2009
SITE ADDRESS: PINE DR
PORT TOWNSEND, 98368
OWNER: SUSAN O'BRIEN PHONE: 253-549-3787
MARK STAHL & SANDRA MAJOR
90 LIGHTHOUSE VIEW DR
SEQUIM WA 983828872 CAPE GEORGE VILLAGE DIV 4
SUBDIVISION: Block: Lot: 52
PARCEL NUMBER: 940800051 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: TOM HANNA PHONE: 360-460-9686
342 N SUNNYSIDE AVE
SEQUIM WA 98382
PROJECT DESCRIPTIOI NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,184
VALUATION 180,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: 485 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 812 SHORELINE:
CONST TYPE: DECK: 200 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 5
Total: 2 Total: 5
RouiingDa�:�alvi
Type Amou v: Date: Receipt: .;.v
Permit $1,441.75 LYK 12/08/09 113504 AP 1
Plan Check $937.14 LYK 12/08/09 113504
State Building Code $4.50 LYK 12/08/09 113504 FEB 1010
Potable Water Application $62.00 LYK 12/08/09 113504 Jefferson County Planning
Total: $2,445.39 &Building Department
¢SON CO
Wow Ga DEPARTMENT OF COMMUNITY DEVELOPMENT
,.1< 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 I Fax:360.379.4451
Web:www.co,jefferson.wa.us/communitydevelopment
14'111 N e°1 E-mail:dcd@co.jefferson.wa.us
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January 2, 2015 i \cD\ c va-rd c u t +k cur
pv-Jed-- L Dorothy Major ,tttt /%�
90 Lighthouse View Dr Pesr5 A p r e5ekfalcw
Sequim WA 98382
Es-f-Je OkyjRA-fr
RE: BLD09-00405 for a single family residence w/attached garage at 171 Pine Dr.
Dear Ms. Major:
It has come to our attention that the above-named permit is near its expiration and has not received
any inspections. Please submit your renewal payment in the amount of $234 along with a letter
pursuant to JCC 15.05.060 (4) providing justifiable cause for extension prior to February 22, 2015.
As a condition of renewal, you will be required to schedule your first inspection no later than August
22, 2015 or no further extensions will be approved. To schedule an inspection, please call our
inspection hotline at 360-379-4455 and have your approved permit and plans available on-site.
If you do not comply with the above requirements,your building permit will be cancelled.Should your
permit be cancelled, in order to initiate construction of the residence,you will need to reapply for new
building permit, pay current permit fees, and construct your building to current code.
If you have chosen not to move forward with your project, please notify our office of your decision.
Otherwise, we look forward to assisting you in completing your new home.
Sincerely,
> t / //
Elizabeth Williams,
Administrative Clerk
Sent by USPS Certified Mail:7012 3460 0001 6300 2609
BUILDING PERMIT
EXPIRATION NOTICE
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD09-00405
SITE ADDRESS: 171 PINE DR Date Issued: 2/22/2010
PORT TOWNSEND, WA 98368 Date Expires: 2/22/2014
APPLICANT: DOROTHY MAJOR
90 LIGHTHOUSE VIEW DR
SEQUIM WA 98382-8872
SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 BLOCK: LOTS: 52
PARCEL: 940800051 Section: 13 Township: 30N Range: 02 W
According to our records, YOUR BUILDING PERMIT HAS NOT PASSED A FINAL INSPECTION
AND WILL EXPIRE ON 2/22/2014.
To keep your building permit active you must pay a $228 renewal fee. This will keep your
permit active for one year after the date of expiration.
If renewal fee is not paid by time of expiration, no more inspections can be performed until
received.
Please contact our office if you have any questions.
Sincerely,
Permit Technician
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For delivery information visit our website at www.usps.comn td,WA 98368
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PS Form 3800,August 2006 See Reverse for Instructions
.. - •W ' • . esidence w/attached garage at 171 Pine Dr.
Dear Ms. Major:
It has come to our attention that the above-named permit is near its expiration and has not received
any inspections. Please submit your renewal payment in the amount of $234 along with a letter
pursuant to JCC 15.05.060 (4) providing justifiable cause for extension prior to February 22, 2015.
As a condition of renewal, you will be required to schedule your first inspection no later than August
22, 2015 or no further extensions will be approved. To schedule an inspection, please call our
inspection hotline at 360-379-4455 and have your approved permit and plans available on-site.
If you do not comply with the above requirements,your building permit will be cancelled.Should your
permit be cancelled, in order to initiate construction of the residence,you will need to reapply for new
building permit, pay current permit fees, and construct your building to current code.
If you have chosen not to move forward with your project, please notify our office of your decision.
Otherwise, we look forward to assisting you in completing your new home.
Sincerely, / , ; / l/ //
Elizabeth Williams,
Administrative Clerk
Sent by USPS Certified Mail:7012 3460 0001 6300 2609
II S
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brillk43‘s ° JEFFERSON COUNTY :,i J -
q 4i416,,,, 1 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
_ O� 360/379-4450 •360/379-4451 Fax
`S'•bTIN�`� http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# FA r3 PROJECT/APPLICANT NAME: Major Residence West
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
site map.
A 1,192 SF single family residence(with 588 SF of parking and driveway,150 SF of rain garden,and 2 Glendon Units(OSS);with domestic
'water from the community water system.)
Existing Conditions Summary ',
2. Describe the existing topography. Indicate contours on the site map.
Has slopes ranging from 1.0%to 8.0%southeast to northwest.
r ;,09591 A"a i talk
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
Has grass cover consistent with a prairie.
4. Describe the existing soils. Indicate soil type on the site map.
The NRCS Soils Survey for the site indicates Clallam gravelly sandy loam(CmC)and being in hydrologic soil group of"C";having a permeability of 0.6 to 2.0 in/hr
(moderate)to a depth of 23"with very low permeability through cemented glacial till layer below 23";clay:5-15%(0"to 23"depth)&5-10%(23"to 60"depth)
with a low shrink-swell potential;depth to water table is 18-36 inches. This is consistent with the soil profiles completed for the On-site Wastewater Plans for the
site by Soils Application,Inc. -
5. Describe the existing site hydrology(i.e.,drainage; 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 acreage of each.
The parcel,along with the adjoining undeveloped residential parcel on the east,drains to the north-northwest through prairie grasses and duff to an
existing poorly defined swale along the north boundary. The adjoining developed residential parcels on the south and southeast drain toward the
parcel.Drainage discharges to a 2-ft deep drainage ditch that parallels Pine Drive.
6. Describe any excess levels of noise generated by the proposed use or activity: AP PROVED
No excess noise will be generated. STORMVVATPR P1 AN
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate location on the site map.
Not Applicable
8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,wetlands, lakes,steep slopes,etc.).
The site/parcel is Lot 52,Cape George Village-Division 4,Jefferson County;it is bound:on the north and south by developed single-family
residential parcels,on the east by an undeveloped single-family residential parcel;and west by Pine Drive-a community/private right-of-way.
There are no sensitive/critical areas or their buffers encumbering the parcel.
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" 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 differentiate proposed facilities from existing facilities.
Stormwater will be dispersed thru the rain garden. Overflow from the rain garden will be directed into the regraded existing drainage swale along _
the north boarder of the parcel. This drainage swale discharges into an existing ditch along the Pine Drive right-of-way. To protect the on site
septic system an 85-LF interceptor drain will direct water into a stormdrain which discharges into the Pine Drive right-of-way. -
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.]
Not Applicable
11. Describe the performance goals and standards applicable to the project.
Performance goals for treatment facilities are not applicable.
12. Describe the flow control system.
The use of a flow control facility is not applicable. Flows will be controlled by limiting disturbed areas and through the use of a compost berm silt
barrier. -
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13. Describe the water quality system.
Water quality as it relates to treatment facilities is not applicable. The minimum requirements will be met by using BMPs in the form of
temporary silt barriers or silt fencing,a stabilized constuction entrance,and a rain garden to prevent erosion and to improve water quality.
14. Describe the conveyance system analysis and design.
An existing conveyance system is located along the Pine Drive right-of-way in the form of a drainage ditch. This ditch is continous and _
increases in size for more than 1700-LF. This existing system will be adequate to except stormwater flows from the proposed project site.
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
No fill material will be used on the site. Any excess material will be incorporated in berms,driveway,or top soil.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
Not Applicable
17. Describe the proposed surfacing material.
The proposed surfacing will be grass or gravel per the site plan.
18. Describe methods for restoration of the site.
Once site work is completed the site will be seeded and the temporary BMPs will be removed once a permanent ground cover has been
established.
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.
Not Applicable
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
Not Applicable
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.
The septic system and drainfield permits,which have already been approved,had to be taken in consideration regarding seperation distances_
between the septic/drainfield element and the other items on the site plan.
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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.
The project site was previously cleared.
2. Establish Construction Access.
A 40ft constuction entrance will be placed at the location of the new driveway.
3. Control Flow Rates.
Flow will be controled by limiting disturbed areas and through the use of a compost berm silt barrier.
4. Install Sediment Controls.
A temporary silt barrier or silt fence,a construction entrance,and a temporary sediment barrier or geotextile encased check dam will be
used for sediment control during constuction. During constuction exposed,disturbed areas of the site will be seeded or stabilized with other
ground cover as required to provide erosion control.
5. Stabilize Soils.
Soils will be stabilized by permanent seeding or other permanent ground cover immediately upon completion of construction.
6. Protect Slopes.
The existing drainage ditch along the Pine Drive right-of-way will be protected with rip rap at the intercepter outfall and will remain and not
be removed with other temporary measures.
7. Protect Drain Inlets.
Drain inlets will be protected by using inlet protection.
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12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
Outfalls will be rip rapped&fill for the driveway will be sloped at 3:1 and permanetly seeded.
9. Control Pollutants.
Although treatment is not required a rain garden will help control pollutants on the site.
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
If de-watering is required the water will be directed up slope and allowed to infiltrate thru the length of the parcel.
11. Maintain Best Management Practices(BMPs).
Maintaing BMPs will be the responsibility of the contractor until after the acceptance of the completed project. Instructions and details
regarding the recomended BMPs are included on the site plan and site details.
12. Manage the Project.
The ower and/or contractor will be responsible for managing the project and ensuring that it meets all codes and regulations.
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
Runoff from the adjoining properties will be conveyed around/thru the site. Access to the site will be provided along the Pine Drive
right-of-way. The residential properties to the South,North and East will experiance the normal effects associated by developing a parcel for
a single-family residence.
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
The downstream drainage path is an existing continuous drainage ditch system located along the Pine Drive right-of-way. The existing ditch
is 8"in size and increases to 12"in size when it connects to a catch basin at Dennis St. The system continues for more than 400 yards
and will be adequate to accept the additional flows associated with the proposed improvements of the project site.
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
Not Applicable
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b. Description of special requirements for working in or near environmentally sensitive areas.
Not Applicable
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
The NRCS for the site indicates the soil type as Clallam gravelly sandy loam(CmC)with thefollowing characteristics:
hydrologic soil group of"C";permeability of 0.6 to 2.0 in/hr(moderate)to a depth of 23"with very low permeability through cemented glacial till
layer below 23";clay:5-15%(0"to 23"depth)&5-10%(23"to 60"depth)with a low shrink-swell potential;depth to water table is 18-36
inches;low water capacity&well drained;water erosion hazard is slight,excavation for roads and buildings increases the risk of erosion;use of
heavy equipment compacts the soil&thus reduces permeability. BMPs will be used to negate the effects that proposed/new improvements will
have on the site.
5. Construction Phasing.
a. Construction sequence
1.Locate existing utilties 2.Install temporary erosion control measures 3.Rough grade site 4.Install drainage components 5.Construct building foundation
6.Constuct building 7.Fine grade disturbed areas&establish permanent groubd cover 8. Remove temporary erosion control measures when site is stablized.
b. Construction phasing(if proposed)
Not Applicable
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
A construction schedule will be provided after a contractor is selected.
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
None
b. Proposed wet season construction activities for environmentally sensitive areas.
None
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. Not Applicable
b. Diversions. Not Applicable
c. Waterways. Not Applicable
d. Runoff/Stormwater Detention Calculations See stormwater calculation worksheet
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SECTION II—EROSION AND SEDIMENT CONTROL PLAN
Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a
separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan:
1. General.
a. Vicinity Map
b. Jefferson County Approval Block
c. Erosion and Sediment Control Notes
2. Site Plan.
a. Legal description of subject property.
b. North arrow.
c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas,etc.).
d. Identify and label areas of potential erosion problems.
e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable).
f. Show existing and proposed contours.
g. Indicate drainage basins and direction of flow for individual drainage areas.
h. Label final grade contours and identify developed condition drainage basins.
i. Delineate areas that are to be cleared and graded.
j. Show all cut and fill slopes indicating top and bottom of slope catch lines.
3. Conveyance Systems.
a. Designate locations for swales,interceptor trenches,or ditches.
b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control.
c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts.
d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes.
e. Provide details for bypassing off-site runoff around disturbed areas.
f. Indicate locations and outlets of any dewatering systems.
4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs.
5. Erosion and Sediment Control Facilities.
a. Show the locations of sediment trap(s), pond(s),pipes and structures.
b. Dimension pond berm widths and inside and outside pond slopes.
c. Indicate the trap/pond storage required and the depth,length,and width dimensions.
d. Provide typical section views through pond and outlet structure.
e. Provide typical details of gravel cone and standpipe,and/or other filtering devices.
f. Detail stabilization techniques for outlet/inlet.
g. Detail control/restrictor device location and details.
h. Specify mulch and/or recommended cover of berms and slopes.
i. Provide rock specifications and detail for rock check dam(s),if applicable.
j. Specify spacing for rock check dams as required.
k. Provide front and side sections of typical rock check dams.
I. Indicate the locations and provide details and specifications for silt fabric.
m. Locate the construction entrance and provide a detail.
6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and
illustrated with detailed drawings.
7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than
sediment(e.g.,concrete wash water).
8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on
the construction site. Sampling stations should be located upstream and downstream of the project site.
11
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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 signing 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 affec-• • operty.
...V.7...amie-
O?(LANDO a 1171.0r c �� � ATIVE SIGNATURE)
(DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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` (ON JEFF COUNTY
Vii'_ s
DEPART OF COMMUNITY DEVELOPMENT • DEC — 8 C09
kill,
11 621 Sheridan Street•Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
0 www.co.jeflerson.wa.us/commdevelopment
Master Permit Application MLA: 'Co 9 3(6
Project Description(include separate sheets as necessary):New Single Family Home
i ( � C•
Tax
Number P 940 800 051 Property Size: .27 acres (acres/square feet)
Site Address andlor Directions to Properly: Lot 52 Cape George Division 4
Property Owner(s)of Record: y dor.Sardy Major.Mark StaN,sue°Brien
Telephone:(253)5490787 Fax: email:
Mailing Address: 90 t ighrrohee v'ew Drive'Sequel wA 98382
Applicant/Agent(if different from owner): Tom Hanna
Telephone: (360)460-9686 Fax: lam)351-9765 emai:t0 0 ypen.c0m
Mailing Address: 342 N Sunnyside Ave Sequim,WA 98382
What kind of Permit?(Check each box that applies
OBuiking 0 Variance(Minor,Major or Reasonable Economic Use)
O Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
0 Single Family jiirGaratache Detached 0 Discretionary"D'or Unnamed Use Classification
0 Manufactured Home 0 Modu 0 Special Use(Essential Pubic Facilities)"
0 Commerdai* 0 Boundary Line Adjustment
D Change of Use 0 Short Plat*"
El Address, 0 Road Approach 0 Binding Site Plan** •
0 Home Business 0 Cottageindusby D Long Plat**
0 Propane 0 Planned Rural Residential Development(PRRDYAmendments**
0 Sign 0 Plat Vacation/Alteration**
D Mowed'Yes'Use Consistency Analysis 0 Shoreline Master Progam Exemption/Permit Revisions**
D Stormwater Management 0 Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
D Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
D Wireless Telecom on* 0 Jefferson County Shoreline Master Progam Amendment
0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
*May reqedre a Pre Conference **Requires a Pr-App#catyon Conference
Please identify any other local,state or federal permits required for this proposal,if known:
DESIGNATION OF AGENT
I hereby designate Tom Hanna to act as my agent in matters relating to this application for pennit(s).
OWNER SiGNAluRE 4 +��r - z. ._- , <<ii.,& Date: 0......... 7 7-610
41 I
r
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 is knowledge. My material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may resuR in this perm*being null and void.
I further agree to save,indemnify and hold harmless County against al NabiY7ies,judgments,.cart cods,reasonable attorney's fees and
expenses which may in any way accrue against - ''' JCornty as a resu*of or in consequence of the granting of this permit.
I*hither agree to provide access and right' fferson County and its employees,representatives or agents for the sole purpose of application
review and any required later •- -access and right of entry will be assumed unless the applicant informs the Comity in writing at the
time of the apppation< �, he ,_: notice. / 's O
Signature: - C! fie: / `
The action or actions App - vall 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_.....- = • •species as those teens are defined in the federal law known as the
"Endangered Species Act'OF'ESA?Jefferson County no assurances to the applicant that the actions that wit be undertaken because this
permit has been issued will not violate the ESA. group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in with �` code.The that he,she or it holds individual
County development Applicant aclvhowfedgeg
and • - -- --.. • • �'� and complying with the ESA. The Applicant has read this and�signs it below.
Signature: .L�-�, ..4 .411r.- Date: d " /
C-\Documents and Settings\caal\loczl Settings\Tempo>ary Internet Piles\O4JC \Master Pennit Appfication 12-19-2006.aoc
40 BUILDER STA7ENENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not hosed contractors and that
they will be.-. •the responsibility, the General Contractor for the proposed pieta-
Signatue: l� .. ._►l_, the .. ..l. Date: t 7.0'x?
GENERAL Cot.rrRACTOR OR MANUFACTURED HOME INSTALLER PHONE: FAx:
( ) ( )
MAMLINc ADDRESS: Ewe:
CONTRACroR's LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAIUNo ADDRESS: EMAIL
Project Type: frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
id New Wood Existing: U Sewer
U Addition J Steel Proposed: 5 Bank U Community System
U Alteration/Remodel J Concrete Total: 5 Height i4 individual System
U Repay J Masonry SEP Permit*
U Demolition _I Other Bedrooms: Water Supply:
Existing: Setback U Private well U Two Party
of Heat Proposed: 2 14 Public
heaters Total: 2 Name of System:
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 construclion: Wit you have Food Service? Yes / No
if this is a Propane Tank and/or Appliance installation permit,mark ail items below that anniv:
❑Underground Tank CjAbove wound Tank Size of Propane Tank
(D Heat Stove ❑Cook Stove ❑Woodsto ve ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove D Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
YVhen applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area
Square Footage I Current Proposed For Olikpe Use Only Amount Revision
I Main Floor Heated 11 a01!{ EH Bid App Review 7 3
2"O Floor Heated Consistency Review
2c3
Other Heated Base fee: . /-/x/f.
Mezzanine Additional Section:
Heated Basement 485 b Plan Check fee:
Unheated Basement ' State Surcharge fee: 93 a 0
4/. 5-0
Other Unheated Pot Water Review fee:
/OP- 00
Garage/Carport 812 2,� SUBTOTAL
� 2–,--7409- 39
Decks -1,i 911/Rd Approach fee: 3 6 o
V
Other TOTAL: $
Receipt Number /135?iy
\, °' sh/Check Number. /401'3
ESTIMATED % T(REQU • 1) „, Date: /24t
*airme,*et of all la,, and atom,to finish / ' O -07 ,
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R JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Prescriptive Approach—Simple Form
For the Washington State Energy Code (2004 Edition)
Building Department Use Only
Site Information Permit#: BLD__-
Street
Address:Lot 52 Cape George Div.4 Notes:
City: Port Townsend
State: WA
Zip:
Contact Tom Hanna
Phone#: 360.460.9686
Phone#2:
Fax#:360351.9765
RESIDENTIAL CONSTRUCTION
Glazing(U-factor)
Door U-factor Ceiling Vaulted Wall above Wall below Wall below Floor Slab
vertical overhead ceiling grade grade int. grade ext. on
grodc
0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
TYPE OF HEATING—Please check all that apply
Wall Heater Baseboard Forced Air Furnace Radiant Floor
Other
Propane Boiler elec. Boiler other fuel Heat Pump Oil Furnace
Wood Stove May be used as primary heat source outside of Urban Growth Areas(R303.82)(WAC)
WHOLE HOUSE VENTILATION
Window Ports Wall Ports ✓ Integrated with Forced Air System
Location of Whole House Fan
February 15,2007
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DOROTHY MAJOR Q 0 p p\L pi MAJOR RESIDENCE WEST
90 LIGHTHOUSE VIEW DRIVE(253) PINE DRIVE, PORT TOWNSEND, WA
SEQUIN, 983 ENGINEERING INC. DRAINAGE & EROSION CONTROL PLAN
FAX:(253) 5449 9-3787 P.O. BOX 2356 TEL (360) 683-7019 LOT 52 SITE PLAN
DRAWN: CAG DESIGNED: CAG 240 W CEDAR STREET FAX: (360) 683-7087
I I CHECKED: JMW SEQUIN, WA 98382 quadral�olypen.com DATE:07/01/09 IJOB No:08-50 ISCALE:1" = 20" (SHEET: 1 of2
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DOROTHY MAJOR
� DDa �
90 uGHTHOUSE VIEW WV: 52 PINE DRIVE, PORT TOWNSEND,WA
SEQUIN, WA 98383 ENGINEERING. INC. DRAINAGE AND EROSION CONTROL PLAN
PHONE: (253) 549-3787 SITE DETAILS
FAX: P.O. BOX 2356 TEL (360) 683-7019
DRAWN: CAG DESIGNED: CAG 240 W. CEDAR STREET FAX: (360) 683-7087
CHECKED: JMW i SEDUM, WA 98382 quadra®olypen.com DATE 6/30/09 (JOB No:08-50 (SCALE:AS NOTED ISHEET: 2 of 2 J
BMP C105: Stabilized Construction Entrance
Purpose Construction entrances are stabilized to reduce the amount of sediment
transported onto paved roads by vehicles or equipment by constructing a
stabilized pad of quarry spalls at entrances to construction sites.
Conditions of Use Construction entrances shall be stabilized wherever traffic will be leaving
a construction site and traveling on paved roads or other paved areas
within 1,000 feet of the site.
On large commercial,highway,and road projects,the designer should
include enough extra materials in the contract to allow for additional
stabilized entrances not shown in the initial Construction SWPPP. It is
difficult to determine exactly where access to these projects will take
place;additional materials will enable the contractor to install them where
needed.
Design and • See Figure 4.2 for details.Note:the 100'minimum length of the
Installation entrance shall be reduced to the maximum practicable size when the
Specifications size or configuration of the site does not allow the full length(100').
• A separation geotextile shall be placed under the spalls to prevent
fine sediment from pumping up into the rock pad. The geotextile
shall meet the following standards: _
Grab Tensile Strength(ASTM D4751) 200 psi min.
Grab Tensile Elongation(ASTM D4632) 30%max.
Mullen Burst Strength(ASTM D3786-80a) 400 psi min.
AOS(ASTM D4751) 20-45(U.S.standard sieve size)
• Consider early installation of the first lift of asphalt in areas that will
paved;this can be used as a stabilized entrance. Also consider the
installation of excess concrete as a stabilized entrance. During large
concrete pours,excess concrete is often available for this purpose.
• • Hog fuel(wood-based mulch)may be substituted for or combined with
quarry spalls in areas that will not be used for permanent roads.Hog
fuel is generally less effective at stabilizing construction entrances and
should be used only at sites where the amount of traffic is very limited.
Hog fuel is not recommended for entrance stabilization in urban areas.
The effectiveness of hog fuel is highly variable and it generally
requires more maintenance than quarry spalls. The inspector may at
any time require the use of quarry spalls if the hog fuel is not
preventing sediment from being tracked onto pavement or if the hog
fuel is being carried onto pavement. Hog fuel is prohibited in
permanent roadbeds because organics in the subgrade soils cause
degradation of the subgrade support over time.
• Fencing(see BMPs C103 and C104)*AU' installed' necessary to
restrict traffic to the construction entrance.
4-8 t„ , utidt)
Volume 11—Construction Stomnvater Pollution Prevention February 2005
• •
• Whenever possible,the entrance shall be constructed on a firm,
compacted subgrade. This can substantially increase the effectiveness
of the pad and reduce the need for maintenance.
Maintenance • Quarry spells(or hog fuel)shall be added if the pad is no longer in
Standards accordance with the specifications.
• If the entrance is not preventing sediment from being tracked onto
pavement,then alternative measures to keep the streets free of
sediment shall be used. This may include street sweeping,an increase
in the dimensions of the entrance,or the installation of a wheel wash.
• Any sediment that is tracked onto pavement shall be removed by
shoveling or street sweeping. The sediment collected by sweeping
shall be removed or stabilized on site. The pavement shall not be
cleaned by washing down the street,except when sweeping is
ineffective and there is a threat to public safety. If it is necessary to
wash the streets,the construction of a small sump shall be considered.
The sediment would then be washed into the sump where it can be
controlled.
• Any quarry spans that are loosened from the pad,which end up on the
roadway shall be removed immediately.
• If vehicles are entering or exiting the site at points other than the
construction entrance(s),fencing(see BMPs C103 and C104)shall be
installed to control traffic.
• Upon project completion and site stabilization,all construction
accesses intended as permanent access for maintenance shall be
permanently stabilized
udveway shall meet the
requirements of the
PermIlld0 WPM
k Is recommended that
the entrance be
crowned so that=oft
"841 drakaoRlMpad
f;06t41
7411. :.tie
Instal driveway cuWert `e
there Is aaroaadside s:
Mark Stahl&Sandra Major TACK'MA i*.it"17
90 Lighthouse View Dr. OVI'MPLA W.4
Sequim,WA 98382
,14104•1.'015 FM
FORt■ER
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n DATE -0400(O" I I
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DESCRIPTION BARS#,,, AMOUNT
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qs` JEtTER5ON COUNTY
ING DEPARTMENT or COMMUNITY DEVELOPMENT
Monday,January 04,201 oRE 5LD 09-00
Susan Q'5rien,
Mark Stahl Sandra Major
90 Lighthouse View Drive
5e9uim WA.983828872
Greetings,
We have started the plan review Process for your project. A copy of the truss Plan will be re9uired for your
building project. Depending on the truss bearing points,modification of foundation and floor framing will be
necessary. Please provide:
1. Two sets of plans for new construction with all call outs clearly indicated on plans,all sheets drawn to
the same scale 1/4-"=1'preferred.
2. Shear wall schedule with all hold clowns and straps from roof to bearing soil.
3. All headers and beams to be sized for actual reaction from roof and floor loads include all point loads.
+. Address all vertical loads to bearing soil with ade9uate footing and foundation call outs
5. Call out all positive connections from roof to foundation.
6. Information and spec.sheet from American Patio Covers for the deck cover.
Please call if you have any 9uestions.
Sincerely, l
VkCi Prank genskin,
Plans Examiner 2.
36o-379-4H-6 t
nitACq- Sq3
JEFFERSON COUNTY PERMIT CENTER 10111 4q4..),)
APPLICANT NAME: WiQ cN O�h 1 ®VL3 PHONE: -4(a')"q06
SITE ADDRESS: k1 I (11, be_ DATE: - O q
Orctui
ALTH APPROVAL �_ 0
EPTIC PERMIT # SEP -
WATE' FOOD SERVICE
2. SHORELINE
BANK HEIGHT
SETBACK
3. FLOOD ZONE
4. FOREST PRACTICE APP (CLASS )
5. PLANNING APPROVAL
TICAL AREA REVIEW u -r co x Cog
-7. ZONING
8. HEIGHT
9. LOT COVERAGE
10. ADDRESS
11. FEE
12. TRACTOR'S LICENSE )', f, .�_ . . ! r.
ENERGY SHEET
14. BOND HOLDER/LENDER
15. NTT
16. SETBACKS
17. PROVIDE WA STATE ENGINEER STAMP/ARCHITECT'S STAMP
18. STORMWATER SITE PLAN
19. D.O.T. ACCESS APPROVAL
20. FIRE FLOW FOR COMMERCIAL STRUCTURES OCCUPANCY:
21. N REVIEW a-��''yo � TYPE OF CONST:
2 EXPOSURE:
243.. WIND:
24.
25. SNOW:
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
H:\HOME\PLNC NTR\INFOBLG\BLDCKLIS\2/2000
Jefferson County Building Div', •n Permit Numb- 'LD09-00405
Applicant: O'BRIEN
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks Minimum setback to Pine Drive right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall bo 5 feet.
Erosion Control SEE CONDITION 2
Foundation Footing
Footing Drains
Foundation Stem Wall
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext.Shear Wall Nailing
Rough-in Plumbing
Framing
it
Airseal
Insulation:Walls
Insulation:Floors
Insulation:Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Jutocier
155ffiTIE7ExteHCti
ro k.
Heat/Chimney Clearance
Drywell/Alt Drainage PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT
SHALL SUBMIT A WRITTEN LETTER FROM QUADRA
ENGINEER, INC. STATING THAT THE STORMWATER
FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH
THE REQUIREMENTS OF THE "STORMWATER TEMPLATE
AND SITE PLAN"PREPARED BY QUADRA ENGINEERING,
INC.AND WET-STAMPED BY HAROLD ANDERSEN.
Address Posted
FINAL INSPECTION r :' to-r
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD09-00405 Received Date: 12/8/2009
SITE ADDRESS: 171 PINE DR Issue Date 2/22/2010
PORT TOWNSEND, 98368 Expiration Date 2/22/2011
OWNER: SUSAN O'BRIEN PHONE: 253-549-3787
MARK STAHL& SANDRA MAJOR
90 LIGHTHOUSE VIEW DR
SEQUIM WA 983828872 CAPE GEORGE VILLAGE DIV 4
SUBDIVISION: Block: Lot: 52
PARCEL NUMBER: 940800051 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: Cwkr 2/etit C.e PHONE:
PHONE:
PROJECT DESCRIPTION: NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 180 000.00 MAIN: 1,184
CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE
OCCUPANCY: R_3 HEAT BASE: 485 HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: 812 SHORELINE:
CONST TYPE: SETBACK:
DECK: 200
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CAPE GEO Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $1,441.75 LYK 12/08/09 113504
Exist: 0 Exist: 0 Plan Check $937.14 LYK 12/08/09 113504
Prop: 2 Prop: 5 State Building Code $4.50 LYK 12/08/09 113504
Total: 2 Total: 5 Potable Water Application $62.00 LYK 12/08/09 113504
Total: $2,445.39
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 7 am the day 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
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CONDITIONS for Building Permit# :BLD09-00405
1.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN
LETTER FROM QUADRA ENGINEER, INC. STATING THAT THE STORMWATER
FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS
OF THE"STORMWATER TEMPLATE AND SITE PLAN " PREPARED BY QUADRA
ENGINEERING, INC. AND WET-STAMPED BY HAROLD ANDERSEN.
2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
3.) A Stormwater Site Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened
from view of neighboring dwellings and rights-of-way. Such screening shall meet all
applicable performance and development standards specific to the district in which the
storage is kept, and shall be in keeping with the character of the area. Screening shall
meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk(or salvage)yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile
wrecking yards and junk(or salvage)yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
7.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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8.) Maximum lot coverage is not to ex 25%. Lot coverage is defined as amount
impervious surface which includes ro tops, driveways, concrete, etc. Pre-existi egal
lots of record less than one acre in size in rural residential districts are subject to the
stormwater requirements in Chapter 18.30 JCC and must meet the"Area of Impervious
Surface Coverage"to the maximum extent practicable as determined by the administrator.
Lot coverage is defined as amount of impervious surface, which includes rooftops,
driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Minimum setback to Pine Drive right-of-way shall be 20 feet. Minimum side and rear yard
setbacks shall be 5 feet.
11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.