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BLD2007-00277
JILDING PERMIT APPLICA1N MLAO7-00287 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00277 Received Date: 5/30/2007 SITE ADDRESS: 391 S BEACH DR PORT LUDLOW, 98365 OWNER: RAY E CULVER PHONE: (360) 821-9345 391 S BEACH DR PORT LUDLOW WA 98365-9523 TRAIL'S END 3RD ADD SUBDIVISION: Block: 6 Lot: 19+ PARCEL NUMBER: 950200625 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: BYERS CONSTRUCTION CO PHONE: (360)697-6890 12268 S KEYPORT ROAD NE POULSBO WA 98370 Contractor's License Expires 11/30/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 741 VALUATION 200,000.00 ADD'L: 584 HEAT TYPE: WOD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 584 SHORELINE: CONST TYPE: DECK: 200 SETBACK: 400 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 2 Total: 1 Total: 2 Routing Date: 5 lo) 101 Q_ Type Amount Paid By: Date: Receipt: ate A1'JPRcJEE p�o /D Permit $1,553.75 KAS 05/30/07 91125 Plan Check $1,009.94 KAS 05/30/07 91125 d State B uilding Code $4.50 KAS 05/30/07 91125 AUG 3�? Potable Water Application $58.00 KAS 05/30/07 91125 Jefferson Cou nty Hanoi Total: $2,626.19 &Building Department n- g ,.<;,..1.$ON c , DEPARTMENT OF COMMUNITY DEVELOPMENT 4. ? 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment �5tf1 t1 ' 0 E-mail:dcd@co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD07-00277 APPLICANT: RAY E CULVER PHONE: (360) 821-9345 2811 ROBINSON CANYON RD ELLENSBURG WA 98926-8098 SITE ADDRESS: 391 S BEACH DR Issue Date: 08/13/2007 PORT LUDLOW, 98365 Final Date: SUBDIVISION: 9502 Block: 6 Lot: 19 PARCEL NUMBER: 950200625 Section: 16 Township: 27 N Range: 1E PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON \\tidemark\data\forms\F_BLD_Occupancy.rpt 1/16/2015 W 1 . o. rr cob JEFFERS§COUNTY 4 I t 'V DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• 0 e Port Townsend•Washington 9836g� 4 360/379-4450. 3601379-4451 Fax �T l `' �`rBIrT �p www.co.jefferson.wa.uslcommdevelopment Master Permit Application lw :11u ly` Q 7 `t� Project •:,-• •r•n(Ind - separati sheets as -► ): 5�h - t G e.- Tax .-rcel s-0aao bas Number: Size: • ° ��C. '' (acres/square feet) A Site Address andlor Directions to Property: •. ► a - • V. 1 '.. .i).\• ;■ .El a ".‘: Property Owner(s)of Record: Ro,�,/ v V t>r Telephone: O sat ci'St5^ t Fax -email: , Mailing Address: 3 .I Sew . mac VN`0•C + c ∎Ifk"\.VXd \r■ 'P'c q2,%5-- Applicant/Agent(if different from owner)) Telephone: 30 8)a 'q3L.t 5 Fax: email: Mailing Address: 34 I ScwberAc.L._ V9iat kind of Permit?(Ched each box that applies) Building . ❑Variance(Minor,Major or Reasonable Economic Use) Opandition Permit 0 Conditional Use[C(a),C(d),or C]** rpingle Famil 0 Discretionary Tr or Unnamed Use Classification trGarage(� die Detached 0 Special Use(Essential Public Facilities)** 0 Manufactured Home 0 Boundary Line Adjustment 0 Modular 0 Short Plat** . 0 Commercial* ❑Binding Site Plan** o Change of Use 0 Long Plat** lAddress 3 oad Approach 0 Planned Rural Residential Development(PRRDyAmendments** ❑Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ti•Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Telecommunication* 0 Jefferson County Shoreline Maaster Program am Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium rogram Amendment *May require a Pre Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proppsai,if known: DESIGNATION OF AGENT I hereby designate .j/"., to act as my agent in matters relating to this application for permit(s). SIGNATURE �✓ C Date: l//9 0 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or 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 attorneys 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 -.. and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requ', " la - inspections. and ' of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: l/0WO6 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 -•Allow compliance with the Jefferson County development code.The Applicant,acknowledges that he,she or it holds individual and non-tra . bitty for ad >:' . r. and %.0...; • ,with the ESA The Appicant as read this discs signs and dates it below. Signature: ...... _-..�.rl Date: /7 0 6 0,6 Pi"G:\Penn itCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc I OWNER BUILDER STATEMENT the of the parcel referenced herein,that they are not licensed contractors and that The sign' er of this statement does hereby certify that they are the for the proposed project they will be ., w- _.- .. -, • of,„General con Signature: 4 .1.0" Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: B ( ) (36o) g70-7q3 CC NI CeArS -)k/I.S-A." MAILING ADDRESS: EMAIL: VVAINS CONTRACTOR'S LICENSE ,..% y. cv....ccts c;tc:\ NUMBER 60.k. 07A l'ig NUMBER: I Yt s _ ._, PHONE (360) ARCHITECT/ENGINEER: i 9,, g MAILING ADDRESS: CIA 3 70 EmAn. Bathrooms: pe Type: Shoreline: Type of Sewage 0 Disposal: Project Type: Existing: _Q_ _ Pver . g-Vood Community System New Proposed: 41 ... Ban.k.... 0 9eel 0 Addition Total: Heigni. 0 Individual System e'-Concrete HL 0 . SEP Permit# 0 AlterationtRemodei 0 Masonry Water Supply: 0 Repair Bedrooms: 0 Other: 0 Demolition Existing: Proposed: 0 , Setback: ' D private well 0 Two Party _ 4, ivN/ ePubric Type Of rrkl. Total: I ___-- CA-A, Name of System: ('4_42.,._ kio.t/42v.. WeLte.4/" LJno Number of ADA Parking Spaces: If this is a Commercial Protect must answer the following: Proposed: of Parking Spaces: Cunent Proposed Number tenants,employees,etc) Current Will you have Food_ .Service? -se / No Number of occupants(includes owners, IBC Type of construction: . all it below that ahhi :bervice7 Y iliffhis°cCistncY Propane Tank and/or Appliance Installation oernut.s.miza:kot Propane Tank: Tank 0 Underground Tank 0 Above ground 0 Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being Installed In agMaanufactured/Mobile Home? Yes / propane tank you must alsosubmit a site plan showing isidhionwt_nagnactilsoeft systhoncelmlo9o,comelploPnn:piet: When applying for a Pennize,distances from the propane tank to all property _757 ,.,:-.„.„-,,,,,,--,N, li tank location and s including the reserve area.Square Footage -0,..0,.1VISOdj t. i t-Inl Current P ' . .'• d ,/gis rtv ,.----3f,,1-.-..----,..',•-1- $.,,A-,-• v-.,.,. _,,,-, Main floor i t tonottinollovev 13 . , ' Floor *':15 55,.1 0.11i,i',' ,-!,--;,.. -=,,c4:,,:„.•ii.,`,1,:i;a:.,,,,-.-,z,iv,_ 5-e9 3m Floor ) -,-, ,..4itiOnalSoutidd: • •-- "-'-'.' . -.-1.74't'-',..4',...,<''..<'....,‘,-‘,,--.r''''' a' . - - . - gip _ 1 ••!i5 , :Tri fp t. itite - 109. b Mezzanine: .. . - . Heated Basement tux' - i ' '' 4)tIlf - .- -, - ,::::, 7...:,v,,,.tr-.., -.PgQ41-, ti :*./11,-1 ,.. ,___..;::. .Y,„. .,.. i,::--..**-.7,,2,,-- , --,:!-,ze ,.?.--,..tw .*;-_-_-:...a.,,:-,,,:-, -,-.„ -- :::-----.::-,444.-wavePT.Nrrr:5,-._.: ...,..'''- i-2-7' -,... .'t'',!Z-.<,--' Unheated Basement ....,,,-- _,.;„----.,-,, ;.: . ,4,i'vf,'.:::::-/.._=,,,--.. .4f,v... .- .' ",:3;f..Zpi.1., .;-..... ..n-.if..-• / i i ;T,ilf/&.: '‘'•'.,..-,,; :::.;_ . ,„., , ;,. li.,.., .,..„ Other Unheated ' I ..-'':.°I'1 ' " ' ;: — - ' ,-.. •f,ik-.-,-- "-;'' Y.J.::-:,:z!:::=':::,:1-3:'Pf,:74-`-^Z:4-:,::::-; ' 2" - (I' : ci'. - ' ' TOTAL: t-a-% ;44 -,,-„:„:,,„,,, Garage/CarPod -7(,.,--r b 0 ' -. ' '.:: - -j i-IV-'41.-4'.6-14;WgM', 5.8(4 (..5,../ i,■,. . - ... ,‘--._.-,-. ' . '.--- "...T.":'-.''' 'y;i711.:' ipre.,1,ie,v,=!Te j ' '- - .• .,,./.....„_i__:,''--", - , . 7.:', -: - ,. , j-.:4;-.,.!qP4,'?..-.,,,..-z,,,:;.,----j,.. Decks -',' 'A 4.4441.01W!!1412V"-''. ..:''',.. ',-•,,-- ':,,P '. 'f?, .:: Ako 0 d ..• . . . ., ,, Number. _.. .._ „, „.•-:',7;-.' "-:,;;01`7.-:::-`,,4,;',1';',,, ,- - 7 . - - . .0iisitunfocK . .-'•,,'-• . .!:'r :,,-•::,Z3,-:-.A.:41.--':::,'-A::cr-y.-A.!;':,'e,.. ,'„:"Z-•:, '., • •• •-, - , '...,-: "'"-..f.:,.•-••.•2:=.-.-„,,,,,.,;-.v 4 sRsre=.17.4-Alif:7,-,-,•;=.-y:'-';':-•other . . . - __:_,,, ., . . : .' V44-7 ,. .'-..----.-:,.-=.`, a /14.1%- Date: ..- '' :- '„' ',,-_-;-.t._ i.4. ..47;g2,,f,--iz'ff:-. -.., ESTIMATED DvalCueOSofTall(REktboQrueou7D)'• .- -- .',...'':: ;.11:':' Ittitakv. 1.. - • ei--„ - -;---...j,:- -,,- ,1,3,1i4.itt:-:.1.:-.--t';;,,,Ii',:=::::' 2.00 . - ......----- GAP • \FO \DRD FORMS\Master Permit Application 7-8-04.doc C . . .. • ■NIIIIIIIIIIII•I • S , • . . '41 1,..• . , 1-f% t , : I 1 I ; 1 • ! ; I 0 rn [ I,, i' I , , --,- --1---+- ,i- i ,, ... 1 , _..,. . , I __ .. .. , _:. _ 1 I , I ■ 1 1 , 1 I I . 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L.„ , - 1 1 1 # �\ JEFFERSO�UNTY � DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 i„i ,a ,4 ' ' 360/379-4450 . 360/379-4451 Fax 4,0 www.co.jefferson.wa.us/commdevelopment �iF • �� Master Permit Application IMLA: 01 - q Project Description(include separate sheets as necessary): Tax Parcel Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** ❑Single Family ❑Garage Attached/Detached ❑ Discretionary"D”or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑Short Plat*" ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑ Long Plat*" ❑Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment O Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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 - -ss and right of ent to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req ' -d er inspectio -. . s access and right of entry will be assumed unless the applicant informs the County in writing at the 'me of the appli - io' at he or- e ,- •rior notice. ignature: ` Date: T e action or a '•ns 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 w' -•, violate the ESA. Any individual,group or agency can file aiawsuit on behalf of an endangered species regarding your action(s)even if you , - •• • •liance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer > - -spo•- •it •*'adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ignature: - r Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc s. +a „, .4.-.� r+-rt. �:{ .::• : :� . .', ate} f r , i Poa. `,�.'- a .�" "�a '. w I�j a�78s`. N. x n 2t k: 9n. , .r - :; ,. y=TC , ti4 .•.:, ,::.e ,,-` a i•.ii :w"v�yy�tlf '+V 4 i r� r, 1 2 O O sue'° m' ' t' • �' d-�tt glt+y�'CIaM�L"!,-L.Y E.. � Y //F w � t'1- 0.1.:'.-..' .-.1c0k-'• - ' ' ,. ' ' - -. '-',.-.-- l 1 . 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Jefferson County Building ion Permit Nu BLD07-00277 ,. tY 9 Applicant: CULVER BUILDING PERMIT INSPECTION APPROVALS kpplicable Code: 2003 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 Erosion Control Foundation Footing f VZS/o j Footing Drains i1/Z/� Foundation Stem Wall l6-11-0t .14 a Underground Plumbing N/4 Under Floor Framing 4 Straps(hold downs) 40/d8 StQ Wog p Ext. Shear Wall Nailing 3/7fre Rough-in Plumbing /9S o$ 0 ' f/YORbbic, t./14)&5 Old 5HaB Framing 4/ 168 Airseal 4/r{!o8 Insulation:Walls Wee Insulation:Floors GARAGE- ee/4N Insulation:Ceiling Ofie Int.Shear Wall Nailing w1oi08` 413 40 y7ABAV Wallboard Nailing k Agfr Gas Line: Interior 5///-/08 GK Gas Line:Exterior ///Off .0e Propane Tank 5j / )11 OK Heat/Chimney Clearance %s //. Drywell/Alt Drainage / Address Posted i/1s/15 00+ ON.TOR- NOTek_ �i s/l 5 FINAL INSPECTION 0s/r5 "iv 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#: BLD07-00277 Received Date: 5/30/2007 SITE ADDRESS: 391 S BEACH DR Issue Date 8/13/2007 PORT LUDLOW, 98365 Expiration Date 8/13/2008 OWNER: RAY E CULVER PHONE: (360)821-9345 391 S BEACH DR a PORT LUDLOW WA 98365-9523 TRAIL'S END 3RD ADD SUBDIVISION: Block: 6 Lot: 19 PARCEL NUMBER: 950200625 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: BYERS CONSTRUCTION CO PHONE: (360) 697-6890 12268 S KEYPORT ROAD NE POULSBO WA 98370 Contractor's License Expires 11/30/2007 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 741 VALUATION 200,000.00 ADD'L: 584 HEAT TYPE: WOD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 584 SETBACK: 400 DECK: 200 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: BRIDGEHVN Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,553.75 KAS 05/30/07 91125 Exist: Exist: Plan Check $1,009.94 KAS 05/30/07 91125 Prop: 1 Prop: 2 State Building Code $4.50 KAS 05/30/07 91125 Total: 1 Total: 2 Potable Water Application $58.00 KAS 05/30/07 91125 Total: $2,626.19 Directions to Site: SEE MAP QUEST DIRECTIONS AND MAP 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE ATTATCHED 0 I CONDITIONS for Building Permit# :BLD07-00277 1.) PRIOR TO FINAL BUILDING '!'�`C■ P'NCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM THE GEOL.(' 1' 0 PREPARED THE GEOTECHNICAL REPORT DATED MARCH 15, 2007 S'• ' HA THE STRUCTURE AND/OR FACILITIES HAVE BEEN CONSTRUCT: '��1 •RMANCE WITH THE REQUIREMENTS OF THE"GEOTECHNICAL REP• ' r E LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 2.) The road approach permits (RAP05-00027 and RAP06-00104) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on June 22, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Level II Landslide Hazard Areas, Susceptible Aquifer Recharge Areas and High Risk Seawater Intrusion Protection Zone(SIPZ). 4.) A Geologic Assessment Report Report prepared by Alkai Consultants LLC dated March 15, 2007 was submitted in conjunction with the application to address the geologic hazard area. 5.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) 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. 8.) Landslide Hazard Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 9.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock(Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone(Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 10.) Marine shorelines and islands iousceptible to a condition that is known asSwater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 11.) The parcel is located within a High Risk SIPZ(seawater intrusion protection zone) according to the County GIS map. There are mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter(mg/L). 12.) A vegetative buffer of 30-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. 13.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 30-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single family residence with attached garage. 14.) 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. 15.) 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." 16.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 17.) 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. 18.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 19.) 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. 20.) MANDATORY MEASURES OF OH RISK SIPZ: S 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. 21.) MANDATORY MEASURES FOR HIGH RISK 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 requirements: a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106 for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a groundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 22.) The applicant is proposing to create or add 1048 square feet of impervious surface and 2048 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 23.) 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. 24.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 25.) The site plan as submitted with the building permit application on May 30, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated July 9, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 26.) This approval is for a single family residence with attached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 27.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 28.) A Declaration of Restrictive Covet has been recorded on December 28, 241under AFN 493230 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 29.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 30.) 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 autormobile 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 requriements 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. 31.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 32.) The building height is not to exceed 35 feet. 33.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 34.) 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. 35.) 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. 36.) Minimum setback from edge of S Beach Dr(aka Berner Nelson Rd) right-of-way shall be 20 ft. Minimum side and rear setbacks shall be 5 ft. Environmentally Sensitive Areas further impact setbacks. 37.) A septic permit(SEP07-00111)was approved on August 11,2007 for a tank only permit. 38.) A building permit(BLD04-00585)was issued on March 30, 2005 for a deck. A Stormwater Management Permit(BLD04-00591)was issued on March 30, 2005 to address the enforcement cases COM04-00051, COM04-00054 and COM04-00074. These complaints were finaled on Mrch 28, 2005 based on a Geologic Assessment Report dated March 15, 2005 prepared by Alkai Consultants LLC. The report stated that no evidence of surficial or deep seated or rotational landsliding was observed on the property. 39.) A Hold Harmless Indemnification Covenant was recorded on November 9, 2004 under AFN 491468.