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BLD2014-00420
r _ ILDING PERMIT APPLICATII BLD14-00420 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00420 Received Date: 11/14/2014 SITE ADDRESS: 426 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 OWNER: BRODERS INC PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 9895 SUBDIVISION: Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 1V1 CONTRACTOR: PAUL VENNEMAN PHONE: 360-301-4770 P.O. BOX 1611 PORT HADLOCK WA 98339 REPRESENTATIVE: PAUL VENNEMAN PHONE: 360-301-4770 P.O. BOX 1611 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOP NEW DETACHED GARAGE NO PLUMBING- NO HEAT SEP96-00080 .-- TYPE OF WORK GAR Z.-SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 624 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: IRouting Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $245.00 SRE 11/12/14 151728 /� Plan Check $159.25 SRE 11/12/14 151728 APPROVED State Building Code $4.50 SRE 11/12/14 151728 DEC 3 0 2014 Total: $408.75 Jefferson County DCD \\tidemark\data\forms\F_BLD App_Bld.rpt 11/14/2014 'ON c`ca DEPARTMENT OF COMMUNITY DEVELOPMENT +�T C 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment .fir N G o" E-mail:dcd(a,co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00420 APPLICANT: BRODERS INC PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SITE ADDRESS: 426 PORT HADLOCK HEIGHTS RD Issue Date: 12/30/2014 PORT HADLOCK, 98339 Final Date: SUBDIVISION: 9895 Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 1W PROJECT DESCRIPTION: NEW DETACHED GARAGE NO PLUMBING- NO HEAT SEP96-00080 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: U-1 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON \\tidemark\data\forms\F BLD_Occupancy.rpt 2/20/2015 • IN � Pd •• • .• • i Z -"" . . kR4r1/giI:3 a .,•I 8 i tt I P.k R,. . .fj �'i,''•` , i I i ..... . ,..�.....�. . ,': . . ,::...�i....1 ., •_ '. • i _ i.� t ,.+M. 111 1 zi �' , 1 it ' {�' ... �•`���7,(� q ,H• .4..' .�"''"''' ..,r ,:. .ri r p,4 t ,q Y,,..n -.•.+..p'^^: ....A••.. �./�.4/x`4+� ti't c ,. I Y ,' try` 1`t \ i �,^I ,,,ic; • 1t, 1t t t t rip�• • 77` t� ' t1."*.." E \: :Ha: ? 0{ IT ` t Nit , . ',�,�, c J is . .., . „ ( ,. .4— ezr-bill . '1' h. , C) ` • '�_ , �:,� may, } �'- ; ' N.' - •' ''1')114' • '' " 4 41 : '4.14•14 4 - ''.' ? 1.s.ii v. . •• • ....••••:::'•.:0,',',::,;',.1 .•.*:',,I.,:..• "�.. ' j �, ' Q ,.. .. ...__ _ _, , • )- R .-0,,.._,.,,:: :...:•..,:,,,,,. :. , .•: , . ., - ,,..: I l ,fr , y t I I r . ug : , 4 i� 4 /t r 'v{ r r1 i , t , :{;r :,� • 1 � • )) O & fi. I � /.O• v\\\ '11.‘ 'I:1•. ,,::: •‘•‘' 'i .,. LA. _,, \t ti , 11,$VI ' ' lg.)" j■,1' .. _..f. A \ 'di t ,F, . i).: . .. ,ti 05 vik; fl *I ' - )/, / . . , Cr , �� ,P4y 4 1� tea "1.,,,, / .✓ i 8 i t� r;��, *; t F -i .i , h V t z ,8 I • o GP � I �, 4!i 1 yr ' ' 1 avic) • r< '' .N �1 ory¢4 f ✓rrj;, Q f_ 9 ' Q.7.1 ' .4,7.: Sri' i' , "� ...1 777,,7 " (1-� ,r N 02'01 42 C_5777."`. �' I . , '''i' :e ' ,Y0'0 ., ' )� / �•co .•01 P1 {,_ p 777 ti.J 0 01 y�y ' W r I . ... . .. . ... 'l 1 f. 1 ...,, ,p, ' ,..... .._: „ ... ,. ,..„... . .. ,i_l_e.,.....,. '-'. (/$'' , .,.,.::., .,• ............„..........„. .. . .., . )4.. ' e...M\) IS .. .....:1: :.. ;':.' i c)1 Standard Conditions for Residentaa evelopment in Jefferson County 1. LIGHTING: 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 p roject completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 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. 2. BUILDING HEIGHT:The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: 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. 5. PARKING:A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130& 140. Notice:this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: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. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07 SFR_StdConditions 3/7/2013 1 Fisheries Service can levy plies. Portions of Jefferson County, inclSg marine waters, are included as critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (httpJ/www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 SFR_StdConditions 9/6/2013 2 . 1110 /1 ".1 1 ---.4 ,------P,cof D ow'nar.coi, .. . . _ ,,,e 7 Firii3t; IL ..-4 Catch B win (yard Drain) 9 ...., ./ '----,---- \ fk3W — --,:-,,,,,_ - - —floc.t ---z-,..._ -.-.., . -- 0 DRY WELL ,. 4 I r)h Dia reeter Hole Filled with PLAN VIEW .. 1112-3'Washixi .- , Drain R odt . ' NTS :•: :... 1 . / . ---R oof Datinsoit. ,i--tylerk Center of Hole f with r Ca vied PVC H i.R L,—Ovetflow 1 or Other mans \ /---Srlash Block Topscil•---\ 1 .1 Fltz.h with Sixface , tiame00 S. ' 422 "„ 1 :4-",t.l. ;,-..1 t...--.-.0.f .... . V4'1'1 ,'rl ? 1'',Tin- ____,--- \ ..F7.7r'Tfiltolkoapoa- igfrel.ioaoliaw,!4ici 4$-1,5-,72 i.goltV4,eir.90. RIC Pire ,.,„t4.../•• ,. •.,f.,,,,,..-.0-*A wfr, . ,Fsist44.1,71 Catah Basin Irt, ' ,ot! (*d Drain) 474 48 irch Dia.ro.,;Aer ii. 4)Thin- uned,,,,,ith .:c:1:112 Wa37 Side a of Hole .°.; Hole Filled with Filter Fabric-' if. Drain 11 c* ift ig-mkt g Mkt I)th.ava,... .Et-i..w)nal DRY WELL H igh Gmundwatar Tabig SECTION -f- NrS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III-Hydrologic Analysis and Flow Control BMPs—August 2 01 2 3-9 • • Setbacks Local governments may require specific setbacks in sites with slopes over 40%,land slide areas, open water features, springs, wells, and septic tank drain fields.Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control BIVIPs—August 2012 3-10 for Infiltration These gems are designed as specified below. ip Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served.When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric(geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1).Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and with • jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 II • . 7/31/03 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1. Roof and other intercepted ovedmean and precipitation ponds allowed to be released to the soil slowly.other approved 2. Water collected from storm water and roof catchments may be used for watering lawns and gardens. Unless catchments water has been treated to meet drinking water standards,there shall be no cross connections allowed between the potable supply and impounded water. 3. Ground water withdrawn from each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 5. Landscaping should include xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniques to water plants, shrubs and trees. 8. Routinely water deeply and less frequently. 9. Weed control is an important part of water conservation. 10. For your landscaping select drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irrigated lawn. 12.Mulch your garden as well as isolated plants,trees and shrubs. 13. Use shade and windbreaks to assist in water conservation. 14. Use low flow water closets, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving devices such as low-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones(SIPZ). 18.Water softeners that contribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spigots)for outdoor water use should not be used in SIPZ. [end] PLEASE NOTE:THIS LIST IS A WOK IN PROGRESSAND MAY HAVE ADDITIONS/ DELETIONS M DE A TANY TIME. USE CURRENT L $0Nc EP4RTME NT OF COMMUllfrrY DEVELOPMENT 44 I 1 ( i I ji \// 42 i •ndian Street,Pon Townsend.VGA 98368 I _== q 3...'79.4453 i Fax:363.379.4451 I, 1' Wi,: •.co.'effetson.wa.tu/communitvdevelo•ment _ (,� fly;. f ; 1 E- d d co.'effeison.wa.us 1. Is Hr N a � \ ' Y i Li P RA/11T APPLICATION r Iv. , 1!,,,1 itTY,,c nj Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only : - Building Permit;# Related Application#s: MLA# Site Information.'. Assessor Tax Parcel Number: 9$15ooc,c7 l Site Address and/or Directions to Property: 47,6 PoRr t-koLoc F- t{�1a-ttTS 12.4.. Pc)SZT 1-(AbwLg- , t..)is,. ctS 33`i Access(name of street(s)) from which access will be gained: {?o6LT t(/ltr-nc*- 4ct&ttrS 1-42( . Present use of property: S.F 12.., Description of Work (include proposed uses): 80 lL—a ZAtI)t Zt; bahett-c-p &><t-24k-6-€ l•o IP1 .ittgtN0 - 1Jn 4E/1T . - Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: E Pq(.o =0059f p o Community Septic Name of System: Case#: Are other residences connected to the septic system? 14J4 Additions or repairs to sewage system: Is it a complete or partial system installation: Complete `6 Partial Has a reserve drainfield been designated? Yes No Date of Last Operations&Maintenance check: Cill 5/ I Li Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: The authorized agent/representative primary contact for all project-related q ns and correspondence. The County will mail/ e-mail requests and mformati about the application to the authorized,agent presentative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the a? lication. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County emai(i.e. ;County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: i�QI V1 1iJC- Address: /4603 OLD 6AeDt— .• -Todt-c- mw*s5 al-1 a> 1,9 k 1.03eve7 Phone#: /11 — Z 7 ZZ-- E-mail Address: Please •ntact Author/ed A:ent/Represen :tive with project info. (select only one). I/ ' / �I Property Owner Signature: < __ Date: Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative`(If other than owner) Name: 401... \IEKN,EI�VI4)~L. / OAK F5f{n( $VIL1,ett--e7 Address: O. 1301c. t(otl Paw" {AJ}t)wt ( (c) 4 • (1.S3 3 ct Phone#: 3 60 301 i.(-/?v E-mail Address: �werh t' iSr_gsp b • Cu-�-- Professional, ' Is this an Authorized"Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor fK, Consultant Name: rjA y— BfF^E 'Bvi D BLS Aw.- mg►.t�,04d,C Address: 'v,p_ '3cC t(o\c 10 4 bi e- (s)A-• SP753ck r Phone#: 3t,0 3o l 471c) E-mail Address: itr,J evIrt aiti5t.e SPf t _ 'aka Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein, that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. , Print Name: Date: Signature: — — ------- -- --- • .• G1'�C�j '� �Vh . F fI 1, . ./.'4 i.�"'s ,t, z yF,j„, ' f y � 4, -..,..:r.'0,4,.•••. r s•M.0,,, L. .tt. N I a ,. : { 3 . s , y r y r a , Y aY , F,x1 �A s� I•\ � ,: fig, � , " 4,t L� ,k f `.. j • 'x . " l . �i's Tr ' §11(4 t ,,t(il '' , ,444.', � k " dN: tt I mF d # P k FWa s ' ko- 0 n� I jV - 1 C`, pj; I " I • .,, r.w. wu., «,J.4w�nw+wM+M'+w vrw 4"Jy � �• '11(J) �^ " A r u 6.3 6,7 J9� , ,:,'. ��,�]151.4 C f ;' y T Cry \ 1 r. 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Date: l BLD: 1��it2--0 Contact Name: Owner: Contact Number: 360 3 9V--- L12 0 Address: 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling . fin �`s° coc, JEFFERSON COUNTY r " DEPARTMENT OF COMMUNITY DEVELOPMENT %,,f�G.CO Date: 1--)40 Time Received: -,�.‘ am/0 Mon. Wed. Thur. Fri. _t�Q Date: t-27 BLD: l — Contact Name: Owner: Contact Number: 360 06 Address: f4'2,(2 D r-2 -070 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing 7( Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts— Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling w�w¢S°N k JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT k 1/ Date: ih Time Received: 6 :je 09/pm Mon. Tue. ed. Alir Fri. Date: 12 BLD: /1— ©6'172 Contact Name: Owner: Contact Number: 360 3 e1-2697 Address: y'e' AA,..-f- Hhy,O“* // c 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted e-ggox Co o JEFFERSON COUNTY 4. DEPARTMENT OF COMMUNITY DEVELOPMENT -11 .1676r/146C- Date: V46, Time Received: ( L am/pm Mon. Tue. Thur. Fri. Date: l •.7 BED: i{ - `'{2-0 Contact Name: Owner: Contact Number: 36010 ( .74,97 Address: L.4 jl 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection,around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. Inspectors will not access a home that has personal affects inside when the owner is not present. Commercial projects require 24 hour notice for inspection. goN c ,w s o� DEPART OF CO�I TITY DEVE. I � �L� I i L� \ 2 � , �wcC � street,Port Townsend, 36 � � _. __._._-,ti '-C Tel:360.379.4450 J Fax:360.379.4451 Web:w-ww.co.jefferson.wa.us/conununit-development i !� 4, �,, E-mail:dcdaco.jefferson.wa.us .. • ; j` ' �',�y r T r .-1 . . -- SHING '' I�--�� • SUPPLEMENTAL APPLICATION . -----I SINGLE FAMILY RESIDENCE PERMIT OR DUPLEX ,_TY± ±i2p'"t_NT - , For Repartmn nt.Use Only Receipt# gate Related'App(icatian#s Payment# # ct t Ste Information - Owner Name: ODF S 114.0— Assessor Tax Parcel#: cl$4150000 1 Type of Singt Famtty,Residence or DupleIf''; ;'T s . New )( Replacement Relocated Addition Repair Demolition * *A separate permit is required . Select One: Modular Duplex -, Single FamilyyResidence ' (G+a&ac.e) t r+6p¢sd Bulildi ag/Prefect t .^ Number of floors ( #new bedrooms existing total bed rt`p,. #new bathrooms existing total bath N/p, ,: ��• Select all that apply: Electric rt(p,, Heating Oil bill., Wood t•lp. Propane Nip, Enter the square footage(sq/ft)that applies in each field: . .. ,,,t Exi ��ng�� w�: proposed St1/Ft Stru ur� . , , ,, M , Main Floor Second Floor Additional Floors- heated/unheated . Basement-unfinished Basement-finished space or habitabl- - Detached Garage-heated/unheated ,...41 ;3•°' Co-2-4 Attached Garage-heated/unheated - Garage 2nd fl-unfinshed storage C- Garage 2nd fl-finshed space or habitable Carport-2 walls or less Deck- uncovered Covered porch - Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ tsj crop_ °�'° `,--1- Tyr i List existing buildings on property house,garage, accessory dwelling unit, ed, barn, mobile home,other): All Existing Buildings on Property Use 41,0144..0 11NRwFAck$czeb S.F, Public Health Information Water Source Existing Proposed Attach Copies of: Private well 1) Well Logs(if no log report on file, a 1 hr stabilization test may be substituted.) 2) Lab analysis tested within 3 years of application. -Total Coliform, Nitrate-N,Chloride 2-Party Well Items above AND recorded Operations& Maintenance agreement and recorded Easement. Alternative Provide justification and design per Jefferson County System: Environmental Health policy 97-01 http://www.jeffersoncountypublichealth.org/pdf/Policy_97- 01_Rainwater Collection.pdf Valid Water Right Permit Generally applies to springs, attach copy. Public Water: X Name of Water Provider: TLID -Submit Water Availability Notification form completed by your water purveyor. NOTE: If any of the above utilities need to be installed and disturbance will occur in a public maintained or unmaintained County road and/or Right-of-Way easement,then a Right-of-Way application will be needed. Resolution#99-90 requires building permit applications to provide evidence of an adequate potable water supply per the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings.http://www.co.jefferson.wa.us/commissioners By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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 required1later inspections. Applicant may request notice of the County's intent to enter upon the property fo isits relate to this application and subsequent permit issuance. Signature. ,_� I /. _�_ _i Print Name:{Aot_ , 1.L,45l 4.A4.1 Date: 11/I Z f t( FOR OFFICE USE ONLY 1),Water Right Permit# 3)Individual Well 2)Public Water Supply WS 1D_# t Meets Water Quality Standards? Yes , No In Co mpliance Yes . No. WRIA 17 Subbasin SIPZ -Coastal'/Moderate/High Yes No Based.upon!information provided by the applicant,it appears that the potable water supply:' Meets Conditionally Meets. Does not Meet gSON co DEPARTMENT OF COMMUNITY DEVELOPMENT �� WA 621 Sheridan Street,Port Townsend,WA 98368 �, ,C Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment lG E-mail:dcd(ico.jefferson.wa.us 4sHINO PERMIT FEES WORKSHEET Name Broders, INC Parcel# 989500001 Estimated Cost of Project $17,752.80 Permit# Building Base Fees Building Base $245.00 Plan Check Review $159.25 Land Use Review $228.00 Septic Review $79.00 Potable Water Technology/Scan $19.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees $734.75 Office Use Only Receipt Number: 151728 Cash/Check/CC: 1189 Date: 11/12/2014 Initials: sle • c�,4`'O N c o DEPARTMENT OF COMMUNITY DE C -- LL � � 621 Sheridan Street,Port Townsend,WA 98368 • -. \ , r 11 Tel:360.379.4450 I Fax:360.379.4451 - 'f I f Web:u-1vw.co.Jefferson.wa.us/communitvdevelopment jI j E-mail:dcd(co.jefferson.wa.us P, 1, ,c0 j tG`Q � II sING Lam/ STORMWATER CALCULATION WORKSHEET MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application,or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITEI Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 74:2-1A10 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3 acres or more of Construction site for structures 67Zil sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. a sq/ft Circle: Yes No Well,utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway, parking,roads,etc. 0 sq/ft Circle: Yes No Lawn,landscaping,etc. C) sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 62.c( sq/ft Cut C241 21/ c,Z 4 ' Fill 0 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios,driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater calc worksheet—REV.10/20/2014 1 S • STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW ,( EXISTING Structures(all roof area) (Z`( sq/ft Structures(all roof area) 21400 sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios 0 sq/ft Solid Decks sq/ft Solid Decks l'✓ sq/ft (without infiltration below) (without infiltration below) Driveway, parking,roads,etc sq/ft Driveway, parking,roads,etc I/'('10 sq/ft Other / sq/ft Other 0 sq/ft Total New V2 f( sq/ft Total Existing '3/g+�0 sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Q (7 % Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large"projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected prt•erty. ti ,(I,2-/1 i (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) y::a"•.k W� K ' 5`tee' m r s 1 3` ".sa 'L r 77:4777,77-e ^' ; . > . stormwater calc worksheet—REV.10/20/2014 2 • • ON co DEPARTMENT OF COMMUNITY DEVELOPMENT � 6� 621 Sheridan Street,Port Townsend,WA 98368 ti Tel:360.379.4450 I Fax:360.379.4451 �'� O Web:www.co.jefferson.wa.us/communitydevelopment t--0 I '7- E-mail:dcdna,co.jefferson.wa.us 4sNI NO�O SUBMITTAL CHECKLIST RESIDENTIAL BUILDING APPLICATION DCD YOU Critical Areas Review-If you have critical areas on your property you should review them with a CAM prior to submittal. Septic system installed or an application submitted Potable Water proven for building site-you will need to submit water forms with permit. Only completed applications,with all forms filled out,can be accepted at time of appointment. The permit technician is unable to complete the forms for you. If you have questions please call before submittal. You must ensure that every item below is completed and ready at submittal. Check each item below as you complete it. The permit tech will review at time of submittal,incomplete applications will be returned or delay processing. DCD YOU Permit Application,Supplemental Applications and Fees Completed and signed. Each building permit requires a separate application,signed and dated by property owner. Water Completed and signed Permit Application. You must provide all information necessary to prove potable water prior to submitting your bldg permit. Well-must include well logs and lab analysis at the time of application. Public Water-have a completed&signed Water Availability Notification from water purveyor. Septic Septic Permit Number -10— A septic permit application must be on file prior to submitting your building application. O&M Form First page of Current O&M Inspection paperwork. Site Plan We cannot accept a site plan larger than 11"x 17". Please submit 4 copies. See Site Plan checklist to ensure your site plan is complete at time of application. Floor Plan We cannot accept a site plan larger than 11"x 17". Please submit 2 copies. All rooms to be labeled on the site plan,show any,including garage,that are unheated. If this is a remodel provide a before and after floor plan with all rooms labeled. Building Plans Two sets of plans are required for Residential construction,three sets for commercial. All building plans are required to be submitted with engineered structural calculations. Building plans are not required to have an engineered stamp. Stormwater A complete stormwater calculation worksheet is required for all building applications. All stormwater plans must comply with the current Stormwater Management Manual for Western Washington: http://www.ecy.wa.gov/programs/wq/stormwater/manual.html Energy A complete Energy Code Calculation Worksheet. Forms and Information can be found at: http://www.energy.wsu.edu/buildingefficiency/energycode.aspx Access Road Approach Permit Application. An approved access is required for all County roads if approach has not been previously approved. Existing-Permit Number RAP OR Private Road(no permit required);OR State Road(permit from WSDOT) Address Address Application required for all construction projects, if no address is currently assigned. Existing Address& Red fire sign showing your current address on site. Manufactured Homes-require no plans at time of submittal. However at time of all inspections,the required set up manual must be on site with permit or no inspection will be performed,and a re-inspection fee assessed. Checklist-Building Application Submittal Checklist Page 1 • i Wind.Speed- 3' SOFA* tine . tt Flood Frost line Winter Design � s -Air B Roof snow load sec Gust Decay Design Weathering " Termite Underiayment�° Hazard �. .Depth Temp z n ,d moos EAST/WEST Category Req 25 lbs 110 mph/ 130 Moderate/ (a)1980,(b) D2 Moderate 12" Slight to 26 F No 148 mph Severe 1980 Moderate • 2012 International Residential Code (IRC),WAC 51-51-003 • 2012 Washington State Energy Code(WSEC),WAC 51-11R • 2012 Uniform Plumbing Code (UPC),WAC 51-56 • 2012 International Mechanical Code (IMC)and 2012 International Fuel Gas Code(IFGC),WAC 51-52-003 "r. ,,g. `ems The corresponding supplemental application and submittal checklist must be submitted at time of application. Building Single Family(Stick built on site) Remodel/Addition/Repair Manufactured/Mobile Home (ex.Extend kitchen,den to bedroom,replace siding) Modular(Built off site) Demolition Permit Garage/Shop/Carport Sign (Please Circle one: Attached/ etached Deck/Porch Covered Additional Dwelling Unit(ADU) Retaining Wall Foundation Only Pool Change of Use Commercial * (ex. Retail to Industrial,residential to retail,etc.) Multi-family* Mechanical Other Permits, Please list permit#s Propane Tank Lines Address ADR Heat Pump Rd Approach RAP Hot Water Heater Septic SEP Solar Panel On Roof On Ground Land Use/Zoning Home Business Special Use(Essential Public Facilities) ** Cottage Industry Boundary Line Adjustment Stormwater Management Plat Vacation/Alteration ** Temporary Use Lot or Road Segregation Critical Areas Stewardship Plan** Boundary Line Adjustment Shoreline Management Variance Short Plat** Shoreline Conditional Use Long Plat** Site Plan Approval Advance Determination (SPAAD) * Change of Use Jefferson County Shoreline Master Program Amendment Conditional Use [C(a),C(d),or C] ** Shoreline Master Program Exemption/Permit Revisions ** Sign Shoreline Management Substantial Development ** Tree Vegetation Request Variance (Minor, Major or Reasonable Economic Use) Wireless Telecommunication * Discretionary"D" or Unnamed Use Classification Allowed "Yes" Use Consistency Analysis Planned Rural Residential Development(PRRD)/Amendments ** Comprehensive Plan/UDC/Land Use District Map Amendment Forest Practices Act/Relase of Six-Year Moratorium * May require a Pre-Application Conference. **Requires a Pre-Application Conference. Checklist- Building Application Submittal Checklist Page 2 • Parcel Details Page 1 of 2 ,iz e erson ounty i Home :„.County Info =Departments search Parcel Number: 989500001 SEARCH Parcel Number: 989500001 Printer Friendly Owner Mailing Address: BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA98368-9778 Site Address: Section: 11 School District: Chimacum (49) Qtr Section: NE1/4 Fire Dist:Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 0211 Planning area:Tri-Area (4) Sub Division: 9895 - PORT HADLOCK HEIGHTS MH PARK Assessor's Land Use Code: 1500 - Mobile Home Parks and Courts Property Description: PORT HADLOCK HEIGHTS MH PARK BINDING SITE PLAN LOTS 1 THRU 45 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH .:.' Best viewed with Microsoft Internet Explorer 6.0 or later 010 Windows- Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=989500001 11/14/2014 Oak Bay Builders Page 1 of 2 • • 0 Washington State Department of Labor & Industries Oak Bay Builders Owner or tradesperson PO Box 1611 Venneman, Paul W PORT HADLOCK,WA 98339 360-301-4770 Principals JEFFERSON County Venneman, Paul W, OWNER Venneman, Cheryl F, OWNER WA UBI No. Business type 602 389 362 Individual License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. OAKBABB872N2 Effective—expiration 08/22/2013—08/22/2015 Bond Contractors Bonding&Insurance Co $12,000.00 Bond account no. SJ9726 Received by L&l Effective date 08/22/2013 08/09/2013 Expiration date Until Canceled Insurance Contractors Bonding&Insuranc $1,000,000.00 Policy no. C11SJ9726 Received by L&I Effective date 07/17/2014 08/09/2013 Expiration date 08/09/2015 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602389362&LIC=OAKBABB872N2&SAW= 11/14/2014 Oak Bay Builders Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year perms. L&I Tax debts No L&l tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp No active workers' comp accounts during the previous 6 year period. IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington Access Washingtoe of MMt l:r:P,,ff ofooff 3.':O, https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602389362&LIC=OAKBABB872N2&SAW= 11/14/2014 Op Front Parcel Review 110 )2f- 242O Parcel 989500001 Printed: December 3, 2014 BRODERS INC Site Address(es): 4503 OLD GARDINER RD )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 PORT TOWNSEND, WA 98368-9778 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 ORT HADLOCK HEIGHTS PL PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 JRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 ORT HADLOCK HEIGHTS PL PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 ART HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 ORT HADLOCK HEIGHTS PL PORT HADLOCK, WA 98339 ORT HADLOCK HEIGHTS PL PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 ORT HADLOCK HEIGHTS PL PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 JRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 DIRT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 )RT HADLOCK HEIGHTS RD PORT HADLOCK, WA 98339 Parcel Number: 989500001 S-T-R: 11-29N-1W Total Acreage 26 Legal Description PORT HADLOCK HEIGHTS MH PARK BINDING SITE Land Use: 1500 PLAN LOTS 1 THRU 45 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM) Panel No: School District 49 Zoning: 1:- COMP PLAN DESIGNATION:,,,- "—j COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines mitted plot plan must match the property linesdentified on the Assessor's 1/4 map) [ ] Legal Access to Property YES ' NO [ ] Parcel Tags or Scanned Document YES NO [ ] ESA's: Special Reports rby YES (F..) [ ] Designated Ag YES `N 0 [ ] Shoreline Designation: YES O [ ] Shoreline Slope Stability:Of NO crilrabi-e—k 07 trot ZL Stream Type:YES I(6) FWHCA: YES Wetlands: YES alo Rare Plants:YES Seismic: YES 40 Landslide: ES • '. - o A_; 0 i, i _- i , r AY / . ■ Flood: YES c Erosion: YES 10 Aquifer Recharge Are :YE NO •S 'I{;i ' /(." SIPZ: none At Risk High Risk Coa = i4 /1A, d� ✓P; _ -/ Y 4 ,', CMZ: „6,-4- High Risk Moderate 1skDisconnected CM' Stormwater e plan s . . - 'tted: Ye s10 [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding •[ ] Mineral Lands: YES 0 .,A •■ c.¢-rt l ,.r Ir A-t_■ 4I ,f Z,Co [ ] Agricultural Lands: Y O,� [ ] Archaeology: YES NO [ ] No Shooting Zone: U. NO ' i an4__ Jam` [ ] Stormwater: New Impervious Surface d Disturbing Activity to 91'15'9/MISAIS Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure: ort YES e MRL YES Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Re u red NO r'2 Other 1 Building Height: IEW UBC Standard ©�C> [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building overa 0%in Rural Industrial Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: ID' Left Side: 5 ' Right Side: 5 f Rear: ' / Shoreline Setback: P A- LSHA Setback: /1/49 [ ] Road Classification: P r,v c,-4-�, Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: r11 [ 1 Existing Case(s) & Condition(s): + ,�` �� LC1 Violations: Yes TrAitvi ,; �, A / [ ] Recorded Date of bdivist : I,, < _ < '; FN L 0 J7 11 b Over 5yrs=UDC Plat Conditions: (p <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of RestrictivAgia .�evenant YES l submitted: YES NO [ ] UGA No Protest Agreement Y - Mill ubmitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES 0 ,I'll [ ] ADMIN: Setbacks entered i ermit Plan ca - N/A New Parcel Tags entered i it Plan YE • Special Reports Scanne N/A YES Title No es Updated Parcel tags found for parcel 989500001 1.) Custom Warning Flag Please be aware that lot 26 has adjacent dedicated open 09/05/2014 space as well as a 25 foot naturally vegetated buffer on a portion of this lot.All new redevelopment must not be within this open space and buffer. Cases Associated with APN 989500001 Review Cases Name Type Status Planner BLD00-00561 BROCKINGTON F Application Received: 8/29/2000 Permit Issued/Case closed: 9/14/2000 Case Finaled: 10/18/2001 MANUFACTURED HOME-INSTALLATION BLD00-00686 BROCKINGTON F Application Received: 10/17/2000 Permit Issued/Case closed: 2/5/2001 Case Finaled: 3/29/2002 . GARAGE-DO NOT FINAL UNTIL WE CHECK WITH KEVIN RUSSELLiiliiIIIlililll CAR00-00387 BRODERS INC F Application Received: 8/29/2000 Permit Issued/Case closed: 8/31/2000 Case Finaled: 8/31/2000 Manufactured Home Installation PRJ00-00208 BRODERS INC P Application Received: 8/31/2000 Permit Issued/Case closed: Case Finaled: MANUFACTURED HOME INSTALLATION BLD00-00657 GROW F Application Received: 10/6/2000 Permit Issued/Case closed: 10/31/2000 Case Finaled: 1/11/2001 ATTACHED GARAGE CAR00-00450 BRODERS INC F Application Received: 10/6/2000 Permit Issued/Case closed: 10/10/2000 Case Finaled: 10/10/2000 attached garage PRJ00-00229 BRODERS INC P Application Received: 10/10/2000 Permit Issued/Case closed: Case Finaled: ATTACHED GARAGE BLD02-00421 LOPEZ F Application Received: 7/24/2002 Permit Issued/Case closed: 7/24/2002 Case Finaled: 11/18/2002 ABOVE GROUND PROPANE TANK BLD04-00676 CHASE F Application Received: 10/26/2004 Permit Issued/Case closed: 10/26/2004 Case Finaled: 11/15/2005 250 GALA/G PROPANE TANK BLD11-00251 KLINGER C Application Received: 9/13/2011 Permit Issued/Case closed: 9/13/2011 Case Finaled: HEAT PUMP BLD14-00195 BRODERS INC I A David Wayne Johnson Application Received: 6/6/2014 Permit Issued/Case closed: 9/18/2014 Case Finaled: New Manufacture home BLD14-00286 BRODERS INC I A Anna Bausher Application Received: 8/7/2014 Permit Issued/Case closed: 9/18/2014 Case Finaled: New Manufacture Home BLD14-00401 BRODERS INC 1 P Tim Woolett Application Received: 10/28/2014 Permit Issued/Case closed: Case Finaled: NEW MAN UCATU R ED-HOMEINSTALLATION SEP14-00125 BLD14-00420 BRODERS INC P Application Received: 11/14/2014 Permit Issued/Case closed: Case Finaled: NEW DETACHED GARAGE NO PLUMBING- NO HEAT SEP96-00080 BLD98-00300 BRODERS F Application Received: 5/20/1998 Permit Issued/Case closed: 5/28/1998 Case Finaled: 8/4/1998 MOBILE HOME INSTALLATION \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 3 of 12 BLD00-00684 NEWMAN F Application Received: 10/12/2000 Per Issued/Case closed: 10/17/2000 Ca inaled: 12/7/2000 RV CARPORT BLD00-00181 BRODERS INC F Application Received: 3/21/2000 Permit Issued/Case closed: 4/6/2000 Case Finaled: 5/9/2000 20 X 20 GARAGE SEP99-00336 BRODERS, INC F Application Received: 12/22/1999 Permit Issued/Case closed: 1/11/2000 Case Finaled: 3/30/2000 BLD00-40 Lot 18 TO COMMUNITY SYSTEM "B", SEP95-0291 BLD00-00127 BRODERS F Application Received: 2/23/2000 Permit Issued/Case closed: 2/24/2000 Case Finaled: 2/24/2000 PROPANE TANK INS MLA!ION BSP94-00001 BRODERS F Application Received: 1/5/1994 Permit Issued/Case closed: 1/17/1997 Case Finaled: 4/15/1998 to construct a mobile home park with approximately 45 sites ENV98-00007 BRODERS F J SMITH Application Received: 10/28/1998 Permit Issued/Case closed: Case Finaled: 9/20/2000 Appeal of Denial of SEPA Condition Modification on the school mitigation fee for the Port Hadlock Heights Mobile Home Park, Case# BSP94-0001. The Hearing Examiner will first consider the Department of Community Development request to dismiss the appeal and then the appeal of denial. COM11-00089 BRODERS INC FIN Application Received: 7/7/2011 Permit Issued/Case closed: Case Finaled: 8/29/2011 EXM00-00053 BRODERS INC F Application Received: 12/19/2000 Permit Issued/Case closed: 2/2/2001 Case Finaled: 2/2/2001 Adjust boundary common to lots 8 and 9 of Port Hadlock Heights. Areas of each lot do not change. M LA02-00176 BLD02-00190 MLA02-00176 LOPEZ I F Stacie Hoskins Application Received: 4/9/2002 Permit Issued/Case closed: 4/25/2002 Case Finaled: 11/18/2002 MANUFACTURED HOME-INSTALLATION PRJ02-00121 MLA02-00176 LOPEZ A Application Received: 7/24/2002 Permit Issued/Case closed: Case Finaled: MANUFACTURED HOME INSTALLATION MLA02-00269 BLD02-00275 MLA02-00269 BRODERS INC I F Stacie Hoskins Application Received: 5/10/2002 Permit Issued/Case closed: 6/12/2002 Case Finaled: 5/14/2004 GARAGE M LA02-00386 BLD02-00407 MLA02-00386 LINDSEY I F Michelle Farfan Application Received: 7/16/2002 Permit Issued/Case closed: 7/18/2002 Case Finaled: 5/14/2004 COVERED DECK MLA03-00363 BLD03-00405 MLA03-00363 YOUNG I F Stacie Hoskins Application Received: 6/26/2003 Permit Issued/Case closed: 9/5/2003 Case Finaled: 10/21/2003 NEW POLE BUILDING UN LEASED PROPERTY M LA03-00372 BLD03-00410 MLA03-00372 COXEN I F Stacie Hoskins Application Received: 7/1/2003 Permit Issued/Case closed: 7/31/2003 Case Finaled: 7/12/2004 NEW MANUFACTURED HOME INSTALLATION M LA03-00465 BLD03-00509 MLA03-00465 COXEN I F Michelle Farfan Application Received: 8/12/2003 Permit Issued/Case closed: 9/29/2003 Case Finaled: 11/25/2003 GARAGE AND BREEZEWAY M LA03-00584 BLD03-00661 MLA03-00584 CAREY I F Mo-chi Lindblad Application Received: 10/21/2003 Permit Issued/Case closed: 11/10/2003 Case Finaled: 11/16/2004 NEW MANUFACTURED HUME M LA03-00614 \\tidemark\data\forms\R_Parcel CRMLA.rpt 12/3/2014 Page 4 of 12 BLD03-00714 MLA03-00614 CAREY F Mo-chi Lindblad Application Received: 11/14/2003 Per Issued/Case closed: 12/29/2003 Ca inaled: 8/4/2004 NEW ATTACHED GARAGE M LA04-00008 BLD04-00009 MLA04-00008 KRACK I F Mo-chi Lindblad Application Received: 1/7/2004 Permit Issued/Case closed: 2/3/2004 Case Finaled: 10/29/2004 NEW MANUFACTURED HUME AND 500 GAL UNDERGROUND - ANK BLD04-00012 MLA04-00008 KRACK I F Mo-chi Lindblad Application Received: 1/9/2004 Permit Issued/Case closed: 2/4/2004 Case Finaled: 10/29/2004 NEW DETACHED GARAGE M LA04-00159 BLD04-00191 MLA04-00159 RONDEAU I F Michelle Farfan Application Received: 3/24/2004 Permit Issued/Case closed: 4/6/2004 Case Finaled: 7/26/2005 NEW MANUFACTURED HOME M LA04-00467 BLD04-00497 MLA04-00467 CHASE I F Mo-chi Lindblad Application Received: 7/26/2004 Permit Issued/Case closed: 8/4/2004 Case Finaled: 11/15/2005 NEW MANUFACTURED HOME M LA04-00566 BLD04-00606 MLA04-00566 BRODERS INC I W Mo-chi Lindblad Application Received: 9/27/2004 Permit Issued/Case closed: Case Finaled: NEW MFH (LOT 33) M LA04-00567 BLD04-00608 MLA04-00567 BRODERS INC I F Mo-chi Lindblad Application Received: 9/27/2004 Permit Issued/Case closed: 11/22/2004 Case Finaled: 10/21/2005 NEW MFH (LOT 11) M LA04-00568 BLD04-00609 MLA04-00568 LARSON I F Mo-chi Lindblad Application Received: 9/27/2004 Permit Issued/Case closed: 10/21/2004 Case Finaled: 10/21/2005 NEW MFH M LA05-00088 BLD05-00082 MLA05-00088 BRODER INC I F Z NISWONGER Application Received: 2/11/2005 Permit Issued/Case closed: 3/9/2005 Case Finaled: 3/17/2006 NEW MANUFACTURED HOME (LOT 24) MLA05-00222 BLD05-00226 MLA05-00222 BRODERS INC I F Z NISWONGER Application Received: 4/13/2005 Permit Issued/Case closed: 5/19/2005 Case Finaled: 10/21/2005 DETACHED GARAGE M LA05-00353 BLD05-00379 MLA05-00353 BRODERS I F Michelle Farfan Application Received: 6/9/2005 Permit Issued/Case closed: 7/7/2005 Case Finaled: 8/29/2007 NEW MFH (SERTAT-#7517E-473871) MODEL# KS44042 M LA05-00494 BLD05-00533 MLA05-00494 BRODERS INC I F Michelle Farfan Application Received: 8/18/2005 Permit Issued/Case closed: 9/8/2005 Case Finaled: 11/8/2005 NEW DETACHED GARAGE UNHEATED - NO PLUMBING M LA05-00510 BLD05-00548 MLA05-00510 BRODERS INC I F Michelle Farfan Application Received: 8/24/2005 Permit Issued/Case closed: 8/31/2005 Case Finaled: 5/21/2007 NEW MAN HOMES W/AI IACHED COVERED PORCH ALREADY ALREADTLITINSPECTED M LA05-00564 BLD05-00606 MLA05-00564 OMBERG 1 F Z NISWONGER Application Received: 9/20/2005 Permit Issued/Case closed: 10/10/2005 Case Finaled: 4/14/2006 NEW DETACHED GARAGE M LA05-00612 BLD05-00658 MLA05-00612 BRODERS INC I F Greg Ballard Application Received: 10/13/2005 Permit Issued/Case closed: 11/17/2005 Case Finaled: 10/29/2008 MFG HOME INSTALL(MODEL#6626-ICK-2B-CATH) ser#ORE489204 William & Karin Blanchand \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 5 of 12 M LA05-00739 • 410 BLD05-00782 MLA05-00739 BRODERS INC F Mo-chi Lindblad Application Received: 12/22/2005 Permit Issued/Case closed: 1/31/2006 Case Finaled: 10/6/2008 NEW MAN HM (Paul and Mary Gardner) Lot 22 SER#ORE481758 SEP05-00428 MLA05-00739 BRODERS INC I F Application Received: 12/22/2005 Permit Issued/Case closed: 1/16/2006 Case Finaled: 9/10/2008 Lot#22 -TANK ONLY I 0 COMMUNITY DF SEP95-290 M LA06-00031 BLD06-00023 MLA06-00031 BRODERS INC I F Zoe Ann Lamp Application Received: 1/20/2006 Permit Issued/Case closed: 3/13/2006 Case Finaled: 10/3/2007 NEW M/F HOME INS I"ALL(I-OR JOE & JEANNE BATTENBURG) SERIAL# HER0255140RABC M LA06-00114 BLD06-00113 MLA06-00114 BRODERS INC F Michelle Farfan Application Received: 3/14/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 9/28/2009 lot 41 NEW M/H INSTALL (Kathy Thomas) ser#ORE-395395 M LA06-00138 BLD06-00141 MLA06-00138 BRODERS INC I F Michelle Farfan Application Received: 3/28/2006 Permit Issued/Case closed: 4/21/2006 Case Finaled: 10/13/2006 NEW DETATCHED UNH1 D GARAGE (Lot 33) MLA06-00238 BLD06-00253 MLA06-00238 BRODERS INC I F Michelle Farfan Application Received: 5/12/2006 Permit Issued/Case closed: 6/5/2006 Case Finaled: 10/27/2006 NEW M/H (FIRST EDI I ION) (GEORGE & LELA WRIGHT) SN 2511 W/O8392 M LA06-00381 BLD06-00399 MLA06-00381 BRODERS INC I F Mo-chi Lindblad Application Received: 7/12/2006 Permit Issued/Case closed: 8/21/2006 Case Finaled: 7/11/2007 (LOT 43) NEW MANUI-AC I URED HOME INSTALLATION MODEL STARVIEW KS-48052 -Seria19U91-0152-V M LA06-00418 BLD06-00428 MLA06-00418 BRODERS INC I C Michelle Farfan Application Received: 7/24/2006 Permit Issued/Case closed: 8/15/2006 Case Finaled: NEW DETACHED GARAGE- UNHTD, NO PLMB M LA07-00129 BLD07-00101 MLA07-00129 BRODERS INC I F Mo-chi Lindblad Application Received: 3/14/2007 Permit Issued/Case closed: 4/6/2007 Case Finaled: 12/9/2008 NEW MFH (Steve Holstine) &A/G 250 GAL PROP TANK(ADDED 6/20/07) Lot 30 Model 2826 SERIAL NO. VMH12826W74964AB M LA07-00148 BLD07-00120 MLA07-00148 BRODERS INC I F Mo-chi Lindblad Application Received: 3/22/2007 Permit Issued/Case closed: 4/12/2007 Case Finaled: 7/8/2011 NEW DETACHED GARAGE (BATTENBURG) LOT 39 &40 M LA07-00266 BLD07-00254 MLA07-00266 BRODERS INC I F Michelle Farfan Application Received: 5/23/2007 Permit Issued/Case closed: 6/29/2007 Case Finaled: 10/12/2007 NEW MH HOME (Lot 38) (for Eldon Marlow) SERIAL NO. 8131801 (ORE-496812) MODEL CHAMPION M LA07-00316 BLD07-00305 MLA07-00316 BRODERS INC 1 F Michelle Farfan Application Received: 6/11/2007 Permit Issued/Case closed: 6/29/2007 Case Finaled: 9/11/2008 LOT 34 NEW MFH (NIFFI-OWNER JOE AND JEAN NOEL) MODEL GREENBRIAR 6303CT-SERIAL NO. 2191-0492-V-B &2191 0492-V-A M LA07-00368 BLD07-00352 MLA07-00368 BRODERS INC I F Michelle Farfan Application Received: 6/29/2007 Permit Issued/Case closed: 8/3/2007 Case Finaled: 1/3/2008 NEW M/H (LOT 27) SERIAL#28654 (ZELLER) M LA07-00390 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 6 of 12 BLD07-00370 MLA07-00390 BRODERS INC F Michelle Farfan Application Received: 7/11/2007 Per Issued/Case closed: 8/13/2007 Ca inaled: 10/5/2007 NEW DETACHED POLE BUILDING/GARAGE UNHEATED AND NO PLUMBING LOT 4 KLINGER M LA07-00396 BLD07-00374 MLA07-00396 BRODERS INC I F Michelle Farfan Application Received: 7/13/2007 Permit Issued/Case closed: 8/29/2007 Case Finaled: 9/3/2008 NEW ATTACHED GARAGE GE I 0 GARAGE READY MFH (STEVEN HOLSTINE) LOT 30 M LA07-00542 BLD07-00509 MLA07-00542 BRODERS INC I F Michelle Farfan Application Received: 9/18/2007 Permit Issued/Case closed: 11/9/2007 Case Finaled: 1/2/2008 NEW GARAGE ATTACHED 10 EXISTING M/H (Lot 27) M LA07-00602 BLD07-00565 MLA07-00602 BRODERS INC I F Michelle Farfan Application Received: 10/31/2007 Permit Issued/Case closed: 11/15/2007 Case Finaled: 1/25/2008 NEW DETACHED GARAGE-UNHTD, NO PLMB (LOT 34) (NOEL, JOE AND JEAN) M LA08-00413 BLD08-00402 MLA08-00413 BRODERS INC I F Michelle Farfan Application Received: 9/9/2008 Permit Issued/Case closed: 10/14/2008 Case Finaled: 10/12/2009 NEW MANUFACTURED HOME-2008 KARSTEN KB-68083 (Lot 4b) SER#29290 M LA08-00465 BLD08-00482 MLA08-00465 BRODERS INC I F Michelle Farfan Application Received: 11/13/2008 Permit Issued/Case closed: 12/30/2008 Case Finaled: 2/18/2009 NEW DETACHED GARAGE, UNHEATED & NO PLUMBING (Lot 45) BLD98-00040 BRODERS F Application Received: 1/19/1998 Permit Issued/Case closed: 2/11/1998 Case Finaled: 3/19/1998 Manufactured Home Installation BLD98-00560 BRODERS F Application Received: 9/1/1998 Permit Issued/Case closed: 10/6/1998 Case Finaled: 1/26/1999 attached garage BLD98-00561 BRODERS F Application Received: 9/1/1998 Permit Issued/Case closed: 10/6/1998 Case Finaled: 1/26/1999 mobile home installation BLD99-00502 JONES F Application Received: 8/3/1999 Permit Issued/Case closed: 8/30/1999 Case Finaled: 11/1/1999 manufactured home installation BLD99-00521 HANSON F Application Received: 8/11/1999 Permit Issued/Case closed: 8/24/1999 Case Finaled: 8/25/2000 manufactured home installation BLD99-00677 HANSON F Application Received: 10/8/1999 Permit Issued/Case closed: 10/21/1999 Case Finaled: 8/25/2000 garage BLD99-00698 YOUNG F Application Received: 10/12/1999 Permit Issued/Case closed: 10/14/1999 Case Finaled: 10/22/1999 propane tank installation BLD99-00765 HULBERT F Application Received: 11/15/1999 Permit Issued/Case closed: 11/23/1999 Case Finaled: 12/1/2000 manufactured home installation CAR99-00319 BRODERS F Application Received: 8/4/1999 Permit Issued/Case closed: 8/9/1999 Case Finaled: 8/9/1999 new tank CAR99-00337 HANSON F Application Received: 8/11/1999 Permit Issued/Case closed: 10/11/1999 Case Finaled: 10/11/1999 manufactured home installation OTH94-00003 BRODERS F Application Received: 1/7/1994 Permit Issued/Case closed: Case Finaled: 5/15/2006 plat review: binding site plan#13SF'94-0001 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 7 of 12 SEP96-00073 BRODERS C Application Received: 3/25/1996 Per.Issued/Case closed: 9/9/2002 Ca inaled: lot 2 SEP96-00074 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: Case Finaled: cancelled, now connected to UMY OF C SEP96-00075 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: 9/10/2002 Case Finaled: Lot 44, reserve area on lot 45 SEP96-00076 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: lot 39 (was lot 40 in preliminary) SEP96-00077 BRODERS F Application Received: 3/25/1996 Permit Issued/Case closed: 9/10/2002 Case Finaled: 5/2/2005 lot 42 (was lot 43 on preliminary) SEP96-00078 BRODERS I Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: info filed to SEP06-226 lot 43, was Lot 34 on preliminary plan SEP96-00080 BRODERS F Application Received: 3/25/1996 Permit Issued/Case closed: 5/27/1998 Case Finaled: 6/9/1998 Lot 26 BLD14-286 reserve area modified. SEP96-00081 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: filed to SEP06-139, now connecting to Community System "C", SEP9b-290. lot 25 SEP96-00082 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: lot 5 SEP96-00083 BRODERS I Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: Lot 6, system and reserve in open space SE of lot SEP96-00084 BRODERS F Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: 1/23/2006 lot 7 to individual DF SEP96-00085 BRODERS F Application Received: 3/25/1996 Permit Issued/Case closed: 3/22/2000 Case Finaled: 1/8/2001 lot 4 of Port Hadlock Heights with individual DF EES 8/6/07 SEP96-00086 BRODERS C Application Received: 3/25/1996 Permit Issued/Case closed: 9/9/2002 Case Finaled: Lot 1, reserve in open space across Port Hadlock Heights Rd. SEP96-00087 BRODERS F Application Received: 3/25/1996 Permit Issued/Case closed: 8/13/1999 Case Finaled: 10/22/1999 lot 3 SEP98-00014 BRODERS F Application Received: 1/20/1998 Permit Issued/Case closed: 2/10/1998 Case Finaled: 3/16/1998 lot 15 and 16 tank, DF B3EI595-00291 SEP98-00195 BRODERS F Application Received: 9/9/1998 Permit Issued/Case closed: 10/5/1998 Case Finaled: 6/7/1999 lot 19, DF C SEP99-00227 BRODERS F Application Received: 8/4/1999 Permit Issued/Case closed: 8/27/1999 Case Finaled: 10/18/1999 Lot 32,CMY DF B, BLL5g9-502 PRJ00-00044 BRODERS INC P Application Received: 3/23/2000 Permit Issued/Case closed: Case Finaled: broders mobile home paTrc PRJ00-00045 BRODERS INC P Application Received: 3/23/2000 Permit Issued/Case closed: Case Finaled: broders mobile home park \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 8 of 12 PRJ00-00046 • BRODERS INC P Application Received: 3/23/2000 Per Issued/Case closed: Ca inaled: Broders mobile home park PRJ00-00047 BRODERS INC P Application Received: 3/23/2000 Permit Issued/Case closed: Case Finaled: Land review for mobile home park PRJ00-00048 BRODERS INC P Application Received: 3/23/2000 Permit Issued/Case closed: Case Finaled: Broders mobile home park PRJ00-00049 BRODERS INC P Application Received: 3/23/2000 Permit Issued/Case closed: Case Finaled: Dick Broders Mobile Home Park BLD00-00511 GROW F Application Received: 8/2/2000 Permit Issued/Case closed: 8/29/2000 Case Finaled: 1/11/2001 MANUFACTURED HOME INSTALLATION CAR00-00347 BRODERS INC F Application Received: 8/2/2000 Permit Issued/Case closed: 8/25/2000 Case Finaled: 8/25/2000 290-septic tank to community system CAR00-00379 BRODERS INC F Application Received: 8/2/2000 Permit Issued/Case closed: 8/25/2000 Case Finaled: 8/25/2000 septic PRJ00-00183 BRODERS INC P Application Received: 8/3/2000 Permit Issued/Case closed: Case Finaled: SEP00-00191 BRODERS INC F Application Received: 8/2/2000 Permit Issued/Case closed: 8/24/2000 Case Finaled: 1/9/2001 BLD00-511 lot 23 connected to SEP95-290, system "C" SOM00-00191 BRODERS INC F Application Received: 1/9/2001 Permit Issued/Case closed: Case Finaled: connected to communi -00290 SEP02-00011 BRODERS INC F Application Received: 1/14/2002 Permit Issued/Case closed: 1/22/2002 Case Finaled: 10/21/2002 sep99-290 with this file. Tank and pump chamber connected to System C SOM02-00011 BRODERS INC F Application Received: 10/21/2002 Permit Issued/Case closed: Case Finaled: Lots 28-29 community DF C SEP95-00290 PRJ03-00160 BRODERS INC A Application Received: 8/12/2003 Permit Issued/Case closed: Case Finaled: lot 8 CONNECTED TO COMMUNI TY SYSTEM A-SEP95-289 SEP03-00170 BRODERS INC F Application Received: 6/24/2003 Permit Issued/Case closed: 7/17/2003 Case Finaled: 11/7/2003 lot 8 CONNECTED TO COMMUNI TY SYSTEM A-SEP95-289 SOM03-00170 BRODERS INC F Application Received: 11/7/2003 Permit Issued/Case closed: Case Finaled: Lot 8 connected to community DI- SEP95-00289 PRJ03-00214 BRODERS INC P Application Received: 10/21/2003 Permit Issued/Case closed: Case Finaled: LOT 20 SEP03-00267 BRODERS INC F Application Received: 10/21/2003 Permit Issued/Case closed: 11/6/2003 Case Finaled: 4/7/2004 LOT 20 connected to Sys. "(2, SEP95-290 SOM03-00267 BRODERS INC F Application Received: 4/7/2004 Permit Issued/Case closed: Case Finaled: Lot 20 connected to community OF SEP95-00290 SOM03-00293 BRODERS INC F Application Received: 8/2/2004 Permit Issued/Case closed: Case Finaled: lot 21, this site is connected to community drainfield "C" SEP95-290 PRJ04-00077 BRODERS INC P Application Received: 3/25/2004 Permit Issued/Case closed: Case Finaled: LOT 37 \\tidemark\data\forms\R Parcel_CRMLA.rpt 12/3/2014 Page 9 of 12 SEP04-00077 BRODERS INC F Michelle Farfan Application Received: 3/24/2004 Per Issued/Case closed: 4/5/2004 Ca inaled: 4/15/2005 LOT 37, connected to Community system "A", SEP95-289 SOM04-00077 BRODERS INC RCR Application Received: 4/15/2005 Permit Issued/Case closed: 8/13/2014 Case Finaled: connected to community system SEP95-00289 SOM04-00168 BRODERS INC F Application Received: 12/28/2004 Permit Issued/Case closed: Case Finaled: Lot 31 connected to community DI- SEP95-00290 SOM04-00245 BRODERS INC F Application Received: 5/2/2007 Permit Issued/Case closed: Case Finaled: lot 33-connected to SEP9-672g ,community system 'B' SOM04-00246 BRODERS INC F Application Received: 4/4/2005 Permit Issued/Case closed: Case Finaled: lot 11-connected to SEP9b-00291, community system "B" SOM05-00043 BRODERS INC F Application Received: 9/14/2005 Permit Issued/Case closed: Case Finaled: Lot 24 connected to community DI- SEP95-00290 SEP05-00342 BRODERS INC F Application Received: 10/7/2005 Permit Issued/Case closed: 11/13/2005 Case Finaled: 12/13/2006 LOT 13 TANK ONLY CONNECTED TO SEP95-00291 SOM05-00342 BRODERS INC F Application Received: 12/13/2006 Permit Issued/Case closed: Case Finaled: LOT 13 TANK ONLY CONNEC I ED TO SEP95-00291 SOM05-00428 BRODERS INC F Application Received: 12/22/2005 Permit Issued/Case closed: Case Finaled: Lot 22, connected to community DI- SEP95-00290 SEP06-00003 BRODERS INC F Application Received: 1/6/2006 Permit Issued/Case closed: 3/12/2006 Case Finaled: 3/29/2007 lots 39 &40 TANK ONLYTOSEP95-289, system A SOM06-00003 BRODERS INC F Application Received: 3/29/2007 Permit Issued/Case closed: Case Finaled: lots 39 &40 TANK ONLY I O SEP95-289, system A SEP06-00073 BRODERS INC F Application Received: 3/10/2006 Permit Issued/Case closed: 4/6/2006 Case Finaled: 9/10/2008 lot 41 Connected to SEP95-289 SOM06-00073 BRODERS INC F Application Received: 3/10/2006 Permit Issued/Case closed: Case Finaled: Lot 41, connected to community DI-SEP95-00289 SEP06-00139 BRODERS INC F Application Received: 5/12/2006 Permit Issued/Case closed: 6/2/2006 Case Finaled: 10/13/2006 lot 25, connected to Community Sys. "C", SEP95-290. info from expired SEP96-81 filed here SOM06-00139 BRODERS INC F Application Received: 10/13/2006 Permit Issued/Case closed: Case Finaled: Lot 25, connected to community Ul- SEP95-00290 SEP06-00226 BRODERS INC F Application Received: 7/11/2006 Permit Issued/Case closed: 8/20/2006 Case Finaled: 4/3/2007 lot 43 (was lot 34 on orig. plan) info from SEP96-78 filed here. individual DI- SOM06-00226 BRODERS INC F Application Received: 4/3/2007 Permit Issued/Case closed: Case Finaled: to individual DF SEP06-00314 BRODERS INC F Application Received: 9/20/2006 Permit Issued/Case closed: 11/2/2006 Case Finaled: 7/23/2007 lot 30, connected to SEPY5-290, System "C" SEP07-00153 BRODERS INC F Application Received: 5/15/2007 Permit Issued/Case closed: 9/15/2008 Case Finaled: 10/10/2007 lot 38, this site is connect to Community Drainfield "A" under SEP95-289. SOM07-00153 BRODERS INC F Application Received: 10/10/2007 Permit Issued/Case closed: Case Finaled: lot 38, this site is connect to Community Drainfield "A" under SEP95-289. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 10 of 12 SEP07-00172 BRODERS INC F Application Received: 5/23/2007 Per Issued/Case closed: 6/28/2007 Ca inaled: 9/18/2008 LOT 34. This site is connected to Community Drainfield "A" under SEP95-289 SOM07-00172 BRODERS INC F Application Received: 5/23/2007 Permit Issued/Case closed: Case Finaled: SEP07-00217 BRODERS INC F Application Received: 6/27/2007 Permit Issued/Case closed: 8/2/2007 Case Finaled: 9/18/2008 lot 27 served by community DI- "C" under SEP95-290, BLD07-352 M/H SOM07-00217 BRODERS INC F Application Received: 6/27/2007 Permit Issued/Case closed: Case Finaled: Lot 27 connected to community DF SEP95-00290 SEP08-00173 BRODERS INC F Application Received: 8/12/2008 Permit Issued/Case closed: 9/23/2008 Case Finaled: 10/7/2009 lot 45, this site is connected to Community Drainfield "A" under SEP95-289 SOM08-00173 BRODERS INC F Application Received: 8/12/2008 Permit Issued/Case closed: Case Finaled: Lot 45, connected to DF=SEP -G289 SEP14-00125 BRODERS INC I P Tim Woolett Application Received: 10/21/2014 Permit Issued/Case closed: Case Finaled: Lots 28 &29 Connects to community DF SEP95-290 SEP95-00289 BRODERS F Application Received: 9/19/1995 Permit Issued/Case closed: 4/6/1997 Case Finaled: 1/4/2002 DF A serves lots 8, 9, 34, 3b, 36, 31, 38, 40, 41, 45. 7-3 bedroom systems and 3-2 bedroom systems SOM95-00289 BRODERS INC RCR Application Received: 1/4/2002 Permit Issued/Case closed: 8/13/2014 Case Finaled: SEP03-00293 BRODERS INC F Application Received: 12/3/2003 Permit Issued/Case closed: 12/23/2003 Case Finaled: 8/2/2004 lot 21, this site is connected to community drainfield "C" SEP95-290 SEP04-00168 BRODERS INC F Application Received: 7/13/2004 Permit Issued/Case closed: 8/2/2004 Case Finaled: 12/28/2004 lot 31, connected to Draintield C, SEP95-290 SEP05-00043 BRODER INC F Application Received: 2/11/2005 Permit Issued/Case closed: 3/6/2005 Case Finaled: 9/14/2005 LOT 24, connected to SEP 95-290-drainfield C SEP95-00290 BRODERS F Application Received: 9/19/1995 Permit Issued/Case closed: 5/16/1997 Case Finaled: 1/4/2002 DF C. Serves lots 14, 17,"272722, 23, 24, 27, (28, 29 combined), 30, 31, 25 5-3 bedroom and 7-2 bedroom SEP99-00290 BRODERS C Application Received: 10/20/1999 Permit Issued/Case closed: 11/15/1999 Case Finaled: Lot 14, CMY DF C cancelled per Dick Broders 11/7/00 Information from this file now with sep02-11 sp 1/22/02 SOM95-00290 BRODERS INC F Application Received: 1/4/2002 Permit Issued/Case closed: Case Finaled: System "C" Serves lots 14, 19, 20, 21, 22, 23, 24, 27, (28, 29 combined), 30, 31, 25 5-3 bedroom and 7-2 bedroom SEP04-00245 BRODERS INC F Application Received: 9/27/2004 Permit Issued/Case closed: 11/2/2004 Case Finaled: 5/2/2007 lot 33-connected to SEP95-291, community system 'B' SEP04-00246 BRODERS INC F Application Received: 9/27/2004 Permit Issued/Case closed: 10/20/2004 Case Finaled: 4/4/2005 lot 11-connected to SEP95-00291, community system "B" SEP95-00291 BRODERS F Application Received: 9/19/1995 Permit Issued/Case closed: 4/6/1997 Case Finaled: 1/4/2002 DF B. serves Iots10, 11, 12, 13, 15, 16, 17, 18, 32, 33 7-3 bedrooms and 3-2 bedrooms. SEP99-00289 BRODERS F Application Received: 10/20/1999 Permit Issued/Case closed: 11/15/1999 Case Finaled: 3/30/2000 BLD99-765, lot 17 connected to community drainfield "B"sep95-0291 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 11 of 12 SOM95-00291 BRODERS INC F Application Received: 1/4/2002 Per Issued/Case closed: Ca inaled: SOM96-00077 BRODERS INC F Application Received: 5/2/2005 Permit Issued/Case closed: Case Finaled: Lot 42, individual DF SOM96-00080 BRODERS INC RCR Application Received: 6/9/1998 Permit Issued/Case closed: 9/15/2014 Case Finaled: lot 26 SOM96-00084 BRODERS INC F Application Received: 1/23/2006 Permit Issued/Case closed: Case Finaled: Lot 7 with individual DI- SOM96-00085 BRODERS INC F Application Received: 1/8/2001 Permit Issued/Case closed: Case Finaled: SOM96-00087 BRODERS INC F Application Received: 10/22/1999 Permit Issued/Case closed: Case Finaled: lot individual DF SOM98-00014 BRODERS INC F Application Received: 3/16/1998 Permit Issued/Case closed: Case Finaled: lot 15 and 16 tank, DF B SEP95-00291 SOM98-00195 BRODERS INC F Application Received: 6/7/1999 Permit Issued/Case closed: Case Finaled: Lot 19 connected to community OF SEP95-00290 SOM99-00227 BRODERS INC F Application Received: 10/18/1999 Permit Issued/Case closed: Case Finaled: Lot 32 community DF SEP95-00291 SOM99-00289 BRODERS INC F Application Received: 3/30/2000 Permit Issued/Case closed: Case Finaled: BLD99-765, lot 17 connected to community drainfield "B" sep95-0291 BLD00-00040 BROWN F Application Received: 1/14/2000 Permit Issued/Case closed: 1/25/2000 Case Finaled: 3/23/2001 MANUFACTURED HOME INSTALLATION SOM99-00336 BRODERS INC F Application Received: 3/30/2000 Permit Issued/Case closed: Case Finaled: BLD00-40 Lot 18 TO COMMUNITY SYSTEM "B", SEP95-0291 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 12 of 12 J 1(_fp (G �t V l4Q 1 (a� Q1n Care � PERMIT APPLICA ION B Review 0420 BUILDING Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00420 Received Date: 11/14/2014 SITE ADDRESS: 426 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 OWNER: BRODERS INC PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 9895 SUBDIVISION: Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 1V1 CONTRACTOR: PAUL VENNEMAN PHONE: 360-301-4770 P.O. BOX 1611 PORT HADLOCK WA 98339 REPRESENTATIVE: PAUL VENNEMAN PHONE: 360-301-4770 P.O. BOX 1611 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOP NEW DETACHED GARAGE NO PLUMBING- NO HEAT SEP96-00080 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 624 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $245.00 SRE 11/12/14 151728 Plan Check $159.25 SRE 11/12/14 151728 State Building Code $4.50 SRE 11/12/14 151728 Total: $408.75 \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/14/2014 SON c • 4w o DEPARTMENT OF COMMUNITY DEVELOPMENT 1 621 SIienctan Street,Post To\=.send \V.\98368 1•el.363 79 44 Fax: ,66 379. 4,i — C.Y LA Web:Am-w co ie.`tc ion.;N a us!coimmnininticeelopment . E-mail:dca(�ecoaettej on.R°a.us �j h� -`1s T'nor p�.�J Itv. PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 9 0.15ooc p 1 Site Address and/or Directions to Property: 14:16 Po ..T. L-Fkc+.-cx.-ie--- tilt ,trr, iL. `�)tz-r 1 ,Ab.ac - , tax. X533`9 Access(name of street(s)) from which access will be gained: TdtZr t4ftlit nc - j t&ttr, RcL Present use of property: 5,F. g., Description of Work(include proposed uses): Ucc Lb zi-k's-za burfrcEEc.'Zt &ft-p_et--6-6 No Pu46.AN No - 1.1e) ITT . • Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: E pet._ _.- 44 CI Community Septic Name of System: Case#: Are other residences connected to the septic system? WA Additions or repairs to sewage system: Is it a complete or partial system installation: Complete `}6 Partial Has a reserve drainfield been designated? Yes No Date of Last Operations& Maintenance check: Gil 5/ ) '-, Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: The authorized agent/representative primary contact for all project-related quens and correspondence. The County will mail/ e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties nvoh?ed with, the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County emair(.e.,County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: 'DQ-p 26. 1PC-- Address: /1603 Ot.12 640 - off t- 17pavi.)5 v`N t> L9,. 1,0 Phone #: —11 — 7 7 2_Z.._ E-mail Address: Please ontact Author. ed :ent/Represen tive with project info. (select only one). Property Owner Si g nature: - r ; Date: Note: For projects with multiple owners,attach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative Of other than owner) Name: ALOt,... VEKgE OAK 13R-,( 501t cj Address: •®, '3e k( )111/4. l "b9-tc" ti,thht tJ L) 4 . Ra33ct Phone#: . 340 301. ik- r70 E-mail Address: 1,,,jeAt, cg,tz-spet . Ce,�,�,•-- Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor i Consultant Name: n444• 134--( •BV IQ) �'Z2S Address: 7,p_ k(:)\( 'To tkarbax,r.t! �11T . c ,33`t Phone#: 360 30 t I-(7"1 c7 E-mail Address: ekSc,ESPe--i Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? , NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein, that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Print Name: Date: __ SON c-, I .�w °G. • DEPARTMENT OF COMITY DEVELOPMENT 4=. j 621 Sheridan Street,Pon Townsend,\X 98-36-K .— --> -< Tel:360.379.4450 fix:36C.379.4451 Web: wv.-w.co.iefterson.�ta.tu/conununit-development E-mail:dcd a.co.iefferson.wa.us IskINCsSO� SUPPLEMENTAL APPLICATION SINGLE FAMILY RESIDENCE PERMIT OR DUPLEX _ For Department Use Only _ ___ - Receipt#: t CJ. 1 Date: fl/ z/ C y Related Application#s: Payment#: CileC-L 44- (eel Site Information • Owner Name: p1j 5 )14.E Assessor Tax Parcel#: o(e4150000 1 Type of Single Family Residence or Duplex . New x Replacement Relocated Addition Repair Demolition * *A separate permit is required Select One: Modular Duplex _ Single Family_Residence X (c. ) Proposed Building/Project Number of floors t #new bedrooms existing total bed N./p,. # new bathrooms existing total bath 1.4/61 Heat.Source Select all that apply: Electric M(p. Heating Oil Nip, Wood Nip, Propane i•tl p, Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft -:s Proposed Sq/Ft`; Main Floor Second Floor Additional Floors-heated/unheated Basement-unfinished Basement-finished space or habitabl . Detached Garage- heated/unheated .._--_ (02-4 __ Attached Garage- heated/unheated Garage 2nd fl- unfinshed storage - -- --- : -----7-4-.-17:1- O- =__- .--_ Garage 2nd fl-finshed space or habitable . . f Carport- 2 walls or less . Deck-uncovered Covered porch Other(shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): _,$ `ej Oc®. °- --- • • List existing buildings on property (i.e. house, garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use ' a L{Oic IAA t90 l oFk ii t }Tpit&t: S,i---, 9-, Public Health Information Water Source Existing Proposed Attach Copies of: Private well 1) Well Logs (if no log report on file, a 1 hr stabilization test may be substituted.) 2) Lab analysis tested within 3 years of application. -Total Coliform, Nitrate-N,Chloride 2-Party Well Items above AND recorded Operations& Maintenance agreement and recorded Easement. Alternative Provide justification and design per Jefferson County System: Environmental Health policy 97-01 http://www.jeffersoncountypublichealth.org/pdf/Policy_97- 01_Rainwater_Collection.pdf Valid Water Right Permit Generally applies to springs, attach copy. Public Water: )( Name of Water Provider: 50, -Submit Water Availability Notification form completed by your water purveyor. NOTE: If any of the above utilities need to be installed and disturbance will occur in a public maintained or unmaintained County road and/or Right-of-Way easement,then a Right-of-Way application will be needed. Resolution#99-90 requires building permit applications to provide evidence of an adequate potable water supply per the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings.http://www.co.jefferson.wa.us/commissioners By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in making any issued permit null and void. I further.agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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 required1later inspections. Applicant may request notice of the County's intent to enter upon the property fo isits related to this application and subsequent permit issuance. Signature.Signature. — Print Name:{ Avr. Vc tti1�`N�4i1/41 Date: Ir _ FOR OFFICE USE ONLY 1) Water Right Permit# 3)Individual Well 2)Public Water Supply WS ID# Meets Water Quality Standards? Yes No In Compliance Yes No' WRIA 17 Subbasin SIPZ -Coastal/Moderate/High Yes No, Based upon information provided by the applicant,it appears that the potable water supply: meets Conditionally Meets Does not Meet • �4SON co DEPARTMENT OF COMMUNITY DEVELOPMENT , 621 Sheridan Street,Port Townsend,\\`A 98368 � «� ,C Tel:360.3-9.44 0 Fax:360.379.441 Web:W'V\\.co.jefferson.wa.us/commwutydes elopment E-mail:dcd @;co.iefferson.wa.us kIN6 PERMIT FEES WORKSHEET Name Broders, INC Parcel# 989500001 Estimated Cost of Project $17,752.80 Permit# Building Base Fees Building Base $245.00 Plan Check Review $159.25 Land Use Review $228.00 Septic Review $79.00 Potable Water Technology/Scan $19.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees $734.75 Office Use Only Receipt Number: 151728 Cash/Check/CC: 1189 Date: 11/12/2014 Initials: sle e ON �, oG DEPARTMENT OF COMMUNITY DEVELOPMENT - 4, 621 Sheridan Street,Port Townsend,WA 98368 W Tel:360.379.4450 ': Fax:360.379.4431 ti Web:WWW.co.jefferson.wa.us/communitvdevelopment E-mail:dcdki,co.iefferson.u-a.us kI N G`c0 ,_ STORMWATER CALCULATION WORKSHEET MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ' ,.Z `0 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry,and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/4 acres or more of Construction site for structures (724i sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well,utilities, etc. sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway,parking, roads,etc. 0 sq/ft Circle: Yes No Lawn, landscaping,etc. CD sq/ft Other compacted surface, etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 6240 sq/ft Cut (Z'1 r' Fill 0 (cu/yd) impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving,gravel roads, packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater talc worksheet—REV.10/20/2014 1 • • E STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW ,( EXISTING Structures(at roof area) 7Z`( sq/ft Structures(all roof area) 2400 sq/ft Sidewalks sq/ft Sidewalks C7 sq/ft Patios sq/ft Patios 0 sq/ft Solid Decks sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) ,t Driveway,parking, roads,etc sq/ft Driveway, parking, roads,etc I/' 140 sq/ft Other sq/ft Other ® sq/ft Total New t22`,(/ sq/ft Total Existing 11614 D sq/ft , t TOTAL NEW+TOTAL EXISTING* 11 (J sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Q017 Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#S—and for"large"projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected pre.erty. 7 Of'Zits( (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)T�' °5S} {tom : � .r' T� -� 1 ,.a ^5- 4 4y .or " 'fl - .t '' G�r'Fa '�'�� 'T%'�+F �k^fia. sg � . a x.� .t'# ^`� n- `<" to` aY`y .y r � ��, •�` � x ` ` �. gy', 4', t r` c LA G' R ®E11EL® M .�'':7'1 -' , p< .s� - ?a. � to Stohm4vater 51te}�ldp� �.-.- � 3 ,�t ���i����.; stormwater calc worksheet—REV.10/20/2014 2 0 .+(>>'"`•t '.., u5 .1,",,--t"4,7':t;: -°4W,A),k° M`"6,',,*ap' d'f.,,>:i-irt, ^: >.'A''',,a'''A„*, ,5';;RY...ci3n >;: - 5 ,i0 FA CI ozmm CmD C 4M0 -npOAm gym _IX _ Z O �N,i .n0 2, - c7 �o ao O. t 41 II < -mI mm � 1 ' 13I N v0 gN f / S A'TI mx m Oa OO r y LINE OF ROOF OVERHANG ABOVE � - i 4030 WINDOW ..Y �_• t . t • r -� 4 101 (II ( ► / li \\\I / Ii- - • ■ O N mDZ D �c) pcn • O OD 0 * V) i r) z Z j I O� Q — ._• N p pp I • _ > ri EA.`j m Nm b 'n h o' z\ O O RI 1 o m D U) O if '�' X x N m >. ”` O o D co ci fi m r L •nnf 0 -; ZN , . 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ClY fi0111.1 ''''' • . , . ./ ., ...1:::.....'i:::'... . 1 . ,. . • .• ....- . . . . .• . ..,. 1 .1',...,' ,• ' '.'• k i I..., ' ' I 1 .„. . ./ . .• ..,. . . . ..... ,.... •....... e..\1 •S .........' - : .)1 . . , . . . . A moo, 4, ) , t r. • • •- ■;" 4. a * m• $ clII • 4047440 { W _ =R DRAWIr BER �II,dtM1 S/tk DRAWN BER C l/iL 1.?Z 1..,. AAH • rN _..,,,I4 PAN ..rw PAIN T . POIt T 11AD1LOCK HEIGHTS MO It.T[L.,E HOME PARK I:> I1VG SITE PLAN Ii SP94-###1 SECTION 11, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M. JEFFERSON COUNTY, WASHINGTON II= 11221211=112112II I. THIS BINDING SITE PLAN IS SUBJECT TO THE ROAD MAINTENANCE AGREEMENT RECORDED STATE OF WASHINGTON) UNDER JAPFLNSON COUNTY AUDITOR'S FILE NUMBER 404261. Cowin,G l 1. THIS BINDING SITE PLAN IS SUBJECT 70 THE WATER AGREEMENT AND AMENDMENT TO EASEMENT ASSIGNMENT PER AUDITOR'S FILE NO 794870 AND EASEMENT FOR POLE LINE PER VOLUME DI OF DEEDS,PAGE 899. I CERTIFY DPW 1 KNOW OR HAVE SATISFACTORY EVIDENCE THAT RICHARD BRODERS IS PIE I THE DEDICATED OPEN SPACE FOR DRS MOBILE HOME PARK IS ALL OF THE PUTTED PERSON WHO APPEARED BEFORE ME AND SAID PERSON ACKNOWLEDGED MAT HE SIGNED PROPERTY EXCEPT THOSE PORTIONS LYING WITHIN THE EASEMENT FOR INGRESS,EGRESS. THIS INSTRUMENT.ON 114171 STATED THAT HE WAS AUTHORIZED TO EXECUTE THE INSTRUMENT AND UTILITY PURPOSES,LOTS 1 71IRU 45,THE SELF STORAGE AREA AND THE AREA FOR AND ACKNOWLEDGED IT AS THE PRESIDENT OF BROOMS INC..A WASHINGTON CORPORATION. FUTURE USE/PMYATE PARK/RECREATIONAL FACILITIES. OPEN SPACE WILL REMAIN TO BE THE FREE AND VOLUNTARY ACT OF SUCH PARTY FOR THE USES AND PURPOSES DEDICATED FOR THAT USE AS LONG AS THIS PROPERTY ROMANS IN USE AS A MOBILE MENTK.WED IN THE INSTRUMENT. HOME PARK. UPON VACATION OF THIS PUT,DEDICATED OPEN SPACE AREAS SHALL IMMEDIATELY REVERT TO THE OWNER OF THE MOVED PUN. ALL AREAS OF UNUISTRUBED DATE& VARMI (901M-et HE NATURAL VEGETATION WITHIN T OPEN SPACE DEDICATION SHALL REMAIN UNDISTURBED. DEDICATED AND/OR ACED AREAS STALL FAIN LEGAL ACCESS AND THE RIGHT TO USE a.-a /��,L,.AIJ P. FOR DISTURBANCE OF VEGETATION IN ANY AREA WITH A COMBINATION OF SLOPES GREATER /716 I T A RY THAN 15 PERCENT WITH IMPERMEABLE OR SLOWLY PERMEABLE SOILS,GROUND WATER I SEEPAGE OR POTENTIALLY UNSTABLE SLOPES THE FOLLOWING CONDITIONS APPLE TI MY APPOINTMENT A WHENEVER D CONE.EXISTING VEGETATION IN THESE AREAS TO A REMAIN IN AN DISTURBANCE VICE IMMEDIATE. IF DIE AREA IS UNEECFRED T DUE TO A PREVIOUS DISTURBANCE.IMIMECOVE EEPORTS RE SNIT.BE ON O REWIRED A PROVIDE A PERSISTENT NONE VEGETATIVE COVER TO PREVENT EROSION OR HAZARD. B IN ORDER TO MNIANZE IMPACTS TO ENNRONMENTAILY SENSITIVE AREAS AND ON-SITE VEGETATION,AUTHORIZED CLEARING SHALL BE REQUIRED TO BE DESIGNED ro MINRNZE .00 I' IMPACTS TO SOIL AND UNOERSTORT VEGETATION BY PROVIDING FOR SEQUENCING AND •- STAGING WHERE APPROPRIATE. ' r10' 'C 5. NO BINDING SITE PLAN IS SUBECT TO THE STORM WATER FACILITY MAINTENANCE AGREEMENT RECORDED UNDER JEFFERSON COUNTY AUDITOR'S FIE NUMBER 406240 6. THE 25-FOOT WOE BUFFER 5H4LL REMAIN IN ITS NATURALLY VEGETATED CONDITION. NO CONSTRUCTED OR ERECTED FACTURES SHALL BE PACED WITHIN THIS BUFFER WITH THE EXCEPTION OF UTTUY LINES,FENCING OR SECURITY POSTS. THIS INCLUDES THE EXTERIOR OF LOTS I-6,14-16 AND 48-45. SMWKY NOTES THIS BINDING SITE PLAN IS BASED ON A SURVEY ON THE WASHINGTON COORDINATE Sn1LM GRID OF 1927,NORM ZONE. ALL BEARINGS ARE RELATIVE 70 SAID GRID. ALL DISTANCES ARE REDUCED ro SLID GR10 THIS SLIMY WAS ACCOMPLISHED BY FELD TRAVERSE METHIOOS USING A 1-SECOND AND/OR 5-SECOND THEODOLITE AND AN INFRARED&STANCE MEASURING OENCD WITH SOME&ISTANCES MEASURED WITH A STEEL TAPE. &ONCE TO PURCHAREK F16 NTFRST WARNING)O PAIR&SETS deelb2ALS THE LOTS PARCELS OR TRACTS CONTAINED WITHIN THIS SUBDIVISION WERE APPROVED APPROVED arc WITH JEFFERSON TO COMPLIANCE DII THE MOBILE HOME PARK REQUIREMENTS FINAL BASED ON DESIGN STANDARDS AND REGULATORY REQUIREMENTS IN EFFECT AT THE TIME BI T#JETE PLAN COUNTY SIIBOMSION OROINWCEAND THE CWOIDOVS OF iMAt OF LOTS. SEWAGE DISPOSAL SYSTEMS HAS APPROVED FOR ROE BW&NC SITE MAN APPROVAL r`CLI I�P mPC' C_) �=1, DISPOSAL SYSTEMS SHALL MEET DESIGN STANDARDS AND REGULATORY REQUIREMENTS N r EFFECT AT THE TIME OF APPLICATION FOR A SEWAGE DISPOSAL PERMIT. PURCHASER DIRECTOR,JEFFERSON COUNTY ✓ SHOULD CONTACT ME 1 115OIN COUNTY HEALTH DEPARTMENT FOR PROCEDURES SOIL MT AG PERMIT AOPEDAEONS ANY REMOVAL MA OF OR MOOR CONDITIONS THAT pA�.� _�e� SOIL WITHN THE PROPOSED&DNS ANY AREAS ALLY CREME SITE COVd00AN MAT ARE UNACCEPTABLE FOR THE INSTALLATION OF SEWAGE DISPOSE SYSTEMS. & 2T,ItS&I CO&U/'�p-..RtFGBt T &RE DEVELOPMENT r9ON DE EAST HALF OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTET?,AND THE SOUTH HALF OF THE SOUTH HALF OF THE NEST HALF OF THE NORTHEAST OLARTER OF THE NORTHEAST APPROVED BG.MlE JEf?FR50N COLB(TY BOARD OF COMMA R�0 TH15 PIY OF QUARTER.SECTION 11,TOWNSHIP 29 NORTH,RANGE I WEST.W.M..IN JEFFERSON COUNTY H ..Y T933. /T WASHINGTON. &WRMW OF SITUATE IN THE COUNTY OF JEFFERSON STATE OF WASHINGTON. ATTEST CLERKKpO'THE BOARD/OF COMMISSIONERS CNPKYGP'C rmrvTCRTF cX(,140. 1 LY aMnt. 1,BARRAT O SCOTT.ALS.23400 OF NORTHWESTERN TERRITORIES. IV I), (AND SURVEYOR BY THE STATE OF WASHINGTON AND DECLARE BPS�.aCr'�SCLI X ]RFAStRMR'4 CERTIFICATE THIS LAND DIVISION IS BASEL ON AN ACTUAL SURVEY OF THE \ Q l % I--IUDNEA' E MORR1s.TREASURER OF JEFFERSON COUNTY,WASHINGTON. LAND DESCRIBED HEREIN,CONDUCTED BY ME OR UNDER MY ` @p O T SUPERVISION.THAT THE DISTANCES COURSES AND ANGLES ARE '� '� HEREBY CERTIFY THAT ALL TAXES DUE AND OR DEPOSITS REQUIRED ro COVER SHOWN THEREON CORRECTLY.AND THAT MONUMENTS OTHER THAN ..0 At' THOSE MONUMENTS APPROVED FOR SETTING AT A LATER DATE NAVE p _ TWIN ANRCIPATED TAXES ON THE PROPERTY EMBRACED IN THIS BINDING SITE PLAN HAVE BEEN SET AND LOT CORNERS STAKED ON DE GROUND AS DEPICTED • ,,SApppp / ON THE B'N&NC SITE PLAN. . BEOj Sie0 BEEN PAIR LIP TO AND INCLUDING THE YEAR 19!_z 0 409746 JE1 585081 COUNTY'TREASURER EXPIRES TR/IA/IR Z 3/x: txmSPEGOID /Jo-74(9 p iA•• A FILED FOR RECORD AT THE REQUEST OF I r ITNS lc DAY OF air ti) , 19 4R AD.AT `"I a MINUTES j DEIWEATIDY PAST IJ O'CLOCK_?......M.AND RECORDED IN VOLUME_l___OF BINDING SITE 'Ti KNOW ALL PERSONS BY THESE PRESENTS THAT THE UNDERSIGNED OWNERS XI INTEREST OF THE LAND HEREIN DESCRIBED DECLARE THIS S0D&ASDN TO BE CREATED BY OUR PUNS PAGE2✓I 32'RECORDS OF JEFFERSON COUNTY.WASHNGYON. FREE WILL AND DEDICATE OPEN SPACE AS SHOWN HEREON WE ALSO GRANT UNTO /�� 1.7( ,. ,N ME LOT RENTERS WITHIN THIS PLAT THE RIGHT TO USE EASEMENTS AS PLATTED. DONNA M.GASTFlELD d�lA/lnf>!tn 1{IA 1lJl1 1'l`•' ` RS COUNTY AUDITOR D �— BRODERS.INC.. IDTO CORPORATION y, RICHARD WOOERS,PRESIDENT �J 1. ni ni W G.ISS,0129\188R00940,\S8EET-5.DWG SHEET 5 OF 5 N PLOT'C0: 2/20/98 Cl NORTHWESTERN TERRITORIES.1III '998 AS SHOWN IDA1G 6/197 PORT HADLOCK HEIGHTS MAIM OY. SHORN &RCG ■s `�'' NORTHWESTERN TERRITORIES, INC. PA'CHEMED°~ D F MOBILE HOME PARK E� �1r cem �„1919 SOUL REAM C 5 BINDING SITE PLAN BSP94-0001 NT I )IT TOOTH PEABODY.PORT AIBBE4 WIWWIBTOM BBIRD 1160)452-0401 SHEEP S&5 I1(291-IOU) • 409 (' r2 I DRAWIN BER ��~��~! +�"` DRAWING R D jrn. / • $i • PORT I1ADLOCK HEIGHTS MO I:>ILE HOME PARK I:11g113ING ME PLAN I:S1 1)44eJ(I l)1 SECTION 11, TOWNSHIP 29 NORTH, RANGE 1 WEST, W.M. JEFFERSON COUNTY, WASHINGTON S 8758''8" E _ 6. 0.63 1' I'� 31.61 • 113 r' 981.O.F. 10708 50.FT. �' r-�- - ' - -- - //I: 8616 s0.FT W W ,., 10309.50.R.2 I 1 ; 25° off. 24 x: $ 23 n z2 E, �E I �� O I 22.10 s0.Ft � � `',�.o m £ x e P •�`� =g •4�by. I 1N0.O.F. Q-, 2 10499 50.FT 2 �0 .'4' l //��y�,8►, /� G ' 10010 50.FT. °y 2 V; /1 I lhl .S'H `-'U lT. E 8683 16.15 C.' y811 I I n A'- �S�Y - 596.09.36E 1..00.' 13'r'Hl L••s 98'0956'E 50 ,- - �S. ,50. 10382 S0.FT.I I 1' 20288 - PORT HADLOCR HEIGHTS ROAD > 9 '• N 8908'15 W PRIVATE ROAD I 10706 .. 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JEFFERSON COUNTY, WASHINGTON , E,PRA°E FOUND 1-7./7 IRON p�S E CIF PIPE MIN MOOD PLUG 100 PAGE AND TACK TOI 2 S 87.58•01'E- 3r8758'O8 E ►i `PT 1 -I _ �i 670.6.x' 2 I 'LYE ,-or UT" 2011 ' l'+ •-, -' v b1a 2S 1"x 1"CONCRETE POST/ 'L"PLUME i oFCRO 26 2O Neibe°tn w C, SU4VE15.PAGE B9 LAST VISITED 7/7/76. 44. �i �-,��6' L, '.N 880958'W: 21°00' R . ��/ p! PJRi NNMOLK NECIRS ROAp 31/ A ROAD a $0 "I k. v r%�OC 11111 2.f~. SEE SHEET 2 FOR VICINITY MAP ^ ,� I. �•@@�: � NO SCALE SECTION SUBOMSION g /1 40 . 1 FGEND " \ SET 5//°"87BAR MM SURVEY GAP STAMPED"NTI-SCOTT 1 \ 33 ' • LS Il1o0'MID 1'r 7 Mtl00 SLAKE POND 2 71}1 PRNATE Ip.' •• h ,• 1725/8" AND P6851TC GWRO STAKEAIMED"NR-SCOW T, \ •4 yTJI N 1 141. 11 o- p SET PK Nut WIN PLASTIC SURVEY CAP STAMPED"NR- APPROXIMATF LOGMIN CPI \ SCOW!S 1J400" � �FA MEM°APW A� s,� � \ �L s4'°• .■FILE NO. 1270 7 AND 1247190w, T 23'MOURN VEGETATED BUFFER § BASED ON f7E{O DES TO _ ' _ Q,a EXISTING C PALE LINE. I __ _ - • EASEMENT FOR ORMNACE PURPOSES PER AUDITORS u RD D.F. ��.. FKE NUMBER 406215 4=2 p 406719 ..0, -_ T ' I� 6 56.27' / / Cp EASEMENT FOR SEPTIC GRAINFIELD PURPOSES PER 0 h AUDITOR'S FLEE NUMBER 806244 0 I^ / I- M Ppb! Li EASEMENT FOR INGRESS.EGRESS.AND 610172 IT" D+•5752'JY O PURPOSES R=143.00' Z L>•IJJ.B71' I ® II AREA FOR PUTUR£USE/PRIVATE PAN"/ L ' — RECREAROI4N FACNlRES #00:\ IND.D.F. DENOTES LOT SERVICED BY INDIVIDUAL D AIIFIELD Iio4 J,L.1 4. POND/ DENOTES DRAINAGE DETENTION POND \\\ 11 •• _i___ far .. ______\\ T;°9 S87.4.310'E 150.00' I SCALE IN FEET r T ' 9710. '151::)7+ . 1 I \\\\\\\\:� +1 S 874635' £ 669.65' I \\\••\\\`'.1 +II E x { . \\\\\\\\\\\` ++ -I. •.{g OPFN SPAC VOLLEYBALL COURT AREA 1 SPACE S� • \\\\\\\\\\\-1 111/ ^^,, D+9712'10" 4 I °SRI � \\\\\\\\\\\\' +{A „•%1 !°4.1D°T .F_ INU DFiI AS.. 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'�T� 948901601 -901114034:, 941123021 901123422 \1.cr l o:d�xt:+✓�"+c-��Oo.rr'i C¢rr�t„e^,�ces�..�, X785? �t3 a 8+:1�X11 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:14:06 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma• 901023016` " 90102401. . i 90102402t,-, _w +5 1'r 9 4 4'- ` .+1024020 '901024089 901024115+1 40,:'11'.y ` ' -: d „ 901023002 901024087 t .M1023002 O .,901024325 901024408" ' Skit- 7Qa7 Ntk96 t tt-!_ib Le .5 r.1. 4 ,9111024029 901024126 heSAn ! N N 901424022 901024056 ` N t'' 9B v v ' • '901024067• ; Map Output • • Page 1 of 1 • ArcIMS HTML Viewer Map r' 1 _� .`A •`.. 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' ' 931013012 ' •-•93i024035 '- 9010'2._•li'0'.,.$-' - 901024*057 15 1‘" '''' `•-.. i ? 411111r079000100 ,/ ›-.:-..•:.".2.'343S , ...c_ 4,......,4 -4, 901024092 i 0010' . e'-` • yr* .If 41/.....5., '..,,t,......:.....C.::`.4 979900157 L x„ 90/0 q-,.'41'024046 c •I ••• I-', ' 240'..?.! (Yr 931024(146 9°10240 ' & (I-I- Legend .0240759010240. ••43 .ett. ,.901024081 .e•to Selected Features Blanche A v .., 901024080 901024005 972000024 71500 ,' Cl* 40,p, -1) 972000022 00 901013C" JC_Roads 1024082 972000004 9720)0014 r- k4ornssey A v 901024102 07200002C 0010130" II Parcels-H ' Transitional Rural Zoning -.0 e-"",...!, "" ....4 ?'e59.00001 1 \ ,17 ft W.3■Resoenia,1.5 1.....:-.,•)-1-1 Roj *I. ai Res,donlo,1:20 901 122a.:, ur SV1".22001 40•, 2...y...., - - Parks and Rocreal;on 989500001 e R urai Village Cantor a .-. 001122004 k crossroads GC ,' 901422,.:4...4 . ' . -- Crossroads CC _______ _ M - - , 005 ..$ .0 '... '''' i 4ii. 1) 0. 901111009 .., 901122003 I co Wit 11009 \\ ? (.,• t. \ 1 901.114022----T—948901881 1---1-- --- 904114000 901114014 ' 04000' ' 904114030 90t 123021 I 90''1 Z 2022 4.4ad-Y.,'St9d try Jeffers:al Care.C...e-a se".-cat Gt0 ,,489:.,,bco, 0 80311 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:13:13 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceNatne=ovmap&ClientVersion----... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 901023016. 901024010 ,i 1 901024026 a 909,400'9 - „7 1 901024024 1 901024089 ' 90102411&, ";;-4,„i `T 9010230021 901024087 1 ,3,. 0 d ;r 1 �-7--_ 9r?te2al?27 °° p a 901023002 0 -901024125 i._.901024006 St x 9894011603 S} i? 901024029 901024126 tbe5�r , > [Q .- i l --+ 1 901024028'9010241YL2 + N 1 95940 - ' i i 7 9010245.. 5 N ,989400101 901024067-_ ; /t gOtp2300t 901024074 1 ISR 1116.rK„�90 10 24039 901 024 063"� 901013005 o130E 901024033190102408$ T-__-- - 1 ti 90402479s -"'901024063� '� -- 901024034-,-_ i 905024064 901034061 --. . mill..61 s ...:, i { 4 901024002 �•�9010240GS 901013(Y2 . 901023005 9 ,.,b„ 901024004444 901024057 9D190 073006 i 11 A '-�979900157 79900100(! ' 907024004 Sri 901024092 4 �,�,.,, { 1`979900100 J 979900157 I-.-_, __. S I���901024023 . f � +c .? h I r--901024093'' z,!-, 901024045 90501409' 4 L--) Legend 11 901023006 9010240759010240= 6';' 901024081 4n ,3,,•, Selected Features Manche Av .�\'''' 901024060 901024006 972000024 973500208 9735001'+ 0* ,r . - -'r 9T2000022� iY0130" "„1' JC_Roads 973500204 ,+;; 907024482 9734 9/20N30014 't f They A v 901024102 Y r Parcels-H 901113025 Q54„., 972aX1f71t 9010130" 901111020 i h 5,-.-...* 1k` SIPZ 901112001 1 901111015 90112200. 901111004 ;/ I 1 995900001 I '4 \\ At R,skSWZ 901111077 High R I T A SIPZ .�' 901111017 �� -- � -- f +9 LoPeman Rd` -.f -1 ,...: ,t' 901122002 n 0ecenrm;ss.ance SMZ 985900002 " + 901112002 jf y.•.e2 V.1 j. 'e2�:•c Coastal 9W2 901111019 901111009 I 1 f 989500001 Pommel ltd — 901122004 901711005 + 1111008 __ 9011211)1 96 901112012 I 901111008 - 11' '.. 901111005 a *� 901112040 7 i,--...._ 901111009 ft 1, 90 `5 901122003` 1--901114022=j 9469015017-1---1 - .— __ 901173006; 901114000'901114014! • 94$905605- °901514030 ti!; i'302- 901'23022 Max vm chd tr.•-a*Scram Corti CCT$A Sent,+04S - 948 .503 0immimmossimazzo Y1_4H FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:13:05 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map . » • .. ,408.?,.. . . .., 901024121/4 20'02.1Cz•I ;It. 4"; ?, t• . \-,-----„_, \i,•' -''.1..ly ... . ''' 7 ''S -3", _,.....i...., ..•-•■ ''. LI .., ,. ..., Li, ,,, -- ---- -:-• . --'----"\i '..7: -,- c'44019 9°'°21'•• 0 '" '''.' .-' '": 7'.... T, ".....,i'•'....\ 4 i.: WI el24°L'' ' :1- ,. . .. tp Lrj, 98001c, dIr901023061 9610140744 •ik,. -• iSP ;:ii, A '024coogoio2406:i In` 901013005 t2.",..1,... 1-.:02.4e,..... 901024036 - -:- : ,_ •......,,,,,...,t, 'I'? . ,.:5•*4+,,,o+,,Awv, a •w 024020-.. '9796°C.'167 97'99301i..:t, A1024051 ,•--, '-. '.\ • v4:. 4::•: ,2004:0 970960100 ,,., 010240. gr2 ... •i . .... 'ir4:04.•ll.;.'1:,9799601570k '' '':'"`V A Y.■ .-= ....,',..,..'. :C Legend ..1" ..4. ..': L.-) Selected Features 90102407t,2- -..- - 6.. ...1408' t ' JC-Roads V.":i&i4 91350020849730W'" Ci' ill.•••,:,•„,11;•4;9735002_04 Afo,to, •i '-a-20..X.Y.'I 's., Jr; Parcels-H A 200. No Shooting Zones 4, 0 rat non _ •+ • •.. /X.'. hn no n 0 LaCR Po Int , I .. . 7 Ohnnon Olympic Canai Tracts Chimacum-Hadlock Looernan Rd \ 4Z..^:" 1 Ohnnon Triton Cove _.' e.,'.._' ,,_•.,,._..... 1 I C h nreseum C reek nKati Ponit ...... .....:,:l po-re.e."iki Pon LUCt SOW "....,..'.:...,..^.. CISOU111 C oft Pen Insuia ri Par..0 the Bay r,". "7, fl Ch oracum 0,3tihmt --. '.' -'h ei C.C.' 1) El Tata Shore ,i-j , 43- hr .1,'-f i..: ''I • I •c.tal Carty Cesara Servo=C.,$-.... ,.,...1z 2.._'5....2 v,---- — --1 1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:12:59 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion—... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 901023016., 901021 'r•'4tieo y 'ea,-:::•,1,...:':.,1 '� . 7 1 1 941424024 y,',��;.eetr_�,•-+ QZd"�'_� ? --.t 4 �7 90102300211 i W'` ,1_�' Li:'{'L•1:, 'r_ -7, \ °A O 9014,0 � �. m 'Y_ 1, :.,,,e,--1,'• 941423002 90102402.9 90",..-24',:t -- _,1-'rp5+lr 51 y . 0 T. s} ' 1 9010240,8 xt N t_tip•' t _YA 1, el LP •v2"7 ••,,~ 901024067-_ %\ 901023001901424074 I S'4 .4'`e. 4Z- , • 901*0240d2 tO2Ag 24, 90102`1 1 ,1 • ti ) 1 _`024002 \ ,1 ,.2 901023003 @! 90':2.1 '024020 0 ✓ 979900157 9799001001', 90102405q r] "I —j : 9799001001 9010,4,..,_,4 1, 001024092 r 979000157 .-0`9410244_ t 90102404!; 4-`r' ( Legend 901023006 961024075�1� �� 90102443 n • Selected Features ,, _ Blanche Av 7.:'029060 ,1 . ... - - - 9735002te _+e_._"; C l �...r.,. ,:• �," JC Roads �. „ - 97350020A MP11i6Ee Ati 9010,e l 8c r, t 7,` y q' J k 900024102 rn .r, Parcels-H 901113025 Ch 901111020 Tro / �Rh u Shoreline Slope Stability 901112001 941111015 4', l 901111004 139590.100}1 I I $lame 9411 f 1447 s 9611nof7 ` FT m,crnseu w,c n'—" Lopeman Rd * r '2272 1 L nslaRk\ )f 901112002 995900002 1 «, 901114019:i 901111009 Jn slat k Recent wn,7sewy7c i r rt . 9AvVY...- I u n st=lc O,o,_andstWy i ._ I —Pomwef Rt1 1 1 ►,.c n en 901111005 901111008 --- J 1 901112012 f �;' 1 "/ 901111008---- s, —1 — 901111005 E 3* 90,112040 `� 1. 9011110043 � 11 90111f009 z2rx_s � 90l114t122� 1 99$901501�- 901113006, —._ �;901114000 901114014, U 949901601 "90H t.4030 901123021 9°1123°22 \tar.xa:<hi 7■_«r:an Corte C...r,of Sav+oc Gt5 _.9485{:'503 ®800ft ■ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:12:47 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Map Output • • Page 1 of 1 , ArcIMS HTML Viewer Map i 901023016 L 901024010 I 90'024026 i :•,6940.1:''''.:. 1. .y ■ l I 901024024 1 941024089 901024115 . v t 901023002! I l y--,I. 901024081 '90'.024027 ' ?� ifs ' ' 901023002 4 901424125 �- 9010240LYi 5i x 1' (A Sr�y 901024029 901024126 hem o- :c (' r- - 901024028-901024022 fN N 98940∎ 98940 ' t 1. is !901024067-_. , 90102405'..2k....„,, 901013016 V,,,90102300190,024074 i 3R 118 t, 9010240881 1$ 901421009941024063 90,013005 c. 907024433: 941024111 "941024053 1024034 901020084 —,,,A 901024002 901024001 ,,,:a0130-,2 ,. , I ..,... r ____J _ �� 90,1024036 3013 , Y1 901023005 i s 8 901024003 901024020 0 4 ,� 979900157 979000104.-, '' 901024057 O ' ,y " .. t "979900100 —� ,r T 2231413046 •,) 1 901024004 5 979900157' i ,-- 9• '':'92 90tH t ,• ,„8,....i Ir 190102402! ?a 90,0240'48 c L 901024093 n a 901024045 901024091 a <. Legend 901023006 901024075901024011,1 Si.) 901024081 �m ,,*•, Selected features H� Blanche Av, �` -x:;*024060 901024003 97200024 ! - , 973300208.;973500117 0* _._i 972000022 9010130'.' JC Roads 3," , 941024062 972,306334 972020014 1, 1 eY'Av 9431024102 Parcels-H 1 90111392'5 C'fi�- 9720000X-9014130 901111020 'eh '►'-'-- Mineral Lands 901112001 .901111015 1?"""- `°".''b 9011110941.____,4 I1 995900001 1 901711407 947717417 1 t --- � ) — C L03emanRd-- .- 901122002 901112002 995900002 (/ 901 1?2W 1�{> '22''Cw, J901117019+', 901111009 1 Rit l - .. 901122004 ''',4'.1111065 19011 7 1048 ' 90"222:a?' '101,71 Slr 1 101111,-.R 1111 - 1': '. N fit-. 901111000 9011120,40 ...!:$' ,(1, ?' Yf 90112.2403 M .: 901144022 ... 901113006 '901114000 948901501 ----- } 901114014 fl c�q&901601 i 9011t4430 ,;_�"i_'%,t" Maa$r aedad ;_e k rear Cam Car. Se^.saas GS .. , .. ' 0 :5:+::41 `�+'.,2-�+:i22 �*4$�1 5031,:: . FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:12:39 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Map Output III Page 1 of 1 ArcIMS HTML Viewer Map + 901023016 +901024010 _ 90 024026' •+ 7i}:. r 'Z 1 901424069 ' 901024115 '1 1. -" 901024087 r • 901024024 O 9010241 y -5 1. 989400603 S 9010230025 901024008 S1 `q u: _ 1 iiiiiii k .9449.4005,. ti r___ 4067 102402$ 901024422 .901024056 N '9400101 070702300""1-1901024074 ' '-4/8 9010240099010241%2. -. -'y0130t6 90102443302 0 941024111901024064 901024053/* j ,1 1 - 901024061-. i ,901024002 •:9010240:.5.90, _ 3230.'• 901024003 '901024020 04157 979900100 .4 - x f L 478900,00 90102405' 9010130065 �''+ ■ • 90102404/%' +i .£r 4.0019010::, '' / ;r" 72400005 I tiw 0024+2.7 94,0246,4 •s -.. ._ • , '� 901024045 •' "•4'- a ' Legend -- ,a 901024081 •N013010 Selected Features B ' I I A''• '+1024460 +1024005 972000024 4(7 '''-.or 90501301. JC_Roads 972000022. '",+,r,•+ •720W034*972000014 y - +24102 ,= - I Parcel s-H � 9720000209010 ' + 1 Critical Aquifer Recharge / Areas IL J 1 tit _[ 9411"120::" I I SARPA SUSC j 90 "2cu' 11046 '.11.1 '.1 1><r ' i ' I su&C d8950000Y SdRPA Ponta." 94 22094 I sARP 901,2200' w+LINK 901 ,"12012 1 -- / I: �. ,r f —901111005 �`�.,�` �it°12040 " �1 _ *11009 -`x90449 94 1122003 ''t _____ A / . , __ I -----T 901114022— ■ 948901501 11- __ -t' -.--—__.__ — �,x 3t._ti '.134000 901114014 ;' 948901601-x"'90111400 951123421 90#123022 2 1�.!V. �1r,-G,0!+YI 0Q/Yj LQtlat $erY".4'13 Gt$ -±--948901503 I =:atomem&O55 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:12:29 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 901023016, 901024010 ' 901024026 3 x� 989940'Yn. 'Z- i 901024024 8 901024089 ' 901024115 V,--1(-'6.":„,,,( - �L % 901023402 901024087 w� i y"``�-�.._ 190702�2T a � .. d� 901023002 ' I 0 901024125-L-_901024008 , 1 $1'� p i , �989400603 901024029 901024126 1 w ti c - -i 98940.6.::'' ; `. '== C 901024a28.9010�24a22 # N 92 989400107 901024087-_ r i 901024056` t 901013016 901023001°31°24°71406-1 QR/70 901024009907024063- 907073005 901024033 1024088' `7' »., "6. it 901024th 907024053 t �� �901024034L=9 1901024002 10 4064 901024051' a 3013012 i%, { -'9010240;iti �� 3013 ' 901023005 4 901024003 901024020 It 979900167 979900100 o f 9799110700 ■ ! 901024067 901013006 '. 1+ I i tyyj, 907024092 ! �90, f I x979900737 ` HI— 90?024Gf}4 , � � I-1--7"----J i 9010240 2' c��2oo0(X'_ n; ¢ �a7024u4s'`` L ?�- X7024093 .901024045 90102409" ¢ <c L Legend 901023006 901024075 001024011+f' ' ;90tD24pgt Gd, 90t0130'_ Selected Features r:-1 Blanche Av �`c 9)*,024060 901024006 97200.1724 < 973500'208 i,�,.;'•; 4 11' 901013.:1" JC_Roads 97A90fJ422 973500 _ 901024082 972000034 972000014 't III J 1113025 YAv t.'024t02 Parcels++ 1 -71 aens ,Y7 972000020 901013r 901111020-11 t'4 '—'-1 Landslide Hazard 901112001 901111015 t'1 "� 9. ""' L 9011 t 1004I `�` t I sl tles 961' 'i97 901117011 \ i tiro Loperran Rd`—^ :' 9011226102 Moderate 901112002 995900002 90112h001A, `E2 8hght 901171019, ,' 901111009 /zl - 989500001 ;r t 901122004 r; Pommel Rd 1 901111005 901122i9' 90111108r 901112012 i ? x - .: -- —._ it 1 901 1 11008 a, tp'. 901111005 v �m r, 907172040 ....d 901111009 1, r7 30"''.009 ' 901122003 is C: i 1 a 1 948901507 - - �_- ---- `" -- ' 1 -•' 94$9101601 901'14030 90+*2302'1 ll vr-rsiYxl7 _-'2.a..xr✓'o1rr..ccs x.-��i� 945�''S03 I 0 6_911 90=123022 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:12:14 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 01024010 '' ":zi.:-4=-' ^A) 18.0'......... ,z4024/ 1301024089 ". 'e_`...c..i"L 901021"A:' $ -' •-• 1'5-1,-,,,-,_ ."0,10c,,10z e 7.t._ „,„,'-?- 1 0, 0 901024125 . . 'w -e- -5 ',./. `,?ee"10c,.--,+■3''..al - - 901024029 90024'z,.. '-' glAVI"' 11101-°°1°24°28 9.:,_z 1.,2t 901024067 51.5 .,. .....'.....e.+.2:', IP .,,,!!el... ,..■ t. .c.23001 9010240744 I 9,---1 oR't'76 .4.- . • idrioi 901•024r,11 024088 F .%, ' _• '■ g „. "9010z,i-...4 $ 901024002- 979900 0 15i 'tan '1,0' , 1 4, 1.11111MINP - .101.111111. 979900100 ' \ L 90,,,,....„,,,,,,, .....:-..„,,,,..,„ .2 '' ,,'‘..•,./...2L, , 9010240e2 b c 1 & _,..,,,,t,, Legend ..,6 ,,y..:..,4,:h,- Selected Features Thatizh.?A, .,‘e. 'X)102,4 - ='- 4°°5 ' 2-.....- 4 (1 ' '2'.''- ''' - ,..,.:”.:::•..'', 0* :7;:` JC_Roads *,-......., . -I kb rrISSe y A v 901024102— Iti2c....... . ,...,:,,,:„ i Parcels-H 1......_ a Heritage Points ,9.5Te.:0001 1 ( ,...""'..,.., \ k L3Peman Rd \'' ,8,,,\ i :f- b9 901122CO2 90 T112002 ( 901122001 j0,1122006 iffigAsir 9011110' 9895100001 --- ---_— 4 901122004 ponytail Rd i ,' ,' 901122001 901111005 go1111008 / , 901112012 iii -. ,......,....- ,, . ,, ____ 'i Ill 901111000 ,r 901111005 c .,, S 01112040 fp - ,_— 90 4 %I o• 1111000 d 90,22003 a co t...001111009 \ r------- I c \ i 2°1114°22--T–gatoolsoviji--- — 901113006 19011 14000 901 114014 ;1 94890,60,----90,,,,,4030 901123021 9E.,` 23022 94854y503 0 80011 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its --correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:11:44 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 1 2/1 0/20 1 4 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 901023016,r„ '•.901024010 J t`., r v 901024026- 7,s W;39.11C•_ •' ,1- .,y 981024024.11 801024089 901024115 1,. y +4 901023002'1r yt--7.--,,,-1-,....-..f.727!--904007 90'024027 R. , ?, I j ' 3-x'(023002 �O 901024125 u r 51 7 ' l' i ray 801024029 901024125 -1:'.°24°°8 p=WI' a G i • M, t % ; �`"rP ,�- t90(024028 91 'L` LG . n N 9894001-- � 9 010240$7 •-2.::-',:).2.0056 r ( , • b,. 9010(30 :: 4- X k 1"9 01023001901024074 Y 1 - 1 SR 11i5 '::.0'024009901024003' 013006 901024033;901024088 1 901024034' 90(024("905024064 901024063 J _�i } k `` _______________i90l024002 901024061155,,,,„, �� ,, .. F- -1 r , 901024015$'3 901023006 r1 9Dt02400Ci/901024020 9010(3013 979900157 979800100 }" 1024454 ��` v1 •-,{ �. l.� i ea.- 3- r.✓ 'Nwe't'. .. 11110111b1171/ . i o 91'9900157 79900900 t '._ 901024004 '"al 901024092 't 90/o .., I r 7 -7 90102402' ? / 4 S S,• �'�901024093'"' i'E�aJOS024b 5 90 024W+,4 1 { �_ r1' Legend 1023006 9010240/590t024t1ttl s' =,-'- 901024061' ( ` ''' Tm '„ Selected Features - r Blanche Av` ti- 024060 r 9,31024005 97204XX)24 e 7 i1 ` 973500208 7.i50OS'; O �I;�, 9(200002(,,,1 0,9G 't" JC Roads I 973500204 901024082 I 1 .9720000 4 - 1 Marrissey,✓',y 901024102, t 972000034 Parcels-H CJ ^� 97200002080(©130 'Oh ti ' ( ? •--1 'i y. 'y Y,\Y,\ , Contours _✓ ■ i, Ee3412X1(:,'', q S I -L,„ , 995900001 Y ti O �• hOfoot Contour U 1 �/ •� _ 7 } --' .21 r �, ....) '• t !Y 50 fold Contour Lopeman Rd --i '` y J 0901112002 _I •_..,,r r,t �' 47"120021 7 _ r" j . 1 ,e ,y )0011210():/0 12006 'y'i s+901 _. j d 1 1 f y 14'° ti I fJ , 1pp ,, 1„ t )y Op !l �'S / Ij r__...._ -- , 989500001 I t I 0 'I 1 110-.7. --,\-- �,i t Rd 590 r 4 pommel -- 1 • -1 1 . �90,p2290 0 9011120/ 1,1:?,_ T` `ti S - 1 t .11 i s ti r- x� l ._.-.” ti4Q _7j t+3' rt�-�-.,. s ti i( I 1' 905112040 r -9 - /~v 1t 90111f009� 1 a. I Q Nv..,s''t t I a t yy j 1 Y ,1r -1 ti ,.....,) izl000 rlJ I� el �.E 7 \,------1.1 t.,_ f r -N� I I'�i r 4~1 `Z I o - 901113006 (14 90111401901114022 948901501 j ' I r,j r zt - ` yt' 94890160( 901114000' 904123021 �` x,•'23022 11 �v.-d4 a1.:elktsm Carty Css-a Se..ces GtS , ' 94890 sea,,,.�i - 1 '0 , .''C�J 2 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. 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Data contained in this map is limited by the method and accuracy of its collection.Wed Dec 10 13:55:03 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 12/10/2014 Z >. • - 0 • s4 (Z) N.— N < ill f� s I U 9 i o LL1 W 0 o Z (n I-- CC 01 »z4cl (Ml - N6Z -Zl 4/l MN)N I _ I I - .98'4892 w^ ,44Z4SI 4 o ET,- = W Cr)R _P? 6''' L.L1 Wgllibk 4S.b 1,, %IWO v 40110 2 ''' ' ' ' Alp& boa a � 4;11% r - - x o o � "; 2�g m W I go 0 L' y_ tiI oy �° I � s s - - o I / / I _ I ro-'bays W z , AVM H11Vd = J Y 3 v F ma .I6'0 _ r I I6 W C' I I -"- 2Z XVl N N r/� LOOT ll I06 a L J —_ —J $ ° a V m�� s9m .8l'4SS U n I �JQ" ,SL'9£2l 0 0 oz U ,_•-- v J �n0a x-\J oe°dl rntn,, 0'� °a8 d�/ w°m _8 WZOO § 7NNm U ° o `,O' �d' a'�b rnzm�� j0Obos H 070 ir o;° RI fe$$ zl an •ob a lW0 y m w 11.1.20 - u5 3a 3N b,, II��I" °T.. ILK Inl~ ",S b ... °=g° ' I I '�' 8 41 ...„ J m U ism mii��� 432.81 't° M sOlb ri224 g'''b:b 06. N��S ,20'2990 .+ (Ml – Na – 11 4/l MN) Z9 gy0 V 210211106 8 8- 888 u, ` s 3 °w = ¢ ! x x x ° ° RI—8 !U:!oU m a x __- F ff oar a _ " .10i t >"z>- . ° !>n°°w 5216E g 9.4 o ° ° NX8°oin 8u°k'6? wa�i�rc road • Page 1 of 1 S ADDRESS INFORMATION FOR 426 PORT HADLOCK HEIGHTS ROAD NUMBER:P516 ROAD NAME:PORT HADLOCK HEIGHTS ADDRESS:426 APT: REAL MILE POST: APPLICANT:LOT#26 ADDRESS CREATION DATE:06/10/98 PARCEL: LEGAL:11-29-01(W)'LOT,26 GRID:E-10-C FIRE DIST:1 ZIP:98339 POSTAL DISTRICT:HADLOCK PLANNING AREA:4 VOTING DIST:301 CEMETERY DIST:- HOSPITAL DIST: SCHOOL DIST:49 WATER DIST: SITE LONGITUDE: SITE LATITUDE: SITE COORDINATE TYPE: ACCESS LONGITUDE: ACCESS LATITUDE: MODIFY DELETE ADDRESS NAME SEARCH REPORTS http://isserver/Address/RoadAddressDetail.asp?ROAD_NUMBER=P516&ADDRESS=426 12/10/2014 • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY x d DEVELOPMENT 4,. 621 Sheridan Street,Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�.co.jefferson.wa.us Square4NE Resource Center I Building Permits&Inspections I Development Review I Long Range Planning December 10, 2014 BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 RE: SITE ADDRESS: 426 PORT HADLOCK HEIGHTS RD CASE#: BLD14-00420 Dear BRODERS INC: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. All new development needs to address stormwater control based on the 2012 Ecology Stormwater Management Manual for Western Washington. The site plan submitted November 12, 2014 does not address the proposed method for stormwater management. Please submit a revised site plan that specifies the proposed stormwater management method based on this manual. I have included a handout on drywells which is on one option for stormwater control, which is already being used on your parcel for the current residence, for your reference. If you have any questions regarding this information, you can contact me by phone at 360.379.4454 or by email at abausher @co.jefferson.wa.us Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 3/10/2015. As required by Jefferson County Code, JCC 18.40.110(3)and (6), if the information is not submitted or additional time to submit the required information within the ninety(90)calendar day period is not requested, the application would be considered abandoned and therefore withdrawn and application fees will be forfeited. Jefferson County Code provides that the Department of Community Development shall not be responsible for notifying the applicant of an impending expiration, thus any further notification would not be forthcoming. Sincerely, fZfZa gaU6,e Department of Community Development Staff c: File PAUL VENNEMAN \\tidemark\data\forms\F_MLT_Addlnfo_Requst.rpt 12/10/2014 Standard Conditions for Resident Development in Jefferson County II 1. LIGHTING: 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. 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. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: 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. 5. PARKING:A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130& 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. . 7. BMPs: 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. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07 SFR_StdConditions 3/7/2013 1 Fisheries Service can levy peies. Portions of Jefferson County, incl•g marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a"take" occurs_ Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06_SFR_StdConditions 9/6/2013 2 , • 0 .. Dcrwrisppii. 1 / Hotise Catch Basin 4,,,..=Drain) 4,,pail rairy _ , . . -___, -----1-:-._ Dovropoti z,,,gt.........„,. . ---..... _:,...._ 0 DRY WELL , 48 I rch Dia meter Hole Filled wit') • PLAN VIEW . til2-34 IllashW ' Drain NT$ „,----R 01pm-193a 1 0 1"'""M eit.C eller of Hote / with t carped RI Hot.em /--Cvetflow 1 or Other means %, \,,.. ..---Srlash Block Topsrit..—, 1 Flush w ilii Suface r IIIIIMIIIIIIIIIIIIIIIIIIIItat'r"2 ' . "I 4 ' ' I - 14? - . ..wom _ —4- - 0-. ., -fr,-,-,,„,-.,4.• .pc 1 .mtn. _____L ,. .."4mont*Fir,iivtialtpiz ktiiik4Y1.424-Notcikpiej I.,„49,2worvAtplavv4 1 W*11,1T. ,t''.. ..4,72.1:SICISfillTikt Ftne tvlesh screen.-----'-"- 1,—phti-tc,,vir,tei a_ 4 Catch Basin wi# ekd Drain) 48 irch Dia rreter •/1 °V%kJ- Hole Hied wit) Sides of Hole-- ki4. Lined.4,4h km 'Oh-1'Wohed 4 Fitter Fabric 11;4 Drain Rol* jo 1.5'min. t,...t- t4 w -IV Mkt 1)thcyts sr.i,oas9Tra I DRY WELL Hi Stour)dwatgr Tab1,a SECTION —I- NTS 1 Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume ill—Hydrologic Analysis and Flow Control BMPs—August 2012 3-9 • • Setbacks Local governments may require specific setbacks in sites with slopes over 40%,land slide areas, open water features, springs, wells, and septic tank drain fields_Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%)_ 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems,infiltration systems must be downgradient • of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. • Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-10 for Infiltration These gems are designed as specified below. Drywells General • 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough�to contain the gravel amounts specified ecifed above for the soil type and impervious us surface served. 4. Filter fabric (geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and with • jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 • 7/31/03 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion ponds 1. Roof and other intercepted precipitation shall be routed to on site detention p and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from catchments catchments water has and d been treated to meet drinking lawns and gardens.ns. water standards,there shall be no cross connections allowed between the potable supply and impounded water. 3. Ground water withdrawn from each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 5. Landscaping should include xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniques to water plants, shrubs and trees. 8. Routinely water deeply and less frequently. 9. Weed control is an important part of water conservation. 10. For your landscaping select drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irrigated lawn. 12. Mulch your garden as well as isolated plants,trees and shrubs_ 13. Use shade and windbreaks to assist in water conservation. 14. Use low flow water closets, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving devices such as low-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones(SIPZ). 18. Water softeners that contribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spigots)for outdoor water use should not be used in SIPZ. [end] PLEASE NOTE:THIS LIST IS A WORK IN PROGRESSAND MAY HAVE ADDITIONS / DELETIONS M DE A D ANY TIME. USE CURRENT LIST. 0 • Jefferson County Building Division Permit Number: BLD14-00420 Applicant: BRODERS INC BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 1/7/15 ,' T c 'l Foundation Footing /////5 Z*` / . -,e r x*-1--- I-7-t 5 SG' ?, Framing / Y Septic System Finaled <1-74 / -16- VD 6 , *y'EM Gl)ALG. /f e/''``/'5 H A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION / .� ., FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • • CONDITIONS for Building Permit# :BLD14-00420 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health.Additional requirements may apply if plumbing is proposed. 2.) 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. 3.) The revised site plan as submitted with the building application for a new detached garage on December 16, 2014 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 December 16, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a new detached 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. 5.) 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. 6.) 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. 7.) 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. 8.) "The 25-foot wide buffer shall remain in its naturally vegetated condition. No constructed or erected facilities shall be placed within this buffer with the exception of utility lines, fencing or security posts.This includes the exterior of lots 1-6, 14-26, and 43-45." 9.) AWB \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 12/30/2014 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00420 Received Date: 11/14/2014 SITE ADDRESS: 426 PORT HADLOCK HEIGHTS RD Issue Date 12/30/2014 PORT HADLOCK, 98339 Expiration Date 12/30/2015 OWNER: BRODERS INC PHONE: 360-797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 9895 SUBDIVISION: Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 1V1 CONTRACTOR: PAUL VENNEMAN PHONE: 360-301-4770 P.O. BOX 1611 PORT HADLOCK WA 98339 PROJECT DESCRIPTION: NEW DETACHED GARAGE NO PLUMBING- NO HEAT SEP96-00080 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 624 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $245.00 SRE 11/12/14 151728 Exist: Exist: Plan Check $159.25 SRE 11/12/14 151728 Prop: Prop: State Building Code $4.50 SRE 11/12/14 151728 Total: Total: Total: $408.75 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED