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BLD2005-00608
MLA05-00569 •UILDING PERMIT APPLICASN Review Type:; Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD05-00608 Received Date: 9/22/2005 SITE ADDRESS: 392 9TH AVE PORT HADLOCK, 98339 OWNER: JOSEPH PADEN PHONE: 360-385-2646 CARRIE PADEN P.O. BOX 1351 PORT HADLOCK WA 983399643 IRONDALE SUBDIVISION: Block: 68 Lot: 21-24 PARCEL NUMBER: 961806817 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFRW/ATT. GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,640 VALUATION 165,000.00 ADD'L: HEAT TYPE: Ec.occate CODE EDITION: 2003 HEAT BASE: 04B50 ' HEAT TYPE: WOOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,008 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: rf 1 Type Amount Paid By: Date: Receipt: A proved/Date Permit $1,357.75 SLE 09/22/05 76638 ROVEr Plan Check $882.54 SLE 09/22/05 76638 State Building Code $4.50 SLE 09/22/05 76638 OCT 2 0 2005 Potable Water Application $53.00 SLE 09/22/05 76638 efferson County Planning Total: $2,297.79 & :1 1 401! I apartment Ili • OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be Ting the responsib)lity of the General Contractor for the proposed project. Signature: et../0.4.../_, (all 1/101-A---- Date: q—X0— e2COS"- GENERAL CONTRACTOR OR MANUFACTUqED.HOM . 0 r----`\ PHONE: FAX: ) ( ) MAILING ADDRESS: 11-3- i i 1 1 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: ! ' . utP L - :,,,,) IL : UMBER ; ARCHITECT/ENGINEER: i 1 'HONE ( ) FAX:( ) 1 L — ------ - MAILING ADDRESS: Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: •,t1C.New )if Wood Existing: 0 Sewer O Addition 0 Steel Proposed: ,Z Bank 0 Community System O Alteration/Remodel 0 Concrete Total: a.... Height pifidividual System O Repair 0 Masonry SEP Permit# O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 -Mva . well 0 Two Party Type of Heat: Proposed: Total: 13-7 WNW Name of System:? If this is a Commercial Protect vou must answer the following: ,....„, Number of Parking Spaces: Current -2) Proposed: ,-., Number of N2A Parking Spaces: Number of occupants(indudes owners,tenants,employees,etc) Current -:_ Proposed IBC Occupancy: BC Type of construction: WIN you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation Permit mark all items below that aoolv: Li Underground Tank 0 Above ground Tank Size of Propane Tank: El Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this aoollance being Installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to Install a propane tank you must also submit a site plan showing all of the bulklings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. an)Foota! - :IWOOk4MU4441tihr - - - -z7..:-:---,„. "'-'--7,?•:,-,0-i';':-. Yrj,-,;4-iM'''''',1'** Current P . • .- - • ' . -- . .,... .trov.:„4.:,,,,;.-_ -•;..:,-.N..„-:`-.. -,,,„:,,,,_4:- ::.;„,f,-...;11., :„ Main Floor , -,'-vt,Oriiite-'!.7' Aiv_i,r*. * :trW, :-- 2Nu Floor . '- , -: 3aitileb:, r Floor ,... _ ....' ' ' Additional Section: , - ---:',."..'.'"''.----''''• ------;',,:_1".= ;-,- ,J....,..-.:0,---e..,-.;,,,,-,..,: Mezzanine: Plan Check fee: Heated Basement ' ' : ' , --AtOtti,SOrid*Oefel*: :'- Unheated Basement ... , ..- .43,Af . f-,iftiolAk-V., ,. ..--, ....7--:::,'',:- '- ' '''''''Water'.' - '!Wi '' `' '.1"1:4' tl?".A.a...,--4;1 w :-%.,.-: sAgf,-*::,- ,-,:' Other Unheated - ' .:., . : ..,' '404°:1% •,i4., -.,--..-,,,,..,,:,.7.:v3.2- -,,,,,,, , Garage/Carport , -.... . ., . . --,;::_..,..,,,,,,--K.':.: . ,---,4-;•:,--.:-'. '.:-'-''':::', ;-;'-iC.-•*-4;.---74,,Pi-.,:17.:-,.. Q. Z3T58 ii.r . : TOTAL' '''$.',.;-2Vr'', 4t4_114-1,:li',..,):-.4;',..;ixtv, '.. ',\'1''VW•;;TII..,::";Y.„'-1.:111:,"V.-7 :T..s.eA'Yf,r.:g"°,-. Decks ' . - - _ - - • VecohytNuniblie;-:-. ,-•-, - • '2... - ,:-,„fil,-;,A,--..-..`•-;:::-. 4,f..-';.---,'-t,,,,,i-:3'.----.=-,:' Other i, „bar,ch - hiChedt Number Olt ,- -- 1---- t WC%fra '.: '.'-':'"": "',.'' •- ,4t:',4-, ,,'''''''''-'A,:;,=;',:.::',q. :','-i-- ;-,:-.''.--,q45-;;YNAZ:::<-1,:-:-.- ESTIMATED COST(RE___04. - I boo: • -'s-1„.-„,,=.:1 ;.,VA:'-#2:iy.-2.,1,i*&V:2.'..!`71'1:.' •Fair masket val - . ,-71 . -77, .-,1*• to finish - --- • 71. 447-:o."--;144,_.z.:.2. , - inlitaii: ' -- ' - --Fr '-',..--- ,? U-V,...i.t■In'',:•-i'if-, ,*-TS:-'.,'"'. III. , e 40 -- --:--,:-;_4;51,,,-,...,...,,i,..-.-,......,..,,,,,..„-,.: - .40, .,...,-..,,..-.!...,,,-., ......... G:\PemitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc � SON O> JEFFERSO�OUNTY F • ._ Al Or I' 444` DEPARTMENT OF COMMUNITY DEVELOPMENT ,z a i , ...� 621 Sheridan Street•Port Townsend •Washington 98368 ; - ' t ?i`,`, 4, .. 360/379-4450. 360/379-4451 Fax . 1 1k9Z ING�,O www.co.jefferson.wa.us/crommdevelopment f L E r 2 2 r 1!, Master Permit Application Project Description(include separate sheets as necessary): Tax Parcel Property Number. ,N°s , 't± Size: _1 ,) '1 i : ) (acres/square feet) Site Address and/or Directions to Property: 3ci Z. q(`"zr A lE/ Focrz 4 Acnoc r _ ctel M Property Owner(s)of Record: ,OS (4 QAO€*'t Telephone: '=' , . Fax: email: Mailing Address: . •)k. , ;' Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: • Wind of Permit?(Check each box that applies) ilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ ition Permit 0 Conditional Use[C(a),C(d),or C]** ngle Family ❑Discretionary"D"or Unnamed Use Classification gage Attached/Detached 0 Special Use(Essential Public Facilities)** ❑Manufactured Home 0 Boundary Line Adjustment ❑Modular 0 Short Plat** ❑Commercial* 0 Binding Site Plan** 0 Change of Use ❑ Long Plat** biAddress O'�oad Approach 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Propane ❑Plat Vacation/Alteration** w ❑ es Use Consistency Analysis ❑ Shoreline Master Program Exemption/Pemrit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** o Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive PIan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium *May require a Pre Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: ZBy signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnity and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. �`. t Signature: i 1 t f\j .`; " ,z A__ Date: '1-a i- , on The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential'lake'of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or'ESA?Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable ti adhering to and complying with the ESA. The respansibi plying Applicant has read this disclaimer and signs and dates it below. Signature: r„e:L\ . i,--)=- ,- anti,-�.- Date: cf' i ,- C"C?C"` Pi G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.cloc �. APPROVED STORMWATER PLAN JEFFERSON COUNTY OCT 14 (;I DEPARTMENT OF COMMUNITY DEVELOPMENT IEFFE'SON OUNTY 621 Sheridan Street• Port Townsend•Washington 98368 err.of tf tx;vt:t.orM'NT �O 360/379-4450 .360/379-4451 Fax stli AT RFE L ./ http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 9 5- SG 4 PRaECT/APPUCAMr NAME: 304,'4 C Qcr; �a�c�2.1v Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 3:+e, _is Lo+cg e..\% C 1 ea.c4ant w:'tom ct C t-er M A-v.c.42.. C at:1m; a►. 15..hnAR Le- %)tZ c Pt .) :,e.■d c ec aL tax)a.<-,s -44L-"P-7 •ccecinto 8 tc4€2.., t9 4.. acass es .•a -1144..s 0.cQc . Existing Conditions Summary 2. Descnbe the existing topography. Indicate contours on the site map. L 04. Slag ;541W/ 4o c 4-Lo hita-C-- 1ud 4-1e► 1 C1r a ataq+e_s +el o v.e cy s is?14-, A9 E 5/,19-42. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. • t. 1,Q. - .• • tk• It k., - c-C' `L - - . ,r+ giV0.Q-12.. ` . F-ets a S3 TeiS aS 4. Describe the existing soils. Indicate soil type on the site map. 5 i r y Leatrr.— Cows s� os. .L.. Sart c. Sy S-f'e il►r� • 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site-above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of e=« . Ora:y iota 6. Describe any excess levels of noise generated by the proposed use or activity: stormwater site plan template—rev.101/2003 5 7.j: Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. IFdicate location on the site map. 8. Describe the general vicinity of the site,including adjacent land uses and strictures,utilities,roads,and sensitive/critical areas treams,wetlands,lakes,steep slopes,etc.). L Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium"size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(i.e.,per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. De.u.m.LepA 574.e. 4414 ohs ?`f 10; 1I p - D0.44 e Si ?in {i (f► i• bm t . �. •I t.9 .: , _ • tr tit f 4'e �, a. _ w:44%. 6 1 -fit ,1c I.saes 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] • • 11. Describe the performance goals and standards applicable to the project. JI 0 5perg n11J no 51.4.e 12. Describe the flow control system. '}- • 6 stom�water site plan template—rev.1 W12003 13. Describe the water quality system. rV 14. Describe the conveyance system analysis and design. cr►n. Lo 4-e.r Co� S�-k� P[<ZIt 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. n 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendbc Chapter 33 of the Uniform Building Code. 1\-.) f 17. Describe the proposed surfacing material. Cc‘.sL Ot.. St LL 'pc► Q.wo. 18. Describe methods for restoration of the site. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. ,.. t 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. jIPr . . . . 21 List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. (1r- stommster site plan template—rev.10/1/2003 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will.be addressed. Identify the type and location of BMPs used to-satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the ManuaF i 2-15). (be9inn ng on page 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. Si 4_ clotxc en Oklayr c c Q art cr v4ot�n1 Cl atee t rue i 5 a k 4-`ap_ _-La 2. Establish Construction Access. 3. Control Flow Rates. , 54-t cv. LOnAcr (c)%I m-- Lo Io tit) COQ. ! b 4-r-o L 1- ta.t (Q4 4. Install Sediment Controls. ipt- 5. Stabilize Soils. (-tom);.\l Cn1/4)42.c�e.. c e1 fc<-• c4a.ca-e0.11-.4 B r c sec.QeL. 6. Protect Slopes. S s tus:/int_ 7. Protect Drain Inlets. 8 stormwater site plan template—rev.10/1!2003 e 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. P/IF 9. Control Pollutants. t¢c� �: V \.Q._-kci1cQv ti+ 4-0 0v1— £L ( Per ekA:c L 'pn 1(u-ar-. arL ZaakAcA e. b S c_karc o -Lot" b� Cam off.∎,,€R.. �a veA CE' ct p A zar-cipc4S t)¢.Q,,:c.,1.KL t.u:.\\_c,e;c�.palo 8v3 S-V-e. 10.Coontrol De- pumping groundwater or stormwater away-from an active construction site). hI - 11. Maintain Best Management Practices(BMPs). II-- it • , • - I m _ 414. 12. Manage the Project. • c�t�►aQr rt.cer t v■.\\ Mrkx)a To. 5-/acw∎.1ocx�ar 0 Wu-se:114 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). • 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. �-�.Q.c•e. s u1-/-e— stomwreter site plan template—rev.1W12003 9 i b. Description of special requirements for working in or near environmentally sensitive areas. k.)/11-- 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodlbility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence Yrgt_l a4:n0 Ft,6 4&De s r1,Ata.1)n1.d -1O ) 'Faun t N� + Sp G tos-k-la ©rJ F;ti:s l� 1 b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet season construction activities. • S ri- +O -cZrok S L. b. Proposed wet season construction activities for environmentally sensitive areas. —Siglif*Pr-'4J1./Mgieeffeg.___444— 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stotmwater site plan template—rev.10/1/2003 • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan("as-buitts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 12 sto water site pan template—rev.10/12003 i x Z} as ,4:, J • • rn r • �� " . . •:. m — r • I P . p . toy » 4(4,..../.4.,,� • 3 w » 0 a k p 5 ,....4 ,(jU,$ > ),,,,, a. I i x ,1. z� emu • » I C7 „ a • >a . • • 1 ; Y M P • • . e i R t 1 #3 — • t } uaw . `• ^ .F^'t r wax.��n ewwsW�++.a+mwn.a.+wPttwwM+rr.+�wry."ua N i , f ti tf • t7 _ • v rn ... "0 ,,” 1 . » wt R^ ;, c B . m "� v 23 s .i . • 1 f . r . . 0 r « k Z x ,'t `.3 i'-'a 1•X! • . ""'!' ( { r 9 .. i X.N 2 r a ,. ; ,, .:. I '-''. . 1 • + f { a e":y - L!"iwy ri �_ • 1 ( k—.,t I c 0 . tz ws , , ..,,, • - ' �r ate` x. x • r T Q , riA g rn ._.., .._. . ' „, i....._.. 1_ T-7----- -1.---"1"-; ' r I- ,F. ., :., i ,. , , , , ............. (.........T. _ _ ill P 1 � I I I- I ;6 1 1 , 1 i ; - I �.0 to . ' `'m Y" . f t......._ ,. F• t :1 ', __L__ ate; .. I• f x 9, i , j - ._ I I Ste ' i ( I I _. Y _ _ ,,_ � ._. ..,. 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I, , L.,,-,-..,...- i, ,,, ••,-...- -.- ',, ., ',- ;..,:,,.:-....,,,,,47.,,.,,,,:•.;4'0:;',;" tAf.xr ..,L,.,4.1-1,,.,.‘,,i,,,.•)1r..,,,.44:,., 1 M/► i .R _ I p r ' .... —u . rn .� . 0 2 ,moo -` C -c j _..:. � :. . _.. ___ _ ............. ; O cp 41 k i � bto 1:-__....._ �__.. ,_ .. ..... __ .... , .i 'fit I I 1 ca inn 1 r . fir;. .. rn i * t-, r% L i k"" R'� i 1 1 1 i ' 1 -di k....1 �.�u 1. �...... i� 1 ,. a ��ww,,.. a �7 ' l' Y°� 'Ro ?•, - '• 1 • i I j , cJ`, ,I .. _� • I I I yid .... .. ._ _._ y e �I 5 ' ". : '.; , i YY A ," „ is BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD05-00608 Received Date 09/22/2005 SITE ADDRESS: 392 9TH AVE Issue Date 10/20/2005 PORT HADLOCK, 98339 APPLICANT: JOSEPH PADEN PHONE: 360-385-2646 CARRIE PADEN P.O. BOX 1351 PORT HADLOCK WA 983399643 SUBDIVISION: IRONDALE Block: 68 Lot: 21-28 PARCEL NUMBER: 961806817 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE WITH ATTACHED GARAGE (Main Residence) CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 4/ 5/Ob UFFER: /5/e4 Footing: I,1,e% 5/06fr Foundation: Of(/S/o,G, Stormwater FINAL Approval: j%o,),vvi-t0 y-510(e)t) Underground Plumbing: Underground Insulation: Shear Wall —/ • e- irr Sheathing:. Framing: ) t PeiCateiedcx vJb e!"6 1../0/144 Plumbing. 3 ) Propane ank/Lin s: Insulation:lwF,i.;,; y(.- Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: P1010. '3 -2-D(�-- HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR ClIE # BLD05-00608 1.) The road approach permit(RAP05-00188) must be inspected and finalled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact the Department of Public Works at 360-385-9160 for the final road approach inspection. 2.) The development will be serviced by public water and a well will not be utilized. If a well is required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ conditions. 3.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 4.) 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. 5.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than two(2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk(or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 8.) Pre-existing legal lots of record less than one acre in size in Rural Residential districts are subject to the stormwater requirements in UDC Section 6.7 and must meet the"Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the Administrator." Lot coverage is defined as amount of impervious surface,which includes rooftops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) 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. 11.) 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. 12.) Setback from 9th Ave. right-of-way is no less than 20 ft., setback from W. Swaney Ave. right-of-way is no less than 20 ft., setback from W. Melissa St. right-of-way is no less than 20 ft. and the rear setback is no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 13.) A minimum of two(2) on-site parking spaces is required for the single-family residence 14.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 15.) This Health Approval is based on combining lots 21-28 thru a Restictive covenant. This covenant must be completed prior to final. Based on the combined lots one of the residences must meet the definition and standards as an ADU. I:\F_BLD_Permit_Buildng.rpt 10/29/19