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BLD2013-00055
BUILDING PERMIT APPLIC Review ON 00034 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD PORT TOWNSEND, 98368 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: LITTLE& LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLCI57C5 Expires 3/6/2013 REPRESENTATIVE: SIMON LITTLE PHONE: (360) 360-640-8814 210 N VICTORY AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: gA,WkoeM ,8=t.1 ,{A CONST TYPE: GARAGE: 044161SHORELINE: CONST TYPE: DECK: 4 0 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 0 Pros Total: 1 Total: 1 Routing '0.te: Type A v: Date: Receipt: Approved/Date Permit $650.75 LYK 02/14/13 140002 APPROVED Plan Check $422.99 LYK 02/14/13 140002 State Building Code $4.50 LYK 02/14/13 140002 MAR 2 8 2013 Total: $1,078.24 Jefferson County DCD c ' lc%ec� 3�.Id,nc� pit rntkr c,n(41-13 \\+irlomor4\r7n+n\fnrn,& RI n Ann RH rn+ 9/10/9119'3 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00055 SITE ADDRESS: 245 MC CURDY POINT RD Issue Date: 03/28/2013 PORT TOWNSEND, 98368 Final Date: 10/30/2013 APPLICANT: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 SUBDIVISION: MIDDLEPOINT LAND CONSERVANCY Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W PROJECT DESCRIPTION: UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR- REVISED THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/30/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013 110 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD Issue Date 3/28/2013 PORT TOWNSEND, 98368 Expiration Date 3/28/2014 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: PHONE: - c '' ‘2t04 gg LL PHONE: 34 o PROJECT DESCRIPTION: CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: Mud room ,82r tat CONST TYPE: SHORELINE: CONST TYPE: GARAGE: _384- SETBACK: DECK: --tail BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $650.75 LYK 02/14/13 140002 Exist: 1 Exist: 1 Plan Check $422.99 LYK 02/14/13 140002 Prop: 0 Prop: 0 State Building Code $4.50 LYK 02/14/13 140002 Total: 1 Total: 1 Total: $1,078.24 Directions to Site: tNSW 'el\ Rl 5 -13 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 /.�.F PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8378• FAX(360)694-3376 email:info@johnwparkin.com McCURDY POINT MUDROOM 6/27/13 STUD WALL&SHTHG PER PLAN 2x PT PLATE UNO w/AB'S PER PLAN. DO NOT COUNTERSINK ANCHOR BOLTS EDGE NAILING PER SHEAR I WALL SCHED/PLAN 1 (1)-#4 CONTINUOUS -�� #4 @48"OC F. C 6"CONCRETE STEM it WALLS A/V. \/IVAA\ \/� FIN GRADE ri i\ / z J CO U (2)-#4 n 'III:,=> . • 462.9i R , 15" Sf , �` ONAL 6"27-/ 3 0 ALTERNATE FOOTING DETAIL SCALE 3/4"= 1'-0" TH-ROOT,INC. A member of the sm SIIJ ith-Root,Inc. .ipormF.Ash„,,,com,,,,,,go. family of businesses W W W.JOHN WPARKIN.COM . PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8378• FAX(360)694-3376 email:info@johnwparkin.com June 27, 2013 Simon Little StudioSTL 210 N Victory Avenue Port Townsend,WA 98368 Site Address: 245 McCurdy Point Road Port Townsend,WA 98638 RE: RFI#1 Dear Simon, At your request, I have designed an alternate footing detail for the new mudroom that will be located at the above address. The new footing is a stem wall footing and is an alternate to the originally designed thickened slab edge. You will find the detail attached. Please let me know if you have any questions regarding this memo. Sincerely, / // / / Michael Daubenberger, SE i 1008-02 ALT FTG �( z KT L �4 ., .. 4. . a •,.. , -1 A 46291s4, %NAL !>-Z7 l3' lea Ri ANC A member of the Smith-Root Ina rre6KnGe. familyofbusith.eS www.johnwparkin.com l © sr 0 'It,,4'' 'G7- ..o _ q� N, b ''s•,: off C.3 -v 1 O s O D 3 I � `"� ; I a c —i q D rlr L 6DZ A AD rq,"'4'; , 0 I 4 D !c� p - C1 —I 11 /r I €Q �rn ko N �z z ' D d /r PrFu2y o $ 0 0 r it r N m I I n i 04' I I I _1 I !N I I Ao — I ai • 1 iII imr -9;�7 ' J r I Z I r\` I / rn I I ,'' / 3I IN I I 1 ti r-I i m rl // ..,. :y/ 4I I ■ l / 'i "_ I IoR r1 / ''\N i /i I v \ nH� IO 4 n / �"n"ss o A 1a: rn ,;jf1/ ' m \ g Y I ( /�, i1/ �1/ ' 1/'l�', Jy, // 3 z ,i r11 i1``w � yC f 6 r �,�/r �// A I4/G�I{/7 l,l �j �_ �r .,�a-o" lITJ1p,Ifit I z '01,,4,0/61,0054,11g.://,'.p?'�i / ��CCr/il r l/G114' j/ -- z '*.:J_ !0 . 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T a 1 !.,1, ill v ,(D, McGUR17'r' F'OINT ADDITION I it, ,;_ . ; 1\•) 11 PORTE COCHERE/MUDROOM/PECK I ill 1/11 11 ■L-. —.... 0,i 245 McCurdy Point Road 11 II Port Town9end,INA 95565 • 1 .r.—J • • •• ' t ik06.4e;rn40 0d JEFFERM COUNTY I DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax $,s, AO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1-3 --34 Project Description(include sepa - e sheets as necess: el,) °( e k c an Co n '4-Nb„e unItcc-e l I Oe� c ilt . Tax "areal Number: /0/ 325 O o) Property Size: 4.72 a c/'<,S (acres/square feet) Site Address and/or Dire 'ons to Property: 245 �CU` po;., K�. rOf l�w„s�� Uf ,g3.4-15 Property Owner(s)of Rec6rd: t1 lc J et it'll Telephone:360-3b- ` 1?3 Fax: email: Mailing Address: 5 A M•e c..s ro Cc / Applicant/Agent(if different fro owner •Al on r`� [�. A16".-0 TL Telephone: lo. d 0 : y - Fax: J Mailing Address: 0 A :G ! i r 6•ail: 5�r�rr n S u -.5i-i.C h• What kind of Permit?(Check each •••x that applies Auilding ❑Critical Areas Stew ip —' 'stir Demolition Permit - ❑Variance(Minor,M r Ra :•!a . :s i I ❑Single-Family , ❑Garage.. Attached/Detached ❑Conditional Use[C i ( or C]"" 1 ❑ Manufactured Home_ ID Modular ❑Discretionary"D"o rY �m`a�ed Use Classifi ! � ❑' Commercial*': ) " ) c��Q I ❑Special Use(Essen i '�ublic ieS �` LU I� 4 0-:Change of Use ❑Boundary Line Adjuent ❑ Address' ❑Road Approach ❑Short Plat"" Li Li 0 Home Business ❑Cottage Industry ❑Binding Site Plan"" I ❑Propane ❑Long Plat"* JEFFERSON COUNTY ❑Sign ncoY OF CD°��}9L'Jlh C�'.,Fl OP F"T ❑Allowed"Yes'Use Management ten Analysis 0 Rural Residentialdet►�D)/Amendments"" Consistency Y ❑Plat Vacation/Alteration'""" ❑Stormwater Management' O Shoreline Master Program Exemption/Permit Revisions*" 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'" q Temporary Use . ❑Shoreline Management Variance '❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference.. - Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT 1 hereby designate to act as my agent in matters relating to this g application for.permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his her or 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree=to provide access -nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re* d later i -pections.- Staff's access and.right of entry will be assumed unless the applicant informs the County in writing at the time of the apples on that h • •- •ti •rior notice. - Signs•.n_*�' - - �" ...f Date: ( The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Speoies Act"or"ESA.°Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued ill not violet- the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you. a in compli�t with the Jefferson County development-code.The Applicant acknowledges that he,she or it holds individual and non transfer responsibi ' for adhering to and complying with the ESA. The Applicant has read this disclaimer and-signs and dates it below. Sign.:: c: ,,� Date: DZ' /4.'" 3 G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . .. - ... II 0 _ 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 assuming the responsibility of the General Contractor for the proposed project.. Signature: Date: GENERAL CONT' OR OR MANUFACTURED HOME INSTALLER: PHONE:. FAX: RvLr'Q AA X, Cdrvp& (5CO) 301'51111 ( . ) _ .. MAILING ADDRESS: 2521 yak_d 4 5'L l!4 r 7L 7-4-9-1_,a uJ EMAIL: CONTRACTORS LICENSE 111 WAINS Ku61oC$15Na d NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (3to )Kg983T 3 FAX:(5Co) C! 4.. 7( 1401 N� 5. Eh q,✓lcer nq� �q p l MAILING ADDRESS: rya4 Cite lc AYt! �NLoW/J W /8`0` EMAIL Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal: o _New Wood Existing: ❑ Sewer Addition- 0 Steel Proposed: 0 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: i Hei$ht: ,, Individual System- . .. ❑ Repair ❑ Masonry 3✓ SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: . Existing: 1 Setback: /Private well 0 Two Party Type of Hell Pro po sed: D 07`"yr` ❑ Public V/l'e A Total: _Z____ Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is-a-Prooane Tank and/or Appliance Installation permit,mark all items below that apply: 1>Underground Tank i Above ground Tank Size of Propane Tank: - 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove T Other . Isthis.appliance being installed..in.a.Manufactured/Mobile Home? Yes / No When applying fora permit to install a propane tank you must also submit a site plan showing all of the buildings,all property -lines,-tank location and size,distances from the propane tank to all property lines,buildings and septic system components, - includin• the reserve area. S•uareFootae Current Pro•osed w r �� - _ - "` -.t,•1 �_,. Main Floor Heated i'2 - , EH BId App Review: I O 2 Floor Heated z g Consistency Review a Other Heated ' Base fee: j Mezzanine - -: --' -, Additional Section: Heated Basement - N., .: Plan Check fee: } 1{72 .619 Unheated Basement i ?: - State Surcharge fee: ,�( 1 Other Unheated ; p L Pot Water Review fee: _ C010k Pin --> Garage/Carport IT,Y"►7 • SUBTOTAL 7 Decks O 140 911/Rd Approach fee: ,! Other Y TOTAL $ 1 .24 - tz Receipt Number. (A(Do02, ,L.-_ Cash/Check Number: F (C-7Q3q 7 ESTIMATED COST(REQUIRED) Date: _ .Fat market value of all labor and materials foundation to finish 5)160-0 • Initials: c____/ 'C i14.43 Trae.ea (4 4 - ti3 i'CciakfAcze. GAP emvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDING PERMIT APPLICerION MLA13-00034 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD PORT TOWNSEND, 98368 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5 Expires 3/6/2013 REPRESENTATIVE: SIMON LITTLE PHONE: (360) 360-640-8814 210 N VICTORY AVE • PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 84 SHORELINE: CONST TYPE: GARAGE: 384 SETBACK: DECK: 408 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 0 Prop: 0 Total: 1 otal: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $650.75 LYK 02/14/13 140002 Plan Check $422.99 LYK 02/14/13 140002 State Building Code $4.50 LYK 02/14/13 140002 Total: $1,078.24 \\+iAumer4\rle+e\fnrrne\P PI Il Ann PIA rn+ 7/10/7!11'2 • • 4e14--.6°\ JEFFERSON COUNTY ` +r DEPARTMENT OF COMMUNITY DEVELOPM 14 FEB 142013 I 621 Sheridan Street• Port Townsend •Washington 9 "83681 .q% +�c7 360/379-4450 . 360/379-4451 Fax JEFFERSON Coy:do http://www.co.jefferson.wa.us/commdevelopment/ DFPr p,=COMMUNITY Dtt%EIOPMEM Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: McCURDY POINT ADDITION / studioSTL.Simon Little 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 4.723 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 205,730 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 Geared,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 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic 0 /ft tic tank,etc. sq/ft Circle: p q 111 eS � N`l 0 Well,utilities,etc. 0 sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking, roads,etc. 0 sq/ft 0 Circle: I n I yes 1,10 Lawn, landscaping,etc. sq/ft Other compacted surface,etc. ° sq/ft Indicate Total Volumes.of Proposed: Total Land Disturbance 0 sq/ft Cut 0 Fill 0 (cu/yd) [over] stormwater talc worksheet—REV.2/20/2008 1 Standard Conditions for Res.tial Development in Jefferson Coin 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. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re- vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta),Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak(Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7. 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. 2013-03-075FR_StdConditions 3/7/2013 1 ter Itel oosON % JEFFERal COUNTY DEPARTMENt COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend •Washington 98368 A ,N. 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Applications L 13 -34 • Project Description(include sepa a sheets as necess : i I NUJ else Comer( AAK iincon�L��bne, ►ti 5f-eg[iiii�iol a,Z0134 c',.�' ff.);1tn( e Tax foarcel Number: / 0/ 325 ()D) ' L �' Property Size; , Z a cr S (acres/square feet) 1 Site Address and/or Dire 'ons to Property: ' JEFFERSON COUNTY ��' fQCOMU /DEV 0•M245 l�cCu� �'���� 9- KJ. ;3�� Property Owner(s)of Record: Mwk lc- J e.Y 11 fit Telephone:3CO-'585- TI F3 Fax: email: Mailing Address: 5 a«•.e. co rai lc / Applicant/Agent(if different fro owner on r`t C.f_ 7c01,-0 TL // Telephone: Iv0 O 1 Fax: �-� email: 56 *01 t° 5 u �'u St'/•c Mailing Address:/0 N. V:07 (rt., 70 r-1- �uh 1 i4 klA 7g3'6.8 What kind of Permit?(Check each ox that applies Auilding ❑Critical Areas Stewardship Plan O Demolition Permit . ❑Variance(Minor,Major or Reasonable Economic Use) 0 Single family ' ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]" O Manufactured Home ' El Modular ❑Discretionary"D"or Unnamed Use Classification ❑ 'Commercial' ❑Special Use(Essential Public Facilities)" ❑:Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan- ❑Propane ❑Long Plat". ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments" ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration" ❑Stomiwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development-- 0 Temporary,Use ❑Shoreline Management Variance 0'Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment - May require a Pre Application Conference ❑Tree Vegetation Request "Requires a Pre-Application Conference. Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate . . to act as my agent in matters relating to this application for_permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his her or 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 this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access -nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re. :d later i pections. Staffs access and.right of entry will be assumed unless the applicant informs the County in writing at the time.of the appl �on that h • •: t,.• •rior notice. Signs•0'- iii — Date: 0-/4- 15 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued 11 not violet- the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you.- in,compli>r wig the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non transfe - responsib'v for •,= ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Sign= . si ---�..� Date: OZ !�� 3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 0 -x :& . 8° O."3 4,!, ---- qc R g .1 ."--..:•6. ,,...',..tv 7 -NC-- I r— ......,,.., ISI ? -n co r -0 Pil9 j'?. ni , 9, 3; iqi p91 rn , ..,_ .:... g --I lig > 0 '''•••. , 1 > -2 A P ., -- ,,,,,// 1 qN T „,•,, rn ii-I'l 1 z , 0 - 6 ' 11 -,......., ' 1 018 rd ..,,, 0_ i,j) 2 „.,„ (fe „,,,. 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'' - co r, r• 7c- ', ,- --;- ../ (,..._:.).,) ..i.-- a ? ../ lliii c-) -.--_ cz, -,-, .. ,• ur ' 0 ,--T-1, --'-' %b = . c, ffl 7 °'• / //////j1 '6 -." r",- _„ a RI , , czz= , L J ' - i.,;, ,-1., C o io• (s■ McGURDY POINT ADDITION j'i..0"1., .0. =A “ q ,TE:''. .!. - !NJ z PORTE cocHERE/MUDROOM /DECK :t'.; , 5',..., -zi,: o) . . 13k 6° ........ .. .... ,■ 245 McCurdy Point Road , . . . . ,, ,, .. . ..„.,, Port Townsend, INA c1856.5 :f;;-;;;;;,..;-,--1-;•.,. till • Jefferson County Building vision Permit Niter: BLD13-00055 Applicant: BERLIN BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 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 3-C. Setbacks (6 C . Foundation Footing r r> Framing .7 2S ►3 Insulation:Walls Zq ?3 Insulation:Ceiling 2‘1 i3 Wallboard Nailing 3 Rep 071/5 1f— FINAL INSPECTION j 0.3!: 11) A2,2 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD13-00055 1.) Deck footings must be 3'or more away from the edge of the septic tank. 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 site plan as submitted with the Building Permit application on March 4, 2013 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 March 12, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tirI mark\data\fnrmc\F RI fl Parmit Rlrin rnt 1/7R/7f111