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Home My WebLink AboutBLD2013-00117 • BUILDING PERMIT APPLIG�'ION Re iew yppe17 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00117 Received Date: 4/16/2013 SITE ADDRESS: 574 E MIDDLEPOINT RD PORT TOWNSEND, 98368 OWNER: ROBERT M HAINES PHONE: 360-385-6678 MICHELLE M HAINES 574 E MIDDLEPOINT RD PORT TOWNSEND WA 983689248 SUBDIVISION: Block: Lot: TX 41 PARCEL NUMBER: 001052040 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730 2757 HOLCOMB ST PORT TOWNSEND WA 98368 Contractor's License CRANSCC070J7 Expires 4/24/2013 REPRESENTATIVE: RANDY CRANSTON PHONE: (360) 379-2730 PO BOX 944 PORT HADLOCK WA 98339 PROJECT DESCRIPTIOI Addition to existing SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 1,067 VALUATION 150,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 4 Prop: 0 Prop: 1 Total: 3 Total: 5 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,273.75 CJZ 04/16/13 140246 Plan Check $827.94 CJZ 04/16/13 140246 APPROVED State Building Code $4.50 CJZ 04/16/13 140246 JUN 0 5 2013 Total: $2,106.19 Jefferson County ocr 1111rlcmarIe1.i..1�\fnrme1F RI fl Ann Rlrl rn+ AHG/9M2 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD13-00117 SITE ADDRESS: 574 E MIDDLEPOINT RD Issue Date: 06/5/2013 PORT TOWNSEND, 98368 Final Date: 11/18/2013 APPLICANT: ROBERT M HAINES PHONE: 360-385-6678 MICHELLE M HAINES 574 E MIDDLEPOINT RD PORT TOWNSEND WA 983689248 SUBDIVISION: Block: Lot: TX 41 PARCEL NUMBER: 001052040 Section: 5 Township: 30 N Range: 01 W PROJECT DESCRIPTION:Addition to existing SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/18/2013 1\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013 WOW � c_ m h -I z 3` m -r,-, o - r1 O0 Aa)NT •, Rti _-------7 --a 1 v ®� m� = Dm Q i 9 C• rnil 1C r,^- a Z - a % i v � .- 0 r P . 1 j ; .— ._. C3 0 I � v " M A' i ! l 1 r ■ p v 1 1L , p n m -v t . o 1 S i I • 6 rn O4, J ° Ti 00 P' 1 I �D O - �0 ITI ■ Ln _+ r. r. o \c- 3 --I �. y �, c, D 1 1 - m \ a 3 (\ r c, _ rn _ co to \ fr ,4. .Z7 m M DNS et m tTi P:$ 7r:z' '- , I r ‘ 1 r p. \ ,,,- p d Z N a P T to Z 1 cu Z ` • sCo z 9i:b a �/ q i� rn L cn • F . G O �rI �' 0 2■rn . Z s i 11 / A/+C U�� "m c_ -6" L �.s Um. Zl ii i p.b - Z 1 _1 \\I _P C-i. Sj- r T, � / ilk � d R # ° % - 1Ll' U)7 ; 0 A4i E'''''' -t ' 1 , } \ Z 6. z S ///Ili, E-- -r rn mo _ r, , H C �r f • • �� gs°N CO,, JEFFERSON COUNTY I v ' W .',, r3 DEPARTMENT OF COMMUNITY DEVELOPMENT ; j`-`�' � I ti �: ! f' ! J• ,,, . 621 Sheridan Street • Port Townsend • Washington 98368 I ; L Is. - O 360/379-4450 • 360/379-4451 Fax I i_ FI O IN http://www.co.jefferson.wa.us/commdevelopmentl JEFFERSON CDijT DEPT,OFCOWINITYDEVELO . Stormwater Calculation Worksheet 1 1 MLA# PROJECT/APPLICANT NAME: r1Ob'(+- rtcA t(WS • DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first 1 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 "a Co I acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet o; 00 'I I,(o 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 853 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 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. 3O sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance S t?7 sq/ft Cut C) Fill (cu/yd) [over] stormwater talc worksheet Rev 9-9-2010—REV.919/2010 1 r • • a 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 CALULATIONS-IMPERVIOUS SURFACE NEW p EXISTING r� Structures(all roof area) BS-7 sq/ft Structures (all roof area) A/0 y 1 sq/ft Sidewalks sq/ft Sidewalks 1 sq/ft Patios 30 sq/ft Patios (o`IO sq/ft Solid Decks sq/ft Solid Decks 61- sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc 7S9 0 sq/ft Other c� sq/ft Other sq/ft Total New 3S1 _sq/ft Total Existing 4p35 sq/ft TOTAL NEW+ TOTAL EXISTING* 13 5;,2. sqlft *This amount will be used BY STAFF 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: 6.29% 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 property. `i —/3 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR-OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes - No stormwater calc worksheet Rev 9-9-2010-REV 9/9/2010 2 • 28'10__ _____.____ m 200 _.___-___.R m F. 3850 3850 _-. ^3r2--�-� o ° m w s 3 I D CO _ _ __ ■ o 0 F Z a u y. a 0O X g. w 3066 - m m E a 'O w toD I - to $=_ ._.• W � f ..._ k� N____- -_-_ _1610.-___ o c. m d p i m ti m m-4 :.. 2 0 J < i, 2840 3068 3650 3650 N 4; F O 999 R 0 3 __qrq __.p.._.._- 2 1 1 6 - —4 4'8 _-__-.e•____._ g m 57 511 __ a 3088 r —1:_�___. ig o0 o 2 D s A - w > IV 2 --i,. V' W b _ -i - Cy W zz U♦ g y T _ D ti m :3 - 6010 < Em XI m - m O - - _.__ ---_ _.._._-_ Cc O O s i K m _ -"n "•Z N RI a 1,. DO N m O T _ - J m.- ,O i ^ O L A na v l j� D n , Z pp D 1 j ,--__._ -i _ Z CO 7ErfCR 0"J CD{Pn N n ,_, rn or 10" i 2 a Qo n TO rn ------,- ze�� -20 72 _-_- _. <__—-54 - .----$- -•:iii:.i: i.iii __.._ 20'8 ._.-_� __ -' 0 0 2 3650 3650 i 4 m D m c mn n8 0 p o > N 6,_ m o ;i a c O 0 1 Z 0. a 0 X 03 Ji - N . S N 3068 ° CO 6 fD p p g d y W m - ...m xS -. N w Ii 18'10_- s ---4'4-_--'-- m m N _• • s N e 2640 3068 3850 3650 I.._ ^ m O i9¢ ' --_-_ ti p�v'S. 0 m p q•q....-_ _1•_ -_... 211'8.-_-_--___.. g m 3088 I-1..... ...:....f oi o C) 'o 2 D A D N X U) u o m m Z o --- Ti > 0) m m K =3 6010 — - - — — -S - -_----- .. o — --- O y O 13—_.- m 1 K o - gP-cl -'•Z N S I, . o _ N R.' N �m O x7 a ° � & ". LI - 2 r 6068 ` . al i--n m N X 0 cn D --I r- - Zi Z 1__.c N° - 0. N " N r..i O. I o° H Z n OL'NTY Y p 'EU 2668 -__2'4-____-.__..___._._52__--___..__:______5'4...__-__._.---5:8___-_„ ;i,� �� r oML -7) � � Jxo rLllsort coiJr. �FibiIVI YGeVROF�Er,!r 3 8'5 iv 4'6 \ - 311 3'9- �° , ih ENTRY Ro�T y}pa�no„J So co 11 F fit in under existing porch roof wP 3 78 sq ft cO runimmul fV N WP 3'11 2'2 '-- 2'2 3'11 --- existing front porch bear 12'2 1,9-ON cO JEFFERSONCOUNTY • .� DEPARTMENT OF COMMUNITYDEVELOPMENT '' ` `� 621 Sheridan Street Port Townsend •Washington 98368 $ 360/379-4450 • 360/379-4451 Fax „gs N w wwwww.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description (include separate sheets as necessary): Apo t'rfONC TO i crT/QC. 1-+a m to Tax Parcel Number: no I c 5 Aoc4 o Property Size: "`I. (,,( A ,- -,s- (acres/square feet) Site Address and/or Directions to Property: 7‘.1 E. m;d,114,1x.:., - i • Po 2r Ta .sin w q Property Owner(s)of Record: i2ote^rLT e tc rt-�c_,E 14,41 r►c=S Telephone: 3 - C7 SS Fax: email: curb hat nc s Ca.-4 Mailing Address: S-?-I L=• PA.a0iElbi.'J 24) Poc&c -1-0-.a 5 avisi 0 r.,)c- 9 Vs Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address:_ • r— r r • z II— it What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation r lBuilding ❑Critical Areas Stewardship P a ❑ Demolition Permit ❑Variance(Minor, Major or Rea-o ...le Economic Use) (Single Family Aoldiuial ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d), o-iC '" ❑ Manufactured Home .❑ Modular • ❑ Discretionary"D"or UnnamecjJ 'Classification -� ❑ Commercial* ❑Special Use(Essential Public Facil�tico)JEFFERSON COUNTY L Change of Use ❑Boundary Line Adjustment DEPT.OF COMMUNITY JEFFERSON DEVELOPMENT El Address _ ❑ Road Approach ❑Short Plat'"* -- ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑ Long Plat** ❑Ciyn ❑ Planned kurai Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Substantial Development** ❑ 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 I hereby designate 1Z.A,�.)0'/ c -A. J Sto to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ( ?Lt 44 -, Date: Y-/+y-13 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app' ion that he orr ze w`ants prior notice. Signature: -Li- G vu� Date: —/G- i 3 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Ein,vC `j-4' %r4,,., Date: ""/-ft, 13 G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • ` BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are noelicensed contractors and that they will be ass ring the resp sibility of the General Contractor for the proposed project. rT Signature: Date: --lc-/3 GENERAL CONTRACTO OR MANUFACTURED HOME INSTALLER: PHONE: FAX: .A-•l I)/ CR-4/5-ro*'J' (34u) 30 t - .2 390 (..?&J) 3-79 (972. MAILING ADDRESS: 2'757 466-nil S+- EMAIL: CONTRACTOR'S LICENSE WAINS . . . ".. NUMBER: C L L11.414 S L L c 6 , Q -7 NUMBER ARCHITECT/ENGINEER: 'L��`'r M (tad p '- PHONE (a6o) 2'd-J-3fa FAX: ) 3?'°( if?2._ MAILING ADDRESS: O- r EMAIL er-ahS re h /3(-4 e t kgr'L ' CaN9 Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: 3/Z ti(4 E Sewer IK Addition ❑ Steel Proposed: / Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Af %7 Height: 14 Individual System ❑ Repair ❑ Masonry SEP Permit# 5seP9.5"-0102 n Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: Xi Private well ❑ Two Party Type of Heat: Proposed: ❑ Public 'NJ PAN:s• Total: 3 Name of System: Oar ■nt 4T _ If this is a Commercial Project 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 • 13C Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: P-ii Sf 1 uy la Mic 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Steve 1 Other t1br Id4,T e r Is this appliance being installed in a Manufactured/Mobile Home? Yes (NI 4- I eATe I'S. When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 9a EH Bld App Review: r, ►Z7.o io�-i g .z;34,. 2°Floor Heated Consistency Review: , a(' 17,-(9 0 2f Other Heated 13 g Base fee: I , ^ 2• r1 5 — — Ck Mezzanine Additional Section: pl �J Heated Basement Plan Check fee: p r1,q Unheated Basement State Surcharge fee: 0 `� Other Unheated ' Pot Water Review fee: N Pt Garage/Carport SUBTOTAL t-a 1� Decks 911/Rd Approach fee: Other 5-34 TOTAL: $ Receipt Number: /41047 Cash/Check Number: c2I �� ESTIMA COST(REQUI D) Date: td._L11� _1 3 •Fai et value of all labor and aterials foundation to finish 6 so,o� Initials: Q) ,.\n.._....r';.,...\H4i33FhaTAT.ilttttl FIR n Fr)R MC\fntrent nix Fnnnc\Maate,.Permit Annlication 5-29-08.doc • • Lil iU i � JEI'FUSON COUNTY r'.52 1E.COMMUNITY DEVELOPMENT 3 8'5 cv 4'6 3'11 3'9 ro M tea.--r ENTRY o�no� 78sgft fit in under existing porch roof WP 3 WP loom 3'11 — --- 2'2 22 — 3'11 existing front porch bear 12'2 '}—I (0 —1) (9-az42-CO QQ_ 3( - Q396 ro_soi-ay,s • Up Front Parcel Revievill Parcel 001052040 Printed: April 16, 2013 ROBERT M HAINES Site Address: MICHELLE M HAINES 574 E MIDDLEPOINT RD 574 E MIDDLEPOINT RD PORTTOWNSEND, WA 983E PORT TOWNSEND WA, 98368 Parcel Number: 001052040 S-T-R: 5-30N-01W Total Acreage 5 Legal Description S5 T30 R1W TAX 41 Land Use: 1100 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM) Panel No: School District 50 Zoning: COMP PLAN DESIGNATION: CO UNITY PLAN: UGA: UGA Trans [ VI Plot plan states "property line" [ Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES NO [ ] Shoreline Slope Stability: YES NO Stream Type:YES NO Fish& Wildlife:YES NO r Wetlands: YES NO L b r(!AJ Rare Plants:YES NO r' Seismic: YES NO Tao Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Ar : ES NO 5 (� (--SIPZ: none At Ris High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other 1 1 Building Height: 35' UBC Standard [ ] , Impervious Surface coverra percentage: Resource Lands&Public: Rural Residential: 25% Rural In-ial: Per UDC Sec 6.7 • Rural Commercial: 60% Area of Building Coverage:60%in Rural In strial 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: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO • [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADM1N: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 001052040 Cases Name Review Type Status Planner BLD05-00333 HAINES F Application Received: 5/25/2005 Permit Issued/Case closed: 5/25/2005 Case Finaled: 6/6/2005 NOMLAREQ'D - HEAT STOVE &GAS PIPING BLD13-00117 HAINES I P Application Received: 4/16/2013 Permit Issued/Case closed: Case Finaled: Addition to existing SFR M LA01-00370 BLD01-00391 MLA01-00370 HAINES I F M FARFAN Application Received: 7/9/2001 Permit Issued/Case closed: 7/26/2001 Case Finaled: 8/31/2001 CARPORT LA11-00197 MLA11-00197 HAINES I R Application Received: 9/20/2011 Permit Issued/Case closed: 11/16/2011 Case Finaled: NEW SAUNA& SWIM SPA W/COVERED SHELTER BLD97-00289 HAINES F Application Received: 5/13/1997 Permit Issued/Case closed: 5/27/1997 Case Finaled: 10/31/1997 SINGLE FAMILY RESIDENCE SEP95-00102 HAINES F Application Received: 4/21/1995 Permit Issued/Case closed: 5/19/1995 Case Finaled: 7/22/1997 SOM95-00102 HAINES RCR Application Received: 7/22/1997 Permit Issued/Case closed: 10/11/2011 Case Finaled: USR97-00023 HAINES F Application Received: 3/31/1997 Permit Issued/Case closed: 5/16/1997 Case Finaled: 5/16/1997 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 4/16/2013 Page 2 of 2 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00117 Received Date: 4/16/2013 SITE ADDRESS: 574 E MIDDLEPOINT RD Issue Date 6/5/2013 PORT TOWNSEND, 98368 Expiration Date 6/5/2014 OWNER: ROBERT M HAINES PHONE: 360-385-6678 MICHELLE M HAINES 574 E MIDDLEPOINT RD PORT TOWNSEND WA 983689248 SUBDIVISION: Block: Lot: TX 41 PARCEL NUMBER: 001052040 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730 2757 HOLCOMB ST PORT TOWNSEND WA 98368 Contractor's License CRANSCC070J7 Expires 4/24/2014 PROJECT DESCRIPTION: Addition to existing SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 1,067 VALUATION 150,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,273.75 CJZ 04/16/13 140246 Exist: 3 Exist: 4 Plan Check $827.94 CJZ 04/16/13 140246 Prop: 0 Prop: 1 State Building Code $4.50 CJZ 04/16/13 140246 Total: 3 Total: 5 Total: $2,106.19 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 ADAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED Jefferson County Building`Division Permit tber: BLD13-00117 Applicant: HAINES 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 Setbacks Erosion Control Foundation Footing Footing Drains -17-‘27-0i Foundation Stem Wall ,13 Underground Plumbing Under Floor Framing .y/1 . 3 Straps(hold downs) / Ext. Shear Wall Nailing 7 I.2 f)1') Rough-in Plumbing csi _tj Framing 13 Blocking Airseal 13 _ Insulation:Walls ,Z7_ (3 L� Insulation: Floors /003 Insulation: Ceiling 'CCU) -I 3 • J4130- Int. Shear Wall Nailing _ 13 Wallboard Nailing CC-3-i . Drywell/Alt Drainage f//,i /13 1/ Address Posted /1// //3 i„A FINAL INSPECTION iiitiVt3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00117 1.) 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. 2.) The site plan as submitted with the Building Permit application on April 16, 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 April 16, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. II \\tiriamark\rlata\form \F RI r) Pamiit RIrin rnt R/5/2013 INCLUDE WITH PERMIT TTAPPLICANT • Standard Conditions for Residential Development 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 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 (Oerrrlaria uerasifornris), 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. 2013-03-07_5FR_StdConditions 3/7/2013 1 • • 8. 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. 9. 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 Fisheries Service can levy penalties. All areas in Jefferson County 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 "take" disturbance of bald eagles or se uences when a "take" occurs. Among other actions, take includes a distu c o g con q g 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. Kish and Wildlife Service. 2013-03-07_S FR StdCond itio ns 3/7/2013 2