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HomeMy WebLinkAboutBLD2013-00131 BUILDING PERMIT APPLICAlt BLD13-0 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00131 Received Date: 4/23/2013 SITE ADDRESS: 5632 UPPER HOH RD FORKS, 98331 OWNER: JEFFERSON COUNTY PHONE: COURTHOUSE PO BOX 1220 PORT TOWNSEND WA 98368-0920 SUBDIVISION: Block: Lot: TX 1 PARCEL NUMBER: 711292009 Section: 29 Township: 27 N Range: 11 W CONTRACTOR: JEFFERSON COUNTY PHONE: (360)385-9160 PUBLIC WORKS PO BOX 2070 PORT TOWNSEND WA 98368 REPRESENTATIVE: JEFFERSON COUNTY PUBLIC WORKS PHONE: 360-385-9380 WILL BUTTERFIELD 623 SHERIDAN ST PROJECT DESCRIPTIOI FUEL TANK - 1000 GALLON HOH SHOP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 37,871.00 ADD'L: HEAT TYPE' CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: 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: A Approved/Date .A Permit $0.00 JLA 04/23/13 APPROVED State Building Code $0.00 JLA 04/23/13 Potable Water Application $0.00 JLA 04/23/13 JUL 1 8 2013 Plan Check $0.00 JLA 04/23/13 Jefferson County DCD Total: $0.00 1Viricm�rLl.i�lalfnrm NG RI n G.... flu alua A1.YrV Mz CASE•INDING, CONDITIONS, PERMIS•NS FOR Parcel 711292009 Printed: May 7, 2013 Cases Name Review Type Status Planner BLD11-00217 JEFFERSON COUNTY F Application Received: 8/4/2011 Permit Issued/Case closed: 9/29/2011 Case Finaled: 12/1/2011 RE ROOF EXISTING SHOP BLL)G No findings, conditions, or permissions found. BLD11-00319 JEFFERSON COUNTY F Application Received: 11/22/2011 Permit Issued/Case closed: 11/29/2011 Case Finaled: 1/25/2012 DEMO EXISITNG SHOP 1.) NO FINAL UNTIL ALL FEES ARE PAID BLD12-00038 JEFFERSON COUNTY F Application Received: 2/9/2012 Permit Issued/Case closed: 5/9/2012 Case Finaled: 4/23/2013 DEMO EXISTING 12021 SF EQUIPMENT SHED No findings, conditions, or permissions found. BLD94-00382 JEFFERSON COUNTY F Application Received: 6/14/1994 Permit Issued/Case closed: 6/15/1994 Case Finaled: 7/20/1994 Underground tank removal No findings, conditions, or permissions found. SEP75-00438 MLA11-00047 JEFFERSON COUNTY F Application Received: 4/7/1975 Permit Issued/Case closed: 4/29/1975 Case Finaled: 10/29/2012 Public Works Shop 1.) The application was reviewed by the Jefferson County staff for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review, the following ESAs were confirmed to be present on the subject property: FEMA Flood Zone A(Development Permit under JCC 15.15.070 not required for designation of reserve drainfield area); GIS mapping for Type 1 Stream inaccurate - actual stream channel greater than 200 from project site. BLD12-00039 MLA12-00022 JEFFERSON COUNTY I F Application Received: 2/9/2012 Permit Issued/Case closed: 8/29/2012 Case Finaled: 11/9/2012 NEW EQUIPMENT SHED - UNHTD, NO PLMB -AND FLOOD DEVELOPMENT PERMIT 1.) Abandon and re-route the storm water culvert at existing septic system as per plan. Verification required prior to final health sign off. Call Jefferson County Health at 360-385-9402 prior to begining abandonment. 2.) The existing drainfield and the separate reserve drainfield area must be protected by bollards or ecology block prior to final health sign off. 3.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM PUBLIC WORKS STATING THAT THE STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE STORMWATER SITE PLAN SUBMITTED ON FEBRUARY 9, 2012. 4.) The application was reviewed by the Jefferson County Department of Community Development staff for the potential presence of Critical Areas under the provisions of the Jefferson County Code (JCC). After an initial Geographic Information Systems mapping review, the following Critical Areas were confirmed to be present on the subject property: Type S stream, frequently flooded area, aquifer recharge area (susceptibility is unknown). 5.) The Type S stream appears to be a backwater channel. Since the development proposed on the Road Facilites parcel will not encroach further into the stream buffer, the project is exempt from critical areas review under JCC 18.22.070(21). The proposal is not expected to further reduce any stream or buffer functions. 6.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of 282.52 feet. The lowest floor of the structure is required to be elevated at least one (1) foot above base flood elevation or 283.52 feet. PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BYALAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 1 of 11 Cases Name view T e Status Planner 9.) Flood hazard reduction measure to be used as required by the Jefferson my Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15). 10.) Construction Materials and Methods of Construction to Reduce Flood Hazard (i)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 11.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 12.) Utilities shall be designed as specified in 15.15.080(c) of Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15)which states: (i)All new and replacement water supply systems shall be designed to minimize or eliminate infiltration of flood waters into the systems; (ii)Water wells shall be located on high ground that is not in the floodway; (iii) New and replacement sanitary sewage systems shall be designed to minimize or eliminate infiltration of flood waters into the systems and discharges from the systems into flood waters; (iv) Onsite waste disposal systems shall be located to avoid impairment to them or contamination from them during flooding. 13.) All new construction and substantial improvements shall be anchored to prevent flotation, collapse, or lateral movement of the structure. 14.) The applicant is proposing to create or add 3,600 square feet of impervious surface and the proposal will have 8,700 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. The applicant submitted a stormwater plan that has been reviewed and approved by Jefferson County Public Works. 15.) At the time of the pre-application meeting, it was determined that the proposal would be located outside of shoreline jurisdiction. 16.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(iii). 17.) The site plan, as submitted with the building and conditional use applications on February 9, 2012, has been reviewed for consistency under the JCC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 16, 2012 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 18.) This approval is for construction of a new shed 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. 19.) The parcel has been designated as rural residential one dwelling unit per ten acres (RR 1:10) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 20.) 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. 21.) The building height is not to exceed 35 feet. 22.) Loading and unloading must occur on site (off-street). 23.) 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. 24.) 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. \\tidemark\data\forms\R_MLT Parcel_Cond.rpt 5/7/2013 Page 2 of 11 Cases Name view T e Status Planner 25.) The storage and handling of inflWable liquids, liquified petroleum, gases a plosives shall comply with rules and regulations falling under the jurisdiction of the fire marshal, the laws of the state and other local ordinances. Bulk storage of inflammable liquids below ground shall be located no closer to the property line than the greatest dimension (diameter, length, or height) of the tank. 26.) Parking shall be provided for at least six vehicles: three for employees and three for visitors. At least one space shall meet ADA requirements for handicapped access to buildings. 27.) 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. Some areas in Jefferson County, including marine habitats, 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. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 3 of 11 Cases Name view T e Status Planner 28.) 1. The granting of the proposedlidings as a conditional use shall not const a rezone. 2. No use shall be made of equipment or material which produces unreasonable vibration, noise, dust, smoke, odor, or electrical interference to the detriment of the quiet use and enjoyment of adjoining and surrounding property. 3. Use of the road facilities buildings shall not introduce noise, smoke, dust, fumes, vibrations, odors, or other conditions or which unreasonably impact existing uses in the vicinity of the subject parcel. 4. It shall be the affirmative duty of the applicant to determine if any state or federal permits or licenses are necessary and then to obtain those permits or licenses at their own expense. 5. The applicant shall comply with the site plan submitted on February 9, 2012. 6. 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. 7. The Department of Community Development shall not be responsible for notifying the applicant of an impending permit expiration. 8. The county may modify an approved conditional use permit as follows: the county may delete, modify or impose additional conditions upon finding that the use for which the approval was granted has been intensified, changed or modified by the property owner or by person(s)who control the property without approval so as to significantly impact surrounding land uses. A modification will be processed as a Type II land use decision pursuant to JCC 18.40.270. 9. A conditional use permit granted under this article shall continue to be valid upon a change of ownership of the site, business, service, use or structure that was the subject of the permit application. No other uses are allowed without approval of an additional conditional use permit. 10. The county may suspend or revoke an approved conditional use permit pursuant to Chapter 18.50 JCC upon finding that: (a)The use for which the approval was granted has been abandoned for a period of at least one year; (b)Approval of the permit was obtained by misrepresentation of material fact; or (c)The permit is being exercised contrary to the terms of approval. BLD12-00040 MLA12-00022 JEFFERSON COUNTY I P Application Received: 2/9/2012 Permit Issued/Case closed: Case Finaled: REMODEL EXISTING H I U SHOP AND FLOOD DEVELOPMENT PERMIT 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 application was reviewed by the Jefferson County Department of Community Development staff for the potential presence of Critical Areas under the provisions of the Jefferson County Code (JCC). After an initial Geographic Information Systems mapping review, the following Critical Areas were confirmed to be present on the subject property: Type S stream, frequently flooded area, aquifer recharge area (susceptibility is unknown). 3.) The Type S stream appears to be a backwater channel. Since the development proposed on the Road Facilites parcel will not encroach further into the stream buffer, the project is exempt from critical areas review under JCC 18.22.070(21). The proposal is not expected to further reduce any stream or buffer functions. 4.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of 282.52 feet. The lowest floor of the structure is required to be elevated at least one (1)foot above base flood elevation or 283.52 feet. PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BYA LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. 7.) Flood hazard reduction measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15). 8.) Construction Materials and Methods of Construction to Reduce Flood Hazard (i)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 9.) The applicant is proposing to remodel an existing building. The application is to install concrete bollards in front of overhead doors, replace overhead door jambs and frames, replace weatherstripping along overhead doors (and repair overhead doors as needed), install concrete splash blocks, replace some bathroom fixtures, add galvanized metal conduit and reconfigure electrical masthead along an east corner of the building, and replace light fixtures. These repairs will not result in substantial improvements to the structure. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 4 of 11 Cases Name view T e Status Planner 10.) Utilities shall be designed as sped in 15.15.080(c) of Jefferson County Flo amage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15)which states: (i)All new and replacement water supply systems shall be designed to minimize or eliminate infiltration of flood waters into the systems; (ii)Water wells shall be located on high ground that is not in the floodway; (iii) New and replacement sanitary sewage systems shall be designed to minimize or eliminate infiltration of flood waters into the systems and discharges from the systems into flood waters; (iv) Onsite waste disposal systems shall be located to avoid impairment to them or contamination from them during flooding. 11.) All new construction and substantial improvements shall be anchored to prevent flotation, collapse, or lateral movement of the structure. 12.) The applicant is not proposing to create or add any additional impervious surface or have any additional land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. There is an existing stormwater infiltration swale for the shop building. The applicant submitted a stormwater site plan that was reviewed and approved by Jefferson County Public Works. 13.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 14.) At the time of the pre-application meeting, it was determined that the proposal would be located outside of shoreline jurisdiction. 15.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(iii). 16.) The site plan, as submitted with the building and conditional use applications on February 9, 2012, has been reviewed for consistency under the JCC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 16, 2012 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 17.) This approval is for repairs to an existing shop 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. 18.) The parcel has been designated as rural residential one dwelling unit per ten acres (RR 1:10) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 19.) 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. 20.) The building height is not to exceed 35 feet. 21.) Loading and unloading must occur on site (off-street). 22.) 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. 23.) 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. 24.) The storage and handling of inflammable liquids, liquified petroleum, gases and explosives shall comply with rules and regulations falling under the jurisdiction of the fire marshal, the laws of the state and other local ordinances. Bulk storage of inflammable liquids below ground shall be located no closer to the property line than the greatest dimension (diameter, length, or height)of the tank. 25.) Parking shall be provided for at least six vehicles: three for employees and three for visitors. At least one space shall meet ADA requirements for handicapped access to buildings. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 5 of 11 Cases Name view T e Status Planner 26.) NOTICE: This permit does not e e the proponent from complying with oth4101cal, 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. Some areas in Jefferson County, including marine habitats, 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. 27.) 1. The granting of the proposed buildings as a conditional use shall not constitute a rezone. 2. No use shall be made of equipment or material which produces unreasonable vibration, noise, dust, smoke, odor, or electrical interference to the detriment of the quiet use and enjoyment of adjoining and surrounding property. 3. Use of the road facilities buildings shall not introduce noise, smoke, dust, fumes, vibrations, odors, or other conditions or which unreasonably impact existing uses in the vicinity of the subject parcel. 4. It shall be the affirmative duty of the applicant to determine if any state or federal permits or licenses are necessary and then to obtain those permits or licenses at their own expense. 5. The applicant shall comply with the site plan submitted on February 9, 2012. 6. 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. 7. The Department of Community Development shall not be responsible for notifying the applicant of an impending permit expiration. 8. The county may modify an approved conditional use permit as follows: the county may delete, modify or impose additional conditions upon finding that the use for which the approval was granted has been intensified, changed or modified by the property owner or by person(s)who control the property without approval so as to significantly impact surrounding land uses. A modification will be processed as a Type ll land use decision pursuant to JCC 18.40.270. 9. A conditional use permit granted under this article shall continue to be valid upon a change of ownership of the site, business, service, use or structure that was the subject of the permit application. No other uses are allowed without approval of an additional conditional use permit. 10. The county may suspend or revoke an approved conditional use permit pursuant to Chapter 18.50 JCC upon finding that: (a)The use for which the approval was granted has been abandoned for a period of at least one year; (b)Approval of the permit was obtained by misrepresentation of material fact; or (c) The permit is being exercised contrary to the terms of approval. PRJ12-00019 MLA12-00022 JEFFERSON COUNTY P Application Received: 2/9/2012 Permit Issued/Case closed: Case Finaled: NEW EQUIPMENT SHED- UNH ID, NO PLMB \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 6 of 11 Cases Name view T e Status Planner No findings, conditions, or permissions f . ZON12-00005 MLA12-00022 JEFFERSON COUNTY 11 A Application Received: 2/9/2012 Permit Issued/Case closed: 5/16/2012 Case Finaled: Conditional use application tor Jefferson County Public Works to upgrade an existing shed and construct a new equipment shed. 1.) 1. The granting of the proposed buildings as a conditional use shall not constitute a rezone. 2. No use shall be made of equipment or material which produces unreasonable vibration, noise, dust, smoke, odor, or electrical interference to the detriment of the quiet use and enjoyment of adjoining and surrounding property. 3. Use of the road facilities buildings shall not introduce noise, smoke, dust, fumes, vibrations, odors, or other conditions or which unreasonably impact existing uses in the vicinity of the subject parcel. 4. It shall be the affirmative duty of the applicant to determine if any state or federal permits or licenses are necessary and then to obtain those permits or licenses at their own expense. 5. The applicant shall comply with the site plan submitted on February 9, 2012. 6. 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. 7. The Department of Community Development shall not be responsible for notifying the applicant of an impending permit expiration. 8. The county may modify an approved conditional use permit as follows: the county may delete, modify or impose additional conditions upon finding that the use for which the approval was granted has been intensified, changed or modified by the property owner or by person(s)who control the property without approval so as to significantly impact surrounding land uses. A modification will be processed as a Type II land use decision pursuant to JCC 18.40.270. 9. A conditional use permit granted under this article shall continue to be valid upon a change of ownership of the site, business, service, use or structure that was the subject of the permit application. No other uses are allowed without approval of an additional conditional use permit. 10. The county may suspend or revoke an approved conditional use permit pursuant to Chapter 18.50 JCC upon finding that: (a) The use for which the approval was granted has been abandoned for a period of at least one year; (b)Approval of the permit was obtained by misrepresentation of material fact; or (c)The permit is being exercised contrary to the terms of approval. 2.) The finding for this permit are included in the staff report prepared for the conditional use application. 3.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of 282.52 feet. The lowest floor of the structure is required to be elevated at least one(1)foot above base flood elevation or 283.52 feet. PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. 4.) Flood hazard reduction measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15). 5.) Construction Materials and Methods of Construction to Reduce Flood Hazard: (i)All new construction and substantial improvements shall be constructed with materials and utility equipment resistant to flood damage. (ii)All new construction and substantial improvements shall be constructed using methods and practices that minimize flood damage. (iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. Locating such equipment below the base flood elevation may cause annual flood insurance premiums to be increased. 6.) The new shed (permitted under BLD12-00039) shall adhere to the following: Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 7.) Utilities shall be designed as specified in 15.15.080(c) of Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15)which states: (i)All new and replacement water supply systems shall be designed to minimize or eliminate infiltration of flood waters into the systems; (ii)Water wells shall be located on high ground that is not in the floodway; (iii) New and replacement sanitary sewage systems shall be designed to minimize or eliminate infiltration of flood waters into the systems and discharges from the systems into flood waters; (iv) Onsite waste disposal systems shall be located to avoid impairment to them or contamination from them during flooding. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 7 of 11 Cases Name eview Type Status Planner 8.) All new construction and substal improvements shall be anchored to pre flotation, collapse, or lateral movement of the structure. 9.) The applicant is proposing to remodel an existing building (BLD12-00040). The application is to install concrete bollards in front of overhead doors, replace overhead door jambs and frames, replace weatherstripping along overhead doors (and repair overhead doors as needed), install concrete splash blocks, replace some bathroom fixtures, add a galvanized metal conduit and reconfigure an electrical masthead along an east corner of the building, and replace light fixtures. These repairs will not result in substantial improvements to the structure. 10.) The application was reviewed by the Jefferson County Department of Community Development staff for the potential presence of Critical Areas under the provisions of the Jefferson County Code (JCC). After an initial Geographic Information Systems mapping review, the following Critical Areas were confirmed to be present on the subject property: Type S stream, requently flooded area, and aquifer recharge area (susceptibility is unknown). 11.) The Type S stream appears to be a backwater channel. Since the development proposed on the Road Facilities parcel will not encroach further into the stream buffer, the project is exempt from critical areas review under JCC 18.22.070(21). The proposal is not expected to further reduce any stream or buffer functions. 12.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 13.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 14.) At the time of the pre-application meeting, it was determined that the proposal would be located outside of shoreline jurisdiction. 15.) To repair the existing shop (BLD12-00040), the applicant is not proposing to create or add any impervious surface or have any additional land-disturbing activities. To construct the new shed (BLD12-00039), the applicant is proposing to create or add 3,600 square feet of impervious surface and the proposal will have 8,700 square feet of land-disturbing activitities. JCC 18.30.060 and 18.30.070 require the project applicant to submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the desgin and operation of stormwater and drainage control systems. The applicant submitted a stormwater plan that has been reviewed and approved by Jefferson County Public Works. 16.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(iii). 17.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM PUBLIC WORKS STATING THAT THE STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE SITE PLAN SUBMITTED ON FEBRUARY 9, 2012. 18.) This approval is for a repairs to an existing shop (BLD12-00040) and construction of a new shed (BLD12-00039) 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. 19.) The site plan, as submitted with the building and conditional use applications, on February 9, 2012, has been reviewed for consistency under the JCC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 16, 2012 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 20.) 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. 21.) The parcel has been designated as Rural Residential one dwelling unit per ten acres (RR 1:10) under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 22.) Loading and unloading must occur on site (off street). 23.) The building height is not to exeed 35 feet. 24.) 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. 25.) Exterior lighting for residential uses shall not exceed twenty feet(20'). 26.) Parking shall be provided for at least six vehicles: three for employees and three for visitors. At least one space shall meet ADA requirements for handicapped access to buildings. \\tidemark\data\forms\R_MLT Parcel_Cond.rpt 5/7/2013 Page 8 of 11 Cases Name view T e Status Planner 27.) The storage and handling of inflaWable liquids, liquified petroleum, gases an plosives shall comply with rules ' and regulations falling under the jurisdiction of the fire marshall, the laws of the state and other local ordinances. Bulk storage of infammable liquids below ground shall be located no closer to the property line than the greatest dimension (diameter, length, or height) of the tank. 28.) For the new equipement shed (BLD12-00039): Abandon and re-route the stormwater culvert at existing septic system as per plan. Verification required prior to final health sign off. Call Jefferson County Health at 360-385-9402 prior to beginning abandonment. 29.) For repairs to the existing shop (BLD12-00040): No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 30.) For the new equipment shed (BLD12-00039): The existing drainfield and the separate reserve drainfield area must be protected by bollards or ecology block prior to final health sign off. 31.) 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 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. SUB12-00006 MLA12-00077 JEFFERSON COUNTY I A Application Received: 4/10/2012 Permit Issued/Case closed: 6/25/2012 Case Finaled: 6/22/2012 BOUNDARY LINE ADJUS I MEN I to correct encroachment of a building 1.) The proposal complies with JCC Title 18.35.060.1(d) in that the proposal is to correct the common lot line so Parcel B structure encroaching on Parcel A boundary is all on Parcel B. 2.) Consistent with JCC Title 18.35.060.2(a), the proposal will not create an additional lot, tract, or parcel. 3.) The proposal complies with JCC Title 18.35.060.1(d) in that the proposal will move the common lot line 15 feet to the east to allow the public works building to be on all of their property. Parcel A will be become 0.55-acres and Parcel B will become 1.08-acres. 4.) Consistent with JCC Title 18.35.060.2(c), the proposal will not relocate an entire lot, tract, or parcel from one parent parcel into another parent parcel. 5.) Consistent with JCC Title 18.35.060.2(d), the proposal does not cross zoning district boundaries. Each parcel is zoned RR 1:10. 6.) Consistent with JCC Title 18.35.060.2 (e), the proposal is not inconsistent with any restrictions or conditions of approval for a recorded short plat or long plat. The proposal will not circumvent the short subdivision or long subdivision procedures. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 9 of 11 Cases Name view T e Status Planner 7.) Consistent with JCC Title 18.35. .2 (f), the proposal will not separate an Ac sory Dwelling Unit from the primary use of the property. 8.) Consistent with JCC Title 18.35.060.6, the proposal does not involve more than two lots, tracts or parcels that have been subject to a boundary line adjustment process within five years. 9.) The application was reviewed by the Jefferson County Department of Community Development staff on May 8, 2012 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: conservancy shoreline designation; harlequim breeding area; flood; unknown/SUSC aquifer recharge area; stream type S-inventoried shoreline. 10.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 11.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 12.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(xxx). 13.) This approval is for a Boundary Line Adjustment 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. 14.) The parcel has been designated as RR 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 15.) "CONSISTENT WITH RCW 84.56.345, CURRENT YEAR AND ALL DELINQUENT PROPERTY TAXES INCLUDING COMPENSATING TAX FROM OPEN SPACE PROGRAM SHALL BE PAID IN FULL PRIOR TO RECORDING THE STATEMENT OF INTENT." 16.) Consistent with JCC Title 18.35.080 (3), the applicant/surveyor is responsible for recording the Statement of Intent with the Jefferson County Auditor and referencing said Statement on the face of the survey. (An Excise Tax Affidavit will need to be completed for the Statement of Intent, see attached form). The survey mylar and current recording fee of$128 (plus$1 for additional names a & $5 for additional pages) payable to the Jefferson County Auditor shall be submitted to the Department of Community Development for department signatures and recording of said mylar. 17.) The final record of survey document shall contain the following signature blocks: (1) "Jefferson County Assessor" to be signed by the Jefferson County Assessor or his/her designee; and (2) "Administrator, Jefferson County Department of Community Development"to be signed by the administrator. 18.) The county assigned case numbers, MLA12-00077/SUB12-00006 shall be referenced on the face of the final survey mylar. 19.) SUBMIT THE MYLAR AND FOUR (4) COPIES OF THE SURVEY TO THE DEPARTMENT WITH THE RECORDING FEE (PAYABLE TO THE JEFFERSON COUNTY AUDITOR) FOR DEPARTMENT SIGNATURES AND RECORDING OF THE SURVEY. 20.) The following statement shall be placed on the face of the final survey mylar: For legal descriptions of Parcels A and B before and after Boundary Line Adjustment and the Statements of Intent see AFN 21.) Approval of this Boundary Line Adjustment does not guarantee the approval of any future county permits and/or approvals. 22.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Current Jefferson County Geographic Information System (GIS) maps identify the presence of an Environmentally Sensitive Area (ESA) such as stream, wetland, flood, landslide hazard area, erosion, aquifer recharge area, SIPZ, fish and wildlife habitat, shoreline, etc., lying within and/or adjacent to the revised parcels encompassed by this Boundary Line Adjustment. Prior to any land disturbing activity or construction activity, applicant/owner shall contact the Jefferson County Department of Community Development regarding compliance for such ESA's. Approval of this Boundary Line Adjustment does not guarantee issuance of a building permit within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. 23.) The following notice shall be placed on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Approval of this Boundary Line Adjustment does not guarantee a buildable site within said parcel(s). Such determination is dependent on approvals of water, septic, bulk and dimensional setbacks, and ESA requirements. Applications for septic and building permits will be reviewed at time of submittal of such application for consistency with current state and county codes and ordinances. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 5/7/2013 Page 10 of 11 Cases Name view T e Status Planner 24.) The,following notice shall be pla on the final survey mylar: JEFFERSON COUNTY NOTICE TO PUBLIC Approval of this BLA does not provide any assurance that an onsite sewage system can be approved for the resulting lots. No soils were evaluated as part of this application. Onsite sewage disposal systems shall meet design standards and regulatory requirements in effect at the time of application for a sewage disposal permit. Purchaser should contact the Jefferson County Health Department for procedures concerning permit applications. Any removal of or major disturbances of soil within the proposed drainfield areas may create site conditons that are unacceptable for the installation of sewage disposal systems. 25.) 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 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. BLD13-00131 MLA13-00066 JEFFERSON COUNTY P Application Received: 4/23/2013 Permit Issued/Case closed: Case Finaled: FUEL TANK- 1000 GALLON HOH SHOP No findings, conditions, or permissions found. PRE11-00002 JEFFERSON COUNTY F Application Received: 1/10/2011 Permit Issued/Case closed: 2/10/2011 Case Finaled: PRE APP FOR JEFFERSON COUNTY ROAD SHOP (WEST END) No findings, conditions, or permissions found. SOM75-00438 JEFFERSON COUNTY RCR Application Received: Permit Issued/Case closed: 3/3/2011 Case Finaled: No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Paroel_Cond.rpt 5/7/2013 Page 11 of 11 • • ° c,tD6� JEFFERSON COUNTY i et DEPARTMENT OF COMMUNITY DEVELOPMENT w ,v 621 Sheridan Street• Port Townsend • Washington 98368 ,q�,HIN0(0 360/379-4450 • 360/379-4451 Fax http://www.cojefferson.wa.us/commdeveloPment/ Stormwater Calculation Worksheet J MLA# PROJECT/APPLICANT NAME: HOH J }5 ` 'O - FtI 5 L. 7a411 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 1• -� acres An Q pAyn acre contains 43,560 square feel. Multiply the acreage by this figure. Size of parcel in square feet `--t I O O 7 sgnt 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'/.acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? . Drainfiekt,-soptictank,etc. sq/ft Circle: Yes NQ' D E ea,UtilrTi�a. e sq/ft Does the project convert 2'/:acres or more of native vegetation to pasture? Driveway,parkin ads,etc. sq/ft N Circle: Yes o. A Lawn,lanulscaping e c. sq/ft - !U pI �ICJJsurface,etc. sq/ft Indicate Total Volumes of Proposed: JE FE .I1d h3Yr' I DEPT OF C1r io"4111r 1bance I It 4. sq/ft Cut(' ?67 Fill (cu/yd) [over] stormwater calk worksheet-REV.2/20/2008 • • 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 EXISTING Structures(all roof area) sgtft Structures(all roof area) n'aC) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking, roads,etc sq/ft Driveway, parking,roads,etc / 4d sq/ft Other FC Z 7r4-1*-- I Li-4- sq/ft Other sq/ft Total New I ) 1 sgtft Total Existing P r sq/ft TOTAL NEW+TOTAL EXISTING` rl 1 /0 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: �/; 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 Stormwater 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. 1t---F:/ 2-S,Y(1 /4-Ric�L 3 o% (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (j)-4414-11 (DATE) B 3 66r al ��rtazirer-u�a�.��, rr�.:�.al. stormwater talc worksheet–REV.2/20/2008 2 I ' Ili 70 7 -a lit. ,,!, P:, Fn N's w NORTH It - C ' Z -. I -- 7 r -- X -ew 7053 � Q R r 1 70 53 II L X I O a z � 4 I �` ran I SL � DN - Zo r \1 < 0 c, )3 D in21 `� Z , a I to — rn 1 , h -17 rn D t rn -a rri M rn dc• ' o � \NH o � � � o cn � g N 5_ , 2 H � � 1` 1 ../...\ q D X —Nizrn zrn --1 � zz7 SD 7 a a N 5 hi r 7 It \-,-, 7 � rn [71 10 o � zrn C I �� I I Q -.. -... LI z 1 �� I D � � rn L -� I i � i 1 II r H, _ *_ fi_ L _ Q I 1 1 - - - —' CO � 1-11 73 I z -s I 73 -1 —t - -< z o X 171 w - HOH SHOP - FUEL SYSTEM SITE PLAN F 1 BID SET JEFFERSON COUNTY PUBLIC WORKS 5632 UPPER HOH RD. Forks WA Project no. 180 543 1858 May 22, 2013 Rev.June 17,2013 • • r CC LO H CO = CO Cr LL 9- JO Z LL � O H O d' LID O CD - CO 9- W O 'O - L3 0 0 C.. a g a= -0 _, m C U O = j W O O C1 -I--, -O H O O X 1 .. 7 L L L LLJ (• Q = U U U X Z O LU 0 J Cl O_ X I- I U O O ti J cn o N CD CD CO .--� CO "O O d" = O 1 d- U co • CO O CO 1ti C = 3 Cr) B 0 � o co O J U O O "O • It Z C O Q H •- o J 3 ¢ 3 CO CO 3 CV CO ›- _ Z } CO I- C CV I- I- ›- LU Z W CO CO Z I- CC = C) N 3 I- = Z O O Z •- • 9- O = ` O U O LLI CO O U O Q LLJ N CO ti• CY Z U Z CJJ CV Z O N CO Z LU o = � 3 X • I� • O I- CO O CO U -0 N CO CD O LU CC 2 X � • U I- •- CC U CD J W I- O LU O O_ LL CC CO I- 0 CO X LL u) CO Z LL = CY CD N CC LL 7 Cl O W O O O CO CO I- W i--. • U U CL Cl 7 CO - .1 O O O CO 7 O O O d- CV CV O CV L.L. 9- LL LU N -3 O O O 9- O O O 'O L O d U CD CO CV 7) II C O LL CD -- L 3 L LL Y C - CD O +' CD LU CD CD = CD -- = 7 L CD U CO CD "O > CO U L L n. — O CO Q L U CO X i-, U 'O X CO CO CL CO -- -- CO CD I- I- X C- I- CO CO Cf- * * F- cm Map Output • • Page 1 of 1 7 ArcIMS HTML Viewer Map ■ Legend Selected Features .:C Roads Parcels-H • • Critical Aquifer Recharge Areas AN,A 'A YR ' v11i-i• ',US:: SJ�; SAI- A U SARPA•UNA iI '.leer a'o,32d:7_c`c'xu'iC'orr.; C 1058 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. Thu Apr 25 08:58:26 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&C1... 4/25/2013 ON Jefferson County D C D Invoice NO. 13-59 621 Sheridan Street Port Townsend, WA 98368 (360) 379-4450 fax (360)379-4451 INVOICE Customer Name Jefferson County Public Works Date 4/23/2013 Address 623 Sheridan St MLA# City Port Townsend, WA 98368 MLA# Phone Attention: Gordon Ramstrom Case# BLD13-00131 Qty Description Unit Price TOTAL 1 HON SHOP - FUEL SYSTEM BUILDING PERMIT $1,238.71 $1,238.71 Please Mail to: 621 Sheridan St, Port Townsend, WA 98368 Please Make Payable to: Jefferson County US DOLLARS SubTotal $1,238.71 Payment Details O Cash O Check ® Outstanding TOTAL $1,238.71 Name US DOLLARS Check# Office Use Only Receipt# Department of Community Development 6u) 13-/31 • • terNo.3 . JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 www.cojefferson.wa.us/commdevelopment • .wa.us/com Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): 4-1©H cH-oP - Fv'Et SYSTEM t Tax Parcel Number. 71 (207 '2.�1 Property Size: 1,,D A, *4/ 6,6 7 (acres/square feet) Site Address and/or Directions to Property: 5641. UPP /4-0t1 P-D • rregi ,t A 18 3 ' I Property Owner(s)of Record: l%ill l' • i7 / Si Telephone: ,0 - ," " III,0 Fax / - : -x email: fRZ4.1 ST1' OM( Mailing Address: r .rfs+i' ',it 111.41L. . _ G a. Jilr�"- r1N W' . S Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies *IBuilding El Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or CI" ❑ Manufactured Home ❑ Modular p Discretionary"D"or Unnamed Use Classification V Commercial• - M LoHANI PAL-i7 ❑Special Use(Essential Public Facilities)" ❑ Change of Use ❑Boundary Line Adjustment El Address ❑ Road Approach ❑Short Plat" ❑Home Business II Cottage Industry ❑ Binding Site Plan" ❑Propane ❑Long Plat" ❑Sign ❑Planned Rural 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 Substtantia I Development" • ❑Temporary ry Use ❑Comprehensive Management C/and "C"-- ❑Wireless Telecommunication* ❑Comprehensive PIaNUDC/Land�[ ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Masti;FlFrorf�nrhmee+ 'May require a Pre—Application Conference ❑Tree Vegetation Request '' ' "Re ulres a Pre-Application Con fergttt i , 1013 Please identify any other local,state or federal permits required for this proposals q known: ui If DESIGNATION OF AGENT JEFFERSON Fqj�,, I hereby designate to act as my agent in matters relating tolll .alp AVt>V'61�v€Ibt it OWNER SIGNATURE Date: t�tNf 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 application that '- or.fie want prior notice. SJ( J a'/v Signature: i. N ' /. I/ at.. Date:ate:�L . 2I " .. The action or actions Applicant will undertake as a result of the Issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds Individual and non-transferable respo l ibility fbriadhering to and complying with the ESA. The A•plicant has read this disclaimer:nd Signs and dates R below. Signature: I L i r r ' ' ' r al UN Date' df ` - 0 /`- v G:\Pemni .-\###FORMS###\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 not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ?o tae Der52/14 iltieJ ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel C Concrete Total: Height: ❑ Individual System ❑ Repair C Masonry SEP Permit# ❑ Demolition c Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: 6- Proposed: Number of ADA Parking SEaces: ( Number of occupant (includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: �? IBC Type of construction: 6 Will Will you have Food Service? Yes /{No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank i Pellet Stove i Other Is this appliance 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 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. Zu Min n T rk�*;= ice'' S•� r s s, r 'r v r'a+ir. r° it,`^t �,� .� «s: S•uare Foota.e Current Pro•osed �A�eiax �l �:i 5�i1 ;; `�r�:.�rg;ti +��ts,.s ,�Cf���;,R vi"si���':i-7-% 4` Main Floor Heated t' ?.- W. EH Bld App Review: ;. ' 7,. . o 2na Floor Heated '4 z,', Consistency Review p Other Heated ,L Base fee: : 7 5ZZ . sS Mezzanine �, `° a Additional Section: Heated Basement M013.1-11,. Plan Check fee: 3 2 G t Co - J ! Unheated Basement State Surcharge fee: I `7 ' �jo Other Unheated . t Pot Water Review fee: 4; &C.o. DO Garage/Carport SUBTOTAL Decks , 911/Rd Approach fee: Other ) :_*° : TOTAL $ /Z 2✓i',-7 I ' Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fe}market value of all lqtwr materials foundation to finish /$_ 8 7 /! (+ Initials: G:\PanutCentec\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00131 Received Date: 4/23/2013 SITE ADDRESS: 5632 UPPER HOH RD Issue Date 7/23/2013 FORKS, 98331 Expiration Date 7/23/2014 OWNER: JEFFERSON COUNTY PHONE: COURTHOUSE PO BOX 1220 PORT TOWNSEND WA 98368-0920 SUBDIVISION: Block: PARCEL NUMBER: 711292009 Section: 29 Township: 27 N Range: 11 Lot TX 1 CONTRACTOR: PACIFIC ENVIRONMENTAL SERVCS CO PO BOX 2049 PHONE: 360-385-4221 PORT TOWNSEND WA 98368 Contractor's License PACIFES103BR Expires 9/16/2013 PROJECT DESCRIPTION: 1000 GALLON FUEL TANK - HOH ROAD SHOP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 37,871.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $522.55 MKF2 05/15/13 142087 Exist: Exist: State Building Code $4.50 MKF2 05/15/13, 142087 Prop: Prop: Potable Water Application $66.00 MKF2 05/15/13 142087 Total: Total: Plan Check $339.66 MKF2 05/15/13 142087 Total: $932.71 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 • • Jodi Adams From: Gordon Ramstrom Sent: Tuesday, July 23, 2013 2:02 PM To: Jodi Adams Subject: FW: Hoh Shop Permit- more info. Jodi, More info here pasted in below. I've got the invoice 13-59 in my files that has been paid. Thanks again, -Gordon Name PACIFIC ENVIRONMENTAL UBI No. ; 601213975 SRVCS CO Status Active Phone No. (360) 385-4221 License No. PACIFES103BR Address Po Box 2049 License Type i Construction Suite/Apt. Contractor City Port Townsend Effective Date 1/19/1990 State WA Expiration Date 9/16/2013 Zip 983680239 Suspend Date County Jefferson Specialty 1 General Business Type Corporation Specialty 2 ? Unused Parent Company From: Gordon Ramstrom Sent: Monday, July 22, 2013 11:32 AM To: Jodi Adams Subject: Hoh Shop Permit Jodi, Thanks again for the issue of the permit for the Hoh Shop Fuel last Thursday afternoon. Can we have this permit issued to the Contractor? (Pacific Environmental Services of Port Townsend; UBI 601213975). I usually ask for the Permit to be issued to the Contractor, who can pick it up and provide their license number, etc. It works better this way during construction as it keeps the responsibility for inspections etc. on the Contractor In short, I am asking to change from Owner/Contractor permit to one issued to the contractor. Is that something we can do in the next couple days? We are now executing the Contract via the next Commissioner's meeting agenda. I am processing the invoice for payment at this time. 1 BUILDING PERMIT S Jefferson County Department of Community Development elopment 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00131 Received Date: 4/23/2013 SITE ADDRESS: 5632 UPPER HOH RD Issue Date 7/18/2013 FORKS, 98331 Expiration Date 7/18/2014 OWNER: JEFFERSON COUNTY PHONE: COURTHOUSE PO BOX 1220 PORT TOWNSEND WA 98368-0920 SUBDIVISION: Block: Lot: TX 1 PARCEL NUMBER: 711292009 Section: 29 Township: 27 N Range: 11 W CONTRACTOR: JEFFERSON COUNTY PHONE: (360)385-9160 PUBLIC WORKS PO BOX 2070 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: 1000 GALLON FUEL TANK - HOH ROAD SHOP TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 37,871.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: BANK HEIGHT: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $522.55 MKF2 05/15/13 142087 Exist: Exist: State Building Code $4.50 MKF2 05/15/13 142087 Prop: Prop: Potable Water Application $66.00 MKF2 05/15/13 142087 Total: Total: Plan Check $339.66 MKF2 05/15/13 142087 Total: $932.71 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 3794455. 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 Jefferson County Building Dion Permit Nure: BLD13-00131 Applicant: 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 10--30-13 y�-- Erosion Control Foundation Footing (0-30-13 . Mechanical Systems n _ FINAL INSPECTION l I)fjt;• _13 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :• • 11tirtamarklrlata1fnrmclF RI 11 Permit Rlrin mt 7/1R/71113 Uair CONSISTENCY REVIE. Project Planner: Master#MLA13-00066 Review Type Protect Description BLD13-00131 Lc FUEL TANK- 1000 GALLON HOH SHOP Primary: RSON COUNTY CL ` Site Address: COURTHOUSE 5632 UPPER HOH RD PO BOX 1220 FORKS WA, 98331 PORT TOWNSEND WA 98368-0920 REP JEFFERSON COUNTY PUBLIC WORKS GORDON RAMSTROM 623 SHERIDAN ST PORT TOWNSEND WA 98368 Project Location: Parcel number 711 292 009, Section 29, Township 27, Range 11W, WM, located at 5632 Upper Hoh Rd,Forks 98331 Parcel Number: 711292009 S-T-R: 29-27N-11W Total Acreage 1 Legal Description S29 T27 R11 W TAX 16(BND TGTH BLA#117644) Land Use: 9700 Flood District: Fire District: 0 Planning Area: 12 Flood Map(FIRM)Panel No: chool D 402 Zoning: It 0 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] 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 111., [ ] Shoreline Slope Stability: YES NO Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO NO 4 . !LO Of Z— g , dB 6 • ..� Erosion o.NO Aquifer Recharge Arg NO 5 i..4 SIPZ: none At Risk 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. UBC Standard '— [/1 CTAft/–e-zr- [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%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: 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 [VUGA No Protest Agree ES NO, sub ttt : YES O ] Site Visit conducted NO (L (l Z I [ ] Require Final Zoning Approval YES NO [ ] ADMIN: 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 Associated CASES status issued finaled description 711292009 BLD11-00217 F 9/29/2011 12/1/2011 RE ROOF EXISTING SHOP BLDG BLD11-00319 F 11/29/2011 1/25/2012 DEMO EXISITNG SHOP BLD12-00038 F 5/9/2012 4/23/2013 DEMO EXISTING 1204 SF EQUIPMENT SHED BLD94-00382 F 6/15/1994 7/20/1994 Underground tank removal MLA11-00047 SEP75-00438 F 4/29/1975 10/29/2012 Public Works Shop MLA12-00022 PRJ 12-00019 P NEW EQUIPMENT SHED-UNHTD,NO PLMB BLD12-00040 P REMODEL EXISTING HTD SHOP AND FLOOD DEVELOPMENT PERMIT ZON12-00005 A 5/16/2012 Conditional use application for Jefferson County Public Works to upgrade an existing shed and construct a new equipment shed. BLD12-00039 F 8/29/2012 11/9/2012 NEW EQUIPMENT SHED-UNHTD,NO PLMB -AND FLOOD DEVELOPMENT PERMIT MLA12-00077 -. SUB12-00006 A 6/25/2012 6/22/2012 BOUNDARY LINE ADJUSTMENT to correct encroachment of a building `1 ( tl MLA13-00066 049 BLD13-00131 P 19 C FUEL TANK- 1000 GALLON HOH SHOP PRE11-00002 F 2/10/2011 PRE APP FOR JEFFERSON COUNTY ROAD SHOP(WEST END) S0M75-00438 RCR 3/3/2011