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BLD2009-00127
MIL IIIBUILDING PERMIT APPLICON MLA09-00137 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00127 Received Date: 4/23/2009 SITE ADDRESS: 132 FOUR CORNERS RD PORT TOWNSEND, 98368 OWNER: DAVID A HEROUX PHONE: 360-379-1323 MELODY J HEROUX 131 4 CORNERS RD PORT TOWNSEND WA 98368-9367 SUBDIVISION: Block: Lot: T 12+ PARCEL NUMBER: 001333040 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ ATT GARAGE & A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,405 VALUATION 258,427.00 ADD'L: 855 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: SHORELINE: CONST TYPE: 5N GARAGE: 445 SETBACK: CONST TYPE: DECK: 601 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 � IRout�nq Date�9 Type Amo Date: Receipt: Approved/Date Permit $1,884.15 LYK 04/23/09 108290 APPROVED Plan Check $1,225.09 LYK 04/23/09 108290 State Building Code $4.50 LYK 04/23/09 108290 JUN 1 2009 Potable Water Application $62.00 LYK 04/23/09 108290 Jefferson County Planning Total: $3,175.74 &Building Department O'S DEPARTMENT OF COMMUNITY DEVELOPMENT 2� 621 Sheridan Street,Port Townsend,WA 98368 1 Tel: 360.379.4450 I Pax:360.3 i 9.4451 4 Web:www.co.jefferson.wa.us/communitydevelopmcnt E-mail: dcd@co.jeffcrson.wa.us -4S•f�f N�'ti0' CERTIFICATE OF OCCUPANCY PERMIT #: BLD09-00127 APPLICANT: DAVID A HEROUX PHONE: 360-379-1323 MELODY J HEROUX 132 4 CORNERS RD PORT TOWNSEND WA 98368-9367 SITE ADDRESS: 132 FOUR CORNERS RD Issue Date: 06/4/2009 PORT TOWNSEND, 98368 Final Date: 6/19/2015 SUBDIVISION: Block: Lot: T 12+ PARCEL NUMBER: 001333040 Section: 33 Township: 30 N Range: 1W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 250 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes n THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/19/2015 1\tidemark\data\forms\F BLD_Occupancy.rpt 6/25/2015 FM, triVi % �irrrrrrrlrielr t� kit�'= Date I 0--- 1 _ time l < 3/ ( / Pm Mon. Tues. Thur. • Fri. BLD: q 42. 1 ? Date: 1,0-- (3 OWNER: 'PA, 0_ /'/ Contact Name: 7 ADDRESS: 3- `{'0t l�(.6 r 0 e�s r'" Contact Number:360 1) 2 S L 206 Notes: 6 C0143 Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under ground Framing _ Under ground _ Furnace Footing Rough in Air seal Above ground _ Gas _ Stemwall _ Hydronic Exterior shear _ Exterior lines _ Oil _ Straps interior shear _ Interior lines _ Ducts _ Post Hole Ventilation Appliance _ Underfloor Gas/wood stove_ Man-Homes Setbacks _ Insulation Final Inspection Foundation Block&Tie _ floor _wall ceiling Address Posted _ I- - E 1 17 ulit L Date r 9 G� time received { . I I am / 6.' Mon. Tues. Wed. Th BLD: C C�� I � Date: V- OWNER: 46 ."1 V Contact Name: f� ADDRESS: l 3� � \ tne�a Contact Number:360 340 C ti..' 206 Notes: Foundation / Framing Propane Tank Mechanical Setbacks Under-ground ✓ Framing Under ground Furnace _ Footing Rough in Air seal Above ground Gas _ Stemwall Hydronic Exterior shear _ Exterior lines Oil Straps Interior shear _ Interior lines _ Ducts _ Post Hole _ Ventilation Appliance Underfloor Gas/wood stove Man-Homes Setbacks _ Insulation Final Inspection Foundation Block&Tie _ floor _wall ceiling Address Posted _ rillimillillIllimillmiuw.m.."....."------------- i, - w\ Tu s Wed 10 Fri Date Time received am I pm Mon y Et L7 7 Date: 7 EtL7 OWNER: 1 { •.J�p7.� OWNER: l-�s'iQ'@t)t}C Contact Namy:� ADDRESS: 32. F°14... 4,0g/larje, Contact NY Notes: ., Foundation Plumbing Framing Propane Tank Mechanical 14-e0± }JCi�S Setbacks Under-ground— Framing Under ground — Furnace — Above ground _ Gas Footing Rough in Air seal Exterior lines Oil — Stemwall Hydronic Exterior shear Ducts Straps Interior shear Interior lines Post Hole — Gas/wood stove Ventilation Appliance — Underfloor _ Man-Homes Insulation Final Inspection Setbacks _ Foundation Address Posted Block&Tie _ floor wall ceiling ■ J • Date Zq5' time received /O '/ pm Mon. Tues. Wed. Thur Fri. BLD: L — Os "7 Date: sZ-/O2S— OWNER: Contact Name: ,,/ ADDRESS: / 3 2 ho JA-c. ' #V i25 Contact Number:360 3`I 0 2-5-2 I 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground_ Framing Under ground _ Furnace _ Footing Rough in Air seal Above ground _ Gas Stemwall Hydronic Exterior shear _ Exterior lines _ Oil Straps Interior shear Interior lines _ Ducts Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks _ Insulation Final Inspection Foundation _ Address Posted Block&Tie floor wall ceiling — Date TO - k time received t t am 1 4 (.Tues. Wed. "UAL, Fri. BLD: l Date: (0 -,P,i• OWNER: k 'A`� /'�/� �� t� Contact Name: �qy.�,,�.��r,�. ADDRESS: t ?. • ""\., l Contact Number.360 \Y '�-� 206 Notes: Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under ground_ Framing _ Under ground _ Furnace Footing Rough in Air seal Above ground _ Gas Stemwall __ Hydronic Exterior shear _ Exterior lines _ Oil Straps Interior shear _ Interior lines i Ducts Post Hole __ Ventilation Appliance Underfloor Gas/wood stove Man-Homes Setbacks Insulation Final Inspection Foundation _ Block&Tie floor_wall ceiling Address Posted _ 111.1 , , 4 1 Mon. Tues. Thur. . Fri. `0 time received Iq: 682 ge, pm Date_—____-- R `1 L ! Date: ( 0^� 7 BLD: OWNER: n€/r 0 � p ` Contact Name: TD A.t CO. �� Contact Number.360 /.33t0 �>2.4.-- ADDRESS: V ' ` \ (VA 5 e 206 Foundation Notes: ` Plumbing Framing Propane Tank ., Mechanical Setbacks Under-ground_ Framing Underground _ Furnace Footing Rough in Air seal Above ground _ Gas _— Stemwall _ Hydronic Exterior shear _ Exterior lines Oil — Ventilation Appliance — Straps Interior shear Interior lines Ducts Fast Hole Underfloor Gas/wood stove Man-Homes Setbacks Insulation Final Inspection Foundation _ Block Brie floor wall ceiling Address Posted ��4.ON CpG JEFFERSON COUNTY 1SHr NOSO DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ,j lc( Time Received: s2 ( am/C7 Mon. Tue. Wed. Thur. Date: BLD: �` tZ,i 2;2_ Owner: Contact Name: �ip Address: Contact Number: 360 3`tb 2.�Lf ( 3 Z, r�or r o tcn,rS 206 3s Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing g Under ground Furance Footing Rough In Air Seal Above ground Stemwall Hydronic Gas Y Exterior shear Exterior lines Straps Hot Water Htr Interior shear Oil Post Hole Interior lines Ducts - Ventilation Underfloor Appliance Man-Homes Gas/Wood stove Insulation Setbacks Final Inspection Floor Foundation Wall Address Posted Block &Tile Ceiling s„”o, JEFFERSON COUNTY go`) DEPARTMENT OF COMMUNITY DEVELOPMENT L' c: 54 Wed. Thur. Fri. N,N Mon. am/pm Wed. 15 Time Received: ¢' Date: )ate: --� Contact Name: __ e� BLD: b ODD Z Contact Number: 360 3�6 206 Owner: Yp 3te 540 55f5 Address: 13 Z Notes: Mechanical Framing Propane Tank Foundation Plumbing �- Underground Furance Under-ground Framing Gas Setbacks Under g Air Seal Above ground Rough In Qil Footing Exterior lines Hydronic Exterior shear Ducts SteStrap Interior lines Straps Hot Water Htr Interior shear gppDucts Ventilation Gas/Wood stove Post Hole Underfloor Insulation Final Inspection Man-Homes Floor Address Posted Setbacks Wall Foundation n Ceiling Block&Tile ,LG 1. ,1 . . ,6-\,17 .-L-26,,t . : sloes .��� rsr 17 i- to ,� . . . U �' r-) e' .r'r t'r� __ - . .. . a / - 0. IVID(3•'••ILe- i. _ l�� "`fie • n : 1 X; 4r' 1 : (C)r _ !IP . (-not36-42,e-- .1-0\j-'fi ir,_ p �-- ,_\, . ., _, , v) ,, , _ .,...... t1 1 __ _ - 100' z r �� y . IQ ..4r# . - '- a / ' . . . Pi'.4,t ' �- �` - Ir.4' flL7�kt�JFicsl p/ .m C1�C` �• 4 0_.„.. L5� .ro d t.�MfA to /�. D a� , g� w _ WATQ PDwF.e TO Aztou ow i q ! G q-') 0 ,i ' `-k V ()S(C5 . z E j. ),. _ (2 . . . . „_ <_2_,..., 2. Q o n ►° , I-0 1Sr1 `� - `" � �� I� •dg' g z rO, --- .14iP d o R n� , it..; , Pv'oo2c*-- Ncx. - ke atAx 1 Pa. `d.aress — 132 t ow'- (I)Y:rrees 12..6, Sc -Le CO\ 3330t-4'(3 g To*.f.AA Atcxzs 675 C-- ,rt, -coo4 2'-kunS9 Ilia' cn Pro used We-o3 \--\omo.,., j i-. 1 vi Vii- gO ►° .. 7 6-1--,00 sip/Li 7 st#'+ c. . . ! l'3+4LA .+. skor - , 1 to °1 3l'v...t.r'9 off ove, e x.€ -t-IY (M,a Q t , caQ Y-ct erg S b. .ecl ore- 1Le° :vl tp f Ste' Warr r 1, D /(\ ;� .11.E . { x+v-✓A-I v.es Ste- A.41 1m�" * , N�� , 1017'7. � e lt���'.( � D CiAtG, �rpu.,x- 8 cD — . =I • ( Design Criteria for Splashblocks A typical downspout splashblock is shown in Figure 3.7. In general,if the ground is sloped away from the foundation and there is adequate vegetation and area for effective dispersion,splashblocks will adequately disperse storm runoff If the ground is fairly level,if the structure includes a basement, or if foundation drains are proposed,splashblocks with downspout extensions may be a better choice because the discharge point is moved away from the foundation. Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as described below. • The following apply to the use of splashblocks: 1. A vegetated flowpath of at least 50 feet should be maintained between the discharge point and any property line,structure, steep slope, stream,wetland,lake,or other impervious surface. Sensitive area buffers may count toward flowpath lengths. 2. A maximum of 700 square feet of roof area may drain to each splashblock. 3. A splashblock or a pad of crushed rock(2 feet wide by 3 feet long by 6 inches deep)should be placed at each downspout discharge point. 4. No erosion or flooding of downstream properties may result. 5. Runoff discharged towards landslide hazard areas must be evaluated by a professional engineer with geotechnical expertise or a qualified • geologist. Splashblocks may not be placed on or above slopes greater than 20%or above erosion hazard areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and jurisdiction approval. 6. For sites with septic systems,the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the drainfield or where site conditions(soil permeability, distance between systems, etc)indicate that this is unnecessary. February 2005 Volume Ip—Hydrologic Analysis and Flow Control BMPs 3-15 1 • • 1 II house _._._ II � 1:::.:.__.-1 Roof 1 � ' dow spout —_ .- . serves up to 700 sf.Of roof `�— 50' min. ..µ .-... � ' I p 'S - r :7: .. block �� I ! y : . r fl Downspout extension i . NTS ! Splash � block r� 1i r li Figure 3.7 Typical Downspout Splashblock Dispersion I ' l I it 3-16 Volume 111—Hydrologic Analysis and Flow Control BMPs ebruary 2005 I • • BMP C105: Stabilized Construction Entrance Purpose Construction entrances are stabilized to reduce the amount of sediment transported onto paved roads by vehicles or equipment by constructing a stabilized pad of quarry spalls at entrances to construction sites. Conditions of Use Construction entrances shall be stabilized wherever traffic will be leaving a construction site and traveling on paved roads or other paved areas within 1,000 feet of the site. On large commercial,highway,and road projects,the designer should include enough extra materials in the contract to allow for additional stabilized entrances not shown in the initial Construction SWPPP. It is difficult to determine exactly where access to these projects will take place; additional materials will enable the contractor to install them where needed. Design and • See Figure 4.2 for details.Note:the 100'minimum length of the Installation entrance shall be reduced to the maximum practicable size when the Specifications size or configuration of the site does not allow the full length(100'). • A separation geotextile shall be placed under the spalls to prevent fine sediment from pumping up into the rock pad. The geotextile shall meet the following standards: Grab Tensile Strength(ASTM D4751) 200 psi min. Grab Tensile Elongation(ASTM D4632) 30%max. Mullen Burst Strength (ASTM D3786-80a) 400 psi min. AOS(ASTM D4751) 20-45(U.S. standard sieve size) • Consider early installation of the first lift of asphalt in areas that will paved;this can be used as a stabilized entrance. Also consider the installation of excess concrete as a stabilized entrance. During large concrete pours, excess concrete is often available for this purpose. • Hog fuel(wood-based mulch)may be substituted for or combined with quarry spalls in areas that will not be used for permanent roads. Hog fuel is generally less effective at stabilizing construction entrances and should be used only at sites where the amount of traffic is very limited. Hog fuel is not recommended for entrance stabilization in urban areas. The effectiveness of hog fuel is highly variable and it generally requires more maintenance than quarry spalls. The inspector may at any time require the use of quarry spalls if the hog fuel is not preventing sediment from being tracked onto pavement or if the hog fuel is being carried onto pavement. Hog fuel is prohibited in permanent roadbeds because organics in the subgrade soils cause degradation of the subgrade support over time. • Fencing(see BMPs C103 and C104) shall be installed as necessary to restrict traffic to the construction entrance. 4-8 Volume II— Construction Stormwater Pollution Prevention February 2005 O • • Whenever possible,the entrance shall be constructed on a firm, compacted subgrade. This can substantially increase the effectiveness of the pad and reduce the need for maintenance. Maintenance • Quarry spalls(or hog fuel)shall be added if the pad is no longer in Standards accordance with the specifications. • If the entrance is not preventing sediment from being tracked onto pavement,then alternative measures to keep the streets free of sediment shall be used. This may include street sweeping, an increase in the dimensions of the entrance,or the installation of a wheel wash. • Any sediment that is tracked onto pavement shall be removed by shoveling or street sweeping. The sediment collected by sweeping shall be removed or stabilized on site. The pavement shall not be cleaned by washing down the street,except when sweeping is ineffective and there is a threat to public safety. If it is necessary to wash the streets,the construction of a small sump shall be considered. The sediment would then be washed into the sump where it can be controlled. • Any quarry spalls that are loosened from the pad,which end up on the roadway shall be removed immediately. • If vehicles are entering or exiting the site at points other than the construction entrance(s), fencing(see BMPs C103 and C104) shall be installed to control traffic. • Upon project completion and site stabilization,all construction accesses intended as permanent access for maintenance shall be permanently stabilized. Driveway shall meet the requirements of the permitting agency It Is recommended that the entrance be owned so that runoff 1;°14 drains off the pad ::oar . '' .mss' �a�•.•�'•,.�-, ��! Instal driveway culvert If there Is a roadside '••," �d ditch present 4•Ir quarry spans • Geared* :• .: e 12'min.thickness Ny Paresis fag width of ingress/erns area Figure 4.2-Stabilized Construction Entrance February 2005 Volume II-Construction Stonnwater Pollution Prevention 49 • • C ON cad JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT APR Z 3 2009 621 Sheridan Street • Port Townsend •Washington 98368 0� 360/379-4450 • 360/379-4451 Fax iNG http://www.co.jefferson.wa.us/commdevelopmentl STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 09- 13 ] PROJECT/APPLICANT NAME: ZSb+l NO0.,1 1Itu x.1 'a1;1 i • III • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indica location on the site map. d 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes, steep slopes,etc.). CW\ .. S(! 0 V t.4rir Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. a Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. „r. , �? IJ Yln2�cd.i v' iNat, �tA�(,i ckk_ pa.6(ci . `i�-t_ CCU-ecdc( G; 15- k1-\ Cl (--: 5% O j--\ O t.1 p ro Any 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] h l d O s v-e Oct lq Usct, ,- it ;)c R"t FD X (o Y.. (P C1 v-cu- ( t-?� p g t -< , 11. Describe the performance goals'—and standards applicable to the project. b--to t 5 1 hiL--Q4 c f 4 L C c as kif a S 1'2:" esCn e t e aw contr .l system. 4 i �_- _ r • 1 ,; stonnwater aitp plan template-rdv.10/21/2008 . . - 6 • • 13. Describe the water quality system. _ i�y �J���S'i`v�w2 GJ� J � �� P/�f�J12� e -L ti # .1 iw f affecr�i 14. Describe the conveyance e system analysis and design. APA 2 3 1OUY pi-090C- a-€- design., s CC--Co . 'OA t rc.t o u_ (4 d 1-n/ uL i- OS It/ oe.e 5 t76t) . 9itc=rtoC pvt,icc q.t t& — Gt. --ca _ 15. Describe the source of fill material, physical characteristics of fill material, and depositi n of excess material. x;11 r -e.A . S`� LA level _. Plaf . C xct ii ->t S e p f i C, IAALL ige aced P f a'I k h r v u c -c. a n St,J c r e- Vic, 16. Proposed methods of.placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Of)& ►Jay MX be irv, ia� o�p / 6 y f rucc, atld C.� 4cJ-cf i f ,o �, /-OIA, (yid 0/- . cf'f( ' � Jyr fe .c'a K s , -n p k to w] i co1'up 17. Describe the proposed surfacing material. _ 3J1-1 fro i5 9 Ica vz br ca(n v I,Ja.,4 �1 a ck— . Ac(S Art qi-z2,s3" 18. Describe methods lor restoration of the sit VLO ;pm t(t_c li nice( h-e. n.e.e A"(. .Q to e qqt CI /u 1� (� k (act _ red b�:f,L he C'ddPc� e-o tt,detece: f wou e . 1(1L. , a l 03)-t.SYTu ch 0.)7, 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large" projects only and only those for which facilities are required to control flow or treat runoff] If included,list the Manuals here. PA 20. List here and include S any special reports r studies conducted t prepare the Stormwater Site Plan. ct p 11 c ,O to r hear ( O-11 ( °cd 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements, describe those conditions or restrictions heFe, h./ 51 S f rn ryl -I U. stormwater she plan template—rev.10121/2008 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. bhLt 1 rem cI PIOkienJ br1«h ' n 0' tuth 44ftc —t 1, '� i f u c� o.(u,CI Shrnnc 2. Establish Construction Access. '. 1' a c&j /ta fAIt j 3. Control Flow Rates. N I a 4. Install Se.diment Controls. h& -(d -- e d. S Zf tec, t' 5. Stabiliae,Solis. PIA - q rbuet d r i�,a� rutioU 6. Protect Slop sr t 7. Protect Drain Inlets. Ked land Ls- leircL stormwater site plan template—rev.10/21/2008 • • • 12 Required Elements–Construction SWPPP(continued) 8. Stabilize Channels and Outlets. ;� chanortl or- plJ k , Lt tAik,a, and/rka APR 2 3 2009 9. Control Pollutants. rw KI(LAL.)i /26 11 t ,{s .Shoe G eyrt Scle 10. ConV,De-Watering (the act of pumping groundwater or stormwater away from an active construction site). . c14-4■ , t kt,vt sfi,rrnDc .kr- can , pa 11. Maintain Best Management Practices(BMPs). ,51t}i9 Cu ) � t(cai tre cu1Arxc a n� Sc1 12. Manage the Project. 4u'uQ ►rit l we gvt s ik u kW M 4,b& maw Cnr-qu(-f W to v t,tJt1 c .e 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 1 - o L a A-C c i - J-1 vi(/f -0/1r- , tr / Lt-t' , yt°r, • . 4.4 /l' I V P NIP A. '1— 11� �. • k_ fr.-col,- 11 107`/ b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). ' )1.0 YZ°(t L 1/tf I� bo(.&t f Wet1-I— 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adj cent o the sit p. o j r-vr„A vet (Ju adj l a� 1-4S 'IC - stormwater site plan template—rev.1D/21/2008 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, permeability,depth,texture, soil structure). rk-0-1 L j-tQ f GY Xi-ii4 g 5. Construction Phasing. a. Construction equen e (',(Q bruSh r r.s k-cd u U S e� f c fr la) r- o� - t i � AL .1 Al., r" A E 1� I . • b. Construction phasing(if propos-d) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. I pij.M,b(.ft,9.-YUW k t f O l ' J(t .p 30 lait r an y +Yirr v d d,3365 -k 2 ic+vtrca/ cti7 c j Mru.i 2616 II. Wet Season Construction Activities. a. Proposed wet season construction activities. (31. J i 1 16Y VVVAC b. Proposed wet season construction activities for environmentally sensitive areas. NA 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. S{ ` �G n� c5 ( M�J J wl I-L¢/Du--•-F b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. t� L(..v� 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations storrnweter site plan template—rev.10/21/2008 10 • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. APR 2 3 2009 _- i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. , 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches, swales, culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g., concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. starmvrater site plan template—rev.10/21/2008 ij • • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. t�,, � -P �I - 20 -b9 (LANDOWNER OR A THORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 ON t^ • III 4,--- o JEFFERSON COUNTY 4 ,i DEPARTMENT OF COMMUNITY DEVELOPMENT ork 621 Sheridan Street• Port Townsend •Washington 98368 4o 360/379-4450 • 360/379-4451 Fax „q Gip www.co.jefferson.wa..us/commdevelopment - Master Permit Application APR 2 3 2009 MLA: 09- l Project Description (include separate sheets as necessary): O&-- 2-C4-1)(‘)) .- hem L bnS uc.fi u., Tax Parcel Number: 001 331, 040 Property Size: 51 ti_ acr square feet) Site Address and/or Directions to Property: l old Co,ci c(x4- \32 G)y-rsis eJ. cwt 49-r l I yw J CL)glcuy r I94-i 'c ets sr ' gas -, Property Owner(s)of Record: 1)c v\A + ■.(--1/48,1( \-- ¢mu x Telephone: 3( o 3101--15n he J(g) 3140'Fax: Vt.08-4t. email: i t1V MI 3 tr(SO rei%1muA- Loi- Mailing Address: 131414.--(u+txiesvB 7-524 ceLL Applicant/Agent(if different from owner): w` R 4 3�` a-�n,..L, Telephone: Fax: email: Mailing Address: • What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation IPBuilding ❑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 C]" ❑ Manufactured Home .❑ Modular - ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)"* ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** Propane ❑ Long Plat** ❑Sign - ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes" Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stornwater 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application /eview and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the t time of the application that or s e want nor notice. d*� Signature: L ' '-\` Date: 4— z 0 -09 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: '�-0�---� Date: Li 1A -69 G\➢....d,fP..m.\dH!,i,,,, ,,,,,,,,,npn PC117 hiC\!`..-.e...nor,n..--A ez- -n—:.,__r-..:__c nn no J._ 0 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the respons bility of the General Contractor for the proposed project t. Signature: Date: ` -)-v -09 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: OWY -r L C ✓ (0) 311-132.3 ( ) MAILING ADDRESS: - EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New , Wood Existing: 0 Viaei ❑ Sewer ❑ Addition ❑ Steel Proposed: 2,c Bank ❑ Community System Total: 2 Hei t: ❑ Alteration/Remodel ❑ Concrete �I] � Individual System ❑ Repair ❑ Masonry fY SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: I.) Setback: ❑. Private well ❑ Two Party Ty!, of Heat: Proposed: 16 Public 1; tI IA?3k Total: 3 Name of System:- P 1) 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 IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Ta stallation permit,mark all items below that apply: 1 Underground Tank I Above ground Tank Size of••••-•- -nk: a.ADA I Heat Stove I Cook Stove W s ove Fireplace Insert Hot Water Tank. Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home -es 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 properly lines,buildings and septic system components, includin• the reserve area. S•uare Foota•e Current Pro••sod °'c 34'4,'1-r-'- ;k r . , uc,, ,�z» ';' :1:..!el ,t ,-;,`' , - 1: �>L •s 1�.. . .. Main Floor Heated EH BId App Review: �� I �I y323q el Floor Heated g55 ` �)(07 ® Consistency Review: Other Heated 'vr fi, ` Base fee: ) t! -it,, 13$1-{ : 15 Mezzanine a Additional Section: Heated Basement ' ''- :: Plan Check fee: �1 Q Unheated Basement £ a= ' «��.� 1 ,,.�F= , r' State Surcharge fee:. S° Other Unheated Pot Water Review fee: 00 Garage/Carport i, 4c SUBTOTAL Iq • .�LI s-t`'4 1 .1" `t• Decks 1(p 1 r` 911/Rd Approach fee: X131'2 Other TOTAL: $ •••i• , ft- �o rc h 41/44O lei 20 `� N Receipt Number: O$ •L. P Cash/Check Number:. - - 1 1054 ' ESTIMATED COST(REQUIRED) $cia 7 iv to: .Fair market value of all labor and materials fou •a'=• •finish Imo_ 4 256 t(ro0 Initials: rr MI G:\Permit enter\###FORMS###\DRD FORMS\Current DRD Forms\Master Fermat Application 5-29-0&doc i'• • • • . • • • • • • • • • • V E 44 DEG - 42014 Oef)4- JrEEt wink 4�1iDEVi� � //�� DEPT.QF f 0C1�-1:�NITY EN LOPMENT _o_vo l)NL .1-kyYY\9.( J Yom! (amt ticks II E.5). e -kg buyt-ud lAS- r (2oPD c.nd )-10hc6 � - en vLY1 60Nr [,u e_ L Gins - v-(j 131- ' CY- A PtL ; t,v\. Perms SENDER. COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature item 4 if R cted'Delivery is desired. ,/❑Agent • Print your oe and address on the reverse X it�L L t_l (- -I I� l Z:�`-+ ]Addressee so that■e'¢a°`�"{„eturn the card to you. B, Received by,.(Print Name) C. Date of Relive • Attach this card to the back of the mailpiece, �+Gt ` or on the front if space permits. l. A V I f( `-- - 11 I Li D. Is delivery a entfroruitem-t?-- .. . Article Address t�At]' 0 Her_ If YES,enter delive ''raddress beloevi No •13 ll�i l� rw ! s ��•�cS a 1,4.))I Send WA S ice Type Certified Mail® ❑Priority Mail Express' I (� ' 03 / ❑ Registered Return Receipt for Merchandise El Insured Mail ❑ Collect on Delivery. _ ____ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (T r a n s f e r f r o m service l a b e l) 9n) 3460 00) 1 ( (' OSa 0 PS Form 3811,July 2013 Domestic Return Receipt U.S. Postal Servicem, CERTIFIED MAIL„, RECEIPT I (Domestic Mail Only;No Insurance Coverage Provided) ru ul For delivery Information visit our website at www.usps.com9 ' ■ '44 - 4,0 r=I m Postage $ Certified Fee 1-1 Postmark 0 Return Receipt Fee Here 0 (Endorsement Required) Restricted Delivery Fee (Endorsement Required) —13 =" Total Postage&Fees $ m Sent To ru Street,Apt.No.; or PO Box No. Oily,State,ZIP.4 PS Form 3800,August 2006 See Reverse for Instructions SON c K4e< ;a .e. DEPARTMENT OF COMMUNITY DEVELOPMENT Ito 4w� 621 Sheridan Street,Port Townsend,WA 98368 ', Tel:360.379.4450 I Fax:360.379.4451 .. Web:www.co Jefferson.wa.us/communitydevelopment -4S4 'SC3 E-mail:dcd@co.jefferson.wa.us FINAL NOTICE November 26, 2014 David Heroux Melody Heroux 132 Four Corners Rd. Port Townsend WA 98368 RE: BLD09-00127 for a new single family residence Dear Mr. and Mrs. Heroux: It has come to our attention that the above-named permit passed its expiration on 06/04/2013 and did not receive a final inspection. Please complete the following to final your permit and receive a certificate of occupancy: 1. Submit payment of your accrued renewal fees in the amount of $456 and a hardship letter providing justifiable cause for extension no later than December 31, 2014. 2. Contact Environmental Health at 360-385-9444 for guidance on how to final your septic permit (SEP09-00044) 3. Pass a final building inspection before the next expiration on 06/04/2015. If you do not comply with the above requirements, your permit will be cancelled. Should your permit be cancelled, in order to continue construction of your project, you will need to reapply for a new permit, pay current permit fees, and have the structure built to current building codes. This is the final notice you will receive. Please be aware that no one is permitted to occupy the residence prior to final inspection. If you do not receive final inspection before 06/04/2015, the County may begin the process of placing a Notice to Title on your property. If you have any questions about your building permit, you may call our office at (360) 379-4450. We look forward to assisting you in completing your building inspections. Sincerely, l yjc5 ,")ii / / Elizabeth Williams, Administrative Clerk Sent by USPS Certified Mail: 7012 3460 0001 6300 0520 USPS.comq, -.USES TrackingTM Page 1 of 1 IaUSPS.COM' Search Click to access search. Search or Enter a Tracking Number Search or Enter a TrackirSearch USPS Tracking TM Customer Service Have questions?We're here to help. Tracking Number.70123460000163000520 Updated Delivery Day:Saturday,November 29,2014 Product & Tracking Information Postal Product: Features: Certified Mail's DATE 8 TIME STATUS OF ITEM LOCATION November 29,2014,11:16 Delivered PORT 2111 TOWNSEND,WA 98368 Your item was delivered at 11.16 am on November 29,2014 in PORT TOWNSEND,WA 98368. November 29,2014,8.52 Departed USPS Facility TACOMA,WA 98413 am November 29,2014,8:46 Arrived at Unit PORT am TOWNSEND,WA 98368 November 28,2014 8.00 Arrived at USPS Facility TACOMA,WA 98413 Pm https://tools.usps.com/go/TrackConfirmAction?gtc_tLabels 1=70123460000163000520 12/1/2014 lGASCheck. 323474 GASCheck — Gas Appliance System Check Account Number _ Invoice Number Date /67,1-z; f 0 Name'-.i.AJ,ci k...ro,, Company/Branch Address 1 S Lk (...„-Or rt e r4 %,�;sC:.` Call Taken By City cor i aJ, 4 State■,w Zip A Telephone(Work) (Home) Appliance Check Appliance Manufacturer Model# Serial# BTU's Burner/Com.Chamber Man.ShutotliSed.Trap Control/Pilot Safety System Venting System Combustion Air Taken Out Of Service Or Operation Container Check Requalification Container Fittings Size Serial# Manufacturer Date(Cylinders Location Relief Valve Leak Only) Condition Check i'v%f -- eMt: Pressure Test(If Applicable) Piping Check Start Pressure End Pressure 'rime Held Pressure Held 6 i N Materials Size Cover/Protection s gg 7 . i 3+)J.:y- /) ,, Work Order /// T1�—'��� N System Leak Check /"� Start Pressure End Pressure Time Held Pressure Held CN f Cl/' I N "I 10!'P 4 A Work Order Regulator Check Type Manufacturer Date/Model I Vent Lock-Up Protection Position/ Pressure Flow Pressure Safety Information Supplied: ~�> fir_ i C:-4,. .5 ,1 Comments:Please note all repairs and corrections made along with a y recommended actions. Po A-pp E�j tnc-e c; ' ~ PRC 005625 ©PERC2007 PROMNE CUSTOMER COPY EXCEPTIONAL ENERGY' D -I )( )( +, 0) CO -I -b X -I -I CD 0) -. -. CD U U) 0) X 0_ C7 r+ X 0) O -5 -o O) 0 - -0 Z -3 O 0) < 0_ CD 0) O CD 3 2 (C -• (D (C CD (0 Ill CD r+ O 0) - 0 W m -5 E 7 .. (r) o O It (C - - (D C7 CO O z 0_ CD o o ti - O CI -P o O 2 O -.1 Ill o 73 CD CO CO -.1 CO CO O O -P C CO CD O O r+ - 0) 2 3 o C7 r+ m go r Z CO O O CO m 3> O m C 73 -CI CO - CO (D 73 --• r- 3 co (n o -I �, co o -I O H -o co C -I N -A o o r co -1 x -I x -I C7 33 H -< m DC - x Z CO 0_ m C) O C7 3> -I M O 3! 3 o L. m o CO CD w r o Z 73 2 -I 3> I U) U O CO Z 2 m 3> 3> C U) -• O O m m m 73 O 1 X I-I C RD M --• 2 •• Z 73 X) o CD 3> o CO - m CO o O CO O C 73 W \ -• CO m C x m I— 7> m � O w m 0 73 X U) m X> - m O 2 O. O co CO -+ N -I = m cn 2 -< "E a z - X -• H -0 RD -< O 3 0 Z 37 CD 3> o_ CO o CD r Cn o CO o 0) -I E CO M C 7 m a) o_ aO CO C] I 0 C 03 O_ (n (.G) CD CD O) O -I -I C7 . . 3 m - r O 3 o z 3> CD C7 O CT 3> -.1 z o- m- s c •• C (o co H 0_ r+ O O m G^ = C O CD o -..J 3 m r+ o_ 73 3 CL -) 0 0 cn — o.. o -. L co w — (0 fi r m -- -- Z N O L CO O H O — -n z Cr RD -n _ O C O I-I CO 73 • 0 4 O l.._ X E: F c7 , ,--- ____-__T : ,_ ____,. --, „c.,--, . fl 0 r Des _,, 63 (:\e.,.,..,,, P-1)} , lc 5 , 1 F-utp _ E; -z.5 -_, 9 3— tv4 , c I 5- - ; a 4- ?J 4-'Scn D \ (--1 — , -4-1rCrY" 1-) ___Y 14c, 1 wcH c� �1 Ski� r 11�__it, 4 1-y --? � I €, W s ,. __.i _„,) ,_.7_ , , o 2 „, a� O a N co w 0.4C” (z M( oci - 13-7 /q 3to 9cik Pop7-cirt- t JEFFERSON COUNTY PERMIT.CENTER I"eIp APPLICANT NAME: ` ✓in I)I(--I voc 14-Cu_.)cPHONE: -340-2524 SITE ADDRESS: 132_ CAS E DATE: 4-Z3 <1,---)HEALTH APPROVAL ' PERMIT # SEP cI-88 Oq -44 ATE FOO SERVICE 2. SHORELINE BANK HEIGHT SETBACK 3. FLOOD ZONE 4. FOREST PRACTICE APP (CLASS ) 5. PLANNING APPROVAL _ 6. - -ITICAL AREA REVIEW • _jos # . ONING 8. HEIGHT 9. LOT COVERAGE 10. ADDRESS 11. FEE c ONTRACTOR'S LICENSE 12 ILL, O _a 3. ENERGY SHEET 14. BOND HOLDER/LENDER 15. NTT 16. SETBACKS 17. PROVIDE WA STATE ENGINEER STAMP/ARCHITECT'S STAMP 18. STORMWATER SITE PLAN 19. D.O.T. ACCESS APPROVAL 20. FIRE FLOW FOR COMMERCIAL STRUCTURES c___22;12)3LAN REVIEW i OCCUPANCY: rig h: t.p.4/6`t, TYPE OF CONST: 23. EXPOSURE: 24. WIND: 25. SNOW: 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. H:\HOME\PLNCNTR\INFOBLO\BLDCKLIS\2l2000 ID • Jefferson County DCD Building Division Correction Notice PERMIT NUMBER 1l X27 OWNER e,I/L O w3-- JOB LOCATION ( -2j`Z -{—�vt.■._C'11---v,.." 06c Inspection of this structure has found the following violations: ( la,-, . ,t D .1 9 /e? 0 /L--- .. ? ► s . ' _ You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When cor = tions have been made, call for inspection.u Date V �- -----,-,q) Inspector BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE Jefferson County Building l sion Permit Number: BLD09-00127 Applicant: HEROUX BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that 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 L r:C]sf Minimum setback from Four Corners Road right-of-way shall be 20 foet. Minimum side and roar yard setbacks shall bo 5 foot. If an ESA is present,then the more stricter setbacks shall apply. Erosion Control SEE CONDITION 2 Foundation Fo G ,‘„..0 - 0 Footing Drains Foundation Stem Wall Underground Plumbing 25,)? Under-Floes—Framing Straps(hold downs) /L Ext. Shear Wall Nailing 2 Rough-in Plumbing -7-tb `a • Framing 7--/D ^t(1 Airseal 7)7 10 Insulation:Walls Insulation: Floors —1)q 1 Q Insulation: Ceiling l V Int. Shear Wall Nailing /c/ _0 �� pt-/3 Wallboard Nailing (0 0 /3_0 1ZA�.> Gas Line: Interior 11—1— l0 Gas Line: Exterior II-1-to jY Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 Address Posted 5- l'/13 2 Sec Lund +7) Q121 FINAL INSPECTION f 9/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR II BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00127 Received Date: 4/23/2009 SITE ADDRESS: 132 FOUR CORNERS RD Issue Date 6/4/2009 PORT TOWNSEND, 98368 Expiration Date 6/4/2010 OWNER: DAVID A HEROUX PHONE: 360-379-1323 MELODY J HEROUX 131 4 CORNERS RD PORT TOWNSEND WA 98368-9367 SUBDIVISION: Block: Lot: T 12+ PARCEL NUMBER: 001333040 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & AIG 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,405 VALUATION 258,427.00 ADD'L: 855 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 445 SHORELINE: CONST TYPE: DECK: 601 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,884.15 LYK 04/23/09 108290 Exist: 0 Exist: 0 Plan Check $1,225.09 LYK 04/23/09 108290 Prop: 3 Prop: 3 State Building Code $4.50 LYK 04/23/09 108290 Total: 3 Total: 3 Potable Water Application $62.00 LYK 04/23/09 108290 Total: $3,175.74 Directions to Site: SEE DIRECTIONS & MAP IN FILE 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 3 pm the day before inspection is needed. Monday Inspections must be received by 3 pm on Thursday before inspection is needed. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED • • CONDITIONS for Building Permit# :BLD09-00127 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) THE EXISTING MOBIL HOME MUST BE REMOVED FROM THE PROPERTY PRIOR TO FINAL SIGN OFF r.K.) 4.) The identified Fish and Wildlife Habitat Area (Type N Stream), shall maintain a vegetative buffer setback of 75 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 5.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 6.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 7.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 8.) A Stormwater Site Plan has be bmitted and approved by the Department Community Development. Once e subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from Four Corners Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. 15.) 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. 16.) 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. Map Output • Page 1 of 1 ArcIMS HTML Viewer Map {x4'32W3) ua1332:^.; ::;.•, 00 t31200" 96i321W8 (1ry1332t}'y ,,. 0r3^:.1326.t .._... ... � �c 00133201E f r` CUt 32?Ca3 33AXYd Ira orr'3"x,r 7►y'•1 C*3a3130"7 (X4•-133622 ?_< r_1 5 Dri rrray e rY r��ur 3 �6 Legend Rd ` 332L9 r atur9s 33021 .a, 3136 :WO SO C Roads 04 3334)08 Co 33804 CC 4 Cor 091333,m 00'33:1631 S Rd Pa rGelsH 0004 aa364' 0013330,4 001 38,40. &ounxla7rz+a 00 a124002 00 al:025 3 Cg1IiaC-0it E',/3431#682A 001 33 802 8 0041336M - 00`333918 _._.. 0011a3tf2t et al CAS 333002 040 3334,79€ 4)61324035 . _... __. . Cdr:.324032 091338003 e` 00113803/ 001324030 00.3246.45 0718334...00 80•3s:ua3a • 004 333035 071324(X:5 LY3'33kRi2' W.32a 4 ce6 DO'724074 L0 az408,2 33;tx2F� 00"3244),- . 00'3240(2 _4c1'-333013 93>3:53009 ie4t3$36'2 C/ 34,+7'.i4b'0i'3:ti!(}te Marc sac'oS4 ai,c"C'vn Canis'=cc 8erwk$ca48 0 Ei"4X7 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 23 13:39:15 2009 ill http://gi sserver/servlet/com.esri.a srimap.Esrimap?ServiceName=ovmap&ClientV ersi on=4.... 4/23/2009 621 Sheridan St, Port Townsen , WA 98368 to 132 4 Corners Rd, Port Townsend, WA 9... Page 1 of 1 • Directions to 132 4 Corners Rd, Port 8 le Townsend, WA 98368 Maps 5.4 mi—about 10 mins Save trees.Go green! '' I Download Google Maps on your phone atgoogle.comfgmm 621 Sheridan St, Port Townsend, WA 98368 1. Head south on Sheridan St toward W Sims Way/WA-20 go 0.1 mi total 0.1 mi 0 2. Turn right at W Sims Way/WA-20 go 4.7 mi Continue to follow WA-20 total 4.8 mi About B mins 4i 3. Turn left at 4 Corners Rd go 0.6 all Destination will be on the left total 5.4 mi About 2 mins 1 132 4 Corners Rd, Port Townsend, WA 98368 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route Map data 02009 , Tele Atlas http://maps.google.com/maps?f=d&source=s_d&saddr-62 I+SHERI DAN+ST,+PORT+T... 4/23/2009