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BLD2014-00106
ItUILDING PERMIT APPLICAI o N BLD14-00106 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00106 Received Date: 3/20/2014 SITE ADDRESS: OLYMPUS BLVD PORT LUDLOW, 98365 OWNER: DWIGHT E DE SILVA PHONE: 360-731-0643 BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 OLYMPUS BEACH SUBDIVISION: Block: Lot: 52+ PARCEL NUMBER: 978900032 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: GIBBS HOME CONSTRUCTION PHONE: 360-437-4196 TIM GIBBS 44 ARGYLE LN PORT LUDLOW WA 98365 Contractor's License GIBBSHC948JL Expires 4/22/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP SFR - W/ FULL BASEMENT - PARTIALLY UNHEATED, ATTACHED GARAGE - NO PLUMBING, NO HEAT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,941 VALUATION 195,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2012 HEAT BASE: 345 HEAT TYPE: OCCUPANCY: UNHEATED: 1,314 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: DECRKAGE' 322 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 63700 BEDROOMS: BATHROOMS: Exist: Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: \J Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,518.00 JLA 03/18/14 148482 Plan Check $1,636.70 JLA 03/18/14 148482 State Building Code $4.50 JLA 03/18/14 148482 JUN i b 2014 Potable Water Application $67.00 JLA 03/18/14 148482 Total: $4,226.20 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/25/2014 4 '��s°N cb G DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment �1g'SW/"L,`0' E-mail:dcd@`,co.iefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: BLD14-00106 APPLICANT: DWIGHT E DE SILVA PHONE: 360-731-0643 BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 SITE ADDRESS: 196 OLYMPUS BLVD Issue Date: 06/16/2014 PORT LUDLOW, 98365 Final Date: 6/11/2015 SUBDIVISION: 9789 - OLYMPUS BEACH Block: Lot: 52+ PARCEL NUMBER: 978900032 Section: 4 Township: 28 N Range: 1E PROJECT DESCRIPTION: SFR -W/ FULL BASEMENT - PARTIALLY UNHEATED, ATTACHED GARAGE NO PLUMBING, NO HEAT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes l� THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/11/2015 \\tidemarkldatalforms\F BLD_Occupancy.rpt 6/25/2015 ��4SGN `''o6T JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT yS,KINGS ��.� �O Time Received: 417 a ;IiW/ Mon. Tue. Wed. Fri. Date: Date: b-.1 Contact Name: Ow C�� Contact Number: 360 ,30I 5-`P ( Owner: 206 Address: ' - © c Notes: Foundation Plumbing Framing Propane Tank Mechanical Framing Underground Furance Setbacks Under-ground g Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts p Ventilation Appliance Post Hole Underfloor Gas/Wood stove Insulation Man Homes Final Inspection Setbacks Floor Wall Address Posted Foundation Ceiling ,goT C,pG JEFFERSON COUNTY x �-_.� DEPARTMENT OF COMMUNITY DEVELOPMENT -,,,,,,..,6i° Date: 143 Time Received: i;it am/prn Mo Tue. Wed. Thur. Fri. Date: t 6 BLD: ( k.1?), Contact Name: • Owner: c` t t tDC. .. Contact Number: 360 30l. 1 Address: (C) DtL �. 3( `, 206 Notes: )l l �J Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation / Final Inspection Setbacks Floor ✓ Foundation Wall Address Posted Block &Tile Ceiling J ,I ��go ti `� JEFFERSON COUNTY 0 ,(� p� DEPARTMENT OF COMMUNITY DEVELOPMENT / 'vsNf VGtV` • Date: 5--z?.... Time Received: CJ I l'..) Ca-4/pm Mon Wed. hur. BLD: ' i Date: 5/24//5 h(P Contact Name: Owner: Contact Number: 360 ''j 0/ 5-1--/(o/ Address: 1 9 L c cr BIVA ray7c:� �/ Note O— t a E I+ 206 llrt1 rn ! :� t Foundation Plumbing Framing Propane Tank p Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Straps Ducts p Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Setbacks Final Inspection .x Floor Foundation Wall Block&Tile Address Posted Ceiling ■ `FSOr+ coy JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT $9Sp= H Mon. Tue. Wed. Thur. >ate: i 3i Time Received: am i/zJ 15 Date: !! 1°62 Contact Name: )w LD: (ner: i Contact Number: 360 30f -S4/oj )ca J❑ 360 address: /cit 4/ ` Notes: Foundation Plumbing Framing Propane Tank Mechanical Framing Under ground Furance Setbacks Under ground Air Seal Above ground Gas Footing Rough In Oil Hydronic Exterior shear Exterior lines Ste Strap Interior lines Ducts Hot Water Htr Interior shear Straps Appliance Post Hole Ventilation Underfloor Gas/Wood stove Insulation Man Homes Final Inspection Floor Setbacks Wall Address Posted Foundation Ceiling Block&Tile . �� . ., ,,, Imf 0[[. ��5 �e0 1A JEFFERSON COUNTY 4 --�-4 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ( 2.QTime Received: 214., arrqgil Mon. Tue. Wed. Fri. Date: /O-3o BLD: l i— t0 , Contact Name: Owner: Contact Number: 360 3015-6/ Address: I ti(, OZ rus Op 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling ■ ` 1 % JEFFERSON COUNTY i • ` x.. DEPARTMENT OF COMMUNITY DEVELOPMENT Ngyl�� Date: $2c Time Received: 1 "G an Ca Mon. 0 Wed. Thur. Fri. Date: $'2L. BLD: )4-- !D(7 Contact Name: Owner: 1 Contact Number: 360 3D/s elf Address: II 6° C9t..7°H,.,fvS P 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling g., ok. JEFFERSON COUNTY q , DEPARTMENT OF COMMUNITY DEVELOPMENT HNI+ Il$ Date: 9/i4 Time Received: q:I�u (an)pm Mon. Tue. Wed. Thur. Fri. Date: /5 BLD: 14 - -Vi=3 06, Contact Name: Owner: ji c,LV4 Contact Number: 360 30/ 546,1 Address: Filo l7t.Y►upuc $ivb 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks 7& Under-ground Framing Under ground Furance Footing X Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling P LAN S ,.,.„, „..4. „i.e.:" ,,, „ , ,„„..,,,,....,, 4 ... .„. ,,, , . . ,., ,,,„ ,,, ,..„,,,,„,„,,......,,.„,,„,,,„:„,,,., .„,,,.. ,,,,, „. , ,,,, ..,,,,4„,„„ ..„„ ;',,°•0:TAGGiA e)Ar .1ii›, , , . 'It .4,140, 14 ,f4,0jAfT1,'U..-4■,,„-';13,,,.^VA,G,;Cii',,; 67- I NEW HOMES, ADDITIONS, REMODELS since 1973 t , ,,,i,,,. , .„,,o,p,2..1•2y,..-4,,. ..,1,,&.$,,,?2,4,:,...:4• ' ,,,,,„. oi..,c,', „-g4.,,,`,,w...i,"3:..?.1.to' 2204 Happy Valley Road, !-. _ • T A T A OR 9 LII'lr`r4 4.=e4'W:.*:;„`,"•;,'`--i s's ' °'"P.""6I 4 Atr'ipII:III:: 1‘.7;IIIINL.,7,11 Tel 360.504.0189. www.Pla_ APPROVED 4' K'''.;'',0'',. ."-.1-,e.•,'.1," . STORMWATER PLAN - . 7 2014 MAY ----- r-- _ - , t :''I''- c ?i,o'i•,,;:',AX-'" , L. I • APN 978 900 031 1 A ----________. ,, air.,,,;,-.:•.k,..:.,1",r.P.f,'..;*, a.,....:44,W4'''iilt4:Y: ,,, .,..v... ,..i.n,,;.4. ..,0-,.0.'" .. .4, . JEFFERSON COUNTY 114 •' 't S' "I'I""tc'j 1'.-"1.1"''''''"''''''''''I° .-"----- ,. 9 - ' ' P„4 DEIvr.OF C MMUNITY DEVELOP E &W::,`;', SIGNATURE: r.se,;,se77). ..........__, 4071, '/' / e; ',.04.' ,,,,,, ''.(' :,,r, t::: 3 ' ',.otz,:,4' ,,,,. 4,, ,,„, :;.:4 4 1 , ....,.... -1............ P„,„, L ...\-...„......„ ' * 0- 1 i `4%. ':-'; °'II -n‘ -,- s- .., _., sw.monvik N 81.1.1)LA fspe, -.............._ N ' I.' fiSt6WO.tiPS9dPk\VT,"'+'■ 03 C''7tON 7, --:--,....2sSs,,,7, a 2 \..." I 10 /tfA,01.----,. ' ,I i '-'''‘' 'I' 41 4910.14%..,:"511tkr.'f;Ari I% '‘. ' i* I ' - 1 '' 10,144r4Str' I "( i ' 5 r Cr) @ 41) du, vsrliyi, I .,5 Cr A \I _1 r, a o,' rr`,- •:,,e2„. . ..4,- - .. ...;• „70,. ', ---':,,, c-.). , Aktr,:otoo ., I—-------_OM.OP=NM MOM/MI 03 ''. •a 5. 0 3- 131-1,51-*ivn-ka 6 0' I if - .,' , ,,G ” ', . , c.,,,,,.,,, H cs , C o c0 :;a1.1rzni..)C.k.A.Ar.--. w- 1'04 44'svi-ts. -"! ;,,';°A c,s.g C o . A ., ,01,,,..eit../.0V v o- c") f-- .0 CC:4:C1 0 CPN ‘ ;"; It.,,i -1, 4; , c.) 0 Z - ) _, „ . ..t ., N , „ , „..,A , – )k,r l'n.4',,:'4. ' r3-• IC (f) 0 1 (.41 ' ,:'i14,"!rr''r -, ;41,4%. ' - 4\ I r ' V 4'4,* J. '',f;', e.' t.n,' ' 47,tyirir0 5 rt, : IVY,., 1) ''''''.. I 3 : ( SEPTIC FIELD -i , o. ' ANE 'i' Iz.1 i 7 RESERVE \REA I LOCATION MAP I I I FOR U 1 PROJECT DESCRIPTION: APN 978 9( 0 032; I _, SEP 09-00013 ■ A NEW ONE STORY RESIDENCE w/ BASEMENT icp, a. w for: BABETTE & DWIGHT de SILVA, 2 1 - titV —L_______ OLYMPUS BLVD, PORT LUDLOW 1 I ., __, ..-.. . JEFFERSON COUNTY, WA 98365. TEL. 253 848-7534 -01...1N.J /,'::!:„ ,, l'XISI-N1 VG CURTAIN DRAIN ■ ■ PROPERTY DESCRIPTION -, ... ia APN 9.7... 900 032 PORTION OF E 1/2, SW 1/4, SEC 4, T 28N, R 1E, W.M. .-.— ..-= l' 7r7/11 U/0 36*,9/ — — " , 0 A " le MOE REVOCABLE TRUST, PARCEL "B", 0.41 ACRE . ''s I L'csp, , . CD /' 4. rifS----'"------=s —W .- - "'"Alk_ ' ' I Iw a OLYMPUS BEACHLOTS 52 & 53 (TAX 119) a u • I . ., . NEW I 0 .0• ONE STORY SF. RESIDENCE I 0 $.s. ddress Numbers shall be positioned in plain I II . I, L I 1 NI m .* 44 TIT 'I .T. 7, 3, 6, , I ..I Nommoolsome 1st+ w , 6. ' 1 0 sight, legible & visible from street. Numbers sha - , 1 contrast against background, and shall be a 1 ii gm minimum of 4" high. 1 , ;-- olAisilm, ',own? l'A) ,.pri-----i- lilli _ 20' MINIMUM PAVED DRIVEWAY/PARKING PAD TO l....,.. i 70,s,, I I u BACK EDGE OF SIDEWALK . . .s.,,s, . ,Pe,, 'c "Ck4 I E (or CURB IF NO SIDEWALK 1S INSTALLED) m I se,„ _J 0 0' / .--, ■ , 4. ____J J 1 N <------ 5..._,. .so.,__, —______4 ,..,( t ------.. _.,. CONCRETE DRIVEWAY 830 5F 9.2- P.,... - I „.,„,,.:.72.... .0, 4 APPROVED . , ....... ....„ • ----....,,, --, SITE PLAN R-fLu( QC1 lacooi- , ,... 2-.1 bd.CP-4 it‘ Irlr.0 1 coo /0 vv./,: . MM 27 2014 RECEI 'N' rd,L t ...„.,.„,,,, .u,„„?...i . - z-0,, mAy -2 7 V% ...„......„ ,.. . ,,,,t, ,,„ JEFFERSON COUNTY . la - „--.. -44%.-s.,„:901 1, '-' DEPT.OF a MN4UN1T31-DE/IN/0 -., -I''.---.---------..„, SIGNATURE.”0 I',a -,..il. _ itt[IRSON CQUIM 11CD -,.. * 1 SITE PLAN 1 in = 20 ft • a — f --R cot Do ns if Howe Catch Basin / (Yard Drain) ., flora' ,.-_" nod _ DRY WELL 48Ir►t Dian-et r Hole Filled with PLAN VIEW tj,#s-3 Washed Drain Rod, Nis /—R oxa DovRa oL# r—Mark Corder of Hale H ou a -C1, tf1?w, or Other weans S iashBIoCk Topsoil rt Fltoh with Straw .ar:r u i `; t t E k IA _ ' t aEV- tffi'n'- catch Bit in g ' ' E (Yard Drain) i t 4 Itch Dia rnste,r 1: 4'mill. Sides of Hole Hole Filled wit) Lined with � 1'12- '1 t*--1 Filter Fabric: g Drain Rol* 0. i.5 mill. �kS*e f,g-• 1:a+.:;ris;,< ,." Via „ min. -1,a5, 1.43 wQnal DRY WELL High istourdwatar Tabl SECTION NTS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: Kung County Volume III-Hydrologic Analysis and Flow Control BMPs-August 2012 3-9 • Setbacks Local governments may require specific setbacks in sites with slopes over 40%,land slide areas, open water features, springs,wells, and septic tank drain fields.Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control August � ust_012 3-10 Standard Conditions for ResidentiDevelopment in Jefferson County a 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8. 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 2013-03-07_SIR_StdConditions 3/7/2013 1 Fisheries Service can levy pe•ies. Portions of Jefferson County, inclu ing marine waters, 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. 2013-09-06 5FR StdConditions 9/6/2013 ' °for 1'rifiltration These.ems are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric (geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and with • jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 • • Mary Blain From: Tim Gibbs [gibbshc1991 @gmail.com] Sent: Wednesday, June 11, 2014 10:03 AM To: Babette Desilva Cc: Mary Blain; Colleen Zmolek Subject: Re: (BLD14-00106) (MLA13-00075) (196 Olympus Blvd., Port Ludlow) (Parcel#978 900 032) We will up grade the hot water tank to get the last half point thank you for the help Sent from my iPhone On Jun 11, 2014, at 8:53 AM, Babette Desilva<babettedesilva@yahoo.com> wrote: Thank ou for the up date - although I don't understand what the Energy Code etc is I Y trust you all do and hopefully this issue will be resolved soon. 1 have included our builder Tim Gibbs on this email as well - please let us know if there is something we need to be doing to move this along. Thanks again for all your help. Babette and Dwight DeSilva From: Mary Blain <mblain(a)co.lefferson.wa.us> To: Colleen Zmolek <CZmolekco.lefferson.wa.us>; Babette Desilva <babettedesilva@yahoo.com> Sent: Tuesday, June 10, 2014 4:40 PM Subject: RE: (BLD14-00106) (MLA13-00075) (196 Olympus Blvd., Port Ludlow) (Parcel#978 900 032) Babette, On the Energy Code Calculation worksheet, it is required to have 1.5 points to comply with the energy code for a medium project. Your application only had 1 point marked on the sheet, so I am in the middle of phone tag with a consultant to find out if I can locate that other 1/2 point somewhere in the plans. Other than that, the plan review is done and it's sitting on my desk waiting for that last detail. I have been out of the office most of today on inspections and am training our new permit tech so I apologize for the delay. I'll let you know as soon as I can on the update. Best, Mary Blain Plans Examiner I Dept of Community Development 621 Sheridan St Port Townsend, WA 98368 ph: 360-379-4461 fax: 360-379-4451 mblain(a�co.lefferson.wa.us From: Colleen Zmolek Sent: Tuesday, June 10, 2014 3:40 PM 1 To: Babette Desilva • • Cc: Mary Blain Subject: RE: (BLD14-00106) (MLA13-00075) (196 Olympus 81vd., Port Ludlow) (Parcel#978 900 032) Hi Babette, Plan check is still pending. Once plan check is done the permit can be issued. I have copied JC Plan Examiner, Mary Blain on this email. Colleen Zmolek Associate Planner, Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekaco.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m. —4:30 p.m. Monday to Thursday, closed Fridays. From: Babette Desilva Imailto:babettedesilva[u7yahoo.com] Sent: Tuesday, June 10, 2014 2:33 PM To: Colleen Zmolek Subject: Re: (BLD14-00106) (MLA13-00075) (196 Olympus Blvd., Port Ludlow) (Parcel#978 900 032) Hi Colleen - Just checking in - any updates? From: Colleen Zmolek <CZmolekaco.iefferson.wa.us> To: Babette Desilva <babettedesilvaayahoo.com>; Randy Marx <RMarxCa?co.iefferson.wa.us>; Tim Gibbs <gibbshc1991 Ca omail.com> Cc: Mary Blain <mblain(o.co.lefferson.wa.us>; Sally Ellis <SEllisaco.iefferson.wa.us> Sent: Tuesday, May 27, 2014 4:45 PM Subject: RE: (BLD14-00106) (MLA13-00075) (196 Olympus Blvd., Port Ludlow) (Parcel#978 900 032) Tim came up and revised the site plan. The septic tanks were relocated which requires Randy to change conditions to the septic permit. Mary and Tim Gibbs are working on the building plans final approval. If I had to estimate it will take a week before the permit is issued. A week is an estimate!! Colleen Zmolek Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360-379-4462 czmolekna,co.iefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy, sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m.—4:30 p.m. Monday to Thursday, closed Fridays. 2 • From: Babette Desilva[mailto:babettedesilva(aivahoo.com] Sent: Tuesday,May 27,2014 4:34 PM To: Colleen Zmolek;Randy Marx;Tim Gibbs Cc:Mary Blain; Sally Ellis Subject: Re:(BLD14-00106)(MLA13-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) YAH00000!!! :) Thanks to everyone!t l t t •) From: Colleen Zmolek<CZmolek @co.jefferson.wa.us> To: Randy Marx<RMarx a,co.jefferson.wa.us>;Babette Desilva<babettedesilva @yahoo.com>;Tim Gibbs <gibbshc1991 @gmail.com> Cc: Mary Blain<mblain @,co.jefferson.wa.us>; Sally Ellis<SEllis @co.jefferson.wa.us> Sent: Tuesday,May 27,2014 3:22 PM Subject: RE: (BLD14-00106)(MLA13-00075)(196 Olympus Blvd., Port Ludlow)(Parcel#978 900 032) Hi All, Tim Gibbs is coming in this afternoon and revise the site plan. Colleen Zmolek Associate Planner,Jefferson County Department of Conununity Development 621 Sheridan Street,Port Townsend,WA 98368 360-379-4462 czmolek @co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy,sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m.—4:30 p.m.Monday to Thursday,closed Fridays. From:Randy Marx Sent: Tuesday,May 27,2014 3:00 PM To: Colleen Zmolek; Babette Desilva;Tim Gibbs Cc: Mary Blain;Sally Ellis Subject: RE: (BLD14-00106)(MLAI3-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) Hi All I was just made aware that the plot plan I reviewed was not the most recent plot plan, therfor, I need to rescind my prior approval. I will need to review the most recent submittal befor health can sign off this application again. Mucci* iSta.,rx Always Working For a Safer&Healthier Jefferson County 360 385 9402 //><((((°> ><rr(•> ><((((°> ><W> ><((((�> ><�(�r> ><{{{"> ><»<> ><((((o> Septic Permits Online (Link) Environmental Health Web Site (Link) CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its 3 contents to any person who asks to obtain copy(or for inspection)of this e-mail unless it is exempt from disclosure under state law,including RCW 42.56. From: Colleen Zmolek Sent: Tuesday,May 27,2014 1:21 PM To:Babette Desilva;Randy Marx;Tim Gibbs;Mary Blain Subject: RE: (BLD14-00106)(MLA13-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) Hi Babette, I forwarded your email to Mary. In the computer Plan Check has not been signed off. Mary,will you follow up with Babette regarding what is required to sign off Plan Check. Thank you, Colleen Zmolek Associate Planner,Jefferson County Department of Community Development 621 Sheridan Street,Port Townsend,WA 98368 360-379-4462 czmolek @co.jefferson.wa.us Jefferson County DCD Mission: To preserve and enhance the quality of life in Jefferson County by promoting a vibrant economy,sound communities and a healthy environment. All e-mail sent to this address will be received by the Jefferson County e-mail system and may be subject to Public Disclosure under Chapter 42.56 RCW. Our office is open to the public 9:00 a.m.—4:30 p.m.Monday to Thursday,closed Fridays. From: Babette Desilva[mailto:babettedesilva @yahoo.com] Sent: Tuesday,May 27,2014 12:46 PM To: Randy Marx; Tim Gibbs Cc: Colleen Zmolek Subject: Re:(BLD14-00106)(MLA13-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) Thanks again for getting back to me - I spoke with Colleen last week and Tim spoke to Mary and everything has been signed off on their side as well -not sure why the information is not updated in the computer- so now what is the next step - after confirmation from both departments will you contact Tim to pick up the approved permits or do you mail them or? Babette From: Randy Marx<RMarx @co.jefferson.wa.us> To:Babette Desilva<babettedesilva @yahoo.com>;Tim Gibbs<gibbshc 1991 @gmail.com> Cc: Colleen Zmolek<CZmolek @co.jefferson.wa.us> Sent: Tuesday,May 27,2014 11:14 AM Subject: RE:(BLD14-00106)(MLAI3-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) Hi Babette Thanks for the info. I have signed off the health review for your building application based on the revised drawing date stamped 4/16/14 and the letter from your septic system designer. Looking at the case I see there are 4 items that remain to be signed off: An Additional info request regarding plans dated 4/7, another request from the DRD department dated 4/2, an address review, and plan check. The first two would have resulted in a letter being sent to you from the building department on the dates listed. I have copied Colleen here as she is the lead planner for your case. 4 • • Rama* Ika_Pcx Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><((((°> ><((C'> ><((((°> ><((((°> („ ><((((o> ><((((°> ><{{{"> ><>>o ><((((°> Septic Permits Online (Link) Environmental Health Web Site (Link) CONFIDENTIALITY NOTICE: This e-mail message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. Any unauthorized review,use,disclosure,or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message PUBLIC RECORDS ACT NOTICE: All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act,a state law found at RCW 42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy(or for inspection)of this e-mail unless it is exempt from disclosure under state law,including RCW 42.56. From:Babette Desilva[mailto:babettedesilvaa,yahoo.com] Sent: Monday,May 26,2014 12:50 PM To: Randy Marx; Linda Atkins Subject: (BLD14-00106)(MLA13-00075)(196 Olympus Blvd.,Port Ludlow)(Parcel#978 900 032) Hi Randy and Linda, I understand Linda is out of the office and won't be back in until June so I am hopeful you can look at our file and let our me know if there is anything else we need to comply with before we get our permits. My understanding is that the Department of Community Development has signed off on everything and the only hold up now is in Jefferson County Public Health. From my communications with that department is Linda was just waiting for an updated site map from our builder(Tim Gibbs)which Tim has now provided for her so I am hopeful once you look at the file and the notes you will be able to sign off on this as well. Please let us know as soon as possible so we can move forward with our build. Thank you for your time and effort in this matter. Babette and Dwight DeSilva 253-848-7534 • s GIBBS HOME CONSTRUCTION Page 1 of 2 CoWashington State Department of Labor & Industries GIBBS HOME CONSTRUCTION Owner or tradesperson 44 ARGYLE LN. GIBBS, CHAD PORT LUDLOW, WA 98365 360-437-4196 Principals JEFFERSON County GIBBS, CHAD, PARTNER GIBBS, TIM, PARTNER WA UBI No. Business type 602 597 436 Partnership License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. GIBBSHC948JL Effective—expiration 04/14/2006—04/22/2016 Bond Wesco Insurance Co $12,000.00 Bond account no. 46WB020236 Received by L&I Effective date 04/19/2013 03/22/2013 Expiration date Until Canceled Bond history Insurance Security National Insurance $1,000,000.00 Policy no. NA106565500 Received by L&I Effective date 08/26/2013 08/26/2013 Expiration date 08/26/2014 Insurance history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602597436&L1C=GIBBSHC948JL&SAW= 6/16/2014 i 0 421-ON c o JEFFERSON COUNTY 4) ''.1-1' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend,WA 98368 Web:www.co.iefferson.wa.us/communitydevelopment �9Skr�o�o" Tel:360.379.4450 1 Fax:360.379.4451 1 Email:dcda,co.iefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning April 7, 2014 • DWIGHT E DE SILVA BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 RE: SITE ADDRESS: OLYMPUS BLVD CASE#: BLD14-00106 Dear DWIGHT E DE SILVA: We have started the plan review process on the subject permit. Unfortunately,we are unable to finish the necessary plan review. We are in need of additional information and/or items as listed below: Plans incomplete need 51 and s2 sheets Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions, please feel free to contact me at (360)379-4450. Sincerely, Plans Examiner c: File GIBBS HOME CONSTRUCTION \\tidemark\data\forms1F BLD_AddInfo_PInChk.rpt 11/3/1999 • • Glazing Schedule Project Information Contact Information 2286sqft single family residence Tim Gibbs 360-301-5461 R402.3.3 Exception (15 sq. ft. max.) Vertical Glazing (Windows and glazed doors) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA pg3 window milgarC 0.30 1 6 ° 4 ° 24.0 7.20 pg3 solid steel door 1 3 ° 6 8 20.0 0.00 pg4 mstr. Bath window temp 0.30 1 2 8 4 ° 10.0 3.00 pg4 mstr. Bedromm window 0.30 1 8 ° 6 ° 48.0 14.40 pg4 great room windows 0.30 3 5 ° 6 ° 90.0 27.00 pg4 great room windows 0.30 2 3 ° 6 ° 36.0 10.80 pg4 great room door full glass 1 3 ° 6 8 20.0 0.00 pg4 over door windows 0.30 2 3 ° 1 ° 6.0 1.80 pg4 #2 bedroom 0.30 1 8 ° 6 ° 48.0 14.40 pg4 bathroom window temp 0.30 1 2 ° 4 ° 8.0 2.40 pg4 laundry room steel door 1 2 8 6 8 17.8 0.00 pg4 hallway Steel firedoor 1 2 8 6 8 17.8 0.00 pg4 Den window 0.30 1 4 ° 5 ° 20.0 6.00 pg4 stairway window temp 0.30 1 4 ° 5 ° 20.0 6.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00, 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 __._ __ 0.0 0.00 C, ` _ it I1 0.0 0.00 0.0 0.00 l; 0.0 0.00 j 0.0 0.00 Milk , __.__ - J' _ 0.0 0.00 ( _,;SON CULiI jY t____DEPT OF COMMUNITY DEVELOPMENT • • 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Area and UA I 385.6 93.00 Area Weighted U= UA/Area 0.24 i L C ELIVE n., ; MAR 1 i 2014 7 JEffERSON aidiYi� DT. . OF COMMUNITY DFvri -----�,r�.OPMENT Prescriptive Energy Code Compli for All Climate Zones in Washington ii Project Information Contact Information Desilva, Babbette Tim Gibbs S.F.R. 1941sgft home 44 Argyle In. Pt. Ludlow, wa 98365 360-301-5461 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date All Climate Zones R-Values U-Factors Fenestration U-Factor° n/a 0.30 (� (1 Skylight U-Factor n/a 0.50 ) IE I _ V i; l i Glazed Fenestration SHGC°B n/a n/a D/ , !' Ceiling 49' 0.026 f11v Wood Frame Walh"' 21 int 0.056 , i MAR 1 / 2014 i ri Mass Wall R-Value' 21/21° 0.056 - S' Floor 309 0.029 JEFFER:1;u COUNTY ck DEPT OF COMMUNITY DEVELOPV.N1 Below Grade Wall 10/15/21 int+TB 0.042 Slab°R-Value&Depth 10, 2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 01.Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration r area. Additions to existing building that are less than 750 square feet of heated floor area. ar-t 02. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. Z. 03. Large Dwelling Unit: 2.5 points r Dwelling units exceeding 5000 square feet of conditioned floor area. • yiy>T'-Jk Table R406.2 Summary '! ,I it-- Option Description Credit(s) t _.1. 1a Efficient Building Envelope la 0.5 _❑ �� . 1b Efficient Building Envelope 1b 1.0 ❑ 1c Efficient Building Envelope 1c 2.0 ❑ Cc) )',l' 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 ❑ 3b High Efficiency HVAC 3b 1.0 1.0 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 K • 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 ]*1200 kwh 0.0 Total Credits 1.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energy.pdf a )'- Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= conti ous insulation, int .= intermediate framin . a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. ` "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. a R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. n First value is cavity insulation,second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. Ul MAA2 7014 DEPT JrFFFRso OFC°MM N Ue°UN U `ry�fVE OPMFNT Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information Desilva l7- ._ Heating System Type: O Forced Air Furnace O Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". I I ( li Design Temperature :- Design Temperature Differedce(AT) 45 I Port Townsend V AT=Indoor(70 degrees)-Outdoor;lesign.Temp I� Area of Building Conditioned Floor Area �{ Conditioned Floor Area(sq fl) 2,286 LOl c,)o �,, O- v"`� Average Ceiling Height Conditioned Volume `�=�0,, Average Ceiling Height(ft) 9.0 20,574 Glazing and Doors U-Factor X Area = UA instructions. 0.30 -- Insulation Attic U-Factor X Area = UA I-38 Advanced 0.026 1,941 50.47 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA R-38 Vented v j 0.027 1,941 52.41 Above Grade Walls(see Figure 1) U-Factor X Area UA R-21 v 0.056 1,638 91.73 Floors U-Factor X Area UA Rao 1 1) 0.029 1,941 56.29 Below Grade Walls(see Figure —� U-Factor X Area UA I R-10 Continuous Exterior v 0.064 800 51.20 Slab Below Grade(see Figure 1) F-Factor X Length UA R-5 Thermal Break at slab edge V 0.570 80 45.60 L__ ) Slab on Grade(see Figure 1) F-Factor X Length UA R-10 Perimeter v J 0.540 I 80 I 43.20 Location of Ducts Unconditioned Space Duct Leakage Coefficient -... 1.10 Sum of UA 390.89 Envelope Heat Load 17,590 Btu/Hour Figure 1. Sum of UAX AT _ Air Leakage Heat Load 9,999 Btu/Hour Volume 0.6 X AT X.018 Above Grade Building Design Heat Load 27,589 Btu/Hour `1 "�. Air Leakage*Envelope Heat Loss '^w_ Building and Duct Heat Load 30,348 Btu/Hour Ducts in unconditioned space.Sum of Building Heat Loss X 1.10 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 37,935 Btu/Hour i Building and Duct Heat Loss X 1.40 for Forced Air Furnace . Building and Duct Heat Loss X 1.25 for Heat Pump ! (07/01/13) s P LAN hilio■-ii- _. r_.�n_��rw� ‘:::-) !d" NEW HOMES, ADDITIONS, REMODELS since 1973 2204 Happy Valley Road, Sequim WA 98382 Tel 360.504.0189. www.PlansByMichaelHa1l.com A, APN 978 900 031 x \ 9,0 ABC I0 c \ p J 0 I 0 Sec LrBA o J ARDpos Se 1, �� SpP . CT �� , 0. m • O ii ' ® J 1 1 NC IT CD N ��--_IMPS NNW_IN 1 v _ H ar a I I m^ 1.3&k ' Y r j O V Q , f 2 Fr, QVJ J v ■ 2 N \ Pk (t O m (P m h A i w "e • ( h a I W J J SEPTIC FIELD J J N cc), m z 0ify5- ' ANA N LOCATION MAP c„ RESERVE AIREA I Q f FOR w PROJECT DESCRIPTION: v Ep 1 APN97891.0032; J J �a N o ; SEP 09-01)013 N d A NEW ONE STORY RESIDENCE w/ BASEMENT w for: BABETTE & DWIGHT de SILVA, 3 1. ____� _ I OLYMPUS BLVD, PORT LUDLOW JEFFERSON COUNTY, WA 98365. TEL. 253 848-7534 e,J EXISTING CURTAIN DRAIN PROPERTY DESCRIPTION Li APN 9 900 032 y PORTION OF E T/2, SW 1/4, SEC 4, T 28N, R 1E, W.M. pee /to ��oc�/ DAVID MOE REVOCABLE TRUST, PARCEL "Be, 0.41 ACRES o ra a 4 N—-- ,�j N OLYMPUS BEACHLOTS 52 & 53 (TAX 119) O u (Ni v2 r Qo I NEW o 1 ONE STORY S.F. RESIDENCE p Address Numbers shall be positioned in plain L N - , ._ m sight, legible & visible from street. Numbers shall 7 °3' 6 m,1' Ij-1. 1O' n as , contrast against background, and shall be a =I 1 i , minimum of 4" high. O EXISTING POWER POLE,N N a ' 20' MINIMUM PAVED DRIVEWAY/PARKING PAD TO L. �i I Jo'. a BACK EDGE OF SIDEWALK s�c B�Lt�� _ (or CURB IF NO SIDEWALK IS INSTALLED) s,63 1 F Se ` 1/� A tt I \�/// I. CONCRETE D RIVEWAY:8305E 9\ ABC �° �' < C` 0 L.. �'� ■ MAR 1 7 2014 . Y--7: C ' JEFFERSON COUNTY �` ..vGpA DEPT.OF COMMUNITY DEVELOPMENT ---,veil,/1E i_ b * 1 SITE PLAN 1 in = 20 ft de SILVA 1 NIIIMIIIIMMINE l$UCI1A-i 4(4,N • 1)i e, JEFFERSON NV' kikil DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 4 . > , 360/379-4450. 360/379-4451 Fax .g_� asp Master Permit www.cojefferson.wa.uslcommdevelopment lNermit Application MLA: Project Description(include separate sheets as necessary): ' Tax Parcel Number. 7 k7227'3.i1 Property Size: / V/ (acres/square feet) Site Address and/or Directions to Property: az A7, 'IS Zr s /'T, L a ci- Property Owners)of Record: Dw'111-1/17—74- il4'A fie 1 11/J'4 Telephone:. -17 C $'.7 i Fax email: Mailing Address: 3' 'G .% l'(2 `¢Y, c, L:----- AFL D [sfl, -5–,7/ Applicant/Agent Of different from owner): fyi t",, "/?.g..1- Telephone: ,36 '..'e/ ---S ' / Fax: email: ''..8.0e7,57/C.11`71 Cr//11-/--G.}iG Mailing Address: YY 47‘.G"[i/_/%2fv 17 Yj /,r(v 7 3 c s 5" 'e°>.'" What kind of Permit?(Check each box that applies )2Building ❑Critical Areas Stewardship P- CI Demolition Permit ❑Variance(Minor,Major or R.-< • : • Ic Use) ......0-Single Family rH-arage Attache /.Dg eshed ❑Conditional Use[C(a),C(d),or C] - ❑ Manufactured Home ❑ Modular ❑ Discretionary°D•or Unnamed Use''_=< 1., ❑ Commercial* ❑Special Use(Essential Public Facilities)'"`- 8 • ❑ Change of Use ❑Boundary Line Adjustment, V /� —Address ,VRoad Approach ❑Short Plat*' /ii ii /1.fg8 7 4 ❑Home Business 0 Cottage Industry ❑Binding Site Plan" ❑Propane ❑Long Plat'* ❑Sign ❑Planned Rural Residential Developgtent(PRRD)/Amend ❑Allowed`Yes'Use Consistency Analysis ❑Plat Vacation/Alteration' /ERSG., / ,Ig-Stormwater Management ❑Shoreline Master Program Exempto R ❑Site Plan Approval Advance Determination(SPAAD)' ❑Shoreline Management Substantial Developmentio ❑Temporary Use ❑Shoreline Management Variance Fr'7- ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Ameit i me ❑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: �� / �DESIGNAT ON OF AGENT I hereby designate / /� 6'-7 ' , to act as my agent in matters relating to this application for permit(s). yOWNER SIGNATURE //Pi` Date: - 7-24/ 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 ' that he or she w no lice. Signatu - ....------ Date: : /2 // 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-tra ponsibility for adheri to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: --- � i Date: l ,/1-2- �y G:\PemtitCenter\###FORMS####\DRD FORMS\Master Permit Application 5-29-08doc • BUILDER STATEMENT II 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 assumi • the responsibility of the General Contractor for the proposed proje ecp /. ct. �/ Signature:` �� Date: �7 2 —/ Y GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 1>et T...5- �'4J�U C'OA %I,LCc-�/�A (36G) , / - f j( ) MAILING ADDRESS: ' / "RWyrE AA__ EMAIL: lr/�e5 / l/� /A ,/�-rte CONTRACTOR'S LICENSE / WAINS CT" '/ NUMBER: NUMBER ARCHITECT/ENGINEER: m/C4 i Z ZZ PHONE 01)42,q_.0,3 FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New /1'Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: 3 Bank ❑ Community System ❑ Atteration/Remodel ❑ Concrete Total: Height: /'Individual System [0 Repair ❑ Masonry 'SEP Permit# 0q-04vi,� El Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 13 Public Total: Name of System: V� /!= 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 Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank Above ground Ta Size of Propane Tank: /O I Heat Stove I Cook Stove T Woodsfove Fireplace Inse I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured I Mobile Home? Yes /6) 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. S•Dare FOOta.e Current • •_ :• w -v, 7.." .. maw "" N.c -- was a` .-" 1 ar. - -2553-;t . s r.......:,.,.mak .a- 4 Main Floor Heated /�U/ , EH Bld App Review: -7r ea Floor Heated ,...� s Consistency Review: 2 Other Heated Base fee: Mezzanine .' * - Additional Section: '(> Heated Basement Plan Check fee: Unheated Basement � / 7 - State Surcharge fee: `/ Other Unheated 1 � '• Pot Water Review fee: Garage/Carport [/ •:' SUBTOTAL Decks 7 ° ' 911/Rd p achfee: Other :•t ' x c. TOTAL: $ /./S Zar _ j� Receipt Number. � A V 117 e /q Y4 5v7-- I / I [ThS CashlCheckNumber. i /e1 r TIMATED,COST(REQUIRED 1 y Date: irj nitar ket value of all labor and m: : ndation to finish 3-1-14 L w G > 5-0, ' Initials: • — JEFFERSON COIMIFy )rPT OF COMAM9TY DFVEIOPMENT G:\Pemutcenter\#t!#FORMS###\Diu)PO'-n6\Master Permit Application 5-29-08.doc GIBBS HOME CONSTRUCTION Page 1 of 2 • . thlWashington State Department of Labor & Industries GIBBS HOME CONSTRUCTION Owner or tradesperson 44 ARGYLE LN. GIBBS, CHAD PORT LUDLOW, WA98365 360-437-4196 Principals JEFFERSON County GIBBS, CHAD GIBBS, TIM WA UBI No, Business type 602 597 436 Partnership License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. GIBBSHC948JL Effective—expiration 04/14/2006—04/22/2014 Bond Wesco Insurance Co $12,000.00 Bond account no 46WB020236 Received by L&t Effective date 04/19/2013 03/22/2013 Insurance Security National Insurance $1,000,000.00 Policy no. NA106565500 Received by L& Effective date 08/26/2013 08/26/2013 Expiration date 08/26/2014 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. https:/./secure.lni.wa.gov/verify./Detail.aspx?UBI=602597436&LIC=GIBBSHC948JL&SAW= 3/20/2014 GIBBS HOME CONSTRUCTION Page 2 of 2 License Violations • • No license violations during the previous 6 year period. Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor& Industries.Use of this site is subject to the laws of the state of Washington. Acc @33 AM Washington', • ,5 mn•.i., .m xxr co,. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602597436&LIC=GIBBSHC948JL&SAW= 3/20/2014 Screen: 01 REAL PROPERTY MASTER Mode : INQUIRY • Auto Roll : OFF Parcel # 000978900032 Ge d 282104307231 OLYMPUS BEACH Nbhd Cd 3310' 52 & 53 (TAX 119) Loc ID * Taxpayer Cd DE*S 5000 DE SILVA, DWIGHT E T/P Chg Dt 6/13/2013 * Title Owner T/P Chg Usr JA Tax Code 0231 Status TX TAXABLE Land Use 9100 VACANT LAND Affidavit 119374 Vol/Page / C/U Code COMPLETE ADDRESS WINDOW Taxpayer DE*S5000 DWIGHT E DE SILVA BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 Search Key CMD 6: End Window CMD 7: End of Job •Jp Front Parcel Review • Parcel 978900032 Printed: March 31, 2014 DWIGHT E DE SILVA Site Address: (z BABETTE DE SILVA OLYMPUS BLVD V L' / ( —r 3403 90TH AVE E EDGEWOOD, WA 98371207E PORT LUDLOW WA, 98365 Parcel Number: 978900032 S-T-R: 4-28N-01 E Total Acreage 0 Legal Description OLYMPUS BEACH 52 & 53 (TAX 119) Land Use: 9100 Flood District: Fire District: 3 Planning Area: 7 Flood Map(FIRM)Panel No: School District 49 Zoning: 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 poperty lines as identified on theAssessor's 1/4 map) [. ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents `k 0 [ I ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES NO [ ] Shoreline Slope Stability: YES NO c-C—A42,, Stream Type:YES I • FWHCA: YES AO Wetlands: YES A. Rare Plants:YES . • Seismic: YES VI Landslide: YES N. "Shot o I I nn heti- Oacym rcQ Flood: YES ,�^' Erosion: YES �O ' Aquifer Rechar_e Area:YES 1� SIPZ: 1016 At Risk High Risk Coastal CMZ: ..449NO High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES Adjoining Forest Lands: CommerciaV RuraV Inholding [ ] Mineral Lands: YES oilP [ ] Agricultural Lands: [ ] Archaeology: YE NO [ ] No Shooting Zone. YES O [ ] Stormwater: New Impervious Surface Z20' Land Disturbing Activity a fi2,q0 ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [� Notice Provisions/Disclosure: • sort YES 49 MRL Yes Forest Lands YES Landscaping Require. P g • (No [��� Parking Spaces Res -d NO A• er V 1 Building Height:0 UBC Standard ] , Impervious Surface covera ercenta.-• a • Resource Lands&Public: 10W Rural Residential: 25'0 Rural Indult Per UDC Sec 6.7 [ / Rural Commercial: 60% Area of Buil.m l . • age: 60%in Rural Industrial Lands only Total Building (s) Size: 7 RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SP All others:subject to septic&water constraints/None specified 1/]] Setbacks: Front: 10 Left Side: I O Right Side: _ 5 Rear: Shoreline Setback: r( LSHA Setback: /'\ [zi" Road Classification: Qtv►'4:46S pj(1/ C...(0'0 a SoGI L o G -fcC� • Road Approach: EXISTING N REQ'D RAP Vs ,,ti,fe0 t. Alit - 0 L [/] EPA Required: YES EMPT [4lood Certificate: �(k [Existing Case(s) & C.ndition(s): ‘Li2Q.tsuL) Violations: Yes [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ Lots/Require Declaration of Restrictive Covenant YEALV submitted: YES NO ], UGA No Protest Agreement YES . 0 submitted: YES NO [/] Site Visit conducted YES 10 Y, Require Final Zoning Approva E 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 Title Notes Updated Parcel tags found for parcel 978900032 1.) WSRC Coaching - LID 2013-01-24 Drainage 04/11/2013 Parcel tags found for parcel 978900032 2.) WSRC Coaching - 2013-01-24 wet season 04/11/2013 Other Parcel tags found for parcel 978900032 3.) WSRC Coaching - 2013-01-29 easement 04/11/2013 Other Parcel tags found for parcel 978900032 4.) WSRC Coaching - 2013-01-29 curtain Frain 04/11/2013 CAO Parcel tags found for parcel 978900032 5.) WSRC Coaching - 2013-01-30 stormwater 04/11/2013 CAO Parcel tags found for parcel 978900032 6.) WSRC Coaching - 2013 -04-29 sg 06/13/2013 SMP Parcel tags found for parcel 978900032 7.) WSRC Coaching - 2013-06-12, CZ 09/04/2013 Other Cases Associated with APN 978900032 Cases Name Review Type Status Planner BLD14-00106 DE SILVA P Application Received: 3/20/2014 Permit Issued/Case closed: Case Finaled: SFR -W/ FULL BASEMEN I - PARTIALLY UNHEATED, ATTACHED GARAGE - NO PLUMBING, NO HEAT MLA13-00075 ZON13-00020 MLA13-00075 DESILVA I A Application Received: 5/20/2013 Permit Issued/Case closed: 8/2/2013 Case Finaled: ROAD SETBACK VARIANCE trom Olympuis Blvd and ingress - egress easement both reduced to 10 feet \\tidemarkldatalforms\R_Parcel_CRMLA.rpt 3/31/2014 Page 2 of 3 OTROS-00035 HAROLD MOE CONSTRUCTION CLS 'Application Received: 12/30/2009 Pe it Issued/Case closed: Ile Finaled: WET SEAS EVAL SEP09-00013 HAROLD MOE CONSTRUCTION A Application Received: 2/18/2009 Permit Issued/Case closed: 1/20/2013 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 3/31/2014 Page 3 of 3 Ii ILDING PERMIT APPLICATTN BRLD1e 00106 1 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Gait ��AP PERMIT #: BLD14-00106 Received Date: 3/20/2014 SITE ADDRESS: OLYMPUS BLVD PORT LUDLOW, 98365 OWNER: DWIGHT E DE SILVA PHONE: 360-731-0643 BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 OLYMPUS BEACH SUBDIVISION: Block: Lot: 52+ PARCEL NUMBER: 978900032 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: GIBBS HOME CONSTRUCTION PHONE: 360-437-4196 TIM GIBBS 44 ARGYLE LN PORT LUDLOW WA 98365 Contractor's License GIBBSHC948JL Expires 4/22/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,941 VALUATION 195,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2012 HEAT BASE: 345 HEAT TYPE: OCCUPANCY: UNHEATED: 1,314 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 484 CONST TYPE: SETBACK: DECK: 322 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 63700 BEDROOMS: BATHROOMS: Exist: Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: ;7 ._ Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,518.00 JLA 03/18/14 148482 Plan Check $1,636.70 JLA 03/18/14 148482 State Building Code $4.50 JLA 03/18/14 148482 Potable Water Application $67.00 JLA 03/18/14 148482 Total: $4,226.20 w„1e..,s.L,\rb,*a fn...,e\r P1 fl a.,.. Rid.e+ 1onlon1n �ti�soN co, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Web: www.co.iefferson.wa.us/communitydevelopment eg o Tel: 360.379.4450 I Fax: 360.379.4451 I Email:dcd(a,co.lefferson.wa.us SquareONE Resource Center I Building Permits & Inspections I Development Review I Long Range Planning April 2, 2014 DWIGHT E DE SILVA BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 RE: SITE ADDRESS: OLYMPUS BLVD CASE#: BLD14-00106 Dear DWIGHT E DE SILVA: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. I have started the initial review of building application BLD14-00106 submitted March 20, 2014. The parcel currently has no address or road approach. Please submit the attached address request application to the Department of Community Development along with a fee of$228 and a site plan . If submitting the application in person please call for an appointment with the permit tech, 360-379-4450. Olympus Boulevard is a Jefferson County Road and requires a road approach permit (RAP) from Public Works. I have attached a road approach application from the Public Works website at: http://www.co.jefferson.wa.us/publicworks/Permits/permits.asp Submit the RAP application and fees to Public Works. If you have any questions, please feel free to contact me by email at czmolek @co.jefferson.wa.us or by phone at 360-379-4462. Please submit the above information to the Department of Community Development by July 1, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety(90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, Department of Mr unity Development Staff • ADDRESS REQUEST • JEFFERSON COUNTY PERMIT CENTER 621 Sheridan, Port Townsend, WA 98368 (360) 379-4450 APPLICANT: Please fill out items 1 through 9 1. ❑ New Address Correction H Change 'Review DUPLICATE 911 ADDRESS PLATE _ Destroyed H Faded 2. Applicant Name: Other 3. Mailing Address: TECH NOTES Town/ State/Zip ADDRESS ENTERED IN 4. Telephone: Work Home: 5. Location: Attach a Detailed Drawing or Map. I i Additional Fees May Be Required if More Than One Site Visit Is Necessary *******PLEASE FLAG YOUR DRIVEWAY.******* Date Flagged: / / Flagging Color Nine Digit Tax Parcel Number DIFF LEFT M.P. I RIGHT DIFF 6. Road Name: Is this a PRIVATE or COUNTY road? CIRCLE ONE Nearest Cross Road: 7. Neighbors' Address if Known: Name/Address: Name/Address: 8. Do You Need To Construct a Driveway? YES or NO 9. County or State Access Approval# ROAD APPROACH OR STATE HWY ACCESS PERMITS ARE REQUIRED IF YOUR DRIVEWAY IS OFF A COUNTY OR STATE ROAD IN ORDER TO PROCESS ADDRESS FIELD NOTES REQUEST. SHADED AREAS OFFICE USE ONLY New Address: Postal District: Real Milepost: Road #: Left or Right Fire District Building Permit # Plate Sent / / Odd Even Date Paid Check Receipt # Date in Computer / / • • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ADDRESS REQUEST INSTRUCTIONS • Complete the address request form in as much detail as possible. The most important information to include is the complete name of the road where your property is located & the nine digit parcel identification number. The fee is $ 228.pD • You must also attach a vicinity map or drawing. • Use the survey ribbons provided to flag both sides of your driveway. If your driveway is not in yet, mark the location where the driveway will be. • The address technician from the Permit Center will assign your address within 5 working days. The technician will visit the site and determine the address according to the nearest milepost distance from the start of the road. • The red address plate will be sent to your current mailing address, as indicated by you on the address request form, within one week to ten days. The plate is to be posted at the end of your driveway and is to be clearly visible from both directions. • The Permit Center will notify the appropriate postmaster, fire district and emergency services of your new address. • You must apply for a Road Approach Permit if your driveway will connect with a County Road. Please contact Public Works @ 360-385- 9160. • You must apply for an Access Connection Permit if your driveway will connect with a State Highway. Please contact WSDOT @ http://www.wsdot.wa.qov/Northwest/developmentservices. (PLEASE NOTE): A copy of your approved Access Connection Permit is required to be submitted along with the Address Request. • • JEFFERSON COUNTY APPLICATION FOR ROAD APPROACH PERMIT Office use only Jefferson County Permit# Department of Public Works Receipt# 623 Sheridan Street Check# Port Townsend,WA 98368 Date Paid 360-385-9159 Mile Post Fee for 2014 $243.00 Additional fees may apply for multiple site visits and/or inspections. Please Print or Type All Information—Check All That Apply Residential Approach Logging Approach Temporary Approach Commercial Approach Improvements Only — County Road Name Parcel Number As property owner,I hereby designate Property Owner to act as my agent in matters related to this application for permit(s). Owner's Mailing Address Owner's Signature Date City,State,Zip Code Designated Contractor's License No. Telephone No./Ext. Flagging Color and Date Flagged(Please identify/mark the location) ACKNOWLEDGEMENTS By signing the application form,the undersigned Applicant attests that the information provided herein is true and correct to the best of his/her knowledge and agrees to all conditions on the permit.The Applicant also certifies that this application is being made with the full knowledge and consent of all owners of the affected property.Any material falsehood or any omission of material fact made by the Applicant/Owner with respect to this application packet may result in this permit being null and void. The Applicant further agrees to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees • and expenses that may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. The Applicant further agrees 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 inspection.This right of entry shall expire when the County concludes the application has complied with all applicable laws and regulations. Access and right of entry to Applicant's property shall be requested and shall occur only during regular business hours. The action or actions Applicant will undertake as a result of this permit may negatively impact 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 Applicant's action(s)even if Applicant is 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. Property Owner or Designated Contractor Signature Date Please be sure to sizn this form and make check payable to Jefferson County Forms.2014 Application for Road Approach Permit Updated 1/2/2014 Page 1 of 2 x O• • Cr rD m O m n 3 O 0 m —I O 0 w N n n C r a(n -"lc 70 - a Z `O = w O Pr-, a 0 ccN P' ts .<_ ro CD p a , E, w = N -1 -s d 3 S , 00 0 p -p Ea N D CD N Z 61 In r N p • s C = H a o ,72, d =. 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Po D — o N 0 d f rt C N D 7 n m 0 n 0_ 0_ 3 m Z - i' '4i -< As (D A 1 rn V • • ON JEFFERSON COUNTY 440 DEPARTMENT OF COMMUNITY DEVELOPMENT // 'fl nti 621 Sheridan Street• Port Townsend •Washington 98368 u MAf� 7:2V014 1ss' . _ i:O 360/379-4450 • 360/379-4451 Fax '�j� ` http://www.co.jefferson.wa.us/commdeveiopment/ I iEEF64SONCOUNiY PL OF CDMMUNITy DEVELOPMENT Stormwater Calculation Worksheet '/ MLA# PROJECT/APPLICANT NAME 4,11"..(--- k29 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 i 0 V/acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet y npg sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY.CONVERSION OF NATIVE VEGETATION.AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: / Does the project convert%acres or more of Construction site for structures 42 S7— sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes Well,utilities,etc. 'r yljGv sq/ft Does the project convert 2't4 acres or more of native vegetation to pasture? Driveway, parking,roads,etc. ,47 s7 sq/ft Circle: Yes Lawn, landscaping,etc. ik 5Z "(.. sq/ft Other compacted surface,etc. sq/ft Indicate TootallVolumes of Proposed: Total Land Disturbance Y 6 sq/ft Cut t6 rk Fill (cued) [over] stormweter calk worksheet—REV 2120/2008 1 • • r Impervious surface is a hard surface that either prevents or retards the entry of water into the soil man r n ru aI eniti 1; prior to development. A hard surface area which causes water to run off the surface in greater quantities I r 'increased rare altow-- from the flow present under natural conditions prior to development. Common impervious surfaces inclu !,-but'are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roa ',%packed earthen mire:1idlr and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. J I NU STORMWATER CALULATIONS-IMPERVIOUS SURFACE JEFFERSON ilk — l._�_�EP-OF COMM-- DEVFLOPME' NEW 2 EXISTING Structures(all roof area) n��� sq/ft Structures(all roof area) sq/ft Sidewalks Co' sq/ft Sidewalks sq/ft Patios Q sq/ft Patios sq/ft Solid Decks Q sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking, roads,etc 6"yiJ sq/ft Driveway, parking, roads,etc sq/ft Other U! sq/ft Other sq/ft Total New y p p sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING' 2 Fe 6P 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 ,1l 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 applicantiowner 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. ..__...------- - -Y- ���.._ 9 - /2 - / (LANDOWNER OR AUTHOR ED REPRESENTATIVE SIGNATURE) (DATE) its a3i m.. ter'+ Js% g stormwater talc work91r0e1-REV.2/20/2008 2 4 7,e.--,:t-O ode JEFFERSON COUNTY .. 'f..`:1' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 3601379-4450 • 360/379-4451 Fax $ gyp$ www.co.jefferson.wa.us/commdevelopment ( Master Permit Application MLA: Project Description(include separate sheets as necessary): �� r Tax Parcel Number. 7 k7AlnQ ,s1 Property Size: / /2 1// (acres/square feet) Site Address and/or Directions to Property: Property Owners)of Record: �;,v e'-,1-/7 f X3'4 ,e /--r J 1. 1'4 Telephone:,iZ 3-‘ 7.-6 :7/ Fax: email: Mailing Address: 3S'v.; f2 O 41 C /.- c4E1✓!? %7 144, -1'5,----T-7/ (if different from owner): ('✓//?f . Applicant/Agent(fd ) �� Telephone: 36G.,fif S ` Fax: email:G,/r/fsf/ /7`// 42r/711T/ Mailing Address: /Y /,�',CJi/� �� ��f UQ� cv -- s t'°r What kind of Permit?(Check each box that applies .. uilding ❑ Critical Areas Stewardship Pla ❑ Demolition Permit —+ ❑Variance(Minor,Major or Rearial, Qnomic Use) LI-Single Family , '6arage Attach deeteehed ❑ Conditional Use[C(a),C(d),pr j M _,� ❑ Manufactured Home ❑ Modular t 0 Discretionary°D°or Unnamed Use C is CI Commercial* ❑Special Use(Essential Public Facilities)'* �_ Q � ❑ Change of Use ❑ Boundary Line Adjustment Address Road Approach ❑Short Plat"' :4 ❑Home Business ❑ Cottage Industry ❑ Binding Site Plan"' !, /" ❑Propane ❑ Long Plat'* / k..,._ / ❑Sign ❑Planned Rural Residential Development(PRRD)/Amend ❑Allowed`Yes" Use Consistency Analysis ❑ Plat Vacation/Alteration"" -'�T i- '' �0-Stormwater Management El Shoreline Master Program Exemption/Pemtit Rey)s ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development, ❑Temporary Use ❑ Shoreline Management Variance �- 'T ❑Wireless Telecommunication' ❑ Comprehensive Plan/UDC/Land Use District Map Amendme. t ❑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: �� /, r DESIGNATION OF AGENT I hereby designate / /�� G9 fi '�5,, ` to act as my agent in matters relating to this application for permit(s). PP / OWNER SIGNATURE - ,d — •• '� t� �J Date: .2- 7-��` j . 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 atfomey'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 that he or she wan ri tice. L� Signature;-�r�i7 � Date: // The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential'take'of an endangered species as those terms are defined in the federal law known as the 'Endangered 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 actions)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabte{esponsibility for adherin• to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: �Y7 Date: ✓ / /y G:\PemritCenttr\tt##FORMS###\DAD FORMS\Master Pcanit Application 5-29-08.doc • It 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. / r/ Signatur � c�iZ Date: ? "'/2= -/ Y GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: I /M75' M%/)-7 ( %-,-% LCL1/4('A.-- (36:1 ' / - -G�( )/ MAILING ADDRESS: //�/ ,�i 6ji/ X - EMAIL: t~'/�4s//3 /7�'y//4 lr ,'ys`./-,%P„? CONTRACTOR'S LICENSE / WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: / / / E/ AA/z PHONE 13e )6 jr�. s,9 FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ,13'Wood Existing: 0 ❑ Sewer 7 Addition ❑ Steel Proposed: 5 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: gindividual System Li Repair ❑ Masonry •SEP Permit# -a,i,e_5 ❑ Demolition 0 Other: Bedrooms: n Water Supply: Existing: / Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: ,,,3 Public . Total: Name of System: t" ,y2,iC '_ If this is a Commercial Proiect 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 Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank Above ground Tank`' _ _ _Size of Propane Tank: /0.l.:,.-,°1 1 Heat Stove 1 Cook Stove oo s ove Fireplace Insert; I Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / +91 When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed t.0 � s `r* '�` � � i Aurttz i stiiD Main Floor Heated /J ',/ 11'....,°Z.: EH 131d App Review: ,,rr/ 2n6 Floor Heated ___--- Tzi.' 1.-t--',,,V,..-M44, Consistency Review: Zz , •° 4t Other Heated; Base fee: ZSi D Mezzanine s Additional Section: Heated Basement Y5-, lir .= Plan Check fee: , Unheated Basement ,r .� State Surcharge fee: /4/ Y" 1-/•S Other Unheated d. r Pot Water Review fee: Garage/Carport 4, t, SUBTOTAL Decks 1 911/Rd p r fee J . 1 : )- 3- � , Other ; I_ e> -7. $ /./ ZJ I `r1E0 [ �fv '' Receipt Number. /1( 0 "I 8-1-- J i{t_,,�- Cash/Check Number r I STIMATED COST(REQUIRED J I Date: `� +fair market value of all labor and in _ :a$ undatron to finish 3-(6 -l`1 I J/9 5-0z,, Initials: • — — G:\Pen Center\###FORMS###\DRD F \Master Permit Application 5-29-08.doc O : O D ; Dm0yo O:\D E SILV—A\de Z/SLVmA.a la youa r t SaturdayU,r-o Fe b ruarz y 15,2014 5:12:43 PM . 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T TEL. /O Dom ••o<O P O p r0 f.,4 9'82 N o o°? JEFFERSON COUNTY,WA 98385. TEL.253 848-7534 (G � /f� �//� ".. 1z. O O. pgm.- V V• V1D <Oivmry-m�z OAO ���23 m m 5 D o ADDITIONS,REMODELS since 1 7 D m NEW HOMES AD ONS O S SE ce 9 3 E z z z 3' N K 2204 Happy Valley Road,Sequim WA 98382 %i Tel 360.504.0189. www.PlartsByMichaelHall.com MichaelHa 11.com VA-11G 2p 44 OZ = u! 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A .� N ' m m m N 4:..� y.�. m T :: 888 m • :94 - - ti a N 8 y; %t ?a O- m °I (SE 1/4 5-28N-1E) alt JEFFERSON AVENUE (PRI 1 JEFFERSON AVENUE (PVT.) :11: 10137 r ]152] to O to ro g- jrpV ��� ilza Pz N� -y 'C.)l��s mp� �I'p R R o NO '1� f.i P N PvN P J /-1 PWQ `1 O.-.1 A V• w 9 N I N 6�I4L . 8 o V le P r wj8- ovw goo m�..m 22 2 4t UE oy�p "' • Pv P _P. =WO �x pY 'n & I m � �°� o yv 9-°00Z Xi 0 9 t rg oOpW pRo lJ'1 1 XI' ' +X\2 J sells. l.P -i CP mum $t a v x x u 0,p- r m N _Lt ;,dc :) S m ° P 5.' P" P\8 PX$ qi8 PN a;,� -El-0' g (^' › j pm PN P X Cl)�� ' u0 Op NV v ]9.&1 N P x �d Pmx$ P m P _ E 2.0 y P !7 N P f X 1 e x$ $X $ 1P1.34 Spp y fl; V P 4 Pm S � l q i P ' Pit ON A � u P P u N Iii A /.0(... _.5 �Pvi $ PBuJ 4 4A P PN x \,P \i1 o S 4 $ g r (ROAD) LANE -9 ti a ]54: 03 z r O 8 z • 9 w O b ° � kp 3 O °O s• °u iri1 P ° —1 I \N � N P ( + ' u$rE ^ 9 \ q y I P E T, J °��_ sppp .p , S0 P I _ P PO W' g _>1 P /P vL/ °• �1 ti� I I I 1 I I S'k' IC P P�/" I I I I I I I I P P % P • 1P 1 1 I I I 1 I I 1 1 I # P / 5 4 11 I I I I I I I I I I N i " ��F" ( g I I I I I rx I I I I P YI I I a 7 t C) N y N y C) u e m ft r P / /o L ,Q4� 7-y y /NET rri ° O (SE 1/4 4-28N-1E) ry 0 * r o 1•0 Tl -D 4. 7` -.7.: j ; v 3 N W N. -. m z - N p ; ■o \ t S' .' 5 : f II D° e g - o r T. -0 $ $ $ N f O rt1 7-1 +j o-- z • ADDRESS REQUEST • JEFFERSON COUNTY PERMIT CENTER 621 Sheridan, Port Townsend, WA 98368 (360) 379-4450 APPLICANT: Please fill out items 1 through 9 1>111 New Address I I Correction ❑ Change LIReview I 1 �� A,A I CIV O T E 2. Applicant Name: �� S A '9-- � L / 3. Mailing Address: 4, ' ./ ,/ ' Town/ State/Zip " �Grr' ? 4. Telephone: Work)�!-gs;/-57f67 Home: Via . d-31). 5. Location: Attach a Detailed Drawing or Map. Additional Fees May Be Required if More Than One ' Site Visit Is Necessary *******PLEASE FLAG YOUR DRIVEWAY.******* Date Flagged: 7// 7//Flagging Color Nine Digit Tax Parcel Number 7S-77(.2('r>2 + DIFF I LEFT M.P. ! RIGHT DIFF 6. Road Name: i//1, Is this a PRIVATE or'COCJNTY-koad? CIRCLE ONE =`J Nearest Cross Road: �� //%C Gi?,, 4'' 2 7. Neighbors'Address if Known: Name/Address: /7 / , ��/ 7? Name/Address: 8. Do You Need To Construct a Driveway? YES or NO 9. County or State Access Approval# ROAD APPROACH OR STATE HWY ACCESS PERMITS (, ARE REQUIRED IF YOUR DRIVEWAY IS OFF A COUNTY OR STATE ROAD IN ORDER TO PROCESS ADDRESS FIELD NOTES REQUEST. SHADED AREAS OFFICE USE ONLY New Address: /9 p+-yc-•r) �� � Postal District: Real Milepost: . / 967 Road #: Left or Right Fire District Building Permit # Plate Sent / / Odd Even Date Paid • Check Receipt # W'Z Date in Computer I / .p-Output • • Page 1 of 1 ArCIMS HTML Viewer Map C evo-r5 e ll at/Cal15 Yre.V%Jf n` — N1 f/ '. 975KGJb / Y?eYL0.13 / /1.7.LY ff1 i/r YIYAI(AS] �I t\ ni� vi`!t. `\- l'\. Msele u, vIW rxe I Bro'J:CV•5 L/11i:4iN n.rn nwmtfr m4rm.^a.ry Corr A'✓m'w4 ��»m...w..,. a®....._. �SBh 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 me collodion.Thu Mar 2013:57:06 2014 1 V k31 ) 1A) VI4Ve-haj t) gpvi fa v _ / J Jim • 0 , http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4...r 3/20/2014 p LA N S ..,,,,arigt,t......t. et(::::)9774.t.„40° P e37,1„...... 4,-) r4 j") NEW HOMES, ADDITIONS, REMODELS since 1973 y i "," .wa ,', y,. 'idn+'r, � `z'✓ is 2204 Happy Valley Road, S:: . ' .A •= = — _.__ o� ,: _ y GLTARBKO EIa Tel 360.504.0189. www.Plans ■ M.i � STORMWATER PLAN ( _ Y 411441,P d IYiY •� Yr�di Yn \ A„.4, APN 978 900 031 JEFFERSON COUNTY DEPT OF C MMUNITYDEVEL MENT 92.0' SIGNATURE: ': a [�s, ,SET: x y k, se �� 't. p G`+ �� A'� of J - s��� C�� J - swa�s,m.um x a m X1')'31 F,ss„4. °- ,„>� ! i s s M I u [�, O J J J J va17?�� �, d N N a -.xk 1 � w 1-4 en k= O z cs p 1.i CrN CJ O z y zO 1 F-1 6 J J _, ,v' V A rti ' e i4.4nitk,-, ,a Q � w .. r' W, ( -1 SEPTIC FIELD eaW w; m � aixy,15 ANA I I LOCATION MAP RESERVE \REA I I W I I s ■ FOR I u i J 9 w �� 1 APN 978 9( 0 032; PROJECT DESCRIPTION: �a { N SEP O9-00013 m a A NEW ONE STORY RESIDENCE w/ BASEMENT A for: BABETTE & DWIGHT de SILVA, L-IIMMID---PIMP TIMMGEM OLYMPUS BLVD, PORT LUDLOW J JEFFERSON COUNTY, WA 98365. TEL. 253 848-7534 O J T. 4-.1 N -�_ IiXIF'1INGCURI'AINDRAIN ^; II PROPERTY DESCRIPTION , APN 9 9!0 032 PORTION OF E 1/z, SW 1/4, SEC 4, T 28N, R 1E, W.M. o- I ° ” _, - _ 1 1 J J e = Y : MOE REVOCABLE TRUST, PARCEL "B", 0.41 ACRES N o a � _ �—� m a L OLYMPUS BEACHLOTS 52 & 53 (TAX 119) v NEW o �' 1 ONE STORY S.F. RESIDENCE 1 p f?' ddress Numbers shall be positioned in plain ._i ...,.....I..,.,e..4 im� 9 _ �.� ! 1 N sight, legible & visible from street. Numbers shall a.1111111911.37, :-\L ,N - ,_ - 1 1 O contrast against background, and shall be a 7' 3' 6' minimum of 4" high. L. 1 . Orxlrwcrowruilo�r m *� m • I 9l ____ . � 1 x 20' MINIMUM PAVED DRIVEWAY/PARKING PAD TO 1 \ 1 70' ' I I U se s£T� Q BACK EDGE OF SIDEWALK �` (or CURB IF NO SIDEWALK IS INSTALLED) 'c 1 1 i i 1 4 �.arve. l V '` - ^ �� 1 ) -4111 E �` GONGRETEDRIVEWAY:0005F 9J , p,.-4. / „� SITE PLAN a \, W1�� .,11u: ck A ? 2 2014 .414,..,',:,../1=1'J_�P�t, 4....., JEFFERSON` DEPT.OF G FERSON COUNTY DEVELOP ■ %A,. UI J, SIGNATURE: ■1 I, i . ■ O * 1 SITE FLAN 1 in = 20 ft de SILVA • S Jefferson County Building Division Permit Number: BLD14-00106 Applicant: DE SILVA BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 i').51/174 A/ E• rosion Control Foundation Footing /�,�� 11FFEC. X Z inn A)//S/41 6Wl F• ooting Drains Foundation Stem Wall Underground Plumbing /b U• nder Floor Framing Straps (hold downs) E• xt.Shear Wall Nailing ,/x/./....5 ,Pn' R• ough-in Plumbing 7020-1 C— F• raming B• locking lll��� TT7���"' A• irseal X)'•2 -1/ — Insulation:Walls 1"-'clb—b3.F17 Insulation: Floors f7 1 7 J 2 Insulation:Ceiling Int.Shear Wall Nailing W• allboard Nailing P 0111/ r Gas Line: Interior G• as Line: Exterior Propane Tank Drywell/Alt Drainage II i3— A• ddress Posted G.11t , 3' M• iscellaneous High Efficiency HVAC 3b and Efficient Water Heating 5a must be met for Energy Code compliance. Septic System Finaled • • A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION 011 1 FINAL INSPECTION '' UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00106 1.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES - Any interceptor/curtain drain or foundation drain, or any other source of water that is downgradient or below MUST be setback a minimum of 30'from any septic system dispersal area (drainfield)and 5'from any septic tanks. Splash blocks must be directed away from ALL septic components. Subsurface stormwater infiltration, subsurface soil dispersal systems with NO discharge point must be located a minimum of 10 ft. downgradient of the drainfield. 2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) The site plan as submitted with the building permit application on 3-20-2014 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated 5-27-2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a single family residence 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. 5.) Planner CJZ 6.) OPTION 3B (High Efficiency HVAC 3B)AND OPTION 5A(Efficient Water Heating) MUST BE MET TO COMPLY WITH ENERGY CODE FOR THIS STRUCTURE. \ltidemark\data\form s\F_BLD_Perm it_Bldg.rpt 6/16/2014 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00106 Received Date: 3/20/2014 SITE ADDRESS: 196 OLYMPUS BLVD Issue Date 6/16/2014 PORT LUDLOW, 98365 Expiration Date 6/16/2015 OWNER: DWIGHT E DE SILVA PHONE: 360-731-0643 BABETTE DE SILVA 3403 90TH AVE E EDGEWOOD WA 98371-2076 OLYMPUS BEACH SUBDIVISION: Block: Lot: 52+ PARCEL NUMBER: 978900032 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: GIBBS HOME CONSTRUCTION PHONE: 360-437-4196 TIM GIBBS 44 ARGYLE LN PORT LUDLOW WA 98365 Contractor's License GIBBSHC948JL Expires 4/22/2016 PROJECT DESCRIPTION: SFR - W/ FULL BASEMENT - PARTIALLY UNHEATED, ATTACHED GARAGE - NO PLUMBING, NO HEAT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,941 VALUATION 195,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2012 HEAT BASE: 345 HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: 1,314 # OF STORIES: OTHER: CONST TYPE: SHORELINE: CONST TYPE: �ECRKAGE. 322 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 63700 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,518.00 JLA 03/18/14 148482 Exist: Exist: 0 Plan Check $1,636.70 JLA 03/18/14 148482 Prop: 2 Prop: 3 State Building Code $4.50 JLA 03/18/14 148482 Total: 2 Total: 3 Potable Water Application $67.00 JLA 03/18/14 148482 Total: $4,226.20 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 SPECIAL CONDITIONS APPLY- SEE ATTATCHED