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HomeMy WebLinkAboutBLD2014-00444 SUILDING PERMIT APPLICON BLD14-00444 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00444 Received Date: 11/25/2014 SITE ADDRESS: 5562 FLAGLER RD NORDLAND, 98358 OWNER: MARK COLTER PHONE: 206-799-6709 MARK A COLTER TRUSTEE 18125 NE 105TH CT REDMOND WA 98052-2835 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 1E CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 211 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License STAPFCI91 CK Expires 2/17/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE -(UNHEATED) WITH SHOP& ART STUDIO-(HEATED) S E P 10-00076 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 69,888.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: THER: 320 CONST TYPE: GARAGE: 1,216 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: 1 Total: Total: 1 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date State Building Code $4.50 SRE 11/25/14 153912 Permit $757.00 SRE 11/25/14 153912 duo �it nod uos�a a� Plan Check $492.05 SRE 11/25/14 153912 410Z U i 330 Total: $1,253.55 a3A®IddV 1l tidemark\data\forms\F_BLD_App_Bld.rpt 11/25/2014 L; (6, DEPARTMENT OF COMMUNITY DEVELOPMENT ` "'' � 't� 621 Sheridan Street,Port Townsend,WA 98368 — ' Tc1:360.379.4450 I Fax: 360.3 79.4451 Web:www.co.jeffecson.wa.us/communirydeveloptnent Vii' E-mail:dcd@co.ieffecson.wa.us .1/t/ NN CERTIFICATE OF OCCUPANCY PERMIT #: BLD14-00444 APPLICANT: MARK COLTER PHONE: 206-799-6709 MARKACOLTER TRUSTEE 18125 NE 105TH CT REDMOND WA 98052-2835 SITE ADDRESS: 5562 FLAGLER RD Issue Date: 12/10/2014 NORDLAND, 98358 Final Date: 7/2/2015 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 1E PROJECT DESCRIPTION: NEW DETACHED GARAGE -(UNHEATED) WITH SHOP& ART STUDIO- (HEATED) SEP10-00076 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes nog THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/2/2015 11tidemark\data\forms\F_BLD_Occupancy.rpt 7/6/2015 ,mss" `7 JEFFERSON COUNTY I DEPARTMENT OF COMMUNITY DEVELOPMENT 1/// Date: 7/f Time Received: ilr am m Mon. Tue. Wed. Fri. I Date: 7/2 BLD: i4/ _ 00 9 tl Contact Name: Pfeil STOPF Owner: ettiLy lig 7 Contact Number: 360 ...55-- 3/ 'f Address: 5542 FLAGGLEla 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 X Setbacks Floor Foundation Wall Address Posted I Block&Tile Ceiling �( 414 FSO `� JEFFERSON COUNTY I �' DEPARTMENT OF COMMUNITY DEVELOPMENT 's /O Date: 71 f .. Time Received: 'V3 p/pm Mon. Tue. ed. Thur. Fri. Date: 6 -251 BLD: y41"( Contact Name: Owner: Contact Number: 360 '9S' /99 Address: 5-S6 ,1- F_ "nyi ; 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 a 0\ C w� U`'? JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT /� �SHINO5 O Date: l / o Time Received: /2 Cl/ am/ Mon. Tue. (fecd.% 4k s0N �Qo JEFFERSON COUNTY <,. 4—< DEPARTMENT OF COMMUNITY DEVELOPMENT 4, liAtTte.0. Date: il V/ Time Received: 9 C amf pm ■ o . Tue. Wed. Thur. Fri. Date: 11-1-.? BLD: 1 4 - `-f tf f Contact Name: Owner: Contact Number: 360 33-5- 309 Address: c5-102.- F Lr- C...0 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing X 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 K,,F,4SO" corz JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ssHr nUC Date: 44-j 3 Time Received: 55-3 09Prn Mon. L. Wed. Thur. Fri. Date: L/'/y BLD: /y' 7 / '/ Contact Name: Owner: Contact Number: 360 y5--. /qF Address: S`S--t 2 Ft-1,W,r icv 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 = °K JEFFERSON COUNTY .'SylhG'? DEPARTMENT OF COMMUNITY DEVELOPMENT 'o Date: .2.)—{ Time Received: l ; i`;I am/pm Mo Tue. Wed. Thur. Fri. Date: ~lam BLD: t.'^6b Contact Name: ,r Owner: ) t -f Contact Number: 360 ". ‘ 5--3 I C(' .' Address: '-7 Z. C_0 (iC2L. r 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 4SG` Co k''' % JEFFERSON COUNTY 1 4. DEPARTMENT OF COMMUNITY DEVELOPMENT $ "9SHI NGYG 1E Pfrt Date: Time Received: /256 am/pm Mon. Tue. Wed. 4I Fri. Date: 312 BLD: /k - itf-/Cf Contact Name: Owner: Contact Number: 360 '' ,,95.--3/q? I Address: -5"---6, 2, fL4-4er 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 Sally Ellis From: Susan Porto Sent: Thursday, December 04, 2014 12:01 PM To: Sally Ellis Subject: bld14-444 why no water review? SusavL Porto R.S. Jef fersovt.Couvttu PubU,c -tealth PYtowe 360. 3869404 l=ax 360.375.448) .4iwajs wor}2l.vt.g fora Safer tteaLthierJef fersot.couwtu 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. 1 1 . 1 . • 1\.--\ </ • ,.. ..S- C-,-...., C).4. \ \\\ c-..., I 7 'N„. N: 1 s-'N, iL r- cp \ --- --. - • x -,....„ ,.. . „-----..., w A %,, ..,, - ..,.. Ns. . -N / e. "--• ,....., „. .,..- ...,— .... . cs 1 r . .....s.,1 ,,,, , , N,,.."-s.3 .N., s 't, L) . ti; 131i N.,„ '''.-. N„,1'), \. ',. A 7 ) 7. . , 1%5 5,, - •N \ N, -15.) • I 11 ..N. 1 • \•55\ 0 -.7. 71 /r7 III N - I rlii/i ..,' ,...: ''''' ' .,,,1-,- '7 ,--- N. L.. c... . II. OP L .-- '1 c N ., ,i, , N , 1g x) ",•. , --•. c .x. \.;\ I 1 _ , < N / .. c\•, ■ 7 . ---e- _, (11 ---, \ I 0•4 • .'• 0, I 1 - . 0 2 ' ., y 3 --I 7 \.•\ ji i , 1 -. I ^ . ' -I ---;• i / „ — i 'P * , , LA . k-r o 1 - IsN - r -A . , ,-,c,.. .0 N -11 • . ''<:-1:--- — -+--'5 s"'• - .5. :I 5 I -- L-5 N - • 55.N. t I ; •5.5„..\• ,:s5,, ,. T. _,\-- __.. I A., ,,c ' ''\ '• . --■ , ....: 0 a- • VT\ t . 5 1 0,,,x, o• \ 1 ..,„;‘, „,,,....4.----, F 1 ' o , ---N, ' dm.—---— I•1/ 1 -'\ 73 . . _ ____: -- ul -- 1 II -P6 1 ...... — o 32. . " Ts i • ' -- r '.... ■ I\ .1.\-\ ( , , .---- --4,,..,.., i A , l'5 i i '. 0 'Cl•.1' Cr■ T . 0 1 u sl■ • 'T 70 ro. i kA 1r -Ti_ (TN (II I g , I' . ;kr 1 i , . , I A- ? i I , I ..r...,.. 1 1 1 .., , I , . \ik.....,,,_ • . --1 v) 011 • ' .... N > • - , 1 ' I 1 1 ' - IL, ') 0 ..„ N RI 8 = ■--I ind 1 (..., E, .- pea, 0.1 al H - 5 ,7Z 1511 timil •-1 ‘--N (1'7 --? '---=-- LI C, I I55.00 (- --.. , - ----. • )1 • < i-) ___:t__I) V.-1 1 -1 _ CI i-) Standard Conditions for Resider, Development in Jefferson County • LC ._. - - g IXtJ:eS shall pe oesicnep and hocced t0 prevent tpe lICrt source from Ce.ng. hired', y c,,,s de the boundaries of he property. The irtersty or brightness of all light inc, during Instruction and after project completion shad i not adversely affect the use of surrcundra properties or adjcir.ing rghts-of-way. Exterior lighting for residential uses shall net 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 stall 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 ROW 90.58. Development pursuant to this permit snail 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 Churn 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 2:313-03-07 sfd S: Cond7Bor5 3;7/2313 • • 7/31/03 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from storm water and roof catchments may be used for watering lawns and gardens. Unless catchments water has been treated to meet drinking water standards,there shall be no cross connections allowed between the potable supply and impounded water. 3. Ground water withdrawn from each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 5. Landscaping should include xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniques to water plants, shrubs and trees. 8. Routinely water deeply and less frequently. 9. Weed control is an important part of water conservation. 10. For your landscaping select drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irrigated lawn. 12. Mulch your garden as well as isolated plants, trees and shrubs. 13. Use shade and windbreaks to assist in water conservation. 14. Use low flow water closets, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving devices such as low-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones(SIPZ). 18.Water softeners that contribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spigots)for outdoor water use should not be used in SIPZ. [end] PLEASE NOT DELETIONS MADE AT E ADDITIONS ANYTIME. USE CURRENT LIST. • • i ""-- -"R opi D GNitil-31:1:1_1. ! HI:W:6 '-.A.'",/ iTh .., .„ , . 0-c:Alc.: urain) /A -___- DakkriV1:30 ---,,_ 0 DRY WELL , 4e;I mil Dia meter Hcle Filled wit, PLAN VIEW .. 1 2-34',.-VaaheJ „ Drain kook -• MIS --1,,—R ot Dovnar.out 1---l'Aeft:C-alter cif Hole ./ 1 - .4, 1 Hoth,..? 1 ---i 10 Vei ,4* 1 Or 1`..:tier rimils , ... --Sriai-113lock Topscil— i Filkl-%It qi stekv, 1 ., i.: •'-'• : ..11) 'il, Ihtitird.0.1 Cntil- ___=_____ . ,„51,41its, ,,,Ale lar fifpv N:04**V,51,41:14,.. -z; . Fir, hirf..,6,h f-__;,.;,,rea„,, --'--I - • '‘---t.,k,4.'ii-a. 4.011414r 7... ,;,4,•%jelv. . • .,*. in-.„,:-..„: 7114". ,A , RIC Pire ..4.%.t„,11-itL• - . x.t4•:.44-4•7+:40: , Cat11Bn ke it, ceard Drain) ' ..' 42 IT4ia- sides.of HI ole_ Hole Filled with ;:- 1 Lined 9fith Filti-Fabric: s:-• Drain R ocii •; 15'Trim. • ., i4 . ,•4 ..r4 t., ,..,5t4-. min. -Fa.,,,,,,,,, DRY WELL H i-Gri.pad.,$).,-t:3r. 1:1-31-J1., SE CTION tkiTS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III-Hydrologic Analysis and Flow Control BMPs-August 2012 3-9 1 • • 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 BIVIPs—August 2012 3-10 for Infiltration These sv ems are oesigrea as specit.ea ecio'v. • Drvweils Genera 1. Drywall bottoms must be a minimum of 1 foot above seasonal iuigO h ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gavel 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. Dry,wells 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 dram 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). DryweIls 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 BML(Ps—August 2012 3-6 . . . Arr it. . . — Fr . • 11.\\ ' -•,,,, "--/- ,..,,—\ ,,-,•• -;...„. - .-,..., s\•,„ N\N";,:.N.\-- --1. 1,6 • .... • \ -, -.:. --;\ c, ' . :. ...(-4-' • N.;',,,,•, . 71r ...._... — ' I - , ■.r.,a, ,. 'N'N .X. , '''..s,■, F■ "I t N. 07 N L c \ - • "0 X.. N „ . '-,, a- 0 . -\ 1/45. •....., P 10 N. As, c 'A . \I\ c. \.. c‘'■ I'll ' ; . N\ i 3 N -) "_- _.- ___,) •! ; I '''.."--. _ i IP . \S\ (li V'I 1 ft 0 \r‘ i i • 1 1 1 -- . (\) 'I. "------, 0- .,./ 1 -- 1 / I\ -.......' . / '\ G Q 1 ' f ' •, ISN C .T1 SI . r ; Li, 0 -, .,s, , r I -z i '""t7,.,.. _o ss -o 0 l.; • *■14s. -- '.---f-:-N. rt% 71 • • o I , ■......,...::-, , '.• \ N z-\ - - .•; _ .% c 1 1:. 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Zr' w 'v -r z g 1 0 - > `A r_. " --•I� z 0 Q r (p I 0 d : 5 i • m m • -,FP' - z L.S1 0 _,T I o as ›1 . r L N - I • c En o �\ -C C7, ul I `-s -,•F \ I < m D-1 Z I 3 N 155 - — �, - I N L, Z Z N gN cn _:= O n �.5� r N . j I cr- ieec1 • N ' (3-� SF6 2-ONICA 400C 1 . C 0? 1, . • amt b -- 41, , ENVIROvCRECK, L.L.C. - SEP(c)-- __ 1612 Hastings Ave. W 292 (7 Port Townsend, WA 98368 PH 360-379-9400 SHP TO \ Ice-- e..011- a. , H -• frePcse4/1-104? ADDRESS ADDRESS 1------554a--aAgLEE-__@.0 ,..3ITY,STATE.ZIP CITY,STATE,ZIP UNIT AMOUNT b ) GUSTOML ORDER NO. OLD BY I TERMS ORDERED SHIPPED 1 DESCRIPTION 1 0 F.O.B. PRICE ; 1? 1 1 9' AMOUNT ,..f, ,F, ..5 -3C:70 ri2D ,---- ---0:5>TAL, b.....0 44 -3,Q7 -'2-'- , A 24.11-4670E,167.1; 0-1-11 -- I Z\) . . Enviro Check, LLC 1612 Hastings Ave. West 360-379-9400 Port Townsend, WA 98368 PROPERTY INFORMATION Studio Apt. Location:5562 Flagler Rd Nordland Tax ID:921051002 Ida 0: Mark Colter 18125 NE 105th Ct. Use:Residential,Single Family Redmond,Wa System Design Flow:600 98052 GENERAL SYSTEM TYPE:Gravity Owner Mark Colter ON ID:SOM10-00076 ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT Fold Ham Inspected:12/01/2014 - Inspection Type:ROUTINE - Correction Status:Some Corrections Made Here Company Work Performed 8y Submitted 12/01/2014 by: Enviro Check,LLC Dale Wurismith Dale Wurtsmith This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development COMMENTS&GENERAL INSPECTION NOTES Deficiencies Noted:deficiencies must be corrected to ensure proper longevity of the Onsite Sewage System. 1-SYSTEM-What I observed was consistent with"Record dravtAng". APPURTENANCES-A revised"Plot Plan"is en route to county,Ref-Structures and tank locations only. GENERAL SITE 8,SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected All Components accessible for maintenance,secure and in good condition: YES Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(roads,buildings,etc.)onto component(s): NO Component settling problems observed: NO Abnormal ponding present for one or more of the disposal components: NO Subsurface components adequately covered YES Owner compliance issues noted NO Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: NO Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NO If deficiencies were identified on last inspection were they corrected before or during this inspection? N/A (If NO,describe in notes,NA=no deficiencies on last report): OSS Components,structures and appurtenances located per as-built/record drawing(If NO,describe NO-Detioent in notes). It no as-butt exists or changes made,state NO and provide record to Health Dept: Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, NO describe in notes): The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. YES-Deficient Is the SEP case in a finaled/completed status?(if NO explain in comments) YES ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank•2 Compartment 1500 Gal This component was: Fully Inspected Component appears to be functioning as intended: YES Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Effluent Filler Cleaned(NIA=Not Present): YES Compartment 1 Scum accumulation(Inches,if other specify): 2 Effluent filter/screen needed cleaning on arrival NO Compartment 1 Sludge accumulation(Inches,if other specify): 2 Compartment 2 Scum accumulation(Inches,if other specify): 0 Compartment 2 Sludge accumulation(Inches,if other specify): 0 Pumpng needed: NO This Wan incrystes certain rtearactettsfics of the onsite sewage system S the time of sisht In no warts Misreport a guaramee.of operation et fufate pentemance. ReportlD:410363 View inspection reports online at www.onlinerme.com Page 1 of 2 Approximate Gallons to be pumped(if needed)byed Pumper: grainfield:Gravity • This component was: Fully Inspected Component appears to be functioning as intended: YES Ponding present?If YES explain in comments: N/A This report indicates certa=characterises or the suet?sewage system of the time of Wait In no way it this report a guarantee of operation or future performance. ReportlD:410863 View inspection reports online at www.onlinerme.com Page 2 of 2 • • leaglaade the folly WM call your pl ot plans; a ,f^ rty imrnes - » Welts D Names of adjacentsfreets - ra Setts tank ci Driveways and parking spaces C3 DrahsReld(erg WV if unfcnown> 0 Steads water(pends,creetce etd} a 1Varti Rsferw • D etdtcf ngs(tssirience.Shedsc gar"ges,etc) i _10. .w . . r, r-L vtY_, -• . t '. . 1oS100 , '4 N.1 PLOT PLAW-cla prepared ■ c \ ttI 13,i f ,x�snaitd F„R AtiD.n;,m,,, -.. sr �N -'rR....,.mss TAa&lsylrrorss °rota) • . / . \ 1 94-- w , CC E. . :. W�\ ' / , `xW , cc/ ST roArs \ / -7 o r 4j . • a V.i) sc --Onb -I9` n ^ FA Rai,r,_/t. �1 y`�\['p L� /A-�Z TD •3 VIT NOT TO SCALE 1812 Ham Av .'N, PartTownaand,WA 989n Ferri BrPe+eef# - E? 1t-) 7 It —�. • o M lo - OLD-710 • • Jefferson County Department of Community Development 621 Shen-Zan SI..Port Townsend WA 98368,(360)379-4450 SEPTIC PERMIT APPLICATION \ PROPERTY OWNER Mark&Barbara Colter MAll1NGADDRESS 18125 NE 105th Ct. --- --' Redmond,WA 98052 ------- PHONE i 206 • 799£709 SYSTEM DESIGNER Nathan Cleave(__ _Designer Phone S (3601598-6546 LEGAL DESCRIPTION: 5eceon 5 Tatmtio 29N Range 1E PARCELN 9 21 051 002 Sub neiar Name__ Division Stout_ Lot(s) Site addresslOitections to site North of Garden Club Rd.,SR 116,see vicinity map it (, 16 14,,irk SOURCE OF SEWAGE/USE I TYPE Or/WORK J Resd Y ential New r Tankis only WATER SOURCE I Residential.DU_ __� 3 Modification Private Commercial_ Expansion: Pu31ic ..._ Community . Upgrane Repair SITE$12E 108,692 SYSTEM TYPE Partial Repair _ 7_ldrainfieid - ._.. Corcremional=f_, -(lank) )__ Previous Evaluation If Alterna8.2 .. I Designate Reserve Area Yes i1 I Redesign..__._ Na ---- 1 SYSTEM DETAILS Jt(Solis done by John Flemming Engineering er2/2Oo7) I NumbNumber of GaBdnr�...,_,a,af{y 600 Soil 4 iero Leng+o=V _ Vie` (attach seg evot) Appticalion Rate 0'fi __galisq_ftJday R. Trench Width 3 _ft. TnancRBad Depth 12 Septic Tank size 1.500 Sal. Pump Chamber size gal. TYPE of system Standard Gravity _ By signing the application ham,the applicant/owner attests that the information provided herein is true and comets to rte best of Mai:knowledge. Any mate-eat lamehoa;or any om'sston of a material Croy mate by the applicant/owner with respect to this aspiration packet may result In ta-s permit being null and sad, I anther agreo to save.indemnify and hold harmless Jefferson County against all liabJ,.Aies,judgments,coon coss,reasonable attorney's fees and expenses which may in any way accrue against Jelferser County as a result of or in consequence cf the granting of his pence t further agree to provide access end right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review end any required tater inspectens. Srofrs access end right of entry will be assumed unless Ins app'sant informs he County in writing at de brae of the application that he or she requires prior notice.inspections shall occur airing regular bus:?oss hours. Initial here it you mooed not cats'before entry __ Appeal-A person aggrieved of a decision el the Health Officer may appeal Appears shall be submitted to Ire elea:lh Division in nsnli g«ahbt lAcen days after receiving written notice of he decision. DISCLAIMER-This application is for an on-site sewage system that meets the state and county standards in effect on the date of application. This application for an ensile sewage system DOES NOT assure you of any other County approvals. For example,it DOES NOT GUARANTEE that you wilt later obtain permission to build a permanent residence or other structure on Ihis parcel. Any futur pplicaUOn will be se lately judged by the rules and laws in effect at that lime. / 7 _ Property Owner Signature - ti. .. a c' j f�Da; 1 1p FOR OFFICE USE ONLY ff o--w" rl leli/tr ct r PARTIAL ASBUILT _ F1NAL f 1 ■ FPrcOVED — ,—t`'gyp �^ ._ tpi 1N$P:PUMP TE57 Jv 11T _�pUO_Q _ •K Y _ v V Art.rtOLC RED.MET �• 1Cate�^GFCe_4Cf.�._Rea sII rLI ^—_/.'y r'')� l.r.---__ .,- .. Crake Case ti SEP IV'�..--(.1d_ I 1 car-16 6>IP.'1;•;-1,r7AF,i- —c7,1,9 71.7.1-'' . . ,.... A ,.. . , - Illy , • . • z) izn b Orb,,n Znib b.b b in1O3 ,-..',<1 lo 1.1a.--vi.-1■■.,-,u-,1.--,-u,-ir- 1 I 1 t1:218.-,-,..i. Lo ID r,..1.:0,,MI0 I A -4- r • .. •, . r • ' .... g, c „ .... E 6 0 . . • ,..... + ' Le,- or "". r ., 0*;:" 0" < 4. -04 > th I ' g 04 u 8 . : el CC 5 , . N ....., , . , , „..,, 0 ,..0 . • ,•,,,,.. s. .., , ,,....,, ..,, 0 .. 0•■ 1_71.3. 1 N. ....--' 0 6 ..0 r6 6. ,--• • . . ...- t en ■ b,.,..• b tr, 0 -• --,vr.12-,5t,:s 414-7*.' 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I have routed this permit to the different departments for their review, again if you could please instruct Mr. Colter to contact one of the 0& M inspectors to order this inspection, that would be very helpful! If you have any questions and/or need further assistance, please feel free to contact me. Have a wonderful Thanksgiving! Sincerely Sally I. Ellis Jefferson County Community Development Permit Technician 621 Sheridan St., Port Townsend, WA 98368 Mon-Thurs 9am -4:30pm, closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451 sellis@ico.jefferson.wa.us http://www.co.iefferson.wa.us 1 3z-0 / 4- - 7- y P;_ 4/.._ 7-7 ' i .6-0- "L. / - - l' ...r- I I .'1• , ■ •v -.24.5,' .1‘,...-0 V t - _ ‘.\\.,... s4. \ si I\a-.. r,..........,,, d k......',././ / N. N. \ 0 ..4-• 1\ 1,. V c 4st ,.z... d 7 I 1 , I it — V s,.. , 1 - — P c I ; - d si, r ' i „( -rd I _i,..__________% I- is 1,.. ... f t3... r { I , = ,- \ — / — > ilsy 1 I C3S. I s''. --t. ,., c. ...,, ..d 5-71.. ..9. 1 0 7. c\ 7" Z. 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In additio base• on the size of the structure,the appropriate number of additional credits are the ked a h ,sin by the permit applicant. Authorized Representative L -" Date /1/74/10/`1 All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGCb,e n/a n/a I l t„. (1 �- E Ceiling 49 0.026 I LC Wood Frame Wall9 k' 21 jp 0.056 ^� r ; Mass Wall R-Value' 21/21" 0.056 I I N+ 2 5 " '.! l Floor Og 0.029 , �: U Below Grade Wall`k 10/15/21 int+TB 0.042 _ J d 0 'IY.P:YEIOPMEN 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: 1.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 area. Additions to existing building that are less than 750 square feet of heated floor area. 172. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. 1114. Dwelling unit other than one and two-family dwellings and townhouses: Exempt As defined in Section 101.2 of the International Residential Code Table R406.2 Summary Option Description Credit(s) la Efficient Building Envelope la 0.5 ❑ 1 b Efficient Building Envelope 1 b 1.0 ❑ lc Efficient Building Envelope lc 2.0 2a Air Leakage Control and Efficient Ventilation 2a 0.5 III 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 ❑ 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 ❑ 5b Efficient Water Heating r 1.5 ❑ 6 Renewable Electric Energy 0.5 I*1200 kwh 0.0 Total Credits 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/Table 406 2 Energy Credits 2012 WSEC.pdf Table R402.1.1 Footnotes • For SI: 1 foot .= 304.8 mm, ci .= conti ous insulation, int .= intermediate framing. 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 "13.15" 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. • • WASHINGTON STATE ENERGY CODE, RESIDENTIAL PROVISIONS TABLE 406.2 ENERGY CREDITS (DEBITS) OPTION DESCRIPTION CREDIT(S) la EFFICIENT BUILDING ENVELOPE la: 0.5 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U=0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 5%. 1b EFFICIENT BUILDING ENVELOPE lb: 1.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U=0.25 Wall R-21 plus R-4 Floor R-38 Basement wall R-21 int plus R-5 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 15%. lc EFFICIENT BUILDING ENVELOPE lc: 2.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U=0.22 Ceiling and single-rafter or joist-vaulted R-49 advanced Wood frame wall R-2l int plus R-12 ci Floor R-38 Basement wall R-21 int plus R-12 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 30%. 2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2a: 0.5 Compliance based on R402.4.1.2: Reduce the tested air leakage to 4.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a high efficiency fan(maximum 0.35 watts/cfm),not interlocked with the furnace fan ventilation systems using a furnace including an ECM motor are allowed,provided that they are controlled to operate at low speed in ventilation only mode. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system. . • 2b AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2b: 1.0 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 2.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a heat recovery ventilation system with minimum sensible heat recovery efficiency of 0.70. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system. 2c AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2c: 1.5 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 1.5 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a heat recovery ventilation system with minimum sensible heat recovery efficiency of 0.85. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system. 3a HIGH EFFICIENCY HVAC EQUIPMENT 3a: 0.5 Gas,propane or oil-fired furnace with minimum AFUE of 95% To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3b HIGH EFFICIENCY HVAC EQUIPMENT 3b: 1.0 Air-source heat pump with minimum HSPF of 8.5 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3c HIGH EFFICIENCY HVAC EQUIPMENT 3c: 2.0 Closed-loop ground source heat pump;with a minimum COP of 3.3 or Open loop water source heat pump with a maximum pumping hydraulic head of 150 feet and minimum COP of 3.6 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3d HIGH EFFICIENCY HVAC EQUIPMENT 3d: 1.0 DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL: In homes where the primary space heating system is zonal electric heating,a ductless heat pump system shall be installed and provide heating to at least one zone of the housing unit. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 4 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM:' I.0 All heating and cooling system components installed inside the conditioned space.All combustion equipment shall be direct vent or sealed combustion. Locating system components in conditioned crawl spaces is not permitted under this option. Electric resistance heat is not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and shall show the location of the heating and cooling equipment and all the ductwork. • 5a EFFICIENT WATER HEATING 5a: 0.5 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.62 or Electric water heater with a minimum EF of 0.93. and for both cases All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.b To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency and shall specify the maximum flow rates for all showerheads, kitchen sink faucets,and other lavatory faucets. 5b EFFICIENT WATER HEATING 5b: 1.5 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.82 or Solar water heating supplementing a minimum standard water heater.Solar water heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SRCC)Annual Performance of 0G-300 Certified Solar Water Heating Systems or Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water Heaters or Water heater heated by ground source heat pump meeting the requirements of Option 3c. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency and,for solar water heating systems,the calculation of the minimum energy savings. 6 RENEWABLE ELECTRIC ENERGY: 0.5 For each 1200 kWh of electrical generation provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated as follows: For solar electric systems,the design shall be demonstrated to meet this requirement using the National Renewable Energy Laboratory calculator PV WATTS. Documentation noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors: The wind turbine power curve;average annual wind speed at the site;frequency distribution of the wind speed at the site and height of the tower. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall show the photovoltaic or wind turbine equipment type, provide documentation of solar and wind access,and include a calculation of the minimum annual energy power production. a. Interior Duct Placement.Ducts included as Option 4 of Table R406.2 shall be placed wholly within the heated envelope of the housing unit.The placement shall be inspected and certified to receive the credits associated with this option. Exception: Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the exterior cavities or buffer spaces of the dwelling.If this exception is used the ducts will be tested to the following standards: Post-constriction test:.Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g.(25 Pa)across the entire system,including the manufacturer's air handler enclosure.All register boots shall be taped or otherwise sealed during the test. b. Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and showerheads)shall comply with the following requirements: 1. Residential bathroom lavatory sink faucets: Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in accordance with ASME Al 12.18.1/CSA 13125.1. 2. Residential kitchen faucets: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.18.1/CSA BI25.1. 3. Residential showerheads: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME Al 12.18.1/CSA B125.1. �w�s°� c\off, °DEPARTMENT OF COMMUNITY DEVELOPMENT K �i` 621 Sheridan Street,Pori Townsend,\\'r\)S368 Te1:36:.379.445 Fax:360.379.4451 Web:w ww.co.ie'Ierson.na.ts/communival,,i�n,�` Z -J IF 11 V E E-nail:dcdcco.iettcrs.on..a.tts ��SH � III NOV 2 5 2014 1j PERMIT APPLICATION',' ' i r t t r,'∎;UNTY Steps in the Permit Process: " G3nlivii!NITYDEVELOPMENT -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# SUJIN "' yyy Related Application#5: MLA# I Site Information Assessor Tax Parcel Number: 9 Z1— OS1 — 602 Site Address and/or Directions to Property: 556Z FLA6LE4- EzoA-p Npicr) o WA. `183513 Access (name of street(s)) from which access will be gained: Ft_A6LEK goal) Present use of property: (I) 5.F.K, Description of Work(include proposed uses): f"yNS-TRuca- (I ) Dernc. D &p2A E wI smixt› Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: )( Septic Septic Permit#: SEpio - 0001/..0 Community Septic Name of System: Case#: I Are other residences connected to the septic system? MO Additions or repairs to sewage system: 00 Is it a complete or partial system installation: Complete )C Partial Has a reserve drainfield been designated? Yes X No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: '44 The authorized agent/representative i primary contact for all project-related que and correspondence. The County will mail/ e-mail requests and information out the application to the authorized agent/ esentative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the as lication. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County emai:(i.e. ;County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: Mgt& Coil Address: ld1ZS NE 105^` t1-• (LEDi ib 1 iaA - 419062. - 2035- Phone#: Zoio - 799- (090q E-mail Address: rhAKK.Cot Jt. & 6MS-Cam " , Please conta t uthor. ed A / t/R:s i-sen -ti e with project info. (select only one). to Property Owner Signature: t Date: //// 411 Note: for projects with multiple owners,attac a separate sheet sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (if other than owner) Name: Ric} 5-ry4PF — STAQF Cooasiratca)o+,1 u - - Address: "iaw4t" , 37►co0, Mu ' fg- AP, Poes- -rb. dse.. to ,,..iA. 96368 Phone#: . S(,o - 3135- 3LQ9 E-mail Address: Si -r & CMu1SPEigD.Ca Al Professional: Is this an Authorized Agent/Representative for this project? NO ( S) Engineer Architect Surveyor Contractor .)<„ • Consultant Name: SApi Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: I Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the•Owners of the parcel referenced herein, that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project . Signature: Print Name: Date: . i. tiON I. Av4~ coG� JEFFERS COUNTY i (� ,� p V L� aJ H DEPARTMENT OF COMMUNITY DEVELOPMENT ('-' '4 621 Sheridan Street • Port Townsend • Washington 368 360/379-4450 • 360/379-4451 Fax i I L NOV 2 5 2014 !'i • -1,9 �O www.co.jefferson.wa.us/commdevelopment ii LINO _J Master Permit Application ,it h MMUNITYDEVELOPMENT Project Description (include separate sheets as necessary): NELJ 1)50c4194 (APAt a ti1/ 2Tika 0 Tax Parcel Number: 12-1 05'1 - 00 Z Property Size: 2.SO dr square feet) Site Address and/or Directions to Property: Ss(02 FLA&LER- RD , tJ0R11■t.Ar6 ,' HJA. Cie-350 Property Owner(s)of Record: MAP. COI_'iEF- Telephone: Fax: email: Mailing Address: ]0]LS Ni 105711 cr. r__.pMouD • tAIA. 95052- 2O Applicant/Agent(if different from owner): Q 4C 4 STAFF — Sr T A P F C o i J 5 7'R u c a l o J llJC.- Telephone: 3 O— e6-- 3149 Fax: email: "7lpk'coarSiln1tOCABLESPtaED.&I Mailing Address: Ll[ Spark SACoe. Mlu R eD. PoRs" ?DwasFJP rom. 6163120 What kind of Permit?(Check each box that applies ' Building ❑Critical Areas Stewardship Plan u Demolition Permit E.7 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family Garage Attached Detached ❑ Conditional Use[C(a), C(d),or C]** ' ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑Propane ❑ Long Plat** 1 ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** I El Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** i ❑Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices AcURelease of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate RtGf 5TAPF— SWrPF co W1'.i -to act as my agent in matters relating to this application for permit(s). t OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein. and in any attachments, is true and correct to the best of his.her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save.indemnify and hold harmless Jefferson County against all liabilities.judgments.court costs,reasonable attorney's fees and expenses which may in an way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provid- acc-.s and ri.• of-ntry to Jefferson County and its employees. representatives or agents for the sole purpose of application review and any requir_• later i .pectiv.. staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicant, t �;iT �::.. • ice. Signature: �� � Date: f�/4i r��• 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 Ac"•r"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued ill .1 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 . - in co plian ii it he Jefferson County development code.The Applicant acknowledges that he. she or it holds individual and non-transterabl- r-::.-: .il��=�crine I.• and complying with the ESA The Applicant has read this disclaii er d signs and dates it below. Signature: /� ._�� �' Date: /// y��/Y ( :`,PcnnItCc t c \um-POrt\ISittV bit!)I:UR\MS",C'a:r2e:DRD Ponm:\Nlae::, I'� _\paiia of 5-29-u$.Joc • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Sicnature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: STAPF Co3511aiAcitoa t►.te-. (360) 385-3i99 ( ) MAILING ADDRESS: zli SoLcrll- 3-AC4)9 Alin-t-ft RD, EMAIL: S'T}EPFCoN§t ,ir CONTRACTOR'S LICENSE PofZ'f-1-00.1 rWAD ,WA . QB�Jtses WAINS t �_ E fh.tAwl NUMBER: STAPFGiq Iy GK.. NUMBER ARCHITECT/ENGINEER: LA late. gindh x IlOME DESINI PHONE ( 00 )395—lilt 2 FAX:( ) MAILING ADDRESS: EMAIL BMA/MOS@ G$t.ESPFF.B•Com Project Type: Frame T pe: Bathrooms: ' Shoreline: ! Type of Sewage Disposal: i ■ oo• Existing: Sewer Addition - Steel Proposed: I Bank 1 C em Alteration/Remodel Concrete Total: I Height: dividual Syste --_ Repair Masonry SEP Permit# SEPio-000lb Bedrooms: . Demolition Other: Water Supply: Existing: Setback: Private well Two Party Type of Heat: Proposed: 0 1 -ub Total: Name of System: P OL.D. I I i If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply: 1 Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings, all property 1 lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: ; ..c.)C.] STUDI0 31.0 gb, 2g2li0 2nd Floor Heated I Consistency Review: , U tJ Other Heated Base fee: �j Mezzanine Additional Section: � , ___111 i Heated Basement Plan Check fee: ! 49 2'°s Unheated Basement State Surcharge fee: q .s--0 Other Unheated I Pot Water Review fee: Garage/Carport 121b i 34 56:0 SUBTOTAL Decks 911/Rd Approach fee: CJ,tom_ Other i rJ(] ,[��y6 TOTAL: $ 1 5-7gr-95 Receipt Number: 1 5391 2_ Cash/Check Number: —39_2_,c--. 3 2 ESTIMATED COST(REQUIRED) Date: n •Fair market value of all labor and materials foundation to finish �/< 1 11 ' CPS 111 .00 i Initials: 1 (' r i (. ..,.tent:(: ttkr.'-?-1(1R\I??, \I)RI)FOIL\C,(.t.ra:r■)I2.1)Farms,\f.ur.°I kmt 1pn'irntion 29 us ,,c .. .. • 0 45ON—c- 4.,) OG �� ' JEFFERSON COUNTY i ['(N p ME a- ,� DEPARTMENT OF COMMUNITY DEVELOPMENT I � O$ 621 Sheridan Street • Port Townsend • Washington 98368 L1, NOV 2 5 2014 ll;i SONGS 360/379-4450 - 360/379-4451 Fax , ^J J .. ,IJNIY Stormwater Management Permit Supplemental Application PT___„_I="tI °'v�FVEtoPt<7ENT MLA# PROJECT/APPLICANT NAME: I,l/l..l f'g — NFvJ DErA(i} D Gt Abe Applications for grading projects or land-disturbing activities which require a stormwater management permit shall include the following information. This information may also be provided on other diagrams, plans, studies, or attachments submitted with the project application. If so, please indicate such on this permit application. The Administrator may waive specific submittal requirements determined to be unnecessary for review of the application. 1. Source of fill material and deposition of excess material. NIA' 2. Physical characteristics of fill material: NIR 3. Proposed methods of lacement and compaction consistent with the applicable standards in the International Building Code. NJA 4. Proposed surfacing material. NIA 5. Proposed method(s)of drainage and erosion control. Si w bg.A„AA(F kite_ Be CoLL.EcSEtD GY CoJrD. onus KoOF &ARER.S Aub RO Orb -fb DR4uleLLS 6. Methods for restoration of the site. TAE SITE 15 CW'_R$JrOf Z•53 AG2e5 of (TRUSS • PRoPosED 64P-Abe MU- 6£ coOSIAu O 40 6P-A55 REPLANTED A-Row.1D ExcAtArED AREAS 7. Demonstrate that instrearr flow of water will remain unobstructed. N IA 8. Demonstrate that erosion and sedimentation from outflow channels will be minimized by vegetation or other means,and demonstrate that pond runoff will be controlled to protect adjacent property damage. NIA By signing the a•. ic. in form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I . so certi I t ate his application is being made with the full knowledge and consent of all owners of the affected property. • 11/16/q (LANDOWNER OR AUTHORIZED REP! S: TATIVE SIGNATURE) (CATE) G 1Pe,',Center/«t+r=ORMSttitk\ORD FORMSVIormwater nomt;erm t_FINAL dc;., REV.1021/2008 Paae 3 • • � ., ,�� JEFFERSON COUNTY E . --1 i.-4 IA DEPARTMENT OF COMMUNITY DEVELOPMENIT :c NOV 2 5 2014 � ' J & ,� 621 Sheridan Street • Port Townsend - Washington 98368 . II Il <y�, GAO 360/379-4450 • 360/379-4451 Fax = SIN http://www.co.jefferson.wa.us/commdevelopment/ , i JNIP'DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: COLT ■ 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 Z•SS acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet I I Z 3� t "I, 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: 158 Does the project convert'/.acres or more of Construction site for structures / sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well,utilities, etc. sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. 4 r 500 sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 'I 0 6'f sq/ft Cut I+ Fill MA (cu/yd) (over) • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rale of flow from the flow present under natural conditions prior to development. Common impervious surfaces include. but are not limited to roof tops, walkways, patios. driveways. parking lots or storage areas. concrete or asphalt paving, gravel roads. packed earthen materials. and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORM WATER CALULATIONS-IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) 5 1614 sq/ft Structures(all roof area) I 1 1-y' sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc r -Vv..' sq/ft Driveway, parking, roads,etc: (01000 sq/ft Other / sq/ft Other sq/ft 6 Total New ,M sq/ft Total Existing 7,7-141.00 sq/ft TOTAL NEW+TOTAL EXISTING* t jl %I 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. DEVELOPMENTv. 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 61-(7) FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the test : my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners oft - affecte• pr•pe y. //1600// (LANDO 'HER OR AUTHORIZED RE' ESENTATIVE SIGNATURE) OAT FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No StOrra aler talc worksheet-REV.11/5/2008 Parcel Details Page 1 of 2 • • j{ Jefferson County � " .. ..�.. Database Toads Maps .r Home County Info Departments Search " Vin, 11,e, Parcel Number: 921051002 SEARCH 14'Oj� 2 5 7,1)Parcel Number: 921051002 Printer Friendly Owner Mailing Address: MARK COLTER MENT MARK A COLTER TRUSTEE BARBARA A COLTER TRUSTEE 18125 NE 105TH CT REDMOND WA98052-2835 Site Address: 5562 FLAGLER RD NORDLAND 98358 Section: 5 School District: Chimacum (49) Qtr Section: NE1/4 Fire Dist: Chimacum (1) Township: 29N Tax Status: Taxable Range: 1E Tax Code: 0211 Planning area: Marrowstone (3) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S5&4 T29 R1E TAX 45 TL TAX I(LS TL TAX I1 & PTN TL TX I AD] TO TX 77) BND BLA#110386 Tax, AN, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Survey. Septic Monitoring Info _,. Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later ble Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_N O=921051002 11/25/2014 Cases Associated with a Parcel Page 1 of 2 • • __ 1.' Jefferson County Home County Info Departments Search Cases Associated with Parcel No: 921051002 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number SOM10-00076 Description Last Name COLTER Received Date 7/11/2012 12:30:11 PM No Images Case Number SDP11-00022 Description SHORELINE EXEMPTION FOR SFR Last Name COLTER Received Date 5/3/2011 No Images Case Number BLD11-00112 Description NSFR & A/G 250 A/G PROP TANK Last Name COLTER Received Date 5/3/2011 No Images Case Number SEP10-00076 Sio p 0 R ��lenl� Description l Last Name COLTER Received Date 6/23/2010 Images Case Number SDP10-00090 Description SHORELINE EXEMPTION FOR SEPTIC APPLICATION Last Name COLTER Received Date 6/23/2010 No Images Case Number ADR09-00077 http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=921051002 11/25/2014 Cases Associated with a Parcel Page 2 of 2 • • Description 911 ONLY - FLAGLER RD (I Last Name BARBER / ' I Received Date 8/13/2009 No Images NOV 2 5 J 14 Case Number ZON09-00091 'fU Description SPAAD - Site Plan Approval Advanced Determination for,,,ly'u'�n�J residential development UFVF(ppNmevr Last Name BARBER Received Date 8/13/2009 No Images Case Number SUB07-00027 Description Boundary Line Adjustment Last Name BARBER Received Date 7/20/2007 No Images Jefferson County ,.` HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=921051002 11/25/2014 • • Sally Ellis Subject: Rich Staff Start: Tue 11/25/2014 9:00 AM End: Tue 11/25/2014 1 0:30 AM Recurrence: Weekly Recurrence Pattern: every Tuesday from 9:00 AM to 10:30 AM Organizer: Mary Blain Name of Appt person: Rich Staff Phone Number: 360-385-3199 Name of Property Owner: Colter •Parcel Number: 921-051-002 ' ti'" r ( I:= f Address, if applicable: NOV 2 5 ! I Project: (NSFR, SPAAD etc?) Li) Is there a pre-app? ONIN Case Number of Pre-app? jiyDE!'E!OPMENT SPAAD? Zoning case number of SPAAD? 1 Stapf Construction Inc Page 1 of 2 • • Cabto Washington State Department of. Labor & Industries Stapf Construction Inc Owner or tradesperson 211 S JACOB MILLER ROAD STAPF, RICHARD A JR PORT TOWNSEND, WA 98368 360-385-3199 Principals JEFFERSON County STAPF, RICHARD A JR, PRESIDENT Doing business as Stapf Construction Inc WA UBI No. Business type 602 873 919 Corporation 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. STAPFCI914CK Effective-expiration 02/12/2009—02/17/2015 Bond CBIC $12,000.00 Bond account no. 511984 Received by L&I Effective date 02/12/2009 02/10/2009 Expiration date Until Canceled Insurance CBIC $1,000,000.00 Policy no. C11S11984 Received by L&I Effective date 01/13/2014 02/10/2011 Expiration date 02/10/2015 Insurance history Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UB1=602873919&LIC=STAPFC1914CK&SAW= 11/25/2014 Stapf Construction Inc Page 2 of 2 Lawsuits against the bond or savi No lawsuits against the bond or sa gs accounts during the previous 6 year pe iod. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations ........._.._............................._........ No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 171,682-00 Doing business as STAPF CONSTRUCTION INC Estimated workers reported Quarter 3 of Year 2014"1 to 3 Workers" L&I account representative TO/CAROLYN CRAWFORD(360)902-4715-Email: CRAI235 @Ini.wa.gov 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. ACCesS Washington'• https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602873919&LIC=STAPFCI914CK&SAW= 11/25/2014 I �� SON �o DEPARTMENT OF COMMUNITY DEVELOPMENT 44, 1, 621 Sheridan Street,Port Townsend,WA 98368 fl Tel 360.3'9 4450 Fay 3603'9 4451 ' �_ Reel):wryly.co.refferson.wa.us/commuuih,development E mail: dccigco lcfferson wa.us 1s11 7 NG. O J PERMIT FEES WORKSHEET :: CJ13.1iUNlTv DrV11OPMrNT Name Mark Colter Parcel # 921051002 Estimated Cost of Project $69,888.00 Permit# Garage with studio Building Base Fees Building Base $757.00 Plan Check Review $492.05 Land Use Review $228.00 Septic Review $79.00 Potable Water Technology/Scan $19.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees $1,579.55 Office Use Only Receipt Number: 153912 Cash/Check/CC: 3425 Date: 11/25/2014 Initials: sle * Front Parcel Review • (_IJ N'OG' y41 Parce1921051002 Printed: December 3, 2014 MARK COLTER Site Address(es): MARKACOLTER TRUSTEE 5562 FLAGLER RD NORDLAND, WA 98358 18125 NE 105TH CT REDMOND, WA 98052-2835 Parcel Number: 921051002 S-T-R: 5-29N-1E Total Acreage 2 Legal Description S5&4 T29 R1E TAX 45 TL TAX I(LS TL TAX Il & PTN TL Land Use: 1100 TX I ADJ TO TX 77) BND BLA#110386 Flood District: Fire District: 1 Planning Area: 3 Flood Map (FIRM) Panel No: School District 49 Zoning: R>Z S COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [X Parcel Tags or Scanned Documents YES [ I. ESA's: Special Reports N.•• by S� NO pct.-_ P�,os•�7 F/wS, r- -x-� sp�.�s" [ -1 Designated Ag YES [ '( Shoreline Designation: 40 NO [ ✓f Shoreline Slope Stability:�ES) NO '5. ,O, Stream Type:YES FWHCA: . NO S� , 1v Wetlands: YES 0 Rare Plants:YES 0 \ ��� Seismic: YES • U \) Landslide: YES Flood: YES I i364.6 ur Erosion: YES NO Aquifer Recharge Are ES NO ,S,grePA SIPZ: none At Risk High Risk astall CMZ: igh Risk Moderat •iskDisconnected CMZ Stormwater site plan suliitted: Ye• o [ r Forest Lands: YES Adjoining Forest Lands: — Commercial/ Rural/ Inholding 4.---- [ Mineral Lands: YES 6 [ X Agricultural Lands: i,NO [ --] Archaeology: YES 0 [/r No Shooting Zone: YES (7‘1--- [ ] Stormwater: New Impervious Surface ,,304( Land Disturbing Activity 6,1 oev ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ /] 'Notice Provisions/Disclosur • rt YES NO MRL YES NO Forest Lands YES NO [/]�Landscaping Required: Yes [—1-:_Parking Spaces Require 2 Other I 'I Building Height: 35' [ Impervious Surface coverage percentage: 6% Resource Lands&Public: 10% Rural Residential: 25% Rural Industriiiker UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Indust ands only [ Total Building (s) Size: J /,2q7 RVC:20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ .. Setbacks: Front: 30 Left Side: ; Right Side: 5 Rear: Shoreline Setback: 6z„,-,, LSHA Setback: [ .T Road Classification: /14' 52 / Road Approach: I k : NOT REQ'D RAP [ X SEPA Required: YES [ Flood Certificate: [ f Existing Case(s)&Co dition(s): Violations: Yes �- [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditioplat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YE$ TO, submitted: YES [ ] UGA No Protest Agreement YES_-- O, submitted: YES [ ] Site Visit conducted YES �� [ ] Require Final Zoning Approval YES tM� [ ] ADMIN: Setbacks entered in '- •••' ' :. case N/A YES New Parcel T• • - -red in Permit Plan N/A YES Spec • ` eports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 921051002 Review Cases Name Type Status Planner BLD14-00444 COLTER P Application Received: 11/25/2014 Permit Issued/Case closed: Case Finaled: NEW DETACHED GARAGE-(UNHEATED) WITH SHOP& ART STUDIO-(HEATED) SEP10-00076 M LA07-00417 SUB07-00027 MLA07-00417 BARBER I F Mo-chi Lindblad Application Received: 7/20/2007 Permit Issued/Case closed: 9/25/2007 Case Finaled: 12/4/2007 Boundary Line Adjustment M LA09-00274 ADR09-00077 MLA09-00274 BARBER I F Application Received: 8/13/2009 Permit Issued/Case closed: Case Finaled: 911 ONLY- FLAGLER RD PRJ09-00144 MLA09-00274 BARBER P Application Received: 8/13/2009 Permit Issued/Case closed: Case Finaled: SPAAD ZON09-00091 MLA09-00274 BARBER I A Michelle Farfan Application Received: 8/13/2009 Permit Issued/Case closed: 10/13/2009 Case Finaled: SPAAD - Site Plan Approval Advanced Determination for residential development MLA10-00250 PRJ10-00204 MLA10-00250 COLTER P Application Received: 6/23/2010 Permit Issued/Case closed: Case Finaled: SDP10-00090 MLA10-00250 COLTER I A Zoe Ann Lamp Application Received: 6/23/2010 Permit Issued/Case closed: 8/5/2010 Case Finaled: SHORELINE EXEMP ITON FUR SEPTIC APPLICATION SEP10-00076 MLA10-00250 COLTER F Zoe Ann Lamp Application Received: 6/23/2010 Permit Issued/Case closed: 8/5/2010 Case Finaled: 6/26/2012 MLA11-00100 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 12!3/2014 Page 2 of 3 BLD11-00112 MLA11-00100 COLTER F Michelle Farfan Application Received: 5/3/2011 Perresued/Case closed: 7/12/2011 Cainaled: 7/20/2012 NSFR &A/G 250 A/G PROP TANK PRJ11-00099 MLA11-00100 COLTER P Application Received: 5/3/2011 Permit Issued/Case closed: Case Finaled: NSFR &A/G 250 AGL PROP TANK SDP11-00022 MLA11-00100 COLTER I C Michelle Farfan Application Received: 5/3/2011 Permit Issued/Case closed: Case Finaled: SHORELINE EXEMP(TON FUN SFR SOM10-00076 COLTER FIN Application Received: 7/11/2012 Permit Issued/Case closed: Case Finaled: \\tidemarkldatalforms\R_Parcel_CRMLA.rpt 12/3/2014 Page 3 of 3 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ,_. 92'%)12•.•..t.- N.,. N. 92'C.120222 l..2 )-13,2•:!.)) .... 1 \ St r a&berry 1 L n Ls i :-1 L',..: .--, 'S,24 1-1?■... (--. Legend „....." Selected Features 92"l2-12C.2Z I JC_Roads c.,.,9,:2 • 1--'—'-' e'2'CO y.:'1 —1 Parcels-H 41e ,Am= / _, Contours S."I oir4V , 1a Fool Contour C.t I ,s/ 50 Foot Contour I .--/ / Garden Club Rd 92•,..ti',:2"8 '''' '': 'ri'``-' 52'l:Q2C'b / _ / 92',.:■.+'..,2,:.• / ,,,2',:?:,. 1 'S■2'..Y.K:C2. ',..2'.;:•.. ...;• 1 E ' ,As ...,.i..., - / < ce 1 1N....:.,z., < t.I am 7 a:doi Lt,.eart,o1C a.,tr.C.otrrs 5c-e•ret..1 iS 0==solimia36241 ''.7 (092 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:35:35 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName—ovmap&ClientVersion=4.0&Fomi=True... 12/4/2014 Map Output • 0 Page 1 of 1 ArcIMS HTML Viewer Map 921043VL2 _� ;L 9e + IY.iC>fi 1- ``� I 2'043022-r-y I`S 92.0634094,.. 9210.1?v_R] 92,043(138 9210430,14 `,..t 1 4 1) ,ti ! t tyyi Strawberry.Ln ra•.... 92.4434.5 0 921043018 l' 2 921043020 I a { _1: -_ _ 921043008-' ,...z',_.124:: ( I J 1i- . / 7 _J , /"f 921043001 ? 9� Legend 7 J 0 Selected Features r x21043038 �� f I 1t f JC_Roads 92/0430/4 921043014 / !: Parcels-H wry I y) 921043007 — ' t Contours ••rq2 2 921051002.- p) ( 10 Fact Can tour f 921043(31 r ..A/f 50 Fool Contour r r _,•_,_� - !' Priority Habitats and f' 921043035'+ Species 031001 ..00.■ C.a w — - 1381/411 Club Rd—.— ." 921081018• i � �` ``I .. '' 921092015 I -` �. -' _921092014 ! f,J / % 921082027 ■ f'f `� - '•,d'020!1 1 v-�r..�' (( �. 921061020 j'! it r�^ r___,. N` ;023 , '"�� rDa'.02 ' - { r 921081021' l ! f ~'� 921082004 I F 921092029'.. .-921092030 �-`, `. - 4 -'----":1- E 921092028 7 I -- .1921492021 II I S N• t 921081010 i ( in rj /` q .-� — 921081001 - 1 J to t',-- ` ' '`1 . 1 921081014. U IrII 921492071 92109.1072 J \ , 921092017 Al!.;+aulad;r:-ci'as'21Ca+t1y Coats S r. GIS I1f 1•. 0 i r't 1 I /-_•' FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:37:12 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 12/4/2014 Map Output Page 1 of 1 A IMS HTML V - - M. Allibil= .,11.110.11111MINIR.F1; -92.t_1.132-e./E._;;.,, .„,_ _. , 't 921043006 204339 11+:-?4 '-'12'-'" _ , .. , ...,,,..... I 41 92213022...- ... 2 1 `-t • :.:`......:,;: ...,.... 92 ..912=226 921043030 92'.:91.22.:C•9 4 r::: ... ii!!"2:"Strawberry Ln 22' 4:9".:( 1111. 9,..z.":12,::::. 9:2104 3038 1 • irrig .,:..,; 92'04300 ...-‘ .. ?tt ,,VVT----/ f ----ri 71-' --(75-‘ ,---.. ..:::t,IF—` ' Legend C-7 0 Selected Features 921043001 I il r ) ( .1„,„/ JC_Roads 'L-,01 1.----: Pa rce ls-H 92'212124 — 021043014`. / / f 1 ,it' Contours / / 1--) . . . ....„. ........ >tc . 921043007 , 10 Fool Contour .. -. tjt 111 21 r 92'21:.•C‘.',2 ...- / 121061002,, ,./ / i 11 eti) /5/ SD Feet Contour . t ,s- f (.._ l'' 1 1 , . 4 ' ./ s, 921043031 1 tt SMP Shoreline ,..., _ --- / , .- - ,, .,-- .- Environmental ,-'. „. r . _... Designations / ' 921043035--- i',. . .. t ......., . . .. ....;...„..- , ..... /, t'' I ; I/ . n Aq eat c .. , , i. ,./ asvvestet, j Garden—Quicad e......,_____ .....„,„,_, III Conservancy I 1 1 „ - '• II Ilts hi Intensds ; 921092015 rtt....d .' i ,V s----__921092014__,, ,t . . ' --- ■ I ,.---"" 111 Natural - , L I ----- - ..-- , . / . M NA i .- ft 921081020 / / ir .,-----...\-ri ,--- -.-_____ .,„.. M Pr sorly Aq netts i ;'. .4' / / V921081023, 1 , ..-- 1 1 %'-t, .... — M &lensing R estdent&al X 921081021' a /- -..._, 921092004 fl 921092029 - 921092030 021012028 l 1 'I I, ' , '' la .1 .. -t- • 92'28'C',.. ' N., il I ..... . 1 ---. 921081014. i.) If! 921092071----'921092072,../ ,y' )3e/laft "t . 921092017 .1 I.%x c re dad w-al k sr sc r I Co"Corea Swam CIS ''' ..----- lt 0 ,,I N FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:38:11 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Fonn=True... 12/4/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 1 +.,` % tut'C•13Cr'i_+ 9Y G1_y'_:f: ' 92•'-.12..'ry 92',24 k:"j � t 1 r 1\ Strawberry L 1. L.7. 11 5<'6,1 21.)2n halJ .411:2 9t'a1 .9' Legend Selected Features 6e12;_,2-a JC Roads 92'64.10'4 92'C'l30'4 Parcels-H �i.f y2 6422.:-" Contours 9Z"uy rc:2 6.l 10 Foot Contour G Iwb y2tCy.3(?3t fy` 50 Foot Contour /7// - /// Shoreline Slope Stability OStable I� Informed 61111 r Carden Club Rd n unstable u2'_,a'r:^g '�2"'-'N"='"� ■ Unslablo Rowel Landzbde '_2•rg2p'4 (l Un%labia OM Landslide / y2'i(521;jt l I 92'65'626 i I Mod good f, .2 _6' _23� _. - i ,� '.2'r'y2r r',.1 92'fMl1U19 y2'r:u2_; ; III 92'rtg'r:n ) E 92'09262' /I i /I) it.:',/ 92-66'6'6 a 92'06'0'4 n•, 92'CH2O?' , 92'08"_ 1 y2'0920.2 92'C'92 Van aa:dal:r:_et,' o'i Cw'ri Co-r.-.3.srrt=GIS 0 i . FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:40:43 2014 http://gisserver/servlet/com.e sri.a srimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 12/4/2014 Map Output Page 1 of 1 ,41111 ArcIMS HTML Viewer Map • "\.,,,,t....1::y.).• 1 ' .;;:•..,5135.,2.2 '5,, '5, -- 1 : 11 ' `---'4,:'.'■ 921 -. 921043036 921043030 ...m..'043069 . ,■r P.I 0 \ ---,, 043016 0 ',,. 921043016 1-) - j I 1 i .; ji J (1. 921041008-1 . 921043020 , i - ,...,it--M . 1 I \ '- , i C1 Legend ..;,-<'_...-t:!,:‘,:'' 921043001 ■ 1? Li- Selected Features - - JC Roads I / iiV — -- _.1- 921043038 14 7-- Parcels-H 921043014 9210430 in / 111.14-11. r' ] , Contours / 043007 1051"' / 921061002 / e 8 10 Fool Coniour (- ' -: ../...„ 54 Fool Contour I e _," 021+ 3 t---....' DNR FP Stream y Classification ,:471,1_''',...',T--- ,./ A, F-Frsh Hanna! 92'05t00.12/031001 _ _ _ ... o-..= 4yof N•Non f ish IIabriat , -GBP:len C8.19 Rd.."7.11.11'..11"--nn'''''''n-- „ .. 4„/ Sip•Non fish Ilannal Paronnol .42 5,..:, •,L,..5, 921061018'- 921092015 .--- N ', ' Ns-Non.frah 1144441-Sansonal / 11-'5 . ----1.1 921092027 1___J , _._- _--- 1, Inicasou , --, _._ iosi s-Invenioned Sherohne 921081020 yi / r -1 __..\J* _J -,..,.. IN Wetlands ./..... i /921081021, ' t (----- '?2'f.: ' -- / 921081021 ' , 921092004 ri 921092029-- -921092030 7 I ----._921092021 5, ,z_ / ' ■ .1 I, . .. i 921081010 .' .17 ' c I a ki 6_ I .-,) .--, A ' -- / ' i 07 921081061 .---'n (-- -----------1 7 in 49 ,921961014 ‘ .- , . '--- . - 921081014. LI U 121°92071--.--n— 421092072 ../. 1 3;,90 ms roxio9207, Maas Tcrodedby.1411,9criCcr.rnyCannnt&meats GIS 1, ,'' ,---'" FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:42:24 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True... 12/4/2014 Map Output Page 1 of 1 A IMS HTML V - 11 - M. • � 9I 1 __ �\\921043022 -ill .'92'043009 .- 927043009 921043036 921043030 ,Y II - u„, ,', '',-:_ 0 921043016 1 f 921043008 f .1043D20 } 92104304 ' 'I Legend f JJ/ Selected Features 92'..:-1.1'_36 921043035. JC_Roads / 41'' F 9210430'4 921043014 Parcels-H / - Contours 921051002'. .921051002. ..x - - , ik 19 Foot Contour 'jai 50 Fool Contour 1 +I z 1 -' Critical Aquifer Recharge 92104 • 9210430 Areas n 42105th 4 r'_ n .. I SUSC-UHN ® SAR PAa SUSC 921081018 927061018 sum . • r__ 92'092014' SAR PA 921092027 ) 921081020 -b .,.. ?- . ❑ SA R PA♦LINK 921061020 921061021. a'921081021 921042004 921092029 921092030 921092021 /J 92/097010 921092028. fl :�l ^• 921081010- 5 / J 0. 921081001 210810%4 '921092071` 921081014 921092072` 921092077 Mass aovded by Uebem Carry Caveat Serves GIS 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 orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:43:50 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True... 12/4/2014 Map Output Page 1 of 1 4111 ArcIMS HTML Viewer Map III _.... ... .. :.., . 2 -..,,.: % =■21G4,3039 ", 2'2 '-'1"9-'`-2 '''1, \ il Ne4-,7-ky , ,,....,„ ..i..:...1....,.i... 921o43o.30 921043009 - -'11-'''''''' t -4 , , \ i t'-' ( (' -'' ‘ S trawbe rry Ln' J....-, t 't V1,, L'n , •••,... 921043016 0 // 'kill y--T ----Li".y ;, 921043We i 92,043020 .' 1 I ''... '-'-ikdJ .-. . ., .. . • / ' , . ( , ,.. . ,. , ,....Z Legend V L Selected Features 92104303s --,.. JC_Roads ..- , 92'04 30'4 9.21043014 / 7/ Parcels-H , Contours 921051002 / 921031002 / / ' 'L') r I / 10 Foot Contour , P - / / ...- 921043031 o/ 50 Fool Contour , r- / x ,... /I ...= rf .• , SIPZ .:0",;'.iir-r*-4.. ---/ ---/ '' / : l -..11 i //. ' Al R fork Sin . lintn PronSIPZ 921051001921051001 . --‘---,-; • 7.1/''' ,---- " ,- - ' Galt"Citib Rd- ____ L 92- 8:0,,s K 921081018,- ' ? / 7 , ../ Y2'092016 / 1 / ---- ..'' ' ...i 921092027 ___ ..---------' '7-' ..--.7 , ,,,i---- Li Docornotrostonod S1PZ ■ I ---__921092014 L - 7 Constar SIPZ ,le t.rd't.ZCr • I ,- 7 .____.- -....,, r 921081020 / - ir i ....-- , -„..... •• i - ' 921081023 .-e--'" __ ...-• ,.... .... .., ... ---1 1 921092020 '..42:':'8.'::' 'f i 92*CC 02" ' 1 :'-','------%_ I 921092004,) 1 ---. 921092021 / . / ,` i .... 1 021002028.) 1 la III] .. „. . 921081010 c . ,. ) e - _. , ..... ._.- , ..,-- c., -..--,-----,---_____ 92,08,00, ..-- ---i-_, F96.0'4 - 92,08,0,4. Li _ 1 g21092071----9i1092012 ' 7 ---\ (9.2i092017 '1 0 FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Dec 04 15:44:38 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Forrn=True... 12/4/2014 D BLD14-00444 BUILDING PERMIT APPLICAAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00444 Received Date: 11/25/2014 SITE ADDRESS: 5562 FLAGLER RD NORDLAND, 98358 OWNER: MARK COLTER PHONE: 206-799-6709 MARK A COLTER TRUSTEE 18125 NE 105TH CT REDMOND WA 98052-2835 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 1E CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 211 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License STAPFCI91CK Expires 2/17/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW DETACHED GARAGE -(UNHEATED) WITH SHOP& ART STUDIO-(HEATED) SEP10-00076 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 69,888.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: THER: 320 CONST G SHORELINE: GARAGE: 1,216 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: 1 Total: Total: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date State Building Code $4.50 SRE 11/25/14 153912 Permit $757.00 SRE 11/25/14 153912 Plan Check $492.05 SRE 11/25/14 153912 Total: $1,253.55 \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/25/2014 eti�SO CCU DEPARTMENT OF COMMLITY DEVELOPMENT ^Z 62: s loan s Port 10 u.d ti �; C \l G, ,Z Z.,,c.0 f,n.\ 111'cO:I7 1[ ctuatl9c`<Lh' E- !:Licd'A.co.letterzon.:va.us 1 1skr ,c° 75 ,4 PERMIT APPLICATION tr..; L _J Steps in the Permit Process: . DE ELOPMT -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# IL414 " 4qu Related Application #s: MLA# Site Information Assessor Tax Parcel Number: ILL- DS-1_ — 402_ Site Address and/or Directions to Property: 5562- FtA6LE4L RNAD up et., p LuA . 98353 Access (name of street(s)) from which access will be gained: Fi-A6 PO AD Present use of property: (I) 5.F.R. Description of Work(include proposed uses): Ciat4STkucr (I ) Del-Ac, D GARAGE W/ STIAD(o Wastewater-Sewage Disposal osal p This property is served by Port Townsend of Port Ludlow sewer system? YES NO )c If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: )( Septic Septic Permit#: SEPio - Oo0110 Community Septic Name of System: Case#: Are other residences connected to the septic system? NO Additions or repairs to sewage system: 'J0 Is it a complete or partial system installation: Complete ) . Partial Has a reserve drainfield been designated? Yes X( No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: The authorized agent%representatn i he prirarvcontact for al project-related et ns and correspondence. The County will mail/ e-mail requests and tnfonnatbout the application to the authorized agenWpresentative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e. ,County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: Mgt( COI-T--2 Address: 18125 IJe 105" ci-. RE-WAD/JD LaA • 93062. - 2e3S Phone #: Zpb - 119- 107061 E-mail Address: 1114-12.14• Cot. .x EP 6MS• Coin %\ Please conta t uthor' ed A t/Relesen ti e with project info. (select only one). Property Owner Signature: YI Date: /1// //171 Note: For projects with multiple owners,attac a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (ii other than owner) Name: RIG} 51-APF — STA-Pr foas-szoralaJ INS Address: "? ' (t ;-.5athe J71cob MILL _ POe-i -rthowsEuv r,,,,a. 96366 Phone#: . S(,o - 3es- 3vi`i E-mail Address: S[ylf (prtsTlrxo CA?t.aS peg O.Ca rvl Professional: Is this an Authorized Agent/Representative for this project? NO ( s) Engineer Architect Surveyor Contractor �/ Consultant Name: SAA Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor • Consultant Name: Address: Phone#: • E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone it E-mail Address: Attach additional pages if necessary Builders Statement • The signer of this statement certifies that they are the•Owners of the parcel referenced herein, that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Print Name: ___ Date: • /�--ON - /�S coo. JEFFERSOUNTY ° (1 � � 11 DEPARTMENT OF COMMUNITY DEVELOPMENT ..___I-.. . 6:- '4, 621 Sheridan Street • Port Townsend • Washington 98368 •�� 360/379-4450 • 360/379-4451 Fax i'I 5, �O: vvww.co.jefferson.waus/commdevelopment NO Master Permit Application MLA '',1 F l, .._,T 1 Project Description(include separate sheets as necessary): NEW DETActfeo erAgAipc IA/ S1Upl0 Tax Parcel Number: 12.9.— O51 - 00 Z Property Size: 2. SB dr square feet) Site Address and/or Directions to Property: SSG 2 FLAT LEV .D . 00RDLAJ ' 'vJA . 9$3% Property Owner(s) of Record: MAt.4L CoL-TER.. Telephone: Fax: email: Mailing Address: 1i3 I% NE. toS711 ex. gEpttiteruD • vJA. . 96OS2_ - 2836- Applicant/Agent(if different from owner): R4Ct4 STAFF — STAPF Co4STettc1104 list . Telephone: 360' 339'-- 3191 Fax: email: 7lyc'C-or1s1T r„trtQG>grESPpM6M Mailing Address: L(( SOUTI} TACppj Mtt_t_FQ,R_ D. PORT ?Dw05&j9 ,v1A . cI$3bf3 What kind of Permit?(Check each box that applies )Building ❑Critical Areas Stewardship Plan L__; Demolition Permit E Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family Garage Attached Detached El Conditional Use[C(a), C(d),or Cl** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑ Home Business ❑Cottage Industry El Binding Site Plan ** ❑Propane ❑ Long Plat** I ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑AllOwed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD) * Li Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* El Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre–Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate ?ICt4 57-# PF— STAPF c-0u51r. i &to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein. and in any attachments, is true and correct to the best of I. 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 an way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provid acc-.s and ri• of -ntry to Jefferson County and its employees. representatives or agents for the sole purpose of application review and any requir later i .pecti.�► staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatiti9(i t -,::.,Tr ,=`r*,,,:,;, • . (Ace. Signature: ! �� a /4 Date: /� /iYA/7 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 Ac" .r"ESA.-Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued ill •1 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 in co plian "'Nit . he Jefferson County development code.The Applicant acknowledges that he.she or it holds individual and non-transferabl- r-.a..: .i1i' . .a• ering t• and complying with the ESA The Applicant has read this disclai er d signs and dates it below. —a Signature. sy Date: %/ Z%�Zt/% GA l'.enitCcn:or\=--1'Oj(NIS:-:-"•.DIU)FOR\IS',C(rr n,-DIU)Fom::`.\]'.... ,I) .. '....`:.,...... . 1.),.•2 • • BUILDER STATEMENT • The sinner of this statement does hereby certify that they are the Owners of the parcel referenced herein.that they are net licensed contractors and that they will be assaminc the responsibility of the General Contractor for the proposed project Sicneture: Date- GENERAL CONTRACTOR OR MANURACTURED HOME INSTALLER: PHONE: FAX: STAPF I.6#.15 124“.. i ime— (360) 385-3t9'i ( ) MAILING ADDRESS: 2.11 SODIT14- 7-14CA8 ft'ito-f12- 4, EMAIL: S"fA>-PFCo ASTI Alt@ CA$I.ESP ,,ChM CONTRACTOR'S LICENSE Pdf2.1f ow IF-WO ,t..Nt . 61836e, WAINS NUMBER: STAPFGL9 Ili G NUMSER ARCHITECT/ENGINEER: utAktE S"fE.JAR.r i4 E DEStfrtil PHONE (300 )395_wiz FAX:( ) MAILING ADDRESS: EMAIL 5-ricu -isQ c epaD,Co M I Project Type: Frame T pe: ' Bathrooms: Shoreline: 1 Type of Sewage Disposal: • r oo• Existing: Sewer • Addition Steel I Proposed: I Bank C mim r em 1 Alteration/Remodel - Concrete t Total: I Height: dividual Syste Repair - Masonry Masonry SEP Permit# SEPtD-00016 Demolition Other: Bedrooms: Water Supply: I Existing: Setback: Private well Two Party Type of Heat: I; Proposed: O Pub Name P.u•b• ame of System: 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 I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings, all property lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage . Current Proose I p d For Office Use Only Amount Revision Main Floor Heated/ EH Bld App Review: ,v J 5I DI O 2� f� 2'Floor Heated Consistency Review: 2o-8 .,(..)U Other Heated Base fee: Mezzanine i Additional Section: ( _ Heated Basement Plan Check fee: 1 t Unheated Basement State Surcharge fee: q. co Other Unheated Pot Water Review fee: • Garage/Carport I ILI SUBTOTAL Decks I i 911/Rd Approach fee: Other rit bbb•'✓' I TOTAL: S 1 �J.--1q-' -- - Receipt Number: 15391'L Cash/Check Number: 3(1-2_S • ESTIMATED COST(REQUIRED) Date: i .Fair market value of all labor and materials foundation to finish r `/�� it j Initials: c ' I I L;:' " : , ' oRm:--"',,DRD t llR`•F [:..:r:a:;1)R.)i-i„,v,\beer P r:ir\r:+'ic.ti o, 3-2').,. ..'.)c .. • • SON c. j; c O JEFFERSON COUNTY `1 � �;f l� ti „�DEPARTMENT OF COMMUNITY DEVELOPMENT , L -- O$ 621 Sheridan Street • Port Townsend • Washington 98368 iI �S-/3ING'. 360/379-4450 -- 360/379-4451 Fax - • J Stormwater Management Permit Supplemental Application MLA# PROJECT/APPLICANT NAME: COLTEIZ - )j=■,J DET?1Ct•MED &RA Applications for grading projects or land-disturbing activities which require a stormwater management permit shall include the following information. This information may also be provided on other diagrams, plans, studies, or attachments submitted with the project application. If so, please indicate such on this permit application. The Administrator may waive specific submittal requirements determined to be unnecessary for review of the application. 1. Source of fill material and deposition of excess material. NIA- 2. Physical characteristics of fill material: NIA 3. Proposed methods of lacement and compaction consistent with the applicable standards in the International Building Code. N�A 4. Proposed surfacing material. NIA 5. Proposed method(s)of drainage and erosion control. S ORNI DRAvJAbE kit Li_ BE CEU.,EcrED 13q Co•ariPMWS KOOF &tttTC2.5 AM b ROUib -rt DR,-1 weu_5 6. Methods for restoration of the site. TF{E SITE 15 CMf-126 n-Y a.55 ACES OF GRASS PRoPosED 6A0I£ WnL, V: COhl514tcxED # 6 A55 JZE—P4►nr=D /cRow.Ja ExG}uwt1tf 7. Demonstrate that instream'flow of water will remain unobstructed. NIA 8. Demonstrate that erosion and sedimentation from outflow channels will be minimized by vegetation or other means, and demonstrate that pond runoff will be controlled to protect adjacent property damage. NIA By signing the a t. cc. in form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. I . so certi fat pis application is being made with the full knowledge and consent of all owners of the affected property. ' i ,--4.--.1i ,, 4%4 1 (LANDOWNER OR AUTHORIZED REPkkk SelNTATIVE SIGNATURE) (DATE)r ■ S • SON , 1_ ill 7`.,tl ]�_- i•• 4w� . cCG JEFFERSON COUNTY ;� 1: ; `. DEPARTMENT OF COMMUNITY DEVELOPMENT .. " � ,S 621 Sheridan Street • Port Townsend • Washington 98368 �; �S,,NO,° 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopmentl • I stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: COLT a=.9_, 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 2•SS acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet (I Li 3t(-1 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. I LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL I Calculate the total area to be cleared, graded, filled, Answer the following two questions related to s excavated, and/or compacted for proposed development conversion of native vegetation: I project. Include in this calculation the area to be cleared for: z �yg� Does the project convert'A acres or more of Construction site for structures / sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well,utilities, etc. sq/ft Does the project convert 2 '/ acres or more of q 500 native vegetation to pasture? Driveway, parking, roads. etc. / sq/ft j Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface. etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance b, 0'1 sq/ft Cut 141/k Fill NIA (cu/yd) [over] • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include. but are not limited to roof tops. walkways. patios, driveways. parking lots or storage areas. concrete or asphalt paving, gravel roads. packed earthen materials. and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) � 5 47r1 sq/ft Structures(all roof area) 1-91 sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) a Driveway, parking, roads. etc = [150D sq/ft Driveway, parking, roads,etc' tl 000 sq/ft Other // sq/ft Other sq/ft Total New CON sq/ft Total Existing 7,1q1 .00 sq/ft TOTAL NEW+TOTAL EXISTING* V�r ?31 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: W • Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DOD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the fest my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of - affectes pr.pe y. ✓ /7/ 1770/LI (LANDOWNER OR AUTHORIZED RE ESENTATtVE SIGNATURE) (DAT FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes Nc s!Orceater talc works!-N.):-REV 11151200E az-o . -/.: -°° r /6 0" _A._—. ...__._....__._.._ _. .._ .._-_..___._ .......____.........___._._ / . c> 4-c• .6s--: =o` 7-'9%" 4Y" 7-'i7 ,••," t 45 gs° V V\ ' \a p i6iha r,o iii o d P - _ 1R l\ ° - : .' .c I I N_ _ N4 c L �: , ," •$ " w c 1 CI U m o zx.. > , m 1 Pr m N 1 I as .i .� °*� >1. w o ////// C�� f tf \ . , , ./!/ -- -,- ? Y.s ��.,,.-i..i%6ii7 A , • N 4t-"Y,-.-u, I . .& -,...,_.i V•G L L—J 1.‘1 d g° U' 6 11 .. •I • 6 ILA S. Imo• ' 1A�� - - w_ N t of N v L, c °- s• 1:4 °P Q V c I A 3 N-Q' =op L N s N e S d o n • . i L4 S^ o b IFF - r � I I • • i � °•. � 1 \ `\ • '; . , � _ rte'o • N w pt .�a w>‘-'4' .� w »N c• "V- 1 -1''"' m C o • ±L _ _ _ — 5 J �` Sao— _ ___� �_ — _ — _ _ IN - �N ^� �Ss Ha od . 1 I••R A oR 1 ' N 'a L , mix a dl - zPO � m4 – ; -„,`r,r, r m ' - ' ':::\15.......,. b - SON = L N t 1 5 ` r; 77mm. N� S p - - - Q � A y c z . • gp A] L A ga o "I . . •£Fi`; • . . ) . . • ' 11 --S C',P -� I� __�SOi`,& _ . 11:� P t ss t7.17, �_ T� 11..- ,..,--. .--•N 7. r� t • '1 _ rl_ 97, 1 • '"\ ... O O \ - 9 • � .c`- N ` x J X X w • x o 11 •E • ::-6-1--...--,..'..1." ^ m 11 x N b ..._._. 'I _\ � : i * !ten t TiNk • n • r• - \f\f • V •61 �C Chi 3 ° N F I V m t4.� • ° c 5 Cz db m �G • ,, 0 1 y, 7, J , . . . . N O c . . _yj G'''') 1 • ' C I 1 i • \ \ \ ,� � 4• -r j . bS/` �� O oi- \ -o P rr, �2 • .oPR • cvk'.\ ••Ed---\ .;.1-1 ,,,, 1 n v o, \ I ■ f. t. 1 1jl e . I ti O C • ..---- d E,e. '9‘2 4.4-' ...c.- cti It:, 0 a - P`e,. i 6� 9_, FB s, o �S R1 . `r . . N 4,,,r 4 <,,r a N „..„i� \ ij w • •o -' d 4 _ "P `N0 A- 1 `its ,Kg -� ym r XS \ Fo > N T �• 5 .Q 40; r, • ���Tl r \. o n w -.-Z -r -e, z -G rn, lz I w • .-- re to SIIN 5' -1 I. U --1 r' 3 RI / m • m • z �� •A TI ,) F - "' -J AEI g- a z s 2 • -4I N r • 1 u d l7 ml 1 i • 1 I _ �" _ _..-._ _ i� c:,--7, ' Z 1I'- V , _., I _ _ '_ 6 I 155, l'LJI j i.� n a -1.,' D I- gyp;<9 P t 0C-- p . .zo►051 - ce0A I. 12/4/2014 �fiCCEL/!� •Conditions Associated With dl 4:14:14PM Case #: BLD14-00444 \,y Condition Status Updated Code Title Hold Status Changed By Tag Date By 0101 SEPTIC CAPACITY None NOT MET 12/4/2014 SFP SEP10-76 has a capacity for 5 bedrooms of sewage or 600 gallons per day. BLD11-112 accounts for edrooms or 240 gallons per day. This application is not an approval for residential use,it is a bathroom with art studio . This application may account for some additional capacity being used by the septic system. Future building permits may require water use records to determine available capacity for future uses. 2001 STORM WATER BMPS None NOT MET 12/4/2014 TSW 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. 2001 COASTAL SIPZ None NOT MET 12/4/2014 TSW The parcel is located within a coastal SIPZ(seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 61-02,effective September 23,2002)that apply to well drilling proposals and building permit applications on existing lots of record. 2001 APPROVAL FOR ONLY None NOT MET 12/4/2014 TSW This approval is for a new detached garage with shop and art studio 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. 2001 SITE PLAN CHANGES None NOT MET 12/4/2014 TSW The site plan as submitted with the building permit application on November 25,2014 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 December 4,2014 shall be resubmitted for review and ' approval by Jefferson County Department of Community Development. 2001 TSW None NOT MET 12/4/2014 TSW TSW 3015 Water line/Septic system setback None NOT MET 12/4/2014 SFP 10'minimum separation required between the water line and any onsite sewage system components including sewage transport lines. Page 1 of 1 CaseConditions..rpt Standard Conditions for ResideneDevelopment in Jefferson County • 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-C3-07 SFR_S[ Co ditions 3/7/2013 — 1 Fisheries Service can levy p ties. Portions of Jefferson County. inc`ng marine waters, are included as "critical habitat for a lisle ecies. Development of property along any marine shoreline. freshwater shoreline, or fioodplains 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 fioodplains 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_SF3_StdCanditions 9/6/2013 2 M:,f 7/31/03 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1 and/or otherlapprovintercepted ed means and ps precipitation ponds allowed to be released to the soil slowly. 2. Water collected from storm water and roof catchments may be used for watering lawns and gardens. Unless catchments water has been treated to meet drinking water standards,there shall be no cross connections allowed between the potable supply and impounded water. 3. Ground water withdrawn from each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 5. Landscaping should include xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniques to water plants, shrubs and trees. 8. Routinely water deeply and less frequently. 9. Weed control is an important part of water conservation_ 10. For your landscaping select drought tolerant plants, shrubs and trees stay away from heavy water consumers. it Limit the amount of irrigated lawn. 12. Mulch your garden as well as isolated plants, trees and shrubs. 13. Use shade and windbreaks to assist in water conservation. 14. Use low flow water closets, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving devices such as low-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones(SIPZ). 18. Water softeners that contribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spigots)for outdoor water use should not be used in SIPZ. [end] PLEASE NOTE:THIS LIST IS A WORK IN PROGRESSAND MAY HAVE ADDITIONS/ DELETIONS MADE A AT ANY TIME. USE CURRENT LIST. „ i1 4 i ---P 0-4 ncpynappLt ;-.1 i / - - 1-icti3 ii-- --„Al / -"ii .L.a— tchel-airi (Yard Drain) :. :, --- .. -...___: ...'. . ,.,. Mw \ , ----noct .- Dwilvoti ------•,-_-,, 0 DRY WELL 4:girth Dian-tat-1, - Rote Filled with PLAN VIEW , -Oh---eWaahed - : rtniTiriRcia: • ' NT$ .. ._ . I. -011;DOM rra1;01-1- i--t11.*/-;Cenfer of We. i —Civwflow i wit r carpal Fio. Ho Lo_m f/. .../ 1 or Criher Ireen-3 ait---„, i FiLzi-twtth Strfacp —Spash etock Topc 1 1 r 1 :\ ,---- •wif,,,-,t_ -iv.:' ' ,:..”' '---Min,4'cia.. Firca Me;th Sinen- Catch 0 aain (Wd Drain) - 4t3Irch Dia.meter 7-1, -v aliii_ sides of Hoie6.„!: Fide Fitted with' 1- I 15)-rrk. 14_________— Linadwith Fittk-f Fabric &.::- Drain Rodi 11- ,,,• , tP ., r.44.:' •.I.Z.:00 ' - 44ii tvl f-,i. V:4_19-,.,9 DRY WELL H U-1 Grourdwr l'Ab19, -----4- SE GTION i . NTS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King 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 BMPs—August 2012 3-10 for Infiltration These systems are aesignea as specinea below. Drywells Genera. 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 BMMMIPs—August 2012 3-6 . .• . -- . . . . - V . 1.\. . /,... . , • , ,, ..• • \ -1•,,, e t NN Nks,, .■ 60;ait, .., ..,.. --, '.., tr FZ■ -NN ill ,..7\ . .,.. '•."'N, / ''''-•-, T. /7, "',-;,, __, \ t -•. '',N, '''' 'N N 0 7 dlii N -. N. 3?-• z (17- N ‘`. ., 7,- N c )( IV il'■ C :Z N \ t -'/c \ a• -., 2 l' 1 ---..... 0, c) . • --:_ N P_. ___c) .I 37` 5 --, ,••••%. .----,•, ,s, 1 0 - I 1 / T.. "-----, — 1 A —1 L CN CFI ' .--% ■ 1 -----.. . • , 'i-IP ' '•• ---------., • ) z ■J•1 •••,. ,E.„, , g i . . . --I i:,-. 4 ....■0.. :, _ •ct, ; ": 0 r---• • 1 1 r '"".i..A -;-;„-... -.,,,-. I •-9 ;•--, 1 N , ,\ N C ...N.:.„.,:,;•,, ! • oz• Tv S.- ! ' -1T1 1 ...— •- i ' ''' -' ' .;. .\ ...‘• 'co• c \--1 • 1 . ''',„ .\ - "F N ••■ e , ,. C-"J . • CD 1 . ei'• •-•-• V -SN 71 - , ,....„ N I is, 73 .' —I : 11 721 c^.' ■, - 7 I II u-1 • --- ••••'-ri---. 'ea '34.'11- i' .4....kji cy,:j ' O -7.z f-tv";" ■ (`‘ \ Pi- r ' -11 1 0 i - G. IA • . ' V\ 1 ■ ila e) 61 x 3 vil ..1.. \ , ; 7-• • -,1 • 1 1 1 -gi- 1 1 ' :. , /\ U■ .......______— 1S' -0 - c---------- I • 4 N S•Si 0 0 -11 : Zi■ ›.0 , , 1 0 0 1 •---, ' tf% cc) 0 1 %IN CA 11:1 ti .7. I '3)ul is■ ' c-'.`_'-' --:---;',7;-'' c:--1 ,:-'.:,—,-.,H6 1 '1';;ID i F21 It 1 L., I •35. T- .....:,. .li i\)‘‘j 'i --• i i Lori 1=71 11 1 1 tijed li V li 9 • A _ . co rriLIPI TH 3 I 5 5.0 0 ' SON �, --�� K�� JEFFERSON COUNTY �. DEPARTMENT OF 'COMMUNITY DEVELOPMENT 1//1y/�1 �'SHi,40. V' Date: 3 -3 Time Received: /e, am(CLO Mon. Tue. ed Thur. Fri. Date: 3-cf.. BLD: l L1C (fvy Contact Name: Owner: Contact Number: 360 ° 5 -g0 Address: 5-5-6. 2 r%tg-164 206 Notes: 4 P77:, b Vrj w. Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground 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 Jefferson County Building Division Permit Number: BLD14-00444 Applicant: COLTER 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 S• etbacks 12/1/2014 15_ F• oundation Footing 12/1/2014 jr.` �0`"1 F• ooting Drains 12/1/2014 6j//6---- /� t Foundation Stem Wall 12/1/2014 261/c— U• nderground Plumbing 12/1/2014 Under Floor Framing 12/1/2014 _ ks S• traps(hold downs) 12/1/2014 Ext.Shear Wall Nailing 12/1/2014 4 2-cl/ts- R• ough in Plumbing 12/1/2014 9121)11— S• hower Pan 12/1/2014 / F• raming 12/1/2014 Lt(24/)s __ Blocking 12/1/2014 A• irseal 12/1/2014 kilt,Ills, Blocking&Tie Down 12/1/2014 Insulation:Walls 12/1/2014 4 fz//lam Insulation: Floors 12/1/2014 r Insulation:Ceiling 12/1/2014 ,/ l gf�ts 1 Cl a Wall Nailing 12/1/2014 7/2/1 5 / { Smoke&CO 12/1/2014 Drywell/Alt Drainage 12/1/2014 J t S• eptic System Finaled sepl0-76 )0g-I" 'r txr f R,o,=,a1- OX 4/2-4/15 rC-4 7 t A final inspection will not be scheduled until 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 7/A/95 i Ok' 4)0 r— C.O. % / )5"/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD14-00444 1.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 2.) SEP10-76 has a capacity for 5 bedrooms of sewage or 600 gallons per day. BLD11-112 accounts for 2 bedrooms or 240 gallons per day. This application is not an approval for residential use, it is a bathroom with art studio. This application may account for some additional capacity being used by the septic system. Future building permits may require water use records to determine available capacity for future uses. 3.) 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. 4.) The parcel is located within a coastal SIPZ(seawater intrusion protection zone)according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 61-02, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. 5.) This approval is for a new detached garage with shop and art studio 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. 6.) The site plan as submitted with the building permit application on November 25, 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 December 4, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) TSW \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 12/10/2014 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00444 Received Date: 11/25/2014 SITE ADDRESS: 5562 FLAGLER RD Issue Date 12/10/2014 NORDLAND, 98358 Expiration Date 12/10/2015 OWNER: MARK COLTER PHONE: 206-799-6709 MARK A COLTER TRUSTEE 18125 NE 105TH CT REDMOND WA 98052-2835 SUBDIVISION: Block: Lot: T 45+ PARCEL NUMBER: 921051002 Section: 5 Township: 29 N Range: 1E CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 211 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License STAPFCI91CK Expires 2/17/2015 PROJECT DESCRIPTION: NEW DETACHED GARAGE -(UNHEATED) WITH SHOP& ART STUDIO- (HEATED) SEP10-00076 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 69,888.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 320 SHORELINE: CONST TYPE: GARAGE: 1,216 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: State Building Code $4.50 SRE 11/25/14 153912 Exist: Exist: Permit $757.00 SRE 11/25/14 153912 Prop: Prop: 1 Plan Check $492.05 SRE 11/25/14 153912 Total: Total: 1 Total: $1,253.55 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 b, ;n I k� 0 JEFFERSON COUNTY DCD BUILDING PLAN REVIEW 2� APPROVED AS SUBMITTED E3 APPROVED AS NOTED Z (,'C3o,, REJECTED Date��, -'i -L lewer REVIEWED FOR CODE COMPLIANCE x 4-15 0 C, Contact the Building Department --r- i o �4 at 3794450 prior to making changes or revisions to the aapmye plans L w� kv Af Plant Pro epproved,eNc any crrors or omissicnL. All Woj�,', 10 to vivjo A�. z,0 �om I ot/ Aw lK. 0 W w -r?4 t6 Tc�� 15�0plp\ Ole, 09- 31 2/ 1, 1 comvtoo W k Vv- Lo 4 11A -a 0 \AJ Vj M V79 , t' 0 N JVV L; J (0" (A I tL --r Z' A t14 -2- 70S�e, 4-4 i (j), 1 I A A A A tt 5� t 2, z6, C7 7 Af C-7 S E> Al 05 B ff 'j 6- c-;, 0 -2- le- t�--r-L')OS 3 — AA,,--) (-:) C I t, T(— AA, L ',-J r--L -0 d J 0 V,/ r-OiDtj- v4AL-L" Vy 777— 7; 10- A 1-,7 L_( tj —j" x. /Afm -wr 4 T- 1 -3 (0 ',3D AA t QA (-- NI-xi 7- z5 w A 0 \j 74, (Ter SCALE: APPROVED BY- DATE: REVISED 0 DRAWING NUMBER Uj wjj JLL 4" 0 0. r 4� (3 H t� (At\ C) Ii- -1 ID tT:;, 'k C-7 S E> Al 05 B ff 'j 6- c-;, 0 -2- le- t�--r-L')OS 3 — AA,,--) (-:) C I t, T(— AA, L ',-J r--L -0 d J 0 V,/ r-OiDtj- v4AL-L" Vy 777— 7; 10- A 1-,7 L_( tj —j" x. /Afm -wr 4 T- 1 -3 (0 ',3D AA t QA (-- NI-xi 7- z5 w A 0 \j 74, (Ter SCALE: APPROVED BY- DATE: REVISED 0 DRAWING NUMBER Uj wjj JLL ... ..... STCJ 1--) ,--7 CIO �- 0 ��p -A APPROVED BY- SCALE. 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