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HomeMy WebLinkAboutBLD2013-00173 "'BUSING PERMIT APPLIC*ONID BLD13-00173 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00173 Received Date: 6/10/2013 SITE ADDRESS: 222 AERIE LN PORT TOWNSEND, 98368 OWNER: ALBERT D SCALF PHONE: 360-379-9516 CHERI L SCALF 222 AERIE LN PORT TOWNSEND WA 98368-8713 CLOUGH LARGE LOT SUBDIVISION SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 901085002 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI New Garage, no heat , no plumbing TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 17,800.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 576 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 MEB 06/10/13 142158 Plan Check $190.61 MEB 06/10/13 142158 APPROVED State Building Code $4.50 MEB 06/10/13 142158 Total: $488.36 JUL 12 2013 Jefferson County DOD 1116-Inrn rLlrlolnlinrm ClC CI n e.,.. QIr!rnn* AHN9n11 � � 4�c� r�, DEPARTMENT OF COMMUNITY DEVELOPMENT -; "i.„-,, 621 Sheridan Street Port Townsend WA 98368 "` Tel:360.379.4450 Fax:360.379.4451 Web:wv,w.co.jeffcrson.wa.us/communitydevelopment d?-c, q` E-mail:dcdnco.jcfferson.wa.us . ff1`V0,'' CERTIFICATE OF OCCUPANCY PERMIT#: BLD13-00173 APPLICANT: ALBERT D SCALF PHONE: 360-379-9516 CHERI L SCALF 222 AERIE LN PORT TOWNSEND WA 98368-8713 SITE ADDRESS: 222 AERIE LN Issue Date: 07/12/2013 Final Date: 7/7/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901085002 Section: 8 Township: 29 N Range: 1W PROJECT DESCRIPTION: New Garage, no heat , no plumbing THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: S-1 TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/7/2015 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/8/2015 ID - , o m C m Z ''^��� uuu � o z z �' w T . ■ : ■i ce ■� liiaiil■■Will - ■- i �4 ■i -a ■ .■ ■iw■■_■i :. ■i I : i i i. ■ .g- ■ . . • MOMMIUMMMONMS g.°0-11011s '- -1.1m-S .� r 0■ ww:■ ■ ■2c■i Tl .j21■ir::=■i- ■wi E. 0 - - ice■■ ■■■■■■a•�■■im _I M •■■■ 10.mWE ■■■■■ MEM w ■ i : i 1■i■■i■ ■■i■ ■■w w y■cw ■ ■cw ■ � 1-11 .01-11 11101-N Si ', / ■■=i 'i=:■=w�■.! o■■iri■;■■�.fir■m. - j0:::::!:142:0112:m �■wip 1■:■�i■■.m.■■i■ig■�w■mem NM= i■••m='u■r:�:-.. .m 10.110:111114110. • Immo /■•■-w■-4-■■.∎.-■ 1 ■ ■ ■ ■ ww ■ ==j ■ . ■ ■ ■ . ■ ■.p..■■.r—■■1111. .... ..i..—:.4..-:w _MMIUMIIIIMMOMMOMO I.011116.■•Ole.■i 1111 :�•i1i�����i�� ■i W-10 _ k � T ■ H Ili . mosimemom wommemmilw m worm N m �s�i I111111 • _r mw rte, imi_r i me 11111111111 MN = IMNIMINNIIIIIIIIIIIINIMIIMW I 4040 4040 71 "2- 0 is O O ss— es il a°b• es .. 73 o • t7 N D z } N Qs --I P- 4 O * N n +O°O A c o o m • r- C51 D CO 4°6° 00 I W m 00 y 4040 4040 W 24'_0" DJL�PkLL .l PLAH Ho. 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JEFFERSceCOU( . • A ^ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 - 360/379-4451 Fax '4%2NO'So www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number 'O(0 00 L_ Property Size: `�.cf..'-.1-- (acres/square feet) Site Address and/or Directions to Property: 2_2.-:-2— AERJEL (-A-NZ.- PoR %ot.tOIS-Es/ri GO Property Owner(s)of Record: C-i-it R( e:/ Ac--- SCALF 1 Telephone: .(QC) - 3'79 Si(o Fax: email: 54t_t a-( €-O �.pr.4S, ,i f Mailing Address: 2 2 2 /-€?1 I� Ai'1 J P. T-. t,JA, c/�3k,E, cJ Applicant/Agent(if different from owner): A Telephone: N//-\ Fax: N//% email: N/A Mailing Address: N/A. What kind of Permit?(Check each box that applies Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reas ❑ Single Family Garage Attached/ etached i ❑Conditional Use[C(a),C(d),or C " E C [ I p9 j� ❑ Manufactured Home Modular ❑ Discretionary"D"or Unnamed l ��.+•-:, . vv LL�� ❑ Commercial' ❑Special Use(Essential Public F -)" ❑ Change of Use El Boundary Line Adjustment -\ ❑ Address ❑ Road Approach ❑Short Plat" I JUN 1 0 2013 blij ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan" ❑ Propane ❑Long Plat" _ ❑Sign ❑Planned Rural Residential Developmen •'-'-,*.; yr;•i.. •;-•• ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration" D T OF.Cfl tM tic' MEM ❑Stormwater Management ❑Shoreline Master Program Exebrptiur .... ❑Site Plan Approval Advance Determination(SPAAD)• ❑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 ❑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: NA DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the /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 mater alsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way- e against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide acces a d rig;t of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later iA pe•-•ns. Staff's a• : and right of entry will be assumed unless the applicant informs the County in writing at the -IS time of the application th-.,, .:or ot•= ___114/3 Signature: -��� Date: AI The action or actions Applicant will undertake as a .f the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"o - SA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued wil .t viola - the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are i p+. pr ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res.aP: for ..haring to and complying with the ESA. The Applicant has read this discW/lrnerFnd sig/ps and dates it below. Signature: //A. A. I Date: (r,/ / 0//I G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08Aoc • • BUILDER STATEMENT • • The signer of this statem s 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 onsibility of the General Contractor for the proposed project., Signature: i Date: 6,//n//3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ki/A Y< ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )1C New Wood Existing: $ •l,/fk 1 Sewer 71-3-3Am: ■NICE 13 Addition ❑ Steel Proposed: -GA- Ban$ C Community System ❑ Alteration/Remodel ❑ Concrete Total: -0-^ Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other Bedrooms: Water Supply: rtct.1E. Existing: -0- Setback: Li Private well ❑ Two Party Type of Heat: Proposed: �-• N/fi ❑ Public UNiicefi. 7 Total: ' Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: �/A 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove i Woodstove 1 Fireplace Insert 1 Hot Water Tank T Pellet Stove I Other Is this appliance being installed in a Manufactured 1 Mobile Home? Yes / No LiiA When applying for a permit to install a propane tank you must also submit a site pl n 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. S,uare Foota.e Current Pro.osed Fo , _,,, '-;. ?" t ,, 7-- - -_«U Main Floor Heated EH Bld App Review: on ..,.° -78 2m Floor Heated Consistency Review: .:_ 22S `. Other Heated Base fee: ZS 4 , _ 2�3 Mezzanine Additional Section: Heated Basement I Plan Check fee: l W( Unheated Basement -- State Surcharge fee: `i-Gip Other Unheated Pot Water Review fee: Garage/Carport Ltcl SUBTOTAL 3 Decks �� ( % O © - 911/Rd Approach fee: - Other TOTAL: $ 7`�4. Receipt Number: 1 V2 )Cg Cash/Check Number: / / f p. -� E r�� u v � p1 ESTIMATED COST(REQUIRED) Date: l-�lo X03 J •Fair market value of all labor and materials foundation to finish t I ! Z��3 4 t�17 OO –' 1 Initials: t ^ JUN 1 O / JEFFERSON COUNTY G:\PamitCrnter\###FORMSN##\DRD FORMS\Master Permit Application 5-29-01i.doc DEPT.OF COMMUNITY DEVELOPMENT Op Front Parcel Review • Parcel 901085002 Printed: June 13, 2013 ALBERT D SCALF Site Address: CHERI L SCALF 222 AERIE LN 222 AERIE LN PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368 Parcel Number: 901085002 S-T-R: 8-29N-01W Total Acreage 5 Legal Description CLOUGH LARGE LOT SUBDIVISION LOT 2 SUBJ/OPEN Land Use: 1100 SPACE EASEMENT Flood District: Fire District: 1 Planning Are : 5 Flood Map(FIRM)Panel No: School District 50 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ tr-- Plot plan states "property line" [Pi�Assessor's Map (Property lines o milted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ Vl Legal Access to Property Mir NO [ G]' Parcel Tags or Scanned Documents� NO Al v . ESA's: Special Reports Nearby YE [a�]�Designated Ag YES 4.0 [ horeline Designation: YES 0 , ^ [ ] Shoreline Slope Stabili . ES NO (�,t� S h (c-- Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare P1ants:YES NO Seismic: YES NO Landslid a04 NO `. - . _ - Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan sus 11'tted: YesNo [ j,' Forest Lands: YES Adjoining Forest Lands: Commercial/ Rural/ Inholding [ J Mineral Lands: YES • [1/]" gricultural Lands: YES 9 [vAArchaeology: YES I� [V( Stormwater: New ervi Surface S T(¢ Land Disturbing Activity c '& ESA's Stormwater Req's. ' Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ vr- Notice Provisions isc osure:A'snort YES NO MRL YES NO Forest Lands YES NO [ v( Landscaping Required: Yes er [of Parking Spaces Re•uire' ►, 2 Other I yr Building Heigh daill UBC Standard [ ] Impervious Surface coverag centage: Resource Lands&Public: 10% Rural Residenti:01011, Rural Indus tr er UDC Sec 6.7 Rural Commercial: 60% Area of Building overage: 60%in Rural Industna Lands only 4 /Total Building (s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10 000 SF All others:subject to septic&water constraints/None specified [//] Setbacks: Front: 2,0 Left Side: S Right Side: Rear: T Shoreline Setback: LSHA Setback: [vi- Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ (/] — SEPA Required: YES EXEMPT [ ll� Flood Certificate: [- Existing Case(s)&Condition(s): Violations: Yes No [ „I-- Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ Lots/Require Declaration of Restrictive Covenant YE' 0 submitted: YES NO [ UGA No Protest Agreement YE • .ubmitted: Y NO [ Site Visit conducted YES Qop [ f Require Final Zoning Approva YES [ 1 - ADMIN: Setbacks entered in Permit Plan case. .--3YES New Parcel Tags entered in Permit Plan YES Special Reports Scanned DYES Title Notes Updated Parcel tags found for parcel 901085002 1.) Storm Water Pla 01/24/1996 Cases Associated with APN 901085002 Cases Name Review Type Status Planner BLD13-00173 SCALF P Application Received: 6/10/2013 Permit Issued/Case closed: Case Finaled: New Garage, no heat, no plumbing SOM98-00121 SCALF F Application Received: 7/14/1999 Permit Issued/Case closed: Case Finaled: BLD98-00279 SCALF F Application Received: 5/8/1998 Permit Issued/Case closed: 7/16/1998 Case Finaled: 9/14/1999 Single family residence. CAR98-00125 SCALF F S THEISS Application Received: 5/11/1998 Permit Issued/Case closed: 5/19/1998 Case Finaled: 5/19/1998 Single family residence SEP98-00121 SCALF F Application Received: 6/3/1998 Permit Issued/Case closed: 7/15/1998 Case Finaled: 7/14/1999 USR97-00024 SCALF A Application Received: 4/4/1997 Permit Issued/Case closed: 5/22/1997 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 6/13/2013 Page 2 of 2 sOIV00 • • • 1 EcEovE �� JEFFERSON COUNTY l ' JUN 1 0 2013 ;- DEPARTMENT OF COMMUNITY DEVELOPMENT ` � Iq 4. 621 Sheridan Street • Port Townsend •Washington 98368 JEFFERSDNCOUNiY qs O 360/379-4450 • 360/379-4451 Fax DEPT.OF COMMUNITYOEVEIOPMEM $TNO http:/lvvvaw.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet IMLA# PROJECT/APPLICANT NAME: /kJ__ SCAL F 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 5=02 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 2-te)i6:7l sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple; shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for. Does the project convert'/.acres or more of Construction site for structures 24 'L 2 4"( sq/ft native vegetation to lawn or landscaped areas? 4-lDti r Drainfeld,septic tam,etc. sq/ft Circle: Yes 0 Well,utilities, 5, sq/ft Does the project convert 2''A acres or more of E1.4 native vegetation to pasture? �� Driveway, panting,roabds,etc. sq/ft Cirde: Yes No E,u S� Ple- Lawn,landscaping,etc. sq/ft 1~ S ace, s /ft Indicate Total Volumes of Proposed: Other compacted surface, etc. q SLA. vIJ 642• pE. Total Land Disturbance 2'[(o sq/ft met, -Fit- - (cu/yd) n Y4 EXrs n$.- 612./Nss cs ki2E.A o ioaome 1 v a- Sc- oN1 erapme. ii.) Lztl ;Zesi;• ; 3 G:-1: /r.uT • • • fa • DIE: CONE f i JUN 1 0 2013 L L' Impervious surface is a hard surface that either prevents or retards the entry of water into the so I man as vlldliions kk,9 Tr, - Lr. prior to development. A hard surface area which causes water to run off the surface in greater quantitie �T �� f�s'�rr�: •��low from the flow present under natural conditions prior to development. Common impervious surfaces irx de - • •• 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) 57(o sq/ft Structures (all roof area) 2)S'00 sq/ft Sidewalks -E ' sq/ft Sidewalks 0- sq/ft Patios 'a- sq/ft Patios $ sq/ft • Solid Decks - sq/ft Solid Decks r3 sq/ft (without infiltration below) (without infiltration below) i4-I` _' Driveway, parking, roads,etc " sq/ft Driveway, parking:j w ls, etc S)400 sq/ft Other 1,— sq/ft Other/LAvJr`f sq/ft Total New --1(o sq/ft Total Existing to ciDO sq/ft TOTAL NEW+TOTAL EXISTING' t1 +1( , sq/ft "This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: G. % Does the site have 35%or more of existing impervious surface? Circle: Yes 0 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 .rmwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the ,r if my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of th -c -• prope , . �� (40 //3 (LANDOWNER OR AUTHORIZED REP:ESE ATIVE SIGNATURE) (DATE) • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00173 Received Date: 6/10/2013 SITE ADDRESS: 222 AERIE LN Issue Date 7/12/2013 PORT TOWNSEND, 98368 Expiration Date 7/12/2014 OWNER: ALBERT D SCALF PHONE: 360-379-9516 CHERI L SCALF 222 AERIE LN PORT TOWNSEND WA 98368-8713 CLOUGH LARGE LOT SUBDIVISION SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 901085002 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: Contractor's License HABITFH912D5 Expires 3/15/2015 PROJECT DESCRIPTION: New Garage, no heat , no plumbing TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 17,800.00 ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 576 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $293.25 MEB 06/10/13 142158 Exist: Exist: Plan Check $190.61 MEB 06/10/13 142158 Prop: Prop: State Building Code $4.50 MEB 06/10/13 142158 Total: Total: Total: $488.36 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 Jefferson County Buildinikvision Permit Wber BLD13-00173 Applicant: SCALF BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next days inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks i/Z+/i3 Erosion Control N/A Foundation Footing 7/2-4p3 g Footing Drains Fgundatio_ n`tem 1:---- ,13//3 ,7 ', 1/A Straps(hold downs) /z3//3 � Ext. Shear Wall Nailing g1z3/1.3 Framing 8/23//3 Blocking g/z //3 Drywell/Alt Drainage Address Posted g/z3//3 FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit # :BLD13-00173 1.) Repairs must be completed to the septic system and a second O&M inspection must be completed that documents the septic system is functioning properly. This is required prior to final approval of this building permit. 2.) DWJ. 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 site plan as submitted with the Building Permit application on June 10, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated June 19, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. WiriamarkViatalfnrme\F RI r1 Permit Rhin rnt 7/17/2013 INCLUDE WITH PERMI1160 APPLICANT • Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re- vegetation include, but are not limited to: Grand Fir (Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir (Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder (Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 2013-03-07_S F R_StdCond itions 3/7/2013 1 l • I 8. BMPs: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat" for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal 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. 2013-03-07 SFR StdConditions 3/7/2013 2