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HomeMy WebLinkAboutMLA07-00350 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: R & J FAMILY TRUST 26265 TWELVE TREES LN POULSBO WA 98370 DATE ISSUED: gild07 DATE EXPIRES: q(n(O� MLA NUMBER: MLA07-00350 PROJECT PLANNER: Michelle Farfan PROJECT DESCRIPTION: NEW SFR PROJECT LOCATION: Parcel Number 993 500 012, Seamount Estates, Division 4, Section 30, Township 25, Range 2W, WM, Located at 172 Cirque Drive, Brinnon, WA 98320 CONDITIONS: 1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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 autormobile 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 requriements 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6.) The building height is not to exceed 35 feet. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) 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. 9.) 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. 10.) Minimum setback from Cirque Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stircter setback(s) shall apply. 11.) ALL WOOD AND TRAILERS TO BE REMOVED FROM DRAINFIELD AND RESERVE AREA. ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. PERMANENT PROTECTIVE BARRIERS ARE REQUIRED AROUND DRAINFIELD. 12.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. REMOVE ANY EXISTING WATER LINE <10' TO OSS COMPONENTS. 13.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK. 14.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code,all other applicable ordinances and regulations,and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on July 20, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: intermediate/unstable shoreline slope stability; spotted owl; landslide hazard area 2; SUSC aquifer recharge area. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) The applicant is proposing to create or add 1200 square feet of impervious surface and 1500 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Storfrtwater Pollution Prevention)of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 8.) The site plan as submitted with the building permit application on June 21, 2007 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 July 23, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a single family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 10.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 11.) An address of 172 Cirque Drive, Brinnon has been assigned to the parcel. Cirque Drive is a county local access (C206709). 12.) The lot was created through the Seamount Estates Division 4 on August 22, 1977 under AFN 244177. 13.) The parcel is served by the Seamount Estates public water. 14.) A septic permit(SEP88-0216) was finaled on June 27, 1988 and an EES was conducted by Envirocheck. 15.) According to the county GIS mapping, the landslide hazard area is greater than 200 feet to the west on the adjoining parcel and greater than 200 feet to the east on the other platted parcels. The proposed residence is located 12 feet from the north boundary and 11 feet from the east boundary and is approximately 768 square feet. 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. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of 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, orfloodplains are advised to do the following: -Set back buildings,utilities and roads as far as possible from surface waters(streams, rivers, lakes,marine waters),or at least 150 feet from the edge of the water -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 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 at(206)526-6613,or the U.S. Fish and Wildlife Service at(503)231-6121. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final derision to Jefferson County Superior Court within twenty-one (21)calendar days of the date of issuance of this land use derision. For more information related to judical appeals see JCC 18.40.340. • • /1. C?/u/ 7 U dminijtrtor MLA07-00350 3 of 3 IRI���� ��EI) '1 2 12007 IEFFENII►►\ .1111NIViICii June 12, 2007 R& J Family Trust 3808 SW Juneau St Seattle, Wa 98126 Karen DeCarufel, Trustor 206-935-2610 Subject: Signature Authorization for Residence Construction Roger Ricker and\or Jeanette Ricker are hereby authorized to act as agents for the R& J Family Trust in any and or all matters concerning the construction of a single family residence on the trust property located at 172 Cirque Dr, Brinnon, Wa 98320. They are authorized to commit the trust to any state or local permits for home construction and act as the family contractor for the procurement of all labor and materials required. All payments for permits; and labor and materials will be by checks signed by the trustor or personal checks and cash from Roger or Jean Ricker. Karen DeCarufel, Trustor //iv/ , //1 b_tda46ficf .Sir SRS' 7aA Frr /o / Z �ra5s .174copee ®f 6OO ,ccore IRECEnri11[ THE R AND J FAMILY TRUST JUN 2 1 2007 ARTICLE I I EI FEF IUll'I,U1JNl I(JCII Trust Declaration KAREN K.DCCARUFEL,hereinafter referred to as Trustor, and as initial Trustee, hereby makes and establishes this Trust, the R and J Family Trust. ARTICLE II Trust Estate 2.1 Property Transferred. Concurrently herewith,Trustor has transferred the property set forth in Schedule A to this Trust,receipt of which is acknowledged,which property constitutes the initial Trust Estate. 2.2 Other Property. The Trust Estate shall also consist of any other property hereafter transferred to this Trust and accepted by Trustee for administration hereunder_ ARTICLE III Beneficiaries;Purpose 3.1 Beneficiaries. The primary beneficiaries of this Trust are Trustor's parents,ROGER E. RICKER and JEANETTE L. RICKER("Primary Beneficiaries"). The secondary beneficiaries of this Trust are Trustor,Trustor's brothers,RANDAL S.RICKER and BRADLEY D. RICKER("Secondary Beneficiaries"). During the term of the Trust, if a Secondary Beneficiary dies,the"Heir of a Deceased Secondary Beneficiary"as defined and determined in accordance with the provisions of Article V shall have all the rights of such Deceased Secondary Beneficiary. 3.2 Purposes. The primary purpose of the Trust is to provide for the supplemental retirement needs of the Primary Beneficiaries during the life or lives of the Primary Beneficiaries to the extent other income,assets and resources available to them are not sufficient to provide for their reasonable health, care, support and maintenance. The secondary purpose of the Trust is to supplement the recreational needs and opportunities of the Secondary Beneficiaries to the extent the Trust assets are not being devoted to serving the primary Trust purposes for the Primary Beneficiaries. THE R AND J FAMILY TRUST- 1 ZO L5ZTZ0909£ IVd 9T:VT CO/2O/90 ARTICLE N Trust Administration During Life Or Lives Of Primary Beneficiaries During the life or lives of Primary Beneficiaries,the following provisions shall apply. a. Primary Beneficiaries shall have the right to occupy and use the property described in Schedule A(hereafter, the"Real Property")on a rent-free basis. However, if there are no other liquid assets in the Trust or income-producing assets,Primary Beneficiaries shall have the responsibility to pay the real estate taxes, insurance, utilities,the cost of maintenance and upkeep, and any monetary encumbrances against the Real Property. b. Similarly,if the Trust estate hereafter include one or more vehicles and/or tangible personal property of a household nature("Personal Property"), Primary Beneficiaries shall have the right to use said Personal Property, on a rent-free basis,provided they pay the cost of any licensing fees, taxes, insurance,repairs, maintenance and upkeep, and encumbrances. c. During any period Primary Beneficiaries do not desire to or are unable to occupy the Real Property,Trustee may rent same to others and use the rental income to cover the cost of maintaining the Real Property and/or to cover any other Trust expenses. d. In the event the Trust holds income-producing property or generates excess income from the rent of the Real Property, Trustee is authorized to distribute so much of the net income of the Trust to Primary Beneficiaries as Trustee deems reasonable to accomplish the primary Trust purposes. Any undistributed income may be accumulated. e. Accumulated income shall be invested in a prudent manner. Prior to making any investment decisions,Trustee shall consult with all the Beneficiaries and consider their input, without,however,being bound thereby. f. In the event Primary Beneficiaries are receiving Medicaid,Copes or other governmental benefits or assistance,no distributions shall be made to Primary Beneficiaries in excess of any amounts that would jeopardize or disqualify Primary Beneficiaries from obtaining or receiving any form of governmental benefits or assistance. g. Trustee may sell the Real Property and reinvest the proceeds in replacement Real Property. However,prior to doing so,Trustee shall consult with all Beneficiaries and consider their input,without being bound thereby. I \1nn �( 'EIV't ;r II THE R AND J FAMILY TRUST -2 IEEfEH�U ''�I NIYiiCi1 £0 V1 --IroSd'IcIPM L,Lvva L&ZTZ6909C Yy3 OT:17T CO/90/90 I, h. During the life or lives of Primary Beneficiaries,the Trust Estate may be used to supplement the recreational needs or opportunities of the Secondary Beneficiaries, so long as such use would not jeopardize the availability of the Trust Estate to accomplish the primary Trust purposes. ARTICLE V Terminating Distributions On(i)the last death of the Primary Beneficiaries; or(ii)both Primary Beneficiaries have become permanently incompetent and there are sufficient other resources to provide for their reasonable health,care, support and maintenance for the remainder of their lives; or(iii)one Primary Beneficiary has died and the survivor has become permanently incapacitated and there are sufficient other resources to provide for his or her reasonable health, care, support and maintenance for the remainder of his or her life,the Trust shall terminate and the remaining Trust Estate, after payment of all trust liabilities and expenses, shall be distributed to Secondary Beneficiaries in equal shares;provided,if any Secondary Beneficiary is then deceased,the share of such Secondary Beneficiary shall be distributed to the person or persons named as the residuary beneficiary(the"Heir of a Deceased Secondary Beneficiary")in the Last Will of such Deceased Secondary Beneficiary. If a Deceased Secondary Beneficiary dies intestate, such Deceased Secondary Beneficiary's share shall be distributed to the following person or persons ("Heir of a Deceased Secondary Beneficiary"),in the following order of priority: a If survived by a surviving spouse,to the surviving spouse of a Deceased Secondary Beneficiary; b. If survived by issue,but not a surviving spouse, to the surviving issue of a Deceased Secondary Beneficiary,per stirpes and not per capita; c. If not survived by a surviving spouse or issue,to the other Secondary Beneficiaries(or in the ease one or both of the other Secondary Beneficiaries are also deceased, the share of such Deceased Secondary Beneficiary shall be distributed to the Heir of a Deceased Secondary Beneficiary as provided in this Article). ARTICLE VI Trustee The initial Trustee of the Trust shall be Trustor. In the event Trustor dies, resigns or becomes incompetent, Trustor's brothers,RANDAL S. RICKER and BRADLEY D.RICKER, shall serve as successor Co-Trustees,jointly or the survivor of them. THE R AND J FAMILY TRUST-3 a 2 1 230? �f.FFkH,U��,�IUNIr 1111 bOl�j --1Q0.L31dIMILLViz L2ZTZ6909£ IVd 9T:tT CO/90/80 . i 5 ARTICLE WI Genera] And Admiwstrative Provisions 7.1 Modification/Revocation. With the approval of the Primary Beneficiaries (if competent) and at least one Secondary Beneficiary,this Trust may be revoked, altered, amended or re-stated. Following the death or permanent incompetency of both Primary Beneficiaries, the Trust may be extended, altered or amended with the approval of the then surviving Secondary Beneficiaries. 7.2 Loans. The Trustee may make loans to the Primary Beneficiaries on terms solely acceptable to Trustee. The Trustee may make loans to Secondary Beneficiaries with the approval of the Primary Beneficiaries. The Trust may incur indebtedness on terms solely acceptable to Trustee and Primary Beneficiaries(if competent),to maintain Trust Real and Personal Property and/or to carry out the primary Trust purposes. 7.3 Spendthrift Provisions. The beneficial interest(in principal and income hereunder)of any Beneficiary of this Trust shall not be subject to claims of the respective Beneficiary's creditors,or others,nor to judicial process and shall not be voluntarily or involuntarily assigned, alienated or encumbered. 7.4 Trustee's Powers. Trustee is authorized and empowered to manage and deal with the Trust Estate in all particulars and in the same manner and to the same extent as an individual prudent person could in the management of their own affairs. Without limiting the generality of the foregoing, Trustee shall have all the powers and authority granted by law to a Trustee. Trustee shall serve without bond and without posting security of any kind. The Trustee shall render annual statements of account to the Primary Beneficiaries during their life or lives so long as they are competent and thereafter to Secondary Beneficiaries. The Trustee,to the extent permitted by law, shall be relieved from compliance with the obligations of any and all Trustees' account statutes now or hereafter in effect in the State of Washington or in any other jurisdiction in which this Trust operates;provided, however, that the Trustee, at Trustee's option,may invoke such statutes at any time. The determination of all matters with respect to what is income and principal of the Trust estate and the apportionment and allocation of receipts and expenses between these accounts shall be exercised by the Trustee in Trustee's discretion. The Trustee,to the extent permitted by law, shall be relieved from compliance with the obligations of the Washington Principal and Income Act,R.C.W. 11-104, as now codified or hereafter amended; provided, however,that the Trustee, at Trustee's option,may invoke such statute or statutes at any time. IRECE 1f THE R AND J FAMILY TRUST -4 JUN 2 1 200? iEFfEHNOIiaHONI dMi fiO�j --KOZB'Idw LU.LY1t LBZTZ6909C YVd 9T.VT C0/20/90 9 7.5 Investments. The Trustee may acquire and retain every kind of property, real,personal or mixed and every kind of investment. 7.6 Retention Of Assets;Business Continuation And Incorporation: Delegation Of Discretionary Powers. The Trustee may hold and retain in the same form in which it is received, any and all property transferred to it for administration hereunder even though such property not be of a character otherwise authorized by any other Article or by the laws of the State of Washington or any other state or jurisdiction for trust investments or be unsecured,unproductive,overproductive, underproductive,or of a wasting nature, or be inconsistent with usual concepts of diversification of trust assets, including,without limitation, a The retention of any policy of insurance on the life of another. b. The retention and the continuation of the operation at the sole risk of the trust estate of any unincorporated business,farm,business property or recreational property transferred to Trustee for administration hereunder,the proceeds and losses therefrom to be attributed to the trust estate and not to the Trustee. c_ Incorporate, or join with others in the incorporation of, any such unincorporated business, farm,business property or recreational property. d. Delegate to other such duties,powers and authority, including discretionary powers,as may be deemed by Trustee to be reasonably necessary or proper in continuing the operation of any unincorporated business, farm or business property. 7.7 Agents And Attorneys. The Trust may employ such agents or attorneys as Trustee may deem necessary or desirable for the proper administration of the Trust,or in connection with any uncertainty,controversy or litigation which may arise in respect of this instrument,and pay reasonable compensation to such agents and attorneys for their services. 7.8 Reliance On Good Faith Actions; Liability. Every action made in good faith by Trustee in the exercise of any power, authority,judgment or discretion conferred hereunder (including, without limitation,disclaimers,releases or elections with respect to taxes) shall be conclusive and binding upon all persons interested in the assets of any trust established hereunder. H'Trustee has special skills,he or she is under no extra duty to exercise those special skills. Trustee shall not be liable for loss caused by or resulting from an error of judgment with respect to any action taken or omitted requiring the exercise of discretion if Trustee shall have acted in good faith,nor shall Trustee be liable for loss caused by or resulting from any other act or omission in the absence of bad faith. iR\Ed'EWEI) THERANDJFAMILYTRUST-5 IA 2 I 2C07 _IEffEi tiallINf 90[2 L2CTE6909C YVd 9T:VT CO/90/90 L Trustee shall be fully protected in relying upon the advice of legal counsel on questions of law if reasonable care was exercised in the selection and retention of such counsel. 7.9 Merger With Similar Trusts; Division Of Trusts. If at any time there are two or more trusts under which are to fulfill substantially similar purposes for the same Beneficiary or Beneficiaries, any two or more of such trusts may, in the discretion of the Trustees of such trusts,be merged or consolidated if the probable effect of such merger or consolidation will riot be to the substantial disadvantage of such Beneficiary or Beneficiaries. If the Trustees of the trusts are not the same persons,they shall serve as Co-Trustees of the merged or consolidated trusts,unless it is agreed by such trustees that only one of them should serve as Trustee. Similarly,Trustee shall have the discretionary power to subdivide separate or separable shares of a single trust into separate trusts. These powers to combine and divide trusts may be exercised from time to time and may be used to modify or reverse their prior exercise. In deciding whether and how to exercise this authority,Trustee may(but need not)take into account efficiencies of administration, taxes and any other considerations Trustee may deem appropriate to these decisions. 7.10 Delegation Of Standby Authority. To insure on-going legal authority to administer the Trust during the absence or incompetency of Trustee, Trustee,through the use of a General or Durable Power of Attorney,may delegate Trustee's duties hereunder to a Standby Trustee, so long as such instrument refers to this Trust. Such instrument may specify the duration and/or extent of the powers and authority of the Standby Trustee and all persons dealing with the Standby Trustee may rely on the authority of Standby Trustee subject only to any express restrictions clearly stated herein or in the instrument naming the Standby Trustee. 7.11 Law Governing; Savings Clause- This instrument shall be governed by the laws of the State of Washington. Any provision hereof which is prohibited by law or is unenforceable shall be inoperative and all of the remaining provisions thereof shall, nevertheless,be carried into effect. 7.12 Construction. Unless some other meaning and intent are apparent from the context,the plural shall include the singular and vice verse;masculine, feminine and neuter words shall be used interchangeably. DATED this 7 day of August, 2003. TRUSTOR: ,N K. DeCARUFETj�I� 1�ti \`) THE R AND J PAMILY TRUST-6 '°! ; $ 227 !FfF�N,illl� ':IIHHNI�iI Il LO1j --MO.L31d143.L2LLLVN LcZIZ8909£ YVd 9T:6T C0/50/90 8 STATE OF WASHINGTON ) : ss. COUNTY OF KITSAP ) I hereby certify that I know or have satisfactory evidence that KAREN K. DeCARUFEL is the person who appeared before me,and said person acknowledged that she signed this instrument and acknowledged it to be her free and voluntary act for the uses and purposes mentioned in this instrument Dated: /q- /0 3 . Cho Notary Public in and for the State of Washington residing at: S 911-en My appointment expires: <o l 2_o/O S �a C'G Print Name �P®N`R`C111 1 P co-\`'SION is A 9�°', ° io • cn • r. e cl�'•• ' UE L\G �....TF.6 20.AS''\p1•.''' _: IIIBl IOF W `` t•'N 2 12007 IFFRSIO 9 N ` THE R AND J FAMILY TRUST- 7 80 Fj --woLa'Id113.Lu.LVWQ LSZTZ6909C %Vd 9T:VI CO/S0/90 DRAFT - NOT A VALID PERMIT JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: R & J FAMILY TRUST 26265 TWELVE TREES LN POULSBO WA 98370 DATE ISSUED: q/1// DATE EXPIRES: 7//if O MLA NUMBER:MLAO7-00350 PROJECT PLANNER:Michelle Farfan PROJECT DESCRIPTION: NEW SFR PROJECT LOCATION: Parcel Number 993 500 012, Seamount Estates, Division 4, Section 30, Township 25, Range 2W, WM, Located at 172 Cirque Drive, Brinnon, WA 98320 CONDITIONS: 1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 2.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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 autormobile 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 requriements 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6.) The building height is not to exceed 35 feet. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) 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. 9.) 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. 10.) Minimum setback from Cirque Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If an ESA is present, then the more stircter setback(s) shall apply. 11.) ALL WOOD AND TRAILERS TO BE REMOVED FROM DRAINFIELD AND RESERVE AREA. ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. PERMANENT PROTECTIVE BARRIERS ARE REQUIRED AROUND DRAINFIELD. 12.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. REMOVE ANY EXISTING WATER LINE <10' TO OSS COMPONENTS. 13.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK. 14.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Development Code, all other applicable ordinances and regulations,and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on July 20, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: intermediate/unstable shoreline slope stability; spotted owl; landslide hazard area 2; SUSC aquifer recharge area. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) The applicant is proposing to create or add 1200 square feet of impervious surface and 1500 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 8.) The site plan as submitted with the building permit application on June 21, 2007 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 July 23, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a single family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 10.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 11.) An address of 172 Cirque Drive, Brinnon has been assigned to the parcel. Cirque Drive is a county local access (C206709). 12.) The lot was created through the Seamount Estates Division 4 on August 22, 1977 under AFN 244177. 13.) The parcel is served by the Seamount Estates public water. 14.) A septic permit (SEP88-0216)was finaled on June 27, 1988 and an EES was conducted by Envirocheck. 15.) According to the county GIS mapping, the landslide hazard area is greater than 200 feet to the west on the adjoining parcel and greater than 200 feet to the east on the other platted parcels. The proposed residence is located 12 feet from the north boundary and 11 feet from the east boundary and is approximately 768 square feet. 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. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of 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 induded 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: -Set back buildings,utilities and roads as far as possible from surface waters(streams, rivers,lakes,marine waters),or at least 150 feet from the edge of the water -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 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 at(206)526-6613,or the U.S. Fish and Wildlife Service at(503)231-6121. APPEALS: Pursuant to RCW 36.70C,the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21)calendar days of the date of issuance of this land use decision. For more information related to judical appeals see UDC Section 8.5.2. 1 ` UDC • MLA07-01 Page 1 of 1 Michelle Farfan From: Kathie Anne Sukert Sent: Thursday, September 06, 2007 10:20 AM To: Michelle Farfan Subject: RE: MLA07-00350 09/06/07 Michelle The gentleman from R & J Family Trust has been calling, because he thought Frank B was going to sign off last week, but Frank was gone for a few days Frank just signed off Plan Check today and your notes indicate that this is all you were waiting for The address is 172 Cirque Dr in Brinnon Kathie Anne 9/6/2007 lir • R /� i/ ,rid ,fit JEFFERSON COUNTY $4 re►A DEPARTMENT OF COMMUNITY DEVELOPMENT ',�/' .1"4"Y) 446:oriii : 621 Sheridan Street• Port Townsend•Washington 98368 // , 360/379-4450.360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet IMLA# (3—'1—��_ PROJECT/APPLICANT NAME: T (y1;/i / ln�id kt e p e f. ic,. 'I^ DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation 1�eKK�uuld 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 acres PARCEL An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet . J6' Gj' 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,salmonbeny, 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 cal;ulatiorl the area to be clear pp��.�� 6, i Construction site for structures 7''" r ��''�+ POD Does the project convert or acres a more e of s native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. ''P Ary(-�Si—s , sq/ft Circle: Yes No Well,utilities,etc.i x$‘S�,�J sq/ft Does the project convert 2 Y2 acres or more of native vegetation to pasture? Driveway,parking,etc.°-8- )C.Sisl7t/7 sq/ft Lawn, landscaping, etc.(-Gtr G airciAxi /"5 Circle: Yes Np T i' s. Other compacted surface,etc. ©/ sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance /QV aior sq/ft Cut /0 & Fill - (cutyd) fb, 1.1.j , [over] Iswm stormwater talc worksheet-REV_10!1/2003 1 stormwater III 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) iga,(2/1,/1 sq/ft Structures(all roof area) gr?af�it sq/It Sidewalks sq/ft Sidewalks f_________sq/it Patios sq/ft Patios sq/ft Solid Decks l sq/ft Solid Decks - (7 sq/ft (without infiltration below) (without infiltration below) !!�/ Driveway sq/ft Driveway '7`00 sq/ft Other - 10, sq/ft Other sq/ft Total New hgo / sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* /841 K' 11 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: �� % Does the site have 35%or more of existing impervious surface? Circle: Yes �> 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 "smalr 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 oilier poiiutants 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 Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. - t y 77-;aSX .r) 3- ///�J (LANDOWNER.. ' • RREPRESENTATIVE SIGNATURE) (DATE) / stommater calc worksheet—REV.10/1/2003 2 III 05,10-MI m0 -t$_Y_.v/ I$ r(0011.1 - r a �.. ter'', a \ L i' na 1� `u z% Z! i . v �h • , 45-1x/ u- -S,.. : 540 a -' I ..;..1 . .,rib / k . 0.. CC ate{s 0, - V �,�� L w / y . • r LU rJ'{T $j ' i` cts F / II,�- i �. Ip 'Y p . /.. { f, j j , w 'p N. b Z Q V ' - ° , / / / . • ' ', , / // '/ ° 4 0 1 f2 t V , ' • U O Y eci k t , ► r , / � r- lal t CD I \\-' ` i t Q C-,j d 3;V08 s�/b d-�GV�� l 31V0 -/ AB O3 NO3H0 rO G Y6 `''' / ,/ '� _- = - - .' —Ae a31r nowo \/ s aP✓!1 l r t I r10. A0 If Y # ° ON 133HS _A„),/1',L I !.. d .e t cn cl o 2 a� - ❑ .+�?i, 7. ° v/ t/5. .7.... .. .•• • a ti t �U/ At ./ dl li f.{ `_ Z ' ii.mk — C4 N =yam ,r. U A� ;n O r4 a. 'V O O 0 0 0 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ H w 'py rn , p 8' r C ,, O 1 m c F.' w a. a Q. a ,, Fy °w is 'r � - ti y R o cc,. n ,Y 0 S o 5 o a ?yy c ^y 1 ° y O a - a c Q. O w y fD 0 ^ v o w o y ►+ 9 Q. ' Iv a FL 0 w p- p' O .= n y p .∎• 0 ti p •- a -' ,-n R. a Q- — a) A' w y P, C. 2 0 » N y d! y f7 y y ,. r 0 a y 4 w y Q' co 11) II a O o ' g O y '' p 1.1.0 ,a, -I O a O a p .- , :o � ^„ Q R. F. 5. .o• Gm p . r - aN y .,� O w D Gw .-8 r° C e ti O. ( O I Qw ' et)H YI V O •g L, Q O y N L c, 8 w Q- n ,y n � IV co n O nn o w F 9 . a a N C .. Q "b y 7 a f < a' , 0 . . ro O [c^ O " +' ` CD O O O � y cm O °� V 7 N N y w ti Q ti . . y O L. f � O t b O y o o w' '5 O o C< b a �� , A-, i a el `ti o C mrt 5' "� r w ,5* ,.=-_.° o ? w O . C- m G 1 C. -o D 0 a.+o q N 0 42 y 0 0 0 rt 4) ci n O 0.. C , w C.4' .1 • '.�' f7 y O 0 5•' :I. ,- b co w oz. a C. w a s q w 5' " w Q- n a o a fl w X cm n w w m K rD O . m a y n O d Q. 0'0 n VQ w ] w C -t o. .wy ~ y W�w y Q CD b SD y o A- y R A .. O y .j y 'n O Lt. Co (CD 2,.. O' O y CD �. k II • oti co ,y co Q' Q, y Cr a a r.. ^S 7" 9 w O y O ti 0 o 0'CD rr., a 2, w D o 11. ^ ■ Pr.SOW- • -� . \ � � • •• ; € N \' , T • �a 1 o �d NO� n n \ tit.... I -I L______L,,____tom' ! / ., \ a ,......„... r , ,;,, ,. _ \I • L � � N II CI - 63 ./ 7 11 1 \ -1 Ilq ! -1 / f. ji....r I//. 1 V t A 4 E 4 4 4./ ` I ro 1_ A0 III 4 E 4 4 E 4 E t.l. (7, E E 4.N ` 4 4 4 4 1,04'�Q 1 /� 1-. 2E ar \ C. _ 4 / 1\ i811 . 1 H .1 „ � ` i ....---- ii 5 1- .qi --' 1 N IW / R 1 v -Ii � i I '1' / z I• I 1 1 i i -- ;t-' * / l= r DIMEN510NI I DIMENSION I I DIMENSION 1 r it, • r� r I :k l ler-rij 1_. �_ , , , . ......,, , m ,i . q X fr4 aI 6 1 1 � i I I - Ib e cv 1 — — —...— — DIMEN510N -OP TY LIN`� _ — . N,p - , - . � � • - — — \ CENTERLINE VIEW STREET -o 2 i "' C) —I lZ my 3 m x g°-1' -b- ' 0 m Spa .4\ 4 1 m l ,. v 1 • m ✓ H ".. ' y a P c c M • G) I _; 140. a 1 rn 04 r 1 Ca b P. \' . . v (,.\\ ITI N c,...‘j. A 17 ' , v SUN ` p0 ? .rr. R 54 t m _ �1 �� \ a m ks. TD - -1*• -� ` \I) ^ ---- N 13 `' 'il .cam �`ice g jA i,f Co r il � 11 �n �_ 2 7 a nil \ _.,. a � r \ c., , ,z, -3 ___ ..... r4s. ,.6. ,) (D 8- -.5...,. c. k , , 'b , . . w m m V ,„ ,,, :_, G w 1 _ J .;- Mull-07-35D, O7 - 331 SPAAD Category and Intake Requirements BETA version Rev. 12/12/2006 Cat A Cat B Cat C Cat D (low risk) Potential Probable Mitigation and site constraints site constraints State review reqd *Special reports are **Special reports **Preapplication optional at intake. if required at intake. required to reports are deemed Could request determine submittal required, the 30 day waiver from intake requirements timeline will not be requirements at pre- met. application. *Need to provide additional • information on site plan >200 feet from (1)Shoreline (1)Shoreline parcel boundary depicted less than property, and (2) Shorelines 1 200 feet awayfrom proposal doesn't /01 parcel boundary, or meet standard l (2)shoreline on site setbacks and/or proposing mitigation Sirean i >155 eet from parcel (1)Stream depicted Development boun ary off site and less than proposed less than Type 1 155'away from 155'from stream parcel boundary,or. (2)on site • >15 feet from parcel (1)Stream depicted . Development bou ary off site and less than proposed less than Type 2 1.55'away from 15.5'from stream parcel boundary,or (2)on site >105 feet from parcel` (1)Stream depicted . Development boundary off site and less than proposed less than .Type 3 , 105'away from 105'from stream parcel boundary, or (2)on site >105 t from parcel (1)Stream depicted. . Development bound ry off site and less than proposed less than Type 4 105'away from 105'from stream / parcel boundary,or (2)on site > fee from parcel (1)Stream depicted Development bo d off site and less than . proposed less than 5 55'away from parcel 55'from stream boundary, or(2)on site . Fish& . none,0 9 Depicted on site . • . Wlldlite(other 5P **Include agency than Eagle) Ct)3L packet with application Eagle(contact rOi Depicted on site I)CI) **Include agency determine) packet with application . Page 4of5 Cat A Cat B Cat C Cat D (low risk) Potential Probable Mitigation and site constraints site constraints State review reqd *Special reports are **Special reports 'Pre-application optional at intake. If required at intake. required to reports are deemed Could request determine submittal required, the 30 day waiver from intake requirements timeline will not be requirements at pre- met. application. *Need to provide additional information on site plan >225 from parcel Wetlands depicted Depicted on site boundary off site and less than **Wetland Wetlands 225'away*Wetland delineation required delineation optional De ff it Depicted on site Seismic *Geotechnical report optional none Low or moderate (1) High landslide hazard m hazard depicted on site or within 30 feet site or within 100 Landslide from parcel feet of parcel hazard area boundary boundary, or(2) *Geotechnical report verified slides optional **Geotechnical report required • • Intermediate on site Unstable,unstable • or within 30 feet from recent landslide, . • parcel boundary unstable old • Shoreline *Geotechnical report landslide depicted Slope Stability optional on site or within 100 • feet of parcel . boundary " Geotechnical report required none Depicted on site Flood . . *Flood Elevation Certificate optional. >30 feet from parcel (1) Depicted off site boundary and less than 30 feet . Erosion away,or(2)on site *Geotechnical report optional Aquifer Any Recharge Area • None r(2) High Risk SIPZ High Risk SIPZ Seawater or At Risk depicted within 200 depicted on site • Intrusion SIPZ on site feet of parcel **Hydrogeologic Protection boundary Assessment Zone *Hydrogeologic required Assessment optional • Page 5 of 5 IMap Output Page 1 of 1 993500012 9930000€ -95+StsC.f.:IC. 993acona -.,.__ _ \ 1 99.1SOCO'' A y I 9'43.5■Xwf..•:, Legend ---‘) I /ve Road System /tor - - -_ a 4116810, .:0::■5 0 - 9935CW'2 tall h 1,...„ , 5"13b''''X'C'ir , . 10..,vio: ... I ) . .-4:,--__993000058 14/6( 9' Imp • ,. 9930301167 ' PH arcels-R Contours A " 10 Feo1 Callow /V 50 F Ca Cass" Landslide tiaz . ,, . I, li 1 l, -n4.5500014 IS CZ \\\\ i. f•-•\ ("te. 99 abk.O.:0E. --N\9930831556- 991h0L:13 : 1111 Si*ck5 %,"4.iSC■3005 903000055- Moderate *MI 99 dla'..w.:0-.),1 Boundaries E -*Arun County n Warr 16 Otte Conies \„Do , ,--- ■ Os A) , a 99350007 \ V” . \, • • ' . \--,-- .r C _ Caeca Sererzs GIS 9350017 -J I od re ,r, 5r4ONY.:C2a 0 laftriA FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jul 21 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/20/2007 J1JvE3-2007 10:49 From:TWELUE TREES 3607799995 To:3603794451 P.1 Cb JEFFERSON COUNTY r � DEPARTMENT OF COMMUNITY DEVELOPMENT r e ♦A A. _it r , , 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450.360/379-4451 Fax ° httpl/www,co.jeiferson.wa.us/COmmdeveiopment/ Stormwater Calculation Worksheet INLAif 0 '1 —,3f /APFuar rNAmE: -i raze!ify 71S l/(e f°th ' ,C�C/r DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormrrater calculation lworrksheet should be completed first to classify the proposal as'srnall,w"medium"or"large." The size determines whether a Stormwater Site Plan Is required in conjunction with a stand-atone 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(J,E SITE) Size of parcel ! X acres �, C6) An acre contains 43,560 square feet. Multiply the acreage by this tigers. Size of parcel In square feet 3C! .� `{ sq/ft L and-disturbing actIvly Is any activity that resells In movement of earth,or a change in the existing sue 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 constrtlgion. 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,elderbeny,salmonberry, and saint herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACT1Vr Y,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 t91 , t `� rYx/ j l ; Does the project convert%acres or more of Construction site for structures 7.' r° native vegetation to lawn or landscaped areas? Drainfleld,septic tank,etc.-6— FYtt'Tu7 , stint Circle: Yes Well,utilities,etc.- X11-5//+/9' _ sq/ft Does the project convert 2/acres or more of native vegetation to pasture? Driveway,parking,etc.-6;7- 1.5-/c51 c 1 A4 sgat c czj"1y@ Circle: Yes Lawn,landscaping,eta.l at/C /.c Other compacted surface,etc." — ��,,�A slit Indicate Total Volumes of Proposed: Total Lend Disturbance / t iA _ awn Cut_/0 Vigc4 Aft__'-t' _ (cu/yd) la. err. ;ngwtp alomr•lIw oi!aartshaar-REV_4 W12009 1 4 road Page 1 of 1 ROAD LOG INFORMATION FOR CIRQUE DR ROAD NUMBER:C206709 ROAD NAME:CIRQUE DR CROSSROAD NUMBER:C206909 CROSSROAD:SEAMOUNT DR CROSSROAD MILE POST:0.19 CROSSROAD LEFT OR RIGHT:L ROAD LENGTH:0.29 GRID ROAD STARTS:O-2-J MODIFY DELETE ADDRESS SEARCH ROAD SEARCH CREATION DATE SEARCH http://isserver/address/RoadDetail.asp?ROAD NUMBER=C206709 7/20/2007 RO 1111 " BPP € sscy o i _ ;a^Ra EE t f !1!i1:!!!'Iih ; E, :Nr ��i ° RA *- _cgs ;R a ._ is @; ^ i;EA F!4:il !ai;l R� =F RP asic a4 s s ¢ rV :a "_a 4 ge oA -. i a i _ i- E� a ipsp D ! R L4 a; i ge. i �.'eR "6@gii56 LG ' �_'{"� . �� i _- 7m P Nil £ Pmg P=ei its Ys ° 1 ' 1 IL R y: :f .t a e ' iRQ .- Pt 1y:: '^ 5 _I "i � 2 m R:,F: o wSb. g!;;;;: 0 ' f i :Fs E,i i�a F r - '% : of aC a Z€o. H y .� li -} grILhI t t -- R5 " Ea a. i —i R IMP �' $ $ s g ' 3!^ i[ c my _ I. PF.P l.yRRl R P _ j 71^z gr T' c N Ir" _4i� �� .� i i` its tq Y Fril :iom see'i'iai cL,Q^ .. o 1. y _ c s iaiL! i D _ i r p :� m oe - 'ia_=",i4,1 ^1 i k 0 R.. C ' r. - K s. N 'Piv a'. R f _ • '� i Pa_ _ i �,,'rii °' $ xf /----7)Ii EA va ? aQ": g as°ioRC i S Z it^ :� di R a ^soi € oR; 7f _ 0 "s 9'a _ a =: a"� 11 -a:A L. ; t na r$ i s_x _ NN.-?1,111.f as p ?^ a Rig ;67:;1407111'` 4,.RT e�Y a _ a x.^se ec 1!:!;;34 7_� 2 mP "- ^�. R E e _ m s �r� P'FF_ a" ESL: A ;€ :s,^.5 -.x„.a �j 2 n 6'i - F ^fie ^mAa�.�a..Y1! NI ; 7 Pip° =4"-i imisaie I EE • " ""it =a4 kOi=t:... . Pf h n of J Lt'bd `719\-d7 L.F. -Vol 6,�9-l8 d SEAMOUNT ESTATES DIVISION NO. 4 LOCATED IN SEC. 29,30,31,&32 , T25N.,R-2W.,WM. 3. JEFFERSON COUNTY, WASHINGTON 1 :..TAI11.aw i -' 43 • i M A • '\ OPEN SPATE �*--- i r / i BONNEVILLE VOWS /..BLLE VOWS -____ LINE EASEMENT ro i9 // Yf ^a L . ,.; r -ta e O` I e t :.; 1 PS I a SCALE r-DD • -4 • .LT 1W,eMei /3 s. • ;, PP e a I• g 1 M4 X • • , i..' • �. S Ty 1f N.14(11.414 /B s eT� P ' sD ti b :rt s T $ '6 Owl a,i.... 29 t1 g 0w GURVE DATAI �• IA .i ® fl aY" O NIM•0I ea" /r II.N.CO 11.100.00 _ I •S°{• L•u.» 511Ts •In T•nan ® vv.•.1i $ .3pw It bry m 10.m 11•efOE' L.•• l•Herr 2 a.rso'ae' 7 w.1• {\ II 20 1 21 1 IS �\ � 11 II. PLATTED-SEAMOUNT ESTATES DIV NO 3 3 1 July 20, 2007 R & J FAMILY TRUST 26265 TWELVE TREES LN POULSBO WA 98370 RE: SITE ADDRESS: 172 CIRQUE DR MLA#: MLA07-00350 Dear R & J FAMILY TRUST: Jefferson County Department of Community Development staff have reviewed the application materials for the above project proposal and have determined that the application is substantially corn plete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Department of Community Development Staff c: File ROGER RICKER 26265 TWELVE TREES LN POULSBO WA 98370 July 20, 2007 Dear Reviewer, RE: MLA07-00350 Jefferson County has forwarded the attached application to you for review and comment because your agency is responsible for determining compliance with state and federal requirements or may otherwise be affected by the following proposal: NEW SFR Comments must be received within fourteen (14) calendar days or by August 3, 2007. If no written response has been received within fourteen (14)days, your agency will be presumed to have no comments. If necessary, the UDC administrator may grant an extension of time for comment. Please contact at (360)379.4450 if you desire an extension of time or have additional questions regarding this proposal. Thank you in advance for your attention to this matter. Sincerely, c: ■ Map Output Page 1 of 1 993500012 ./) /,/ ------7 / . 993030063 r---- 993Ga039 li _____ __, .:,':2.!":".•_•_,2•_. , ,' )7 7--t---- I 99300a118 ■it i ..°°77------ 7 r ,./ I, 993006337 I I I 66030061 1\\ \---- : '»'.,,.2.ti..^.)'•.:, -- 1 1 l \ lk, 493.V.XY0" \,- ,:y.,,..,),..:. .. 993000060____..._........-\\ i 5•:•‘5_,I,:....t. ) 2 A ID .20 \--) 9‹,r.v....:cco5 993630059 /..-' \ .i krlo' 0 S'33201:0 / . -'' Legend .„,,,,, Road System 993c00058 / -.> ..,„ s: r---, Parce -H -... . -•,. ---..„, ,>...., Contours /... 10 Foca Canw 50 Cori Canto., La nd shde Ha z '...--s"\S\i \:\\: • 0\ :\ ••2',.'YZCW.Y.....4 \ ,.. ■ \?\\,..,.._:-CIC' , 91113.1i.A:•_.e,t . ...-------,- — ... . 95000I5 \ . \ ticin 1.1.3ierafie Stql 0 Boundaries 'Arab r7 OTIS CO.ISGS ■,. \ ' ,,, \._.-■- ...I. 1T- '.I . 0 • ,A• 993500016 ,..- ',., \'.,, 99350X2' 993500017 ..,. ..,..3b,..,002..., VI,rx, 3..<3-43.:..,1..:3334.Cc.33.3&races GIS .. , ' .-- 0 j 181(1 C".. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respec correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Jul 2( 2007 http://gisserver/servletkom.esrLesrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/20/2007 r APN: C1 l J ,cO 0 01 o� 1 I\ L- rl 0--)' ° Lavers None Visible Active Label Map not printed Map printed ✓ r Road System f C✓ } Leave on for all or most maps r (v7/ Assessor Maps-H r r Parcels-H 1 � r Lots ✓ t'` - printed with Lidar Hillshade, no parcel Contours t_____ label ✓ t~ Property Transactions-H .11: "IF r r. Parcel Tags-H -�kW. r r Permits-H �_�' tv • r 2000 Shore Photos-H ✓ r~ 1994-97 Shore Photos-H ; ✓ r Shorelines-Arcs IIIMIIII r r Shorelines-Polygons NUMMI ✓ e DNR Streams .A� r r DNR Water Bodies MIMI ✓ r Permit Categories TEST 111M11 r r LFA-Fish -p_ y r {^ Soils-H • Ant.no parcel label p, �rJj/t r r Soils `f,' `fir ✓ r Marbled Murrelets =�= • ✓ r ini If mapped, change to i tool and Heritage Points write description on map or here ✓ r Spotted Owls �� r r Bald ld Eagle Nests r r Bald Eagle Buffers MM > I. nnn� r C Priority Habitats and Species f 8/06 r r Wetlands EMI ✓ r Rare Plants-Ecosystems EMI ✓ r Seismic Hazard =MI ✓ c Landslide Hazard MIMI ✓ r.. FEMA FIRMS 1111MOINIER ✓ r Erosion Hazard IMMO ✓ r Critical Aquifer Recharge Areas ✓ r Wells-Chloride MIMI no parcel label ✓ r Mineral Lands �� no parcel label ✓ r SIPZ 1.11M� ✓ 0 • Shoreline Slope Stability ✓ C Airport Overlays NMI ✓ c County Zoning - •., '- ✓ r County Zoning-UGA 7.::::"75:7'" ✓ LIDAR Hillshade IWO Done with contours above r • USGS Topos EMI s ✓ 2005 Aerial Photos , l no parcel label ✓ 2000 Aerial Photos i.- ` : ✓ 1994 Aerial Photos I` Li.. a ✓ PT Photo fix. r r Geocode Index Q Jp a t 5 3 i Lc � � N N U.� ZV) s e m e s o U d W in:- Z W o r rc w r e P e S O W O a N (n F— f o GNZ-N9Z-6Z b/{MS) ~ W W VIIISICAO.CN Ct 0 or'� g 3sr3 of rens A u M ? V' (n lki ray 3Nn xaae/rans c zrl e e zn o CVO"�a ��� "'val■,.. -1„,.'-11;_. i oloroszo9 ororzo9 �� Fi IIIII< Y �€ N �'�rn ^ inOn:tn Yi�a' oQrcQ \ n a Pi5 �_ �rNN „,,,,* £ .9'9G. f n1---7. .099 0 b Ni 1 $�yua it 0 6lZ (() X�C (CL Xvl A9 Ct v) O'g1N4 9 xvl 4 W 600tOCZOS / W a i W$ Z nin`� i9 >n d H °o w a Z vz 6 111111110:111111111 �A N\m m_ w N g°2 F, gmr 'u 8 P,7, W \ i13 \ ohm; * £ ■ 1811(1 \ \ $ / A. / \ fJb \ • p I 0 Min \ ??0,1,6 R a °On pnp; \ I �(12n • i N / i9'90f1 .L9 90(1 (Me-N9Z-OC I/I MS) 1 888 W a 41 E' wa i lR , s'ss �3 F �s =zo m - d<' g„grg wa i u si —- t ` ' <<g inn `. m rc - a Y S° Sow '” ia3zm kr CI g z s 3 .,t • s eg e 8 irca o - 5 YF� =�„afi5 Map Output Page 1 of 1 993500012 MLA07-350 R&J 983000064 f:3� l: 1 993000063 !330000.49 `�I :. 993000062 - ,-! l I' 'i1 993500010 • 993000061 � I _---993000036 993500011 "993500009`3 993090069 ` Legend i r a Selected Features L / 980000059 I I Parcels-H \ 993500006 Boundaees 502303001 502304006 993500012 983500007 n .x�1m Cavty 993C0305/ O wafer 993600013 / 993500006 n 0.....Care f:-�-1- -•,l .,�_ 9935000PS ' 1 993500014 l 993500024 T-., - a\ 1 993509015,=:'` 993500022 .lr t N { r. p1 893500016:'�.,. 993500021 ._-...I :� '- 993500029 993500011 993500019 9935(X3048 9935000320 11a+s -o...tl:r4..ewsai Cost Cerra Sc esa+x5 G45 o®23911 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. Fri Jul 13 08:48:35 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J tJ N / a to y cI i rr17I r {. ...i:4 �� .- r Fes' `C Legend r' ,. a Selected Features x. # y n Parcels-H Of 1 Contours n.` mFmcawr // 5:1 Fool Cafes Boundaries El .5c11QwnCarty ■ w � ' Caruc rs o o ids ' J L Maps wouaml. _ �� . ... 9 \ !1 c,..4) J —. FOR INFORMATIONAL PURPOSES ONLY- Jefferson County 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. Fri Jul 13 08:53:26 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J ~ —I i 9935000.30 ? 993000065 - ss300003e , L i 993006062 17-- ' ---- .993000037 'Cr") I. sa•,00006, 1 993500010 ------9g y_,,.r. - 993600011 r •., '993500009• 993000060.:... Legend /+ - ❑ Selected Features •,, 1 / f��'993000051 I I Parcels-1i 1 993500006 r : Parcel Tags-H 502303001 .50230x006. I 95ISC Xx15N 993500012 I� `I 9913500007 No Sax=n Rev: i-l-_ 993fX)Oi}-. MI a Kepis:. i 993500013 f 1993500006 Boundaries J°�'sm CwYr. 1 ,..�, n s wa 993500014 is 993500024' . - ^ Counties I J . - - - ',i 993500023''. •a•N 9835000?2 .. 9933000,9 ` i . -' 9935000,6- I j__!!!‘.-"21 '.. f. _`_- 993500029 9936009,600018 3S00pyp .,� by �n cereal Senesces crs 9935000,- ∎ 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. Fri Jul 13 08:54:04 2007 http://gisserver/servleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012_MLA07-350 R&J 90300006.4 ti i 091000063. 993000039 99355)00 i0 993000038 )1 99 s 9a3oow37 Illiirgwaij 493000061 993500050' .. 990600011 ,, «, 49.w5aoar>o. Legend \ 1* 7.J Selected Features _. . j Parcels-H IIII !'6Q303o01 502304006 _- ..,c> r 9935000/2 993500007 ► Boundaries 993000018 . E .,ebwi Canty .. 993500013 . V~"` El war . n Oiler co.r.Ixe-s 993500014 �-.,,r,,,::;;;� ' . 993500004; 993500018.7- w ,,, . -..993500016'- I 1�' t 003500010 ._![..114,..: 1993 .,...1. i..,.:,:,:,x>y+ry.re�esm corrn•cmrs sQaom cis ` 9935000'8 _ V 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. Fri Jul 13 08:54:27 2007 http://gisserver/servlet/com.esri.e srimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J J___ 64 • ( 1 993000063 '093000'035 „,-.".1. i 993000062 1 i- If , 31, Al; t---- 1 . 1 I .......,,.,,..] _--- 9193000037 .--- - I ,..., ', 993000061 I, r,--- Legend , s,293500010 , I Selected Features 903500011\ 1993500009'''',- 993000000----k. '''': L 1 Parcels-H ,..;- Shorelines-An:8 \ I ,/ fri Canserram-yeSuturtion \ 1 993500)08 1 r /./ Calservary".1111Mall 502303001 502304006 993500012 \ i l 991000056 99350000/ /41 thispl • 1 9930..0057 1 , . —,. ,. ,i 941500005 993500013 ir- '' ..... ,_. ' __,,_ iv' Island 1 —Y--- —,..1 ,, lii Nakra ., ,-‘-, ..,_ I .1,4/ Caretanamy /V Naaraatkremn 993500014 993500024 - 993500015 _,...,-- ,..,-.,... Boundaries , . 99350002 0 JaMarscrt Camay ._..-- 993500016 - ,,. )---....... E Wales i 11 ., ., 993500017.9935"19 -7. , . . ED Oro-Cams ... 993500018 , Maps pmresisd Py Jalarsan County Cents&mom GtS '..': u■mat■i■2-41ift 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. Fri Jul 13 08:54:49 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350_R&J - . 9:X1500030 i .' .. <, ,. • ill 993030063 993000039 393000038 - 993000037 .- 903000062 t--- ..--• '990600010 ,., 1 __.------- 993500011\ I )t-7-- Legend • '993500009' '%, 993000060----\ %. 0 . - . ', -■ Selected Features 0000sy I 1 Pa rcels-H . , D Streams \ 1 993500006 r. t• ) I / 502303001 502304006 993600012 li I .„ / Type 9 943500007 ■=. i 1 ' 9143000057 „A/ Type 5 .' 990500013 ,./. I —1 ( „..,_ _....,, , Et," Type 4 Type 3 „A/ Type 2 993600014 993500024 oov, Trae 1 I ___....,,,, \ - . _.„. - . One. '., ..-. Boundaries -c, Jellersal Coaty ././ . ., ... 'Nab- 1 1 .j__99:3500021 ----; Otter Coarr= -- 993500916 /:11 i kil . 1., .- 943500017. . - 993500Di9 -- -- "9935°M2c' 99.2500020 " 9E135000'8 klaps worded by Jellerson County Cato Sernoes GS '.-:- fe■mc==941239t1 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. Fri Jul 13 08:55:16 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J �-- �3o9906a II 993000083 v930o0039 ;i- -------—993000038 993000062 993000037 ir•fi 993000061 S r.F . ,....._.. — "990000038 1500017 .... 9an09999 ' 993009060�� <, Legend Selected Pea lures 9.d 2,.:00059 —1 Parcets-H 99350axts Permit Catagones TEST -'+• .993000068 ya3:r:3_'3 Boundaries _:Lfi'SS?I LOYI.} ri CqQ CorUa 3 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. Fri Jul 13 08:55:42 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 1 993500012 MLA07-350 R&J 4 ! 993000064 1 993500030 - ,. , 9930CCi.' .3 . ,.___993000036 •� s3000a62 I-- 1-,• axt000air �; 993000067 '\ r'r 993300070 =_-9 3p000 i 993500077'1, 993500009' 993000060 F'e Legend • I _ C3 Seceded Features ,r'993000C I I Parcels-H 1 e/ 993400008 f" LFA-Fish 6023000071 502304006 993300072 10_I +,. 993sxxxsr 993500007: Boundaries S.3Vixx't.! 1 I Jebel-so"Carty 993500073 9935 xxna way ~ Omer curves �f ( - ``-.. 993S0000y 993400074 1 \t 993500024. �... -'- - }.' 993500000 ' '� �993500023 - �-` 1 993500016 " 99360022 993500021 ,•r .. .,..- '\ - 993500076 •J. h–'` ----- 990500029 •• 993500079 i 993500077 : , 9935°3°2Q r` 'Asps wooded M Je>brmn County Cantrtl Set-Aces G6 '''.<U�935000l8 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. Fri Jul 13 08:56:13 2007 http a/gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012_MLA07-350 R&J i ma) 'y � I I I- .../,' .., F__ I 1k '- . ,T . . � -4,, - -'�/ f v r r- .�- / Legend ' • f y I=1 Selected Features r i l h ( U Parcels-H .. /• f r'' n Sots-H ' / II I. i Af { i Boundaries 1 T'F 1. - ❑ Ae r-.m Crony OWarr nOnr Canna: ti / I�r '. 1y 1 \ 1 k, `` •11 r l M�¢ondsi byJ so Cai cents Sc ena cs - e' / \ 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. Fri Jul 13 08:56:38 2007 http://gisserver/servleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J rt Legend Selected Features ^'"' ' .`. ■ Heritage Polnls Boundaries :tdlaram Carr, ❑ 'else- [ Orm Goers, • 11.x:. 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. Fri Jul 13 08:57:19 2007 http://g>sserver/servlet/com.esr>.es7 —nmap.Esrimap.ServiceName—ovmap&ClientVersion— 4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J 99350J430 993000(k3 993C4tiY 993040+'3 993000062 , 99.300003{ INEWarr7) 99'35020' 99300006! ',: . .. 9930W036 9935070" 99350_(X."9 993•"..:0'0,0 Legend Selected Features 9930.X0)59 Parcets-H 993500W8 Spotted Oafs 502304006 99:5_50X058 WI... W12 Boundaries 99350(X) { 99 3C0005 �l _e-e-zal Cara ,3935900,3 9935400536. 11 tvsa I I G•re•cans 99350 005 ‘#93500.:',1 99350 024 993501.04 993500023 993y:0v_•. y 9935.1(:422 99350442" Ijl 9935000'6 yJ�' 99350)'r 99350 00.19 99 3500)20 993x30{25 ,gonsot) a Md.!:uanWC ey,rmftewi Carry Capra Svroa GIS 1■11111■1123911 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. Fri Jul 13 08:59:33 2007 http://gis server/servlet/com.esri.esrimap.Esrimap?S erviceName=ovmap&Client V ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J , 1 , it A Legend 1 n Selected Features 'j PafCel3't't r; .,Ks . Bald Eagle Nests Bald Eagle Buffers 4 J 13713 Behr i 403 Bb -...^^ . ( '� XXI a Saarn Baler - ,� t �' Boundaries I '--.� .eMeza,Carty El W,ec f n ._. .._ .. .,, ono-card Van.aandei fi'adlesar Cam Cava Savtaa GtS ' b■73911 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. Fri Jul 13 08:59:56 2007 hup://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceName=ovmap&C lientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J , 1 —_, i ... 1 993500030 i -- 993000063 ' . '"s1 11 y I 9931203039 I . - ..._ ........_„. - i 993000038 .4.4.• 111111111re. NE? I \ --------993000037 993000061 ; \ ... 093500011\ 993503009 -. 993000000--A Legend 1 \ N / ,, _• ---• ... ,, c3 Seceded Features / r' oiti I I Parcels-H 993500008' I 1 / , 993.:...Y.:.: Seism;Hazard 502303001 502304006 I 1 I 993500007 Boundanas t1 - I, 99300 7 C0 ., ..;,,fersan Casty .. -_.... 993600013 / -, , L ; ,_______ I ( ,,. -'<--- , , I I Oher Carlow _ IL ' •-■,_ ,..._ 993500014 I\ '',._ 903509024 ;>--., : . 993500021 1.. 9935000 6 _,... ,..,, '..,, ... ..,...-- \ ' . , ___. .....- •,.._, ,„ 4435M0 1 7 1 993500019 , .. „,-.... _... -, r"..... 99350002.S 993500316 Mama troodal try*Amon Cam Central Samoa GtS „ir tio■limINMI■239ft 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. Fri Jul 13 09:00:40 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J ■ 993000CS4 1 iniii7/- 1 993000063 993060039 �, , ---993000038 993060062 I---. € —993000037 Z' 1740 1 j 993000061 S r 993Yr'�'G _ 9930000366 X06'` 99s5CGYy,"9 993000060 Legend 0 Selected Features ,=99000059 •+ Farcets-H 99A08 Landslide Hazard 502303CY' SO2304006 993500042 993000058 9;3350000 7 - . Swdv. 99300005? ' n'P 993500013 99;650 Morkrae 99350000i: Boundaries 9935000!4 993500024 O .Palesu,Carry 9935(:{)004 r '.4s r 993.`00023 99 3Sf:{:{i•5 993500022 El CTna Corry 993500021 993500017 993500019 9 993500020 935000'8 \Can'to'r deal,,_e`c oiCorrV:OW a Se"ntt:GIS L,®239n 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. Fri Jul 13 09:01:02 2007 http://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceN ame=ovmap&C1i entV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J I i T 500030 i , I! 9930000631 li I 1 1— I _ 993000052 I I,~ yI `.., -- 993000037 y i-.� ryl I1 ,..‘1, 993°63°61___.----1 ;r~ - 99,'#.100010 gg3900p� '"c..■,011\. !993500009" 9r93000060_h `'<' Legend \ ( /' Selected Features '� i 99 0 0 0 0 059 I 1 Parcels-H MI III 993500006 Erosion Hazard '"`:<""∎77-4 "�.�Ti r�. 993500012 l r Boundaries ^ lI 9935003 r ;, 99300005, �cart; lI 993300013 i i .. �, Wow / 99,9500006 ;-' _ .\ _ aRrcar4eA I ``~a -� 990600005 '1 993600014 t� \, 993500024 '-,,}... ;.'-- .-. 1--------- ', -:-.- aa�sa9uo4 v 993600023 993500015 s = 993500022 I r i 990500021 993300016 -� 993600029 , 993600017.993500019 • Maps car by Jdrnsm Carly Cabral sencrm Gls 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 correctness or validity. Data contained in this map is limited by the method and accuracy of its ollection. Fri Jul 13 09:01:29 2007 http://gisserver/servleticom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012_MLA07-350_R&J ,_+� 99 h98000005._ - 366606'3 ` `, -i ti —____� • ....A\ 983000038 '� ` yI — -993000031 L - !�a 9W09996, t.'995000,0 =I 9835000 ` Legend 99350000g' '. 9ataooa6o .�. 9 ,� - 0 Selected Features 9A3t100059' it Parcets-H 993500006 Critical Aquifer Recharge S42 i'3!'+:' SV[Y:W00(i _ 'i i ' 8 Areas � 993000DS+ SuSC�UNK 903500013 .- _,�-`t �98350000G . SPRPA SUSC '\ 1------___; r 1 1 SUSC �I, ` '9e3560oaS ® S RPA 9935000t4 1 941500024 , `}.._ SARPA 4 UNK 993500073 993500004 Boundaries 9435000'S = 993300071 - _ U - QS61 C4"t. nWarr n Caw c�.as 0j j 993500016 ,}— ..0. - 993500017..9835019 9935900018 993500020 Macs wooded try Allen=Coro Coital Senor CIS tmmilmwmiti■zOit 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. Fri Jul 13 09:01:52 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 I 993500012 MLA07-350 R&J "lit- 9930:■339 I �,/� 99300003e - '� ----"--.'"-- --. / '..-Y,,b.:•:.:.:•::2 t 99350.... :- ._ Legend {� Selected Features __-'iX30S9 [1 Parcels-11 vd3xiii[:�S Shoreline Slope Slabdity 50230300' 502304006 993IXX35FS tY335Ln(70?2 99:1_50X037 9Y�e Yra-rncdas 99350X03.3 9935CLY""C6 n J 644:14 EDJ r_:rie Tte'ee asia+�de 9935:XXX:h I I i._ate as�,us;Ide 99:WXX3'.t 99 35(k024 U ,i,,:ed Boundaries 99350X323 '�3Si}_i�'S 9935Ctic22 n .v'4rsm Carr.} '.4m 993505..{32' Ti C'�- Ca.rTns (1 j ` v+3SSXYJ�S 35"!_5029 1JH�If 1 W3500i 99.3.`.UC'V!9 99:SSP:3'8 993500:::4C! \I:rr.J.:.t+i 5i..OtCSQI Casty Cara Sc-: <<Gi5 V`2364i 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. Fri Jul 13 09:02:29 2007 • http://gisserver/servlet/com.esri.a srimap.Esrimap?ServiceName=ovmap&Cl ientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 99350001 2 MLA07-350 R&J /I *27 /e) i , irr itik l i ; ...'"'\,... \------" :" 1 tip', 1 r'. IV Ai di... # "* Legend• s. ti Selected Features • Parcets-H •14 ya USGS Topos■ r � 1 • A\pp, Boundaries JdIQam Carty n ❑ riaw 1 . r <S. ❑ as�cv.sm 1 ril ... . , - ., -44...,ms,tO III � . 1 +� r` cola i s • '�..•�1 1 1 414.WU*"kirJ7j rettrayl Curry Gems Samoa GCS V gy p {..'•. •.• 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. Fri Jul 13 09:03:06 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 7/13/2007 Map Output Page 1 of 1 5� by#,,['' 993500012 MLA07-350 R&J •r ^�. y7 a 'y )I .. Sat 1 1 1 . '4.., •`1 Alt 44• y _ :. 6 .41:i ;,�,�� g y ' ! } At * f# 1. �, : _ — ' Legend 1 "' w 1 ` �� + `� f� Selected Features '� No ., .`' i, �, 4* ► , f_i Parcels-H • ' « , 1. ,-�` 46. "� ,r 2005 Aerial Photos 0 iitr� 4 r + Boundaries• v... . - . 7 ...„.„,...,c,..,.; ! it s4., 9, ` ti 4 / t1 Mi. ' 30• i. °'¢M ry a ! f i r ►P r 1 -1114 ' # . �. „� r . 1. t �IYY.J .-- 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. Fri Jul 13 09:03:35 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 Map Output Page 1 of 1 993500012 MLA07-350 R&J f 99:Y::rYxxrl.00006,I+ K(NG DR cr 1 :.:K.,...... J O z /4.11:1. 99yXxXi(s[ ,7 :f r r� w 99354:X0'0 xaxa� Legend _.,ys.:0- 0 Selected Features 1 99350(X99:K00060 ow Estates COFT)M nrt Ar Road System 9930UWS9 Parcels-H 993500005 502303C(i' S{i2304W6 993IXXX)51i n Boundanes ?3YSUW}2 993500007 99 3C(005� Water Service Areas C.rras 9935000.3 9935Wrxri Fuira \ S.,9351X00,5 I. *PT.C.r 4A C/� VA PT.Ftare•NA 9935000'4 9935iXX124 woe. 1 C45' SEP_Zones 993'.�xx;cin 9935C002 3 uncle 9935000.5 9939X.0 2 Randy , hs 9935:tx}2. i 9931rxi•.6 .. �?3S0rv'�[9 993 9935CW'9 \\\ 9935GCS1?5 �l9350W20 kiss sw.:de]2.estrun Corr./Carry Sarcr,GU y0101=11.111111011111111■23911 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. Fri Jul 13 08:47:44 2007 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/13/2007 MLA07-00350 BUILDING PERMIT APPLICATION ReviewType:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00334 Received Date: 6/21/2007 SITE ADDRESS: 172 CIRQUE DR BRINNON, 98320 OWNER: R &J FAMILY TRUST PHONE: (360) 779-9995 26265 TWELVE TREES LN POULSBO WA 98370 SEAMOUNT ESTATES DIV 4 SUBDIVISION: Block: Lot: 12+ PARCEL NUMBER: 993500012 Section: 30 Township: 25 N Range: 02 W CONTRACTOR: ALLIANCE HOMES PHONE: (206) 730-3625 17925 HWY 99 LYNNWOOD WA 98037 Contractor's License ALLIAH*943NW Expires 8/16/2008 REPRESENTATIVE: ROGER RICKER PHONE: twmPscs1999ti 26265 TWELVE TREES LN POULSBO WA 98370 PROJECT DESCRIPTIOI' NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 768 VALUATION 108,944.00 ADD'L: 768 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 368 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: as1b 15v, Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,044.15 KAS 06/21/07 91321 Plan Check $687.70 KAS 06/21/07 91321 State Building Code $4.50 KAS 06/21/07 91321 Potable Water Application $58.00 KAS 06/21/07 91321 Total: $1,794.35 • n, - , - - 1 Q Li co._, O 2, x Q 2 O * 0 N Z Z W Z .0r- : co Z 4- m � y Z � �,x O T r r ..i. o O C .� c i , s k wi o 4 f.: 4,04* 4 M X- z .ice x C ' K i 1 O O 33 5 N Q ...o . 3::0 O CA i N O 00 ■l ■ CU V V / ON Cp�� JEFFERSON COUNTY 1R.1 t 1E '' 1 '' DEPARTMENT OF COMMUNITY DEVELOPMENT I" 621 Sheridan Street • Port Townsend •Washington 98368 JUN 212007 360/379-4450 360/379-4451 Fax www.co. efferson.wa.us/commdevelo ment s Np ) p ARERSUI UUNI)UCH Master Permit Application MLA: 0'7- 5O Project Description (include separate sheets as necessary): /46662 Property •Tax Parcel Number: 7?3 —rj 04 -�J/ Size: �3t) 4, �i�cres/square feet) Site Address and/or Directions to Prope q: - 6 Property Owner(s)of Record: ? /1li`r tt 'T Telephone: 3b `%I/Y 1 15- Fax: �a1i9G email:rr/Cker-Piw»fte:Yrresv o%'� `� Mailing Address: : - s - f 4°t Applicant/Agent(if different from owner): a ..' ,_- • Telephone: l D 77�—' '99s Fax: �� email: Areras aeC Mailing Address: . , ' ,r A' , .*". , - 111.1 4 What kind of Permit?(Check each box that applies) )(Building ❑Variance(Minor, Major or Reasonable Economic Use) • Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** X Single Family ❑ Discretionary"D"or Unnamed Use Classification • Garage Attached/Detached 0 Special Use(Essential Public Facilities)*" o Manufactured Home 0 Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments*" ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed "Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** D Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* D Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **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 TT / to act as my agent in afters relating to this application for permit(s). OWNER SIGNATURE ee //ta shed/ �Q�� �� Date:l ok 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 it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later in •- tions.Access and right of ntry to this property shall be requested and shall occur only during regular business hours. ^ Signature: r'�,e,;' —.re" , // - act-- £ t t O) Date: 61 ;. /'-0% The action or actions A.., icant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County develop ent code.The Applicant ack wledges that he,she or it holds individual and non- transferable responsibili = -.I'*"ing to and comply,pwith ES The Appl' a t•h s re `l tt,is disclaimer an signs and dates• below. g - tS e e, G�t21)J Signature: � �,w ` � Date: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Applcatiun 12-30-05.doc BUILDER STATEMENT The signer of this statementsioet,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 r6nsibility of the Gerferal ntractor for the proposed project. Signature: _- - _ /r/�/,I Date: Z� -".72 GENERAL CONTRAC OR OR NUFACIURED HOME INSTALLER: PHONE: FAX: LIt,fri ,e -yes ( 3 ) x/26211 (3co)44220Tee- MAILING ADDRESS: PO 6SX 7o() stE.,L EMAIL: CONTRACTOR'S LICENSE A41(4 II'9y3e) i WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: 62C7le` � 1-0( G 1.-.4 PHONE ( 3/50) L,, OS/ FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New X Wood Existing: ❑ Sewer ❑ Addition ic Steel Proposed: 0 Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Individual System�^�co n ❑ Repair ❑ Masonry SEP Permit# (//+�' ❑ Demolition C Other: Bedrooms: Water Supply: Existing: Setback: C Private well ❑ Two Party Type of Heat: Proposed: x.Public 1%lGe- �f Total: ,/L,//?L Name 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: U Underground Tank C Above ground Tank Size of Propane Tank: C Heat Stove ❑ Cook Stove n Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes Jot When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated Bld App Review: �Cir Sc; 1350 - t2 . 2—"Floor Heated i Consistency Review: Other Heated I Base fee: o Ii / 1 5 Mezzanine I�T`+�� �`�A�� f1 Additional Section: Heated Basement 0 [' y Plan Check fee: j 1� ;"0 ?r �y t �. ./ Unheated Basement t V State Surcharge fee: (� 11 .5D Other Unheated ``� `r �( ` Pot Water Review fee: Garage/Carport IrL� �d�w 1��IN� !illt4 SUBTOTAL Decks ,-,9, 911/Rd A pros 'fee: 3` p,�0 �, l Other TOTAL $ 560. t�) /d / ,107.-1.1D„ Recei t Number: n C,GvD�r�� I ri v c�G/ /� Receipt 1 3c9 l Cash/Check Number: I 0%d ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish CO la )I r)7 Inl Is g 1( c,L,, sl to G:\PermitCenter\FORMS\DRD FORMS\Master Permtt heat-ion t2-3O OS.doc 4soN c y,,i) ©& JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 it& 360/379-4450 • 360/379-4451 Fax 4.gS, N��p$ www.co.jefferson.wa.us/commdevelopment cc,��., Master Permit Application MLA: cri-555 Project Description(include separate sheets as necessary): Tax Parcel Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: (R iN IE j�q I FFii���\�` Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: 'JE {���.a'iI iiii��[``yy i II't1U i,IJl11Y f V I l ,f] Mailing Address: What kind of Permit?(Check each box that applies ❑Building El Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address ❑ Road Approach ❑ Binding Site Plan** ❑ Home Business ❑ Cottagelndustry ❑ Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior nott"be. / , Signature: `' -t /� I Date: i6 .�(i The action or actions Ap•- ant 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 lake"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act°or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson Cou development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibili y for adhering to and-tom ing with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: X1 f�— - /G�� �t Date: ) g7 27 e4/7 — G:\PcrmitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc / BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System • Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System • Repair ❑ Masonry SEP Permit# U Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Project you must answer the following: V j� 1 Number of Parking Spaces: Current: Proposed: a'Ndk1b��o �lrk)ng 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: Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot W UJUF pJ Uga i U ,Other Is this appliance being installed in a Manufactured/Mobile Home? Y When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2"0 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc CASES, FINDING, CONDITIONS, PERMISSIONS FOR Parcel 993500012 Printed: June 22, 2007 Cases Name Review Type Status Planner BLD07-00334 MLA07-00350 R & J FAMILY TRUST I P Application Received: 6/21/2007 Permit Issued/Case closed: Case Finaled: NEW SFR No findings, conditions, or permissions found. SEP88-00216 PETTIT F Application Received: 5/13/1988 Permit Issued/Case closed: 5/19/1988 Case Finaled: 6/27/1988 EES BY ENVIROCHECK No findings, conditions, or permissions found. Page 1 of 1 Parcel Print Page 1 of 1 Parcel Number: 993500012 05/14/2007 Owner Mailing Address: R&J FAMILY TRUST 3808 SW JUNEAU ST SEATTLE WA 981262851 Site Address: 172 CIRQUE DR BRINNON 98320 Section: 30 School District: Brinnon (46) Qtr Section: SE1/4 Fire Dist: Brinnon (4) Township: 25N Tax Status: Taxable Range: 2W Tax Code: 441 Planning area: Brinnon (11) Sub Division: SEAMOUNT ESTATES DIV 4 Land Use Code: 9800 - GARAGES, SHEDS (out-buildings only) MH MOVED HERE 10/25/88 Property Description: SEAMOUNT ESTATES DIV 4 http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=993500012... 6/22/2007 Map Output Page 1 of 3 Features not surveyed K NG DR C t- z cr. 9X.-C€ 99 ".1•JI.SCOLkh, 20 .4? '1'4350X2 Soi ZUJIt•Ze &C.•cc--•StS figialliiil•••■23911 http://gisserver/servletkom.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion,----4.... 6/22/2007 . . r (r m H O = O C3 LL N -0 Z LL � t 0 H O C) H LI) .— O •• .. CO • O `� C� O N — N O y�R 10 — Cl) I��T �� O o L 0.. �_ b 'O C.) O O H �+ = W O O rP�{ _ I . -O H C7) C0) W p G •- 7 - L L F- ti ¢ U U C..) H 7 Z 0 CO `�f ./L 0 J 0 l pe ....W L U I— F— O O CO 0) N CO Tr CO "Cl in = O P- U CL -O C 0 3 LI) 3 m C0 0 CO 0 N J U O N -o 7 LID Z I C ▪ H 7 H CD -- NI- O 3 I— N 3 LU I— CO F— • C/) CO CO CO = CO CD -0 • W ¢ 0 W CO CC 0) C [r I— W CC J LL) I— O LL O ¢ \ I— CO CC ¢ CO I— ¢ 0 r LU ¢ CV CO CO >- x -. 0 J Z 3 (D O W = J ¢ ¢ H 0 LI) CO H F— X ) 0 CV I— X LL ¢ X Z ¢ I— LL 3 W U "0 = CV LL XC LU V) J U O I— U) J I- M 0) CL CO F- O ¢ F— N CO X di O ¢ CU LL O dS 7 0- O CO W CD CO J i-, U CC CO CO CC CO — +. 0 N O CI) 7 O O F� 0 CO 0 LO * CO —D 0) etc CD CO O: CO 0 0) O 0 (• 0 0 O "O L CO N C. CU CO 7) II C O X U) -- L 3 L Y C - CU O - CI) c CI) Cl) O a) .- C) cc L CO 0 CO U) U > CO 0 L L 0. — 0 CO 0. C- C.) CO X +� C.) -O X CD CO CL CO -- -- CO (I F— F— X C+- I— CI) CD qF * * F— ¢ DEVELOPMENT REVIEW TIME SHEET R & J FAMILY TRUST MLA07-00350 Date Time Comments tel/r4 'I A 11 1:1R_MLT_Case_CRMLA.rpt June 22,2007 UDC CONSISTENCY REVIEW Pro A 4 Pa.nner•: • Master#MLA07-00350 Review Type Project Description 11011 / l W 1 BLD07-00334 I NEW SFR 4 ♦� Primary: R & J FAMILY TRUST Site Address: 26265 TWELVE TREES LN 172 CIRQUE DR POULSBO WA 98370 BRINNON WA, 98320 REP ROGER RICKER 26265 TWELVE TREES LN POULSBO WA 98370 Project Location: Parcel Number 993 500 012, Seamount Estates, Division 4, Section 30, Township 25, Range 2W, WM, Located at 172 Cirque Drive, Brinnon, WA 98320 Parcel Number: 993500012 S-T-R: 30-25N-02W Total Acreage: 1 Legal Description SEAMOUNT ESTATES DIV 4 LOT 12 SUBJ/EASE Land Use: 9800 V523/P754 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM)Panel No: � ,(� II t District: 46 Zoning: COMP PLAN DESIGNATION: 12�-'` S COMMUNITY PLAN: UGA: MPR: WATER SUPPLY UTILITY: Service Aresy_,,tft t 1 PUD: [ Plot plan states "property line" WA 40,,, Assessor's Map(Property line '1 submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) •fl Legal Access to Property 0 NO ��AP Parcel Tags or Scanned Documents .. V/ ESA's: Special Reports Nearby YE• I/ o Designated Ag Shoreline Designation:qs ieb ' Shoreline Slope Stability:a NO Stream Type:Y NO Fish& Wildlif: NO 1)0 OW L Wetlands: YE'f��� Rare Plants:YES Seismic: YE'4 Landslide: +�� In?Ta rBistWi�L ��i' Flood: r'" Erosion: YE- Aquifer ' - . 1- •.re.�. NO �r��mwi�.ipJ1 mila SIPZ: non- At •isk Hig ' 'sk Coastal Stormwater site plan bmitted: Ye•�g. Forest Lands: YE l / Adjoining Forest Lands: ercial/ Rural/ Inholding \���I/�j�1(. Stormwater:New Impervio .__..,.rmy�. Land Disturbing Activity p ESA's Stormwater Re Min Req#2 in Req#1 thru#5 Min Req#1 thru#10 Engineering ��/ Notice Provisions/Disclosur-• Airport Yes NO MRL YEs Forest Lands YES I rvtl �/1 Landscaping Required: Ye- Er W, .001 Parking Spaces Re•, ' ed NO 2 Other de Building Height: 0 UBC Standar a Impervious Surface coverage percentage: C� ! z Resource Lands&Public: 10% Rural Residential: 25% Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60% Area f Building Cov. _e:60%in Rural Industrial Lands only Total Building(s) Size: A �� • RVC:20,000 SF CC:5,00 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraintsINone. pecified Setbacks: Front: Left Side: 5 Right Side: S Rear: � � Shoreline Setback: LSHA Setback: a Road Classification: 1MrvI�BEE101i1/�lM.l���. _ �:� ( �1III��i `� \ Road Approach:ExISTING - • REQ'D RAP sz: - SEPA 1 Required:YEs , _ !, MPT Q Flood Certificate: N I Existing Case(s) &C dition(s): ,3 QZ, kliaZA. , Violations: Yes - Recorded Date of Su divisionJ<3 ( 77 AFN 9 u'7 7 Over 5yrs=UDC Plat Conditions: PO <5yrs=Plat Condition •- - or Old Ordinance Lots/Require Declaration of ' a rictive Covenant YES OP submitted: YES 4` A • Site Visit conducted YE: 017 Require Final Zoning Approva YES NO ] ADMIN: Setbacks entered in Permit Plan N/A 0 New Parcel Tags entered i ' t Plan YE Special Reports Scanned Imp YES - No parcel tags found for parcel Associated CASES status issued finaled description 993500012 • MLA07-00350 BLD07-00334 P NEW SFR SEP88-00216 F 5/19/1988 6/27/1988 EES BY ENVIROCHECK