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HomeMy WebLinkAboutBLD2004-00828p Ilk ILDING PERMIT APPLICA•N MRLAow00722 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00828 Received Date: 12/30/2004 SITE ADDRESS: 54 COMMERCIAL AVE PORT TOWNSEND, 98368 OWNER: STEVE BLACK PHONE: PO BOX 405 PORT TOWNSEND WA 98368 (360301-3839 SUBDIVISION: JUN TION CITY Block: 15 Lot: 10-12 PARCEL NUMBER: 964501501 Section: 13 Township: 29 N Range: 02 W CONTRACTOR: STEVE BLACK PHONE: (360) 301-3839 BOX 465 PORT TOWNSEND WA 98368 REPRESENTATIVE: CHRIS BLACK PHONE: (360)301-3839 BOX 58 LILLIWAUP WA 98555 PROJECT DESCRIPTIOI NEW SFR WIATTACHED GARAGE, CVRD PORCH AJW DECK & gew5t,D 12-(1516c, (..1_,) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,200 VALUATION 92,808.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO )(8e-D OCCUPANCY: R-3 UNHEATED: #OF STORIES: 12 J t1Ota j OCCUPANCY: CONST TYPE: 5-1HR OTHER: 64 SHORELINE: CONST TYPE: GA5CK: 500 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide 115J J0cj ( i(-L' Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: ' Approved/Date Permit $944.75 BAC 12/30/04 69012 APPROVED Plan Check $566.85 BAC 12/30/04 69012 State Building Code $4.50 BAC 12/30/04 69012 APR - 5 2015 Potable Water Application $52.00 BAC 12/30/04 69012 Total: $1,568.10 Jefferson County Planning 4 &t3/1 'ng epartmens, o , 1/1 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD04-00828 SITE ADDRESS: 54 COMMERCIAL AVE Issue Date: 04/5/2005 PORT TOWNSEND, 98368 Final Date: 12/8/2006 APPLICANT: STEVE BLACK PHONE: PO BOX 465 PORT WA 98368 JUtJ�T SUBDIVISION: IO91Y Block: Lot: PARCEL NUMBER: 964501501 Section: 13 Township: 29 N Range: 02 W PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, CVRD PORCH AND DECK & THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5-1HR SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/8/2006 I:1F_BLD_Occupancy.rpt 10/29/19 • SON iffit �" JEFFERSON COUNTY I_ i t ki‘, ,` DEPARTMENT OF COMMUNITY DEVELOPMENT( 1.11 4, 4,„ 621 620/Sheridan Street• •Port Townsend-4451 F •Washington 9836$'' E ' DEC 3 2004 , '� O htfp://www.co.jefferson.wa.us/commdevelopment/ ", r r),; ,a STORMWATER. SITE PLAN SUBMITTAL TEMPLATE MLA# ©L` 1a • PROJECT/APPUCANTNAME: STE bit Et/104 Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. /J00 d'6 ci //o010 - ND l is 64444€ in' rvt- irAi ipwa- Ct's-IS ALiAtAo f o.,✓ PkO _ f • . Existing Conditions Summary / 2. Describe the existing topography. Indicate contours on the site map. HILLY 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 840-11?., 3-9 S'M 41.if 1/ t 4. Describe the existing soils. Indicate soil type on the site map. 9RA!✓CL "- Ten gtAC.IAL, f lAe/AL. SeL)1/ LTJ 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. peoP4ry LL St oReA poc0A)c„tpoitn fo IAA P Cowers' I?a.w 1 e'h ORAi.uAre i V ?RA fit- Si.47 fi1e., 12 ow sL f 4A1-43., 6. Describe any excess levels of noise generated by the proposed use or activity: A PP[�V V {'D 1r r. '"4J14 s c P a ! „v- STORMWA . . illimitio 1 JEFFERSON COUNTY stormwater site pan Template—rev.10112003 CNA- � MUNIT, 5 SIGVAThR• 0 •P,14 T 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. /N4/t40.(/ se/re M4 p 'Low a 0111 (6Ateiti Beal 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steepslopes,etc.). 1A/ / -416n 0-4J -r't1 ,koo luj JU a ft rk 1-Ain OF Pi ei y / Q, pGe;�vf' bi li) NA fR�11 'C� CAI I n v,0 .1'0110 — WoUru.►? ,sed Iro tours?. Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installationof the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g, Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. Re en la fh /-g,fiv r'air Litar* 'vrT R [a gAOGwb 4r lam. Of -110/e_. AS pa Geo- 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 'ti/4 11. Describe the performance goals and standards applicable to the project. LI i Yr12 T i� �Ji -11 12. Describe the flow control system,.---- � t't '' DEC 10 20 04 • ? t � ?E ELOPtk -- ' r,n,J{) 1 ✓t�°4i391Ht 130 t�acf taoan* ,oiizoa9'; 6 's' 3.t ___�.� • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material Nv //i.& A44IZV4t 4irt.c 132 Mtn . 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material Ndt�. 18. Descnbe methods for restoration of the site. N6 ReSrtg.Arioiv N-AGA _ 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. Geofez, S y h0,1).e 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here_ No pes rR iz-r DART rayfF 4t EguE DEC 3 0 2004 ''• 1 stor mlater sitean t q eRotate—�rev. CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.52 of the Manual (beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. STA Kt.( 2. Establish Construction Access. c`74S -J,J6 hRNvf way' 3. Control Flow Rates. 4. Install Sediment Controls. !'/L-1- 1.-6A/f 5. Stabilize Soils. GR4S.S 6. Protect Slopes. SLOPES joie, Ite?eF.1fitSt-0 Oti - 7. Protect Drain Inlets. I 4ku pEC 3 0 2004 ! 8 stornevater site pan template—rev.1512003 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. _ _- N/4• 9. Control Pollutants. N14. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). 12. Manage the Project t' tui Zz PAW-6 T °Wt rj 2. Adjacent Areas. a Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Neti 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. Na/V Ii t� r _-_.ws.a --� i{ " ' pl Emu 3 0 2004 i' ,,E PERSON CnNTY r t vu ��-ir a cAM •l'; n U t �941Ts ' stormwater site pian template-rev.10/12003 i•".."...`.:..�...'-. _—..__�.�. 9 b. Description of special requirements for working in or near environmentally sensitive areas. Nd ENMRUM wr41,L}- Se,usrr,vC RQe,As 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). /t, 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 1. Provide a proposed construction schedule. N a KM^L II. Wet Season Construction Activities. a. Proposed wet season construction activities. fa v,110.4,-4afr� FR A,.4 I N(7 b. Proposed wet season construction activities for environmentally sensitive areas. 1.1D,4y2 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. OW.tfclt, 13 ICI- 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the foitdwing,ifappliicabfe. a. Sediment Ponds/Traps. ; b. Diversions. ,{/0.t/C, DEC 3 U Zdu4 c. Waterways. d. Runoff/Storunwater Detention Calculations stormmater site pan template—rev.10/12003 10 t t t SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a separate Construction SW PPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. ' r i'ka3 a.7c'a^'.x- a. Vicinity Map b. Jefferson County Approval Block $r c. Erosion and Sediment Control Notes '°"`r t y" ' ' 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales,interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion &sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s),pond(s),pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth,length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s),if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations c ba use torxuonitoring water quality on the construction site. Sampling stations should be located upstream and downstrea f e oj{t sue. ! R 1 I) , 1� i a� �� 4,� •F II DEC 3 0 2004 11 stormwater site plan template—rev.10/12003 I .fm x'ae,f•^y , s, f.e';kt t' T r. � ,t+, '-". 1 a..;�: .ric_v "`'tti: 4 •: Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit afinal corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 1el�ryy e jam¢5,, :- 3, ? y9j i X- � y�q `` x. e ryY-r� x 3dan { ' 41 DEC 30 2004 Grltl'Y " • il>44;tt stonnwater site plan template—rev.10'1/2003 - , (c,:s0N—?-,,o. E. � JEFFERSON®LINTY E__ (� DEPARTMENT OF COMMUNITY DEVELOPMENTkiii tk} 621 Sheridan Street • Port Townsend • Washington 9836$ ; DEC 3 O4 360/379 4450 3601379 4451 Fax �U L, Lii Is, OHO www.co.jefferson.wa.us/commdevelopment i ! HIN .,, JEFrtRYiN. COUNTY Master Permit Application Project Description(include separate sheets as necessary): Sj.v(de PAM/Lf bit/Se- Tax Parcel r ,g1} �y .1,,,„/ Property / Number: V I` 4✓ Size: / ii-5 (acres/square feet) Site Address and/or Directions to Properly: „+$ /6I {1� ,,4q, fl, t t ; Property Owner(s)of Record: 'r�i/ (.7 6 L/i C K f, Telephone: .U 3e) k3q Fax: email:RA/N— 9rri-4' ' k Mailing Address: cox O3' P .ro'/e/ser(/0 LWi• t36a Y14//U0, c pl+M Applicant/Agent(if different from owner): ,eP 'A 4- Af L4 t X. Telephone: 34'Q So 1 33r 0 'Fax: email: s- . r� Mailing Address: .F1''' .s 4� ,�r,;,F;t v``t"rzi P q,j, • t.' What kind of Permit?(Check each box that applies) N Building 0 Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit U Conditional Use[C(a), C(d),or C]** tg Single Famil 0 Discretionary"D"or Unnamed Use Classification ,Garage ,:11 Detached U Special Use(Essential Public Facilities)** U Manufactured 'ome 0 Boundary Line Adjustment Cl Modular U Short Plat** U Commercial* U Binding Site Plan** Li Change of Use U Long Plat** 0 Address U Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Propane U Plat Vacation/Alteration** D Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance D Temporary Use U Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment o 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 C K IDL/' �/, to act as my agent in matters relating too yhis application for permit(s). OWNER SIGNATURE V��"`� £'�—. ` Date: / 2 " 06 .474-) 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 require ter inspections.Access nd right ofi to this pr perry shall be requested and shall occur only during regular business hours. ( i7 1p Signature: � t/r-- v � L_ . 'J � fU, Date: ���i � The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable, nsibility for dhering and co j,with the EISA, The Applicant has read this disclaimer and signs and dates it/ /below/..../Signature: . Z.A1'" @ tl i� 1` Date: �;// /" , G:\Pem \ \ vtCenterFORMSDRD FORMS\Master Permit Application 7-8-04.doc �`/ /2,6/4°9 OWNER BUILDER STATEMENT The signer of this statement does hereby certify thaf ey are the Owners of the parcel referenced herein,tha ey are not licensed contractors and that they will be assumin ,tha responsibility� of the General Contractor for the proposed project.f ,t e� Signature: 114-a-f: 6 Date: /1 0 3" d GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: fir' l3 A';/ . �f 0 w/v~✓r Cif )301 3�3q ( ) MAILING ADDRESS: 611-7:. e/62 r/ fo,Ade 0 lim- 9?3p EMAIL: A1/-v_ CONTRACTOR'S LICENSE 9a'SY� f'aHr1Q_GtrM WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type X New It Wood Existing: ❑ we Sewage Disposal:r _ 13.40 ❑ Addition ❑ Steel Proposed: Bank ❑ Community System C` • ❑ Alteration/Remodel 0 Concrete Total: Height: ,N Individual System O Repair ❑ Masonry SEP Permit# 'v O 6 ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: 0 Private well ❑ Two Party T e of Heat: " Proposed: = k Public 'EL.eC-TR/G Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: I 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. E Underground Tank Above ground Tank Size of Propane Tank: '- IV' xl Heat Stove 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert 0 Hot Water Tank U Pellet Stove ❑ Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For'Office Use Only {fit, ' i r Jae+>� E't � `"`�� 'R � KP"4"x Current Proposed �. ;. r�, t � ,a'4 Main Floor /2 aQ ] ( Consistency Review ,; VVi n am'+ 4 ,� .,0.7791,7-. _ 2"� r €;, r, � "m i 4 ) Base fee: ' <� �'�'' x ' aro40 ''. `5 _ { � r... F . dd-tionalSe �` � ' - I s � e air w � �sc s„tu" � ,� r ca �ss »S w;q, f ry '. .-0, iti Me nine: 3 0 2004 11--'.' fi'Check fee: y ,shiil ,� Heated Basement A tate Surcharge fee �� a '°Oukt" '-1 '.g '', S ( l I n "abLi. x"Sd4 Unheated Basement --- .-fir Pot Water Review fee. f,R -� 1 A r . � s Other Unheated j� 11/RdAroach#ee. ' fi-' tr ^s , ° C Cv t.,\-7 4 Pact". i: 1 . Jge..0' Ips-i,>41 �' Sof 4, { � Ha`'t ra Li ILNig Garage/Carport lire-74.4,4, "tj*f ,rAi u ytici ID Decks /5,0 0 + tfeceipt Nuri° r ' ,� �,,,,,,„,v,,,,, , .,' , , e , • Y -..,.= `e...7, Y _ »t r ,;. !" r tr • , v' y. f " a Other t\''i Cas /Chei � t4cx t. d ESTIMATED (REQUIRED) I 9. 20ate:. 1g • *^ f f ` fitmoevalue of all labor anretiefs + i .J rf..-On .iy /1•5 r ©o ' / 4 , •• ', }: , v *fi �I i t.,.;9...t arc }.t Fx 1'x :4 t f 4}ti;..4.TM G:\Pem kCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00828 Received Date 12/30/2004 SITE ADDRESS: 54 COMMERCIAL AVE Issue Date 04/5/2005 PORT TOWNSEND, 98368 APPLICANT: STEVE BLACK PHONE: (360) 379-5569 PO BOX 465 PORT TOWNSEND WA 98368 SUBDIVISION: JUNCTION CITY Block: 15 Lot: 10+ PARCEL NUMBER: 964501501 Section: 13 Township: 29 N Range: 02 W CONTRACTOR: STEVE BLACK PHONE: (360) 379-5569 BOX 465 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE, CVRD PORCH AqNDp DECK& ANK •RWtoao t111tbCo L9 CALL IN FOR THE REQUI D SPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS:QC� N//y/cY UFFER: Footing:?‘„ `///4 Foundat : KA- A'b - q- Stormwater FINAL Approval: ne 0e5/1.-CIA Underground Plumbing: Underground Insulation: Shear Wall : Of( 9ityr3S ifie Sheathing: Framing: / nYQG ,A1_.�,./. �� OZ . ,ter /11g 1.r /,-..�_ Vdi s►si Plumbing: i- £ -6#. i Propane Tank linv : Insulation: 5704,Sheetrock. Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: • Final/Occupancy Approval: /e,1,8-04?HEALTH DEPARTMENT ND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE • SPECIAL CONDITIONS FOR CA # BLD04-00828 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 15-feet(as depicted on the site plan) shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single-family residence with attached garage, covered porch and deck. 3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 4.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 5.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 6.) ..The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 7.) 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. 8.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 10.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 11.) MANDATORY MEASURES F1PCOASTAL SIPZ: • 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA)• 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback adjacent to Lot 9 is 5 ft. Minimum setbcak from the alley is 5 ft. Minimum setback from centerline of vacated 4th St is 5 ft. Minimum setback from edge of right-of-way easement for access (not vacated Commercial Ave) is 20 ft. Environmentally Sensitive Areas further impact setbacks. 17.) 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. 18.) 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. 19.) Roof drains and any other drainage should be discharged to a location that will pose a risk of surface flow on the steep slope below the building area. 20.) Drainage should be directed via tightline(s) to the ground at the base of the slope, where the gravelly soil is well drained and will readily infiltrate water run off. 21.) A minimum of two (2) on-site parking spaces are required for the single family residence. 22.) 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 andsediment 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. • • 1:1F_BLD_Permit_Buildng.rpt 10/29/19 /?o ��,.:_r _ So q oo CIS` S / Nb /bf),�_._.. � — __ .., __�..___.�.. ,� w•„ _w000s . r U -J:. 101c. I �,vc po • � n �3,... ...n 1. � � ' ` ! j _ sE33AK Jvf 4w pm ADF-' �- ---- AKS- rt , Ff )AA CAI mAll tormwate B P' , r , DRA1,� 4C MSP c,AG. VF - Req u i red ..1%`_.... Y0. i`aw,.a't.F ♦M: h.._.. H '^ � 11� APPROVED 1. O SITE PLAN vv p vc A VE I- FAPH -- 4 2005 JEFFERSON COUNTY DEPT. OFC . 4 ITy BEFILOPME SIGNATURE:- nFC3O200 4 0