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BLD2003-00269
PILDING PERMIT APPLICATION MLA03-00227ReviewType: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00269 Received Date: 4/29/2003 SITE ADDRESS: SR 20 PORT TOWNSEND, 98368 OWNER: GARY Y MC LUEN PHONE: (360)379-3695 MAITE MC LUEN 2033 E SIMS WAY #321 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 901054003 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/2003 REPRESENTATIVE: GREG BARRON PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 PROJECT DESCRIPTIOI' MAIN SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,036 VALUATION 500,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 200 SHORELINE: CONST TYPE: GARAGE: 732 SETBACK: DECK: 400 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: F&W Landslide J/a/03 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: AP p a5 Permit $3,233.75 MAM 05/01/03 56121 /~(— vE 1_./ Plan Check $2,101.94 MAM 05/01/03 56121 JUN - 4 2003 State Building Code $4.50 MAM 05/01/03 56121 Total: $5,340.19 Jefferson County Planning & Building Department c I i 0-SON COG DEPARTMENT OF COMMUNITY DEVELOPMENT 6, 621 Sheridan Street,Port Townsend,WA 98368 1 Tel:360.379.4450 Fax:360.379.4451 Web: ;ww.co.iefferson.wa.us/communitvdevelopment gSfp E-mail:dcd@co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD03-00269 APPLICANT: GARY Y MC LUEN PHONE: (360)379-3695 MARIA BOTET MC LUEN 2023E SIMS WAY #123 PORT TOWNSEND WA 98368-6905 SITE ADDRESS: 4932 SR 20 Issue Date: 06/4/2003 PORT TOWNSEND, 98368 Final Date: 11/3/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901054003 Section: 5 Township: 29 N Range: 1W PROJECT DESCRIPTION: MAIN SINGLE FAMILY RESIDENCE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/3/2015 Building Official, \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/6/2015 o '.x y Jefferson County Delmont of Community Development ,( 3) 621 Sheridan Street,Port i ownsend WA 88368[3601378-4450 APR ftrmo°? 4.450,::c..0. opkfi©c1-rte JEFFERSON COJNTY DCD Project Description: Building Type: Project Type: Frame Type: Single Family ,l@' -New ,lld Wood ❑ Garage Attached/Detached ❑ Addition 0 Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial • Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: 2 Arindividual System ❑ Woodstove Propane Total: 2 Total: 2 If not sewer,fill out the following: ❑ Heat Pump 0 Conventional ❑ Alternative 0 Other Permit# SEP Water Supply: jr Private well ❑ Two P. Well❑ Public:Name of water system: Square Footage: / For Office Use Only Main Floor 2 o3 b 15. 10. Og Consistency Review 47.00 2ND Floor Base fee 3r; 33 • 7 S 3rd 65/o a I v 1 . 9y Floor Plan Check fee- � Htd Basement 11111State Surcharge fee C y' So Unhtd Basement Subtotal 53Si , j 9 Garage/Carport ' 3.,al1j Pot Water Review fee you Qt\.b/\ 131D Cil- -1 e1 Decks •D 1.4 .L i 911/Rd Approach fee _ /`1 ( e — Commercial TOTAL 55 e a 1 1 oo M— — Industrial a- Receipt# J (2 I Q Other 2d d 6 -77 40 Cash/Check# -/ 0 ?J 2O n / Total Valuation: /' _ � I r 3D- Initials v Or it Date /a9/o3 Estimated Cost (0d1 hO 0 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 res of or in consequence of the granting of this permit. I further agree to provide ac••e,a d right of.. try to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to t •applicant' p .perry or structure shall be requested and shall occur during regular business hours.' Signature: 1.J i ' L111V Date: 2P+ 03 OVER 10 H:HOME\PLNCNTR\INFOBLDG\FORMS\BLD.- 'tApplication 11-8-01 '� --------\ APPROVED PERMIT # BED 5'-: tp,. STORMWATER PLAN 0 3 - 0 2 6 9 ')1 JUN 2 2002 JEFFERSON COUNTY OCP 1 ' ` IEFFER •N�aUNTY JEFFERSON COUNTY `�& - v:�r'} cry, �"', G:, KV STORMWATER MANAGEMENT � 'f ®FIT.of(IRA i E ITV 0 11 sx;NAnr =/r- L PARCEL EROSION AND SEDIMENT CONTROL PLAN �', `� "'� 'OSION AND SEDIMENT CONTROL WORKSHEET pper�-,, Si— 3i/- 3 Property Owner. ��r1K.� ���/J ��Telephone: 1 Address: . ) �S (��1 �� 1 `-?)vU n11C'1(/VT 1 `7E 63 F �J 2 Assessor's Parcel Number: I d/ —O,SLY— l Building Permit or Septic Permit Application Number(if applicable): T 0 0 ---0 02 6 c Brief Project Description: RP W-A.Z'� Site Location: L! ( a LI 5 R o cori-- --tovaeu, Person Responsible( for BMP Installation and/ Maintenance: �'t t -- ,,,„,._(2..of,) Address: 7 / (j I /1)00/r`2 (�-1 Q�rc 1 ce o &UP l 030-6 Telephone: gfD0— 76S-37/L/7 I. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. ttach additional sheets, if more space is required. i f Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock . to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. R(/ Minimize the exte t of land disturbing activity and preserve existing vegetation. Preserve buffers o well-established vegetation between disturbed areas and property boundaries, roads, ter bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landsli a or erosion hazard area,etc.). SPESC Instructions—Short Form Revised July 17,2002 3 1 �} t � • • r e r APR ZS 2003 jSGS SION AND SEDIMENT CONTROL WORKSIIEET ""'"._. •-- JEFFERSON COUNTY [ ° ,►,f1,1{j, ,,):,.,-,. . t t irtt;vklY¢t tJls3 i1'a ti) mitt Isf Phase clearing so that only areas that are actively being worked are uncovered.— "'--�- [V Start and complete land disturbing activities and stabilize the site between April 1 and September 30. Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [] Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between j October 1 and March 31 and within 7 days between April 1 and September 30. bo--- Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. [fir Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [Place gravel base on roads,driveways,and parking areas after clearing and subgrade preparation. Protect adjacent properties and water bodies from sediment deposition: k]-Place straw or hay bales in ditches and drainage ways down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustrations from Stormwater Management Manual.) Orr Install a filter fence down slope from areas of land disturbing activity to filter runoT before it leaves the project site or enters water bodies. (See attached illustration fron Stormwater Management Manual.) JO' Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. s1Li �enc2 0 11157 116, Pc3 PC,"2_ i`11 I)oAl, -Two yg r)�5 47o 'r 5 2_ LA-'Ik.,c41-s '1-7-17 L�2 Iwo cif t, SPESC Instructions—Short Form Revised July 17,2002 4 4PP 29 zwo EROSION AND SEDIMENT CONTROL WORKSHEAFFt. N C UNTl1 DCC? 2. Describe how disturbed areas will be permanently stabilized(seeded,landscaped,apply gravel base to roadways,etc.) fY"� LAn S c. c NT- GOsvG/.. arJ .1 tlit SOrnnC_ GLp✓�2 (.✓i 4 ( - - -) /93 1 omecie 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate,dry well, infiltration trench,route runoff to existing drainage facilities,etc.). (.kf c tC2 �C� '�2 (;f')me) n/ G(S4erL p/ ((l �( � w el,t ?u SPESC Instructions—Short Form Revised July 17,2002 5 APR Z3 a" JEFFERSON COUNV DOD EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices.Describe proposed maintenance of BMPs. ne,,i7 ,Do.1) 2ov z xc �v 06– Do�� � ��ti� aa �� � 2 w/ ctr4k-A ,; 'fit –L�t� ` „ `•-• i'( f i wS �vz� rrl// L1�710 //�/ 1564Pivy f'�I CC7r✓GLvSI dw �� JV't ICIVI y . The Best anal- ent Practices proposed above will be implemented to control erosion, sediment, and storm . ,-r ru's i I will notify the Jefferson County for inspections a zrre uired.2� 03Si n:tare ofOwner/Agent Date • SPESC Instructions—Short Form Revised July 17,2002 6 I BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00269 Received Date 04/29/2003 SITE ADDRESS: 4932 SR 20 Issue Date 06/4/2003 PORT TOWNSEND, 98368 APPLICANT: GARY Y MC LUEN PHONE: (360)379-3695 MAITE MC LUEN 2033 E SIMS WAY #321 PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: 4 PARCEL NUMBER: 901054003 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORN DYKE RD QUILCENE WA 98376 Contractor's License: SEAHOSI077KS Expires: 11/17/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: MAIN SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: _at ,�� '7^-5-03 L9r(4�L Ti TO „c1.44G+tZ1P� [ ] Foundation: z 3 c " [ ] Underground Plumbing/Underground Insulation: /4 p1.,✓„1,5 ,DA Qt., 8=sb9 ims0/f Vc$.ri TOt3.di $11-07 15-r.— //Eiar 1 136j )42.1),:r.-(r -7..03 [ ] Shear Wall: .GCjc'T/i93O o7 [`1 Framing/ robing: /a,-ro-o.� f 1 Propane Tank/Lines:OR it 243 Orre- Li0 [ ] Insulation: f 1 Sheetrock: O/ 1/9/a9 f l Septic System Final Approval: �qco-(,JdapC (I) y/t01 o2- ] Z] Zoning Final Approval: 1 l Final/Occupancy Approval: ' /( 3 fir` --Per CDC 4. A4F' N < e ` HEALTH DEP RTM NT A ROVAL REQUIREDOR 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. SPECIAL CONDITIONS APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE # BLD03-00269 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 2, 2003 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: Level 1 Landslide Hazard Area (slight), Fish & Wildlife Habitat (Eagle), Susceptible Aquifer Recharge Area, Coastal Seawater Intrusion Protection Zone (SIPZ). 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) 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. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) Washngton State Department of Fish & Wildlife commented on the building permit application (MLA01-00429)and determined proposed development on this parcel was greater than 2,000 feet from an eagle nest and is not in conflict with Eagle Habitat. 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. 1 9.) VOLUNTARY MEASURES '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.) This parcel is mapped within a Level 1 Landslide Hazard Area (slight hazard). A site visit conducted by Development Review staff May 15, 2003 determined no defined top or toe of a slope exists within the vicinity of the proposed Single Family Residence. 12.) The minimum setback from adjacent forest lands was reduced administratively to 130 feet for this parcel during review of the single family residence (ADU) with attached shop (MLA01-00429). The Administrator has determined this applies to the proposed single family residence proposed under this application. 13.) 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). 14.) The applicant is proposing to create or add 6,739 square feet of impervious surface and 5,400 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Erosion and Sediment Control Plan. 15.) A Small Parcel Erosion and Sediment Control Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from SR 20 is 50 feet. Minimum side setbacks are 5 feet. Minimum setback from the Eastern parcel boundary adjacent to designated forest lands is 130 feet. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 19.) The parcel is a legal conforming lot designated as Rural Residential 1:20 under the Jefferson County Comprehensive Plan Land Use Map adopted August 28, 1998. 20.) A septic permit (SEP00-00265) was finaled April 10, 2002 for a system with capacity of 480 gallons per day. The associated critical area review (CAR00-00527)was finaled by Jefferson County Department of Community Development on 3/1/01 for the conventional septic system. 21.) A building permit (BLD01-00455)was finaled April 23, 2002 for a single family residence with attached shop. This structure is to become the Accessory Dwelling Unit (ADU)with approval of this application. Associated Consistency Review was conducted under M LA01-00429. 22.) SR 20 is a principal arterial road. The road approach is existing, and an address of 4934 SR 20 has been assigned to the parcel. Ammimmi 23.) Potable water is provided byonsite well (USR00-00094). A well locate. the area of the permitted drainfield was abandoned February 27, 2003 and documented with the County under USR02-00010. 24.) A minimum of four (4)onsite parking spaces are required for the single family residence and accessory dwelling unit (ADU). 25.) The revised site plan as submitted with the building application on May 22, 2003 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated June 2, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 26.) 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. i:1F_BLD_Permit_Buildng.rpt 10/29/1999 lJ I'cGU-n�_-517�__PLRN_-�J�flNF*IL-LD --LoCflTIQ�1 n APPROVED SITE PLAN JEFFERSON COUNTY DEPT. OF COM� 1,TIY( DEME LSIGNAT�R .1so .........