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BLD2004-00299
P • BUILDING PERMIT APPLICION MLA04-00257Review Type: i Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00299 Received Date: 5/7/2004 SITE ADDRESS: 151 OLD ANDERSON LAKE RD CHIMACUM, 98325 OWNER: RICHARD L GIFFORD PHONE: (425)417-9330 PO BOX 304 CHIMACUM WA 98325 SUBDIVISION: Block: Lot: T 57 PARCEL NUMBER: 901104019 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE ABOVE GROUND 120 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,657 VALUATION 282,873.00 ADD'L: 924 HEAT TYPE: OIL CODE EDITION: 1997 HEAT BASE: 372 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: SHORELINE: CONST TYPE: 5N GARAGE: 1,285 SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain F&W Landslide Routing Date: t � � (2J , `� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: e Stec E Permit $2,018.55 KAS 05/07/04 64331 Plan Check $1,312.06 KAS 05/07/04 64331 JUL 2 0 2004 State Building Code $4.50 KAS 05/07/04 64331 Potable Water Application $52.00 KAS 05/07/04 64331 Jefferson County Planning & Building Department Total: $3,387.11 CoLQ ui A O(..Q- 0 S BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00299 Received Date 05/7/2004 SITE ADDRESS: 151 OLD ANDERSON LAKE RD Issue Date 07/20/2004 CHIMACUM, 98325 APPLICANT: RICHARD L GIFFORD PHONE: (425)417-9330 PO BOX 304 CHIMACUM WA 98325 SUBDIVISION: Block: Lot: T 57 PARCEL NUMBER: 901104019 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ABOVE GROUND 120 GALLON PROPANE TANK REQUIRED INSPECTIONS: [y,]„ SETBACKS: R'2 -a/ I] UFFER: 1 I Pil. •0 4 [yi Footing: I g 2-0 V ECEN For '1 OK l l'/ l 1 �tAl�t d �+ GaAlde}�flin bc] FOundatlon: to-oi c...k, ETU Fce 134Y1us toe$, otiC O �/ � 1 yl� �' w/ccx��x Stormwate FINAL Approval: X I/a514 Underground Plumbin :�_A.Q-p [[ 4 Underground Insulatio — [X] Shear Wall :' 1— pLe o - - i A' jx] Framing: eitk 9�l/46 Plumbing: eV< 9/0 Ai hi-�AT 11,E?,9-cS-t>?� aS 1 Propane Tank/Lines: ,V '1tAF6--1Sk , Vi-t�iN�i 4,7„AM1C.9-9-05" Insulation: ®K 9-9-os Sheetrock: OK Lj5/oG j Septic Sytem Final Ap ro al: Road Approach Final Approval: [ ] Zoning Final Approval: fa_ Final/Occupancy Approval: D,k. iti y G HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. 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 SE t BLD04-00299 ' 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 11, 2004 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 I Landslide Area, Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 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.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 7.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock(Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow(Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 8.) 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. 9.) 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. II 10.) Prior to and during approvenstruction activities, the perim eter eter of the I slide 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." 11.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 12.) 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. 13.) 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. 14.) The applicant is proposing to create or add 1678 square feet of impervious surface and 1757 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal shall adhere to Best Management Practices (BMPs). 15.) 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). 16.) The site plan as submitted with the building permit application on May 7, 2004 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 15, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 17.) This approval is for a single family residence with attached garage 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. 18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 19.) 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). 20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 21.) The building height is not to exceed 35 feet. 22.) Minimum setback from Old Anderson Lake Rd right-f-way is 20 ft. Minimum side and rear setbacks shall be 5 ft unless an environmentally sensitive area (ESA) exists, then the stricter setback shall apply. 23.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 24.) A septic permit(SEP04-00110) was approved on June 28, 2004 for a tank only permit. 25.) Old Anderson Lake Rd is a local access road (C522009). The road approach is existing and an address of 151 Old Anderson Lake Rd has been assigned to the parcel. 26.) A boundary line adjustment permit(SUB04-00010)was finaled on July 15, 2004. The final mylar was recorded under AFN 486957. 27.) A minimum of two (2) on-site parking spaces are required for the single family residence. 28.) The project shall comply wit'llConstruc i p Y ton Stormwater Pollution PreventWPP) 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. 29.) Potable water is provided to this parcel by an onsite well. 30.) A Well Operation and Maintenance Agreement was recorded under AFN 484204, filed of record May 7, 2004 with Jefferson County Auditor's office. 31.) A Declaration of Well Easement was recorded under AFN 485098, filed of record May 28, 2004 with Jefferson County Auditor's office. I:\F_BLD_Permit_Bu ildng.rpt 10/29/1999 4 © c � Jethro'Cou of Commemity Doyolopinont � � , i °&, 821 Shan Strut,Port Townsend WA 8�8[380]378-4450 ti = � e Prmo 0 0 _ 0 Cat 0 on u A?? - 0 . ‹,,,s. ,„N.,c. Project Description: Building Type: Project Type: Frame Type: Single Famil X New lyq'Wood Garage ch Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units 0 Demolition ,, Other: -4 .-' ''❑ Industrial ❑ Other. Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: RYisting: Existing: ❑ Sewer ❑ Community System ❑ Electricity A Oil Proposed: 3 Proposed: 3 ❑ Individual System ❑ Woodstove $ Propane Total: 3 Total: 3 If not sewer,fill out the following: 44 Heat Pump Conventional 0 Alternative 0 Other Permit# SEP CIS—DO/--?- Water Supply: ❑ Private well F( Two Party Well❑ Public:Name of water system: Square Footage: f Q � � For Office Use Only Main Floor / �S7 }�D / • l Consistency Review Q .QQ 2ND Floor 9z N k`g f L• 1 Z. Base fee 2 O 1 g•SS 3rd Floor I 3 I2•, -, � Plan Check fee—GJr% Htd Basement3 2 `�`��z State Surcharge fee 14-, Unhtd Basement / z 11 ---. l �� {vO.['�'�.., Subtotal 3 'B3. I l t Garage/Carport aQ�� `� Cl CJ Pot Water Review fee B�j •00 Decks �`l / 911/Rd Approach fee • i7Cl9(1 9D 6,-- Commercial -,1 77 TOTAL (,K, I l Industrial Receipt# to4 3?jI j Other { Cash/Check# r2-1 S.— Total Valuation: Initials Para Or Date Vt1 [D�D �_ Estimated Cost: 2 ) d cx9 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 result of or in consequence of the granting of this permit. I further agree to provide access an. '.ht of entry 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 9th canes property or struc h be r ue ted shall occur during regular business hours. Signature: — Date: y"72 V OVER O H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 �� • • .•• . •r. 14" 16.-ir / / / / 4' /L, 4'-tY' r.. v_an. •I' 1.-W 2'4" • leS-0" ...' 9.-8," 3'-6` if 01IN.) / 1..: • 1> ... 1 1 2gt, i TT! Otr] 1 -----t---- 1,----- -It- 6'4-§:zi . • z P-,-, —I I I ® 3 xt tg i 11 \-, • k I I • . . 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Ti. aRCRR T ® y G IFFORD RESIDENCE �ISIONs mu so 1�1Y10 ' �mu DLGCI•PTIDN omit..151 OLD ANDR50N LAKE RD � I. D4TE �'� �' � ^# CNIMACUM, UJASI-I, 98325 9.p g\`A Pla��.rtl. L L 04/12/04 AWN INTERNATIGNAiL = 9. �J I1191 FIORD DRIVE NE. PH.36®_,79-6� FAX.960-691-5400 LOFT FLOOR PLAN 100-04 -3D-05 SMITE N-140 - :S PCULSI50,WA 98310 EMAIL:MFo.aionus