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BLD2000-00212
• BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 (800) 831-2678 PERMIT #: BLD00-00212 Received Date 04/3/2000 SITE ADDRESS: 1015 VAN TROJAN RD Issue Date 04/13/2000 CHIMACUM, 98325 Expiration Date 04/13/2001 APPLICANT: BRIAN HORNER PHONE: 2159 IVY (360)379-9031 PORT TOWNSEND WA 98368 SUBDIVISION: FAWN MEADOW Block: Lot: 1 PARCEL NUMBER: 901225001 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License: BISHOBCO93D6 Expires: 12/14/2000 LOAN LENDER/ WASHINGTON MUTUAL BOND HOLDER: RALSTON/RALSTON PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] (Footings/Setbacks,(Shoreline Setbacks): 11 r 1 7? 5/�- 007 [ Foundation: OK ,77,14 C':0,..✓, "^l —cc) [ ] inderground Plumbi iJnderground InsZulation z%r e}. < <x ? /g--cry . [ ] Shear Wall: [ Framing/Plumbing: 69( cvisiciQ,77// [S'] Propane Tank/Lines: u i fi 3c0 P„--(DO [t]/ Insulation: L. 4{-7 C., Sheetrock: /� ��30 pd r7 [ final/Occupancy ApprQ L: OI I !7- (--) HEALTH DEPAIfTMENT 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. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00212 Received Date: 4/3/2000 SITE ADDRESS: VAN TROJAN RD CHIMACUM, 98325 APPLICANT: BRIAN HORNER PHONE: (360)379-9031 2159 IVY PORT TOWNSEND WA 98368 SUBDIVISION: FAWN MEADOW Block: Lot: 1 PARCEL NUMBER: 901225001 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBC093D6 Expires 12/14/2000 ARCHITECT/ FOUR SEASONS ENGINEER : 619 S CHASE STREET PORT ANGELES WA 98362 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,400 VALUATION 154,613.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 1,192 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 912 CONST TYPE: SETBACK: DECK: 340 n n ! BANK HEIGHT: CM—��t SEWAGE DISPOSAL: ALT 'f�1[�1 , WATER SYSTEM: PWELL ST.ORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland /UE P Erosion NQ Exist: Exist: Seismic Streams IJU Prop: 3 Prop: 3 Flooding Landslide J- �E lfq Pa.t-t-, Total: 3 Total: 3 F&W Plat Conditions Routing Date: Shoreline t)6 Aquifer ' ( �a A Forest: Commercial /Q0 Rural AA,a.to.4-4-0 Q0 Proximity_ vvx vvel N cA Type Amount Paid By: Date: Receipt: . . Apr ved/Date .. Permit $1,301.75 MAM 04/03/00 27161 rjt cal Area Plan Check $390.53 MAM 04/03/00 27161 State Building Code $4.50 MAM 04/03/00 27161 Review '/- 7 6/ „af Potable Water Application $30.00 MAM 04/03/00 27161 Total: $1,726.78 Stormweter Pl` Ran Z//3G6I we 1:1F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Developr ent December 17, 1999 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 BINDING ADVANCE DETERMINATION FINDINGS AND CONDITIONS OF APPROVAL JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE Applicant: BRIAN HORNER 2159 IVY PORT TOWNSEND WA 98368 (5 ((a E l!, E Critical Area Review Case Number: CAR99-00452 APR - 4 no Project Description: Single family residence. ` Parcel Number: 901225001 S-T-R: 22-29N-01W JEFFERSON COUNTY Site Address: VAN TROJAN RD DEPT. OF COMMUNITY DEVELOPMENT CHIMACUM WA, 98325 FINDINGS: In accordance with the authority under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on 12-7-99 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: wetlands, landslide hazard, streams (type 4,5 on west side), susceptible aquifer recharge area, adjacent rural forest land. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 12-3-99 and confirmed the existence of the following critical areas and/or their associated buffers on the property: adjacent rural forest land to the north. 3.) The proposed building site is located out of wetland areas or buffers, landslide hazard areas or buffers, and stream buffers. 4.) Aquifer recharge areas in Jefferson County are characterized by porous geologic 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. 5.) Susceptible aquifer recharge areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. This includes any portion of Jefferson County with a DRASTIC index of greater than or equal to 180 points as determined using the U.S. Environmental Protection Agency DRASTIC methodology: Drastic: Standardized System for Evaluating Ground Water Pollution Using Hydrogeologic Settings (EPA 600/23-87-035). 6.) Designated long term forest lands are located on the north adjacent property, on which a variety of forest related activities may occur that are not compatible with residential development. These activities include spraying, pruning, harvesting, blasting, drilling, rock curshing, and vehicle movements, which can generate dust, smoke, noise and odor. Forest or mining activities performed in accordance with county, state, and federal laws are not subject to legal action as public nuisances. 7.) Designated rural forest lands are located on the northern adjacent property. According to the Jefferson County Interim Forest Lands Ordinance (Ordinance No. 01-0121-97), buffer and development restrictions are required on property located adjacent to designated forest lands. Please refer to the attached letter regarding buffers and development restrictions for this property. This binding advance determination is issued subject to the following conditions. CONDITIONS OF APPROVAL: 1.) A setback (buffer)of 15 feet, measured perpendicul_-ly from the ordinary high water mark along the banks of streams on the parcel shall be permanently m2j.ntainel`r as a fish and wildlife habitat area. 2.) Fish and wildlife habitat area buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, replanting with native vegetation shall be required by the Critical Area Administrator. No alteration shall be made to the fish and wildlife habitat area buffer without prior authorization by the Critical Areas Administrator. 3.) All construction activities, including the storage and preparation of materials, shall not encroach upon the designated fish and wildlife habitat area, its associated buffer, or any critically important plants and trees identified on the subject property. 4.) Development (building) permits will not be issued until required forest land submittals are received and approved as per Ordinance 01-0121-97. �a �( Y/IQ/ O Warren Hart, Mana tannin9 9 er Date Department of Community Development I the undersigned hereby agree as to the presence of critical areas on the subject property as outlined above. I understand that no alteration of the critical areas or their associated buffers is allowed unless specified in the conditions above. According to the provisions of the Jefferson County Interim Critical Areas Ordinance, the presence of threatened or endangered species may alter the critical areas and/or buffers present on the subject property. Please sign and return to the Department of Community Development. ) CYO Applicant's Signature Date) c: File JOHN SWALLOW I:\F_CAR_BindingAdvDet.rpt 12/13/99 APR - 4 2C00 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT l 3 ECEIWEIR RE: BUII.DNG PERMIT APPLICATION NO. APR 10 2000 PROPERTY OWNER ) (Please P *nt) frikjS- l L... PMENT LEGAL DESCRIPTION Ia- I OF- GkWO bikA 7S 4: �lmj l SFATldOS 21#22 st-i,2 2 62+ �(' Nl--� t LJ PS.i U . • N` O l vvvl� 'l_'V Sv QV et-4J 512 ll-1 17 sITEU ass C.i v\V W u ag3a CONSISTENT WITH TI-E REQUIREMENTS OF JErrERSON COUNTY LNTERMIN FOREST LANDS ORDINANCE (ORDNANCE NO. 01-0121-97), I AGREE TO PROVIDE ADEQUATE ACCESS FOR FIRE VEHICLES TO THE AFOREMENTIONED PROPERTY. SIGNATURE OF EACH PROPERTY OWNER 1t7i * . A This form does not need to be notarized Please return to: Jefferson County Permit Center, 621 Sheridan Street, Port Townsend, Washington 98368 0. BUILDING PERIIiiT ,ro LICATION Jefferson County Department. of L ..nmunity Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00212 sd 1015 Received Date: 4/3/2000 SITE ADDRESS: VAN TROJAN RD CHIMACUM, 98325 APPLICANT: BRIAN HORNER PHONE: (360)379-9031 2159 IVY PORT TOWNSEND WA 98368 SUBDIVISION: FAWN MEADOW Block: Lot: 1 PARCEL NUMBER: 901225001 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)385-2441 PO BOX 417 PORT HADLOCK WA 98339 Contractor's License BISHOBCO93D6 Expires 12/14/2000 ARCHITECT/ FOUR SEASONS ENGINEER : 619 S CHASE STREET PORT ANGELES WA 98362 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,400 VALUATION 154,613.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 1,192 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 912 CONST TYPE: SETBACK: DECK: 340 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL STORMWATER: YES NO AREA BEDROOMS: BATHROOMS: Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 3 Flooding Landslide Total: 3 Total: 3 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity , _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,301.75 MAM 04/03/00 27161 P P R.O E D Plan Check $390.53 MAM 04/03/00 27161 State Building Code $4.50 MAM 04/03/00 27161 APR 1 3 2000 Potable Water Application $30.00 MAM 04/03/00 27161 \ (/ Total: $1,726.78 / J�ffia son Co my Plat nine & F3wi1drn Depart. e ti I:\F_BLD_App_Bld.rpt 10/29/99 4 'Dit, Ifrrson County Department of Connnlndty Dovokpmilnt °°C 621 Sruridan Street,Port Town :nd WA 88368[360]378-4450 W \''=e. *' 0 0 0 , . permAoyo p _ @ccitzni,on Project Description: Buildin Type: Project T e: Frame T e: / Ingle F. L ood e ktt(Wd/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 1 ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: 3 Proposed: �� vidual System c.,iev 9.9_(3 ❑ Woodstove ropane Total: Total: If not sewer,fill out to following: ❑ Heat Pump �, ❑ Conventional ❑ Alternative ❑ Other M. f�d€ Permit# SEP Water S ly: nvate well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor 1 Vo U `W1 UBC OCCUPANCY GROUP 2 Floor Base fee 1('x i 'l f 'S; 3rd Floor Plan Check fee;r '`1 9( , S 3 915 rS 7 Htd Basement /�� (.053�i St e�urcharge fee .o.u_m_-- 1,. Si)* ' Si) Unhtd Basement Subtotal "`r, , . i 9 (o i 6 Z /ara /Carport 9/e2 t 2,3(0 '1 I Z° Pot Water Revie ee t �� 1 Decks 3 5l0 l.` 911/Rd roac e ©6 1 . Commercial TOTAL 1 —? SC.-1 , . Industrial Receipt # '''' a-i ( ( ,,,,,,,, Other --� C'ash/Check# ot ,..S.iCl , :tal Valuation: Initials Date Estimated Cost: 15 —1 CFI If within 200' of the Shoreline,_.----- Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 1 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 attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: do P �,4 Date: /'a'J,d) (\ ;1•••:-., -- • K '- .,„N oo/ A773 - . .. 00E . .. r' Iv/111'0V 14/A . ... , . . ......,...---• . ....,..... 53,1Y1°- ---------4-0- lifr --fi PAro /4/i Th / I \---•-..) ".. C.C' / (n N 74. „ ,r, , ,, ca,5-a- / -/,/...-- ,,,, ( -: r' . )•.) "; N - )1 k 35/7014 (-. N.c.) '1O, •ci vil 7 M / 6Q. cz ,1- — • '-" tk:i n---.......... 11 IV— _': -...,..i MAT/ (1.1 f111v17.1J12.1_1 18 -771(0 57,1r4/3 t'oto0a . _ . ...,.... . 11 _ . , I , ...' 10. 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