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HomeMy WebLinkAboutBLD2000-00312 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 #: BLD00-00312 Received Date 05/18/2000 SITE ADDRESS: 684 BLUE SKY DR Issue Date 06/8/2000 PORT TOWNSEND, 98368 Expiration Date 06/8/2001 APPLICANT: PEGI KOBELA PHONE: (206)246-6666 GLENN BRINK PO BOX 66146 SEATTLE WA 98166 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: 5 PARCEL NUMBER: 001195105 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: ROWE CONSTRUCTION PHONE: 385-2073 6104 FLAGLER RD NORDLAND WA 98358 Contractor's License: ROWEC**074JQ Expires: 04/18/2001 LOAN LENDER/ CBIC BOND HOLDER: PROJECT DESCRIPTION DETACHED GARAGE & LOFT REQUIRED INSPECTIONS: pi" Footings/Setbacks (Shoreline Setbacks): "")/t z JZ/ ] Foundation t K J [ erground Plum g a Underground Insulation: e i c%c Aix/v✓71xoz [t]�Shear Wall1/S/.._ c2 /3 a' I 4.4.4,42__Gtio-eSL [�] r.rAL___71 in) h K t` _/c//ai [ ] Propane Tank/Lines: - u C` C+.v),aL z CO- �tr513 , e;K647_3.-fr.,11GI [ ] Insulation: [ ] Sheetrock: 1-1 Final/Occupancy Approval: �3� °' �a -/'t O/ HEALTH DEPARTMENT 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 #: BLD00-00312 Received Date: 5/18/2000 SITE ADDRESS: 684 BLUE SKY DR PORT TOWNSEND, 98368 APPLICANT: PEGI KOBELA PHONE: (206)246-6666 GLENN BRINK PO BOX 66146 SEATTLE WA 98166 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: 5 PARCEL NUMBER: 001195105 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: ROWE CONSTRUCTION PHONE: 385-2073 6104 FLAGLER RD NORDLAND WA 98358 Contractor's License ROWEC**074JQ Expires 04/18/2000 ARCHITECT/ TRACY BRINK ENGINEER : 441 BURNETI AVE S RENTON WA 98055 PROJECT DESCRIPTION: DETACHED GARAGET TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 18,900.00 ADD'L: 520 HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,370 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity - Flat Conditions Type Amount Paid By: Date: Receipt: Ap roveate Permit $307.25 MAM 05/18/00 30884 APPROVED Plan Check $92.18 MAM 05/18/00 30884 State Building Code $4.50 MAM 05/18/00 30884 JUIV 0 8 20O0 Total: $403.93 Jaffarsun County f'l :r, ,,7 z:, z I:\F BLD_App_Bld.rpt 10/29/99 i i ' BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00312 Received Date: 5/18/2000 SITE ADDRESS: 684 BLUE SKY DR PORT TOWNSEND, 98368 APPLICANT: PEGI KOBELA PHONE: (206)246-6666 GLENN BRINK PO BOX 66146 SEATTLE WA 98166 SUBDIVISION: DISCOVERY RIDGE DIV III Block: Lot: 5 PARCEL NUMBER: 001195105 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: ROWE CONSTRUCTION PHONE: 385-2073 6104 FLAGLER RD NORDLAND WA 98358 Contractor's License ROWEC**074JQ Expires 04/18/2000 ARCHITECT! TRACY BRINK ENGINEER : 441 BURNETI AVE S RENTON WA 98055 PROJECT DESCRIPTION: DETACHED GARAGE & LOFT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 18,900.00 ADD'L: 520 HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,370 SHORELINE: CONST TYPE: DECK: SETBACK: 6�° � BANK HEIGHT: 0 _,r,l 0Qj� SEWAGE DISPOSAL: CMY f O V 1 WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATE :P,YES NO AREA � Exist: Exist: Wetland '� Erosion Nu Prop: 7 Prop: Seismic 1`0 ' Streams ' Total .._. Total: Flood Way tJ U Flood Plane -- F&W 4J 0 Landslide -.r— r cr Routing Date: Shoreline 11/4'0 Aquifer z (Luz-pc Forest: Commercial f Rural rrtt ' Type Amount Paid By: Date: rr eceipt: Approvea�ateons Permit $307.25 MAM 05/18/00 30884 Plan Check $92.18 MAM 05/18/00 30884 Cf , State Building Code $4.50 MAM 05/18/00 30884 Review Total: $403.93 (/j �,,{J , 77— StatroW Ratildied l / 77 i I:\F_BLD_App_Bld.rpt 10/29/99 SPECIAL CONDITIONS FOR CASE BLD00-00312 1.) This permit is approved based on non-residential sleeping purposes. This is NOT an ADU! I:\F_BLD_Permit_Buildng.rpt 10/29/99 Jefferson County 1 ,I artment of Community Development 4� oN °° 621 Slmridan Street,Port Townsend WA 88368[3601378-4450 r�` Y ?Eromo Apk © o _ acat@on 1 1 Project Description: Building Type: Project Type: Frame Type: ❑ Single Family ik New ' Wood .? Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer .K Community System ❑ Electricity ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Woodstove Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: pi(-1) Square Footage: For Office Use Only Main Floor 4Za5 f % �1' c 1; +OC UBC OCCUPANCY GROUP 2ND Floor ,f,-Z. L' 52 coBase fee l .5 2.7.3,Z") 3rd Floor Plan Check fee' , ._ ' �fIF• 8 Htd Basement State Surcharge fee I P c. sd Unhtd Basement Subtotal ' �,), ,'}5 rl Garage/Carport Pot Water Review fee eL,` rl t Decks 911/Rd Approach fee pp ,, � o 0 . Z U Commercial TOTAL lir 3, 9t 3 hA '1'►-5 Industrial Receipt'# _tk- Other �Gj - / /n`� a cash/check# ''v Total Valuation: I Q 9 110 2 ` Initials (....:$ Or \ Date Estimated Cost: 14 If within 200 of the Shoreline, 6-7 Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 0' 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 rm c, 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 e rson 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 o the granting of this permit. I further agree to provide access and ci f entry to Jeffe on 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 app'ant's p ' my or st e shall be requested and shall occur during regular business hours. r, Signature: 1-e-L.----" Date: %.--/f.t-1 I • • STORMWATER CALCULATIONS Owner/Applicant: r _ ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: /E S!<y i v Drainfield area cleared sq.ft. Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: et / /5 > (G 5 = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance Zo 0 J sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 6 v sq.ft. ❑ 1. North arrow Existing Structures (all roof area) 3 0 C) sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. O 4. Driveway/s & parking spaces Proposed: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. O 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface 4g.90 sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: ❑ 8. Wells and/or water lines • Construction Access Route Stabilization: 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with ❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 0 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned ❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, O 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base ❑ 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices (BMPs). • Maintenance: O 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of O 16. Top of bank, if over 10 feet high their intended function. O 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PL N CN TR\F0 R MS\PLOTPLN.FR M9/97 • Jefferson County Department of Community Development March 3, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE Applicant: PEGI KOBELA I GLENN BRINK i ! i l PO BOX 66146 `I SEATTLE WA 98166 ' 1 Critical Area Review Case Number: CAR00-00090 DEPT. OF COMMUNITY DEVELOPMENT Project Description: Single family residence Parcel Number: 001195105 S-T-R: 19-30N-01W Site Address: 684 BLUE SKY DR PORT TOWNSEND WA, 98368 FINDINGS: In accordance with the authority provided 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 3-2-00 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: landslide hazard (low), susceptible aquifer recharge area. 2.) 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. 3.) 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: A Standardized System for Evaluating Ground Water Pollution I Icing I-Hy drngeologi.c Sottingc (EPA 600/23-87-035). 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. This waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the following conditions. Any deviation from these conditions shall result in this waiver being revoked and the application becoming subject to further review. CONDITIONS OF APPROVAL: 1.) A vegetive buffer of 30 feet shall be permanently maintained from the top or edge of the landslide hazard area(steep slope). All buffers shall be measured perpendicularly from the top of the landslide hazard area. 2.) Landslide hazard areas and their associated 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 landslide hazard area or its associated buffer without prior authorization by the Critical Area Administrator. 3.) Surface drainage shall not be directed across the face of a marine bluff, landslide hazard or ravine. If drainage must be discharged from a bluff to adjacent waters, it shall be collected above the face of the bluff and discharged to the water by tight line drain and provided with an energy dissipating device at the shoreline. A shoreline permit is required to discharge water at the shoreline. 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 Native Vegetation." 5.) All construction activities, including the storage and preparation of materials, shall not encroach upon the designated geologically hazardous area, or its associated buffer. 6.) Damage to vegetation to be retained on site shall be minimized by directional felling of trees away from these areas. 7.) The applicant shall permanently separate the boundary of the landslide hazard area buffer from the remainder of the subject property through installing and maintaining one of the following; logs, trees, a hedge row, or other prominent physical marking. The separation method identified by the applicant shall be approved by the Critical Area Administrator prior to planting or installation. 8.) The proposed development shall be located on the subject property exactly as identified on the Universal Plot Plan, or other Site Plan, approved by the County as part of the triggering permit application. Applicant shall be responsible for contacting and notifying contractor(s) of the above conditions in order to ensure compliance at various stages of construction/development. nVIM 3 f//ADO Warren Hart, A CP Date 1 Critical Areas Administrator I understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is made subject to my complying with the above listed conditions, and that any violation of said conditions shall result in revocation of the permit or approval and further review of the project under the Critical Areas Ordinance. Please sign and return to)he Department of Community Development. -b Applicant's SignIture Date c: File I:\F_CAR_Waiver_W_Conds.rpt 12/13/99 .-QECE11WE LI MAR - 9 2000 JEFFERSON COUNTY DEPT, OF COMMUNITY DEVELOPMENT • JEFF JEFFERSON COUNTY STORMWATER MANAGEMENT 0' III • CE SMALL PARCEL EROSION AND SEDIMENT • ►__ ' 91�:,..�•"' EROSION AND SEDIMENT CONTROL W•r��'i Ti 72 / 7 Property Owner: -n= a� z�n i\lit_ l<'iiT`el lephone: ,ZeZ- Zc C -6 G G Address: 4Icr ( ( .J1 -777_ ( in/ (-z()%,/ 5'B/C, Assessor's Parcel Number: G'C ! - /c.5 Building Permit or Septic Permit Application Number(if applicable): - i_a� clC' OC/,Z/ Brief Project Description: 3 ,="2,g--t Jc c'�c -/AI(I", r7? c i tE 6 2 c,,a G ri G c= Site Location: 6? Z_ �r< r v-2,:: y l / Person Responsible for BMP Installation and Maintenance: -/Ai,vE?S (c'ti 74-C'D w /2-rt(7. s'),f>w� Address: 4/ 70 /L,46 L 44- /L Lf3-n- , Telephone: fir'd - 38 s - 2c 7 3 1. 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. Attach additional sheets, if more space is required. 1,y 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. M Minimize the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas landslide or erosion hazard area etc.). — - p CCLOWC l- C c, +s sl a Inst ct — grin Revised June 3, 1999 JEFFERSON COUNTY 3 DEPT. OF COMMUNITY DEVELOPMENT __ e ,,._ EROSION ANI) SEDIMENT CONTROL WORKSHEET [� Phase clearing sd that only areas that are actively being worked are uncovered. Fr 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 October 1 and March 31 and within 7 days between April 1 and September 30. [,' Cover exposed soil with a minimum of 2 inches of straw or hay or other material approved for this purpose. pi Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines. [LI/Place gravel base on roads, driveways, and parking areas after clearing and subgrade preparation. kr Protect adjacent properties and water bodies from sediment deposition: [] 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.) [ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies. (See attached illustration from Stormwater Management Manual.) [‘V 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. 0� SPESC Instructions—Short : 114 NOG `< Revised June 3, 1999 Fco 0 EROSION AND SEDIMENT CONTROL WORKSIIEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways,etc.) `4 cirl,c-�- ...c.,G7,4..,c'e�. 6,--:.\ `CSC.: 1,<---<=4--- - (' ) 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.). ,.... Lt d,-C - e,e, , •aLt• u) a 1 et,„ L &- 0 / 4" l S a ' \J am1 '''''l O SPESC Instructions—Short Form co,f�G/P/7���;y // Revised June 3, 1999 FOo 5 r„ .� ' v 4 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. f u/A-A-6-4_,,,,,c: ,/ 4 ,,,,,,,4...e4,,,,__ ,,„,..,..i._ ...,e,,,,,,_.,,, ,,?,_..6--,-,_ "...f.,v,_, - z,,_,,,,_,..,_ A...,_,<„, ---_. 5 ,,,e,\/24_,. L _ 2,7v1 ZU-L/Ley- ,GCf-cam l V / - Yip v — //C- L/-c--) , ell , / C-t e,C G.G2- it__ 4,-7 ,l1 fri''7_ Cc___, �-1--G7L P�K-,[ ,--Cz.��t � �1z2 ode-Z_.c-,./- . The Best Management actices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I wi notify the Permit Center for inspections as required. t- Z ,Z 7-Ov Signature of 0 er/ gent Date O e,/, ,-,,,,„„:, , . 0 ,,,.3 4,:. .,,,,,,, \ /: .., ,., ). •O,r✓F `c9 CI SPESC Instructions—Short Form Revised June 3, 1999 6 1 1 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 AREAS QUESTIONNAIRE PP A licant Name 2:ITICAL ✓Building Application Land Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application _ Other: 1 . Is there any standing or running water on the surface of the _ Yes ; /No property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been _ Yes ✓No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present _ Yes ✓No on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any _ YES I✓ No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) gogggg / iI /I // / / I / / / / / , , I i i iiiiii �i' i i i i / „ iiiii , , '� / I I / / / , ,/ ,, iiiiii , '� '� fl iiiiii , fir , i..-_ _- ------i7 (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? — YES V No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES /NO surface of the ground? If YES, please describe: 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 and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspeq.t,ons. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature / Date FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: E Frequently Flooded Area ❑ Fish & Wildlife Area 2 E Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 Jefferson County Department of Community Development co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Y Iszrys $ Universal Plot Plan 0 Fill in the following blanks as completely as possible: Project Description: 7 / / 9 Digit Parcel Identification Number (from your tax statement): Cc) / /, /1 Site Address 911#: Road Name: -3 Y !-�: L'L Zip Code: j �r Legal Description Subdivision Name: —(-)isc 6 vac � � U i// Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): j-V� f/c 2 - Property Owner: / Phone: dii2.i1 C�-z(L-r,1A) 'j,'r r 2 e-4- '/G 6-U G, Mailing Address: Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: /---12 i / itc�� Phone: 5 � �;_ 20-7 3 Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: I Phone: Nk 8P4 6'2 057 / Mailing Address: r 41`71/ t,1 '/00.77 'i�'L ..1 L �7t C� E/Z`i 75 Ct/ sL Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan AINNIMINIIMI ` — BLUE SKY DRIVE sl 0 0L= 20I.018' rn9 0 R= 427.00' 0 27dO6 07 0 ____________________ 0 20' FRONT YARD SETBACK LINE > -- XI IX X i 0 -N u) D X i IO amp I> l rn ri Fri u► O O 0 ��L�L Pi A c cirn Y I� I�O 0 �� �ut X 7 1U' rn \./ 00 rn 0 -( < rn o_ A rnCI p-C. 0 0 CI y 0 y\\ i 'o. <rri � - / 2 0 ‘ \ 6 n rnti :: -\ i iii.• — lcrvi, ,,,i-,. . "--- 0 / a z 28'-6" / I \ UU-- -Ix 2 lP (n c 'i Oprn rn 3 C �� % \ rnrnH d a rnU �U / D < �► z U) (P -I z D tv • pern D � A 0 • � na ZTiW T i 0 a l Fri � o D0C\ Ui -� � 0 rn z _ 01 d � � Orn0 z0 N 6 0 UU ni 0rn rnA 3 z - IS ° O ain rn > O A rn O (Ti rn v� 7 _ SOP OF oe -a A r 0 • 0 x -3 rn \/ I I ______________ 5' WIDE _ RI=A=RD_ET AGK S 5D17'33" E t 211.24, ___________ k v I. 6• MIN. CLEARANCE BET EEN WOOD AND EARTH, 12• MIN. CLEARANCE BETWEEN FLOOR BEAMS AND EARTH, 18" MIN. CLEARANCE BETWEEN FLOOR JOIST5 AND EARTH. 2. ALL WOOD IN CONTACT WITH CONCRETE TO BE PRESSURE TREATED. 5. PROVIDE A &ROUND COVER VAPOR BARRIER OF MIN, 6 MIL. 4. UN X-95 A SOILS INVESTIGATION BY A GtUALIFIED SOILS ENGINEER 15 PROVIDED, FOUNDATION DEVON 15 13A5ED ON AN A55UMBP AVERAGE 501L BEARING CAPACITY OF 2000 PSF. EXTERIOR FOOTINGS SHALL BEAR I'-&" BELOW FIN161-1 &RADE. ALL FOOTINGS TO BEAR ON FIRM UNDISTURBED EARTH BELOW ORGANIC SURFACE 501L. BAGKFILL TO BE THOROUC+LY' COMPACTED. ELA 3• ®I 4Xb P05T ® I TYPI GAL o �m IL — SLAB EL.O' I FDN. HT. I I I A TYP. I I I I I it II 1 1 12• THICKENED EL-A-8 II II A4 I I I SLAB ON GRADE I I - 4" CONCRETE SLAB ON GRADE I I 1 SLOPE FRONT TO BACK 1 I I I I II II �� II I I II o° III ,II X U I — — — — E L A+b I ry _ _ I( E L . 0 I — — — — 7 2 5.-3• 36"X 10" CONT, FT6, J I 8" W' F°" `"A`'' SLAB ON GRADE z4" CONCRETE SLAB ON 5RADE U. A4 O SLOPE FRONT TO BACK II 5LA5 L EL. +q ` �— �� 15 CHAN&E D5. FDN. HT. FOUNDATION PLAN SCALE: 1/4, = 11-0" m in n O fV OENERAL PLAN N07E5• 1. WINDOW SIZES ARE NOMINAL WxH (VERIFY R.O. DIMS. W/ MFR) 2. WINDOW HEADER HEIGHT PER ELEVATIONS. 3. EXTERIOR WALLS TO BE 2X4 STUDS AT 16' O.G., INTERIOR WALLS TO BE 2X4 STUDS AT I b" O_G., U.N.O. 4. FIREBLOCK ALL PLUMBING PENETRATION5 AND STAIR RUN5 PER UBG SEC. 7062. 5. 5AFETY GLAZIN6 AS PER UBG SEC, 2406 6. ALL W000 IN CONTACT WITH CONCRETE TO BE PRESSURE TREATED. BU I LD I NC AREA SUMMARZ r MAIN FLOOR 6ARA6E: 5-5.0 S.F. MAIN FLOOR SHOP: 500.0 S.F. MAIN FLOOR BOAT: 420.0 5_F. TOTAL BUILDING AREA: 12415.0 S.F. leei'sLO P('qn) PROJECT NAME BRINK/KOBELA GARAGE DISCOVERY RIDGE LOT 5 12'-b • I I'-O" 12'-b ON 4X6 P05T \ TYPICAL _ II � i II APPROVED CARPORT / / 111 4 20� ~ I I 0 Jefferson County Planning z Ip I I & Building Department 12'-0" 24'-O" / II b'-O" / � / a I LAV. v r� J � uw X 0 ry TRACY L. BRINK GARAGE L - - - - ` - - '- - 441 BURNETT' AVE. S. 2'-8' 3'-O" 4• I - Q ;s 5LA5 ON SRADE RENTON, MA 99055 ry (V I SLOPE FRONT TO BACK 611 (425) 793-0104 SHOP I I SLAB ON GRADE O REEGIST IAR T I�X ► 4 O Q `a BRINK dd STATE OF WASHING NI cv 3/O I 411 I o DRAWING TITLE WORK BENCH FOUNDATION N T / PLAN �'------------ MAIN FLOOR PLAN -------I------I—�o ISSUED 05/01/00 CEILING VAULT n I BOAT I o �� n FILE NO. KB/BKGA01 I REVS" 10/30/00 SLAB ON GRADE I SLOPE FRONT TO BACK q' I-------------- 5/O c 510 3/0 3/0 5/0 5/0 PIGT PIGT, PIGT, SHEET NO. A01 MAIN FLOOR PLAN SCALE: 1/4" c 1'-O"