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BLD2000-00536
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 #: BLD00-00536 Received Date 08/15/2000 SITE ADDRESS: 2612 ANDERSON LAKE RD Issue Date 08/28/2000 CHIMACUM, 98325 Expiration Date 08/28/2001 APPLICANT: JAMES PIERCE PHONE: (360)732-4257 2616 ANDERSON LAKE RD CHIMACUM WA 98325 SUBDIVISION: DUNCAN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 901104001 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION DETACHED GARAGE REQUIRED INSPECTIONS: ] Footings/Setbacks (Shoreline Setbacks): 9 K ;TC�,�I oT) ,][ / Foundation: r , fib_- [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: raminPlumbin [ ] Propane Tank/Lines: [ ] Insulation: [ ] �r Sheetrock: [try Final/Occupancy Approval: a (- 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 #: BLD00-00536 Received Date: 8/15/2000 SITE ADDRESS: 2612 ANDERSON LAKE RD CHIMACUM, 98325 APPLICANT: JAMES PIERCE PHONE: (360)732-4257 2616 ANDERSON LAKE RD CHIMACUM WA 98325 SUBDIVISION: DUNCAN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 901104001 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 15,800.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,580 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY 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 - Plat Conditions Type Amount Paid By: Date: Receipt: Approved/pate Permit $265.25 MAM 08/15/00 33521 ATiovEr Plan Check $79.58 MAM 08/15/00 33521 .-4-1. State Building Code $4.50 MAM 08/15/00 33521 AUG 2 8 2000 Total: $349.33 Jefferson County Pt timing Building uepartnier,t is\F_BLD_App_Bld.rpt 10/29/99 Jefferson Comity Department of Community ftavoIopin rut ��¢SON c O 821 Sheridan Street Port Tow�l ld WA 88388 C180]378-4450 ,a o Y �) PErmillain �-1 Project Description: Building Type: Project Type: Frame Type: ❑ Single Family . New It Wood 7INGarage Attach4)eta -e.: :."tion ❑ Steel ❑ Modular f' I Alteration/Remodel A Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: C Existing C ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: 7 Proposed: Total: ( Total: L ,Individual System ❑ Woodstove ❑ Propane C If not sewer,fill out the following: ❑ Heat Pump Af / ❑ Conventional ❑ Alternative ❑ Other 6uC)/_/ Permit# SEP Water Supply: . ` ❑ Private well ❑ Two Party Well❑ Public:Name of water system: t�0/L.TICi iU ri-r 5 tit" Vic-I d) Square Footage: For Office Use Only Main Floor I. 5_,S i0 'CRC OCCUPANCY GROUP 2ND Floor ri''" Base fee 3rd Floor G . Plan.Check fee 1 t3. 513 Htd Basement State Surcharge-fee JJ Unhtd Basement Subtotal Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 3 '- 3 Industrial /�'�� Receipt # 33521 Other Cash/Check# /5910 Total Valuation: I lrilliInitials l Yu 2 Or 41111111 Date X ' J 5-- d'O Estimated Cost: /I, 40O (0 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water MarkNi') ft.Bank Height / C) 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 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 ty and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of er�yoili applicant's property or all be requested and shall occur during regular business hours. F j ,l Signature: / , Pate: M C/c • . -1 1761 ` .-., BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00536 Received Date: 8/15/2000 SITE ADDRESS: 2612 ANDERSON LAKE RD CHIMACUM, 98325 APPLICANT: JAMES PIERCE PHONE: (360)732-4257 2616 ANDERSON LAKE RD CHIMACUM WA 98325 SUBDIVISION: DUNCAN SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 901104001 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 15,800.00 MAIN: CODE EDITION: i997 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: 1,580 SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON (2-a- I : t, BANK HEIGHT: WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane Routing Date: F&W Landslide t' Shoreline Aquifer 4 o Ac WI. { � 'r. Forest: Commercial Rural ISV'tt. Proximity i'lat C. d ions, Type Amount Paid By: Date: Receipt: A ro R_ - Permit $265.25 MAM 08/15/00 33521 3 C ;Y,.: �t,r �` Plan Check $79.58 MAM 08/15/00 33521 V State Building Code $4.50 MAM 08/15/00 33521 ��� -� Total: $349.33 w... .....2\ \r\C„\e, i' BLD—APP_Bld.rpt 10/29/99 JEFFERSON COUNTY STORMW ATER MANAGEMLENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET r Property Owner: ,J�9rnl;�S /-, eft-lig/21' Telephone: �Sd— 73 Address: ! i✓.0 lea r L k iQ• d4) . WA, 9 c52-5- Assessor's Parcel Number: C?c2(/d L(Q Q f Building Permit or Septic Permit Application Number (if applicable): Brief Project Description: / 3. /g C 6 6A-44 Site Location: �, /- , (1 t) (aA/c/2 (9 ic 1" �C(J !✓ i / Person Responsible for BM? Installation and Maintenance: -, A Address: 2 /94/oe7/2 ( C- I i 1� c Telephone:_ ) 75z 5-7 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. [] 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. [] Minimiire 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.). SPESC Instructions—Long Form Revised June 3, 1999 9 • EROSION AND SEDIMENT CONTROL WORKSHEET Phase clearing so that only areas that are actively being worked are uncovered. [ ] 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. [ ] 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: [] 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.) [] Regularly inspect and maintain all BIN Ps especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. e 6) S //54 SPESC Instructions—Long Form Revised June 3, 1999 10 • } LION AND SEDIMENT CONTROL WORKSFFET Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways,etc.) ,Z &?A c d/ll -i 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.). SPESC Instructions—Long Form Revised June 3, 1999 11 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. The Best Management Practices proposed above will be implemented to control erosion, sediment, and sto a runoff. I will n the Permit Center for inspections as required. Signature of Owner/Agent Date SPESC Instructions—Long Form Revised June 3, 1999 12 • • Jefferson County Department of Community Development August 28, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JAMES PIERCE 2616 ANDERSON LAKE RD CHIMACUM WA 98325 Critical Area Review Case Number: CAR00-00376 Project Description: Detached Garage Parcel Number: 901104001 S-T-R: 10-29N-01W Site Address: 2612 ANDERSON LAKE RD CHIMACUM WA, 98325 FINDING: The development, as proposed and portrayed on the Universal Plo t Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as roposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of prop s development activities will require further review pursuant to the Jefferson County Critic re Ordinance. Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 --L., _ 160QH / ,5ATIF / l'"- , ' ,Vii(1-1 ?s7 Oil 1 4-1S loDN V ati 1 -1_07 i F 1f K f y Gi 71� PD57 if vV i/ i al tflta N:V tiV.H n R • � - Q, o at oN Q Y ^� Qj 1 v ti N v N u o M _� 'y °-1 N a a a a w a, p, ^^ .. a .j 0.) c o .--i U �) o U -d cu •- _6"'—.'< ,-' -‘,..) .,,,a o'''''‘).1 '. ---—is.•,:v t,.„.., cn cu •4 •Z 1 v, N � %• b• i.4 a N O § [.mil pp 0, !� cu o a, a 0 0 w z 1, ' " l °' .y a • " ;; 3 is x 0 C.)o �n' i�a� '� -j O v ii ( c..) b pp C.7 0O ,) a .� W �y z .. u P4 a t, (� OA z.iy W z,, r Q Z M H 'U f1 a`�i - `,_, a) "G v O ct v `4 '"j v \ v ni i.4 v fir/ s~ v -b b v b u b v -� w o �ar ,y �' - ct b - ••5 o —u. t. .- °' O e. 9 t b °p Q x 3a � ‹w v� o J. a, a Q � Q v) a U -1, w A. tri tO r "' 7' `�_ Z SN3VH13S a A XI Z A ` t. 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