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BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00214 Received Date: 4/13/2001 SITE ADDRESS: 384 TALONS ROOST RD BRINNON, 98320 APPLICANT: ROGER CAMPBELL PHONE: (360)379-8338 C/O HENRY SOUZA 164 SWANSON AVE PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T26 PARCEL NUMBER: 502112035 Section: 11 Township: 25 N Range: 02 W CONTRACTOR: OWNER PHONE: ARCHITECT/ DESIGNS BY SOUZA ENGINEER : 164 SWANSON AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,605 VALUATION 167,442.00 ADD'L: 422 HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: 713 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: 638 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 672 SETBACK: CONST TYPE: DECK: 135 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUBLIC 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: //3/oi ' Shoreline Aquifer / Forest: Commercial _ Rural it ' ' • ED Type Amount Paid By: Date: —Pr�eceip : Permit $1,374.55 MAM 04/13/01 39909 Plan Check $412.37 MAM 04/13/01 39909 APR 2 5 2001 State Building Code $4.50 MAM 04/13/01 39909 Potable Water Application $30.00 MAM 04/13/01 39909 JEFFERSON COON DEPT. OF COMMUNITY DEVELOPMENT Total: $1,821.42 SIGNATURE. ;., .. 1 Jefferson County Department of Community 368 Development evel01 pm nt ri A'.,,„, ON c 621 Sheridan Street,Port Townsend WA 88 rZY O�rf„ o 0 0 e . ,==,F erm A pp0 Ca 00n �4smNCs`S I1�n 0_ oz> Frame Type: Project Descri 'ion: —= Project Type: Wood Building Type: O New Steel X Single Family Addition Concrete g Detached o� o Alteration/Remodel Masonre Garage Attached/Detached Modular aC �,v, Repair yi Other: Commercial o j Demolition ▪ Lulu family/#of Units o (� c' Type of Heat: ▪ Industrial ---- ---- Other: --- Type of Sewage Dispose Bathrooms: Choose one: Electricity t�� Bedrooms: Sewer Community System Propane Woodstove � P Existing:ed: AIndividual System Existing: _ proposed: (Heat Pump Proposed: 3 If not sewer,fill out the following: -, Other Total: __ Alternative Total: Conventional Permit# SEP Water Supply73 Public:Name of waters stem:` y Private well Two Party Well 1,, - ar For Office Use Only Square Footage: eg./( V� 1S ,(C' UBC OCCUPANCY GROUP 3 t± Main Floor :5g� � f b Base fee -!i�� = ��' 2No Floor Q 'Plan Check fee 3rd Floor /3 G O '1 yg 1,1 tate Surcharge fee _ _ �al ' !� Htd Basement q CO L �' ubtotal �� �� � / ?�S cf Z I — Unhtg Garage/Carport 4 Z (el?� " Pot Water Review fee Garage/Carport 334- IC �. d Approach fee j /� Decks ��� �OI 1 29 Commercial rt�# ,L1� _ 1 industrial r Cash/Check# ` Initials Other .� � I Total Valuation: Date Or Estimated Cost: __ ft. —— ft.Bank Hetg t of the Shoreline, If within 200' ----- By High Water Mark Any material falsehood or an, \_ Distance to Bank or Ordinary g form,the to this application packet may result in this permit being null and void' expenses which may in any way accru 'on applicant/owner attests that the information provided herein is true and correct to the best of'lieu knowledge.o signing the application against all liabilities,judgments,court costs,reasonable attorney's fees and omission of a material fact made by the applicant/owner with respect [further agree to save,indemnify and hold harmless Jefferson County gents for the purpose of application review and any required later inspectlor against Jefferson County as a result of or in consequence of the granting of this permit. entry to the applicant's property or strut e shall be requested and shall occur during regular business hours. 1 further agree to provide access and right of entry to Jefferson County and it's employees,representatives or a} Access and right o Da[e;--------f—r-- Signature: H:HOME\PLNCNTR\IN FOBLDG\FORMS\BLDpermitApplicationl/200 SPECIAL CONDITIONS FOR CASE BLD01-00214 1.) The application was reviewed by the Jefferson County Department of Community Development staff on April 25, 2001 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: Elk, Eagle, landslide hazard 1 & 2.. 2.) 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. 3.) 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. 4.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Areas. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Areas. 5.) 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. 6.) 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 Vegetation." 7.) Per phone call from Shelly Ament(WDFW) on March 19, 2001 the proposal is not located within an eagle habitat area. No eagle plan is required. 8.) The site plan received on April 16, 2001 has been reviewed for consistency under the UDC. The site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated April 25, 2001 shall be re-submitted for review and approval by Jefferson County. 9.) A geotechnicai report was not required or submitted for the single family residence. 10.) 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. 11.) The building height shall not exceed 35 feet. 12.) Minimum setback from Talons Roost Road (private road) shall be 20 feet. Side and rear setbacks are 5 feet unless within a buffer then the stricter setback shall apply. 13.) Maximum lot coverage shall not exceed 25%. 14.) The parcel has been designated as RR:5 under the Jefferson County Comprehensive Land Use Map adopted August 28, 1998. 15.) The proposed single family residence is found to be categorically exempt from SEPA under WAC 197-11-800(1)(b)(i). 16.) A minimum of two (2) on site parking spaces shall be provided for the single family residence. 17.) A road approach permit is not required by the Jefferson County Department of Public Works as Talons Roost Road is a private road. 18.) A building permit (BLD01-00107) for a detached pole building was issued by the Department of Community Development on March 20, 2001. This application was approved based on a consistency review under the UDC. 19.) A septic permit (SEP95-00066) has been approved by the Jefferson County Environmental Health Department on May 5, 2000 for a 2 bedroom septic design. 20.) Proof of potable water has been approved by the Washington State Department of Health on April 19, 2001. 21.) The applicant and/or contractor shall be responsible to ensure that the submitted and approved Small Parcel Erosion and Sediment Control Plan (April 25, 2001) is implemented and that the detention facilities are constructed in accordance with said plan and the Storm\,vater Management Manual for the Puget Sound Basin. All stormwater shall be directed away from the top of banks. i:\F_BLD_Permit_Buildng.rpt 10/29/19 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: ROGER CAMPBELL C/O HENRY SOUZA 164 SWANSON AVE PORT TOWNSEND WA 98368 DATE ISSUED: April 25, 2001 DATE EXPIRES: April 25, 2002 MLA NUMBER: MLA01-00175 PROJECT PLANNER: M FARFAN PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE PROJECT LOCATION: Parcel number 502 112 035 in Section 11, Township 25, Range 02 West, WM located at 384 Talons Roodt Rd, Brinnon, WA 98320. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Developmen Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on April 25, 2001 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: Elk, Eagle, landslide hazard 1 &2.. 3.) 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. 4.) 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. 5.) Per phone call from Shelly Ament (WDFW) on March 19, 2001 the proposal is not located within an eagle habitat area. No eagle plan is required. 6.) The site plan received on April 16, 2001 has been reviewed for consistency under the UDC. The site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated April 25, 2001 shall be re-submitted for review and approval by Jefferson County. 7.) A geotechnical report was not required or submitted for the single family residence. 8.) The parcel has been designated as RR:5 under the Jefferson County Comprehensive Land Use Map adopted August 28, 1998. 9.) The proposed single family residence is found to be categorically exempt from SEPA under WAC 197-11-800(1)(b)(i). 10.) A road approach permit is not required by the Jefferson County Department of Public Works as Talons Roost Road is a private road. 11.) A building permit (BLD01-00107) for a detached pole building was issued by the Department of Community Development on March 20, 2001. This application was approved based on a consistency review under the UDC. 12.) A septic permit(SEP95-00066) has been approved by the Jefferson County Environmental Health Department on May 5, 2000 for a 2 bedroom septic design. 13.) Proof of potable water has been approved by the Washington State Department of Health on April 19, 2001. CONDITIONS: 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Areas. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Areas. 2.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trues, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 3.) 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 Vegetation." 4.) 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. 5.) The building height shall not exceed 35 feet. 6.) Minimum setback from Talons Roost Road (private road) shall be 20 feet. Side and rear setbacks are 5 feet unless within a buffer then the stricter setback shall apply. 7.) Maximum lot coverage shall not exceed 25%. 8.) A minimum of two (2) on site parking spaces shall be provided for the single family residence. 9.) The applicant and/or contractor shall be responsible to ensure that the submitted and approved Small Parcel Erosion and Sediment Control Plan (April 25, 2001) is implemented and that the detention facilities are constructed in accordance with said plan and the Stormwater Management Manual for the Puget Sound Basin. All stormwater shall be directed away from the top of banks. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes"listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as"critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -Set back buildings, utilities and roads as far as possible from surface waters (streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directlyinto 9 Y 9 ry 9 9 surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle at (206)526-6613, or the U.S. Fish and Wildlife Service at(503) 231-6121. Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21) calendar days of the date of issuance of this land use decision. For more information related to judical appeals see UDC Section 8.5.2. ( UDC Administrart`or ' APPROVED APR 2 5 2001 JEFFERSON COUNTY STORMWATER MANAGEMENT ORDINANCE JEFFERSON COUNTY DEPT. OF CVi11y LOP. N' SMALL PARCEL EROSION AND SEDLVIENT CONTROL f `TUBE. I/�" EROSION AND SEDIMENT CONTROL WORKSHEET Property Owner: JW,D(off/L J e-Ar'Pe6-7- Telephone: 3G P Address: 3 7Y11, On1s 2c5T" g-s/k-,o Assessor's Parcel Number: 5DZ //Z G/S.-- Building Permit or Septic Permit Application Number(if applicable): Brief Project Description: 6.1 JG 17 Site Location: (y A • Person Responsible for BMP Installation and Maintenance: t "'" -,O44 Address: 2c 7 LLd,_5 itd d_57_cCf" D/t-/Nkia") Telephone: ty-GG.) ; 3 JF 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. 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.). SPESC Instructions—Short Form `\J �` Revised June 3, 1999 r"�`� - 1 3 SaN GN cI `,.OPMErt1 0 r;EP1-OF EOM EROSION AND SEDIMENT CONTROL WORKSHEET )4 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 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. i �N �1�/ UJJ ce/�G" I' , / �+J 241.C) [] 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 /77 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 BMPs especially after storms events. Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. (7-E./ G' /01-) /S ) a., .- _ � \,7 - ,i U I , RS N COUNTY ._�. � "I'r', 'NlTY DEVELOPY,PJ SPESC Instructions—Short Form Revised June 3, 1999 4 i 1 EROSION AND SEDLI7ENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base to roadways, etc.) JV/ o-le, �l f r 7 ,(mac GJ) l he ,/f t" v4 (2l 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.). 00-t7 -)&01 oiJ itz4s-ff 177 ''U _\ 11 1 JEFFERSOra COUNTY SPESC Instructions—Short Form DEPT. OF COMMUNITY DEVELOPMENTRevised June 3, 1999 • 5 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. rAfd/ De_ te.e. ' v.✓ �� 6�,°r /f / csA-7 0 l c_.— wiz�Tr�cc�'1 u^ e s,/3v Pie-frAi.-6 77:10 9/7° emt,th The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff. I will notify the Permit Center for inspections as required. //ist7 'o Signature f Owner/A ent Date' 1 VI cCUNT pEVE�3PMENT ^FPS. 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