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BULDINIG 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 #: BLD01-00375 Received Date 06/27/2001 SITE ADDRESS: 1545 RIPLEY CREEK RD Issue Date 08/13/2001 QUILCENE, 98376 Expiration Date 08/13/2002 APPLICANT: GREGORY FAY PHONE: (619)482-2858 CONNIE FAY CO CONSERVATOR 448 SANDY CREEK DR BONITA CA 91902-4231 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 802352001 Section: 35 Township: 28 N Range: 02 W CONTRACTOR: SUNSET WEST PHONE: (360)981-0506 PO BOX 1750 POULSBO WA 98370 Contractor's License: SUNSEW*173K5 Expires: 05/25/2002 �4; y LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE REQUIRED INSPECTIONS: Setbacks (Shoreline Setbacks): 01 p-3,0-d1 [4/ Footings: OIL -3o-vt [ Foundation: (r)A- `!'- ---u r [ ] Underground PI mbing/Underground Insulation: [ ] Shear Wall: CK / 3-L r [ ] Framing/Plumbing: [ . i.. - / --. i �--.- = fi. / __ ' 1- 'T W f� v`e- &X 7-EC — ] Propane Tank/Lines: , - fry _ . ../,--_- 1 : ,, - :17�i c js l ; Cr '' RA---- Insulation: ®/l 7'A:it 7.7.ii c ,t5 ///24.0 12C ,17-, fo174 rr r e' [ ] Sheetrock:e',K Fi/? 1 tr'I ,l' //ram' 2`7 f O .4 C-Ve e(2 :_-,r.Ar or=F [t]/(FinalTdccupancy Approv Q/ . 7�3/p2 �,�- HEALTH DEPARTMENT APPROVAL REQUIRED P IOR 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. SPECIAL CONDITIONS APPLY -SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE BLD01-00375 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 27, 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: Type 3 Stream, Adjacent Forestland (Commercial and Rural). 2.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 3.) A Type 3 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 4.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed residence. The submitted site plan identifies a setback of over 200-feet from the identified stream. 5.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 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) Sala! (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.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed (enter proposal). 9.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The sings shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 10.) The applicant is proposing to create or add 2,228 square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to Best Management Practices (BMPs) to control sedimentation and erosion. 11.) The project shall adhere to the Best Management Practices (BMPs) 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. 12.) The site plan as submitted with the building application on June 27, 2001 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 7/26/01 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined byimpervious 9 9 P which includes driveways, decks, roof tops, concrete work, etc. 14.) Lords Lake is classified as a local access road and thus requires a minimum 20-foot front lot setback. In addition, the eastern and northern property lines are adjacent to a designated commercial forestland, and therefore require a a 250-foot setback. The remaining side lot line shall maintain a minimum 5-foot setback. 15.) The building height is not to exceed 35 feet. i:\F_BLD_Permit_Buildng.rpt 10/29/19 00353 BUILDING PERMIT APPLICATION Review Type: I Review I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00375 �,,��g Received Date: 6/27/2001 SITE ADDRESS: LORDS LAKE t5 S-got"'""l e-e=R QUILCENE, 98376 OWNER: GREGORY FAY PHONE: (619)482-2858 CONNIE FAY CO CONSERVATOR 448 SANDY CREEK DR BONITA CA 91902-4231 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 802352001 Section: 35 Township: 28 N Range: 02 W CONTRACTOR: SUNSET WEST PHONE: (360)981-0506 PO BOX 1750 POULSBO WA 98370 Contractor's License SUNSEW*173K5 Expires 05/25/2001 REPRESENTATIVE(S): J.T. INVESTMENTS INC. PO BOX 597 CHEHALIS WA 98532 SUNSET WEST PO BOX 1750 POULSBO WA 98370 PROJECT DESCRIPTIO SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 82,088.00 MAIN: 1,246 CODE EDITION: 1997 ADD'L: HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 772 SETBACK: DECK: 200 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: 6217V°/ pwri; S&W Landslide Shoreline Aquifer Forest: Commercial Rural Proximity _ Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $874.75 MAM 06/27/01 28580 Plan Check $262.43 MAM 06/27/01 28580 APPROVED State Building Code $4.50 MAM 06/27/01 28580 Potable Water Application $30.00 MAM 06/27/01 28580 AUG 0 3 2001 Total: $1,171.68 JEFFER 0 OUN DEPT.OF % r ';UNI) Qdi ENT CIGNATU'1 .�- , _ . d JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: GREGORY FAY CONNIE FAY CO CONSERVATOR 448 SANDY CREEK DR BONITA CA 91902-4231 DATE ISSUED: August 13, 2001 DATE EXPIRES: August 13, 2002 MLA NUMBER: MLA01-00353 PROJECT PLANNER: K RUSSELL PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE PROJECT LOCATION: Parcel number 802 352 001 in Section 35, Township 28, Range 02 West, WM located at Lords Lake Loop, Quilcene, WA 98376 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 June 27, 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: Type 3 Stream, Adjacent Forestland (Commercial and Rural). 3.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 4.) A Type 3 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 5.) 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. 6.) 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 Plicate), 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) Sala! (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). 7.) The applicant is proposing to create or add 2,228 square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to Best Management Practices (BMPs) to control sedimentation and erosion. 8.) The site plan as submitted with the building application on June 27, 2001 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 7/26/01 shall be resubmitted for review and approval by Jefferson County Department of Community Development. CONDITIONS: 1.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed residence. The submitted site plan identifies a setback of over 200-feet from the identified stream. 2.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 3.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed (enter proposal). 4.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The sings shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 5.) The project shall adhere to the Best Management Practices (BMPs) 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. 6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by impervious which includes driveways, decks, roof tops, concrete work, etc. 7.) Lords Lake is classified as a local access road and thus requires a minimum 20-foot front lot setback. In addition, the eastern and northern property lines are adjacent to a designated commercial forestland, and therefore require a a 250-foot setback. The remaining side lot line shall maintain a minimum 5-foot setback. 8.) The building height is not to exceed 35 feet. 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 Churn 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 directly into 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 r lated to judical appeals see UDC Section 8.5.2. ('3/OI UDC Administrator , ., t t • *Illikq,CJEFFERSON COUNTY � '� DEPARTMENT OF COMMUNITY DEVELOPMEN E. CIEHED � a �C .,q O. , 621 Sheridan Street • Port Townsend • Washington 9836 �{ �IINCs 360/379-4450 • 800/831-2678 • 360/379-4451 Fax 2 / BUILDING PERMIT APPLICAT 0 1 Project Description: JEFFERSON COUNTYOPMENT I Bus .'4000, 9KT• 9f Pro - t Type: ,,,�Tug�• .l Wood ) arag: Detached Addition Steel Modular Alteration/Remodel Concrete Commercial Repair . Masonry __: Multi-family/#of Units Demolition _ Other: Industrial I Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: i Sewer Community System Electricity J. Oil Proposed: Proposed: Z Individual System) _1 Woodstove /Propane Total: Total: 1 If not sewer,fill out the following: • Heat Pump Conventional Alternative 1 Other Permit# SEP Water Supply: 1 X Private well Two Party Well Public:Name of water system: Square Footage: V`6 For Office Use Only Math Floor ' 1 `I n� )-5- 0") UBC OCCUPANCY GROUP 2ND Floor • Base fee / LI . —1 S 3rd Floor Plan Check fee (Q o Li 3 Htd Basement State Surcharge fee LA .(--.. 0 Unhtd Basement Subtotal \ \ L_\` , Garage/Carport Z ° -- 0iit Water Review fee p Decks �0 .O 0 O ��,,., & �6 a D- �� 911/�d�,ppoach fee O Commercial TOTAL \ C O o Industrial C� Receipt# Q•-7560 _ Other b Cash/Check# 10SS Total Valuation: / O ' Initials P , `r / 49., Or Date (/7-1(04 CC Estimated Cost: If within 200' of the Shorelin , Distance to Bank or Ordinary High Ater Mark A) 4- ft. Bank Height 4 ft. By signing the application form,the applicant/ow er itttests 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/>wnjr 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 inspections. Access and right of entry to the applica ' operty or structure shall be requ• and shall occur during regular business hours. Signature: 45 Date: — 2-7 - Cl II:I-IOME\PLNCNIR\INFOBLDG\FORMS\BI,Dp• mitApplicationl/2000 .4' C RE6 61 CUA) m ( � 1`n R s P o/- , Peg sOM &{ 6:37/9- 7L. di 13�,.1 -4-.- H CA . j'd2 _ yZ -.. i QU( [,P 2- SvnlSEZ VvtSj , pc)/.j y77SU PUS „t/ C Q, _1 \ - , i: 1,, -- "': ' . \ \ — \ ;::e31... .,,,, ___ , __It\s„ 1 r _ „ em1 t , \\ / 11-. l• \ s" / i ,li ___ .\, \ \ - , 1 SI1 ' I r I \ / r i i'li j a , II 1 lE N ,, Of f iy \\ 'V r- Lot V 4 1� f � tio in• C .11:- '''' s-, •-"----A (.. U 1 t C� y ) r _ 2 c 7-4 o (� i xn \ -n j m v7 co w o _ z_z ol,, 00 I ' •• rill : a j �?, . ` lirl C7 _FAY 4 c '< H• 't iZTg \ 2-� XnEp'0N� SS 6 y o �. n. ss, <r ry 1ry79 O Y L - f9 �/ 7 ... a till �" tr 1 ss'• \ ggl ,. o 0 `er I d . � ix -L- Is) - . , --A • 143-7. 33 - - I •a _ ►-- 1 _ 1° / i c can Desin,,, m P. O. Box 719 Silverdale, WA., 98383 0 x