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HomeMy WebLinkAboutBLD2001-00567 . f . BUILDING PERMIT Y Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT#: BLD01-00567 Received Date 10/9/2001 SITE ADDRESS: 173 FAIRMOUNT RD Issue Date 10/31/2001 PORT TOWNSEND, 98368 Expiration Date 10/31/2002 APPLICANT: HARGRAVE GARRISON PHONE: (360)683-7176 JANICE GARRISON 36 FORREST RD SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 82 PARCEL NUMBER: 902243048 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: DOBSON CONSTRUCTION PHONE: (360)379-9040 243 SOUTHPORT LN PORT TOWNSEND WA 89368 Contractor's License: DOBSOC*066JN Expires: 03/24/2002 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ADU REQUIRED INSPECTIONS: [41 oetpciCAC6 (oriole line Setbacks):C - rG -. 71_.._ f( ? ?'f R]/ Footings: L*- 4-4 +,.,..- t r/ ..r,, r r ki e [1 Foundation: . t .-L ,�� [4- ndergrou on: //t,p(. c i ///o(ve,��l . ,3. [ ] Shear Wall: _`- 0" �/ [ ] Fra -- c%" z,5/ ! � [ l Propane Eli ?.E yo--4:1,., 7FF�/'' D 7- �•"-oi ["( Insulation: p/C> o3-�t`?-o:- ['�'� Sheetrock: ©/<- 'C- 3-7 a-2,, [ I Final/Occupancy Approval: /0, --/0-L2,9-0 ry 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. SPECIAL CONDITIONS APPLY - St REVERSE HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS FOR CASE BLD01-00567 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 5, 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: SUSC aquifer recharge area, seismic, suburban shoreline designation. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological 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. 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. 5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, and within 500 feet of any marine shoreline shall be requires to infiltrate all stormwater runoff, to the maximum extent practicable, onsite. 7.) A Small Parcel Erosion Control & Sediment Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 8.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 9.) The site plan as submitted with the ADU building application on October 9, 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 October 18, 2001 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for an ADU 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 parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 12.) A permanent physical separation along the boundary of the 30 foot 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. 13.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 14.) The identified Fish and Wildlife Habitat Area shall maintain a vegetative buffer serback fo 30 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the ADU and single family residence and any future development. 15.) The building height shall not exceed 35 feet. 16.) Maximum lot coverage shall not exceed 25%. 17.) Minimum setback from Fairmount Road (a county local access road C503209) shall be 20 feet. Minimum side setbacks shall be 5 feet. Minimum setback from Ordinary High Water Mark (OHWM) shall be 30 feet. 18.) There shall be a minimum of two (2) on-site parking spaces associated with the ADU. 19.) The septic system (SEP01-0125) is designed for a total of four bedrooms. The proposed ADU will utilize an equivalent to two bedrooms based on WAC 246-272-115012c. When proposed, the single family residence shall be no larger than a two bedroom or redesign of the septic system may be required. 20.) The proposal shall infiltrate stormwater entirely on site. If the property is unable to infiltrate, a geotechnical report shall be submitted and a shoreline and HPA permit may be required. 21.) Buffers are areas that shall be maintained in their natural conditions, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. \F_BLD_Permit_Buildng.rpt, 10/29/19 00486 BUILDING PERMIT APPLICATION Review Type:Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00567 Received Date: 10/9/2001 SITE ADDRESS: 173 FAIRMOUNT RD PORT TOWNSEND, 98368 OWNER: HARGRAVE GARRISON PHONE: (360)683-7176 JANICE GARRISON 36 FORREST RD SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 82 PARCEL NUMBER: 902243048 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: DOBSON CONSTRUCTION PHONE: (360)379-9040 243 SOUTHPORT LN PORT TOWNSEND WA 89368 Contractor's License DOBSOC*066JN Expires 03/24/2001 REPRESENTATIVE(S): PROJECT DESCRIPTIO ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU VALUATION 44,526.00 MAIN: CODE EDITION: 1997 ADD'L: 627 HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 627 SHORELINE: DECK: 184 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 1 Total: 1 Flood Way Floodplain Routing Date: F&W Landslide �(� l 0 Shoreline Aquifer JFR3Forest: Commercial Rural r,:,vim if , Plat Condition:, Type Amount Paid By: Date: Receipt: -- Approved/Date Permit $593.25 MAM 10/09/01 30471 AppRovEri i Plan Check $177.98 MAM 10/09/01 30471 State Building Code $4.50 MAM 10/09/01 30471 Potable Water Application $30.00 MAM 10/09/01 30471 0C 1 2001 Total: $805.73 J , ; I 0 DEPT.OF 1 UN,i I, : •MENT SICNA .J, , (..-4-,,sort CO 6' i r �, JEFFERSON COUNTY Tlea�c- vekcv -fv i-I DEPARTMENT OF COMMUNITY DEVELOPMENT M LA i — q SlO 621 Sheridan Street • Port Townsend • Washington 98368 1 tIN0�V S 360/379-4450 • 800/831-2678 • 360 379- C�2��'� pay�a / 4451 Fax Will TlOCesS Br,. : - R ► / _T APPLICATION 5;19_ptuvt �,.L Si' 1 Pro'ect Descri,tion: ill) E �, ft W Ir' rN avid SpAhb oi ptplircc��,, , Building Type: - ■ i-Poole � - Frame Type: Single Family ew 00 /Garage.Attached/ etache AD t) � "" 9 2 ? diti� - Modular :ltera on R model Concrete Commercial JEFFERSON �QU Masonry I Multi-family/#of Units DEPT. OF COMMUNI DEVRemo ENI Other: . Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: OChoose one: Existing: Existing: d Sewer Community System ' lectricity Oil Proposed: I Proposed: I KIndividual stem S o Total: I Total: --I--- y D�Woodstove ropane If not sewer,fill out the following: Heat Pump Conventional Alternative Other Permit# SEP O l-- 12 S Water Supply: KPrivate well Two Party Well_. Public:Name of water system: Square Footage: For Office Use Only Main Floor [,, UBC OCCUPANCY GROUP 2Nl�Floor (9 2 7 t ir/ Base fee 5C j .29 3rd Floor Plan Check fee 111 . ot Htd Basement State Surcharge fee 4. SO Unhtd Basement Subtotal 175. 13 Garage/Carport 2 710 Pot Water Review fee 30 . 00 Decks 104 6 d CI uc�S 5 i llw 2A'p inc e N .6- 911/Rd Approachh feee 1/�'Cl5►"Z' Commercial TOTAL O5 .13 Industrial Receipt# tt 7 I Other Cash/Check# *-Al rc51oLq64_ Total Valuation: Initials pee Or Date t0 f%1 0 1 Estimated Cost: 1i If within 200' of the Shoreline,Distance to Bank or Ordinary High Water Mark 50+ ft. Bank Height Z. `q 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 onussion 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 inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Y.-- Co•-•"-- r-IECa-- Date: I.o N D i I-I:HOME\PL.NCN'IR\INl?OBI.DG\FORMS\Bl.DpermitApplicationl/2000 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: HARGRAVE GARRISON JANICE GARRISON 36 FORREST RD SEQUIM WA 98382 DATE ISSUED: October 31, 2001 DATE EXPIRES: October 31, 2002 MLA NUMBER: MLA01-00486 PROJECT PLANNER: M FARFAN PROJECT DESCRIPTION: Site Plan Approval Advance Determination ROAD APPROACH AND ADDRESS- Fairmount Rd ADU PROJECT LOCATION: Parcel number 902 243 048 in Section 24, Township 29, Range 02 West, WM located at Fairmount Rd, Port Townsend, WA 98365 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 October 5, 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: SUSC aquifer recharge area, seismic, suburban shoreline designation. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) 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. 6.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 7.) The site plan as submitted with the ADU building application on October 9, 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 October 18, 2001 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for an ADU 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. 9.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effectiv August 28, 1998. CONDITIONS: 1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. f The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 2.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, and within 500 feet of any marine shoreline shall be requires to infiltrate all stormwater runoff, to the maximum extent practicable, onsite. 3.) A Small Parcel Erosion Control & Sediment Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 4.) A permanent physical separation along the boundary of the 30 foot 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. 5.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 6.) The identified Fish and Wildlife Habitat Area shall maintain a vegetative buffer serback fo 30 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the ADU and single family residence and any future development. 7.) The building height shall not exceed 35 feet. 8.) Maximum lot coverage shall not exceed 25%. 9.) Minimum setback from Fairmount Road (a county local access road C503209) shall be 20 feet. Minimum side setbacks shall be 5 feet. Minimum setback from Ordinary High Water Mark (OHWM) shall be 30 feet. 10.) There shall be a minimum of two (2) on-site parking spaces associated with the ADU. 11.) The septic system (SEP01-0125) is designed for a total of four bedrooms. The proposed ADU will utilize an equivalent to two bedrooms based on WAC 246-272-115012c. When proposed, the single family residence shall be no larger than a two bedroom or redesign of the septic system may be required. 12.) The proposal shall infiltrate stormwater entirely on site. If the property is unable to infiltrate, a geotechnical report shall be submitted and a shoreline and HPA permit may be required. 13.) Buffers are areas that shall be maintained in their natural conditions, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 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 directly into surface waters or roadside ditches t 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 g 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. APPEALS: 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. The SEPA Offiaal has issued a Determination of Significance for this project. This Threshold Determination may not be appeal to the Hearing Examiner. For more information related to SEPA appeals see UDC Section 8.10.12. /0/81/0/ UDC dministrator ' OCT.29.2001 12: 10PM GEN INT MEDICINE UW MEE CTR NO. 152 P.2 APPROVED STORMWATER PLAN JEFFERSON COUNTY I OCT 29 2001 STORMWATER MANAGEMENT ORDINA,ATCE SMALL PARZROSION AND SEDULEN CON^R ERSON COUNTY � I' EROSION AND SED C w UR • °� Property Owner Ch rn s quid 5(A Sclti Ca I w Telephone: 2O(0 -7$Z Sla$ ? And `� .42 NW i�lavIcd- S+ �I2� s'Pat WA- c �10- s:-5 Assessor's Parcel Number: 9 0 Z 2/3 04 Building Permit or Septic Permit Application Number(if applicable): Brief Project Desc ription: i r5i-a I l a il-]GV i �'� ��C.5)1 512-J/vA a►/102 Co liS"Yvi c ch rM ggvra5a/ww Ksloj Site Location: 173 of Volov V7T rgoL 10 1Tiofd701 — S"c�oI1�dbSUV1 Person Responsible for BMP Installation and Maintenance: I10r cv Wk.it it v _ c l 11,5i i( Address: Telephone: C3L,O) 379 — q04 0 C.DH wl 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. [v� 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 S water` Manaaejnent Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. --11Wire. jS aI 'ead9 CYOtd YoCYC art -1 c dhVeWaL/ VMinimize 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.). ileuve, is o..zo". -- rahvL. v?scfn4-)on -c.ctwecv) -- ,L 'V( 04 5L�c1.�e I 1 vi L ate' dote SPESC Instructions--Short Form D �. Revised June 3, 1999 3 OCT 29 2401 L - JE-�tn i;JUNtY OPT ,CF �'; M��N�piITY DEVELOPMENT OCT.29.2001 12: 10PM BEN INT MEDICINE ;JW MED,CTR NO.152 P.3 EROSION&ND SEDAVIENT CONTROL WORIKSHEET [� Phase clearing so that only areas that are actively being worked are uncovered. [j 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. VStabilize exposed soil Exposed and unworked soil will be covered within 2 days between Octgber 1 and March 31 and within 7 days between April 1 and September 30. [ Cover exposed soil with a rninirnum of 2 inches of straw or hay or other material [appr ved for this purpose. over soil stockpiles with plastic sheeting and locate away from water bodies, roads, and property lines, [i}'Place gravel base on roads,driveways,and parking areas after clearing and subgrade preparation. [I 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 n t.er 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.) Mau k4A ve e4,h C iA .6�fi . V Regularly insp ct and maintain all BMPs especially after storms events, . [. Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. FEI LJ SPESC Instructions---Short Form 2 9 2041 ,,J ' Revised June 3, 1999 L0CT EFtn��N CJUNt1( DEPT. OF COI',1MUNITY DEVELOPMENT OCT.29.2001 12:10PM GEN INT MEDICINE LW MED. CTR NO. 152 P.4 JROSION AND ZEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways, etc.) `lFi E. OiMi$ A v br, b -th c. i� � ((a y �0i'1 � f�. sc,h c s yslrvn w� 10t.. seed e a 0 of I rl dsc�rpc c(. 'TGu, are�. vi 1 of +fu.. A-btk 1wt'il t. scud 6( And tanad's(oc p-r A. T-Al"eor?jp)) PO( Tmoctv)ril DfVPC� IV) yn't Q- Twt �o�r� oiQV . 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.). W� w►'{ i + 1 I a. chy wet i +0 n- 1 h-oit YinV v .r�yovvc -' Ycof o-F -f- AL y,,.zrr/wMcsh 6 )j A-DIA . WC, v l I i h4r V1 A-- 2..1-O veSe4zc41,rih ,SAL? Licrre(tf , • OCT L SPFSC Instructions—Short Form J Y Revised Juno 3, 1999 DEPT OP "b'JNi� 5 OCT.29.2001 12:11PM GEN INT MEDICINE.UW MEIN CTR NO.152 P.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, elect iI OW) 4 aGi(r) srt.cshe,t ( cu-r) rru ilk-C. sh44,41 Issvtor+�u eC +144J?t/t l'lo(t v? Coves-Yucit-g/ is -1•1') .t,r1 1'1 w►l-1.71-rt_pvcc we.eK (d� vb«{ aver, s vanit . Ow.eve Al oil TkL YOQF excYc ('omm ttba( Wlititri (a weetC5 AVl at 4-k 1. __c._` !Ltea( 1 bu l it (cm it 12'V(Y1 y CVee w l pGvIL(o aye 0.E ft . ALL aft cClG ti clock 3rewitrt . LAhatsc'ccp„�5 on sua(f� slicf l l roMillEV��.4 , wIt,( ,n, S �x�r�� is � p(4 W C In►W 1r i,f(cnv(y I v pec 4-d y \Aft I AVIo( laviGfs(c(pl Vl5 t I ✓IC I (ochyk Ar o/I DatA W W CaAi'ii / #,v ( ��71 l Ct+ a l� w,t( ram. c I c ride cos viot7-0 1�l c(613i} a v1( 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. Signature of Owner/Agent Date OCT 29 2001 SPESC Instructions—Short Form Revised June 3, 1999 '-jEFFtKS DEVE OP'.E'�i 6 DEPT. OF COMMUNITY OCT.29.2001JSY)12:11PM GEN INT MEDICINE .UN MED. CTR NO. 152:21 P. .� .. - IIr�I W N 9-►0--E�Z—Z06 # 1130�1Yd X` I I'3NI 'JNIa33MON3 ONIWG1A 110OS NHOP SNYld W3.LSAS 83LVM3.>_SVM ,tea b # o v=i + •i N pya 1 • 9t N 11 - ab al 0 en .';`" • \� g .*\ ) �J y; t o a r� h ` • `\iy �S VJ - av I f \ ►``N \ o ° • Yea d y M '{\ 'G h \ U • ruu Cri NoN\ tL_ N o CD 5 ` N • BUILDING PERMIT APPLICATION MLA01-00486 Jefferson County Department of Community Development Review Type: 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00567 Received Date: 10/9/2001 SITE ADDRESS: 173 FAIRMOUNT RD PORT TOWNSEND, 98368 OWNER: HARGRAVE GARRISON JANICE GARRISON PHONE: (360)683 7? 36 FORREST RD SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 82 PARCEL NUMBER: 902243048 Section: 24 Township: 29 N Range: 02 W CONTRACTOR: DOBSON CONSTRUCTION 243 SOUTHPORT LN PHONE: (360)379 9C4C PORT TOWNSEND WA 89368 Contractor's License DOBSOC*066JN Expires 03/24/2001 REPRESENTATIVE(S): PROJECT DESCRIPTIO ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU VALUATION 44,526.00 MAIN: CODE EDITION: 1997 ADD'L: 627 HEAT TYPE: EEE HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R_3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: 627 SHORELINE: DECK: 184 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO AREA Exist: Exist: Wetland Prop: 1 Prop: 1 Seismic Erosion Total: 1 Total: 1 Streams Flood Way Floodplain Routing Date: F&W Landslide ((� C 0 D I Shoreline Aquifer Forest: Commercial Rura l Type Amount Paid By: Date: Receipt: Approved/Date Permit $593.25 MAM 10/09/01 30471 Plan Check $177.98 MAM 10/09/01 30471 State Building Code $4.50 MAM 10/09/01 30471 Potable Water Application S30.00 MAM 10/09/01 30471 Total: $805.73 1N3WdOlJAK AIINfiVii'400 3O 1d3G • AINf100 NOSH:-.Jd3f zuno-#eor low 6 - 1:)(J - eM'ALNnoo NOSd3±d3r " ' L S 3ON3GlS38 O831VO g Ku :r EOM VM AMOS l0 tiZ B 31Vc7 13S uWti3d _ '- ''- INNS LPG UWN EY9 �� �_l e.).) .. 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