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BLD2003-00060
• • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00060 Received Date 02/3/2003 SITE ADDRESS: 965 FOUR CORNERS RD Issue Date 02/26/2003 PORT TOWNSEND, 98368 APPLICANT: WESTLEY PRESTON PHONE: 360-379-4115 ANN PRESTON P 0 BOX 446 PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: 10 PARCEL NUMBER: 001334029 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 P 0 BOX 3831 SEQUIM WA 98382-5071 Contractor's License: BUILDBCOLLMG Expires: 07/07/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION POLE BUILDING/GARAGE (NO PLUMBING) REQUIRED INSPECTIONS: SPTRi CK`' / Footings: K;Ki{:., C ( ill 49'-, [ ] Foundation: �J [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] Zoning Final Approval: [1] Final/Occupancy Approval: (')/ - SS � eS 'f' 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 - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE BLD03-00060 1.) The application was reviewed by the Jefferson County Department of Community Development staff on February 10, 2003 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: seismic; SUSC & SAPA aquifer recharge area. 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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1) All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 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.) The subject property is near an airport where a variety of airport dependent uses occur that are not compatible with development. Potential discomforts of inconveniences may include, but are not limited to: noise, aircraft take-offs and landings. 7.) A Small Parcel Erosion and Sediment Control 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 pole building permit& manufactured home installation application on February 3, 2003 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 February 25, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a detached pole building 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 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 12.) Access to the site is off of Four Corners Road, a county minor collector road (C601208). An address of 965 Four Corners Road has been assigned to the parcel. 13.) A road approach permit(RAP02-0187)was approved on August 19, 2002. A septic permit(SEP03-0007) has been applied for and will be issued with the building permits. A manufacture home installation permit(BLD03-0052)will be issued with this permit and the septic permit. 14.) The building height shall not exceed 35 feet. IP • 15.) Minimum setback from Four Corners • Road right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. 16.) Maximum impervious surface coverage shall not exceed 25%. is\F_BLD_Permit_Bu ildng.rpt 10/29/19 I • BUILDING PERMIT APPLIC PION MLLA03 00p 39 Review Ty : ; Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00060 Received Date: 2/3/2003 SITE ADDRESS: 965 FOUR CORNERS RD PORT TOWNSEND, 98368 OWNER: WESTLEY PRESTON PHONE: 360-379-4115 ANN PRESTON P O BOX 446 PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: 10 PARCEL NUMBER: 001334029 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 P 0 BOX 3831 SEQUIM WA 98382-5071 Contractor's License BUILDBCOLLMG Expires 7/7/2004 REPRESENTATIVE: BUILDING BROKERS PHONE: (800)557-2761 PO BOX 3831 SEQUIM WA 98382 PROJECT DESCRIPTION POLE BUILDING GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE IMP MAIN: NEW VALUATIOFON 9,016.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 560 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: y� F&W Landslide �J( reB Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: ' 'Nan at V E Permit $181.25 MAM 02/03/03 52931 Plan Check $117.81 MAM 02/03/03 52931 FEB 2 6 2003 State Building Code $4.50 MAM 02/03/03 52931 Jefferson County Planning Total: $303.56 & Building Department © II/ Jefferson Iy Department of Community Development N f b e... 621 Sheridan Street,Port Townsend WA 88368 13601 378-4450 49 ti �� ` o °` prmot A 0 0 � liTTT( b0 _ 0AOQ 3) Lz L, Lc- Project Description: r Building Type: Project Type: FEB „a 3r rype:.. ❑,, Single Family ❑ New Wood .„ Garage Attached/Detached ❑ Addition Steel "J 1:7/ ❑ Modular JErFE.{�u� ❑ Alteration/Remodel , �� fyoncref@. ,ENT ❑ Commercial ❑ Repair DE.PT-OF C0 A"m:y `�'n"`"Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: 0 AvA 5 Choose one: Existing: 1 '� Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: , Proposed: $ Individual System ❑ Woodstove ❑ Propane Total: Total: 3 If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP 409.1)1— Water Supply: t)( Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 4Z' 2ND Floor Base fee I S( .Zs 3rd Floor Plan Check fee—65% ( I 7• U I Htd Basement State Surcharge fee 9-.SC) Unhtd Basement Subtotal •Ste" Garage/Carport _3 ( C) 9 V I KJ Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 303.% Industrial Receipt# 5a.Q3 i Other Cash/Check# 5578• Total Valuation: Initials PVI3 Or Z c� Date �3I03 y-61Estimated Cost: O� If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height 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 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 e o Jefferson County and it's emplo - representatives or agents for the purpose of application review and any required later inspections. Access and right of e t y,trt applic "-Pro rty or structure shall be requested and s occur during regular business hours. Signat e: • _ Date: 2- 3 0-3' OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 1 ci � � � � APPROVED Q STORMWATER PLAN 5 J FEB 2 5 iota - JEFFERSON COUNTY ,{E tFtr S611 cUUi'1Y STORMWATER MANAGEIVaENT DEPT.OF COMMUNITY DUE T PARCEL EROSION AND SEDIME ! M. o:. y i ,i'. EROSION AND SEDIMENT CONTROL �%4t�iH f v! E � ____ 70 Property Owner: it/e5-A y i y /4 c 4, Telephone: 3 6 O 37i 1/1/S Address: !"6 w,- G./41 f,tt% (cQ, Assessor's Parcel Number: S z V Building Permit or Septic Permit Application Number(if applicable): �: 0 Brief Project Description: %Ilo C i It h c,t-+-,e_./ ) 0 x a$ n ,,,f r xcurte 1 e.ire ve e r, ? Sr /f c/ pits uv't 4 . & — Site Location: 96 ,5.ur Cty .es-Ak. Person Responsible for BMP Installation and Maintenance: 14.34 , /7 /fir sjeca Address: JGt.tvy — Telephone: act - 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. '[i Stabilize construction access route. Limit construction vehicles to one route, if feasible. Providea 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. [1 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 Revised July 17,2002 3 k.I E A4AJ,iv4r-, . 4 ,Plicfrz FEB 2 5 "j Wit"-.t,.r : ,.�_._. ER SIGN ANfl SEDIMENT CONTROL WORKSHEET .... DEPT. 4F COhtMUNIdY�E�1t11AQP T I!� : �, __Pl__ cleat#n `�o`fllat 3nly areas that are actively being worked are uncovered. C1 Start and complete land disturbing activities and stabilize th, site between April 1 and September 30. Stabilization means that disturbed areas wil have well-established plant cover or be landscaped to minimize erosion. [] Stabilize exposed soil Exposed and unworked soil will be cover• within 2 days between r09tober 1 and March 31 and within 7 days between April 1 and Sep ember 30. ] Cover exposed soil with a minimum of 2 inches of straw o hay or other material approved for this purpose. [ ] Cover soil stockpiles with plastic sheeting and locate away • U m water bodies, roads, property lines. CI Place gravel base on roads,driveways,and parking areas after cl-. ' g and subgrade preparation. [y]/ Protect adjacent properties and water bodies from sediment de t 1 sition: [] Place straw or hay bales in ditches and drainage ways down slo.- from areas of land disturbing activity to filter runoff before it leaves the project site or enters water bodies.(See attached illustrations from Stormwater Manage ent 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 . :ched illustration from Stormwater Management Manual.) [1` Regularly inspect and maintain all BMPs especially after storms -vents. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. i r . % / Lily, , ,;,,,,e l cair L.c..v�(Cacti b i i p ktyF.cf'rid CrE-a- Y kda,--5 is -.s - 5`e c&_Cl a rittee_ :231.41...., 0,01 akt 8ecti-,0"/:101.-ece ape_ms . , , , . 1, k' ; SPESC Instructions—Short Form Revised July 17,2002 4 1 EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded,landscaped,apply gravel base to roadways,etc.) �/fprat/ c.�t.�/�(/ I�ct:�e �a �y j Virtu - 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.). $lore pJ I2E4 (Xt2t.Ica ct-c Jf t&d-� 1 t Ana ce c-t u Jr-op r^ � l ts� e ' i• -2 ��/ �����' i e ICJ o �y'sr�7`e lvvr c s t7 '&t t EC . : E FEB 2 5 2003 DEPT. OF COMMUNITY DEVELOPMENT SPESC Instructions—Short Form Revised July 17,2002 5 R[FEB 2 5 2003 Y E OSION AND SEDIMENT CONTROL WORKSHEET' DEPT.OF J CLOMMNiTY DtVELOPMENT 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. s4' I• eAtir 5,4se S�G! ►)Jtl.t2 a0 / roetc L AoCipy- /di14 accec o 6w/dwe5, evitioloc. — pw k d€- i & ctoeiLs by , pti f s;. fpeso %r s� l `� r � 6, iiis 1/ &ail s sda 6• /culct sco12 e The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff.I will notify the Jefferson County for inspections as required. a-ate Signature of Qcaner/Agent Date 83 1 SPESC Instructions—Short Form Revised July 17,2002 6 7 \1I` . t. �F A 48I I ---\.. 7‘ ' 1,, , rilvi.:\ ,ii K-11 kci.., ,. 1/4 . 1 ..„, I `.. 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