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BLD2003-00179
• BUILDING PERMIT APPL.TION MRLA03 0eview 0p138 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00179 Received Date: 3/19/2003 SITE ADDRESS: 180 GULL SHADOW LN PORT TOWNSEND, 98368 OWNER: STEVEN L HURLEY PHONE: (425)488-0826 CAROL L HURLEY 14701 120TH CT NE KIRKLAND WA 98034-4533 SUBDIVISION: Block: Lot: T 28 PARCEL NUMBER: 002124023 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUHI133J7 Expires 4/27/2003 REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360)697-7000 PO BOX 97 POULSBO WA 98370 PROJECT DESCRIPTIOP SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,410 VALUATION 179,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 564 SHORELINE: CONST TYPE: DECK: 312 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL 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 Routing Date: F&W Landslide ZI Io,3 C Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: ,prpvDd Permit $1,430.55 MAM 03/19/03 55914 V Plan Check $929.86 MAM 03/19/03 55914 APR 2 4 2003 State Building Code $4.50 MAM 03/19/03 55914 Potable Water Application $50.00 MAM 03/19/03 55914 Jefferson County Planning Total: $2,414.91 & Buildings Department 11//7/W4714 7 Seal( 0 BUILDING PERMIT 0 Jefferson County Depm o 621 Sheridan Streetart, Portent TownsendfCommunity, WA 98368 Development (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00179 Received Date 03/19/2003 SITE ADDRESS: 180 GULL SHADOW LN Issue Date 04/24/2003 PORT TOWNSEND, 98368 APPLICANT: STEVEN L HURLEY PHONE: (425)488-0826 CAROL L HURLEY 14701 120TH CT NE KIRKLAND WA 98034-4533 SUBDIVISION: Block: Lot: T 28 PARCEL NUMBER: 002124023 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: TERHUNE HOMES INC PHONE: 360-697-7000 PO BOX 97 POULSBO WA 98370 Contractor's License: TERHUHI133J7 Expires: 04/27/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE REQUIRED INSPECTIONS: / �i [ ] SETBACK Footings: .5 7 th L ff/ �� �/I � � 7%G� .� r [9, Foundation:‘ 6 O [ ] Undergrou Plumbing/Underground Insulation: [ { Shear Wall: 7 /m? [ ] Framing/Plumbing: �L.IAM8i►JG OK 7/3l/ -i-in c % e/E 1 1 Propane Tank/Lines:jjii7 C k.)t. S-tT--' £cr ©KC�. IL�•-r 7 -Cfi [ ]�, Insulation: wr?-i $ s 1/�/-(14-T /% ('I Sheetrock:&,?-3 3 f 1 Septic System Final Approval: [ ] Zoning Final Approval: ( 1 Final/Occupancy Approval: 71‹ -C r C� /(4 G=� HEALTH DEPARTMENT APPR AL 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 i • SPECIAL CONDITIONS FOR CASE A BLD03-00179 1.) The application was reviewed by the Jefferson County Department of Community Development staff on April 8, 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: Susceptible Aquifer Recharge Area, Coastal Seawater Intrusion Protection Zone. 2.) The southwestern portion of the parcel is located in a Coastal Seawater Intrusion Protection Zone (SIPZ). The existing well and proposed single family residence is located outside of the SIPZ. See SIPZ findings and conditions for requirements for development within a Coastal SIPZ. 3.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 4.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 7.) MANDATORY MEASURES FOR COASTAL SIPZ: • 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) 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. 9.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 10.) 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. 11.) The applicant is proposing to create or add 3,300 square feet of impervious surface and 7,750 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Erosion and Sediment Control Plan. 12.) A Stormwater Site 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. 13.) 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). 14.) The building height is not to exceed 35 feet. 15.) Minimum front setback is 20 feet. Minimum setback from Cape George Rd is 20 feet. Minimum side and rear setbacks are 5 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 17.) A minimum of two (2) on-site parking spaces are required for the single family residence. 18.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 19.) Gull Shadow Ln (P223) is a private road. A road approach permit is not required. An address of 180 Gull Shadow Ln has been assigned to the parcel. Cape George Rd (C622808) is a county minor collector road. 20.) A septic permit (SEP02-00266)was approved December 3, 2002 for a system with capacity of 360 gallons per day. 21.) This parcel has been surveyed and recorded under AFN 342692, Vol 12, pg 243 of Surveys with the Jefferson County Auditor. 22.) The revised site plan as submitted with the building application on March 24, 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 April 8, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 23.) This approval is for a Single Family Residence with attached Garage 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. is\F_BLD_Permit_Buildng.rpt 10/29/1999 ,111111 Jeffery Cilty Department of community Dev t Alcso v ,,JG� 821 Sheridan Street,Part Townsannic. 368[3601378-4450 ( = .) MAR 1 ° °� �rm �� a 'iop ,, cc-3cllpon .,.....„,7,...,:-.-_ . .1, mN Project Descriptions t— -cC J\" -t.-- ,.„ven A- sd i 4—ux leti, Building Type: Project Type: Frame Type: )) Single Family /' New Wood E. Garage Attached/Detached 1 Addition E Steel Modnla r 2 Alteration/Remodel 7., Concrete Commercial 11 Repair 11 Masonry Multi-family/#of Units 2 Demolition 11 Other: 2 Industrial 2 Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: — Existing: �_ Sewer E Community System E Electricity E Oil Proposed: g Proposed: 2 71^- 24 Individual System 11. Woodstove ,SA.•Propane Total: Total: t If not sewer,fill out the following: E Heat Pump Conventional ❑ Alternative 1 Other Permit# SEP Water Supply: Private well 2 Two Party Well 2 Public:Name of water system: Square Footage: ��� For Office Use Only I Main Floor 2 1 ( o ! Consistency Review ft y '� 2ND Floor Base fee f Li 3'C• SS 3rd Floor Plan Check fee /a 9, 4 1 '- . jHtd Basement State Surcharge fee ', 5O 114 `" J Unhtd Basement l I Subtotal �z//[ . 9/ Garage/Carport S.(O`' (3 a�3'�� Pot Water Review fee ,`'/= Decks 31t. •S 1 J.tP. 0 911/Rd Approach fee Pi[ ' a� Commercial ' �5 TOTAL (73 J1 Industrial /�� i�f1 J' Receipt# 9,�4/ Other l `, Cash/Check# ETotal Valuation: Initials G Or I''''' \ Date Estimate Coss . 1`l� ovv . ! k If within 204! of the•Shoreli Distance to Bank or f a'ry`I4igh 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 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 t heart' rope or structure shall be requested and shall occur during regular business hours. Signature: Date: ‘,2 -Cn._ OVER 11 H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 v 88 25'S2 312.6T _ F-- \ ----1 0 1 ' c°,) 1 403 RESERVE AREA v %, I /J P/ �k Nr LP �� • 9 cal S ( Tl FLA \ SCALE: I" = 90'-O" CD PARCEiL # OO2-I29-O23EY TRACT 20 6.9 ACRES 180 GULL SHADOW LANE PORT TOWNSEND TERHUNE CUSTOM HOMES 3/1/03 LR 1 I . 1 1 + c cr — — , 319.09' \ 88 2S' 52"li \ / oN PROPOSED \ N / [� LO OFCSEATION PTIC D / IZI TANKS \ / � EXISTING 01 1-)l CABIN / u) 1 ' NO PLUMBING) I �""'Z— P OPOSED 3 — CN B DROOM O EXISTING I S) RISIDENCE WELL I Lll Co I I. QL I W �\ \-- co \ / c \\ \h/ / N / \ / \r 418'+— ,. 59'—0" / o �� \ 88 29' 19' 688.61' 1