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BLD2003-00247
UILDING PERMIT APPLICAION MRLA03 0eview 0p203 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00247 Received Date: 4/17/2003 SITE ADDRESS: TOTEM RIDGE RD ik(pa'S PORT HADLOCK, 98339 OWNER: BLAKE A UNDERWOOD PHONE: (360)732-4142 TARA D UNDERWOOD 453 WASHINGTON LN PORT HADLOCK WA 98339-9775 SUBDIVISION: BRUCE B SETON SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 901114029 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: STICKS AND STONES CONSTRUCTION PHONE: (360)732-5073 453 WASHINGTON LN PORT HADLOCK WA 98339 Contractor's License STICKSCOOOKC Expires 5/3/2001 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,728 VALUATION 27,820.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: F&W Landslide 4 I 1 i c;43 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date ED Permit $421.55 MAM 04/17/03 56021 APPRO Plan Check $274.01 MAM 04/17/03 56021 `/ State Building Code $4.50 MAM 04/17/03 56021 i/ Total: $700.06 APR 2 2 2003 Jefferson County planning & Building Department ISO co • Jefferson Counlipartment of Community Devebpmm�nt 621$boridan Street,Port Townsend WA 08368[360]370-4450 Percfn ot APPc ? © Project Description: Building Type: Project�,�I Type: Frame Type: J" ❑ Single Family New /Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete yr Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: 'v a l f Choose one: Existing: Existing: ✓� ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: i Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional �Alternative ID Other /vim Permit# SEP 5 v1—GC1 Water Supply: An\ s- ❑ Private well ❑ Two Party sell❑ Publi c:Name by cater system: Square Footage: / n d For Office Use Only Z Main Floor i 3 dl A v Consistency Review 47.00 2ND Floor Base fee Via-I 3rd Floor Plan Check fee—655% c9.-7y ' 0 Htd Basement State Surcharge fee 1 ' .S U Unhtd Basement Subtotal '7 Li / ' 0 10 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee + 00 Commercial TOTAL tg/ 0 k' Industrial Receipt# S(p OA— I Other Cash/Check# a 9 L f Total Valuation: 2 (--1 COO Initials Or Date 14/11 0 3 Estimated Cost: L CGS 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 entry to Jefferson County and it's employees,representatives of 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: Date: OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00247 Received Date 04/17/2003 SITE ADDRESS: TOTEM RIDGE RD Issue Date 04/22/2003 PORT HADLOCK, 98339 APPLICANT: BLAKE A UNDERWOOD PHONE: (360)732-4142 TARA D UNDERWOOD 453 WASHINGTON LN PORT HADLOCK WA 98339-9775 SUBDIVISION: BRUCE B SETON SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 901114029 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: STICKS AND STONES CONSTRUCTION PHONE: (360)732-5073 453 WASHINGTON LN PORT HADLOCK WA 98339 Contractor's License: STICKSCOOOKC Expires: 05/03/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: POLE BUILDING REQUIRED INSPECTIONS: �� j� [4' SETBACKS /Footings: �J/D [ ] Foundation: �' ` ,l /, _,r c [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] rami gPlumbing: WI tzroo X4-03 ( 1 Propane Tank/Lines: [ ] Insulation: f 1 Sheetrock: f 1 Septic System Final Approval: [ ] Zoning Final Approval: 1 1 Final/Occupancy Approval: I' G'/t !2J 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 # BLD03-00247 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 4/18/03 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: Landslide Hazard Area I (low), Susceptible Aquifer Recharge Area, and Stormwater. 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 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. 5.) The applicant is proposing to create or add 4,750-square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Sedimentation and Erosion Control Plan. 6.) 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. 7.) A Small Parcel Sedimentation and Erosion 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.) The site plan as submitted with the building application on 4/17/03 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 4/21/03 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a 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. 10.) 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. 11.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 12.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. • 13.) 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." 14.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 15.) 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. 16.) This is for universal DRD findings. Not for custom case type specific findings. 17.) The building height is not to exceed 35 feet. 18.) Totem Ridge Road is classified as private road and requires a minimum 20-foot road setback. All side and rear setbacks are maintaining a minimum 150-foot setback. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of impervious surface which includes roof tops, concrete, gravel driveways, etc. is\F_BLD_Permit_Buildng.rpt 10/29/1999 --,_ _..- -.. -...., — .. , 0 g •4;"" ›.• 7 CA.) 0 , \ 0 ,, • C) -r \\\ co Z N\ R . .... \\„,\ I , N N 1 ci 3 . I ' ' 1 i -V \ \ • I In '\ vi`I' in , a I 7 --1)-V (3i I C 1 •:5-r1 E_ ..,,, - \-, fri Tr) CA r 5' a I C Zt i /C7QI / I Z-- c) V n Z._ i r ui kil z 0 / , in:i— E i/ __I cv to 1 tA -o"-c J 8 'cc'V--,) or- , 0 0 I F ii, p 0 o -s• C' N!--,N,\'),-y 0 0 7.. --GE4.Nrimu'l .. -',..,7- c) i P., E , . . iq--"t- .-_-, S Tn 0 • -I is . 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