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BLD2004-00072
• BUILDING PERMIT APPLICIION MLLA04-00068 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00072 Received Date: 2/6/2004 SITE ADDRESS: 199 OLD GARDINER RD SEQUIM, 98382 OWNER: PETER C ERICKSON PHONE: (360) 301-6253 ANNE C ERICKSON 199 OLD GARDINER RD SEQUIM WA 98382 SUBDIVISION: WILKERSON SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 002332030 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 800-824-9552 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 10,779.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 864 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: 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 n F&W Landslide Routing Date: O2 ( t /oct Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: v /D to Permit $237.25 KAS 02/06/04 62541t haw, ',, uvED Plan Check $154.21 KAS 02/06/04 62541 MAR �� State Building Code $4.50 KAS 02/06/04 62541 Total: $395.96 Jefferson County Planning &Building Departmpt l i/ oil / / / �ozv c 3. Jaffsrscn C r, +h:.i artlnent of Community Development ' 621 St tin Street, ort Town:-:nd WA A8388[3601 373-4450 1. h_, ..\-...„ ).4 ... 4. 0 � 0 00 _ S G oQ� o �37N f 'TDw NJ E. co u iv't"a-y FEe » 6 Project Description: jos �`(h1�� Cc. 2 5 ^�y2�� b�l Building Type: Project Type: Frame Type:. ❑ Single Family New 0 Wood X Garage Attached/Detached ❑ Addition 0 Steel ❑ Modular 0 Alteration/Remodel 0 Concrete O Commercial 0 Repair 0 Masonry ❑ Multi-family/#of Units 0 Demolition ' Other: PO LE 0 Industrial • Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing Existing ❑ Sewer 0 Community System 0 Electricity Oil Proposed: Proposed: %Individual System (?r ,pose,d 0 Woodstove 0 Propane Total TOE" If not sewer,fill out the following: 0 Heat 0 Conventional 0 Alternative 0 Other Permit# SEP Water Supply: O Private well ❑ Two Parry Well 0 Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPA NCYGROUP +.. 2N0 Floor Base fee_ 3 rd Floor Plan Check fee e; 24 Htd Basement State•Surcharge fee Unhtd Basement Subtotal `T Garage/Carport B(y Pot Water Review fee Decks 911/RdApproach fee re+ y '2—e - Commercial +`Y,� f� TOTAL 1 3 Industrial Receipt# 1 (02t Other Cash/check# t05Ck3 Total Valwarion: Iniriaice-b Or I. Date -�l°4— Estimated Cost. /�1 77 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 omi‘uon of a material fact made by the appliranr/owner with respect to this application packet may result in this permit being null and void. I further agree co save,indemnify and hold harmless Jefferson County age p r all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue againv Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and ri of entry to Je erson 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 appli t, property or chart be requested and shall occur during regular business hours. Signatures C'rA" Date: 2—I3/O BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00072 Received Date 02/6/2004 SITE ADDRESS: 199 OLD GARDINER RD Issue Date 03/3/2004 SEQUIM, 98382 APPLICANT: PETER C ERICKSON PHONE: (360)301-6253 ANNE C ERICKSON 199 OLD GARDINER RD SEQUIM WA 98382 SUBDIVISION: WILKERSON SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 002332030 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 800-824-9552 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License: TOWNCPF099LT Expires: 06/30/2005 PROJECT DESCRIPTION: NEW UNHEATED POLE BUILDING - NO PLUMBING REQUIRED INSPE7NS: N SETBACKS: X UFFER: *, Footing -S//f Foundation: [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall : ', Framing:,L— r [ 1 Plumbing: [ ] Propane Tank/ Lines: [ ] Insulation: [ 1 Sheetrock: _ [ ] Septic Sytem Final Approval: Af4 ,fr 4' Road Approach Final Approval: Po 3- Z io 2- [ ] Zoning Final Approval: N ixFinal/Occupancy Approval: s/i9 o �/ HEALTH DEPARTME AND//PUBLIC WORKS 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. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE • SPECIAL CONDITIONS FOR CIE A BLD04-00072 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 2/17/04 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 Areas and Special Aquifer Recharge Protection Areas. 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 IJses (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.) 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.) The applicant is proposing to create or add 864-square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to the small parcel stormwater provisions to construct the proposed pole building. 7.) 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. 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 building application on 2/06/04 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 2/17/04 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) 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. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Old Gardiner Road is classified as a local access road and requires a minimum 20-foot front yard setback. The setback shall be measured perpendicularly from the edge of the right-of-way to the proposed structure. The side and rear setbacks shall be a minimum 5-feet. 14.) The applicant has recently received approval to construct a residence (BLD04-00011). I:\F_BLD_Permit_Buildng.rpt 10/29/19 Site Plan _, ��M�IMMIIMmmii Town Si Coun suae e 16521 Highway 99 Lynnwood,WA 98037-3161 Please Check After Doing Site Plan: 3-Septic and drainfield of size Draw North Arrow i 7— Everett:•(425)258-4171 Puyallup: allup:(253)840-9552 Etfroperty dimensions C3-Sewer lines ❑Elevation of property POST FRAME BUILDINGS Administrative Headquarters: (425)743-1555 3-Existing buildings El.-Setbacks of proposed&existing buildings E-B"odies of water ERMA BILT FAX: (425)742-4378 Toll Free: 1-800-824-9552 p`1'roposed bu'l ding (Main road with name Ll'�loorplan •. wv — ,s � Contractor's Lic.#:TOWNCPF099LT p-Ea-sements • [I-Amass to proposed building Q-Slopes&Contours(5'increments) Quality:Our Future Depends On It:' Job Name: C-�l GlGS a Job Site Address: I I 9 C)I-19 4,-,2 pt i Imae.- ILO , Legal Description: LOT— ' Dom' J 1 L.t RSo N i Ha KT ?LAiltr• "S,�&'J I An Tax Account#: OOZ-.-3 32- (53z) i2c44DpOQ-e7 ttt.1 JaWwt 6— 9 OF sf+flL1— 0L/kT P/"aE'4 1 G.L t?etciPS arm- �.... mI-St›N GVJt-tT.T, S. 1/-Z N.w. t/4 5=e. 3 3 . T. 3o N 12.Z w. w.s., e 1 5 (J 7 D 191 / D (�J N zM R. b ri ill 0-1 Nr, �� s e3eLVI eill < 4 S Z twil Q 4-1© z 6 ..........___L-41° ....._.......: o ( ( t.Ao t- Q rk . G,� N T ' �' l o w x ----f , n, .• 2M1TI O a L7� ( �� D NoM ir e l3Ut d 4- l 1 --L4 "1`� �� J t 1 i I 0 . O II / 'A nary pOU p C.4. u 0 ,t-t5 ' I L FEB 6 ,, . DO NOT SIGN INCOMPLETE SITE PLAN! Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy Yellow-Accounting utilities are shown on this drawing in the correct location. 2 / CI ITI'RIM PR CIr;N ATI IPP I FAO# "/ I