HomeMy WebLinkAboutBLD2004-00410 BUILDING PERMIT APPLIC1ION MRLA04r003 Ype66
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00410 Received Date: 6/22/2004
SITE ADDRESS: 331 BACHELOR RD
SEQUIM, 98382
OWNER: W WA CORP SEVENTH DAY ADV PHONE: (360) 797-7549
TRUSTEE OF REV TRUST
381 DAISY KING RD
SEQUIM WA 98382-8710
SUBDIVISION: Block: Lot: T4
PARCEL NUMBER: 002341003 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR: TAYLOR CONSTRUCTION PHONE: (360) 683-8992
PO BOX 3634
1541 TAYLOR CUTOFF
SEQUIM WA 98382
Contractor's License TAYLOC*001JS Expires 4/5/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOt NSFR on EXISTING FOUNDATION - Being rebuilt due to fire damage.
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP MAIN: 1,008
VALUATION 66,368.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
GARAGE:
CONST TYPE: DECK: 24 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 1 Seismic Streams
Total: 2 Total 1 Flood Way Floodplain
Routing Date: , z oy
F&W Landslide
L.40/ M
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: e 1 P� /' 1,-��/I E
Permit $972.75 RAC 06/22/04 66403 /-1
Plan Check $632.28 RAC 06/22/04 66403 OCT - 1 2004
State Building Code $4.50 RAC 06/22/04 66403
Jefferson County Planning
Potable Water Application $52.00 RAC 06/22/04 66403
& Building Department
Total: $1,661.53 l_.DL-LL / 6-€1-1L
�, o�v � nn ( I1 "17 75 1-;,' Jeffwson ertment of Calamity Development
f � i _ ' . 621 She idan Street,Port Town :ml WA 0 (3N)378 4450
i, JU - App _ cat(on
.7\\\:..f,.____.__._!y's,„,N( , r
rm got
4.riP1. of c, ,. . , e _. f L..0-1, ..
Building Type: Project Type: Frame Type:
a Single Family ❑ New A Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
❑ Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial 44 Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
IChoose one:
Existing: Existing. ❑ Sewer ❑ Community System k Electricity ❑ Oil
Proposed: I Proposed: —±-- i ,Individual System ❑ Woodstove ❑ Propane
Total: I Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply:❑ Private well ❑ Two Party Well Public:Name of water system: �_ ( L Ilt �A/� t`y,O
Square Footage: Office Use For Office Use Oal- nly
4 g
Main Floor I O ' ' Cc 5�5 Consistency Review
2ND Floor Base fee q 1-r ,. ,
3rd Floor Plan Check fee z
C,-0
Htd Basement State Surcharge feeA
Unhtd Basement Subtotal _ I (31._"S
Garage/Carport �� Pot Water Review fee S
Decks - (?6. 911/Rd Approach fee
ES Y-vc5i l..C\ ./
Commercial { TOTAL //__I Ti ra o
Industrial rr__ �(D , Receipt# 1'(4' 10
Other Cash/Check# 3 ®e'
Initials
Date (e(daloek
Estimate Cost: _ q? ✓vJ
If within 20 ine,
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 attomey'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 app' nt's property or structure shall be requested and shall occur during regular business hours.
Signature: !%2 Date: ‘/a2,/
OVER ►
G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
BUILDING PERMIT
Jeffe County pmi
621rson Sheridan De Streetart, Portentof Townsend,Commun Wty AD
98368 Development
(360)379-4450 FAX (360)379-4451
L
IT #: BLD04-00410 Received Date 06/22/2004
DRESS: 331 BACHELOR RD Issue Date 10/1/2004
SEQUIM, 98382
ANT: W WA CORP SEVENTH DAY ADV PHONE: (360) 797-7549
TRUSTEE OF REV TRUST
381 DAISY KING RD
SEQUIM WA 98382-8710
ISION: Block: Lot: T4
L NUMBER: 002341003 Section: 34 Township: 30 N Range: 02 W
ACTOR: TAYLOR CONSTRUCTION PHONE: (360) 683-8992
PO BOX 3634
1541 TAYLOR CUTOFF
SEQUIM WA 98382
Contractor's License: TAYLOC*001JS Expires: 04/05/2005
CT DESCRIPTION: NSFR on EXISTING FOUNDATION - Being rebuilt due to fire
damage.
FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
ETBACKS: — fg 1Jc -3- — _
FFER: -
ooting: O(G )26?oundation:
tormwater FINAL Approval:
nderground Plumbing:
ndergroun nsulation:
hear Wall: 1 ?raming: 1 -,;-6'J aKlumbing: / 5o5
ropane ank/Lines:sulation: &'gheetrolC— (7&
eptic S m Final Approval (If not on sewer):
oad Approach Final Approval:
oning Final Approval: }inal/Occupancy Approval: ji)'0kji
HEAL`i H DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
ILDING 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 CASE BLD04-00410 •
1.) 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.
2.) 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.
3.) MANDATORY MEASURES FOR AN AT RISK 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 requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Minimum setback from Bachelor Rd right-of-way is 20 ft. Minimum side and rear setbacks
are 5 ft.
9.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
•
10.) Lighting fixtures shall be designed and hooded to prevent the light source fill being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
11.) The project shall comply with Construction Stormwater Pollution Prevention (SW PP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
12.) A minimum of two (2) on-site parking spaces are required for the single family residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999