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Home My WebLink AboutBLD2004-00665 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00665 Received Date 10/20/2004 SITE ADDRESS: 1260 E QUILCENE RD Issue Date 03/22/2005 QUILCENE, 98376 APPLICANT: JANIS C HENRY PHONE: (206) 605-1329 514 WARD ST APT 102 SEATTLE WA 98109-6107 SUBDIVISION: Block: Lot: T 4+ PARCEL NUMBER: 701184004 Section: 18 Township: 27 N Range: 01 W CONTRACTOR: QED BUILDERS INCORPORATED PHONE: (360)385-5743 630 CASS STREET PORT TOWNSEND WA 98368 (360) 385-7627 Contractor's License: QEDBUL*043D1 Expires: 9/14/2006 PROJECT DESCRIPTION: DEMOLISH HOUSE CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: UFFER: Footing: Foundation: Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Plumbing: Propane Tank/ Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: -O 'G` ''t•L") HEALTH DEPARTMENT 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 CS A BLD04-00665 • 1.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 2.) The shoreline 30 foot buffer shall be maintained in its natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer is not diminished. 3.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 4.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 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.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) Not more than two (2) unlicen•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). 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.) Minimum setback from E. Quilcene Rd right-of-way is 20 feet. Minimum side setbacks are 5 feet. Minimum shoreline setback is 30 feet from the bulkhead. 14.) A minimum of two (2) on-site parking spaces is required for the single family residence. 15.) The requirements for approval of the demolition permit (BLD04-00665) shall be met, and the existing SFR shall be demolished prior to final building permit inspection for the new single family residence (BLD04-00550). I:\F_BLD_Permit_Buildng.rpt 10/29/19 •UILDING PERMIT APPLICA*N MLA04N00517 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00665 Received Date: 10/20/2004 SITE ADDRESS: 1260 E QUILCENE RD QUILCENE, 98376 OWNER: JANIS C HENRY PHONE: (206) 605-1329 514 WARD ST APT 102 SEATTLE WA 98109-6107 SUBDIVISION: Block: Lot: T 4+ PARCEL NUMBER: 701184004 Section: 18 Township: 27 N Range: 01 W CONTRACTOR: QED BUILDERS INCORPORATED PHONE: (360)385-5743 630 CASS STREET PORT TOWNSEND WA 98368 6g0o 338g55 Contractor's License QEDBUL*043D1 Expires (38/�/20047627 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMOLISH HOUSE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 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 Routing Date: 10(2cF&W Landslide ('cy f(2 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $48.00 BAC 10/20/04 68557 APPROVED Total: $48.00 MAR 2 2 2005 Jefferson County Planning at Building Department III _ I mo'c, +#' U RCA A . A1T Rsox-W4nr'' Notification of Demolition Permit It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos- containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the structure.Project Site Address: I�() b (-- V‘k2-t \Q� �/ - County: City: �(2r- -1 State: G.-)Pc Zip: Q 3 16. Starting Date: Ule c - iC. 2.O(--( Completion Date: L. 20 2004( *(There is a 10 working day advance notification period from receipt of permit application) Property Owner: —�an \\EArk a Telephone:(22,0(Q)(p(�' 13 act Fax: Mailing Address: S` 3 (� A 5 V. k O, City: St±a.-4k1.e- State: 1/,--) Zip: lS 1 U( Demolition Contractor: ` /V O Cc\ r CO tb\- . State License#: 3 Mailing Address: �G )I L( )1 . (0( Ou., tc,ene_- City: 00 IGI. n Q. "'IC) WA Zip: q S 37-6 Contact Person: Ak(t;T Telephone: �t(u 5- - ,2Oc Fax: S NO Demolition by Wrecking or Dismantling? ($25.00 fee) check# Training Fire Demolition? (If yes, attach fire department request for training fire) Renovation,Alteration, Remodeling, Maintenance,or other Construction? Asbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos"form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by AHERA Certified Inspector for i * Asbe.Sc-or Consu I Cn{-S Certification#. 1 A M 0 A- 0 cia... This approved permit must Enclose$25 Certification of the Asbestos Survey must be available at the job site Processing Fee accompany this form • 2940 B Limited Lane NW,Olympia,Washington 98502 360-586-1044 * 800422-5623 * fax 360491-6308 homepage:www.orcaa.org * email: info@orcaa.org Rev.07/11/02 8/24/2005 15:32 FAX 360 491 6308 ORCAA a1001 A-kc. '-ii,--kTzi .-T_Jtrsip C ., frb r v. , 1Y0C-C S.01) 0 RCPt A Date Application Received Amended: Li Date: Initial ...,..4.4i; tEc,i3O•,,,f cle:1,,v,i,;..... -•""g , RECE' completion: 0 , .. MAR 0 3 Annu.t: CI $500 A .lse,Only 2940 B Limited Lane Nil,Olympia WA 98502 Phone;(360)5$6-1044 Fax!(360)491-6308 ivw-iy.oecali.oeg, APPLICATION TO PERFORM AN ASBESTOS PROJECT - ••••- - ---• • • ---- -A. Project Type: 1. e Asbestos Removal [Z. 1:1 Renovation 3. Li-Maintenance U--E -Encapsulation _ ..-41bt Demolition 6. CI Emergency 7. El Other; B. Property,Owner: - ,3 K5 IllIrl. 14.4%,r1- Phone! i ( 1 Property Owner's 47(0 • Mailing Address: r2k0.0 ._ JQk j....i.,,, Q4L4,-..._12, ?...G.t. City:0-1.-ALi (0._Ct.."-0.,.....: Statkti4V 7ip(.711 _ C. Asbeir Contrarrb LL01.,L4_el T.--Yl-("" Con actor t:wner/CEO: 0 - 0. Mailing Address: ., 76/. A Ph 5-1-----i one:7-53 1 S 2----7 ( -7 5 CitY:7C..4,....E eThe--N. CA, State: i&...)/51- ZipPL-?----Fax: 7-t-53 )-77 Li 62-,0 D. Site Adaress... ". / ?AOC r- Qt-A-1/C-,90.0._ /(-ni- Cin-6).-Ci te-a4fe_ 6.-1,1-" State: — . Zip: SI--. 74Q Project Manager or 11 Colitrerson: u7 et-1 5 tz. s Phone: 4,3)5-22.WI 5—. E. Asbestos Srvey or No. of Stmcrure:q! Date Asbestos Sun'ex Conducted: Was Asbestos Found? 0 Mat'l Presumed: / 9 -/ S - CYtt4 Yes 0 If No,Attach Survey AHER.A.Building ''''''ARE44 S'RT-El.12 RZO'77R'eD 114F4W A C P'S",11770-v Certification No.: Expiration Date: Inspector Name: pircpscp 1 0 ( ( ---) S F. Demolition No. of Structures: / Start ' ,...,-E. Training Fire(List Fire Dept, as demolition contractor below) Information: ( Date: - 'Lii 0 Ordered Demolition(attach copy of Ordeo Demolition 1",,,,",,,,,,bere eon,"'mirror arkinvr,in box.1,rol link ni:Irrnor It amrdne bor.wore,"mu,.!/).,doixdrronw rhore Contractor: (.' ' - - i\Cii Phone:.( ) G. Asbestos No.of Structures: (see . S‘I't- ate:431,6t05-* Completion Wk.Days: M Nlif_CF- Sa Su Project back if> 1) 1 3..:>. :: 0.s- Difli/ 2,0.,),..._ Hours:730 eL F.,..__Litr3 6 Information: C Willa11 asbe ri stos llb mz7 eiV)) I by r Total Quantity to be Removed: I ..... Square Feet Linear Feet project completion, Yes 0 No Thermal System Insulation: U Boilerfurnace Ins. t Li Duct Ins. 0 Pipe Ins. Other StiffaCinF Mat'l: Li Fireproofing 0 Paints Li Plaster eytured Coatings Other. Misc.Mart I Li Cement 84-1. LI-1--Cement Pipe ar 'loorina Mat'I Rooting Marl Other: H. Asbestos/Demolition Project Categories: Notification Waiting Period A2E, REF INDART,F,FF,F. TUResideatinl Dwelling Asbestos Removal Project Prior Notice $25 2. eniol1tion 10 Working Days 3. less than 10 linear feet or less than 11 square feet Prior Notice $25 --17-L. (1 ). 9 linear feet or 11 - 159 square feet 10 Working Days $10,9 5. 260-999 linear feet or 160-4.999 square feet . JO Working Days 6. 1.000-9.999 linear feet or 5_000-49.999 square feet 10 Working Days :r3TX0 7. IZI 10,000+linear feet or 50.000+square feet 10 Working Days $1_000 .. 8. ClAnnual Permit(Limited removal.additional permits.contact ORCAA) Prior to start of New Yeur $500 9, JEmergencv Project _ Prior Notice $50 10. LiArnendmcnts(no fee for le and 2°' amendment) Prior Notice $25 L r do hereby certify that the information=mined in Etna notification,and supplemental data Payment received date: described herein.in to the best of my Imowl ,g accurate and winplete. I&ball not cause or allow any Reviewed date: - ---. aSbest . or dernolitism -yid to until die appropriate waiting period has elapsed. Reviewed by! Permit Number: 6S/5-S60013J 2./-0-_,W6c-)//01 .. SiSliaEllrC:: Date: ...,"' --t"---U ,..) 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C...) p... 1 , <w <..; = l'..- ... 4 N 38DOMOS W 0 > ,--••• z _c___...___:.,_':':::;:,L__,,, ‘'''""—------i÷......m.rmiera••••••••••••-•• •••••••an /7 II i I ' "OUSE I Jan Henry iy 0 L. Quil'Ice-fr4z. for 1494.92 I DESIGN RICK ERICKSON HenrycurrentC ...„-- fa v..:4- .70i /S'l oadt