HomeMy WebLinkAboutBLD2005-00555 CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD05-00555
SITE ADDRESS: 707 LINDSAY HILL RD Issue Date: 09/16/2005
QUILCENE, 98376 Final Date: 10/25/2006
APPLICANT: ROBERT M RUDE PHONE: 425-775-9879
LE T RUDE
21301 8TH PL W
LYNNWOOD WA 980368613
SUBDIVISION: QUILCENE BAY VISTA Block: Lot: 6+
PARCEL NUMBER: 701205006 Section: 20 Township: 27 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON
10/25/2006
100(0 an
B ding Officia ign ure Date
I:\F_BLD_Occupancy.rpt 10/29/19
0 0.
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00555 Received Date 08/26/2005
SITE ADDRESS: 707 LINDSAY HILL RD Issue Date 09/16/2005
QUILCENE, 98376
APPLICANT: ROBERT M RUDE PHONE: 425-775-9879
LET RUDE
21301 8TH PL W
LYNNWOOD WA 980368613
SUBDIVISION: QUILCENE BAY VISTA Block: Lot:
PARCEL NUMBER: 701205006 Section: 20 Township: 27 N Range: 01 W
CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330
1308 ALEXANDER AVE E
FIFE WA 98424
(253) 926-8515
Contractor's License: REALIH1984CN Expires: 2/15/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSP7F�CTIO HAT APPLY TO YOUR PROJECT.
SETBACKS: M' 2 z7dL
UFFER: AJG
Footing: 0 pkg ,ZErrAgs, P�oTe3 i�m - pItay Atalic,us f/Sj,g ii sz,BArr 07/0-A '
Foundation: Dk 3,:7,4L
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation: r
Shear Wall : & Pn EAktvpct. At it-hut 04 S/1/44,
Sheathing:
Framing:UMO6t c e /'C.&e /=/w „.; "3/3c/ok- Di' /.7--/o-g0
Plumbing: 5 ks+/
Propane an /Lines:
Insulation: alk 5ti7L Dk 6 zfti91/44,--c(-002(Apit.>
Sheetrock: h-30-061s
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ICJ -1.?"\-Cga
HEALTH DEPARTMENT ND 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
• MLA05-524
BUILDING PERMIT APPLICAI ION Review Type: I
Jefferson Cc;!ntv Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
ERMIT #: BLD05-00555
Received Date: 8/26/2005
SITE ADDRESS: LINDSAY HILL RD
QUILCENE, 98376
OWNER:
ROBERT M RUDE PHONE: 425-775-9879
LET RUDE
21301 8TH PL W
LYNNWOOD WA 980368613 QUILCENE BAY VISTA
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701205006 Section: 20 Township: 27 N Range: 01 W
CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330
1308 ALEXANDER AVE E
FIFE WA 98424
Contractor's License REALIHI984CN Expires 2/15/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR WI ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,768
VALUATION 235,444.00 ADD'L: 720 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: SHORELINE:
CONST TYPE: 5N GARAGE: 528
SETBACK:
CONST TYPE: DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date: 09/ne/)-(5/.
Type :, I E D
Amount Paid By: Date: Receipt: Approved/Date/,
Potable Water Application $53.00 SLE 08/25/05 76558 F
State Building Code $4.50 SLE 08/25/05 76558 /"'�
Plan Check $1,140.98 SLE 08/25/05 76558 S. i 1
Permit $1,755.35 SLE 08/25/05 76558 ,�i 9
#ferson L ar;nin
Total: $2,953.83 c Buildi y . rpmt
m e_ czard9 s 1A-
17.) Exterior lighting for residential•uses shall not exceed twenty feet(20') in height from
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
18.) Lighting fixtures shall be designed and hooded to prevent the light source from 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.
19.) Minimum setback from Lindsey Hill Road shall be 20 feet. Minimum side yard setbacks
shall be 5 feet. Minimum rear(private ingress/egress easement) shall be 20 feet. If an
ESA is present, then the more stricter setbacks shall apply.
20.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
I:\F_BLD_Permit_Buildng.rpt
10/29/19
•
SPECIAL CONDITIONS FOR C ,;E # BLD05-00555 •
1.) There is not enough sepic system capacity left for a second residence utillizing this septic
system.
2.) 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.
3.) 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.
4.) 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."
5.) All construction activities shall not encroach upon the landslide hazard or stream buffer.
This includes the storage or preparation of materials.
6.) 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.
7.) 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.
8.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative
buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed single family residence.
9.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed single family residence.
10.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
11.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
12.) 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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).
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The building height is not to exceed 35 feet.
411
OWNER BUILDER STATEMENT 0
;r of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
of •suminp"ie responsibclity of t' Orval Oontractor for the pro.'osed projerr.
re: (�v1i� 131 1 f.t'(i Date: K' - ? F 73 Cil .S
:RAL RACTO ;OR UFACTURE HME INSTALLER: PHONE: FAX:
LING ADDRESS:
/
36,s / �f�b c�//"v_i_ .41/L. L;;EMAIL:
,NTRACTOR'S LICENSE /_,' �j�;` C) !� Z Li' WAINS
JMBER: / T / 7 7 NUMBER
,RCHITECT/ENGINEER: PHONE ( ) FAX:( )
vtAJLING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
`it( New Wood Existing: ❑ Sewer
0 Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: a . .-i-_ Height: .„bir Individual System
❑ Repair ❑ Masonry SEP Permit# 05 ^Z i S
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: _W-Private well 0 Two Party
Type of Heat: Proposed: ❑ Public
��✓ Total: 3 Name of System:
it
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: _ Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert CI Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only
Current Proposed Amount .
Main Floor r �� 1 2 9�$�;onsistt:ncy Re4iew:
2Nu Floor t l
.7a 5 fee: I `155,35
D
31O Floor i Additional Section:
Mezzanine: Plan Check fee: q
Heated Basement e; 5�
''''-.State Surcharge
Unheated Basement `
Pgllater Review:fee: ,, .4r1 ,
fee:
Other Unheated _ _ �� 91 04. pp; ch K" g 3 l rt i "
9 �.. =Garage/Carport rt S�� ���.. �_ TOTAL: $ 44 �- r.
Decks
01"3c,s/t/r R ( Number: ▪p
OtherNumberL , 4 t` ,, ,
t Ck 31...( S
ESTIMATED COST(REQUIRED) Date: '�,�s:j 4. ^4
•Fair market value of all labor and materials foundation to finish --I 'M1 `Gr} rYi' t-'I( //s 000 Initials: ,sir 1'4.t
I AUG 2 5 2005 ' ,7*' ,i .,,, ,
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc _
, AENT
„i,>. °N cow, JEFFERSOh OUNTY 17.�. ,1
�, i \� 2a DEPARTMENT OF COMMUNITY DEVELOPMENT
• ` `� 621 Sheridan Street• Pc d t Townsend • in t n 08368
4, . . 360/379-4450 • 360/379-4451 Fax 2005
o www.co.jefferson.wa.us/commdevelopment
K.`S.3IN��
_ I
Master Permit Application ' = _ iJA: 1iiiPicJ5 .531'
Project Description(include separate sheets as necessary): _
Tax Parcel ff7 _ / Property ,C/
Number: 7 Lr /
2 (2 S (0 (� Size: G- / 6'.- `-_ 5, (acres/square feet)
1
Site Address and/or Directions to P rev: 7.._0 77- 1 t r f)�/ 7C P___i' 712 4- -"t / 4Y(§�
Property Owners)of Record: /1/,P/l t m 4 L l e / ;d�
Telephone: 5 Fax:l{2 S%�n ? i'_- -/,Y” email:
Mailing Address: O .t..'- 2. 7—ea,
Applicant/Agent(if different from owner): /1( //
Telephone: Fax: / email:
Mailing Address:
What kind of Permit?(Check each box that applies)
Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
)Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑Manufactured Home ❑ Boundary Line Adjustment
❑Modular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat VacatioNAlteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre-Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees,representatives or agents for the sole purpose of application
review and any r uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
Sous. JI (/�Z J
Signature: L Date: D
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabr "ponsibili for adge�ing to ping with the ESA. The Applicant has read this disg ime aril-sign and4aLes it below.
Signature: t..' / l - �— Date: Ji J 'J
G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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