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Home My WebLink AboutBLD2005-00678 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00678 Received Date 10/28/2005 SITE ADDRESS: 422 SEAHAWK DR Issue Date 02/14/2006 QUILCENE, 98376 APPLICANT: ANNE F ACKENHUSEN PHONE: 206-8426457 D MICHAEL JOHNS 14062 HENDERSON RD NE BAINBRIDGE ISLAND WA 981101013 SUBDIVISION: Block: Lot: T31+ PARCEL NUMBER: 601283013 Section: 28 Township: 26 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: PROJECT DESCRIPTION: NEW ADDITION TO SFR CALL IN FOR THE R QUIR D I SPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: 51 I?Ce'o UFFER: [1/1 Footing: j ( o Foundation: Stormwater? NAL Approval:3 7110 0L Underground Plumbing: f Underground Insulation: / Shear Wall : +=kc:v" -' c4j _ t co,_1.1z 6U, „1tiK Sheathing: Framing: 4Di)icw",S' t_-LJi 5 At A/4.1(1S P jPlumbing: t-- tk- (4r-il%cU: t✓u Propane Tank/ Lines: Insulation: t'`'—c' ?ce-r Sheetrock: t''2`E`O i Septic SytFinal Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: ,' 0/2,1 'O ' 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 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 #: BLD05-00678 SITE ADDRESS: 422 SEAHAWK DR Issue Date: 02/14/2006 QUILCENE, 98376 Final Date: 12/31/2008 APPLICANT: ANNE F ACKENHUSEN PHONE: 206-8426457 D MICHAEL JOHNS 14062 HENDERSON RD NE BAINBRIDGE ISLAND WA 981101013 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601283013 Section: 28 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NEW ADDITION TO SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: P.-2 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/31/2008 I:\F_BLD_Occupancy.rpt 10/29/19 Illt UILDING PERMIT APPLICP Review T TyON ML y 636 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00678 Received Date: 10/28/2005 SITE ADDRESS: 422 SEAHAWK DR QUILCENE, 98376 OWNER: ANNE F ACKENHUSEN PHONE: 206-8426457 D MICHAEL JOHNS 14062 HENDERSON RD NE BAINBRIDGE ISLAND WA 981101013 SUBDIVISION: Block: Lot: 6 PARCEL NUMBER: 601283013 Section: 28 Township: 26 N Range: 01 W CONTRACTOR: OWNER BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW ADDITION TO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 892 VALUATION 105,714.00 ADD'L: 182 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 401 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 1 Prop: 1 Prop: 1 Total: 1 Total: 2 Routing Date: to 13` 105 w2c).2 Type Amount Paid By: Date: Receipt: [c�V.ed/Rate. Plan Check $667.78 SLE 10/28/05 77184 P ,�► Permit $1,027.35 SLE 10/28/05 77184 State Building Code $4.50 SLE 10/28/05 77184 FEB /1 2006 Total: $1,699.63 Jefferson County Planning & Building Department ?yr." tO • • SPECIAL CONDITIONS FOR CASE # BLD05-00678 1.) 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. 2.) 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. 3.) 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. 4.) 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 flcw 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. 5.) 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. 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.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. ID 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) 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. 13.) 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. 14.) Setback from Seahawk Dr. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. Setback from the edge of bluff is 30 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 15.) A minimum of two (2) on-site parking spaces is required for the single-family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 40 OWNER BUILDER STATEMENT 0 The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the r nsibility of the General Contractor for the proposed project. Signature: CT) —.---- Date: I of GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLS :! r I FAX: 01 I ii ocr L ) 1 i i ( ) MAILING ADDRESS: t-J U 2 gw20.05 1 f,/, CONTRACTOR'S LICENSE WAINS w NUMBER: --- - IF-ri. ARCHITECT/ENGINEER: c ,- .A r . t f; T —, t r�C`�v�_.rciJ :c\t.r:.c! 4�b„ir._'PHdN-c3'LYF!)1:3 ` —`6oct(TAX:(ice ) c� _ �. MAILING ADDRESS: / ?'� d E' 1`4 Z Sc3�\o:a � . C3��r: �� w:-. .. EnnAIL e,,E..)Z. L c\ c.\-..,c,.j-.c t--,+ Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New •.KWood Existing: ', D Sewer ,addition ❑ Steel Proposed: v Bank 0 Community System LI Alteration/Remodel 0 Concrete Total: Z Height: tndividual System LI Repair ❑ Masonry --/'S. t\. SEP Permit# Cr 0 Demolition ❑ Other: Bedrooms: * Water Supply: Existing: 0 Setback: D Private well j.K.Two Party Type of Heat:, Proposed: \ 0 Public CAc c_ .\ .c: Total: '�� Name of System: If this is a Commercial Project 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: 2 C' is X Heat Stove ❑ Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank 0 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 Consistency Review r 2NO Floor C_ _ `5 lzs �: '� 7t# 4 d® 1 .. x +, r;t) at-AC' 'Base fee. 5' 3"°Floor Additional-Section: Mezzanine: Plan Check fee: _ _ /( b -1 •76 Heated Basement _ State Surcharge fee: Unheated Basement Pot W, ter Review fee: P(WI04 6n1 Other Unheated 911/Rd Approach fee Garage/Carport $TOTAL (1 46. — b�Decks 3's-LA 1-t G t q Receipt Number: 17 J Other / 0�,/t.13, Cash/Check Number: (0 to.2, ESTIMATED COST(REQUIRED) T Date: Fair market value of all labor and materials founder - t 0!'� 0<j Initials: t+ t c,)-(12 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc . . , _±__Ir : 44''' v Cod JEFFERSO UNTY 1\ € f (, 'i ' 1.' DEPARTMENT OF COMMUNITY DEVELOPMENT I I' ''4 621 Sheridan Street• Port Townsend •Washington 98368 I I \i C i 360/379-4450 •• 360/379-4451 Fax ' OCT2 8 2005 i' ' �„gsp.- www.co.jefferson.wa.us/commdevelopment RING' I _ ___ Master Permit Application r. -- Project Description(include separate sheets as necesary):t, ‘1. 5.�_,C\1 sr-.4c.', . .:"' ter.✓ i c_ Tax Parcel Properly Number: (DC) ‘' `" �0 \' Size: '•? ti`-\ q; c_L L:— (acres/square feet) Site Address and/or Directions to Property: -Zz. r_(_,\,-.J2.w`c2-, c-)" s, Cy .\(..p-<.w ` '~ R - Property Owner(s)of Record: r.-Ne. i- C'%<=-`c.C'�\-,. •A• I S-> C'5.�•` `'.t'\ 'Sc:\ - Telephone: m o' , - t.,:s,2- L`-‘S-I Fax: email: c�. -,�,r, Q,,\r..-_,s.-.N,.,, .c_c.:cN Mailing Address: ‘,-AQr:2 \-c.�,\,v,1-jr:- C?r-. N,. `_ SIZ..,,.�h.- c..rj<=— S� <_:.�cs :=• c 2.. 0. Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) )uilding ❑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 ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home El Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDWAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑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 El 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. _, Date: /l"�i C a Signature: CM) '- �� 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ��) - (jci Date: V--'12� ( - G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc _ 0.01111114111k til z tri T7.00' rt1 - NO°24'15"E , 1 71.il A Z H WO Olt `t ilk� zi, CD o Cr1 S o O X o co o C O C,, Z tijd NL 'kir SAS a 4, we F D x D`'. x1 p0 --- —., og z / \ i • / \ d R / \ / \ / \ / \ / \ / \ n \ / 'MI \ / iu'i \ / m1 \ / r, 3 \ r� / fo a / °vioo 2� / rn� \ rp9o.t_______ / / ':, • =:;:iLs 0,....7 r.,:i,:,71: \ / vp / 40PINP- ''.', Ki / "gam ��a:, 1J 'ii m 7, o / 0,4# ni x ♦ *i: d u'nz b31.4'T / -v GIN2°5'51“E • ' / / Ill m(� � rD.. tirn // / / ! 11 2X V'Ili 0>t �� / Sri xi ::ii§ T � %rn� / / pr O� -10rn ", aS / rx�fil U' p z / rn A�� / / EXIST:N GRAVEL DRIVEWAY rp AD // / JAcENr pRo p/ ER7Y / � '% �3 0 i Xi i i i / i \ U / \ z I0 NJ D 2 0 0o rn rMi to a, 1 5665 ir>"( i " Z o R GISTR�D x) -o 0 / I RCHITECT c� 0 C IQ hi 0 / t RICHAR.D C. N. �rP ^ > Ok" / / STATE OF WASHINGTON / i LP o rn ADDITION FOR: RIGHARD BERG ARGHITEGTS, P.G. VA SITE �� N --I 121 TAYLOR STREET — ul GK N+ US N/ JOHNS PORT TOWNSEND,WA 18368 422PHONE: (360)1O 0 SEAHAHK DRIVE FAX: (360)31 -8324 1 6j OUILGENE, HA 18316 rbergool(ynpvs.net