HomeMy WebLinkAboutBLD2006-00499 I
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 #: BLD06-00499 Issue Date: 11/6/2006
SITE ADDRESS: 292983 HWY 101
QUILCENE, 98376 Final Date: 2/1/2008
APPLICANT: SHAWN D BEGGIO PHONE: 360-765-3228
BRENDA D BEGGIO
292983 HWY 101
QUILCENE WA 98376
SUBDIVISION: Block: Lot: TX6+
PARCEL NUMBER: 702111016 Section: 11 Township: 27 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE TO REPLACE EXIST M/H
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 no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/1/2008
I:\F_BLD_Occupa ncy.rpt 10/29/19
•
ILDING PERMIT APPLICAT!N MRLA06-00pe481
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00499 Received Date: 8/25/2006
SITE ADDRESS: 292983 HWY 101
QUILCENE, 98376
OWNER: SHAWN D BEGGIO PHONE: 360-765-3228
BRENDA D BEGGIO
292983 HWY 101
QUILCENE WA 98376
SUBDIVISION: Block: Lot: T 6
PARCEL NUMBER: 702111016 Section: 11 Township: 27 N Range: 02 W
CONTRACTOR: HI-LINE HOMES PHONE: 253-804-1849
11306 62ND AVE E
PUYALLUP WA 98373
Contractor's License HILINH*981BT Expires 2/10/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR W/ ATT GARAGE TO REPLACE EXIST M/H
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,940
VALUATION 186,327.00 ADD'L: HEAT TYPE: EEE
CODE EDITION. 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 528 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: )3 2 Prop: 2
Total: 02 Total:
Routing Date: L7I.eD Cbr
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,480.95 LYK 08/25/06 84758
Plan Check $962.62 LYK 08/25/06 84758 . -
State Building Code $4.50 LYK 08/25/06 84758
Total: $2,448.07 NOV t0
2006
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4 off,. JEFFERSO(`OUNTY -
W ` \q DEPARTMENT OF COMMUNITY DEVELOPMENT _ II._ ,y
`., -.. 4 o ''� 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
p� www.co.jefferson.wa.us/commdevelopment
� BINp�
Master Permit Application MI-A:iEi.\( ,t ` f- S I.
P 'ect Description(include separate sheets as nec ssary):
..(0oKit� )�_6cpugiC�c.>(� , ��. V� w/ i<<d) 9(\ea
Property f{
Tax Parcel Number: .)( Z- I I I0)1, Size: Lio` 6,QCr.e5/6: ''GS3/ S(�acres/square feet)
Site Address and/or Directions to Property: ).-c]2 C(( 3 , m 101 - (),!;I ceii e I LAVA -1 E 3 74
C
Property Owner(s)of Record: ? 1(1l,o(1 `- i;F'flr-la Te- j",
Telephone: 3 7(p:7 J 2 z Fax: email:re)5 t Li I ch i(k ceuri-1,1 k.� ,n J
Mailing Address:; IE3 +-)'1, 1c /— r'�'t-,I 'v , i 0� 9 ,3 7to 1
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
❑ Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]**
n Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use CI Long Plat**
❑Address ❑ Road Approach CI Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane CI Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis CI 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 attorney'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. =, ,
Signature: :- ' CI �Y�.�.�ti h i Date: ci
The action or actions Applicant will undertake as a result of the issuance of th s 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':o 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 car 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 com lying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
:_ /�` %
Signaturd`� 't- -ejc-, =:% i1-a 1 < Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
••F r— t , BUILDER STATEMENT
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 responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
tr.,,. �TA-01 -' ('>u,-. )5cO7- IP-19 ( )
MAILING ADDRESS: 12 t> Loy\ izc4-C I--4Y<<�iU,�:.i:1 c1,1'53 EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: 11 1 I Li 11r' ' cl F1 n)T NUMBER
ARCHITECT/ENGINEER: 1 i PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
0`' New c4^ Wood Existing: V Sewer
❑ Addition ❑ Steel Proposed: Z-- Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: z-- ❑ Individual System
❑ Repair ❑ Masonry SEP Permit# '1--,),�,
II
Water Supply:
❑ Demolition ❑ Other: Bedrooms: PP Y:
Existing: /Ica. Setback: pe Private well ❑ Two Party
Typq of Hgat: Proposed: 0Public
-2\tc_ i\ Total: -IQ, 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:
Heat Stove ❑ Cook Stove [1 Woodstove [.7 Fireplace Insert ❑ 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated a; EH Bld App Review: p,)
L .173A). _ (.1-`-
2nd Floor Heated Consistency Review:0. !53 0.7
Other Heated (// Base fee: (i gO.
plSte"Mezzanine , Additional Section: ty
i
Heated Basement Z Plan Check fee: 110 (10-
Unheated Basement State Surcharge fee: 4
Other Unheated Poi Water Review fee: Ekt ►e\ Qy pe,_,b
Garage/Carport SUBTOTAL
Decks 911/Rd Approach,f :
Other / a+-I TOTAL: $
_----/ Receipt Number: ' Sq--rD8
Cash/Check Number: l 03:3
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
0411/
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00499 Received Date 08/25/2006
SITE ADDRESS: 292983 HWY 101
QUILCENE, 98376 Issue Date 11/6/2006
APPLICANT: SHAWN D BEGGIO
BRENDA D BEGGIO PHONE: 360-765-3228
292983 HWY 101
QUILCENE WA 98376
SUBDIVISION:
Block: Lot: T 6+
PARCEL NUMBER: 702111016
Section: 11 Township: 27 N Range: 02 W
CONTRACTOR: HI-LINE HOMES
11306 62ND AVE E PHONE: 253 804 1849
PUYALLUP WA 98373
Contractor's License: HILINH*981 BT Expires: 2/10/2008
PROJECT DESCRIPTION: NSFR W/ATT GARAGE TO REPLACE EXIST M/H
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS L-
UFFER:
Footing: / ,20-/)b
Foundation: CrI*1\W L` .
A. ,4r�►iovo, w �:,,,,.�t�lo,,,S Prt_i otc TO v FGoor._ G✓' /Z--2boh
Stormwater FINAL Approval: -COcrtivNi3 d INA IAA i,16,07 MEI by
Underground Plumbing:
Underground Insulation:
Shear Wall : w .o - - Mr/
Sheathing: , { 3.7. �✓ 1' �
Framing: 1_o,:aii� ./ m`,3,wk
Plumbing:
Propane Tank/Lines:
Insulation: EXfeircn,r- t.lallS 2-11 ►m4/(,P z-z4o=0 Z izy s�:s
Sheetrock:CAL $-7-Cr/ f A,4-
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/OccupancyApproval:A d SJbv AIL .e.Fl A-NJ-aria
i
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIORU� TO„FINALL 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
f
411 SPECIAL CONDITIONS FOR CASE A BLD06-00499
1.) The existing mobil home must be removed prior to final approval as the 1950s "cabin" is
to remain.
2.) 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.
3.) 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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
7.) Minimum setback from Highway 101 right-of-way shall be 50 feet. Minimum side and rear
yard setbacks shall be 5 feet.
8.) 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.
9.) 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.
10.) The building height is not to exceed 35 feet.
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.) 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
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