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BLD2008-00233
• CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Pori Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD08-00233 SITE ADDRESS: 1671 CAMP DISCOVERY RD Issue Date: 10/13/2008 QUILCENE, 98376 Final Date: 3/22/2010 APPLICANT: GERALD A DAVID PHONE: 360-765-0992 1671 CAMP DISCOVERY ROAD QUILCENE WA 98376-8615 SUBDIVISION: Block: Lot: TX13 PARCEL NUMBER: 701224012 Section: 22 Township: 27 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & IJ/G 500 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/22/2010 I:\F_BLD_Occupancy.rpt 10/29/19 • •, MLA08-00261 BUILDING PERMIT APPLICAI ik.N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00233 Received Date: 6/2/2008 SITE ADDRESS: 1671 CAMP DISCOVERY RD QUILCENE, 98376 OWNER: GERALD A DAVID PHONE: 360-765-0992 1671 CAMP DISCOVERY ROAD QUILCENE WA 98376 f ,12 SUBDIVISION: Block: Lot: TX13- PARCEL NUMBER: 701224012 Section: 22 Township: 27 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License SEAHOSI077 KS Expires 11/30/2009 REPRESENTATIVE: GREG BARRON PHONE: 360-765-3749 7425 THORN DYKE RD 360-765-4551 QUILCENE WA 98376 PROJECT DESCRIPTION NSFR W/ATT GARAGE & U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,960 VALUATION 511,000.00 ADD'L: 540 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 375 SHORELINE: CONST TYPE: DECK: 570 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: Prop: 3 Total: Total: 3 Routing Date: (v- Type Amount Paid By: Date: Receipt: Approved/Date Permit $3,286.00 LYK 06/02/08 100305 APPROVED Plan Check $2,135.90 LYK 06/02/08 10(1305 State Building Code $4.50 LYK 06/02/08 100305 OCT 13 2008 Potable Water Application $59.00 LYK 06/02/08 100305 Total: $5,485.40 Jefferson County Planning &Building Department Jefferson County Building Desion Permit Nurir: BLD08-00233 Applicant: DAVID BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks . ConD t -k Erosion Control -torl ID Foundation Footing HillT)kD T-4Footing Drains `-[�J Foundation Stem Wall —. Underground Plumbing —. Under Floor Framing Straps(hold downs) —. Ext. Shear Wall Nailing _%!. Rough-in Plumbing pO (0 L <1-C Framing 10 Ll Fb B+ackiug Airseal , ` f4`61 4, Insulation: Walls Insulation: Floors Insulation: Ceiling G—r-t Int. Shear Wall Nailing Wallboard Nailing c, .EropaeeTedk Heat/Chimney Clearance _f_Cj �j 7 e Address Posted FINAL INSPECTION S E UY1D l �'t 0.n p a Prior FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I CONDITIONS for Building Permit# :BLD08-00233 Must complete well decommissioning prior to final occupancy, USR08-61 2.) PRIOR TO FINAL IT SHALL BE VERIFIED THAT THE CABIN HAS NO PLUMBING FIXTURES OR WATER SERVICE. 3.) 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. 4.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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 automobile 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 requirements 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) Building Setback from Camp Discovery Road right-of-way is no less than 20 ft., no less than 30 ft. from the toe of the steep slope, side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. JEFFERS•COUNTY n6.i,IAA DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend • Washington 98368 4. 360/379-4450 • 360/379-4451 Fax gip www.co.jefferson.wa.us/commdevelopment $ tarrNtar Master Permit Application MLA: 03- a(.0 l_ Project Description(include separate sheets as necessary): Res i Oemcz ‘All u/ a(Ion Pay) rc Tax Pa el Property 1 Number: 7 0 / ,p 2`i 0/ Z Size: (acres/square feet) Site Address and/or Directions to Property: I k71 I C..Avvijo D 7.s.co kJ eat! Pao O.8 cx.(ice.02./ (.01- Property Owner(s)of Record: AiR.i p Nut; ci Telephone: 340 765-0912 Fax: email: Mailing Address: I Ea l C.kwi p c..ccoJwi Rc} Q l lc. _ , 40%00/4 C,4n 7 c Applicant/Agent(if different from owner): ( lei 1. rtif 0.4 b Telephone:_a6a0-715-3"I1 f Fax: 36o -7 65- `'1SS/ email: Mailing Address: 74t0s lkikrA.dyI rid c?..i lCAQ,4 .1 tn.44- c,,837s. What kind of Permit?(Check each box that applies ,I Building ❑Variance(Minor,Major o`Feasonable Economl Use) .❑ Demolition Permit r - 0 Conditional Use[C(a) C d ,or c**_ IS .i S Single Family IN Garage. Attached/betached 0 Discretionary"D"or Unname Use Classification ' t ' CI Manufactured Home 0 Modular'---may- '� ., ❑Special Use(Essential Public Facilities)** ? CI Commercial* ; ; �;j 0 Boundary Line Adjustment JUN - 2 2008 ..�%1 CI Change of Use IDShort Plat** __,, ❑ Address 0 Road Approach ❑Binding Site Plan** i I 0 Home Businass 0 Cottagelndustry 0 Long Plat** Pr Propane ❑Planned Rural Residential Development(PRRD)/Amendmen ,r C ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑:Stormwater Management ❑Shoreline Management Substantial Development*"0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *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: Gee /1 DESIGNATION OF AGENT I hereby designEite lSk(rO� ►�to act as my agent in matters relating to this application for permit(s). OWR;SI.ONATUF:E E D z2.___- .4.e2.L- Date: S - 7 -® 8- 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 applklation 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 n-ay 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the tine of the application that he or she wants nor notice. /Sig atime:> i_�Q s�l�— --x-� , Date: ���5!d The action or actic ns Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered specie>s 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 arid non-transferable responsibility for adherincp and complying with the ESA. The Applicant has read this discl mer an signs and dates it below. Signature: /r, 1,Q lll7fff'/1 y.Kc� Date: �o2$'�0 2 ; :\Do.ruments and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc - ----40 • BUILDER STATEMENT hn t of "iZensed Contractuta auai tt The signer of this:statement does hereby certify that they are the Owners of the parcel referenced herein,that tll a � �?�i , ' they will be assum ng the responsibility of the General Contractor for the proposed project. i 1 i i ;`� f - 2 2008 "L) Signature: Date: - LA 4 JUN GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: �` _ —I COLiiiTY [sir"' ty Ur'r'ELUYiYtN MAILING ADDRESS;: 7A-yd5r (4L ,Q d EMAIL: ------ CONTRACTOR'S L'CENSE _ WAINS NJMBER: r1'OS.. .o')7t$ NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: , New <Wood Existing: 1 I I Sewer ❑ Addition ❑ Steel Proposed: ` Bank 0 l Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: t(Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: .' Setback: V Private well ❑ Two Party Type of Heat: Proposed: __2-___ f ❑ Public Total: 2 .15— 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 IEC 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: VUnderground lank CI Above ground Tank Size of Propane Tank: co I]Heat Stove 0 Cook Stove RiVoodstove ❑ Fireplace Insert esHot 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. Spare Footage Current Proposed For Office Use Only Amount Revision' ' Main Floor Heated ��� m-- g EH Bid App Review: 7) 2`9:loor Heated y _j---q Iqc Consistency Review: 5 " Base fee: Other Heated 3 Mezzanine Adtihlur.at-SC un. - Heated Baseme it Plan Check fee: o 215Q Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: qb 111) Garage/Carport TS ( '.2,C SUBTOTAL LOI15 A° Decks SI b (43$I iu 911/Rd Approach fee: • C x0110 —i Other TOTAL: $(.01 15 40 Receipt Number: 15 2 z1 1-T Cash/Check Number: ESSTI ATED COST{REQUIRED) Date: , (7.,::::1_,_ of • arke value of all labor and materials foundation to finish -'------7. 1-..D..-- ! t 0 o C ) Initials: 1 \Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc 20'-0 1/e" o .r>- 0$B��BR�R= g.om..owtuFnKo$$S �iZl31� csi 1'-2 3/4" 1'-2 3/4" i, � N � raguwwwcgy. ww1�-...'..gEmwaRt.R1Y^2Kcq 0'-9 1/4" 0'-9 1/4" I r_ CD 4444444444 44?'Q;4Ra4a4444�;4aa^'9;4 rn 5060 6060 II ` xxxxxxxxxx xxxxxxxxxxxxxxxxxxxx m ® ® -'— \ \ F 444444449'9 44949444444414949444FII I-''r� WEN TO DELOV S PC t) CI % 1NV9999Nyti ENN NNNNONTt9N> NNNSNT N LOFT /, I� ..Cm nC nC�r rr'r7 LTrs 2//<�i d rr6�s E1i � i rrSo�, iw � r as E�� SOUGH!ABOVE ® .at fb m)ommm pm1•1 k1773Annmm m m y n ii .. n o o n° n n o r m I 51 \J c II, Q n x »> 449 .94949494»>PP .99 y 1 N� "n I x x x x x x x x x xxxx.x 0 8 O L '- O p X ".P P P P P P 9 P P T P P m P u.P E. 0 m z lb 07-1 rn = W M �_ _ ??��� =cc><«msompzo-ump> 0 CC SKYLI TA>IOVE Y ". 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V: 41, y C F1 44 n < € € € 8888 FF b o /0 ® " 15'-0" z s� 12'-67/e" w/ at 'L K m A m VI N FR I my^ P z m z z z m z \ > sa 0 m m N T \ m c 4 4 R g g 41 g 4 g g g g 4 g g 4 c A >p A >A >Ay >A A A A> >�y A A >A yy Ay A n A') A li A Fi AA g A A A Ci C. n o € $ o g gg g "' AingEmmwe mm A Pammmm mm m ♦ \ mmmm 1 16.-8 1/8" 49.-9" 7425 THORNDYKE ROAD DAVID RESIDENCE QUILCENE, WA 96376 DRAWN BY: > CAMP DISCOVERY RD PH (360) 765-3749 FLOOR LAYOUT C. GREGORY FAX (360) 765-4551 N) QUILCENE WA E-MAIL/WEBSITE 05/1/08 MAILOSEAHOME.COM OF PAGES I I _ WWW.SEAHOME.COM 236'-0 1 /2" 16'-2 5/8" 31'-8 3 8" 73'. STORM WATER ➢ESPERSMENT TRENCH 2 : :WIDE 36- DEEP 120' LONG 1 N,t 614'-3 3/4" SEPTIC %N\ m HTANK W Nw ? J NOTE, CABIN HAS EXISTING NO EXISTING CABIN PLUMBING\ L 1 1�8 a 13� / 50' RADIUS FRIJM WELL CI 95'-4 3/8" 1 110'-3 3/4" DRAIN FIELD LOCATED 2078 T❑AND❑S ROAD QUILCENE WA 98376 DRAIN FIELD IS LOCATED ON ADJCENT PROPERTY AFFIDAVIT # 111051 RECORED #532768 20' PIPELINE EASMENT LINE TU urr �i —/ / \ A 100 FEET 75 FEET 3 718_1, Z 70/ 50 FEET ' � Y DOWNSPOUT AND / \DESPERSION TRENCH GERALD DAVID PARCEL# 701224012 �Q, SECTI❑N 22 TQWNSI1Tr 27 RANGE 1 WWM 37461 TOTAL SQ FOOTAGE 86 ACRE 500 GALLON UNDER GROUND 1ST FLOOR 1976 SQ FT PROPANE TANK 2ND FLOOR 546 SQ FT GARAGE 368 SQ FT ROOF 3750 SQ FT EXISTING CABIN 800 SQ FT LINE LENGTHS L1 10' 0 L 3 L4 10' 0" L5 20' 0" SITE PLAN SCALE: 1 IN = 40 FOOT NOTE; THIS PLOT PLAN AND DIMENSI❑NS WERE GENERATED USING A SURVEY DATED 02/14/08 A.D,A, ENGINEERING,LLC RD BOX 847 PAULSB❑ WA. 98370 U� ocq-rr .;✓ QRlMPN FlE�-9 J�j� RP 9 \ 9 APPROVE SITE PLAN DEFT. vJ F1 • r, Rio s PERMIT # Oil 08-0233 JEFFERSON COUNTY BCD as o 00 LD 0CD 3�wcu Q U-) f� (� CD 4 W I� > m 0 CO U (P) Q > 3 Q � � W z U LIJ (__) Q I —I LD C:� PST JUN - 2