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BLD2008-00379
RILDING PERMIT APPLICATION MLLA0800388 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00379 Received Date: 8/19/2008 SITE ADDRESS: 365 OLD SCHOOLHOUSE RD SEQUIM, 98382 OWNER: TIMOTHY P HICKEY PHONE: (702)499-8274 GAIL DENBY HICKEY 204 SOUTH JONES BLVD LAS VEGAS NV 89107 SUBDIVISION: Block: Lot: TX30 PARCEL NUMBER: 002331025 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: iviApLE VIEW ENTERPRISES PHONE: (360)460-9499 BEWSIV1ITH 193 DA VIEW LN (k'Y.k lL ck k' SEQUIM W 83 Contractor' ense MAPLEVE946BJ Expires 1/15/2010 REPRESENTATIVE: MAP VIEW ENTE RISES PHONE: (360)460-9499 BEN SMITH (360) 681-2838 193 DAIRY VIEW LN PROJECT DESCRIPTIOI NEW UNHTD BARN (2160 SQ FT) AND LOFT (1776 SQ FT) AND CARPORT (720 SQ FT) HTD BATHROOM ON 1ST FLOOR (96 SQ FT) TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 145-996'$01 .6a MAIN: 7Z.: CODE EDITION: 2006 ADD'L: 1,776 HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: 720 SHORELINE: GARAGE: 69"1 SETBACK: CONST TYPE: DECK: I BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: S id/JO Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,357.75 KAS 08/19/08 102476 APPROVED Plan Check $882.54 KAS 08/19/08 102476 State Building Code $4.50 KAS 08/19/08 102476 Total: $2,244.79 NOV5 2008 Jefferson County Planning & Building Department Jefferson County Building vision Permit Oiler: BLD08-00379 Applicant: HICKEY BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 ✓ Minimum setback from Old Schoolhouse Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control i J�5/� 1 1 SEE CONDITIONS 2& 3 CONSTRUCT ENT STABILIZATION & / SILT FENCE Post Holes //e5h Foundation Footing 0 4/69* frOttrrg.Drains. �vu�,aaliurt t rn Waft Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 1 Framing Itn� 6q I` Wallboard Nailing 4--)0._6(( ? `7 Drywell/Alt Drainage j� _ � SEE CONDITION I FOR DRY WELLS �1fess-R•csfad-- _l 1;-(osi to h 1 (5(-D . FINAL INSPECTION - • ; I FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD08-00379 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) A SILT FENCE SHALL BE INS•.LED AT THE WETLAND BUFFER PRIOR ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 4.) 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. 5.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Old Schoolhouse Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 11.) 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. 12.) 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. J ' "*4 4. C0L JEFFERSC•OUNTY l -- 1iy DEPARTMENT OF COMMUNITY DEVELOPMENT ]� ' `` ' M 621 Sheridan Street • Port Townsend •Washington 98368 � 360/379-4450 • 360/379-4451 Fax AUG 1 9 2008 •1 ktIN �p www.co.Jefferson.�va.us/commdevelopment Master Permit Application MLA: If COUNTY DC[ Project Description(include separate sheets as necessary): /Val_j CC)/vst t-''r'CA.,,— R.#,2_,Al Tax Parcel Property Number: 00 Z 3 3 / 0ZS- a' 4C2�-5 Size: s- / (acres/square feet) Site Address and/or Directions to Property: 365 CLp SCf1DDL})O(. S RD• C/312D1ivCR- WA-- Property H/C/c£`f, /IAQy-11C ice 5.'l beefc£/2r 4-S ,Tt3r"J 7- i1/4.3,4-,.r7- Telephone: /-7e,2-- y 7 - RZ74-I Fax: /- 7-OZ—TC6-0737_ email: S 042bhonn I ,,,, Mailing Address: Toy 5 c�7tf ,TCNtS &LV1?, L4-j 1' /Is , 0✓ �9/0 E'c�gg�r Applicant/Agent(if different from owner): "C-0.1/4) S NnA 1-1-1- Telephone: 360 - r-MO -9179 Fax: 36.0_6 2(-2 f338' email: ben o/11aev. .ccni Mailing Address: /93 p4-12y Vl£t c) L1J. SFQvl' vtt w,9_ 9(38z_ 1 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 CI' ❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)'" ❑ Commercial* ❑ Boundary Line Adjustment ❑ Change of Use 0 Short Plat** 0 Address ❑ Road Approach 0 Binding Site Plan** ❑Home Business IA Cottagelndustry ❑Long Plat** ❑Propane PI 8 1J ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑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 El Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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: c' , j j DESIGNATION OF AGENT I hereby designates] /)1 /`f A / to act as my agent in matters relating to this application for permit(s). OWN J C -..J ER SIGNATURE � L,L . -. �ll��'•L Sy/j Date: /Cr By signing this application form,the owner/agent attests thdf t e 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application at he or- a wants prior notice, Signature: CC,/X-- 1�.• (�.J_ Date: J/i /ee The action or actions Applicant will undertake result of the issuance of this permit may negatively impact upon one or 9 Y P P 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 e'sponsibility for adhering to nd cool I i with the ESA. The Applicant has read this disclaiimme/r,and sig s and dates it below. Signature: ,• G��<t^� �,1 --_ Date: t?/ /� 0 ry C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\0LK86\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT III 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: Yv\4Pt,L VI£‘4_.) ./,t 4-?(zls£S L•LL, (36o) Lgo-9Y7 36°) 6ki-ZRS* MAILING ADDRESS: /93 D/9-12 Y V/FLtd L Al S£©ul wt(..e9 ,EMAIL: CONTRACTOR'S LICENSE b e h (� p�y a pt,�,�O(AI NUMBER: y'8�'�L WAINS I J'NA PLEvE 9y6,as NUMBER ARCHITECT/ENGINEER: 14- sEoitm E A i6cAi Exii,IN it_ PHONE (36o )l'SZ_30�3 FAx:( ) MAILING ADDRESS: 619 5. c r 6-5E. 5t• Pozr ,41.e11-3, A EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New X-Wood Existing: O N I/} ❑ Sewer L. Addition Cl Steel Proposed: t Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Tota I Height: xr Individual System ❑ Repair ❑ Masonry SEP Pemnit#5LA46-003ce ❑ Demolition XL Other: Bedrooms: Water Supply: Polo ix.ct^ Existing: O Setback: i i Private well I Two Party Type of Heat: Proposed: 0 Public elm i i L Total: © Name of System: ,4-abt,I P.u.b. 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: 0 Underground Tank ❑Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 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. S1C. I-L _ 4 C, V}� _ , - Square Footag Current ProposedOnlyAmount EH Bld App Review: P. C,Nl-Y 0.F �707.5, , '7D OD 2nd Floor Heated 050Q t' Consistency Review: 0 57. GO Other Heated Base fee: ° 1351• -15 - ,, I - Mezzanine Additional Section: 0 Heated Basement Plan Check fee: p Unheated Basement State Surcharge fee: �j Other Unheated 4•`�0 Pot Water Review fee: ~ Garage/Carport SUBTOTAL s 1/ezo PO �ZO„:4, Ia4�.tol0 c Lid71•'lci i i A - Decks (� .,. 911/Rd Approach fee: k S— Other / [� 7 13�R-kJ Wtc,;h ilhk d upc-i 'r ., W i TOTAL: $ I �- l / _ls.4..-----.60puLls eliii j iOrJ� UN ,}}- LCYy ;z t ;r Receipt Number: / Ofitiq Cash/Check Number: . ESTIMATED COST(REQUIRED) 48 1 4 /(bate: Iola i �� ' T •Fair market value of all labor ena s o nrnsf� R t b . i 'fil/6 d0 J Initials: S --(...:#116656i008 C:\Documents and Settings\caral\Local Settings\Temporary Intern' '- _..f:6\Master Permit Application 12-19-2(X)6.doc JEffENSON COUNEY 0C1j 33U 411091 Prg 41.11r _01g9 „ �a N, 'Cmd >.n if A D - D � v Oc) m ymw cn m (0 cr. f. --iI 55. W New bmi , . ay Parking D pj 0 i Existing Propanen 5 gal A/G Existing 115' IT — - I o 2 r; -mt Home N rn r New 1 w 71 v I37' 15' 1288 sq.ft. fisting Water Hoo • r' a° !1 Barn36' z mm mi_ll O N 2160 s .ft. 1 1 . al w 0 z 1 38' 12 "ropos-..- , ew water suppl Ii - 32'1 q _ _ i ❑ addition a mr` Z O I — , 837 sq.f I__ �SEei��� 1 — —� 1 1 nT. • Existing e`�� ----0 ; z X - Proposed Septic ' N 42 1 v = I Drywell O 4'X 4' Lo Proposiid drywalls 4'X 4'(3 m r m 1 Proposed 1 Septic • — — Power—k; , T/1 I I j it VI P D E--� ' Propo ed _ m co silt % O Cs/1c Fence CO • u rn l ._ Co I 1 0 ni i (N• r- z (00 zI 5 Co "R ' 28' 'M eserve Area Leach Field I Existing ` Horse Hut Property Bnd (portable) I p 1 You ry 192 sq.ft. Slope Slope 9% ave 9% ave 1 I o wr-zKo Setback 1 °'CDKkm`m I I p* - " _<-1 m 1 .D <m , *c corn < Omm • • o. � mgzz 7a Cr, N ' L NZWm� CD '' N c- � v co �` � e0 x it � vrH I�I ,-_ 4t 1 - — - • 0 —.r,30"CountyR.O.W easment PO `Y' fit` ° �_89° 8" W - Id y ( �c •k 0G .,d z © ��- Old Schoolhouse Rd. .1%,, 'rill' mICt8 - 38$ a - ► �s c '_ . J A. IS'-0' I� N irl (2)3080 Aea, ❑ l e O K---i- a._____A____ . R VI • b C. k RW ) � I Q I. -1 ,._ )ill S .41 R r , z rvnnr —!c +e k— 1 01J� (_.._1 u k > O S 8 1 0 i 1_ ri It. e( : c e' A, Y R nI d I t1-0 6 ki 44 R 11 7/8 eO e000 a ter 0.0 m x e I �� I ---- 4030 0e.8X10 SU0Y10 DOORS roeo 12'-0' -, 17-0. _ 12'-0. i --0" _ 4.-0. Lam. rT T• C• 01 rl F-4 t1J o• CG z a o SUE HOFFER7 ^ wre Awusr save 365 OLD SCHOOL HOUSE RD ( (� (7 I n r 4e �N SCALE �� SEQUIN, WA, JEFFERSON CO. MAIN I �_. ��I I L_A!' ENGI E v IN (.M0)su-.3023 �*+�••sr�' PARCEL# 002331025 019 S.Chose St.Pore Mg.+.., WA 98302 9811' 2 OF 5 . ..•..k. •• • I .., . -, 1 L_ I- /3/4 X 9 1/2 V-LAY Sc (//161P 3 S' i '1 1 (3)2X12 /—— IA t _____41 2X12 i I 2/ 1 - i c • I 4 _ F-773)2X12 \_.—_J 9/12 > Z 0- -I ___ _1 _ _ _m_ula_________,g_i_ _ P i tso' o otn , lIfn --+—'----- (-) 5/12 1'10- X 2102 Mk 4 4 0......-n ---- !: r1"9.,,NDZI I I _ ,-- ----------__. _,,-- T • n I I R _ 71 Iti 1:i di.''' 1 I__L,T2 --- DIA./3/4 X 9 I/2 V-LAM 2= _ _ = --13 2X12 ,Ce (3)2102 228 COUAR lle 1 Z 2)02 RAPIERS•24'aC. —1 i p 1 1 1.1 1 Az< 0 li SI 8 i8 ^1 1 3/4 X 8 1/2 V--LAM S? L --1 r-- / ---I /.. 1 g . t.1 5 t/15 X 7 t/2 Pr Gtc ' , 48. 1 1111014 V. il I I I I 11111111 ro'-o' Ill II II II 1 I 1111 I 111111 1111111 i 1 r---,..------------1 5 1/8 X 7 1/2 Pr GI.0 8X8 POST lik ---..- ---. ()1' X 7 /2 r ac /17, «1 rri ,----.....,----------1 5 I/13 1 P ' 6X8 POST M N 1 -!' o N't a 1! ? '' • 01 5 r/8 x:I/2 PT LC •11.1 ir As' . t .6 N •' i'-- •\• ! Q -,,,,, ,-. Pr 828 w A POST -.. ..r... —1 •../ 4 P .< i . A 0818:AMA?20011 SUE HOFFER T Sc.41.E,NOTE0 .365 01.0 SCHOOL HOUSE RD POST FRAME PL..ANS DRAIIN f/11 BANE SEOUIM, WA, JEFFERSON CO. EN§AgMV9,INR300)452-3023 worm rxe PARCEL# 002.331025 619 I Chose St Port A69696.WA 98382 SHEEP 4/./1 5