HomeMy WebLinkAboutBLD2009-00187 MLA09-00210
UILDING PERMIT APPLICA.N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD09-00187 Received Date: 6/29/2009
SITE ADDRESS: 365 OLD SCHOOLHOUSE RD
SEQUIM, 98382
OWNER: TIMOTHY P HICKEY PHONE: 360-681-2838
GAIL DENBY HICKEY
1993 PARK CT
SEASIDE CA 939554139
SUBDIVISION: Block: Lot: TX30-
PARCEL NUMBER: 002331025 Section: 33 Township: 30 N Range: 02 W
CONTRACTOR: MAPLE VIEW ENTERPRISES LLC PHONE: (360) 460-9499
BEN SMITH
193 DAIRY VIEW LN
SEQUIM WA 98382
Contractor's License MAPLEVE946BJ Expires 1/15/2010
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 31,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,008 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 6—
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $451.85 LYK 06/29/09 108703 APPROVED
Plan Check $293.70 LYK 06/29/09 108703
State Building Code $4.50 LYK 06/29/09 108703 AUG iR 2
Total: $750.05 Jefferson Cou
& Building Dep Pl
anning
Jefferson County Building •ision Permit Willer: BLD09-00187
Applicant: HICKEY
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector p•ior 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
1. ^'"'1 ✓ !feet. Minimum side and rear yard setbacks shall be 5 feet.
Erosion Control SEE CONDITION 2
Post Holes
Foundation Footing ;t rt
Footing Drains
Foundation Stem Wall
Underground Plumbing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
Blocking
Wallboard Nailing
Drywell/Alt Drainage SEE CONDITION 1 FOR DRY WELL
Address Posted
FINAL INSPECTION :4 I (
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD09-00187
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.) 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 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 vets shall be stored on any lot unless totally ened
et from view of neighboring dwellings and rights-of-way. Such screening shall 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.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Minimum setback from Old Schoolhouse Road right-of-way shall be 20 feet. Minimum
side and rear yard setbacks shall be 5 feet.
10.) 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.
11.) 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.
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cod JEFFERSON COUNTY
W \ 'Pp.; DEPARTMENT OF COMMUNITY DEVELOPMENT
`' ' Z' -4 0 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
4�� :cpitI � www.co.jefferson.wa.us/commdevelopment JUN 2 9 2009
Master Permit Application MLA: o-I -a IC
Project Description(include separate sheets as necessary):
365 Old Schoolhouse Road, Gardiner,WA
Tax Parcel Property
Number: 0C 2 33 / U aS— Size: 5 Acres (acres/square feet)
Site Address and/or Directions to Property: 365 Old Schoolhouse Road,Gardiner,WA
Property Owner(s)of Record: Timothy P.Hickey,Patricia Gail Denby-Hickey&Susan D.Hoffert,as Joint Tenants
Telephone:831.394.0922 Fax: 831.394.0922 email: timgailhickey@att.net
Mailing Address: 1993 Park court,Seaside,CA 93955
Applicant/Agent(if different from owner): Ben Smith
Telephone: 3Co -'Ike" Till Fax: 3t.tiO . CO-Z 83,s email: ^°^° •^—
Mailing Address: 143 1 '9i 111 z:w L-.tj. 5£O V tVAl l.�.q - qe38Z
What kind of Permit?(Check each box that applies
1Building El Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d), or C]**
Li Single Family m Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification
El Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)**
❑ Commercial* El Boundary Line Adjustment
El Change of Use El Short Plat**
❑ Address ❑Road Approach ❑Binding Site Plan**
❑ Home Business ❑Cottagelndustry ❑Long Plat**
❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Sign ❑Plat Vacation/Alteration'"'
❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management El Shoreline Management Substantial Development**
El Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management Variance
❑Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* El 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:
DESIGNATION OF AGENT
I hereby designate Ben Smith to act .s my'' //agen in matters relating to this application for permit(s).
. (.1
/�`
OWNERSI(3NATURE -i/ v�j Date: 8/11/2008
By signing t ' placation form, owne/ag nt is that information .,..vided 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 ss and right o'entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review y required ter inspectio s. taffs access and right of e try will be assumed unless the applicant informs the County in writing at the
time tif theapp' ' 't I w nt prior notice.
Signature: -, -j Date: 8/11/2008
Thb3ction or actions Applicant will u e ake as a re t of the issuance of this permi 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."Jefferso• County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will violate the .A. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
actlon(s)"`even if y. are'.♦.1 pliance.• it the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra - .. : -Sp f. ���' II -.h•ring to and'lyint wit ,the ESA. T e.A..licant has read this disc) a d signs and dates it below.
Signature: lti - Lam_. - % r _. .,. A. d Date: /d f
i —
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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BUILDER STATEMENT
The signer o ' statement oes hereby ce ify that they are the Owners of the parcel referenced herein,that they are�no�li�nsgQtegttractors and that
they will be assu in e r ' ili o e General C tractor for theproposed project. JU 1� L. �v
Signature: late: 8/11/2008
rillMil
L CONTRALTO OR MANUFA TURED HO INSTALLER. PHONE: FAX:
nA tO(s_ vl~4:,,) £'iu►T.z-wi K t...t.C. 04'0) WO"sitl?`7 (3?O) Ckl-ZSi
MAILING ADDRESS: 1 ecs D�11Z,,.t V l�t4) 1_4; ,iy �N'I LA EMAIL: b exts ..,,, i e e,V9-,co,,,,, Y
CONTRACTORS LICENSE 'JVfr2 WAINS 1�
NUMBER: ► -PLE.vE 4'i&.65 NUMBER
ARCHITECT/ENGINEER: N l 4 PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New ,Itt Wood Existing: 0 Sewer N 1.4
❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System
J Alteration/Remodel ❑ Concrete Total: 0 Height: ❑ Individual System
u Repair ❑ Masonry SEP Permit#
ri Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: Public
PON L- Total: d Name of System:I Rt-05
If this is a Commercial Protect you must answer the following: 1.,9 I(--
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: N'IA_
O Underground Tank °Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water k 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes
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 N EH Bld App Review: 1 3
2"0 Floor Heated Consistency Review: 2
Other Heated Base fee: 451 c,5
Mezzanine Additional Section:
Heated Basement Plan Check fee: a93 rio
Unheated Basement State Surcharge fee: 5°
Other Unheated Pot Water Review fee: ,
t.)o PH(3
Garage/Carport l�g5 SUBTOTAL
1036.05
Decks 911/Rd Approach fee:
VA Ex.inn
Other I TOTAL: $I 0 3b,o
Receipt Number: Ia3
Z_4u(eA Cash/Check Number: 3775
ESTIMATED COST(REQUIRED) " Date: ((]]
.F • et value of a and materials foundation to finish CQ'Z-I�q
Q .•%-
I/CO2 c. Initials: c -_ -
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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