HomeMy WebLinkAboutBLD2010-00401 • •
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
Al Scalf, Building Official
PERMIT #: BLD10-00401
SITE ADDRESS: 152 SERENITY LOOP Issue Date: 02/14/2011
QUILCENE, 98376 Final Date: 3/9/2012
APPLICANT: ROBERT VANDEWEGHE PHONE: 360-765-0756
345 HIDDENDALE RD
QUILCENE WA 98376-8572
SUBDIVISION: Block: Lot: T 11
PARCEL NUMBER: 702273013 Section: 27 Township: 27 N Range: 02 W
PROJECT DESCRIPTION: NSFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON3/9/2012
I:\F_BLD_Occupancy.rpt 10/29/19
Jeffer s on County Building Division Permit Numbe BLD10-00401
Applicant: VANDEWEGHE
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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
Erosion Control
Foundation Footing 44
Footing Drains 7_q , it K
-7113
Foundation Stem Wall )
Underground Plumbing
Under Floor Framing 3, cl i (, �
Straps(hold downs) If,� ,1/ L f--F, iJ �j Q c�-. d °Y'L//W( �SS
Ext. Shear Wall Nailing _
Rough-in Plumbing
1/t.,0-4 I
Framing l/,oh-, lr P-75
Blocking //,01-4 /(
Airseal � Ll� 1 I
Insulation:Walls /j / / ( 04t Xo 40(Z /fir�. wd � G
Insulation: Floors
Insulation: Ceiling /� l ( -5
Int. Shear Wall Nailing I ��
Wallboard Nailing ) /-- 1�Q
Gas-tine: Interior
Gtine: Exterior
Propane Tank
Heat/Chimney Clearance //,11, (/
Drywell/Alt Drainage
Address Posted A /2 /,
ISC Orl ki 1.01 ( Mo_ikl (nST a.EE oc
FINAL INSPECTION 3 -9_f `�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
WILDING PERMIT APPLICA•N M 0 Review
-00408p
e:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00401 Received Date: 12/6/2010
SITE ADDRESS: 62 STAGECOACH LN
QUILCENE, 98376
OWNER: ROBERT VANDEWEGHE PHONE: 360-765-0756
345 HIDDENDALE RD
QUILCENE WA 98376-8572
SUBDIVISION: Block: Lot: T 11
PARCEL NUMBER: 702273013 Section: 27 Township: 27 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 604
VALUATION 63,853.00 ADD'L: 252 HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 80 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2PARTYWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
Type ►mount Paid By: Date: Receipt: Approved/Date
Permit $741.75 LYK 12/06/10 120318 A9 E R J J E
Plan Check $482.14 LYK 12/06/10 120318
State Building Code $4.50 LYK 12/06/10 120318 FEB I4-
Potable Water Application $98.00 LYK 12/06/10 120318
Total: $1,326.39 Jefferson County Piannin:
& Building Department
• •
CONDITIONS for Building Permit# :BLD10-00401
1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology In Stream Flow Rule for that region. The parcel is located within
the Big Quilcene sub-basin in a designated Reserve Management Area; as such,
conservation standards per state regulations require the following:
1. A permit-exempt well serving an individual user shall not exceed a maximum of 500
gallons per day (gpd) or an annual average more than 350 gpd, for all permit-exempt uses
authorized under RCW 90.44.050. (WAC 173-517-120(1)(b))
2. A well serving a group domestic system shall not exceed a maximum use of 500
gallons per day (gpd) or an annual average more than 350 gpd, for each residence, and
shall not exceed a total use of 5,000 gpd for the group. The design and construction of
group domestic systems must be consistent with applicable state department of health
requirements and applicable Jefferson County or Clallam County requirements. (WAC
173-517-120(1)(c))
3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact
Ecology at 360-407-6300.
2.) 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.
3.) 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.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the landslide buffer. This includes the
storage or preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) Not more than 2 unlicensed vehiclikall be stored on any lot unless totally scrod
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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
14.) Builiding setback from Stagecoach Lane right-of-way is no less than 20 feet. Side
setbacks are no less than 5 feet. Rear setback is 30 feet from the top of slope (landslide
hazard).
A 30-40 degree slope dolkhill begins near the weste.bourrCrary line.
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// ,,,,,a�F'-`1 , '' e �\ Size of property is
existir«a fS AT �' approximately 1 acre.
well Sf' _
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driveway 1 parking
APPROVED
SITE PLAN
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- JEF ON COUNTY
DEPT.OF VELOPMENT
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2000/,+ INITIAL SITE E PLAN
AND RESERVE Luuk Vandeweghe Residence
DRAINFIELD AREA
62 Stagecoach Lane
Quilcene, WA 98376 1
Parcel -# 7022730/3
1ist:ribut:ion box
I Prepared by:
Luuk Vandeweghe
I I 345 Hiddendale Drive
I Quilcene, WA 98376
r`4 360-765-0756
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www.79-4450 • .wa.0 /com Fax
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 0—L_CR
Project Description(include separate sheets as necessary):
V�u'L�c�' d C vi 85� Sq. � 11O o� cc si�vl -e c4C(- . pc4r-cet
Tax Parcel Number: 1-0 a ,1-3013 Property Size: t a c•re, (acres/square feet)
Site Address and/or Directions to Property:
6 A Stay.coack, La1Q.,/QQc_,;lce✓i/, w4 q 3 3 6
Property Owner(s)of Record: fi cbe4 4 \f"o,,do („)eiv►.Q.
Telephone: 7,60 - 34S- o-SC Fax: email: L c.vic vosickti/ecitlk ex 9wiq;1. r,,,
Mailing Address: 3'1 S -(;oaQMdcl k 0;1'Jk/ Q'A\(?Me, w/1 ci 534-6
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
12uilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
Z Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home :0 Modular • ❑Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑ Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane ❑Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** .
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known
n,
/1
I.,L -- t'> _,,,
I hereby designate A obe<A L 0-\C \f gHS-r w t,11•c to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 'e-, u c--- Date: p�C. S, o t d
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 its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respell 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 applicatOn that he or she wants prior notice.
Signature: Ji/v Date: \I ec, 6 , Jl o t O
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: A . Li Date: C e C , 6 , A Ol O
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• •
1
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: 51— V, Date: t o c. 6 , .),0 i 0
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
vl/c,` ( ) ( )
MAILING ADDRESS: vl 1 A EMAIL:
CONTRACTOR'S LICENSE I G WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: L.Q 0 r,t S}Q/jack PHONE (36-o) s sS-II't 1 FAX:( )
MAILING ADDRESS: 1664' OvaG4'Oka OM- , `O e(4' To1,-.1t.+l,W4 EMAIL S}Qwget$ CaAtsre d,co+til
Project Type: Frame Type: Bathrooms: q b sb$ Shoreline: Type of Sewage Disposal:
/New i Wood Existing: 0 ❑ Sewer
O Addition 0 Steel Proposed: 'at Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: ' Height: /individual System
❑ Repair ❑ Masonry SEP Permit# SeeO$-co I S i
Bedrooms: Water Supply:
❑ Demolition ❑ Other: . Ap Y:
Existing: 0 Setback: ,f Private well
Type of Heat: Proposed: ___-/__ ❑ Public F
E(e ci•AcaVw 0 oastode Total: I 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 FooctService? Yes / No • '
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank 1 Above gro ,,;,,„it Size of Propane Tank:
1 Heat Stove 1 Cook Stove ,-,,,,,a •• .• Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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.
r n 1 t:,k wY''yy,� y "a`s `S-W '�C it, jj r Y"CiP �f`b """t �'P
Square Footage Current Proposed ceU7 .. � . ��s 1; r ' . P' I��t13.1 9 P. ,�_ .)1, 44``.L alias,
Main Floor Heated ,EH Bld App Review:604 •
3y
2nd Floor Heated S� j t t Consistency Review: el --
Other Heated / Base fee:
M- ezzanine / Additional Section:
Heated Basement / Plan Check fee: T2 . L(
Unheated Basement / State Surcharge fee: SD
Other Unheated /- Pot Water Review fee: 1 2 f /
G- arage/Carport SUBTOTAL
lv50.39
Decks $� `;,/j . 911/Rd Approach fee: �Xl, rr �
� �;t !
Other TOTAL: $,I U50
Receipt Number: �I -zo312
- : Cash/Check Number: 1
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish I Z(o-1
It '+O,000 Initials:
C.
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