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BLD2013-00344
11143UILDING PERMIT APPLICADN 13LDI3-00344 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00344 Received Date: 11/1/2013 SITE ADDRESS: 2020 GARDINER BEACH RD SEQUIM, 98382 OWNER: DENNIS R HECKARD PHONE: 717-926-6914 BARBARA S HECKARD 2020 GARDINER BEACH RD SEQUIM WA 98385 SUBDIVISION: Block: Lot: TX 4+ PARCEL NUMBER: 002283004 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: MILL CREEK CONSTRUCTION, INC PHONE: 360-452-8281 4619 OLD MILL RD PORT ANGELES WA 98362 Contractor's License MILLCCI066MA Expires 7/1/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR w/attached garage. Turning previous residence (BLD11-78, 1 bd,2bth) into ADU for property. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,718 VALUATION 276,750.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 OCCUPANCY: HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 572 SETBACK: DECK: 374 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: Exist: 0 Prop: 2 Prop: 2 P p Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,259.00 MEB 10/30/13 145504 Plan Check $1,468.35 MEB 10/30/13 145504 APPROVED State Building Code $4.50 MEB 10/30/13 145504 Potable Water Application $66.00 MEB 10/30/13 145504 DEC b 2013 Total: $3,797.85 Jefferson County DCD firlcmnrL\rlafn%fnrmc\G PI n Ann PIA rnf 11/1/9(112 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00344 APPLICANT: DENNIS R HECKARD PHONE: 717-926-6914 BARBARA S HECKARD 2020 GARDINER BEACH RD SEQUIM WA 98385 SITE ADDRESS: 2020 GARDINER BEACH RD Issue Date: 12/6/2013 SEQUIM, 98382 Final Date: SUBDIVISION: Block: Lot: TX 4+ PARCEL NUMBER: 002283004 Section: 28 Township: 30 N Range: 02 W PROJECT DESCRIPTION: NSFR w/attached garage. Turning previous residence (BLD11-78, 1 bd,2bth) into ADU for property. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON \\tidemark\data\forms\F_BLD_Occupancy.rpt 6/4/2014 • • tr*:11 JEFFERSON COUNTY 11E0 [EINE K DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 ,q`� � 360/379-4450 • 360/379-4451 Fax JEFFERSON COUNTY �<i11�td'� http://www.co.jefferson.wa.us/commdevelopment/ DEPT.OF COMMUNITY DEVELOPMENT STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: iteSliwyglitr30) J�Z".JV�r�1Y �j .1j rirt ,J Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. pioc, vN 6 4<-67-11- -Ma- W ri is tr1-ab Ai l Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. PAW- 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 4' WOOJ7IIi 4. Describe the existing soils. Indicate soil type on the site map. WOu., .Plio 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. DR4-11.1 a% . 6. Describe any excess levels of noise generated by the proposed use or activity: PONO., stormwater site plan temptete.doc—rev.10/12/2003 5 . • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. //WO 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities,roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). ,/f/4nJa!2. M11J Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium"size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. p e° O' Via- 4- /c Arly loci 10. if the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] Jo y r )) t. -w 0'/Li 11. Describe the performance goals and standards applicable to the project. Ml�/►,v\,A�- iM>P 1 - Otty A% OF Pat r mt, 210 ,t.As r ' ' A47 Iry > 'PM SrWE-. 12. Describe the flow control system. Pay yJ1�V1 stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. wet-'v'p/t000 it _srpg. tiro'' NO S i �j1�'t� 4:1 ,c 14. Describe the conveyance system analysis and design. A-tA i l? w5 PlejW 70 /0 yP s✓f Prywebt,. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. S/�/rJJ�1t�r�t.nt.purr/ +641,0- t>M e:.>W1l' rjt'tte44.4 5 17. Describe the proposed surfacing material. 90-1 18. Describe methods for restoration of the site. f 1ZJ s 5 .191.i0 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large'projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. At A- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. /w►• di 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. _ 41- c ..Spr PsvCd A+r eizov I/7) stormwater site plan temprate.doc—rev.10/1212003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. I+4O r-4 tat/4/AD• 2. Establish Construction Access. Vi(, J" .Lt s-7tr-a6 brtasiIl it prev.d it 3. Control Flow Rates. / ,rc1S7/Ju - so st rsca.se 1 1349tth , luellis0X100 4. Install Sediment Controls. s!r-?Ir /4J4.5 A4CAVOILO 5. Stabilize Soils. sip rural• J74►l,5 IBS MI IC1409 6. Protect Slopes. �i•I� 7. Protect Drain Inlets. Noll storms/Etter site plan template.doc—rev.10/12/2003 8 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. jp.rt 4Dp✓lma ,S✓Aw k4.1 oe,Asrre 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). /C14N nl� di/ii/J 11. Maintain Best Management Practices(BMPs). a/ - Utiv..., pre A. ✓l 4i 4.100.44. -Tt r ev144 7� 0.119-64-4-4141- 12. Manage the Project. et-4- t.1Jta ... Mu..► Pei ttA.„ 1,y10.,c 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). 4/a , i 1c-r_5 !v!I., UG(.ervc,— b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Acuv, k4,A3 1,,,r(144.-1,1-1 Ira) yes 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. �Vc�Ntt� stormwater site plan template.doc-rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. A/A- 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). /149/1 � �N 5. Construction Phasing. a. Construction sequence ,macQ.ya�yr� t OJ k'1}tt I GYetUd) fr ^rEi I i.AS,16- b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 4,,e_c1.,,I)t 103 raakJet..0 L3dr..Lc1 u. 1 -pi I vt *Fa ls w to/ -° ►}� II. Wet Season Construction Activities. a. Proposed wet season construction activities. -WO opinvAg. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. .iNNSS P9itiVIAPr r? b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. /U b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 10 . • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales,interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s),pond(s),pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth,length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s),if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template.doc—rev.10/12/2003 11 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. DOWNER ORTUT ORIZED REPRESENTATIVE SIGNATURE) (DA THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: stortnweter site plan template.doc—rev.10/12/2003 12 • Av 1 1 a .. n ,, . c:, 0 7.; _,, (-2,4 V -A •• c::)5' 0, ,w, �� W TH a O ma AV . I . . 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I rri ., : "i a § f , 1i 1 I -1 R~ ICI I amen �. I Tier I u ! 1 i 1‘3' s4 I ! . • ( 320 � 1 .—__ . 2cZ0 GARDINER BEACH ROAD • v /EN s ao :/et1s_d.Fa m.J • • rk,4 1V JEFFERSON COUNTY C� n �� DEPARTMENT OF COMMUNITY DEVELOPMENT i l _ u ..._ 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450.360/379-4451 Fax T j 'r`n' 'j http://www.cojefferson.wa.us/comrndevelopment/ _t / JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet 1 MLA# PROJECT/APPLICANT NAME , ( jzt9!$sY `J sf� DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as°small,'"medium,or large.' The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application,building permit application,or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(1.E..SITE Size of parcel 6,.I b acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet A' 4P40 sq/ft Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography.. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonbeny, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. }.AND DISTURBING ACTIVITY.CONVERSJON OF NATIVE VEGETATION.AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,foiled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for Does the project convert a acres or more of Construction site for structures 3 cap sgtft native vegetation to lawn or landscaped areas? DraiMield,septic tank,etc. E,ci s rt.,s sq/ft Circle: Yes Well,utilities,etc. /JD aq/ft Does the project convert 2 4 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. /6151 sq/ft Circle: Yes Lawn,landscaping,etc., sq/lf Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 483 at sq/ft Cut 7S Fill 75 (cuiyd) [over] go mwator pit wod i Net—REV.2/20/2008 1 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantifies or at an increased rate of flow from the now present under natural conditions prior to development Common impervious surfaces indude,but are not limited to roof tops,walkways, patios,driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads,packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of storrrwvater. STORMWATER CALULAT.IONS–IMPERVIOUS SURFACE, > EXISTING Structures(ail roof area) 2,348 sq/ft Structures(all roof area) 3SZ) sq/ft Sidewalks Z Ito sq/ft Sidewalks sg/ft Patios sq/t Patios sq/ft Solid Decks sq/ft Solid Decks aq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc /Cr 8l'( sq/ft Driveway,parking,roads,etc 311 00 sq/ft Other sq/(t Other sq/ft Total New IP 12. sg/ft Total Existing Soso sqf t TOTAL NEW+TOTAL EXISTING* 3iZ. sgift This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v,RE,gyfLOPMENT Divide the total gadjng impervious surface above by the size of the parcel and convert to a percentage: 2 % Does the site have 35%or more of gaga impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. if the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stomswater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "smair projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention(SWPP)Best Management Practices(BMPs)Packet Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through #5-- for "large' projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the fug knowledge and consent of all owners of the affected property. ( OR AUTHORIZED REPRESENTAlIVE SIGNATURE) (DATE) s elk wodcsts►st—REV.2/2012006 2 • Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: 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. 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. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: 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. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: 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. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_Std Conditions 3/7/2013 1 • Fisheries Service can levy penalties. Portions of Jefferson County, including marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 SFR StdConditions 9/6/2013 2 t ii•X • • 0 / 'r .-R ixif D awnsroLt - - / Hers / Catch Basin __,,,, (yard Drain) ,-- -)....„, fry.../// ar----27---- --, ...,- ---------- - ., *:)w -N-,. Poet --_,- Dompott —,_ 0 DRY WELL 48 irch Dia weer Hole FiliPdvirh _. ? PLAN VIEW 1112-34'Washed Drain Fiodi PITS 0 R cof Dornspoil 01 r—Me*C altr of Hole wit r ca-4d Pvto Housv 0 /—Overflow or Ober rrema Flueh with arface Spash 13 lot k di ' Topscil—\ \ 1 IIIIIIMIMIIIIIIIIIIIII""''" t – 1 A ' r-IN 'LC A( , ,.. , ,.... at 4 '4,:wriNgiii"475ff-AiWwirq.,iiz 21411/41:02igilVei Fine Mesh Screen- N.---'KR 49 Cia, Li PVC Pire We ,txtf,421,70,14-5,mitTo !Awes 0, estch eaSi n (*A Drain) 48 irCh Diair.kr ! 4)-mkt- Side-a of Hole i:i* tide Filled wit) ti u 'L nedwth . 1112-I W1:31-ted ..1 Fitter Fabric °a Drain Rock . a 19 milt ret fa& lgintfiZo,it,A.C.it.M.641. Mil 1,.abw43 ooasal DRY WELL H 4h GrOtindwater Tabba SE cTiON ----f- NTS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-9 • • Setbacks Local governments may require specific setbacks in sites with slopes over 40%,land slide areas, open water features, springs,wells, and septic tank drain fields.Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control BMPs August 2012 3-10 for Infiltration These Ors are designed as specified below. di Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impeinzeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric(geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and with • jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 Oa Front Parcel Review 0 gL!i3 ^ p°3t/Li Parcel 002283004 MS r Printed: November 4, 2013 i 1 11 1 13 DENNIS R EHcEl i D BARBARA S HECKARD i 2020 GARDINER BEACH RE SEQUIM WA, 98382 Parcel Number: 002283004 S-T-R: 28-30N-02W Total Acreage 6 Legal Description S28 T30 R2W TAX 4& 6(LESS TAX 17,18,23) SUBJ/REST Land Use: 1100 COVT#562073 Flood District: Fire District: 5 Planning Area: 5 Flood Map(FIRM)Panel No: School District 323 Zoning: QZ A N 4" COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans 3 [ ,�]-� Plot plan states "property line" Coi13,3`�e✓l ziy P.-QvtQvt) ()ILAi 1 "O001 S(13l t(� v Assessor's Map(Property lines on submitted plot plan must match t property lines as identified on the Assessor's 1/4 map) [ ] Asses p( p � [tom] Legal Access to Property tr, NO [ ,,} Parcel Tags or Scanned Documents® NO C 0 0 1 ESA's: Special Reports Nearby YES $ [Yr Designated Ag YES ))S E 4eYri-eyt` ' [ 'I Shoreline Designation: YES CD A72,1-itity 3o (4.921, PI- Shoreline Slope Stability: YES 147' Sw 9 S w ( 5-ct- 2.5 Stream Type:YES tile. C a► .7o o' .F,i3 w. F,4 2,,...,,,,,,A„,) 5.4"e,i ---) FWHCA: YES (NT() Wetlands: YES an Rare Plants:YES dsal Seismic: YES Landslide: YES CISCO Flood: YES ccED Erosion: YES 40 t Aquifer Recharge Area NO 5A 13,P A 4- 5 tt5 G SIPZ: 4111, At Risk High Risk Coastal CMZ: on High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: CSe No [vi- Forest Lands: YES ' Adjoining Forest Lands: Commercial/ Rural/ Inholding [v] Mineral Lands: YES 2) [—}- Agricultural Lands: YES <1 se. R B s Z [ti] Archaeology: YES cISID acco+1 A"".4 -it, S - [ ] No Shooting Zone: YES c >A4),,v [V1 Stormwater: New Impervious Surface y,3 2, Land Disturbing Activity V.0 3 y ESA's Stormwater Req's:Min Req#2 CIVIin Req#1 thru# Min Req#1 thru#10 Engineering [✓f Notice Provisions/Disclosure:Airport YES two MRL YES (N:12. Forest Lands YES [.---1 Landscaping Required: Yes c Li Parking Spaces Re.uired NO 2 Other .9 ‘c. at,(A -F 2 6r f i3O 1',r,, Building Heightlili UBC Standard J Moo( AA 1)IA /; ,2 5q C-t E IA,5 sq.F-r. Aid A 1)14' 5gau5 SEP(e7 -ode,9-1 = (,00 G-P.p ,$ep` ic., Casa.. For ?.. G.D ',p-1 ADIA 4- r'1le,w i hyd r� proposed) [ '—]- Impervious Surface coverage percentage: ..9 c Resource Lands&Public: 10% 0 Rural Residential: 25% Rural Industri UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industr ands only {i.—}- Total Building(s) Size: a 3/5 f:i 2' RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [✓] Setbacks: Front: jo Left Side: 5 Right Side: 3 s Rear: 5 Shoreline Setback: \ ('Sc tasc»fteri+ 3a') LSHA Setback: [✓j Road Classification: 41,,,,, - ti RA C,3-r 260 o 7 Road Approach:CEXISTING.:>NOT REQ'D RAP [r] SEPA Required: YES IXEMP .131. t .] Flood Certificate: jvh4 Existing Case(s) &Condition(s): (.5-ee_ Se.101&)l C./A s r-nr-es f /emu- fat- .2e1 d Violations: Yes { ✓- Recorded Date of Subdivision: A1/41 AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [✓] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO 55p4 . Gpoe4..4. For [✓J' UGA No Protest Agreement YES , submitted: YES NO ,no,-1 140 ul?1. [✓] Site Visit conducted YES 4 [ i]_- Require Final Zoning Approval YES [y-] ADMIN: Setbacks entered in Permit Plan case N/A New Parcel Tags entered in Permit Plan c YES Special Reports ScannedN YES Title Notes Updated Parcel tags found for parcel 002283004 1.) WSRC Coaching- 2011-03-30 08/08/2013 Other Parcel tags found for parcel 002283004 2.) WSRC Coaching- 2011-02-09 08/08/2013 Other Parcel tags found for parcel 002283004 3.) WSRC Coaching- 2011-02-09, CZ 09/03/2013 Other Parcel tags found for parcel 002283004 4.) WSRC Coaching- no date, CZ 09/03/2013 Other Cases Associated with APN 002283004 Name Review Type Status Planner L1:113-00344 HECKARD P Application Received: 11/1/2013 Permit Issued/Case closed: Case Finaled: NSFR w/attached garage. urning previous residence(BLD11-78, 1bd,2bth)into ADU for property. FPA2610895 HECKARD F Application Received: 1/7/2011 Permit Issued/Case closed: Case Finaled: 1/24/2011 1.5-acre timber harvest MLA10-00222 BLD10-00201 MLA10-00222 HECKARD I A Application Received: 6/7/2010 Permit Issued/Case closed: 1/3/2011 Case Finaled: FOREST PRACTICE-Class IV General with SEPA. Project includes a 1.3 acre clearcut on an approximately 6 acre wooded site. The proposal requires a Class IV General Forest Practices Permit from Jefferson County and the Department of Natural Resources with review under the State Environmental Policy Act(SEPA). MLA11-00073 BLD11-00078 MLA11-00073 HECKARD I F Application Received: 4/11/2011 Permit Issued/Case closed: 5/16/2011 Case Finaled: 1/31/2013 NSFR W/ATT GARAGE \\tidemark\data\forms\R_Parcel_CRMLA.rpt 11/4/2013 Page 2 of 3 RAP10-00053 HECKARD F Application Received: 7/13/2010 PerrOsued/Case closed: 7/22/2010 Ca naled: 1/14/2013 RAP 2020 Gardiner Beach lid PRJ13-00173 HECKARD F Application Received: 1/27/2013 Permit Issued/Case closed: Case Finaled: SEP10-00092 HECKARD F Application Received: 7/27/2010 Permit Issued/Case closed: 9/7/2010 Case Finaled: 1/22/2013 SOM10-00092 HECKARD FIN Application Received: 1/27/2013 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 11/4/2013 Page 3 of 3 \,‘ . Y v v . 4 ° /7 4 . . I aP, Ea- , -- 40 Acgo.fAtzcisk.. . r II ui q , § Ilk • 4;13 lie gat..^14, I 1 -I.-. 0; , co (4.4 I teoliArft2lemic I 1 (14 .. & k - 04124.110/0. '9 1 • ,. 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I.,I N 20 ocp8..,31c D O o f i i 1 i a rg ��� i i O r-74 ' .1 to wi 1 320' 4° 202o GARDINER BEACH ROAD 0 ti 2 --I N TAX PARCEL # 002--283-004 SAA;� 1 Ft%rtrAPS 6 04404SIVIN Vita "' '' • 2i° , ' ..., • . V if Y / ° 1 , ,, , . I ,,0 1 Ili a -6 - , —.a g I . :: .* 11 : 0 a S Cri 1 0 ., II , Oa NA I-.4 - ... I 4 j2.eg,414... Alio CO r',....,e`1464447A1,44, 1 I Ch; 0 $ CO ' OSCAfts 1.0. 0 4 NSA 140•••• 1 '19 mor" 2 SF railat, i 0 : Q : , ., . . .. . ........ Jr - ri z ad .1 , I .tv ..._,, 23.71 .,, , - ' ,, 4,71 1 2,0 iv, v) i LA , . 1 ,r. Z I 1 ,... I I i r i 1..... o 1 : I ...._.2.,.., _ .........1 I I 1 a i i 0, 70 AO 4 0 i ......... 1 ZOCt# N , i I _.... ___. ...._...... ...__.] -1 1 1"2"1 ... ,...., L, 4 0.04 Pill 1414101.14011111100001;1 "."1 **. 0 0 L., §1,14 ' t . I I:==:I X31::=1 11/4). r1 : Co 0 Z Y.) 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I i 2 c)2 0 GARDINER BEACH ROAD .,_........—....s. r _........, , - - 5,, #0 ,404, . .1 .... -d - -...:t.41.,--J-411.r .._ .•*.A i i 1 !?I. 1 t.,>R ..... - TAX PAPM. # 002-26.5-004 ZiA4, Ai - . i 4 11 -1 4qt, & illettt PULL" % 1 •°' 4-- Ar 1a242a, . . . . _ _..... 4111111111111.IIIIIIIIIIII■17 • iix / 26'-0" / 24'-0" L-6/ / 26'-0" ! / 6'-0" / 10'-0" / 6'-O" // ................................................t _ 13'-0" 13"-0° , / 6'_6. / 3_6. / 1'_ ^ / 3'-2" I, 3-4" /I 6,2-0/((2._5'.2'_2/ 1 _ 5010_PIG 9,,„ _I 0 I \ \ ,L 16'X 8'GA DOOR \ go ....441,\--' 7460 SA 2460 S.H. �? o E_ D(D $ •/ -' Fti-i ce m, (1 1 Lam '\�/ D7 "20 0 _ 0 7868 DC \-\ Z. 1%. \N � N. o 9068 DBL ENFOLD 0 nr D$ o. . -1 ();j( all i P"'94<0 A61,-s .: t' ' a r tee1 ion W \ rilo y • 4 a 0, i 14 _0 ` "• o / . ” t _ A \ A N 0 A 0 r_ n D c. r d o vii In I HUB 0� 31 w = -1 W n ': a.I, �, III $ W , P a. I � Q d rom `Nc Pi rt p €� A 8p p g • m LI o O ^Z^ / 0. 0 / \ \ o r O v ®i I P Y ,is. ar • I: 0'0 1 { O p R m k u II-11 / O CLOSET- -W oP p A c± -42;,0 -11 ED 0,, i. e„ _ , a. mil \ \ 2046 S.H. \ \ \ / / / / 13'-6" /2'-4"/ I0'-2" / / / 26'-0" / 10'-0" /3'-0" / 44' 0" Z �3Wd013�30 i a W C o All A10 10 z A E p 3 -ik '" AlN000AlOS 3.13f �d3a = N ol k! i• 9 • O Nv ?g l. O 0 c 130 A ( L -, p aa3 u F-A md ' m E g r A $ et p i Q G• O %3 to m A g�7 -( a w o n r REVISIONS: BY DRAWN BY: RESIDENCE .4•1...,.;,,= " ti JERRY O'GLAIRE � ��c' J O ro CHECKED BY: DATE: FOR I } QDRAFTING&DESIGN1 o MILL CREEK CONSTRUCTION INC. s �, � ��� Fr�:n': 'Dra an 1-4ECKARD RESIDENCE /I/ '11 2442 LoweDoha ru,Pnamr,,WAaese3 l ,', . JEFF COUNTY - ,Jit) 113 — Rs:„1,-(1-4 DEPARTMENT OF COMMUNITY DEVELOPMENT • . 621 Sheridan Street•Port Townsend•Washington 98368 . .,,-- 3601379-4450. 360/379-4451 Fax ,. • www.co.jefferson.wa.us/commdevebpment Master Permit Application MLA: Project Descrip4On fie separate sheets as necessary): , /Jp■ J sir)(,r.go Fl/Vitt.JZaSfin J /371Nfo A./490i2 7b L)CiSTiiJ19 JcjN Tax Pemet Number 007—?J11,)—On if Property Size: 6 _44,4za.$ (axxea/squa+e feet) Site Address and/or Directions to Properly: 2r32.0 6A2DgN,,i .nexar.41. Tab 5149011../ 11JA- R3132_ Property Owner(s)of Record: pp//n/Ls 4. B • RA-C4/...1:+4240 Telephone: 7/7_924-49/H Fax emal: /Zail. 1K/a zegh. franc Mailing Address: 2cZi (,4izoif.rgh2 4'A4-gad,_ i ?m NA W A , 2. AppgcanUAAent(if different from owrner):Z�4Mi yS,GFitb V/4 P1u t ,GR.r l*tf f//41C-. Telephone:jr/°l ff 4-f' 4:3 Fax •email:mNU,.��r2.il''te.ezos-r e., Mailing Address: • - •__if C_/ 4.••l :11 , , i ' . f it s What kind of Permit?(Check each box that apples ❑Bialksg ❑critical Areas StewardsNp •Mj F (--• t,)V ❑ Demolition Permit ❑Variance(Minor.Major or-_ .w'II;-... �' .> ,E, i >5'ingie Faulty ❑Garage Attached/Detached ❑Conditional Use[C(a).C(d). « ❑ Manufactured Home O Meduter ❑Discretionary'D"or -FT `!�«:,:.:-,..:.r• ❑ Commercial* ❑Spedel Use(Essential - .lint. .',um- 3 i' r) ❑Change of Use ❑Boundary Line� ❑ Address ❑Road Approach ❑Short Plat** o Propene ❑Cottage industry 0 Birhdatg Site Plan"" - • la JEFFERSON COUNTY ❑Sign ❑Planned Rural Residential : �..,e . t ..'-1 L • CI Mowed'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** aUse ❑Shoreline Management Variance Wirekes TT ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *Yayrsr/uafr.a Pre-Appricallon Conference ❑Tree Vegetation Request **Remakes a Are-Appleton Conference Please identify any other local,state or federal permits required for this proposal,If known: DESIGNATION OF AGENT I y �/kµr�f G6lorrt�y to , :< agent in matters relating to • application for permit(s). OWNER SIGNATURES. • . - _- 6/ / 1 ,, ' ' * Date: �d Jle/3 - 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 ownerage t with respect to this application packet may result in this permit being null and void. I further agree to save,indemnity and hold harmless Jefferson County against all iabiities,judgments,cart 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 peamk 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 it writing at the . time of the appicaio that he or she prior notice. Signature: Date: The action or Applicant wilt 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 lake 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 fie a on behalf of an endangered species regarding your action(s)even if you we hi compliance with the Jefferson County development code:The Applicant acknowledges that he,she or it holds individual - and nontansferable for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates i below- Signature:1.4——. ,A, --- Date: /a/9 0.3 GAPemmtCenter\###FORTr it\DRD FORMS\Master Pernik Application 5-29.08•doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they am the Owners of the parcel referenced herein,that they ace not loaned contractors and that they will be assuming the resporsbNiy d the General Contractor for the proposed project Signature: Date: GENt�LCoNTRAcroRORNMANUFACTURED HOME INSTAt.LER: PHONE: L, -4ZL8 co i*-FAJ 1111,t/(47 x.(O,JS' J r(._ (Y40) It-s7-82,91 4941 Q4O)'52-OZrrz NUu°AOORESS: If 4!9 OOY Am,-i2-e, EM^r.:s t I 41 ' i<caart_r_feNriCtAku...Gt2M CONTRACroR'S LICENSE WAIN NUMBER: ,M i i-4-Cci o G4 M A NUMBER ARcHfTE rIENC R: W c-. ikst-` brra- PHONE go) /47-dsv1 FAx( ) MUMS ADDRESS: G4k. 1_ It r 40eit j_S!W4-. Tz4og Q- -V, ovrCi.l�it? Project Type: Frame Type: Bathrooms! ne: Type of Sewage Disposal: X New A Wood :. —2..— ❑Sewer ❑ Addition ❑ Steel Proposed .__T—__ Bank ❑Corby System ❑ ❑ Concrete Tobd: _q_____ individual System ❑ .Repair ❑ Marry SEP Pemdttfa ID-tyogL ❑ Demolition ❑ Oltter: Bedrooms: Water Supply: Wig: —L_ Setback ❑ Private well ❑ Two Party TypD�e Heat e,ti c TAI _mix_ A.• e , GAt49 r.artt4 L' If this is a CorrYrtercbi Protect oar nwst answer the foNo Number of Parking Spaces: Conant Proposed Number of NM Parting Spaces: Number of occupants(includes owners,tenants,employees,etc) Conant Proposed . IBC Occupancy: IBC Type of construction: Wit you have Food Service? Yes / No 1 .1 _ 'l.. _L. _.1.. _u, . _.� ,. Haden Iu1- II, 1, _L 1__ vim_ .1..1 _.."1 I Underground Tank 1 Above ground Tank Size of Propane Tank 1 Heat Stove 1 Cook Stove 1 Wow 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other . •.' . '.° 1. .L. - '. 1 ._;.:_lli1Z.;'.S_.L._. ..,•,,,. ■. .1. Yes / No When applying fora permit to Metal a propane tank you must also submit a site plan showing all of the buildings,all properly lines,tank location and size,distances from the propane lank to all property fines,buildings and septic system components, including the reserve arse. - . . . Currant Main Floor Heated EH Bid App Review: a f?1$ g U 2" Floor Heated . ,qOS 3.0•- Consistency Review: 2 2� Other Heated Base fee: G { Mezzanine Additiond section: ---- _ Heated Basement -+ Plan Check fee: t9 . 3 Unheated Basement State Su change fee: N. Other Unheated '(b 2-43.1 Pot Water Review fee: 1d.° ;°J Garage/Carport -.572,. SUBTOTAL -.572,. ,/--- Decks 1-Slo.1'1 O 2c4, 911/Rd Approach fee: Other I A. 3°'"#.LSD/Oc TOTAL• . 41,L1 , .g67 • 2.1\-t-+' -41.26. Receipt Number. CeshlCheck Number. iy Il ESTIMATED COST(REQUIRED) Date: d, c 3 .�mwket value of all tabor and maeBrilb alsur�efiarrtanish ' , 21-6 Is-t) ) initials: • ry G:\PertnitCenterVt#SFORMSNINADRD FORMS\Muter Permit Application 5-29.011.doc • ." COUNTY 1� _ 3 I •- DEPARTMENT OF CC 1Y DEVELOPPAENT 621 Sheridan Street•Port Townsend•Washfn lbn 98368 ,, - 360!379-4450. 360/379-4451 Fax• t�,�- . . www oo.jefterson.wa. t Master Permit Application MLA: Project Desaiplion(include separate e sheets as necessary): pp..' si r.z..s_,rrA/,ntf-y, sa ...E 13IJ1,119 P112'1011 lb ,cts-reap AN Tax Parcel Number: CQ?—?.$11.3—Oh lit Property Size: 6 ids ( qua feet) Site Address andlor Directions to Property: 207f) IS I211.1E'IL AMY*, 1Z.19 .SliQN►r r /13 S2 Property Ownet(s)of Record: I? -rn S 4. AstorsAccAr NLr.t A1Z Telephone: 717-92L--(7/it Fax emai: Mail'rgAddress: 2ceo f"atzeouMrz r. e,a-ge,f•o?rnA WA T?:/2. AppllcantlAgent(if different from "{'r S ct3? " -MLAs0245-ge t 1Irt/#iC. Telephone:)rid---If(,C m fcZ.L A Fax •email:Akt#rj `,r re,Q t'IS?G Mailing Address: " /_.r ., C_/ ,is 1 • ;., i ' . , it .y What kind of Permit?(Check each box that appiee 0Eicalckng 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(lbw,Major or c. •- .-< . *Single Fanny ❑Garage Attached/Detached ❑Conditional Use[C(a).C(' FU V ❑ fixed Home ❑ Modal r ❑Discretionary'DIT--- .- ; . ❑ Commercial- ❑spade!Use(Essential - ❑ Change of Use ❑Boundary line ❑ Address ❑Road Approach ❑short Plat as . OCT 3 0 2013 ❑Home Business ❑Cottage Industry ❑Bindng Site Plan"" ❑Propane 0 Long Plat*a 0 Mowed*Yes'Use Consistency Analysis 0 Plat VacatronlMeration— , ..., it FERS I Cr -- ❑�Approvai Advance Dalam ion(SPAAD)* ❑Shoreline Management ..-.. - �** :. • ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication" ❑Comprehensive PlanIUDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment - *May require a Pre—AppScalion Conoco ❑Tree Vegetation Request "Rsgakas a RMpplcadon Canllirencs Please Identify any other local,state or federal permits required for this proposal,if known: .DESIGNATION OF AGENT I hereby designate 0 .cif,,klfdrrr /./ to =- = agent it matters relating io ap liication for penndt(s). DaNER SIGNATURE ,, , , . . _� .__ OS 1 i �'�' ' '� Date: /d �J'/.2o/3 Ely signing this application Toms,the a wnsrlagent attests that the i*matron provided herein,and in any attachments,is /true and correct to the best of his,her orb knowledge. Any material falsehood or any omission of a material Tact made by the owner/agent with reaped to this application packet may react in this pemmdt being null and void. I hither agree to save,kdemn y and hold harmless Jefferson County against all liabilities,Judgments,court costs,reasonable atorneys fees and expenses which may in any way accrue against in t Jefferson County as a resat of or in consequence of the granting of this perch. I further agree to provide access and right decay to Jefferson County and a employees,repro or agents for the sole purpose of application review and any required later inspections. Stags access and right of entry will be assumed unless the applicant icons the County in writing at the . time of the applicei0 that he or ahewanle prior notice. Signature: / Date:__E4241,3 The action or -Applicant will undertake as a react of the issuance of this permit may negatively impact upon one or mom Sweetened or endangered spades and could lead to a potend l'take'of an endangered species as those tams are defined in the federal law known as the `Endangered Species Act'orESA.'Jefferson County mares no assurances to the applicant that the actions that wS be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency an Ale a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance wih the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non4 a sfeable nespon eIlrE for altering to and complying with the ESA The Applicant has read this dlecteiner and dgns and dates It below. Signature: .... Date: /c/9 c/4 3 G:\PcmiCenter\###FORMS###\DRD FORMSWaster> it Appieation 5-29-O$aoc • • BUN.DtBtt3TATENIENT • The signer dills statement dues hereby certify that they are the Owners of the parcel referenced herein,that they we not licensed contractors and that they wit be assuming the responsibility tithe Geneal Contractor for the proposed pmjsct. Signature Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAL ER: PHONE 100.`249 CFA /L1jw/- -e,t7rssl jirrr�_ o 1tS2-82 PI elf S140)kSz ozcz. MMLSIG MORE= z ti 9 61.0 am 114112 0 Fehr:M LI el,411-444it ezi•J-S To t Meow..awl CONTRACTOR'S LICENSE WALK$ NUMBER: ✓ Iu-GcdnG6Mi' NuMeER 7.+700,v .1. As,- 6 - 7--PHONE Mo) ' vsv j FAX( .) MAILING ADDRESS: .C,-ST ►c t . c)W4- DAM- r ep, 7Iti✓oVG.Is ter Project Type: Frame Type: : Type of Sewage Disposal: * New ii<Wood Egg: _...2 ❑Sewer ❑ Addition ❑ Steel ._7..__ Bank ❑Community System ❑ Alteragonfilemodel ❑ Concrete Total: _____q____ i ❑ Repair ❑ Masonry SEP Pemttt5'i21 LO-mogz. ❑ Demolition ❑ Oetec Bedrooms: Water Shy: erg: I Setback ❑ Private well ❑ Two Party Te p Heat °k tt∎ c PubNo Total: _ma_ a y stem: r,r,e , &Asap rf - LV p S this is a ComnRIW Protect you must answer the icio Nharirer of Parking Spaces: Current Proposed Number of NA Panning Spaces: Number of occupants*dudes owners,tenants,employees,etc) Current Proposed . IBC Occupancy: IBC Type of construction: WO you have Food Service? Yes / No Wihis is a Prossne Tank andlar Ano ce kisiNation oermitt marts d Hems below that aonly 1 Underground Tank 1 Above ground Tank Size of Propane Tank 1 Heat Stove 1 Cook Stove 1 yye 1 Fireplace insert 1 Hot Water Tank 1 Perrot Stove 1 Other !_i___ ..,.. _ •_ c:, _i_. :__, i 'i.I: 'S' i 2 .r.I:: Yes / No When piplying fora penult to lasts 0 a propene tank you must also subndt a site plan showing all of the headings,all property atnas,twat location and size,,distances born the propane tank to aN plopsrtylines,headings and saptic system components, the reserve area. . . . . . Current Main Floor Healed EH Bid App Review: 2"°Roor Healed Ro0.' R�vreMr 2 28' y 6 Other Rested Base fee: 2 5—q • Mezzanine Additional Section: s Heated Basement Plan Check fee: 1,` �>� 3ST Unheated Basement S�Surcharge tee: l—1 I I.51) Other Unheated 2 3 Pot Wafer Review fee: ` Garage/Carport SUBTOTAL Decks ,"�O au, 911/Rd Approach fee: Other piat TOTAL • 2 \-k 1. 26. Receipt Number: Caddchek k Number: 611R j ESTIMATED COST(REQUIRED) Date: 3 AI c 3 •Fairmar/ketvalue of al labor and male►ieieibonkjrtier IrYI}erls: 2 I c„..di C - G:\reset* c\###PORMS###WRD FORM\htstors Posit Application 5-29-O8.doc . 0 • CC o H • • = 0 C3 LL_ CV _0 Z LL- � O F1 0 � O N .- "- Q 4- a) - ti LID LLJ O -0 - LO J O O L CD -O X Cr "O ++ CA Z C U 0 = H W O 0 Cn -1-, "O H O O I -- O .0 .0 L CO ti CC -0 U U U LLI Z O CC o J 0_ 0- - �, � U F- F- 0 O CI) CO CO -O = O U CC "0 LO ua C = = CO 3 1- CO CO `�. O Cr) O O r- J U 0 O7 -O O Z I C g 0 CV H CO -- LO X CD NI' = I- LID I- 3# AC CID 0 2 Cam- 0 ❑C O LLJ Cn O CL .- c W CO CO F- Cn J W Q Y LLI C1 CO CO >• F-1 CO CC Y U F- O N W O Z CC 0 U W CO CC -- Cr N X J U Z X �. O LLJ 2 0_ CO 0_ 0 CV v LLI CC CC 2 J O 0= CD ^ F— 0 F— CO J 0 J Cr) Cc) CA W 0: H = O add N W - I- Q X Z U LU -0 CO - 2 0 X W cn 0: o • Cc U F- NJ o \ 0_ F- m J I-I Q Z Z .- � CC o CZ Z CO CC O CO X - CO Y CO CO X Z CC ,- CO CU N CC ti = U O 0_ O W CC 1` W CD CO I- ,- CO W +1 �. U 0 CO O7 J 2 CO - ++ O d- O CO ›. O O O o , Cr7 O o . N Y N U , O W C` , O 2 CO 0 Cr) 0 0 � d- 0 0 0 -0 L CO rn C-) a) rt • o a # C 0 14 a) -- L 3 L U 14 C — a) o -I--I CD W a) N O a) -- O 2 .0 a) U CO a) -O > CO U L L Q - O CO 0- S- C.) CO X -1-I U "O X CO CO 0_ CO -- -- CO a) I- F- X 4- F- co CO 4- X X F— CC Contractors or Tradespeople Peer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name MILL CREEK CONSTRUCTION INC UBI No. 601548191 Phone 3604528281 Status Active Address 4619 Old Mill Rd License No. MILLCCI066MA Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 7/1/1994 State WA Expiration Date 7/1/2014 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date SCHOUTEN,JAMES WARD President 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 TRAVELERS CAS£t 104140728 07/01/2003 Until Cancelled $12,000.00 07/21/2003 SURETY CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Liberty 19 Northwest Ins C11157502 07/01/2013 07/01/2014 $1,000,000.0006/14/2013 Corp Liberty 18 Northwest Ins C10157502 07/01/2012 07/01/2013 $1,000,000.0006/07/2012 Corp Liberty 17 Northwest Ins C09157502 07/01/2011 07/01/2012 $1,000,000.00 06/21/2011 Corp LIBERTY 16 NORTHWEST C08157502 07/01/2010 07/01/2011 $1,000,000.0006/15/2010 INS CORP LIBERTY 15 NORTHWEST C07157502 07/01/2009 07/01/2010 $1,000,000.0006/16/2009 INS CORP LIBERTY 14 NORTHWEST C06157502 07/01/2008 07/01/2009 $1,000,000.0006/17/2008 INS CORP LIBERTY 13 NORTHWEST C05157502 07/01/2007 07/01/2008 $1,000,000.0006/21/2007 INS CORP Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 11/1/2013 Flo■ • 410 Jefferson County DCD Building Division Correction Notice PERMIT NUMBER 13- 3 44 OWNER GICrel JOB LOCATION 2_A?A nisrprta 5 Id e'D Inspection of this structure has found the following violations: ` J 4WA 1uc'r L e,scr \ftDE1— COP tSS TO [mac 1& SicL _EPA`' 11i B You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When correctior s h been made, call for inspection. / Date ..0 /1 1/ Inspector_ BUILDING DIVISION(360)379-4450 I PECTION HOTLINE(360)379-4455 I THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE I Jefferson County DCD Building Division Correction Notice PERMIT NUMBER ^ OWNER 1 eGt • 6, JOB LOCATION _ '4 _. _�#i .a'i Inspection of this structure has found the following violations: M,MigNip NM. EZEIMIDINSENIF A t' J - 11 • . 0/ frvg- ' ■_, .r A - or r, - - , IPA iiO "Yi • ` 401.A4 A . t '� You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection.t Date t 2— 3171,1 Inspector BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE I Sally Ellis From: James Schouten [millcreekconst @hotmail.com] Sent: Tuesday, June 03, 2014 5:27 PM To: Sally Ellis Subject: BLD 13-00344 Blower Door Attachments: Blower door..PDF Hi Sally and Frank, Here is the blower and duct certificate for the Heckard residence final at 2020 Gardiner Beach Rd. Can you please email me back a copy of the permit with the final sign off as soon as it is available? James Schouten Designer/Builder, Mill Creek Construction Inc. 4619 Old Mill Rd.Port Angeles,WA 98362 360-452-8281 office 360-460-6268 mobile 360-452-0292 fax Click the link below to see our newest work! www.millcreekconstruction.us EOEWEn JUN 3 2014 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT 1 . _ . killeefitA" Duct testing Calculator(New Construction) House address or lot It: , C . (.3 e . Ito &Nat- 1,3 -c Po., Conditioned Floor Area: ,., Duct tester location: K ..• Alt) PC elk 0 A , Pressure tap location: P er 44- . . ). . po ' Ring (Ira police ble); Open 1 2 . . At Rough-in (Total Leakage) Test Method & 2 Test Calculated Standard CFM Target Air Handler Present .06 X CFA 1 CFM S.6 CFM 25 per 100 sf of CM .. Air Handier not Present .-,."7-.;$ /;... 64 X i -110 CFA< to 8,4/ CFM ,.0. . I - 25 ' s 4 CFM is per 100 sf of CFA . . , Post Construction Test Method & Test2 ' ' Calculated Standar& CFM 25 Target Air Handier Present(Tots!Leakage) - 0$)( CFA s CFM2s s 8 CFM 2s per 100,0 pf CFA Air Handler Present(Leakage to Exterior) .06 X CFA 1 CFM 1,6 CFM15perloo sf of CFA 1. Test results must comply with one of the Standards optlans. 2. Test CFM25 must be equal 0 or less than the calcul4t44,t4r0t. . Air4akage testing Ccilittilitorlf3lOWerDaor Test Tested , Standard ' CarcUlated Test Result - - -CFN150 . Z), SZA__ „, =...FMS0 X 0.065)+il 7 10 CA.X 144))=SLA , Ast 0.00030 SLA * ,,.., ir 1 divided by-24(1,Z)441(1 SLA • SL A= . , 0.006 44-- Glossary . Rough-In; After Installation of the complete air distribution system but before Installation of insulation and sheet rock. Mows for access to all ductseams and connections for re-evaluation of seal Integrity if standard is not met in Infidel test. Post Construction: At or near final inspection. The home must be complete enough to pressurize the pome to 25 pa. Total Leakages Ag gregation of the entire systems duct leakage In a&attest. Leakage to Exterior; Aggregation of all duct system leeks to the exterior of the CM In a duct test. , , . CFA:. Conditioned floor area Lipp i a CFM Cubic feet per minute of air leakage at 25,pascals of pressure """ 1 e. U CFM ; Cubic feet per minute of air leakage at 50 pascals of pressure , zer . Pascal(pa): Unit of pressure , 3 2M81 st.A: spicint leakage area ,■ ‘• - I\ _ qt.014c"11 0.09,1 , _ • • Jefferson County Building Division Permit Number: BLD13-00344 Applicant: HECKARD BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 9-- Erosion Control 5/3// Foundation Footing tZ_�_ �-� °rept o L Footing Drains (^� —I Foundation Stem Wall i2-I -13 Underground Plumbing N jr Under Floor Framing t_le_lit ` Straps(hold downs) Ext.Shear Wall Nailing • LV- ` w &. - STi " NA-"®l=r w01 t4 Rough-in Plumbing Stilou."4"- "Ili oil•-i Framing 1/,; (iL Blocking Airseal ?14. Insulation:Walls <z ►u Insulation:Floors 5/2,gi/11 Insulation:Ceiling SA 3/14 14 Int.Shear Wall Nailing / ,;(1. Wallboard Nailing s/ b Gas Line: Interior 1117. 11 (� Gas Line:Exterior Propane Tank 3/5/14' TDC Heat/Chimney Clearance 5J13//1 Mechanical Systems 5/t3'//y g r Duct Test Cert Blower Airtight Test Smoke&CO2 5/2;5//4 Drywell/Alt Drainage Address Posted 5//z5 ,� • • • CONDITIONS for Building Permit# :BLD13-00344 1.) UNLESS EXPRESSLY APPROVED THROUGH THE SEPTIC PERMIT, 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 2.) 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. 3.) The site plan as submitted with the NSFR w/Attached Garage application on 11/1/2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated 12/4/2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) JMP \\firlamark\data\fnrmc\F RI 1) Parmit Rhin rnt 17/R/201 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00344 Received Date: 11/1/2013 SITE ADDRESS: 2020 GARDINER BEACH RD Issue Date 12/6/2013 SEQUIM, 98382 Expiration Date 12/6/2014 OWNER: DENNIS R HECKARD PHONE: 717-926-6914 BARBARA S HECKARD 2020 GARDINER BEACH RD SEQUIM WA 98385 SUBDIVISION: Block: Lot: TX 4+ PARCEL NUMBER: 002283004 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: MILL CREEK CONSTRUCTION, INC PHONE: 360-452-8281 4619 OLD MILL RD PORT ANGELES WA 98362 Contractor's License MILLCCI066MA Expires 7/1/2014 PROJECT DESCRIPTION: NSFR w/attached garage. Turning previous residence (BLD11-78, 1 bd,2bth) into ADU for property. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,718 VALUATION 276,750.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 572 SHORELINE: CONST TYPE: DECK: 374 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,259.00 MEB 10/30/13 145504 Exist: Exist: 0 Plan Check $1,468.35 MEB 10/30/13 145504 Prop: 2 Prop: 2 State Building Code $4.50 MEB 10/30/13 145504 Total: 2 Total: 2 Potable Water Application $66.00 MEB 10/30/13 145504 Total: $3,797.85 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED • Glazing Schedule IECEOVIEL Projectlnfonmation Contact Information Heckard new SFR James Schouten-Builder OCT 3 0 2013 2020 Gardiner Beach Rd. 360-460-6268 cell Sequim,WA millcreekconst @hotmail.com JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT R402.3.3 Exception(15 sq.ft.max.) Vertical Glazing(Windows and glazed doors) Plan Component Glazing Width Height Glazing ID Descri•tion Ref. U-factor Qt. Feet Inch Feet Inch Area UA ® •, idu r: ARGON e s MEN AIM A 5.0 1.40 WSW :Y,.= 1 1 .30 Ulla Mill ON A 18.0 5.40 MINIMMIr===1111MIIMe MM RA A MI ill 14.0 3.78 e "" Mal Ell 1111 i 1111 13.0 3.51 - t ��a a 18.0 4.86 JIM .` r "' a` = A 311111 36.0 10.08 MI . / + .�� "l c a a 14.0 3.92 3 = e •.r. +. �: � AMI A 13.0 3.64 10" �, :;.. 1111 imam Al 30.0 8.40 mosomn..77-raami mai EMI Ea 311111 A 30.0 8.10 ..t. ry .°,:= ,. 4`.�" '' MI a 31111A 21.7 6.50 Eamor =minral Mill III A A 56.3 15.75 r - >P a v°".'.. T w LTA 11 :111 Ala. 120.0 34.80 * -'$ ai®eam■ 0.0 0.00 • IMIENSIMMINMEMIMINII EN MIN III1M IS® 0.0 0.00 MI 11111•111111 0.0 0.00 • IIIIIIIIIIIIIIIIIII111111111111•1111111111 INN NM M lIl 0.0 0.00 11111111111110111111111111111111.111 NMI -E III o.o 0.00 1111111111111111 INN EMI 0.0 0.00 • 1111111111111111111111111111111111111111 Mal III NI Ell II 0.0 0.00 NI MN o.o 0.00 IIII� Mill al o.o 0.00 MI all al IIIIIN NI III 0.0 0.00 11111 NNE IN III rNI o.o 0.00 -IaE. 0.0 0.00 110 MIOMMIllall a MIN Eli MI 0.0 0.00 ON MINNEMMINI NMI MI EP MN aNEE 0.0 0.00 2111.11.1.11.1.111.1111111 NOM al ai 0.0 0.00 IIIIMM11.1.11.11.11111111.11.11.1 1110 MEE.■ 0.0 0.00 MIN IP NENNM 0.0 0.00 MIN NI NI II 1E■ 0.0 0.00 --SIMIII 0.0 0.00 • 111111111111111111111 MIN an IN INV II 0.0 0.00 0161111111111111111 AM WM NAIN IS lig r 0.0 0.00 INN 1111111111=111111111 ISE MIN 111-a NM a 0.0 0.00 • NEMEEEMEN EMI ER OE El NEE 0.0 0.00 Ell MBE NEE 0.0 0.00 111111111111111111111 AM 11111 OM■tea 0.0 0.00 MINIIIIMMNIIIIIMENNIMIII MIN SIMI 1.11 IM 0.0 0.00 MIN SENEENEMIE IMO WM EN El®EN E 0.0 0.00 ME Ell El 111 0.0 0.00" EN ENEMEIMINE MEM ENE MN MN EON al 0.0 0.00 Sum of Area and UA I 388.9 110.14 Area Weighted U=UA/Area 0.28 4g ON e, el Q°,A JEFFERSON COUNTY �gSRIN ko DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ,;/7.2, Time Received: 6:07 am/pm Mon. Tue. Wed. Thur. Fri Date: 3/23 BLD: /3 00,54f Contact Name: Owner: Contact Number: 360 44,6 CzIB Address: e7d COetwe.a. ,tea L 206 Notes: CL— aj Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us,assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. 7 W4F,-5ON `e, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4.9sy - Date: 14 Time Received: 726 /pm Mon. Tue. Wed. r.)Fri. Date: BLD: 474 Contact Name: Owner: Contact Number: 360 Address: 9.---19.7.1_7 6.4 %r,t-ey 206 Notes: ..... end e.4"-- Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation. Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Ow pap SILL'S VIa019 palsod SSW ppy IIeM uoilepunoj cool j sveglaS uolhadsulleulj ,_ -.•,,, uotlelnsul sawoH-uelN anols pooh/seD • :pun apuellddd uoflellluaA aloH lsod slang -' scull aoualul .ieags aoualul ai.H aaleM l0H sdeiilS lip `: scull aoualx3 nags aoualx3 aiuoapAH IlennwalS se9 punoiSanogy leasJ!V ul gSnod 2ullooj aDueJin j punoa8 aapu0 OU!Wea j punoa8-iiapu fl sveglaS Ie3lueLpaw fuel auedoad 2uluaea3 2ulquanld uollepunod :saloN 1 90Z r ,:t4, .- -1-1 o 02 02, :ssaappd aS _ 09£ :aaqunN aeluo0 -,,,r,, •,. "\At .-, :aaumo :oweN peluo0 ij } 1 :019 — :aleo . 'ia f an 1 uo W ue fi :panlaaab aw!L :ale(' /yarn 1N3WdO13A3a AJ JNf1WWO3 AO 1N3W11JVd30 ALNAO3 NOS213dI31 ri)$ , JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT -sSArNalo Date: 2 2,,s Time Received: "3 2 I anegj7 Mon. SDI Wed. Thur. Fri. Date: <- 1 1 BLD: \'--- g P{ Contact Name: Owner: Contact Number: 360 O (,,te,k Address: 2_C2 AD a.--�kP-*Pe„^ 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing_ Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines / Oil Straps Hot Water Htr Interior shear Interior lines X., Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4oN °o 4�w �� JEFFERSON COUNTY �/ w Y "4 DEPARTMENT OF COMMUNITY DEVELOPMENT Q ÷ 9SkrNdt Date: VII Time Received: 10:50 4pm Mon. Tue. W4 /Thur. Fri. Date: �//9 BLD: 13 S0 Contact Name: Owner: Contact Number: 360 166 62_46 Address: 2020 CoafLDu3E2 $EAC14 j_I) 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In >( Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ;EZ:aii---- v•-•-• Oa ',_:_al c"?..., ,,..:,'..re. Q_ •4.1. 1 ees. Date / Z'7 time received. Z : )7 am /0 Mon. 4 .Wed: Thur. - Fri. BLD: .. I 3 - bO 4f . Date: OWNER: . Contact Name: • ADDRESS: "2,0 10 (.;.A irzi,)kfirk-- F■54th e 44 *g" Contact Number:360 4(0.6 -., .Z.• Z 4. • 206 Notes: - Foundation Plumbing - Framing Propane Tank . Mechanical ' • , Setbacks Under-ground Framing Under.ground Furnace Footing Rough In Air seal Above ground - Gas Stemwalf _ Hydronic Exterior shear V Exterior lines Oil .______ Straps Interior shear Interior lines • Ducts '4'_..__..- - ._____ . Post Hole Ventilation Appliance .. . Underfloor Gas/wood stove _ Man-Homes - -Setbacks ' Insulation . Final Inspection Foundation . . ,...1. Block&Tie floor _wall ceiling ' Address Posted 44 - JEFFERSON COUNTY -. K DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 1. 5 Time Received: / y/ aml 4k .}. Tue. Wed. Thur. Fri. Date: / -6 BLD: L 3- '34/-4/ Contact Name: Owner: Address: Contact Number: 360 '/ R30.5 Z.bZd f6AfZ)(we)" 206 Notes: F7-6" b iret-i vt. Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor_( Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ¢SON CO ��``w % JEFFERSON COUNTY o 9SxINa.0 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: J2130 Time Received: -iv-;- +' )4..m, )m Mon. ig, Wed. Thur. Fri. Date: BLD: II- 344 Contact Name: Owner: hEcKA ZD Contact Number: 360 4f4es-- 6 r68 Address: o94,ZO 6A'i2ow _ 860t4 eD 206 Notes: 14,i loc Prrc#N Pie'rk✓el.t, Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling .' • • tie: Date _ _ time receives G I•pm Mon. Tues. .i0:/\ Tour. —Fn. - Date: I - OWNER: a - - •• •• - Contact Name;: /( ` /� Contact Number.364 4 Jv - 7 U7 Ili ADDRESS: - - - 206 r. . Notes: Fo . Setbacks Under-ground_ Framing _ Underground Furnace Footing _/ Rough in Alrseal Above ground • Gas Stemwall �/ Hydronic Exterior shear Exterior lines _ Oil Straps Interior shear Interior lines _ Ducts f . Post Hole Ventilation _ Appliance Underfloor Gas/wood stove Man•monies • Setbacks _ • Insulation. Final inspection 't' Foundation — Block&Tie floor _wall ceiling. . Address Posted i 4 ON co wkQ oy JEFFERSON COUNTY .04 1'91 NO.(3 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: C? - i3 Time Received: 12 `j am/6 o Tue. Wed. Thur. Fri. Date: 12-(co BLD: 13 -341 Contact Name: QJ, Owner: Contact Number: 360 6E) 6268 Address: 2,0a-D G441>iv 12 t_( ■ 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks t Under-ground Framing Under ground Furance Footing b.e... Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling