HomeMy WebLinkAboutBLD2009-00243 BUILDING PERMIT APPLICAN MLLA09-00p252
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00243 Received Date: 7/28/2009
SITE ADDRESS: 74 QUILCREST LN
QUILCENE, 98376
OWNER: SCOTT A BANCROFT PHONE: 360-774-1005
SHARI L BANCROFT
PO BOX 415
QUILCENE WA 98376-0415 QUILCREST VIEW TRACTS
SUBDIVISION: Block: Lot: 13
PARCEL NUMBER: 701185013 Section: 18 Township: 27 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,120
VALUATION 210,672.00 ADD'L: 778 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 640
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Tota•
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,615.35 LYK 07/28/09 108846
Plan Check $1,049.98 LYK 07/28/09 108846APPROVEr
State Building Code $4.50 LYK 07/28/09 108846 9
Potable Water Application $62.00 LYK 07/28/09 108846 DEC 6
Total: $2,731.83 Jefferson County
&Building D rrtlanninfa
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#: BLD09-00243
APPLICANT: SCOTT A BANCROFT PHONE: 360-774-1005
SHARI L BANCROFT
PO BOX 415
QUILCENE WA 98376-0415
SITE ADDRESS: 74 QUILCREST LN Issue Date: 12/15/2009
QUILCENE, 98376 Final Date: 7/16/2014
SUBDIVISION: Block: Lot: 13
PARCEL NUMBER: 701185013 Section: 18 Township: 27 N Range: 1W
PROJECT DESCRIPTION: NSFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes G
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/16/2014
\\tidemark\data\forms\F_BLD_Occupancy.rpt 7/16/2014
trillkH4i JEFFERSON COUNTY 4
DEPARTMENT OF t PMMt N1WDEEELOPMENT-----_-
621 Sheridan Street• Port toWnsend•Washington 98368
360/379-4450. 360/379 Fax--- _.r_
4,0 www.co.jefferson.wa,us(commdevelopment
JUL 2 8 2009
__ -ate
Master Permit Application MMLA: 1
Project Description(include separate sheets as necessary): ` ,r,
L T ll.� _:
Tax Parcel Number: Q i 18_0 1. Property.Size: 5,07 square feet)
Site Address.and/or Directions to Property:
0 r Lci e
Property Owner(s)of Record:
Scott a.vi _ J..ari X4NCrOf-t
Telephone: 360—77( r 0O S Fax: rV J s email: N irt
Mailing Address: ISO, BOX 4415 Q•A:1 IG 2 rr er WA, 9337 6
Applicant/Agent(if different from owner): WA-
Telephone: Fax: email:
Mailing Address:
W t kind of Permit?(Check each box that applies 0 Lot or Road Segregation
i
uilding 0 Critical Areas Stewardship Plan
Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
)(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 0 Boundary Line Adjustment
❑ Address ❑Road Approach 0 Short Plat**
❑Home Business ❑Cottage Industry 0 Binding Site Plan**
❑Propane ❑Long Plat"
❑Sign - • ❑Planned Rural Residential Development(PRRD)/Amendments" '
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*-
0 Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions"*
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'*
0 Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
May require a Pre—Application Conference ❑Tree Vegetation Request
*"R •uires a Pre-•;,•ticaflon Conference
Please identify any other. local,state or federal permits required for this proposal, if known:
,DESIGNATION OF AGENT
I hereby designat- ,3 of • I ► ' t'r c to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE A ir 1. • ■, . Date: Z /g
.oars �.
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 respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any - uired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli'=ti• / at r- ants - •lice,
Signature: 4.�/ �/...r�� Date: 7/?Z70,
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 ou are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans =tn.. _ ,-:,.he' nd complying with the ESA. The Applicant has read this disc 2 sins and dates it below.
Signature: d I Date: 7 2 o ii
.\D., .:.!'...°w.\44.4 CIDWIC4FH44\rDT IIl1D*/ON!•..�__.r-nrs r.,______%1 r__._..�_..._.•. •. .,• .• ......... . ,
BUILDER STATEMENT
The signer of is 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 as um,rnn . re� of 1,- . eral Contractor for the proposed project Q
Signature: /NU. (A'.,.' /� • Date: 0 1/Z2 D f`
1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: F -me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New 7t. Wood Existing: Sewer
❑ Addition ❑ Steel Proposed: 3 Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: 3 Height: 0 Individual System
❑ Repair 0 Masonry SEP Permit#
Bedrooms: WaterSu t
0 Demolition [] Other. . Supply:
Existing: Setback: Private well 0 Two Party
Type of Heat: Proposed: 3 p Public
it e.,t-- -i C - Total: '3 Name of.System:
if this is a Commercial Project You must answer the followings '
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:
I Underground Tank I Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1.Fireplace Insert 1 Hot Water Tank ► 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,
includin• the reserve area.
, 4, tt 3, , w'g�^ ,,•" ^`- -rte ` -•
S•oars Foote!,e Current Pro.. s _o. -.e v t. 0 -, ai
Main Floor Heated t t ' -? EH Bld App Review:
"° 4 Consistency Review:
2 Floor Heated
Other Heated ,.r Base fee:
Mezzanine F , Additional Section:
Heated Basement Plan Check fee:
NIA x rf 1 O .g S�
Unheated Basement x , s i; State Surcharge fee: 5b
Other Unheated: . . .. f 4� : �`! Pot Water Review fee: I
A
Garage/Carport SUBTOTAL ��
jVA 4tzt$f_ 4 05
Decks e 911/Rd Approach fee:
cS Porch u.,r# �. E.ic1
Other TOTAL: $3S e5
4 . /z`-,.. ' Receipt Number: A • A i_4(0
it Cash/Check Number: 4COci
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish �Z0
152 00 f 00 initials:
C
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Jefferson County Building Asion Permit Null: BLD09-00243
Applicant: BANCROFT
BUILDING PERMIT INSPECTION APPROVALS %pplicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks a-al. - Q
Erosion Control
- ,0
—
cafoundation Footing �a ,c . TrA
Footing Drains skk\ko 92 . lki
undation Stem Wall
Under Floor Framing 3.1 0 _
Straps(hold downs) ` `
Ext. Shear Wall Nailing 9,12.,e 10 Q-)L35L L_J H
Rough-in Plumbing ,Lzy i I 4:7-7:4-:),
Framing �� D g e--
--
Airseal
Insulation:Walls ..5 ,-IN_( _
Insulation:Floors S— ,$^ -r L
Insulation:Ceiling _3^-(2_-
C_ (L ) –v ' 4 v S
Wallboard Nailing -30-12- /
.Gas-L-ine-Ifttefj
or
,Gas-Linix-E4kterior
Propane Tank.
/A
Drywell/Alt Drainage
Address Posted 7///i,f ge
FINAL INSPECTION 1)I4 l
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
A
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD09-00243 Received Date: 7/28/2009
SITE ADDRESS: 74 QUILCREST LN Issue Date 12/15/2009
QUILCENE, 98376 Expiration Date 12/15/2010
OWNER: SCOTT A BANCROFT PHONE: 360-774-1005
SHARI L BANCROFT
PO BOX 415
QUILCENE WA 98376-0415 QUILCREST VIEW TRACTS
SUBDIVISION: Block: Lot: 13
PARCEL NUMBER: 701185013 Section: 18 Township: 27 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,120
VALUATION 210,672.00 ADD'L: 778 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 640 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $1,615.35 LYK 07/28/09 108846
Exist: 0 Exist: 0 Plan Check $1,049.98 LYK 07/28/09 108846
Prop: 3 Prop: 3 State Building Code $4.50 LYK 07/28/09 108846
Total: 3 Total: 3 Potable Water Application $62.00 LYK 07/28/09 108846 •
Total: $2,731.83
Directions to Site:
SEE MAP IN FILE
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 3 pm the day before inspection is needed.
Monday Inspections must be received by 3 pm on Thursday before inspection is needed.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE ATTATCHED
• •
CONDITIONS for Building Permit# :BLD09-00243
1.) Health department approval based on the removal of the single wide mobil home from the
property prior to final.
2.) 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.
3.) A Geotechnical Report was prepared by Stratum Group dated November 19, 2009 and
submitted in conjunction with this application. The report addressed the stability of the
mapped geologic hazard area. A setback of 10-feet shall be measured perpendicularly
from the top of the geologic hazard to the proposed Single Family Residence.
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 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.
7.) A minimum of two(2) on-site parking spaces shall be provided for the single family
residence.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Building Setback from Quilcrest Lane right-of-way is no less than 20 ft., side and rear
setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then
the more restrictive setback shall apply. Building setback from the top of slope is no less
than 10 feet.
11.) The applicant shall comply with the recommendations for building setbacks and
stormwater treatement outlined in the Geotechncial Report prepared by Stratum Group
dated November 19, 2009.