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HomeMy WebLinkAboutBLD2008-00221 MLA08-00254 UILDING PERMIT APPLICAN Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD08-00221 Received Date: 5/27/2008 SITE ADDRESS: 944A LITTLE QUIL RD QUILCENE, 98376 OWNER: KAREN BRINDLE PHONE: (425) 313-9318 TERRY ROBERTS 23920 SE 170TH ST MAPLE VALLEY WA 98038-7101 SUBDIVISION: Block: Lot: TR 4+ PARCEL NUMBER: 702031002 Section: 3 Township: 27 N Range: 02 W CONTRACTOR: ED PHONE: tv\ Coln°l ruC-f- )O{\ REPRESENTATIVE: DAN NIEMAN PHONE: (360)434-0717 (Cell) PO BOX 846 (360) 765-3529 QUILCENE WA 98376 PROJECT DESCRIPTIOI NEW ADU W/ATTACHED GARAGE AND ROOT CELLAR ALSO A/G 500 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 512 VALUATION 125,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 134 SHORELINE: CONST TYPE: GARAGE: 378 SETBACK: DECK: 48 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: 5 I as Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,140.35 KAS 05/27/08 100219 APPROVED Plan Check $736.94 KAS 05/27/08 100219 State Building Code $4.50 KAS 05/27/08 100219 ` t) Total: $1,881.79 Jefferson Gounty etarninr Building Department el`'' c ey DEPARTMENT OF COMMUNITY DEVELOPMENT ` ,;;; 621 Sheridan Street,Port Townsend,WA 98368 .- a Tel:360.379.4450 Fax:360.379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment -'.g , �' ' E-mail:dcd@co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD08-00221 APPLICANT: KAREN BRINDLE PHONE: (425) 313-9318 TERRY ROBERTS PO BOX 176 QUILCENE WA 98376-0176 SITE ADDRESS: 944A LITTLE QUIL RD Issue Date: 06/30/2014 QUILCENE, 98376 Final Date: 11/26/2014 SUBDIVISION: Block: Lot: TR 4+ PARCEL NUMBER: 702031002 Section: 3 Township: 27 N Range: 2W PROJECT DESCRIPTION: NEW ADU W/ STORAGE LOFT (revised from root cellar and attach gar) ALSO A/t, 500 GAL PROPANE TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/26/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/2/2014 Jefferson County Building Asion Permit Nui•r: BLD08-00221 Applicant: BRINDLE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 7////41 Little Quicene Rd ROW 20 feet. Side and rear are 5 feet. Min setback from the stream is 105 feet&225 feet from wetlands Erosion Control �f/j /� /1„y BMPs Foundation Footing 7//f // Footing Drains "' /IL wiL/NA Ok 7 /bl/f eg Foundation Stem Wall 114140 Underground Plumbing .,il Under Floor Framing ����'' Straps(hold downs) cy/,D//y Ext. Shear Wall Nailing of 10//, Rough-in Plumbing 9/tio I y Framing I �� Q "Blocking � Airseal C/� �y. Insulation:Walls 111 6 ( I r Insulation: Floors 1 er SLAB k— 5C— 7/011 Insulation: Ceiling °7I I L 11 Int. Shear Wall Nailing , IJ1� Wallboard Nailing 4Iz3 ly ,-, Gas Line: Interior Ctfri (94/ `� Gas Line: Exterior Propane Tank 1b-15 -1 4 cif Heat/Chimney Clearance D#rEGX /* 1 i 125// Drywell/Alt Drainage Multiple catch basins to cistern. See Ian. Address Posted J 2.5)111 FINAL INSPECTION //1 Eli q ,� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD08-00221 1.) The project shall comply with all conditions in the SPAAD, MLA06-00491/ZON06-00046. • 2.) The identified Fish and Wildlife Habitat Area (Type 4 Stream), shall maintain a vegetative buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to proposed development. 3.) An additional setback of five (5) feet is required from the edge of the stream buffer area to proposed development. 4.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 5.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 6.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) A minimum of two (4) on-site parking spaces shall be provided for the single family residence and ADU. 10.) The building height is not to exceed 35 feet. 11.) Minimum setback from the Little Quicene Road right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. Minimum setback from the Type 4 stream shall be 105 feet and 225 feet from the wetlands unless a wetland delineation is submitted at time of application. 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.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet (30') in height from the finished grade. 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. 14.) Lighting fixtures shall be designea and hooded to prevent the light source fromTeing 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. 1 1 . , s c, ,N ►` 1V-0, 0 4/1 \ \S/ , 1 ! 0— it \ 1 1 op j Z 1 II \ I I J 1 I 1 I I I I ( ' - t I _ I \ -1.\\*f. 1 1 .----,' - ..i . i 1 7 1 I I I I • 1 I 1 j {L L_ 'Iles(-) CD 0 to Z 1-1 D S 1 1 \ 1 I ` I o cn N N ' I 1� I 1 b W 1 i m I t ZIc.c: ' t 7) I I _.a i I o ' T ' O 1 ...f.1 0 a 1 M z IA1 ma tv-11______JI IL____ . 7/\ \ \ =:2 -a 0 j d ® i • 16'0 O O 0 r r �DT�7 M 4 W • w• _ G C r °TI ' G) 9 N a) 11 7v 0 �D d -v 0 r . IG7 h. fa • • , ---4-s N oo,• JEFFERSOiUNTY �11`'CEI JI`'�� DEPARTMENT OF COMMUNITY DEVELOPMENT ` "d 621 Sheridan Street•• P1$14ort Townsend •Washington 98368 MAY 2 7 2008 rillik 360/379-4450 • 360/379-4451 Fax 4„ ''' �6 www.co.jefferson.wa.us/commdevelopment 1fEFfERAN COUNTY DCD Master Permit Application MLA: -a5 4 Project Description (include separate sheets as necessary): N L\ -e Th-Th 1v.:: U.�;Ic Tax Parcel Property /� / Number: 7O>?.��/gyp�_ ��+9t7�� it- Size: `7 0 • 50 (acr quare feet) Site Address and/or Directions to Property: 944 L c Ui\C.eAe kg, U,Acc.,,�, \V.A 9 V',`lL _ Property Owner(s)of Record:_ T:rn l&a„ 3 A k'f D k0-e 3•ri"a l� Telephone: /42S °. (3- 93i2 Fax: email: yinre% eV\ , ,a.o.,-- Mailing Address: D. 9 2 SF l 6t' � My. vt-.�1�,. WA\ `n 'lli Applicant/Agent(if different from owner): --0 e. Kke AN�„� 3, ,v1 cam+.c� C'rF\-;trvc ,ar, (-x I-+os . Telephone: 3.7c.•4434. 01 ('7 (c..(1) Fax: 3c0`'IL�S•3S Sri email: n•Le„t-,.,c.onst-c.A.c i-;o .mac,en,',A c..>:, Mailing Address: What kind of Permit? (Check each box that applies t (Building Al) U 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑ Single Family IEDGarage ttache /Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: ` DESIGNATION OF AGENT I hereby designate i.)r?,.` /�y"„�,,-.Cl,, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE SEE A41-23.-4-e_1,-;cyi Date: 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 it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req ' ter inspections. Staffs access and right of entry will be assumed unless-the applicant informs the Count in writing at the time of the appli i th r ants nor notice. Signature. / c /-a oe Date: Th 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 . - in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer •onsib_' for adheri .E o and complying with the ESA. The Applicant has read this disclaimer nd sign nd dates it below. Signature: — ra ' r� Date: 7 Z ,. G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc I WBUILDER STATEMENT • c The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. �-- Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ' -New Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: I Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: i Height: `Individual System ❑ Repair ❑ Masonry 1 S, P Permit# O Demolition ❑ Other: Bedrooms: I akt SktipO :\ -r '7 ,. Existing: Setback: ' ' ' 1SnVte well [7�fiwe Party Type of Heat: Proposed: __V__— ❑ Public@ d r-dt.%e.-h'� Total: Nl'tA I`of ylt 1 fii If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA.Parking Spaces: , Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank Okbove ground Tank Size of Propane Tank: $B'o Heat Stove Q9Cook Stove I Woodstove i Fireplace Insert I Hot Water Tank, i Pellet Stove i 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. Square Footage Current Proposed p�O ice Use ly . {, • D f ,t " . , r Main Floor Heated r °`" I c`i Bld App Review: 2m Floor Heated v, x ; 'Consistency Review: Other Heated $ Base fee:PO i 14( .)5 t 135'15 Mezzanine Additional Section: Heated Basement � '- Plan Check fee: 1 3/ .q fj Unheated Basement State Surcharge fee: '1 l0 �`-�- Other Unheated/a o,* Ce{tar "ot Water Review fee: `t 1� , SUBTOTAL F Garage/Carport 3'1� (''.' , S"15, Decks � 911/Rd Approach fee: I �♦©© qS �':,OUI,( - PDu pLCk- Other TOTAL: $ I$ct p, 19 Receipt Number: (Wal q Cash/Check Number: 5 t 31 ESTIMATED COST(RE RE ) Lt q •* late: gl .Fair market value of all bor and matena 71i inish / sc oco I Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc , 9 0 �W� TR jt,,Vw/ MlpjI A, X f �aP WIL I (FJL i—IbcO ?r//h� MIL�� f NK x 4 it - - �j- \ 1Tre1Ezs fGv9E 1 ------------ ED MAY 2 7 2008 �• • ;�, x _ . _ _ � JffffASON CDU�iiY DCD 170 - C-7J�Jo2o3 i ooz—