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Home My WebLink AboutBLD2014-00438 IL UILDING PERMIT APPLICAtN BLD14-00438 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00438 Received Date: 11/21/2014 SITE ADDRESS: 251 HARRINGTON RD QUILCENE, 98376 OWNER: TOM N EASTGARD PHONE: 206-245-7795 270 HARRINGTON DR QUILCENE WA 98376-9616 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601343010 Section: 34 Township: 26 N Range: 1V1 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr DEMO OF SFR NOT TO BE REPLACED TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: IRouting Date: Type Amount Paid By: Date: Receipt: APPROVED Permit $76.00 SRE 11/20/14 153903 Total: $76.00 DEC 21 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 11/21/2014 �45ox oo •• �, o, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ysk 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment Tel:360.379.4450 I Fax:360.379.4451 Email:dcdO.co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): Demolition of single family residence, not to be replaced. Tax Parcel Number: 601-343-010 Property Size: —5 acres (acres/square feet) Site Address and/or Directions to Property: 251 Harrington Dr, Quilcene, Wa (see owner for directions and access) Property Owner(s)of Record: Tom&Rebecca Eastgard Telephone:206-245-7795 Fax: email: tom@eastgard.org Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Same What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan B Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat"* ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: ORCAA DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 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 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 required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice Signature: /A, C Date: 10/30/2014 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 1/C- Date: 10/30/2014 07/24/2013 • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the re,iponsibigy of the Gee l Contractor for the proposed project. Signature: /l t9 u Date: 10/30/2014 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: TBD (206-2)45-7795 ( ) MAILING ADDRESS: EMAIL: tom @eastgard.org CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (206-045-7795 FAX:( ) MAILING ADDRESS: EMAIL tom@eastgard.org Project Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Ne Wood Existing: 2 ❑ Sewer C; Addition ❑ Steel Proposed: Bank ❑ mmunity System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: dividual System ❑ J epair ❑ Masonry 80' S P Permit#; i vi i L I O9 1 Demolition ❑ Other: Bedrooms: Water Supply: Existing: 2 Setback: ❑ Private well VTwo Party Type of Heat: Proposed: i ❑ Public Total. 2 0 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP i knaT retaW toH I 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 For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: -Ict• 06 2"0 Floor Heated Consistency Review: Other Heated Base fee: Mezzanine Additional Section: i a _00 Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish $28,000 Initials: 07/24/2013 d 1 0 1 c6 e,y)(41,)1e. P4Akit 7 i(kt GI''' te'" '''- ZikA , ' .......... " i I, t mo- • c 1\ I i 431 ,... g Z - 11N-- —"it . Q. cd ac% w CO w .. :. .:... . ., ..,. ,. *a as , w tom --- 8 IF. cr3 g ._ __ o ." > s '� 0 ..44 ',,,,, f 1- T + - t- I T ! -- + : r r 1 1 1- I I L � ■ I i { . - ._-__ h----- 1 I- • 4 I •_ -- ---t -_- - - ! 1 i I I _ - r 1 t }- . + _ I I. I 1 -,- 1 - _ - �1 j 1 1 I -4 t t- . - _ t , t- � , - - -i 1 1- ' 1 _L. l- - t - r- + ,_ - I I j ! j 1 I I 4- - 1 "- _- t 1 i 7 ■ + 1 1 1 -. I. , 1 : t , r r r _ , _4- A - : I 1 -. - I I 11 I I I L 1- : --I 1-- -I- ! I _. .4 ! , , ! _1_ 4_.. ''--- I : ' I PRPItijarth 1 • 1 •, • • . r •'• • . J alp.L•71111111y • 0 I Toms test :. '601342015 �^ 1 'f' ' i71 ' / `, r ..r }t r 60134 3007 ../re//' 7 tril f t\..:\ ff--„,l f ,. I ` , t // i i t it rf ) i %r i' --_ . Legend / �/ 1 f f` Selected Features j (,.-', � 601343016 ( / /r'/r Lr'f''rr r r`r r�f 7 7< r ) it 1 r , Parcels•H 'I f i 1 Contours ! I 1 ! i _ ,; e` *Foot Contest tr r r` 10 Foot Contour O f // 1 / i I ' � = / f/ - .--- ' 1 `' I 001340 I ) j fI ! ;( I' l's' ='r i + �t 601343013 I .il l __ ( 1 I( (0 /r 17' / f 7 ' ` r'O ' j r f ? f - 2 ry 601343022/" 7i 6 (%_1T^ r I f' r 71 {� a! t , �tr ,r 1 601343020 Maps wor,:i to Jelsaan Co rfy Cants Sa riooc GIS , /// ,J, r,. 0 131122 j 601343019 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Sep 23 2014 14:27:54 GMT-0700(PDT) • Parcel Details Page 1 of 2 S Jefferson County `•rnr " Y— .> & '. .u" :::.fir Home Loamy into : Departments -, Search Parcel Number: 601343010 SEARCH Parcel Number: 601343010 Printer Friendly Owner Mailing Address: TOM N EASTGARD 270 HARRINGTON DR QUILCENE WA98376-9616 Site Address: 251 HARRINGTON DR QUILCENE 98376 Section: 34 School District: Quilcene (48) Qtr Section: SW1/4 Fire Dist:Quilcene (2) Township: 26N Tax Status: Taxable Range: 1W Tax Code: 0323 Planning area:South Toandos Peninsula,Coyle Area (9) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S34 T26 R1W TAX 13 Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later ie Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel NO=601343010 11/17/2014 Cases Associated with a Parcel Page 1 of 1 • :r je Jefferson -* Home County Info Departments Search Cases Associated with Parcel No: 601343010 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number SOM12-01044 Description SANITARY SURVEY ONLY. NO SEPTIC RECORDS LOCATED Last Name EASTGARD Received Date 10/28/2013 4:18:08 PM No Images Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=601343 010 11/17/2014 • Sally Ellis Subject: torn Start: Mon 11/17/2014 10:30 AM End: Mon 11/17/2014 12:00 PM Recurrence: Weekly Recurrence Pattern: every Monday from 10:30 AM to 12:00 PM Organizer: Mary Blain Name of Appt person:Tom Phone Number: Name of Property Owner: 251 herington dr. quilcene Parcel Number: 601343010 Address, if applicable: Project: (NSFR, SPAAD etc?) Demo permit sfr Is there a pre-app? Case Number of Pre-app? SPAAD? Zoning case number of SPAAD? 1 s • •F .soOssooNCLE44, �' 2940-B Limited Lane NW °' ,...1--‘-'1 '‘ Z Olympia,WA 98502 n _ ORCAA ,r° � nw 1-800-422-5623 • (360) 539-7610 Fax: (360)491-6308 ORCAA Permit Application Status Permit Status ig Approved 0 Disapproved Notes 11/07/14 Approve. Related to ASB004589. ASB Completion Notice received. 11/7/14 P FM Review Date Reviewed by 14DEM003924 10/30/14 Permit# Expiration Date Application Received Amount Due $35.00 10/30/14 ❑Cash 0 Check 0 Credit card Additional notes or permit conditions I',n t;Nil,,,if t field O1 i,e: 1 H,A\. Y,th tiL Sint 11 ', I'r,r1 'r4,4,( if , 1N, \,11.)t()? 1 >r,U -41 —I-14,6 ,a 1,',4%mond 1 leirl C7,tice: .>(11 (),.t an we.. R<1v mc;n( \1'R S,8 r 360 n-i? 21 • • • Name Mailing address Tom Eastgard 1270 Harrington Dr City ZIP State Quilcene 198376 I 'wA Site address City ZIP 251 Harrington Dr Quilcene 98376 FAX Phone number Other contact number Email 1206-245-7795 I I Itom @eastgard.org DEMOLITION CONTRACTOR ❑ check the box if same as property owner information Business/Contractor Name On-site contact ITBD from Eastgard 1 E-mail Mailing address City ZIP Itom @eastgard.org 270 Harrington Dr 1 Quilcene 98376 Phone number Other contact number 206-245-7795 DEMOLITION PROJECT INFORMATION Number of structures being demolished 1 Start date Completion date Is asbestos present? *247'44-T11 I (1-2i2)344-. IYes Attach your asbestos survey below Sept2014-Sample Analysis Rpt.pdf Has all identified asbestos been removed 'Yes DEMOLITION PROJECT CATEGORY ® Complete demolition ❑Training fire-(complete fields below) ❑ Renovation,alternation,remodeling,maintenance or other construction If training fire,provide fire protection agency name,point of contact and telephone number ® Owner occupied residential dwelling-Permit fee:$35.00-Prior Notice-Nonrefundable ❑ Other Structures-Permit fee:$60.00- 10 working day wait period-Nonrefundable ❑ Emergency Fee$50.00-must be accompanied by Government Ordered Declaration(other structures only) Attach declaration below PLEASE MAKE A NOTE OF YOUR FEE. • Applicant name Date Tom Eastgard 10/30/14 I do certify that 1 am the owner,authorized agent of the owner,or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure compliance with permit conditions,applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal,state,or local laws or regulation pertaining to activities associated with this permit. 1 have read and will abide by the conditions set forth in this permit and any addendum thereto. I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is,to the best of my knowledge true,accurate and complete. I I agree DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00438 Received Date 11/21/2014 SITE ADDRESS: 251 HARRINGTON RD Issue Date 12/22/2014 QUILCENE, 98376 APPLICANT: TOM N EASTGARD PHONE: 206-245-7795 270 HARRINGTON DR QUILCENE WA 98376-9616 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601343010 Section: 34 Township: 26N Range: 1W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, TOM N EASTGARD PHONE: 206-245-7795 if different: 270 HARRINGTON DR QUILCENE WA 98376-9616 PROJECT DESCRIPTION: DEMO OF SFR Directions NOT TO BE REPLACED To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/22/2015. REQUIRED INSPECTION: FinalApproval:, I BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday SPECIAL CONDITIONS APPLY- SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS FOR CASE# BLD14-00438: 1.) Approval by the Health Department for this demolition permit is based on the owners signed acknowledgement that they will be decommissioning the existing septic system. No records could be located for the system and no evaluation has been completed. This approval for demolishing the residence does not ensure future building approval. Any future onsite sewage system shall meet code in effect at the time of application. 2.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems.Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) H -Prior to finaling this building permit for demolition of the residence the septic tank must be pumped by a certified pumper and and properly decommissioned by a certified installer. Installer shall submit the Tank Abandonment Form to Environmental Health. A fee shall be charged by JC Environmental Health to verify the completion of the decommissioning. \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 12/22/2014 0 0 <47 roc. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4 N,pKI,GO ate: c) Time Received: am/pm Mon. Tue. Wed. Fri. ' 1 Date: 1A t+� LD: — ) Contact Name: T Contact Number: 360 )caner: 206 a�-�S -�' address: Dotes: Foundation Plumbing Framing Propane Tank Mechanical Framing Under ground Furance Setbacks Under ground g Gas Footing Rough In Air Seal Above ground Y Stemwall H dronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance _ Underfloor Gas . -.- - - Man-Homes Insulation Final Inspection AIL Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4kwl_soti `moo ti� JEFFERSON COUNTY �b\I { DEPARTMENT OF COMMUNITY DEVELOPME T ` Ngyf,,G.CO� I/iil_.,, /Q, Date: // hilrTime Received: am, r Mon ' e. dill 4'4 Fri. Date: BLD: /9- 3/$ Contact Name: Owner: Contact Number: 360 Address: g q Y .te a,0tow.-1 ,dr 206 ..5Sr) 7.7 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing X Underground 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