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Home My WebLink AboutBLD2013-00103 • BLD13-00103 BUILDING PERMIT APPLIC ION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00103 Received Date: 4/3/2013 SITE ADDRESS: 551 DONALD RD QUILCENE, 98376 OWNER: RICHARD A HULL PHONE: SHEILA I HULL 551 DONALD RD QUILCENE WA 983769610 SUBDIVISION: Block: Lot: PARCEL NUMBER: 501043006 Section: 4 Township: 25 N Range: 01 W CONTRACTOR: MITCHELL CONSTRUCTION PHONE: (360)796-2060 4246 DUCKABUSH RD BRINNON WA 98320 Contractor's License MITCHC*1010E Expires 4/9/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` DECK REPAIR OF 360 SQ.FT. AND NEW DECK ADDITION OF 650 SQ.FT. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 650 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $181.25 MKF2 04/03/13 140199 APPROVED State Building Code $4.50 MKF2 04/03/13 140199 Plan Check $117.82 MKF2 04/03/13 140199 MAY - 8 2013 Total: $303.57 Jefferson County DCD \\fit-icmor,\rlafa\fnrmc\G RI fl Ann Rlrl rr,f A/2/11112 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 #: BLD13-00103 SITE ADDRESS: 551 DONALD RD Issue Date: 05/8/2013 QUILCENE, 98376 Final Date: 11/4/2013 APPLICANT: RICHARD A HULL PHONE: SHEILA I HULL 551 DONALD RD QUILCENE WA 983769610 SUBDIVISION: Block: Lot: PARCEL NUMBER: 501043006 Section: 4 Township: 25 N Range: 01 W PROJECT DESCRIPTION: DECK REPAIR OF 360 SQ.FT. AND NEW DECK ADDITION OF 650 SQ.FT. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/4/2013 II \\tidemark\data\forms\F_B LD_Occupancy.rpt 11/18/2013 . '� + :�='_ _' .`'101 •Date "�Z time received C am Mon. C/,Wed: Thur. -Pd.. BLD: 432:241271 Date: 7/ OWNER: ��" Contact Name.: �?�1 ADDRESS: FJY1P'.'°�L� �' Contact Number:360 ` /.. C • Notes: 206 Foundation Plumbing • Framing Propane Tank Mechanical Setbacks Under ground Framing Under ground _ Furnace - Footing Rough in Air seal Above ground Gas Stemwall _ Hydronic Exterior shear Exterior lines • Oil Straps Interior shear Interior lines _ Ducts v'_ . Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man,Hories — Setbacks — Insulation. Final Inspection .1 Foundation . Block&Tie floor wall ceiling � g Address Posted . ,_• V _.0.:,....-.v.„„.1.. � �a: . I.. g. € q Lam, _ Date 1 time received "J V am 1 pm Mon. Tue . , ° Thur. -Fri. 1 BAD: V Date: l . OWNER: \ A _ [jJ� Contact Name: `�►v S ovv Contact Number.360 ?.• A ADDRESS: 2g6 • . k ( r Notes:_ - .Foundation Plumbing - Framing . Propane Tank - Mechanical - • Setbacks Under-ground Framing Underground Furnace - Footing _______ Rough in Air seal Above ground — Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil • Straps Interior shear Interior lines — Ducts Post Hole Ventilation Appliance Underfloor Gas/wood stove Man Honies - Setbacks • Insulation. • Final Inspection Foundation- • Block&Tie _ floor wall ceiling- . Address Posted t ,-,,,• ___i, 1,1 L 0 PI (-■ 0 0 111! ' 7.7 0„) --1 \ ' -..4 t ...,..- vr/ . • .a.; .....j ,.-..,. CD / --,- -- 0 4,-, EL,. 0 7) > > Cri :T J m 17 1:1, C M , t 0 0 t5 s %., .2.1 ,_ . ,-, ...., , x me < z co , 1 , m 61 (7,,,, 0 , 7 P3 Z ‘,„„ -° = -. \\.. Z (4 •°... 0 0 C Z c: :- ., . •-., 't. 0 el 4 -I —1 co 72 ;,,,,,,,,, \ t, .,.. 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R cce tz,v s T- 44-0, -- '4—.--- //I/ d Contractors or Tradespeople inter Friendly Page Page 1 of 1 • General/Specialty Contractor A business registered as a construction contractor with L81 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 MITCHELL CONSTRUCTION UBI No. 601219466 Phone 3607962060 Status Active Address 4246 Duckabush Rd License No. MITCHC"101 CE Suite/Apt. License Type Construction Contractor City Brinnon Effective Date 2/5/1990 State WA Expiration Date 4/9/2015 Zip 983203505 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date MITCHELL, ROBERT SHELDON Owner 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 CBIC SH1251 01/29/2007 Until Cancelled $12,000.00 01/16/2007 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 Contractors 21 Bonding a C11SH1251 04/09/2013 04/09/2014 $1,000,000.00 03/05/2013 Insuranc Contractors 20 Bonding Et C11SH1251 04/09/2012 04/09/2013 $1,000,000.00 03/05/2012 Insuranc 19 CBIC C11Sh1251 04/09/2011 04/09/2012 $1,000,000.0003/22/2011 18 CBIC C11SH1251 04/09/2010 04/09/2012 $5,000,000.0003/18/2011 17 AMERICAN 01C132481610 04/09/2010 04/09/2011 $1,000,000.0003/18/2010 STATES INS CO 16 AMERICAN 010E90360600 04/09/2009 04/09/2010 $1,000,000.00 03/10/2009 STATES INS CO 15 AMERICAN 010E90360690 04/09/2008 04/09/2009 $1,000,000.0003/07/2008 STATES INS CO 14 AMERICAN 010E90360680 04/09/2006 04/09/2008 $1,000,000.0003/08/2007 STATES INS CO 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 5/8/2013 • • May 7, 2013 RICHARD A HULL SHEILA I HULL 551 DONALD RD QUILCENE WA 983769610 RE: SITE ADDRESS: 551 DONALD RD CASE#: BLD13-00103 Dear RICHARD A HULL: We have started the plan review process on the subject permit. Unfortunately, we are unable to finish the necessary plan review. We are in need of additional information and/or items as listed below: contractors's license expired. Called owner he will handle. ‘4.44D — Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions, please feel free to contact me at(360) 379-4450. Sincerely, Plans Examiner c: File MITCHELL CONSTRUCTION \\tidemark\data\forms\F_BLD_Addlnfo_PInChk.rpt 11/3/1999 i • 44:5°N coy JEFFERSON COUNTY ;. i ►� DEPARTMENT OF COMMUNITY DEVELOPMENT ,.-'7 ',� 621 Sheridan Street • Port Townsend • Washington 98368 —� U 360/379-4450 • 360/379-4451 Fax . INC'� http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: 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(I.E., SITE) Size of parcel 5 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 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, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, 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%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities, etc. sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance .2 7 sq/ft Cut Fill (cu/yd) [over] stcrmwater ca lc worksheet Rev 9-9-2010--REV 9/9/2010 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 quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, 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 stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) sq/ft Structures (all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other sq/ft Total New _sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No 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 stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" 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—and 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 full knowledge and consent of all owners of the affected.*.f y. rrii ��' ,,i_, ___,3 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 4 ne,N cb JEFFER*COUNTY S I DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 2 I?`lO� 360/379-4450 • 360/379-4451 Fax l� p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): Tax Parcel Number: .-p f0f/..?f 6Fi Property Size: 5 4c A2Z: (acres/square feet) Site Address and/or Directions to Property: L) 40/9 &t Quit-cents WA _(COy[�-� Property Owner(s)of Record: Al C/)/}/Q Er Sh/C14/1 Telephone: 7rrc,S-.Z I Fax email: Mailing Address: 5'37 / r,y c J) A'd, OVu c/Jr L#v 1 Ix 3 Ufa Applicant/Agent(if different from owner): A C) /'IiTGil J/ Telephone: Fax: email:CE ha but.firiis Mailing Address: _9srlI )■t,t".,ttiL, co"-t What kind of Permit?(Check each box that applies JZIBuilding ❑Critical Areas Stewardship Plan ❑ 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: DESIGNATION OF AGENT I hereby designate/'Ct?/r1/K elf /J to as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 7 cf.t ' _ /i1�� Date: Li(/)( /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 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. Staffs 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: Date: 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 complian with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsipility adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 47 7� G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement toes 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 r pan;•it •f.the General Contractor for the proposed project. a Signature: . ' e'.' Date: '/1 1 3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: '°1l r°a. 1k 1/ 7/ ;/�Cpp��/o��n/ (;'6o) 7('6 °.2.L'�, 60 ( ) �Sf 'MAILING ADDRESS: q, p�'l � � In,IQ. y �--.EMAIL: c.Xc31,:., /-1`�3 r�in (i\f?ozh•t pra-+ �C,Cu m CONTRACTOR'S LICENSE WAINS NUMBER: J/�� "1 co �,/ - NUMBER ARCHITECT/ENGINEER: 41, PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New j$ Wood Existing: I i Sewer k Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel Li Concrete Total: Height: ❑ Individual System Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: 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: i Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove I Woodstove I Fireplace Insert i Hot Water Tank I Pellet Stove I Other Is this appliance being installed in al Manufactured I 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 roperty lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system 7:0713 nents, including the reserve area. Square Footage Current Proposed For�x -• ' ; 3 x z Main Floor Heated �t . EH Bid App Review: —2-m Floor Heated , , Consistency Review: „�>> f Ate. Other Heated . : Base fee: ?' j Mezzanine —s Additional Section: Heated Basement 117 r Plan Check fee: 1 Unheated Basement 1 State Surcharge fee: (/ �1 Other Unheated Pot Water Review fee: ' (r Garage/Carport SUBTOTAL Decks ,`` 'i Wgti ,= 911/Rd Approach fee: Other .1 TOTAL: $ 0(.?,57 _: Receipt Number: &to I 4 4 - - 4 Cash/Check Number: } ESTIMATED COST(REQUIRED) Date, / .Fair market value of all labor and materials foundation to finish l�;,Al ti`e ` Initials: °) G:\PermitCenter\###FORMS###\DRD FORMS\Master P Application 5-29-08.doc Contractors or Tradespeopleonter Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I 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 MITCHELL CONSTRUCTION UBI No. 601219466 Phone 3607962060 Status Active Address 4246 Duckabush Rd License No. MITCHC*101 CE Suite/Apt. License Type Construction Contractor City Brinnon Effective Date 2/5/1990 State WA Expiration Date 4/9/2013 Zip 983203505 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date MITCHELL, ROBERT SHELDON Owner 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 CBIC SH1251 01/29/2007 Until Cancelled $12,000.00 01/16/2007 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 Contractors 21 Bonding ft C11SH1251 04/09/2013 04/09/2014 $1,000,000.00 03/05/2013 Insuranc Contractors 20 Bonding& C11SH1251 04/09/2012 04/09/2013 $1,000,000.00 03/05/2012 Insuranc 19 CBIC C11Sh1251 04/09/2011 04/09/2012 $1,000,000.00 03/22/2011 18 CBIC C11SH1251 04/09/2010 04/09/2012 $5,000,000.00 03/18/2011 17 AMERICAN 01C132481610 04/09/2010 04/09/2011 $1,000,000.00 03/18/2010 STATES INS CO 16 AMERICAN 010E90360600 04/09/2009 04/09/2010 $1,000,000.00 03/10/2009 STATES INS CO 15 AMERICAN 010E90360690 04/09/2008 04/09/2009 $1,000,000.00 03/07/2008 STATES INS CO 14 AMERICAN 010E90360680 04/09/2006 04/09/2008 $1,000,000.00 03/08/2007 STATES INS CO 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 4/3/2013 Up Front Parcel Revieve Parcel 501043006 Printed: April 4, 2013 RICHARD A HULL Site Address: SHEILA I HULL 551 DONALD RD 551 DONALD RD QUILCENE, WA 983769610 QUILCENE WA, 98376 Parcel Number: 501043006 S-T-R: 4-25N-01W Total Acreagc 5 Legal Description S4 T25 R1W LOT NO. 2 (E 144.56' OF W 773.55') LESS R Land Use: 1100 OF W Flood District: Fire District: 2 Planning Area: Flood Map(FIRM)Panel No: School District 48 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES NO CO [ ] Shoreline Slope Stability: YES NO �-- Stream Type:YES NO � n Fish & Wildlife:YES NO _ 7 _ 0�' Wetlands: YES NO +� _ Rare Plants:YES NO Seismic: YES NO asp Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ Stormwater: New I •-- 'e Surface Ca) Land Disturbing Activity ESA's Stormwater Re!' Min Res # Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions I isclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Building Height: 35' UBC Standard [ ] , Impervious Surface covera,e percentage: Resource Lands&Public: 1� Rural Residential: 25% Rural In ial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural In trial Lands only [ ] Total Building (s) Size: 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: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s) &Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: 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 [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 501043006 Cases Name Review Type Status Planner BLD13-00103 HULL P Application Received: 4/3/2013 Permit Issued/Case closed: Case Finaled: DECK REPAIR OF 360 SQ.FT. AND NEW DECK ADDITION OF 650 SQ.FT. BLD93-00890 HULL F Application Received: 12/16/1993 Permit Issued/Case closed: 4/7/1994 Case Finaled: 4/5/1995 single family residence OTH94-00091 HULL A Application Received: 4/4/1994 Permit Issued/Case closed: 4/6/1994 Case Finaled: water review OTH94-00308 HULL F Application Received: 10/27/1994 Permit Issued/Case closed: Case Finaled: 10/27/1994 Waiver approved: financial hardship; no probable negative public health effects. SEP85-00052 HULL F Application Received: 5/28/1985 Permit Issued/Case closed: 6/30/1985 Case Finaled: 5/18/1988 EES 2/20/07. M LA07:00048 1 BLD07-00039 MLAd7-00048 HULL I F M FARFAN `-Apr>-Received: 2/5/2007 Permit Issued/Case closed: 3/9/2007 Case Finaled: 2/6/2008 NEW GARAGE, ENTRY & UECK ATTACHED TO EXIST SFR SOM85-00052 HULL RCR Application Received: 5/18/1988 Permit Issued/Case closed: 10/1/2012 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 4/4/2013 Page 2 of 2 1 , - NN\., . .. ) .._._ \ I y - ' \ k. \, ri ,- -- . \ ,----"` , 1 '-----4,.. ''''''' - ----•z_-._-:., 1 h.- tr' rfr 1 1: -----r , .,T, ,,..c 'Y I C"): r-- -.. _ . -dx.r:7.--:-Ami i ,• ze 0 0 , . • z..,... r ; r.4. '-.... I - ____ a . --- - - -I - . ... `"--r v. . , - _ r,r,r . . -.1. r r -., - ,.. ...-- r . , . --- 1..- , _ - .. r • ! --, r 3 ! r . , rri kr, ‘. -..,, I f* & . • •.. , rt, H rq. , //Z- i-V---- 440/.77 -'4/ 4./VITO/X-71 1.41M.711 0-egt/i 921/6 /3 ze,r4 ii.s.,--//tYBA6i/vvot, ciiA 557 A04144.6 R_ 0 • _____ : -.. L i .--• . 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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 Erosion Control Foundation Footing Framing FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00103 1.) 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. 2.) The site plan as submitted with the Building Permit application on April 3, 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 April 4, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. ICI \\tidemark\riata\forms\F RI I) Permit Ririn rot 5/R/91113 INCLUDE WITH PERMISO APPLICANT • 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. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re- vegetation include, but are not limited to: Grand Fir (Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir (Pseudotsuga menziesii), Western Red Cedar(Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder (Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7. 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. 2013-03-07_SFR_StdConditions 3/7/2013 1 • • 8. 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. 9. 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 Fisheries Service can levy penalties. All areas in Jefferson County 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. 2013-03-07 SFR StdConditions 3/7/2013 2 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD13-00103 Received Date: 4/3/2013 SITE ADDRESS: 551 DONALD RD Issue Date 5/8/2013 QUILCENE, 98376 Expiration Date 5/8/2014 OWNER: RICHARD A HULL PHONE: SHEILA I HULL 551 DONALD RD QUILCENE WA 983769610 SUBDIVISION: Block: Lot: PARCEL NUMBER: 501043006 Section: 4 Township: 25 N Range: 01 W CONTRACTOR: MITCHELL CONSTRUCTION PHONE: (360)796-2060 4246 DUCKABUSH RD BRINNON WA 98320 Contractor's License MITCHC*1010E Expires 4/9/2015 PROJECT DESCRIPTION: DECK REPAIR OF 360 SQ.FT. AND NEW DECK ADDITION OF 650 SQ.FT. TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 650 BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $181.25 MKF2 04/03/13 140199 Exist: Exist: State Building Code $4.50 MKF2 04/03/13 140199 Prop: Prop: Plan Check $117.82 MKF2 04/03/13 140199 Total: Total: Total: $303.57 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