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Home My WebLink AboutBLD2014-00054 BUILDING PERMIT APPLICAN BLD14-00054 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00054 Received Date: 2/14/2014 SITE ADDRESS: 27 OLD GARDINER RD GARDINER, 98382 OWNER: JON A HALL PHONE: 360-681-7804 140 HURRICANE RIDGE DR SEQUIM WA 98382-9375 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002332015 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR with attached garage, no heat, no plumb TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,133 VALUATION 265,560.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 827 SHORELINE: CONST TYPE: DECK: 249 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,189.00 MEB 02/12/14 145761 Plan Check $1,422.85 MEB 02/12/14 145761 APPR7 "r `. - 4 State Building Code $4.50 MEB 02/12/14 145761 Potable Water Application $67.00 MEB 02/12/14 145761 Total: $3,683.35 Jefferson C.4;U ; . D \\Fi.lornar4\.Iota\fnrrnc\P RI fl Ann PIA rnt 9HAYJn1A �, s°N roe,�� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,W A 98368 Tel:360.379.4450 Fax: 360.379.4451 Web:www.co.jcffcrson.wa.us/communitydevelopment 95,Ef! 0� E-mail:dcd @co.jcffcrson.wa.us NGti CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00054 APPLICANT: JON A HALL PHONE: 360-681-7804 140 HURRICANE RIDGE DR SEQUIM WA 98382-9375 SITE ADDRESS: 27 OLD GARDINER RD Issue Date: 04/9/2014 GARDINER, 98382 Final Date: 9/2/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002332015 Section: 33 Township: 30 N Range: 2W PROJECT DESCRIPTION: NSFR with attached garage, no heat, no plumb THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes io 1 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/2/2015 \\tidemark\data\forms\F BLD_Occupancy.rpt 9/3/2015 c-' mac` JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT $1SH ,- Date: 4 23 Time Received: 90 (g/pm Mon. /V Wed. Thur. Fri. Date: -2`,. BLD: /44—53( Contact Name: Owner: Contact Number: 360 L47 7 133? Address: 27 ec-oe. r,+,r 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling rvi lta On 1pe (Mon S e0-1 (- 6 S-k 11 Ajue- }(\114s} p_u 1J_for ,fioN co��_ JEFFERSON COUNTY 4. G$ DEPARTMENT OF COMMUNITY DEVELOPMENT 9`SHINGS Date: 11'z( Time Received: 2 '35 a /pm Mon Tue. Wed. Thur. Fri. Date: //l z Wed. 1/l BLD: 14 s4 Contact Name: Owner: .f/i u.. n Contact Number: 360 40— 90.5 Address: 2.7 ' Ott) Gne-DIMZ Ed 206 Notes: 6*4 ' A Foundation Plumbing . Framing Propane Tank Mechanical Setbacks Under-ground Framing 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 olnrL 2. Tilo Ceiling (If 61 JEFFERSON COUNTY \.4_so { DEPARTMENT OF COMMUNITY DEVELOPMENT Date: /1-// Time Received: ab an el Mon. Tue. (a-�j. Thur. Fri. Date: BLD: /V— 53( Contact Name: Owner: Contact Number: 360 47'77 /339 Address: a7 mco cA vr- /Cep 206 Notes: ?r--11A1-,:t l vl 1 Kt I 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 �4e�5ON C00 JEFFERSON COUNTY 2 DEPARTMENT OF COMMUNITY DEVELOPMENT 20 NfKG, +,/ f Date: k ! Time Received: - am pm on Tue. Wed. Thur. Fri. Date: BLD: 11-4 - 54 Contact Name: Owner: I4 A- Contact Number: 360 Address: A-7 mob 6p-A.Dtt",•.• 206 Notes: Gt1 . )ci?) 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 j 44 a. JEF ERSON CIUN DEPARTMENT OF COMMUNITY DEVELOPMENT `"1'SH(N f.S'3? Date: Time Received: am/pm Mon. Tue. Wed. Thur. 0 Date: BLD: Contact Name: Owner: Contact Number: 360 Address: 7-7 r)(--0 C--!'�1J1‘-c-^.---- 206 Notes: t i V.L B Le--._ Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing j 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 r-- cb� JEFFERSON COUNTY K DEPARTMENT OF COMMUNITY DEVELOPMENT ` �SHr NGSO? /e Date: t/// Time Received: /O :44 am m Mon. Tue. I Fri. Date: � i BLD: /// - 4W.c. Contact Name: Owner: //4 t-1- Contact Number: 360 .077/359 Address: 27 Gid) CA,cpm/az Pei 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing 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 ......... .,. • o O N C O°y1, JEFFERSON COUNTY / DEPARTMENT OF COMMUNITY DEVELOPMENT Nseine° Date: 9Aj7 Time Received: /DPI am/�jarl Mon. Tue. Wed. Thur. Fri. Date: --2 BLD: /2- STY Contact Name: Owner: Contact Number: 360 4{-77 /339 Address: a-7 0 1,a c,,xvtDi,z. - 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing A. Underground Furance Footing Rough In -,c Air Seal X 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—K Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling e .N ��cZ JEFFERSON COUNTY -' DEPARTMENT OF COMMUNITY DEVELOPMENT 4'SR f NG'• Date: 3'O Time Received: /e( : 4'% arrirDmMon. Tue. Wed. L Thu)r Fri. Date: `5// BLD: /4 — bOOSf Contact Name: Owner: /1,41-4 Contact Number: 360 ije,t, ,H651 Address: 077 b, h %,4r_orJr977- ,J 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 ---xr 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 4F45O cot JEFFERSON COUNTY / A' DEPARTMENT OF COMMUNITY DEVELOPMENT \H�°$ SHtNGS )ate: Time Received: ?Q '.2.—V am/�fi Mon. Tue. Wed.�/ Thur. 4 Date: ei" C_ 3LD: 44r 5* Contact Name: Contact Number: 360 L4 )wner: a �l r , #M 206 address: • Notes: Foundation Plumbing Framing Propane Tank Mechanical Framing Under ground Furance Setbacks Under ground g Gas Footing Rough In Air Seal Above ground 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 ,SON c. Wow o% JEFFERSON COUNTY 4. DEPARTMENT OF COMMUNITY DEVELOPMENT KgH1NGq� Date: .4 1 Time Received: ' ;I:I am/pni Mon. Tue. Wed. `Thur. 0 Dote: `dl CRS BLD: L 4"*.' Contact Name: Owner: T'1 Contact Number: 360 ��,. re1�7 Address: 1 f)((SC 1.0-A..aLet."`". 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 Q(::S .3,„ JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: tj/13 Time Received: ja an fi 0 Tue. Wed. Thur. Fri. Ill / Date: " BLD: Ss V Contact Name: Owner: Contact Number: 360 LI 77 / 33? Address: (.2-7 pz-b (> 0is2,0,--- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal A ove ground Gas_ r 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 /07-c''''. 'o� JEFFERSON COUNTY tie DEPARTMENT OF COMMUNITY DEVELOPMENT 4-rif 4:\c,t,„,,G.,0÷ ��, Mon. Tue. Wed Thur. Fri. Date: ��//3 Time Received: 9=52 �.s'"Nm z °�-1— Date: Q Contact Name: Ow �`�� Contact Number: 360 //j7—/33 f ner: iN+v .:�L 206 Address: 2.7 # ,:. 't/NB _ :. Notes: Foundation Plumbing Framing Propane Tank Mechanical Framing Under ground Furance Setbacks Under ground Gas Rough In Air Seal Above ground Footing Exterior lines Oil H dronic Exterior shear SteS Straps Y Interior shear Interior lines Ducts Straps Hot Water Htr Appliance Ventilation Post Hole Gas/Wood stove Underfloor Insulation Man-Homes Final Inspection X Floor Setbacks Wall Address Posted Foundation Ceiling r 1Ut Sally Ellis � S��[e uo f l o Imo, From: Linda Atkins � hQ,�uJ ACO-roYay1 Sent: Tuesday, March 24, 2015 9:38 AM V eTo: Susan Porto; Sally Ellis; Randy Marx W JJ Cal„ CA d c — Subject: RE: SEP14-00019 BLD14-00054 I reviewed the file and find that the existing modular on the property must be removed or demolished prior to final of the new building/residence. I called the number in the file but he wasn't there. Sally could you call it this afternoon and let him know. They said he would be in after 1 or 2pm. 360-681-7804 Linda Atkins R.S. Environmental Health Specialist, JCPH Environmental Health Division 360-385-9444 Aiwa s wor4ng for a sa er and healthier Jefferson Coutt LOYFIDENTIALITT:VLT1tT: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. All e-mail sent to this address has been received by the Jefferson County e-mail system and is therefore subject to the Public Records Act, a state law found at RCA'42.56. Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a copy (or for inspection) of this e-mail unless it is also exempt from disclosure under state law, including RC,92.56. From: Susan Porto Sent:Tuesday, March 24, 2015 8:36 AM To: Sally Ellis; Linda Atkins; Randy Marx Subject: RE: SEP14-00019 BLD14-00054 From review of the case, it looks like it could be finalled, maybe linda has the file to do just that? From:Sally Ellis Sent:Tuesday, March 24, 2015 8:20 AM To: Linda Atkins; Randy Marx; Susan Porto Subject: SEP14-00019 BLD14-00054 Good morning sunshine BLD14-00054 -Owner John Hall -NSFR 27 Old Gardiner Rd. Has called for a final-there Septic is in active status- I have called the telephone number listed on the Building Inspection final request and advise them to call E/H and work on getting this septic permit final- If you have any questions or suggestions please let me know! Thank you 4`t.4'tit, ,,,;r° 1 Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St., Port Townsend,WA 98368 Mon-Thurs 9am-4:30pm,closed from 12-1 Ph: 360-379-4452 Fax: 360-379-4451 sellis @co.jefferson.wa.us http://www.co.jefferson.wa.us 2 Vet '-la¢p.xv0 :141 .xavpaaj —:...7-:- 'ox.3 er11-3 (aD.owsi xa iI�H f x>�D�D ZOEBD 1111•.�.�. vg aavapisag rag V sxsa 71s N..vaa v,nas are (• 4 \ ee , Se ri \ / ,i tt A v� 1 r - z .� r O f___ c gv, 1111_ Q Ls- OkillIO w ,-c c s f + 1 •. 0. E; Z + O { 1I ri \ V 0 gl % `l ` \ \ 1 1 iu 1 \ i- 1 , In %11 y /�/ \\ •`, �� y\ / \ 1 1 i i' �ya 1 \\ ,, t, ii l f ,y 111 t ! \'\ ,• 1 11 1 , .: ' '11 ; � ISg ,\•I Y 1 111 i ,, \ \ 1 \\ 1 ` 1 , 1 Dv-D• e V L`„ ' • w , � d y6�y� 11 9d , = w •i 1, I \ \\ ', t��n z ...1.1)pl„,..e.„j 0 \\14 ' q PIO 1 — P 1 1171 ■ I.____ \, 1111 _—_ \ ---- snoo-znr(oast=^e ar VA 'xaup. D ..px ..p..., vd muv 0119-zsr(oesJ:.vogd '�' .B. d .� ad'' HEFT r ( 1 ffi9h4d 2d66d.. .'e>,'.>oa 4 ) !�< .og aoaaptsag ALM y �iou'1,mi'V zavo 6 nm6 lC]L11IW' � �C]l �N1LL�S`1L �L = °Q "IS FP^41I- T^,16 6R 6 P v tf� �1\ r , lll , ' 1 1 ` 1 / \ 1 \i 1\ '1 rr ll i 111 / \ I \` } ` O , J ,! ri , �c 111/ \�� -J ` 0 0. A ' a . 1 ii N Q , a In i i- 1 \ (D — I 4 i ___ \ `, 11 7 /,1 '\\ ,, 1 ,, •I\ \\ 4 %% \\ , ,\ ` o- 3 W 1 , ,/ �C' / i J \ \\, ,\\ 'RI 11 ; dl r.+ 1 33 33 ,\\,II 1 I / , b � '‘ V, 1 \\, ■ 1 \ ■ ,,ie LN W a i+ ` l"J \\, W 1 "!! 1 r, 1 _ — -- \�. fib`A-0F.t.b —_ ..::------_________' • a / / Davi-lap:Ai Hatse Catch 8 win (Yard Drain) _____ ____...., —10- , 'flow -.-___.." "-`----,_.,,,,..,_ --, DaenVOLI - -No 0 DRY WELL 48 loll Dia freer Hole FOleciviith PLAN VIEW . -012-3—yy.ashel ' Drain Rod: NT$ /—il oof Dom-lap:a Ho uso „..—&etflow r--Mali;C alto of Hote wit I'Carpel FkiC Or )dher rraem$ ___.60.a3h Block Topscil—., 1 Fit.th with Sula. A meow III II. ickfik)flik,,k —111- it f)K1W .,-1.'''' \ 54114,7Mittg244IMNAT Ill' Ire00:', ack0. 1' *gall Fine tirle-ah Streen--- ----- '—Miri,,,,4c18- Ftvi...Pir_e Zny...*P2iit.41 :.'2,6.44tIAT Catch Ekaain At.-w ''' 3 la. ()aril Drai.n) ... , W 48 imh• Dia riegir 1.i! 4)17)171- Sic of Halo—' -4, Hole Filledwilh 1' Lineriwith ;',. 14/2- Rita'Fairrii c te; Drain P,ocic si tpv 1.5)min. .. af Min. DRY WELL H v.,cit‘-)Lind.,,s.....teir Tablo SECTION 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 sy,s are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable 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—Augu rst 2012 3-6 Standard Conditions for Residentiavelopment in Jefferson County III 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_StdConditions 3/7/2013 Fisheries Service can levyealties. Portions of Jefferson County, Illiuding 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_5F R StdConditions 9/6/2013 2 Simple Heating System Size: Climat ne 1 Project Information Contact Information • Jon Hall Lindberg & Smith Architects -Agent 27 Old Gardner Rd. 319 S. Peabody St. Port Angeles, WA 360 452-6116 Indoor.Design Temperature 70 Outdoor Design Temperature 23 Design Temperature Difference (AT) AT=Indoor-Outdoor Design Temp 47 Conditioned Floor Area 2133 Conditioned Volume 20270 Glazing Copy Sum of UA from Glazing Schedule 151 Attic U-Factor X Area = UA R-49 0.027 2133 57.6 R-38 Advanced 0.026 Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 0 Above Grade Walls U-Factor X Area = UA R-21 0.056 1717 96.2 Floors U-Factor X Area = UA R-30 0.029 2133 61.9 I Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' Depth Walls 0.037 Slab Below Grade F-Factor X Length = UA 2' Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 Slab on Grade F-Factor X Length = UA R-10 2' perimeter 0.54 R-10 Full - Heated 0.55 Sum of UA 367 Envelope Heat Load 17227 Btu / Hour Sum of UA X AT Air Leakage Heat Load I 10289I:Btu/ Hour ((Volume X 0.6)X AT)X.018)) Building Design Heat Load 27516 Btu /Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load I 1.151 31643 Btu / Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space: Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 47465 Btu / Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Glazing Schedule • • Project Information Contact Information Jon Hall Lindberg & Smith Architects -Agent 27 Old Gardner Rd. 319 S. Peabody St. Port Angeles, WA 360 452-6116 Conditioned Floor Area 2133 Sum of UA for Heating System Sizing': 150.91 Sum of All Glazing Areas From Below 474 Glazing to Floor Area Ratio 22.23% 602.7.2 Exception Ratio (not to exceed 1%) Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U-factor Glazed Qt. Feet inch Feet Inch Area Area UA 3668 Entry Door 0.200 1 3 6 6 8 23.3 4.7. One Exempt Swinging Door<24 Square Feet 0.200 1 3 6 8 20.0 4.0 Sum of Glazing Area. Door Area, and UA (do not include exempt door) 1 23.3 4.7 Area Weighted U = UA/Area 0.20 Sum of Area and UA for Heating system size only(include exempt door) 43.3 8.7 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA 5623 Fixed 0.300 1 5 6 2 3 12.4 3.71 1044 Case 0.300 2 1 4 4 8.7 2.60 3044 Fixed 0.300 1 3 4 4 13.0 3.90 2040 Single Hung 0.300 4 2 4 32.0 9.60 2073 Single Hung 0.300 4 2 7 3 58.0 17.40 6073 Fixed 0.300 2 6 7 3 87.0 . 26.10 6068 Sliding Glass Door 0.300 3 6 6 8 120.0 % 36.00 3073 Single Hung 0.300 2 3 7 3 43:5 13.05 6020 Fixed 0.300 1 6 2 12.0 3.60 4046 Slider 0.300 2 4 4 6 36.0 10.80 4070 Single Hung 0.300 1 4 7 28.0 8.40 1060 Fixed 0.300 2 1 6 12.0 3.60 51020 Fixed 0.300 1 5 10 2 11.7 3.50 Sum of Area and UA 474.2 142.26 Area Weighted U.=UA/Area 0.30 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Overhead Glazing • Plan Component Glazing Width eight ID Description Ref. U Qt. Feet Inch Feet Inch Area UA Sum of Area and UA Area Weighted U = UA/Area Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height ID Description Qt. Feet Inch Feet Inch Area UA Sum of Area Sum of Area X 3 (This total is automatically included in the glazing area total.) Glazing UA for Heating System Size Only=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 e a \` rp. attr _`---_________ \,A --_____________ _ • ---F , 1 F ' i it \\ ' 1 'T �� 1 1•Ii 0 '‘, . . , 1 11._. rn \\* , \. 'b/ mac .x- 'Nr n, may. ■ i 11. 4 fit CT • a • \ 7V Itk v Ifl f11 eoW !fir • rrl U�U Q T 0 n m T c o -4 4 N O v. C� - P 3 UY + g0N O 44,4 J RSON COUNTY • RFC DEPARTMENT OF COMMUNITY DEVELOPMENT 9sH' ` o� 621 Sheridan Street I Port Townsend,WA 98368 Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(alco.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): Tax Parcel Number: 002.. 2j?j2 'I S Property Size: 220(p 00 ,rj,2 ),434.(acres/square fe t) Site Address and/or Directions to Property: :1 OW) CO 1ZD1\3 !24D 1:-4-?l/tVON. Y1-6. Property Owner(s of Record: Telephone: ON -11;94 NIL • Fax: email: Mailing Address: 14°Q NVIjZ .ICeL•1•le3 IL>.AEF 1,1P, l SIXQUl1+^ , 04 °165e12. Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation 41Wuilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, MajororReacnnahle-Fconomic 'Q Single Family 9.Garage Attache /Detached ❑ Conditional Use[C(a),C( ),%-gi �F ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnarh\ed#is4-£14 io10.�/ ❑ Commercial* ❑Special Use(Essenti FJu�blie Facilities)** _ III ❑ Change of Use ❑ Boundary Line Adjust r./ ❑ Address ❑ Road Approach ❑ Short Plat** )1 1 FEB 1 2 2014 ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** J ❑Propane ❑ Long Plat** ❑Sign ❑Planned Rural Resid=ntial )lAreendMents ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alterati,n RSJiJ CJ.J JIY ❑Stormwater Management ❑Shoreline Master Pro: ' •_••)• .•}.J"- ∎•.1.MLr ❑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 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 appli ion that he ors a wa for notice. Signature: t�7Zi Date: 4' — 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-transf a responsib'i or a to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: t7 .-' Date: a -/ 9 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 ass ing the rreespoonss ility o h eneral Contractor for the proposed project. Signature: •0L/7 di L Date: A - / /f GENERA ONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS. EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: I New X Wood Existing: tZ ❑ Sewer ❑ Addition ❑ Steel Proposed: 2, Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: I. Height: XIndividual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 3 Public �? 1`d,.T pJ Total: ?j Name of System: (ice'` "� 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 retaWtoH 1 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 s EH Bld App Review: C 2m1 Floor Heated Consistency Review: Other Heated Base fee: 2 , rI Mezzanine Additional Section: + q Heated Basement Plan Check fee: l 1 4 Z2Ass • Unheated Basement State Surcharge fee: //,, 9 Other Unheated Pot Water Review fee: ( vim C-1 • Garage/Carport SUBTOTAL 32`7 23` ` `-. 1-(0 4/• . Decks ! 911/Rd Approach fee: Other 6.+o4`s . 1? pow,. ..‘ '2 logq 0� . TOTAL: $ 410(41. /�^ Receipt Number: 1(1) --3-6, I - Cash/Check Number: �0 Z t ' ESTIMATED COST(REQUIRED) Date: /12 •Fair market value of all labor and materials foundation to finish r 1 1% (g) 1 0-1(-) • Initials: 07/24/2013 ill D -I X.( -b 0) CO -I -b x -1 -I co 0) -- -- 0) - Cl) 0) x o_ CD r+ X 0) C) 7 "O 0) 0 - "0 7 7 o 3) < o_ CD 0 0 CD 7- = (C -- CD c CD CD 77 CD ■+ CO CD - 7 r -5 E -3 •- CD I- 0 7 IL CC - - ti CD CD CO - CO ) 0_ 0 0 -. -. 0 Cn o O O S C) a O I- N r w Cl) N co O C Cl) C l C11 O r+ - 01 S Cl) - C- C) - r+ 3> -1 CO G7 m -O. O O -o C I' D CO CD .0 O Z 3 CO CO r x w 0 C U CO I1 2 3> I- CD --1 -1 -1 n 3 C m x C_ CO w 2 C7 m 2 -I O O m D m Z w O H 1- -I 2 O S C7 I- 3> D D ) O O) D 3> O • X 2 N Z O 3> CO M 33 CO w M CO m I- N 7 CO 33 Cl) m 0 O.. Cl) H Cl) Cl) Co O �1 N G) M Cll -. I m H 0 7 CO Z r I 0_ Cl) O O CD I- O -I 2 O 0) E of C 7 0_ C) o C 0- co CD CD CO CO O O - -I C7 3 -o -o I- o Cl) 0 H CD CD C) 0 D -I -I S S 7" C -• m CO CO 11 0_ r+ 0 0 m I--I c o CD 7 3 CO r+ 0_ 33 3 0_ -0 z 0 0 CO CO - 0_ o C- - - CD O O CO O H O T CT N T c O C O H Co 2 -C Op Front Parcel Review • Parcel 002332015 Printed: February 18, 2014 JON A HALL Site Address: 130 p (y_ --1 140 HURRICANE RIDGE DR 27 OLD GARDINER RD SEQUIM WA 983829375 SEQUIM, WA 983829375 GARDINER WA, 98382 Parcel Number: 002332015 S-T-R: 33-30N-02W Total Acreage 5 Legal Description S33 T30 R2W TAX 49 Land Use: 9800 Flood District: Fire District: 5 Planning Area�:, 5 p Flood Map(FIRM)Panel No: School District 323 Zoning: h-t- J.'.6 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 theAssessor's 1/4 map) [ ] Legal Access to Property YE� NO [ ] Parcel Tags or Scanned Documents YES N2-- [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES N/ [ ] Shoreline Designation: YES 1?Tj [ ] Shoreline Slope Stability: YES N9-, Stream Type:YES N- FWHCA: YES N9 Wetlands: YES NOV Rare P1ants:YES Nk Seismic: YES NO/ 6-a Landslide: YES Nc9" 1 Flood: YES NO Erosion: YES N Aquifer Recharge ea: NO SP1Rt�� -1- . SIPZ: no At Ris High Risk Coastal CMZ: non High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES N5 Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES Nom' [ ] Agricultural Lands: YES N.C.)......- [ ] Archaeology: YES 19., [ ] No Shooting Zone: YES NO [ ] Stormwater: New Impervious Surface Land ,--_-__ Stormwater Req's:Min Req#2 Min Req#1 thru#5 (./ eering [ ] Notice Provisions/Disclosure:Airport YEs Nk- 1\ ds YES No/ [ ] Landscaping Required: Yes No' [ ] Parking Spaces Required NO 0 Other 1 1 Building Height: p UBC Standard [ ] Impervious Surface coverag rcentage: Resource Lands&Public: 10%Iv Rural Residential: 25% Rural Industraer UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,0 0 SF NC:7,500 SF GC: 0,000 SF All others:subject tFptic&water constraints/Nofne s ecified [ ] Setbacks: Front: Left Side: Right Side: Rear: �5 Shoreline Setback: _�- LSHA Setback: [ ] Road Classification: _• ,.4 , ,o , la r ' ' ;, al? AS Road Approach: EXISTING Is REQ'D RAP [ ] SEPA Required: YES EXEE- [ ] Flood Certificate: 4 0 [ ] Existing Case(s) & Condition(s): f Violations: Yes No [ ] Recorded Date of Subdivision: n(01 AFN Over 5yrs=UDC Nat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES N.A. submitted: YES NO [ ] UGA No Protest Agreement YES N 'submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES N2Y [ ] 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 002332015 Cases Name Review Type Status Planner BLD14-00054 HALL P Application Received: 2/14/2014 Permit Issued/Case closed: Case Finaled: NSFR with attached garagFeat, no plumb MLA08-00250 BLD08-00217 MLA08-00250 HALL I C Application Received: 5/23/2008 Permit Issued/Case closed: 6/30/2008 Case Finaled: NEW HEATED STORAGE&WORKSHOP, NO PLUMBING - PERMI I CANCELLED DUE TO NON-PYMNT UNDER AMNESTY PROG SEP08-00114 HALL C Application Received: 6/9/2008 Permit Issued/Case closed: 7/28/2008 Case Finaled: SEP14-00019 HALL P Application Received: 2/12/2014 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 2/18/2014 Page 2 of 2 • • • Donna Frostholm From: Lindberg and Smith Architects [lindberg @olypen.com] Sent: Thursday, March 06, 2014 1:34 PM To: Donna Frostholm Cc: mh @silverlink.net Subject: Jon Hall, BLD14-00054 Attachments: sitepin2.pdf Donna- Attached please find a revised site plan for the Jon Hall Project. I have added srywells to the plan for the roof stormwater runoff. I am showing two 10 cubic yard drywells, one on either side of the house. If you have any questions, please contact me. Thanks Charlie Smith 1 • • ..soN coG JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web: www.co.iefferson.wa.uslcommunitvdevelohment �s.Fl o� Tel:360.379A450 I Fax:360.379.4451 I Email:dcd( co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center February 27, 2014 JON A HALL 140 HURRICANE RIDGE DR SEQUIM WA 98382-9375 RE: SITE ADDRESS: 27 OLD GARDINER RD CASE#: BLD14-00054 Dear JON A HALL: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. Stormwater needs to be addressed for permitting. Submit a revised site plan that meets the requirements of the Stormwater Management Manual for Western Washington. If you have any questions, I can be contacted by phone at 360-379-4466 or by email at dfrostholm @co.jefferson.wa.us Please submit the above information to the Department of Community Development by May 28, 2014. Pursuant to Jefferson County Code, JCC 18.40.110(3) and (6), if the applicant does not submit the additional information or does not request additional time to submit the required information within the ninety (90) calendar day period, the application will be considered abandoned and therefore withdrawn and the applicant shall forfeit the application fee. The Department of Community Development shall not be responsible for notifying the applicant of an impending expiration. Sincerely, Department of Community Devefvpment Staff c: File \\tidemark\data\forms\F_MLT_Addinfo_Requst.rpt 2/27/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer May l 012.332005 j•---'' ,,- .-- .. a 20-3 ---51---- X 1 ! . ! IV -----/- 1 . - 0023320z 023 0- .--- 1 ■ - - , -.-------. 1---.--_ — , i I - ----' .' a 1 i . '-'-i,/ r-, = —__. ir ..... -_ I / ( i 002332011 /__.... / ' __/1,-- CC 2??-7'',---.... ''.\ >6/ Legend Selected Features JC Roads ' . 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Data contained in this map is limited by the method and accuracy of its collection.Thu Feb 27 14:15:32 2014 ‘.. i Tia rc e i http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName—ovmap&ClientVersion=4.... 2/27/2014 1 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map T, V' , 1a r s „„ ,t os s7`3a;b ,k s a , u t o ti'r� 's I . ti O C ,b i, 002332005 xvx,,.t•:A m.W ^\Q 2 0(u3320.2 - L "2 08 - v r r y a _ Z.-- rYR iS 2 i 002332012 002332011 ly Legend 0023]7015 Selected Features / -IC Roads Parcels-H ` 002332015 I --r---- - - Mineral Lands 002332030 CO2332031✓-—' _-- 002332020 Rd "312°28 �_ -:., OK1G�" 0023320101 002332001 ri s 002 t) 002332020 002332021 Us 101 u _____ - 8a Al 1 f 002333006 002333002 002333008 6 Maps pw•.ded al/ism Canty Cenral Serapes Grs 0 34011 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.Thu Feb 27 14:08:58 2014 i http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/27/2014 DEVELIVIENT REVIEW TIME SHOT Date Time Comments 04-5- . pwwto rL VOL); 0:7S -Fir I r e D -O ev i otAI II II \\tidemark\data\torms\R_MLT_Case CRMLA.rpt September 18,2012 • BLD14-00054 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00054 Received Date: 2/14/2014 SITE ADDRESS: 27 OLD GARDINER RD GARDINER, 98382 OWNER: JON A HALL PHONE: 360-681-7804 140 HURRICANE RIDGE DR SEQUIM WA 98382-9375 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002332015 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR with attached garage, no heat, no plumb TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,133 VALUATION 265,560.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 827 CONST TYPE: SETBACK: DECK: 249 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,189.00 MEB 02/12/14 145761 Plan Check $1,422.85 MEB 02/12/14 145761 State Building Code $4.50 MEB 02/12/14 145761 Potable Water Application $67.00 MEB 02/12/14 145761 Total: $3,683.35 11fidan, rL\rIata\fnrrnelP RI fl Ann Rid rnl 911 A I9fNA 44�SON co, JEI�ERSON COUNTY I �l I DEPARTMENT OF COMMUNITY DEVELOPMENT -e 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.usicommunitvdevelopment Rsy ^+G"\ Tel:360.379.44501 Fax:360.379.4451 I Email:dcd @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): Niw ta,c11,,;. PA,rn ' .‘, G4• WSJ l . p - Tax Parcel Number. 002 Di S Property Size: 12:2,o0 00 ,r1.2 )L, 1.(acres/square fe t) Site Address and/or Directions to Property: • 1 DIep C,.4 .Gr,i J24,, , 5-4312W , 1r\f-i• Property Owner(s of Record: J 0 t''l 1-14‘,.1.-Telephone: r A c b 1~ °, +4 V%4L • _ Fax: email: Mailing Address: FFFFFF 14-. C) NAV..'IC:..W.15 I:zspe, 1' , 14j Gt1A1vv^ , l/vi 0)65&2. Applicant/Agent(if different from owner): Telephone: - Fax: email: Mailing Address: . What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation 49.guilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) '6,Single Family Garage -Attache I/Detached ❑Conditional Use[6(= - _ , : - ** El Manufactured Home ❑ Modular ❑ Discretionary"D",or rfri-■ I-=14n• I ❑ Commercial* ❑Special Use(Essentialf blid -' 1* � ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** FEB 2 2014 ❑ Propane ❑Long Plat** i I ❑Sign ❑ Planned Rural R,eSid ial Development(PRRD)/A Nei. -nts** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration JEFEEf SON r I. ions ❑Stormwater Management ❑Shoreline Mast Prod(.,• 1fr -ILA i w)�.1..- ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manage •. El 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 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 attorneys 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 appliic lion that he 7 oo e[1 or notice. Signature: ‘,.9-L...- Date: a -1-2 °7 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 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 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-transf a responsib'it fora ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: fore./ - Date: - -LA 07/24/2013 .. I. 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 ass ing the respons lily of h eneral Contractor for the proposed project. Signature: ,C z/c Date: - / —17/ GENERAL ONTRACTOR OR MAIIUFACTURED HOME INSTALLER: PHONE: FAX: •4i•YNl. 1/4-Th Al' " • ( ) ( ) 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: A New X Wood Existing: 0 Sewer 0 Addition ❑ Steel Proposed: 2 Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: `h ,Height: Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 6t Setback: 0 Private well ❑ Two Party Type of Hat: Proposed:k , Public /! f)*S - n J Total: 5 Name of System: l �a�~"' J t If this is a Commercial Proiect 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 evotStelleP 1 knaT retaWtoH 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 �j E�Id App Review: -s •`• 2"0 Floor Heated Consistency Review: �_/ Other Heated Base fee: 2_ 1 g Mezzanine Additional Section: + l g Heated Basement Plan Check fee: �^ • Unheated Basement State Surcharge fee: 1 Z Z.��ti c7 Other Unheated Pot Water Review fee: / 01' c,/ • Garage/Carport SUBTOTAL 110 ill Decks 911/Rd Approach fee: Other \1 t .,7 p( 1. F;.vi 't"` Li,' 1`. TOTAL $ ri3q ; . 3s, Receipt Number: ,---- umber: 1 CO ---,Y ( 2�? Cl . ,,t Cash/Check Number: z J ESTIMATED COST(REQUIRED) Date: Z3V•Fair market value of all labor and materials foundation to finish CC) i 0 JLI Initials: 07/24/2013 • • ,50N. coy JEFFERSON COUNTY ti 14,1„, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 O 360/379-4450 360/379-4451 Fax z3INO http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet \\ �{""�� MLA# PROJECT/APPLICANT NAME: J Dr' }.1P.';LL Y JI FG'~ 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 S 'ail4 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 22000t Z.J]�!'✓;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 4-5‘.4- sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank, etc. 2 sq/ft Circle: Yes t,J Well, utilities,etc. 13 sq/ft Does the project convert 2'/2 acres or more of I native vegetation to pasture? Driveway, parking, roads, etc. / ??(A sq/ft Circle: Yes 6 Lawn, landscaping, etc. sq/ft Other compacted surface, etc. (( sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance ��I a,.) ' sglft Cut Fill (culyd) [over] stormwater Talc worksheet-REV.11/1/2013 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) -ICi sq/ft Structures(all roof area) �� r sq/ft Sidewalks 4-O sq/ft Sidewalks sq/ft Patios(VI f61i,12,pj Arir7 2R sq/ft Patios y sq/ft Solid Decks sq/ft Solid Decks 6( sq/ft (without infiltration below) dd (without infiltration below) Driveway, parking, roads,etc ) U 7 b sq/ft Driveway, parking, roads, etc 14, gi=� sq/ft Other sq/ft Other I sq/ft Total New 7 I sq/ft Total Existing 10 j 5 Icor sq/ft TOTAL NEW+TOTAL EXISTING* 24! 2260 sq/ft *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. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: / f Does the site have 35% or more of existing impervious surface? Circle: es 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 Storm water 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 property. • (LA ER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FA3f)EFif.Et1SEONL MAI- M M RGE . EDEV `urkIEN _ toirp atrOlte plant,x Yei ,Ik. N stormwater talc worksheet—REV.11/12013 2 _ , l __- -_ --_ '° x'°70 o-cm `�' ` -_ 1 1 1 p \ n 1 'S \ ,•\\ 1 fJ, fA \ \\ 1 °C 2 Z , 1 ffil sp 4 V F 3 � --,,• ,r./.a 1 VIII VI \ 1 1 4ii .\\ ii ii $0 10 p '{ 111 %\ 4 i y■ CC CC , J \ \ \\ r�7 1 R \ \ x, 1 t •\\�� ISA/ e �-I 113 \\ \\` 11 11 \ \\ // L 1 \ E 1 \ �-_-� 1 ` _ 1 N , 1 y 1 r ` 1 \ p 1 z v, 1 \ 1 :a -1 V...1 rw M k{ G r ® ` ,+ it n y O 'y� ,\ 1i ----A\!� 11 til n �{ �+ Z `, 1l 1 \ �/ it 'O \` 11 ;gg \ VP.. ` 1 D LI VD�:ER ,III ll H 310 ort nne+lw.Peabody earoz Dacvera 1wag I A New Residence Far. Jon Hall A R(` ][-][ ][ T E Q„` 'Il Phom(neo)ses-ene cola No. 4 17.6^m1 20 Gardner Rd., Gardner, WA 0 e.c(sac 462-7064 11 lit i ^' A • ulF- ..F uF NF I S. C ,P O fi, i\ii R 1/4' . IWLL'A' HNMro�mevwHw.?vw:. ❑ .. -y.&-_..-.__ _— _WALLF x. \. U a•ew w%EAR HL EtAR WILL WISER 4 { :.6 b W.i'�ET2 b fyJ i°' , 4 i ° iii, t . 1 - _ :,.. 40:b a 1 1 i')/ i 1- r ,, ii,,, IIIMMO Al a i • sa was t' � . , �— _r umi� 91-EAR WALL S� -- ---- Wt1Fa :i — 1 b ii � Li /4,,,. IILIJ ''.*-- S. I i BNEPR U4.L / -J o n 4"; / NFU/� v ' / •P .1... , i0 0 v kit rif , , i-- / 1 fr ________ 4 1 1 , P. :+ o' o' + v N U n 1 I e D- PlN n 7RA s a �/ Z Iggiq4 JU I � oh sgg lib o ws g Y E q o y lg. i • yh • y Ili; 44&re� 4. vca -sin Xa Cl Agsa siltU9 T 0 gElp El Eal gEl wp Mu �' h u g _JC� ir . HIN Fgp4i fhli lki lOti 11 . rn 7,0 CV 01 m fill . • a i _ 0 _ 919 South Peebody 9L DA'I'S r I►r �+ rt 9„11, H ins cRCO A New Residence For �1:1N1 ( �. .'�,. Port Angelo!. AA 68582 @E inn ) 1RIMMEC I Jon Hall • ARCHITECTS ( > ool. ero. Phone: 900 4D2-611B :`"ff0i°'""--- 27 Old Gardner Rd., Gardner, WA `�,` :! i .. Fax(WO 462-7084 �'` \\\ A u, ..3 , \\ ql- . -----11 A ; \ g z 11 v s ' r T . � � 0 \V/ r i_____i U, m ,, q d oa Ni 4 ti • A it • o L_-- T M oT ` -n rn m cD E _ uU [ c z o r" o m c N � O_ v° Q` uJj JEFFERSON COUNTY CO NO. 156002 DATE RECEIVED FROM DESCRIPTION BARS# AMOUNT CURRENCY 1111'"" )NY-‘i COIN 164))11'. 0 v fe: 'ED BY 1- TOTAL 2-3`f- • • Jefferson County Building Division Permit Number: BLD14-00054 Applicant: HALL 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 Erosion Control ;iltc- nk 5/01 7f Foundation Footing U rj- ` ?> F• ooting Drains Foundation Stem Wall /'��,� pe Underground Plumbing /� 'I Ofto Under Floor Framing L(I) Straps(hold downs) Ext.Shear Wall Nailing lilt- " R• ough-in Plumbing S• hower Pan !)/Z4 l4 . F• raming (02-/11 Arno E'Pt P 2V6' To 51-10E-c--(PL-s'- 'FLA A) $Y r I mil B• locking A• irseal Insulation:Walls Insulation: Floors 9/71/5 r � Insulation:Ceiling g/�//5 ( �,v�f1 Int.Shear Wall Nailing 9 �l yZ W• allboard Nailing 1ico 1(4 t � �� vt9 Gas Line: Interior Gas Line: Exterior 9 I/15 Propane Tank Heat/Chimney Clearance 6/#11 c Mechanical Systems Duct Test Cert �/ l5 Blower Airtight Test MIS Smoke&CO2 'hi/5 Drywell/Alt Drainage 9/2 J� 4�g7 A• ddress Posted • System Finaled A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION f.•" FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00054 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 application on March 6, 2014, 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 March 11, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) dlf \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 4/9/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00054 Received Date: 2/14/2014 SITE ADDRESS: 27 OLD GARDINER RD Issue Date 4/9/2014 GARDINER, 98382 Expiration Date 4/9/2015 OWNER: JON A HALL PHONE: 360-681-7804 140 HURRICANE RIDGE DR SEQUIM WA 98382-9375 SUBDIVISION: Block: Lot: PARCEL NUMBER: 002332015 Section: 33 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR with attached garage, no heat, no plumb TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,133 VALUATION 265,560.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: DE GE' 249 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,189.00 MEB 02/12/14 145761 Exist: Exist: Plan Check $1,422.85 MEB 02/12/14 145761 Prop: 3 Prop: 2 State Building Code $4.50 MEB 02/12/14 145761 Total: 3 Total: 2 Potable Water Application $67.00 MEB 02/12/14 145761 Total: $3,683.35 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