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Home My WebLink AboutBLD2014-00435 • BUILDING PERMIT APPLI•ION BLD14-00435 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00435 Received Date: 11/21/2014 SITE ADDRESS: 293937 HWY 101 QUILCENE, 98376 OWNER: GARY&CONNIE RAE PHONE: 360-765-3610 PO BOX 652 QUILCENE WA 98376-0652 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702132016 Section: 13 Township: 27 N Range: 2V\ CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt DEMO OF EXISTING SFR SEP13-00131 ****TO BE REPLACED WITH NEW SFR PERMIT BLD14-361**** TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $76.00 SRE 11/20/14 153904 Total: $76.00 APPROVED NOV 21 2014 Jefferson County DCD \\tidemark\data\form s1F_BLD_App_Bld.rpt 11/21/2014 • • gON w DEPARTMENT OF COMMUNITY D + ! k -t 621 Sheridan Street,Port Townsend,WA 98368 1 ,_._ V__IE ti .0 Tel:360.379.4450 Fax:360.379.4451 ` Web:www.co.jefferson.wa.us/communitydevelopment 1 ', 11; E-mail:dcd@co.jefferson.wa.us i (I OV 2 2014 f i ! YSNI N 6'SC) !�. J r':S CuL_jy�_. DEMOLITION PERMIT APPLICA NYDF.EU MFNT Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -Fees will be collected at intake. Additional fees may apply after review and payment is rrelquired before permit is issued. For Department Use Only Q{ E (,LS I I4 Slz Receipt# I55390T Date: t%2!0/( Related Application#s: "'Q�L W/ 1203R- 31 Payment# 114.°° ei aIoDemolition of any structure requires the applicant to-receive approval from Olympic Regional Clean ✓ Air Agency (http://www.orcaa.org/services/asbestos-and-demolition or 360-338-6419) prior to obtaining a permit from Jefferson County Dept. of Community Development. Required Submittal Items An approved Demolition permit from ORCAA. Complete Site plan - Please refer to the site plan checklist to ensure all items are on the site plan. '' If applicant is different from owner,written authorization from property owner to demolish structure. Building Information C i— Site Address: o 9 3 1 3 -7 1-1- W 's./ / O ( J u t (c-0 n[A2• tAir1 C '3 1 , t Assessor Tax Parcel Number(s): )OZ 132_ 6 I(v Present Zoning: g5lA200r1Al Present Use of Property: S i M S k r" ✓ i r l 1 Rt' r c o ry c C caType of Structure to be demolished: �_ /X Residence Garage Shed Commercial Other 1' What existing buildings will remain? •6/OVA-,Q SA(•,-,L s Is there any water on or adjacent to the property? NO )( YES Marine Creek Pond/Wetland Lake Other Sewer disposal method: )( Onsite septic Public Sewer-Provider Septic Case#7� Wastewater-Sewage Disposal SEP 1. - I 1 I * 00 \� 0 Is there an existing Septic System on the property? Yes / No rn Will you be reconnecting to the existing septic system? Yes X No E Is there an existing well on the property? Yes K No 3c Do you plan on decommissioning the well? Yes No )X • • Property Owner Name: CO N A( s R IZF} e 4 G A4' K c4-2. Address: '1 0 13U X 6-'.{Z Phone#: J 6S— 36 /0 E-mail Address: ir' 1c}e e 0 eAr ( rntii ,.ve j Please contact Authorized Agent/Representative with project info. Property Owner Signature: c„,,,.,„ � _ Date: l f0^ 4-1 Applicant/Contractor: Authorized Agent/Representative Name: Phone#: E-mail Address: License #: Expiration 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. 1 Signature: — Print Name: , f+f 7 RA-- .... Date: 1 1—acp —iy A final inspection must be scheduled once structure is removed to close out case OFFICE USE ONLY Building Permit Fees Demolition Permit Fee .rte• -7 to .00 Environmental Health Review $79.00 Project Scanning Fee $19.00 Total Fees* (1 y •o o *Additional fees may apply _7,1 1 er_e_if54. -t* 1539044 . . . .,. li ,, ILI) iip .oa ;�ii I / ,� co ∎ . iC( • 0 1 114 °O ,rrinPMFNT • • y;e+4,oc,oncce44 2940-B Limited Lane NW 4-t Olympia,WA 98502 rte,, i ORCAA A 1-800-422-5623 • (360) 539-7610 'ba.M�,,..�•. p' Fax: (360)491-6308 ORCAA Permit Application Status Permit Status O Approved 0 Disapproved Notes 10/29/14 Approved. No asbestos detected in sampling. 10/27/2014 HOLD Survey incomplete. Emailed owner. 10/27/14 PFM Review Date Reviewed by 14DEM003921 10/24/14 Permit# Expiration Date Application Received Amount Due $35.00 10/24/14 ❑ Cash 0 Check 0 Credit card Additional notes or permit conditions I_ i NOV 2 0 2014 i'L Port Angeles Field Office: 116 W. 8th St., Suite 113, Port Angeles,W4k,9836260)417-1466 U , Amor Raymond Field Office: 301 Ocean Ave., Raymond,WA 9857F7-3661- 2 2t32 JJTY I_C3 iM 1.11i11YDEVELOPMENT Olympic Region Clean Air Agency(ORe • 2940 Limited Lane NW Olympia,WA 98502 360-539-7610 I FAX 360-491-6308 Port Townsend Office 360-338-6491 O RCA A Raymond Office 360-942-2137 www.orcaa.org DEMOLITION PERMIT APPLICATION Demolition and renovation projects within Clallam,Grays Harbor,Jefferson, Mason, Pacific and Thurston counties REQUIRE A PERMIT and require that the following permit conditions be met prior to demolition or renovation. Olympic Region Clean Air Agency(ORCAA) regulations define a demolition project as the wrecking, razing, leveling, dismantling or burning(by a fire department for training purposes)of a structure making the structure permanently uninhabitable or unusable. Renovations include the removing of load bearing structural members, but not to the extent to make the structure uninhabitable. The following information is merely a reference guide and not a substitute for agency regulations. 1.A good faith asbestos survey must be conducted by a certified Asbestos Hazardous Emergency Response Act(AHERA) building inspector. Qualified contractors and inspectors may be found in your local Yellow Pages,through the Washington State Department of Labor and Industries,or on ORCAA's website. 2.Asbestos samples must be sent to an NVLAP laboratory(National Voluntary Laboratory Accreditation Program) per 40 CFR 763.87. A list of labs can be found on ORCAA's website. 3.The start date on other structure demolition must be at least 10 working days from the submission date of the complete application and payment. 4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing material present in the structure to be demolished. 5.Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as such. 6.A copy of the asbestos survey and approved Demolition Permit, as well as any subsequent amendments, must be kept on site and available for review by Agency inspection personnel. 7. The original demolition permit will expire on the Completion Date. Under no circumstances will a project be extended beyond 1 year from original start date. ADDITIONAL REQUIREMENTS In addition to Agency requirements, most building departments require a demolition permit(separate from ORCAA's Demolition Permit).The Washington State Department of Labor& Industries may also require notification for asbestos removal projects. "Owner Occupied Residential Dwelling"means any single family housing unit which is permanently or seasonally occupied by the owner of the unit.This term includes houses, mobile homes,trailers, houseboats, and houses with'mother-in-law apartment' or a'guest room.'This term does not include structures that are demolished or renovated as part of a commercial or public project: nor does this term include any mixed-use building, structure, or installation that contains a residential unit, or any building that is leased or use as a rental, or for commercial purposes. PROPERTY OWNER . . Name Mailing address Gary Rae PO Box 652 City ZIP State Quilcene 98376 WA Site address City ZIP 293937 Hwy 101 Quilcene 98376 FAX Phone number Other contact number Email 360-301-4428 raec @earthlink.net DEMOLITION CONTRACTOR ® check the box if same as property owner information Business/Contractor Name On-site contact E-mail Mailing address City ZIP Phone number Other contact number DEMOLITION PROJECT INFORMATION Number of structures being demolished 1 Start date Completion date Is asbestos present? 12/01/14 01/31/15 No Attach your asbestos survey below Asbestos Report.pdf Has all identified asbestos been removed Yes DEMOLITION PROJECT CATEGORY • Complete demolition ❑ Training fire- (complete fields below) ❑ Renovation, alternation, remodeling, maintenance or other construction If training fire, provide fire protection agency name, point of contact and telephone number ® Owner occupied residential dwelling-Permit fee: $35.00- Prior Notice-Nonrefundable ❑ Other Structures-Permit fee: $60.00- 10 working day wait period- Nonrefundable ❑ Emergency Fee$50.00-must be accompanied by Government Ordered Declaration (other structures only) Attach declaration below PLEASE MAKE A NOTE OF YOUR FEE. • • Applicant name Date Gary Rae 10/24/14 I do certify that I am the owner, authorized agent of the owner, or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure compliance with permit conditions, applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal, state, or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any addendum thereto. I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is, to the best of my knowledge true, accurate and complete. ® I agree Parcel Details Page 1 of 2 • . y Jefferson County Home County Info Departments Search Parcel Number: 702132016 SEARCH Parcel Number: 702132016 Printer Friendly Owner Mailing Address: CONNIE RAE PO BOX 652 QUILCENE WA98376-0652 Site Address: 293937 HIGHWAY 101 QUILCENE 98376 Section: 13 School District: Quilcene (48) Qtr Section: NW 1/4 Fire Dist: Quilcene (2) Township: 27N Tax Status: Taxable Range: 2W Tax Code: 0324 Planning area: Quilcene (10) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: 513 T27 R2W TX 115 116 117 & 118 CONSOLIDATED FOR TAX PURPOSES Tax,A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 40 Windows - Mac http://www.co.j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=702132016 11/21/2014 Cases Associated with a Parcel Page 1 of 2 S • Jefferson Cou ,Ii� iur r ,3 - .,C«c. -..:T-'-':'t_. t c -.- .-.-.. Eon_ Nome County Info Departments Search Cases Associated with Parcel No: 702132016 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number BLD14-00361 Description NSFR Last Name RAE Received Date 10/7/2014 4:30:47 PM No Images Case Number CAM14-00293 Description New Single Family Resident on Little Quil River Last Name RAE Received Date 5/13/2014 9:28:57 AM No Images Case Number SEP13-00131 Description info from SEP77-112 filed to this case Last Name RAE Received Date 11/21/2013 12:33:44 PM No Images Case Number SOM77-00112 Description Last Name FRANK Received Date 2/23/2000 No Images Case Number SEP77-00112 Description filed to SEP13-131 Last Name RICHISON Received Date 8/24/1977 Images http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value°702132016 11/21/2014 Cases Associated with a Parcel Page 2 of 2 111 • .. � ', Je11e'tso0 County HOME 1 COUNTY INFO I DEPARTMENTS I SEARCH 0' Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows- Mac L http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=70� 132016 11/21/2014 • • Sally Ellis From: Sally Ellis Sent: Monday, October 12, 2015 8:54 AM To: 'Rae, Gary P.' Cc: raec @earthlink.net Subject: RE: Demo Permit Dear Gary, Thank you for contacting me regarding this Demo Permit BLD14-00435, I have talked to our inspector regarding this project- The New Home- BLD14-00361 is almost at the final stages- It looks like honestly we are just waiting for the Septic permit SEP13- 00131 to be final, then you can final your new single family residence permit. On 2/19/15 the Setback inspection was done and signed off for the New home BLD14-00361, Per Jim Coyne and Frank Hall our inspector-they said this was an error on our part-the Demo permit BLD14-00435 should have been signed off at that time- Because the new home is within the old footprint-We would have not signed off that inspection if the old home was still in place- Therefore I am signing off and final the Demo permit with the date of this first inspection on setbacks- That date was 2/19/15. You need not do anything on your end-we do apologies for the misunderstanding and thank you for helping us get this resolved. If you have any questions and or need more information please feel free to contact me. Thank you and have a great day! Sincerely I-P ,{ ,,, ..„N‘'.. I Sally L Ellis Jefferson County Community Development. Permit Technician 621 Sheridan St., Port Townsend, WA 98368 4 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 ,} From: Rae, Gary P. [mailto:garyr2 @ptpc.comj Sent: Monday, October 12, 2015 6:22 AM To:Sally Ellis<SEllis @co.jefferson.wa.us> Cc: raec @earthlink.net Subject: Demo Permit Hi Sally, I got a letter that I have included a copy of about a demo permit for our property. It wants a final inspection. I have also included a copy of the permit# BLD14-00361 building permit inspection approvals for our new SFR on this property. The 1 • • Sally Ellis From: Rae, Gary P. <garyr2 @ptpc.com> Sent: Monday, October 12, 2015 6:22 AM To: Sally Ellis Cc: raec @earthlink.net Subject: Demo Permit Hi Sally, I got a letter that I have included a copy of about a demo permit for our property. It wants a final inspection. I have also included a copy of the permit# BLD14-00361 building permit inspection approvals for our new SFR on this property. The new htrfhe was built in the approximate foot print of the old structure. Can I have one of the inspectors final my demo permit based on this information? If not let me know how to schedule for an appointment to final the demo permit. Thanks for your help, Gary Rae Millwright/ Predictive Maintenance 360-379-2128 atamom- Soi)\-?) , vs7 occ3 .,g 1 4 • • new home was built in the approximate foot print of the old structure. Can I have one of the inspectors final my demo permit based on this information? If not let me know how to schedule for an appointment to final the demo permit. Thanks for your help, Gary Rae Millwright/ Predictive Maintenance 360-379-2128 _oc 2 • • Sally Ellis From: Randy Marx Sent: Friday, November 21, 2014 3:38 PM To: Sally Ellis Subject: BLD14-435, Demo, Connie Rae. Now READY Zama* Tlta►zx Always Working For a Safer& Healthier Jefferson County 360 385 9402 ><W> ><rrr> ><( (('> ><(((r> ><rrr~> <Or> (( ' ><{{{ ><»<> ><(((°> • • • Septic Permits Online (Link) Environmental Health Web Site (Link) CONFIDENTIALITY NOTICE: :�� _ r, €; c�<. y Of toe �i. :ae and me. ir, use, 6r c{ SU r, or distribution confidential and privileged iilfef fl�d_uli, ran?Ulid E3t��.I 2S. `:'_1, _ + i3 t?rUhib=fciU. t you are not the Ott . recipient, please contact the sender by reply e-mail and destroy all copies at the original message PUBLIC RECORDS ACT NOTICE: 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 RCVV 4.156,n Under the Public Records law the County must release this e-mail and its contents to any person who asks to obtain a cope(or for inspection)of this e-mail unless it is exempt from.disclosure under state law,including RON 32.66. 1 41.0) . ............................................................... 3'-':-.)....?.'!'-..).................. ,- ."' .,--61\A -0.14\" ' . ,--r:,‘, 4.••••••■ - • _.„---\,\Jr ee*" --- • ::•;•: v. ,,,. .... _ ..,...•, ,,----. , . 11- . - - ,.--'- . :i , ./4tit:# t''S e' .. 1.14''' 7-4- ..•• s''. 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A- . , ' ... 1 I i J I '` ' -- -, t'' 1 . , ' „ ) -4 ' ' ' 4.(---; .t"i Ki r \I • • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00435 Received Date 11/21/2014 SITE ADDRESS: 293937 HWY 101 Issue Date 11/21/2014 QUILCENE, 98376 APPLICANT: GARY&CONNIE RAE PHONE: 360-765-3610 PO BOX 652 QUILCENE WA 98376-0652 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702132016 Section: 13 Township: 27N Range: 2W CONTRACTOR: OWNER/BUILDER PHONE: OWNER, GARY&CONNIE RAE PHONE: 360-765-3610 if different: PO BOX 652 QUILCENE WA 98376-0652 PROJECT DESCRIPTION: DEMO OF EXISTING SFR SEP13-00131 Directions ****TO BE REPLACED WITH NEW SFR PERMIT BLD14-361**** To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 11/21(2015. REQUIRED INSPECTION: - FinalApproval: lc=c n f fan BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office}tours 9:00 a:m. -4:30 p.m. Monday-Thursday HOT LINE AVAILABLE 24 HOURS A DAY \\tidemark\data\forms\F_BLD_Permit_Propane.rpt 11/21/2014