HomeMy WebLinkAboutBLD2006-00377 *BUILDING PERMIT APPLIC•ION MLA06-00366
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00377 Received Date: 7/6/2006
SITE ADDRESS: 247 FRANKS LN
QUILCENE, 98376
OWNER: GARY W ANDEREGG PHONE:
RISA J ANDEREGG
7850 SE 62ND ST
MERCER ISLAND WA 98040-4812 SEAHOME
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 992600001 Section: 36 Township: 27 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License SEAHOSI077KS Expires 11/17/2007
REPRESENTATIVE: GREG BARRON PHONE: 360-765-3749
7425 THORNDYKE RD 360-765-4551
QUILCENE WA 98376
PROJECT DESCRIPTION NEW STAIRS TO BEACH
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 7,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE:
DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date: � 1�/� / ,�
Il (OC 1 ,,
c.
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $139.25 KAS 07/06/06 83751 At . = D
Plan Check $90.51 KAS 07/06/06 83751 AUG z`T'
State Building Code $4.50 KAS 07/06/06 83751
2006
Total: $234.26 Jefferson County Planning
& Builahng 'Department
• BUILDING PER
MIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00377 Received Date 07/6/2006
SITE ADDRESS: 247 FRANKS LN Issue Date 08/24/2006
QUILCENE, 98376
APPLICANT: GARY W ANDEREGG PHONE:
RISA J ANDEREGG
7850 SE 62ND ST
MERCER ISLAND WA 98040-4812
SUBDIVISION: SEAHOME Block: Lot: 1+
PARCEL NUMBER: 992600001 Section: 36 Township: 27 N Range: 01 W
CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749
7425 THORN DYKE RD
QUILCENE WA 98376
360-705-4551
Contractor's License: SEAHOSI077KS Expires: 11/17/2007
PROJECT DESCRIPTION: NEW STAIRS TO BEACH
CALL IN FOR THE REQUIRED INSPFCTIQS THAT APPLY TO YOUR PROJECT.
SETBACKS: q/sz./oL
UFFER: 4/41
Footing: S Ea-Mge-S I&MR of '/i4 .
Foundation: Seth-. ac S LaT OF Q/!!DL fi
Stormwater FINAL Approval: SEA Sihsgs LsvTTer_ o� V I/or A>
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: SA-A.-- L.eS LiprfAs_ aF 9/eA 1/
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: -Cps- Qtvt.I.I 4 !aL k
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE UIRED PR
IOR RIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
SPECIAL CONDITIONS FOR CAS• BLD06-00377 •
1.) Prior to final building occupancy, the proponent shall submit a written letter from Bill
Payton L.E.G. of NTI stating that the structure and earthwork have been constructed in
accordance with the geotechnical report dated March 28, 2006 and a written letter from
David Hanna RE of NTI stating that the Drainage, Erosion and Sediment Control Plan
dated April 2006 has been implemented.
2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
3.) A Geotechnical Report was prepared by NTI Engineering, dated March 28, 2006 and
submitted in conjunction with this application. The report addressed the stability of the
bluff and made recommendations to protect the bluff from further erosion. These
recommendation shall be implemented to the maximum extent feasible.
4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
5.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
6.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
7.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
8.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan.
9.) A Drainage, Erosion and Sediment Control Plan has been submitted and approved by the
Department of Community Development. Once the subject permit has been issued the
applicant shall fully implement the provisions of the submitted plan and contact the
Jefferson County Department of Community Development to arrange a schedule to
inspect the property for plan compliance. A Certificate of Occupancy will not be issued
until the Department verifies plan compliance. No clearing for roadways or utilities shall
occur on the project site until clearing necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
10.) Prior to commencing development activity, proponent is responsible for informing the
Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine
whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10
WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are
defined as construction or performance of other work that will use, divert, obstruct, or
change the natural flow or bed of any of the salt or fresh waters of the state.
11.) In addition to Jefferson County permit conditions, the project proponent shall comply with
all conditions set forth by the Washington Department of Fish and Wildlife through
Hydraulic Project Approval.
12.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral
movement of the sturcture. b. be constructed with materials and utility equipment resistant
to flood damage and potential damage to adjacent properties. c. be constructed using
methods and practices that minimize flood damage. d. have structural components
capable of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy. e.
electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service
facilities shall be designed and/or otherwise elevated or located so as to prevent water
from entering or accumulating within the components during conditions of flooding.
•
13.) The stormwater runoff tightline shall be designed and placed in order to minimize visual
impacts to users of the beach and nearby waters.
The stormwater runoff tightline piping must be composed of durable material that is
resistant to weakening and damage due to time, weather exposure (including ultraviolet
radiation), and impacts from trees, rocks and debris. The corrugated plastic material used
for tightline construction in the past is no longer acceptable. More durable plastic or
ultraviolet radiation-resistant flexible rubber material shall be required.
The applicant/owner and all future owners are responsible for maintaining and protecting
the stormwater runoff tightline to the beach against damage due to normal wear, weather
exposure, and/or trees, rocks and debris. If and when damage occurs to the tightline that
renders it ineffective, the responsible party must execute the necessary repairs as soon
as possible and no longer than 30 days.
14.) All disturbed areas including the area where the bluff eroded due to tightline failure shall
be re-vegetated with native species trees, shurbs and plants per the re-vegetation plan.
I:\F_B LD_Perm it_Bu ildng.rpt 10/29/1999
• i
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,!ti ot, JEFFERSON COUNTY
..,� DEPARTMENT OF COARIMUNITY DEVELOPMENT _ _ 6 206 _ 1
-, u' 621 Sheridan Street• Putt vynsetid•Washingto 98 8-�r
360/379-4450• 360/379=44451E :'- _, -'II61 E
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___ p www.co.jefferson.wa.us(eomtndevelopment
`�S�xN��S NOV• 3 Q 2005 J _.!:-TNT
Master Permit Application r -` MLA:
i
Project Description(include separate sheets as necessary):
Tax Parcel r Property
Number: v� lO O Opp / Size: (acres/square feet)
Site Address and/or Directions to Property: Q L!7 Eq.A'`ts. Ultio2. YJIG./te. 9O nt,
Property Owner(s)of Record: GAR/ * kit A 4.'‘dec c{c
Telephone: l Fax: - 1 1 email:
Mailing Address: 1 WO Sc_ 6.2.0.4 s•-,- l-4e2 e 1Sl..0% . LA'II‘ 3 Oo
Applicant/Agent(if different from owner): C7iee1 ( ifi--FLP Fdt)
Telephone: 360 7 6S-37`f? Fax: 361)—76$-/55/ email:
Mailing Address: 7i2.5 TharA►ck'{F•e. p-.4 w t'lce / wet 9y37G
What kind of Permit?(Check each box that applies)
U Building J Variance(Minor,Major or Reasonable Economic Use)
U Demolition Permit J Conditional Use[C(a),C(d),or C]**
U Single Family J Discretionary"D"or Unnamed Use Classification
U Garage Attached/Detached J Special Use(Essential Public Facilities)*"
❑ Manufactured Home 7 Boundary Line Adjustment
U Modular J Short Plat""`
U Commercial* J Binding Site Plan**
U Change of Use J Long Plat"*
U Address I Road Approach J Planned Rural Residential Development(PRRD)/Amendments**
IJ Propane J Plat Vacation/Alteration**
U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions**
U Stormwater Management XShoreline Manag
ement Substantial Development*`-
U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance
U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment
U Wireless Telecommunication* J Jefferson County Shoreline Master Program Amendment
U Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate �eq � (ZQi(f to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE /�C�Cz 5�� Date: /4///4-A F
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requ'e later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. /,/^' /,mil
Signature:- e:// Date: ` CY(q-/ `''
r
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 a in compliance the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
th
and non-transfe esponsibi�lityy/for d eying to and complying with the ESA. The Applicant has read this discla er and ' ns dates it below.
Signature' r '// Date: Al/S' G' i
C:\Documents and Settings\mochii\Desktop\Master Permit Application 7-8-04.doc
.Ar • BUILDER STATEMENT III
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAI I FR: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) Fax:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
iN, New N Wood Existing: U Sewer
u��/Addition u Steel Proposed: Bank Height: U Community System
_RA teration/Remodel U Concrete Total: U Individual System
epair U Masonry SEP Permit#
��]] Demolition U Other: Bedrooms: Water Supply:
Existing: Setback: LI Private well U Two Party
Type of Heat Proposed: U Public
1,," /p- 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 i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove j Woodstove i Fireplace Insert I Hot Water Tank I Pellet Stove j Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bid App Review:
2nd Floor Heated Consistency Review: 153
Other Heated Base fee: • 3q-ac5
Mezzanine Additional Section: ^• 51
Heated Basement Plan Check fee: (� l
Unheated Basement State Surcharge fee: -
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL 3c`1 ,a/
Decks 911/Rd Approach fee: •"�7'
Other TOTAL: $
R2--freli ..5 (it Receipt Number: c2s3- 1
Cash/Check Number: 1A-A
ESTIMATED COST REQUIRED) _ ISate: "—
.Fair market value e l labor and materials foundation to finish 1 t `O
Gr c> Initlais _
0
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