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Home My WebLink AboutBLD2018-00545 - 01 PERMIT APPLICATIONiD JEFFERS.N couNrY a DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jetferson.wa.us www.co.jefferson.wa. us/com mdevelopment BUILDING PERMIT PERMIT #: SITEADDRESS OWNER BLD18-00545 182 GIBBS LAKE RD CHIMACUM,98325 LYNN & DEBRA BECKHORN l30WEGG&IRD CHIMACUM WA 98325-9741 Received Date: 1112912018 lssue Date 111012019 Expiration Date 111012020 PHONE: SUBDIVISION: PARCEL NUMBER:901 34201 6 Section: 34 Township: 29 N Ranqe: 1\ CONTRACTOR:RAIN SHADOW WOODWORKS P.O. BOX 336 PORT TOWNSEND WA 98368 PHONE: 360-385-6789 Contractor's License RAINSSW939MJ PROJECT DESCRTPTION: NEW DETACHED GARAGE. NO HEAT . NO PLUMBING sEP08-00153 TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: GAR NEW 36,000.00 2015 SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER:GARAGE: 720 DECK: HEAT TYPE: HEAT TYPE: # OF STORIES: SHORELINE: SETBACK: BANK HEIGHT: UH SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: Exist: Prop: Total: BATHROOMS: Exist: Prop: Total: HEALTH DEPARTMENT AND PTJBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING !NSPECTION HOT.LINE 379.4455. Request must be received by 3pm the day before the inspection is needed. Final lnspections require 24 hour notice. Office Hours 9:00 am - 4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTACHED Amount Paid Bv: Date: ReceiPt: Permit Plan Check Scanning Fee State Building Code EH SEP/RES Rev Tech Fee Consistency Review Tech Fee Total: $443.00 $287.95 $23.00 $6.50 $134.00 $44.72 $188.00 $9.40 SRE SRE SRE SRE SRE SRE NVA NVA 11t28118 11t28t18 11t28t18 11t28118 11t28118 11t28t18 01/09/'19 01/09/'19 1 81 088 1 81 088 1 81 088 1 81 088 I 81 088 1 81 088 181322 181322 $1,136.57 e time the work is commenced encedm inwithworkuthorizedsuchcomisshallissuedbecomenvalunlessdthe105.5 ration by permitpermitExpEvery BOI afterorededabandonaforofifworktheuthrizedoSuchSisdays80itsafteroperiodbypermituspendissuance,days Jefferson County Building on Permit Nu BLD18-00545 Applicant: BECKHORN BUILDING PERMIT INSPECTION APPROVALS Appticabte code: 2015 lnternational Buildins 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 & lndustries. The electrical permit must be signed off by the State lnspector prior to the County's Framing lnspection !nspection ltem Date Approval Signature Notes Setbacks Foundation Footing t(a Foundation Stem Wall t (l /t Straps (hold downs) Ext. Shear Wall Nailing Framing I za fib \rfurfu /x.., ftty q 1l tg final inspection will not be scheduled until the following are completed and signed off by the applicable Department; o Buitding Permit Conditions ore met . Septic Permit Final/Complete for any building containing plumbing . Land Use Conditions met and signed ofi o Public Works Permit Final (where applicable) FINAL INSPECTION i t)I 'lc z-c 'L FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR DITIONS for Building Permit #LD18-00545 1.) No plumbing has been reviewed or approved for this project by Jetferson County Public Health. Additional requirements may apply if plumbing is proposed. 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. 3.) The applicant is proposing to create or add 3546 square feet of impervious surface and 3300 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements #1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. A Stormwater 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. 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. The applicant has proposed and been approved to utilize fulldispersion, requiring 100 feet naturalvegetative flow path, which is required to be permanently preserved for the house, garage and driveway. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. lf your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural lndustrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal of manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. ) The rear setback for the parcel is 100 feet for all structures. The parcel adjacent to the rear of the property boundaries is zoned rural forest. 7.) The site plan as submitted with the detached garage application on 11129120'18 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 01/07/2019 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) The application was reviewed by the Jetferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the propefi DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 9.) This approval is for a detached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 10 ) scc \\tidemark\data\forms\F_BLD_Permit_Bldg. rpt 1t10t2019 D ,r,.DrNG PERMTT orr.'"1',o* Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 Review Type: PERMIT #: SITE ADDRESS OWNER SUBDIVISION: PARCEL NUMBER: BLD18-00545 182 GIBBS LAKE RD cHTMACUM,98325 LYNN & DEBRA BECKHORN l3OWEGG&IRD CHIMACUM WA 98325.9741 901 34201 6 Received Date: 1112912018 PHONE: Blockr29N Range: 1V1 Lot Section: 34 Township CONTRACTOR: REPRESENTATIVE: RAIN SHADOW WOODWORKS P.O. BOX 336 PORT TOWNSEND WA 98368 SEBASTON EGGERT 130 SETON RD. PORT TOWNSEND WA 98368 PHONE: 360-385-6789 PHONE: 360-301-9704 PROJECT DESCRIPTION: NEW DETACHED GARAGE- NO HEAT - NO PLUMBING sEP08-00153 TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: Exist: Prop: Total: GAR NEW 36,000.00 2015 ALT BATHROOMS: Exist: Prop: Total: SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: 720 DECK: Type HEAT TYPE: HEAT TYPE: # OF STORIES: UH SHORELINE: SETBACK: BANK HEIGHT: Amount Paid Bv: Date: Receipt Approved/Date Permit Plan Check Scanning Fee State Building Code EH SEP/RES Rev Tech Fee Total: $443.00 $287.95 $23.00 $6.50 $134 00 $44.72 SRE SRE SRE SRE SRE SRE 11t28t18 11t28118 11t28t18 11t28t18 11t28t18 11t28t18 1 81 088 1 81 088 1 81 088 1 81 088 1 81 088 1 81 088 $939.17 RArN sHADow wooDwoorS.o Page 1 of2 Home Espafiol Contact Search L&l A-Z Index Help Myl&I Safety & Health Claims & lnsurance Workplace Rights Trades & Licensing Washington State Bepartrnent of Labor & lndustries RAIN SHADOW WOODWORKS INC Owner or tradesperson Principals EGGERT, ROBERT SEBASTIAN, PRESIDENT Doing business as RAIN SHADOW WOODWORKS INC WA UBI No. 602 676 245 Received by L&l 07t24t2007 P O BOX 336 PORT TOWNSEND, WA 98368 360-38s6789 JEFFERSON County Business type Corporation Effective date 07t20t2007 Expiration date Untll Canceled License Verifi the contractor's active registration / license / certification (depending on trade) and any past violations. c91g!ry9!!on Conllaclol Acflve. Meets current requlrements. License specialties GENERAL License no. RAINSSW939MJ Effective - expiration 07 12412007 - 07/30/201 9 Bo!d RLI INS CO Bond account no. sRs't006831 $'t2,000.00 lnsurance Libefi Northwest lns Corp Policy no. 8KW57450059 $1,000,000.00 Received by L&l Effective date 11t21t2016 Expiration date 1',U21t2019 1 0/30/201 8 lnsurance hlstory Savings No savings accounts during the prevlous 6 year perlod. Lawsults against the bond or savlngs No lawsuits againsfthe bond or savlngs accounts during the previous 6 year perlod, L&l Tax debts No L&i tax debts are recorded for this contractor license durlng the previous 6 year period, but some debts may be recorded by other agencles. License Violations No tiCenCC iiioiations durlng the prevlous 6 year perlod. Help us improve 1U29120t8https://secure.lni.wa.gov/verifu/Detail.aspx?UBI=602676245&LIC:RAINSSW939MJ&SAW: RAIN SHADOW WOODWORKS U e PageZ of2 Workers'comp Do you know if the business has employees? lf so, verifo the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. lgllYc ?99.9u-Tr!s L&l Account lD Account ls current. 551,fI?-0s- Doing business as RAIN SHADOW WOODWORKS INC Estimated workers reported Quarter 3 of Year 2018 "4 to 6 Workers" L&l account contact T2 / KATHY ULRICH (360)902.+829. Email: W|TE235@lnl.wa.gov Track this contractor $ Public Works Strikes and Debarments Veriry the contractor is eligible to perform work on public works projects. Contractor Strikes No strifes trive been issued against this contractor. Contractors not allowed to bid i{o OeUirmenii have been iiiued against this contractor. Workplace safety and health No inspections during the previous 6 year period. @ Washington Stale Oept. of Labor & lndustriss. Use of this site is subjoct to the laws of the stats of Washington. Help us improve t1129120t8https://secure.lni.wa.gov/verifr/Detail,aspx?UBI:602676245&LIC:RAINSSW939MJ&SAW= O o DEPARTMENT OF COMMUNITY D 62I Slrcrirl.ur Strcqt. I)ort'l o*'r.rscnrl, \\'.\ 98368 &t+, 'lul:360.179.1t50 | l;ax: 360.319.-l+51 "'' , J \\'cb: wrvs'.c..icftcrsrn.u'r.us/crxnnrunit)'rlcvcl.prnt,rrt '"1 I i-rn';ril: dcd(Ocr>.isiti'rs( )n.N :r.us PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting appl -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 350-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additionalfees may apply after review and payment is required before permit is issued For Department Use Only Building Permit # MLA #Related ication #s: Site lnformation Access (name of street(s)) from which access will be gained: G,ALS i a4 t4)z_y L z_- oib Site Address and/or Directions to Property Assessor Tax Parcel Number:gL du-ut, -1 ru ffi77\J I Description of Work (include proposed uses): Present use of property: Wastewater I This property is served by Port Townsend or Port Ludlow sewer system? 1f not served by sewer identified above, identify type of septic system below NOYES Community Septic Name of System Are other residences connected to the septic system? Additions or repairs to sewage system: ls it a complete or partial system installation: Has a reserve drainfield been designated? DateoflastOperations&Maintenancecheck: C.b^ ?T . -rt g Attachlastreporttoapplication Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: SEPoS- oat t_3 Case S: I Type of-sewage System Serving Property: Lj< Septic Septic Permit# Pa rtia I No- Complete Yes B."tE-t:D3{S X -)<-.-----n- mail I (i.e., ,1 \\) J) e_)(\ 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 or her 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 applicab employees, le federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its representatives or agents for the sole purpos the pro e of application review and any required later inspections. Applicant may request notice of the Co s intent to enter u perty for visits related to this application and subsequent permit issuance Print Name dN Applicant/Property Owner I nformation with project info. (select only one). n ("t &ttAil,ogx", / / - z? " -ztt e. Ail tr Ee* R /n or^ '*g3z r t r P Owner S atu re: t tr-, €t ZCC t*t W Property Owner: */ Please contact Aut presentative Name: Address: Phone #: Note: For eachwithsheet and Name: Address: Phone #:E-mailAddress: ..1'e6. ulqoffta o i.4z> r/--crn : Authorized I e;:<.lh 7'7 t)& other than owner) e...? Professional:ls this an Auth orized Agent/Representative fo r this proj ect ?NO YES Architect Consu ltant E-mail Address Engineer ame:;rSurveyor Contractor License # Address: Phone #: Professional:ls this an Authorized resentative for this ect?NO YES Engineer Name: Address: Phone #: Consulta ntArchitect Su rveyor b 4 z.- Contractor License # Engineer Name: Address: Phone #: Surveyor Consu lta nt E-mailAddress ?NO YES k Professional:for thisls this an Authorized Architect Contractor License # Signatu re I' pon t/4 Date: t/- z+ ' zQX E-mailAddress: a 7@8951-74 7el'47p+ E-mailAddress: It is the of the or o a DEPARTMENT OF COMMUNITY DEVELO 621 Shcritlan Strt'et. l'on-lirrvnscnd. \\'.\ 98368 'l'cl: 360.379.-l-150 | I;ex: -160.379.-t+5I \\'cb: rnvrv.co.ict-tcn;on.rva.us/communin.dcvclopmcrr r I r-r:reil: dcd(lco.icffcrson.rva.us "*bo# SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt #:Date: Related lication #s:#: Enter the square footage (sq/ft) that applies in each field Site lnformation Owner Name:-.e c o'f Assessor Tax Parcel #:o/ -2- Type of Building New Addition Replacement Repair Relocated Demolition 'r '*raa" *rnit is required Select One: Single Family Residence Modular Other list Proposed Build ing/Project Number of floors I # new bedrooms # new bathrooms existing existing total bed total bath Heat Source Select all that apply: Wood . Propane Existing Sq/FtStructure Proposed Sq/ft ICC Valuation (office use) -n-qq4lent ia t ft om me rcia I M a i n F loo r fesTd6'nt...-ia V Com me rcia I Seco nd F loo r Additional Floors - heated / unheated Basement - unfinished Basement - finished space or habitable Qelegled Gqrase - heated 6n"r@ .T-'2o Z,J, qlk ' o' Attached Garage - heated / uiIEEi-ed Garage 2nd fl - unfinished storage Garage 2nd fl - finished space or habitable Carport - 2 walls or less Deck - uncovered Covered porch Other (shed, barn, pole bldg,etc.)I Estimated Cost of (Required): S D s ?, aig oa List bu on i.e. ho li u mobile All Existing Buildings on Property Use Builders Statement this statement certifies 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. 4y, 5'- 6o-k Lr,, The signer of Signature Print Name ,rDate: I /'Z+'?at' By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true andcorrect to the best of his or her knowledge. Any materlal falsehood or any omission of a material fact made by the owner/agentwith respect to this application packet may result in making any issued permit null and void. Signature nt Name /<Leun Date:U_:_ZZ_- 4t g- For Use Building Permit Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning Zoning Other New Address Technology Fee - 5% Total Fees Receiot # s275.00 s134.00 Sr.34.oo S23.oo S6.so Date:Cash/Chec 'i . l o, Estimated Cost of Project DEPARTMENT OF COMMU 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.iefferson.wa.us /communirvdevelooment i E-mail: dcd@co.iefferson.wa.us PERMIT FEES WO 000.00 Parcel # Permit # NITY DEVELOPMENT 1,6 s939.17 Building Base Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning New Address Road Approach Tech Fee Total Fees S443.oo s287.9s S134.oo s23.oo s6.so 544.72 loReceipt Number: Cash/Check/CC: Date: lnitia ls: 0 t Office Use Only L Op tkDrS'CosTsrrcrlrl rarur;! neVleW Parcel 901342016 Printed: December 11, 2018 LYNN & DEBRA BECKHORN l30WEGG&IRD CH|MACUM, WA 98325-9741 Site Address(es): 182 GIBBS LAKE RD CHIMACUM, WA 98325 Parcel Number: 901342016 S-T-R: 34-29N-1W Legal Description LOWELL DAY SHORT PLAT #A LOT 3 Flood District: Fire District: Flood Map (FIRM) Panel No:School District 49 Total Acreage 3 Land Use: Planning Area: Zoning: 9100 fr Informed by JCC 18.30 or Title 17 for Master Planned Resorts Zoning Setbacks: Front Left Side: 5 Side: 5 Rear: 100 Shoreline Setback:Critical Area Buffer Building Setback: Adjoining Forest Lands: Commercial/Rural/ Lots/Require Declaration of Restrictive Covenant YES submitted: YES NO Legal Access to Property YES NO Parcel Tags or Scanned Documents YES @ List: Sepcial Reports Nearby YES 66\ti't, * %Attl Shoreline Designation: YES @Critical Areas Geologically Hazardous Areas YES CMZ:/n6-nt Repok6mi Moderate Risk Shoreline Slope Stability,_ High Risk tted FWHCA: YES Stream type Alonc Wetlands: YES Flood: YES Erosion_Seismic_ DisconnectedCN{Z Pond or Lake < 20 acres o Marbled-ro.i"t/Sp@ marine nearshore FIRM Flood Certificate: Aqui fer Rec@ge Area:YES SIPZ: lnonb At Risk site visit "M,"0 YES NO Notice Provisions/Disclosure Forest High Risk Coastal Shooting Zone l l/T Agricultural Lands: l/) Archaeology: YES NOI YES iroort @ RRI: IC) @ #1 thru t/1 Stormwater: New Impervious Disturbing Activity -?,31oStormwater Req's: Min Req Min Req #l thrlO Engineering ReviewtlStormwater Pollution Prevention Plan Submitted: Yes No ,Y Impervious Surface coverage percentage : 4,3%- Resource Lands & Public: l0% Rural Commercial: 60oh Rural Residential: 25%o Area of Building Coverage: Rural Industrial: Per UDC Sec 6.7 / Rural Industrial Lands only ADMIN: Setbacks entered in Permit Plan case N/A New Parcel Tags entered in t Plan YES Special Reports YES Land Use Reouirementsrw -lt Oo \( w,tr Landscaping Required: RVC:20,000SF CC:5,000SF NC: 7,500SF GC:10,000SF Allothers: subjecttoseptic&waterconstraints/Nonespecified Road Classification: l^Ocotl *CC.S > Road Approach:7EXISTING NOTREQ'D RAP Require Final Zoning A YES UGA No Protest Agreement YES Recorded Date of Subdivision: submitted: YES AFN Over 5yrs:UDC Plat Conditions <5yrs:Plat Conditions on plat or Old Ordinance No parcel tags found for parce! Cases Associated with APN 901342016 Gases Name BLD18.OO545 BECKHORN Application Received: ll/2912018 Permit lssued/Case closed: NEW DETACHED GARIIGFI\IoFIEAT - NO PLUMBING sEP08-00153 ADR1O.OO1O8 DICKERSON Application Received: 9/2012016 Permit lssued/Case closed: Review Tvoe Status P Planner Case Finaled: F CaseFinaled: 9/20/2016 911 ONLY BLD18-00544 BECKHORN P Shannen Cartmel Application Received: lll29l20l8 Permit lssued/Case closed: NEW SINGLE FAMILYTE-.STT'ENCE W/ 250 GALLON PROPANE TANK sEP08-00153 \\tidemark\data\forms\R_Pa rce l_C RMLA. rpt 12111t2018 Case Finaled: Pase 2 of 3 n ,fr PRJl8-00053 Application Received: 1l /29/2018 BECKHORN lssued/Case closed: NEW SINGLE FAMILYRESIL'EI\TCE W/ 250 GALLON PROPANE TANK sEP08-00153 cAM18-00379 WILLS Application Received: 6l12/2018 Permitlssued/Caseclosed: 6ll2l20l8 Questions regarding anllerm-il-s on the property and building A SFT< FPA2601469 HARPER Application Received: 313011998 Permit lssued/Caseclosed OTHOS.OOOOI DIGKERSON Application Received: ll7/2008 Permitlssued/Caseclosed WET SEASON RAPl0-00017 DICKERSON Application Received: 2/18/2010 Permit lssued/Case closed: No Rd Approach RequiFe?F:AIre-atIy Existing. Assigned Address only PRJ1O.OO332 DICKERSON Application Received: llll0l20l0 Permit lssued/Case closed: OTH08-1 filed here sEP08-00153 cJrinrt"o,P NA M Donna Frostholm Case Finaled: F CaseFinaled: 4/27/1998 F CaseFinaled: 412812008 c Case Finaled: 31312010 F Case Finaled: F P"n DICKERSON Application Received: 7/15/2008 Permit lssued/Case closed: 8/ll/2008 Case Finaled: 7ll9l20l0 OTH08-1 filed here soM08-00153 DICKERSON RCD Case Finaled:ApplicationReceived. 7/19/2010 Permitlssued/Caseclosed: 6/1112018 \\tidemark\data\forms\R_Parcel_CRMLA. rpt 12t11t2018 Page 3 of3