HomeMy WebLinkAboutBLD2002-00206 • `
my
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD02-00206 Received Date 04/12/2002
SITE ADDRESS: 143 EAGLE CREEK RD Issue Date 05/17/2002
SEQUIM, 98382
APPLICANT: KENNETH L HILLS PHONE: (360)432-8505
1740 E HARSTINE ISLAND RD
SHELTON WA 98584
SUBDIVISION: Block: Lot: T 19
PARCEL NUMBER: 002283019 Section: 28 Township: 30 N Range: 02 W
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
REQUIRED INSPECTIONS: 6 ,
[ ] SETBACKS / Footings: (t) s 9A _- 3�- 1 l',2-
(L' oundi 'C :�'�✓=Z 99
[ ] Undergrouatiornd Plumbing/Underground Insulati n:
[ ] Shear Wall:
[ Framing/Plumbing: rl)4,_ k-4—0_
[ ] Propane Tank/Lines:
A
[ l Insulation rr t= �, iv E 7. `" <$ .'
r ,
[ ] Sheetrock: C�j� 1�--�i` -_ c
[ ] Septic System Final Approval: _
[ ] Zoning Final Approval:
[ ] Final/Occupancy Approv �574/!
HEAL DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS P RMIT 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.
SPECIAL CONDITIONS APPLY-SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
• •
SPECIAL CONDITIONS FOR CASE BLD02-00206
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 4/12/02 for the potential presence of Environmentally Sensitive
Areas (ESAs) under the provisions of the Unified Development Code (UDC).
n
initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Susceptible Aquifer Recharge Area and Stormwater.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin (see attached).
5.) The applicant is proposing to create or add 6,450 square feet of impervious surface.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal submit a Permanent Stormwater Quality Control Plan.
6.) A PSQC 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.
7.) The site plan as submitted with the building application on 4/12/02 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 thetamped,
approved site plan dated 5/17/02 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) Eagle Creek Road is classified as a Local Access Road and thus requires a minimum
ot lines require a minimum 5-foot lot
set front yard setback. The side and rear setbacks shall be measured from)the lot line to proposed development.
setback. All
10.) The building height is not to exceed 35 feet.
10/29/19
i:W_BLD_Permit_Buildng.rpt
•BUILDING PERMIT APPLICIION MRRe02N001 Type:I
3
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00206 Received Date: 4/12/2002
SITE ADDRESS: 143 EAGLE CREEK RD
SEQUIM, 98382
OWNER: KENNETH L HILLS PHONE: (360)432-8505
1740 E HARSTINE ISLAND RD
SHELTON WA 98584
SUBDIVISION: Block: Lot: T 19
PARCEL NUMBER: 002283019 Section: 28 Township: 30 N Range: 02 W
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,496
VALUATION 100,059.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 240 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: 41/1 F&W Landslide
/�/G & Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: •• • e ate.
Permit $999.35 MAM 04/12/02 46325
Plan Check $299.81 MAM 04/12/02 46325
State Building Code $4.50 MAM 04/12/02 46325 MAY 1 7 2002
Potable Water Application $30.00 MAM 04/12/02 46325 Jefferson County Planning
Total: $1,333.66 &Building Department
Adtaeltrii
Sozv c • Jefferson ditty Department of Community Development
w�' `` � 621 Sheridan Street Port Towasend WA 11311[S10l 371-4460
W f }\*A\{ } O
P ed:„. M cfi° App o cat rit
kIN
Project Description:
Building Type: z Project Type: Frame Type:
/Single Family New Wood
i o ❑ Addition Steel 1
Modular Alteration/Remodel Concrete
Commercial I 0 ❑ Repair = Masonry
Multi-farnily/#of Units w ❑ Demolition I- Other:
Industrial ` ' o
= Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: Existing: C Sewer ❑ Community System electricity ❑ Oil
Proposed: A.. Proposed: i individual System kSoodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
Conventional = Alternative Other
Permit# SEP
Water Supply: •
Private well = Two Party Well❑ Public:Name of water system:
Square Footage: For Office Use Only
Main Floor 17 9,6
Consistency Review 39:00
2ND Floor Base fee
3rd Floor Plan Check fee 9,
Htd Basement State Surcharge fee 1.1S L
Unhtd Basement Subtotal I �'
Garage/Carport Pot Water Review fee
Decks 2h1 O ' :40 0 1/Rd Approach fee 01,6 2
Commercial �Q T TAL • 3 I >
cJ
Industrial � � Receipt# S
Other O Cash/Check#
Total Valuation: Initials
Or Date
Estimated Cost /167()u a
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner 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 attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections.
.\ccess and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: .. - Date:
OVER ►
El:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01