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Home My WebLink AboutBLD2002-00294 • ! 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 #: BLD02-00294 Received Date 05/17/2002 SITE ADDRESS: 1252 GARDINER BEACH RD Issue Date 06/27/2002 SEQUIM, 98382 APPLICANT: KEITH K DAVIS PHONE: (425)255-2069 CONNIE R DAVIS 14609 142ND AVE SE RENTON WA 98059-5523 SUBDIVISION: Block: Lot: T 29 PARCEL NUMBER: 002284035 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] , SETBACKS / Footings: C/K g- r ml '0 [ti Foundation: Q KC - r'2) -} : 1, [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: ;` &J s [ ] Framing/Plumbing: QL-'wAP5 ).c.5-Ao r f.Z� iiD d0 4/Z7/i , [ ] Propane Tank/Lines: coo-crew--riuos Ava-D03441—7;ipt oK 7/fra I`' f# PZriPA /-40 OtB/Z7(/f [ ] Insulation: - s 4- r—(\ [ ] Sheetrock: a /D/5/0 [ ] Septic System Final Approval: _ [ ] Zoning Final Approval: [ ] Final/Occupancy Approval:(/`)k- ' C- HEALTH DEPARTMENT 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. 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 BLD02-00294 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 20, 2002 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SUSC aquifer recharge area. 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.) The applicant is proposing to create or add 3850 square feet of impervious surface and 1000 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Small Parcel Erosion and Sediment Control Plan. 5.) A Small Parcel Erosion & 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. 6.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 7.) The site plan as submitted with the single family residence & detached garage building permit application on May 17, 2002 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 May 20, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a single family residence & 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. 9.) Gardiner Beach Road is a county local access road (C502009). A road approach permit (RAP01-0111) was finaled on December 17, 2001. 10.) An address has been assisgned to the parcel; 1252 Gardiner Beach Road, Sequim. 11.) A septic permit(SEP94-0269)was cancelled on June 25, 1998 for expiration of permit. 12.) A septic permit(SEP99-0255)was approved on September 24, 1999 for a three bedroom system. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) A building permit(BLD01-0269)was finaled on October 12, 2001 for a detached garage. 15.) A building permit(BLD01-0268) for a single family residence was cancelled on May 17, 2002 due to revision in plans. 16.) Maximum lot coverage shall not exceed 25%. 17.) Minimum setback from Gardiner Beach Road right-of-way shall be 20 feet. Minimum setback from side and rear shall be 5 feet. 18.) The building height shall not exceed 35 feet. 19.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. is\F_BLD_Permit_Buildng.rpt 10/29/19 MLA02-00284 BUILDING PERMIT APPLI TION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00294 Received Date: 5/17/2002 SITE ADDRESS: 1252 GARDINER BEACH RD SEQUIM, 98382 OWNER: KEITH K DAVIS PHONE: (425)255-2069 CONNIE R DAVIS 14609 142ND AVE SE RENTON WA 98059-5523 SUBDIVISION: Block: Lot: T 29 PARCEL NUMBER: 002284035 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: 2,166 VALUATION 148,467.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 300 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: .---/ F&W Landslide .-5 ( '-1 C Shoreline Aquifer 1 Forest: Commercial Rural Type Amount Paid By: Date: Receipt: IrPdeR to V E D Permit $1,268.15 MAM 05/17/02 27641 Plan Check $824.30 MAM 05/17/02 27641 .1UN 2 7 2002 State Building Code $4.50 MAM 05/17/02 27641 Jefferson County Planning Total: $2,096.95Oil°2— )1ija,„„r„, Department /V a., ,5 .c„sON co YETI. Jefferson•ty Department of Community Development —� 621 Sheridan Street,Port Townsend WA 883681360]378 4450 h1. �_.m T 0 puor O d cat [a, U P � � N N Project Description: j`v . . Building Type: ,Q "— Project Type: Frame Type: $ Single Family jut New 'Wood ❑ Garage Attached/Detached 1 c> ❑ Addition ❑ Steel ❑ Modular ` '� a ❑ Alteration/Remodel ❑ Concrete ❑ Commercial I - -� ❑ Re air ❑ Masonry P ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: .L%!� Proposed: 'Individual System ❑ Woodstove X Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: /� �`11 ❑ Private well ❑ Two Party Well Public:Name of water system: �D U 1J ft I dO`t ,Ii Square Footage: For Office Use OnlyC11 O Main Floor1 47.00 I 1 �� Consistency Review 1-6 2ND Floor J Base fee e 3c e35 rd 3 Floor Plan Check fee- 5° Htd Basement State-Surcharge fee D Unhtd Basement Subtotal /'/3 - 9J . g a • Garage/Carport Pot Water Review fee OIL- Decks 6 0 C / 1 911/Rd Approach fee rf Commercial -1 Pi. DOTAL 2 17,:3 Industrial Receipt# 1 7 /q�r( Other - �r}-'f ash/Check# / Total Valuation: Initials 4 Or Date S/fi/O Estimated Cost: I, ,/0) 06-D • D 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 ght of to Jef n County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the a 'c ro s shall be requested and shall occur during regular business hours. OZ_ Signature: Date: -) H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01