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HomeMy WebLinkAboutBLD2003-00235 e BUILDING PERMIT APPLI%"ATION MLA03-00194 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00235 Received Date: 4/11/2003 SITE ADDRESS: 1473 OLD GARDINER RD SEQUIM, 98382 OWNER: GEORGE C DE BRUYN PHONE: (425)226-8991 JENNIFER DE BRUYN PO BOX 2343 SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 38 PARCEL NUMBER: 002342014 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,471 VALUATION 121,349.00 ADD'L: 207 HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 834 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 0 Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Floodplain :/ �l� F&W Landslide Routing Date 7 - Shoreline Aquifer Forest: Com mercial Io V E D Type Amount Paid By: Date: Receipt: Approved ate Permit $1,116.95 MAM 04/11/03 47883 MAY - 6 2003 Plan Check $726.02 MAM 04/11/03 47883 Jefferson County Planning State Building Code $4.50 MAM 04/11/03 47883 & Building Department Potable Water Application $50.00 MAM 04/11/03 47883 / a ,�VTotal: $1,897.47 �`� c�� , I / Sc vwr , • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00235 Received Date 04/11/2003 SITE ADDRESS: 1473 OLD GARDINER RD Issue Date 05/6/2003 SEQUIM, 98382 APPLICANT: GEORGE C DE BRUYN PHONE: (425)226-8991 JENNIFER DE BRUYN PO BOX 2343 SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 38 PARCEL NUMBER: 002342014 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: [ ] SETBACKS :. ' Cc�o-;r 4-' (L��y � [ ] Foundatio •� J/ „3 (a: r Ttad7.,:. 'is o`c 6/q ,' [ ] Underground Plumbing/Underground Insulation: ( ] Shear Wall: 61,6r ©t.4,,,, 8-6--r._ [ ] Framing/Plumbing: f 1 Propane Tank/Lines: [ ] Insulation: L 1--N-1 -p7t f 1 Sheetroc . 1,71,e tto-W.'ih °f�Z cle - f 1 Septic System Final Approval: [ ] Zoning Final Approval: f"I Final/Occupancy Approval: $ - 8'-'17"0� 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 INSPECTIOt Office Hours 9:00 a.m. -4:30 p.m. • SPECIAL CONDITIONS FOR CASE A BLD03-00235 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property 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. 2.) The applicant is proposing to create or add 1,666 square feet of impervious surface and 671 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to Best Management Practices (BMPs). 3.) 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. 4.) 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). 5.) The building height is not to exceed 35 feet. 6.) Minimum setback from Old Gardiner Rd is 20 feet. Minimum side and rear setbacks are 5 feet. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 8.) A minimum of two (2) on-site parking spaces are required for the single family residence. 9.) This parcel is a legal nonconforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 10.) Old Gardiner Rd (C501409) is a county local access road. The road approach is existing, and an address of 1473 Old Gardiner Rd has been assigned to the parcel. 11.) A septic permit(SEP93-00371)was finaled May 28, 1997 for a two bedroom system. 12.) The revised site plan as submitted with the building application on April 30, 2003 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 5, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a single family residence 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. is\F_BLD_Permit_Buildng.rpt 10/29/1999 • Jefferson Oty Oeartment of Community w iri moot '. N h°oo ree 621 Slmridan Stt,Port Townsend WA 08368[3601378-4450 0 W '"" `n� r3 0 n 0 Per_ m. (1 App .. °COT 0 On APR 1 2003 Project Description: Building Type: Project Type: Frame Type: IS Single Family 74. New [7K Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ 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: 2 _ Proposed: 2, :Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: Heat Pump �^ ❑ Conventional ❑ Alternative ❑ Other Permit# SEP q?j-37 Water Supply: /� ❑ Private well ❑ Two Party Well g Public:Name of water system: A #� D.:&f�esem Cctp,�f�-),/ Square Footage: For Office Use Only Main Floor / (/ 7/ 1 6 Dig- Consistency Review 47.00 2ND Floor 2 7 13 5(2- ? , Base fee Et I(D -q S 3rd Floor Plan Check fee—65% Htd Basement State Surcharge fee If" .354 l( 60T. i 9 r II117 Unhtd Basement `� Subtotal $c�. `t" Garage/Carport ' P � - �= Pot Water Review fee �j t - 00 Decks [?1 I l 911/Rd Approach fee � Cif Commercial TOTAL '' II- 4=1EgIET I q15`±? Industrial Receipt# �t 3 Other Cash/Check# cDo-2—I S O 4 0 Total Valuation: Initials Or //.$, 9 90 Date 4 f VL 103 Estimated Cost: �t � .no -n--6f'lz 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 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 acce d right of entry to Jefferson 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 applicant's property or structure shall be requested and shall occur during regular business hours. ��// Signature: (3- Date: -(4 C ''3 Z/ O ' R H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 • 'D DC) CO ZC `ZI p ZL p i 1.3 y 0 o c w O > O m m H c Z - •• IIP3 0 Z � j � ? � � (� O nP O ., v� apk r" 00 r� � NN 'i r0 rp „' c r � o I fl via, XX X r m NmX N Amy oacn � � 00 WCh Zvi x Cry -7 r 'V ,,°i � � 3 °' Div `" y ZNN mT (n 0- n*i r4irN- (40 Ak '*i m � Z 12. o O o . 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