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Home My WebLink AboutBLD2003-00485 • • BUILDING PERMIT APPLICATION MLA03-00436 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00485 Received Date: 8/4/2003 SITE ADDRESS: OLD GARDINER RD SEQUIM, 98382 OWNER: WILLIAM A ROOKARD CHRISTINE M ROOKARD PHONE: PO BOX 2445 SEQUIM WA 98382 SUBDIVISION: ROOKARD SHORT PLAT PARCEL NUMBER: 002344017 Block: Lot: 1 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: ESTES BUILDERS PO BOX 1377 PHONE: SEQUIM WA 983882 Contractor's License ESTESBL981 DL Expires 4/1/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 235,519.00 MAIN: 2,669 CODE EDITION: 1997 ADD'L: HEAT TYPE: HTP HEAT BASE: HEAT TYPE: OCCUPANCY: R_3 OCCUPANCY: UNHEATED: 1,525 #OF STORIES: CONST TYPE: 3N OTHER: CONST TYPE: GARAGE: 848 SHORELINE: DECK: 836 SETBACK: SEWAGE DISPOSAL: CMY BANK HEIGHT: WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Bst: STORMWATER: YES NO AREA Exist: Wetland Prop: 3 Prop: 3 Erosion Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: F&W 6 Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Permit Approved/Date $1,755.35 MJA 08/04/03 58259 Plan Check $1,140.98 MJA 08/04/03 58259 State Building Code $4.50 MJA 08/04/03 58259 Potable Water Application $51.00 MJA 08/04/03 58259 Total: $2,951.83 ItUILDING PERMIT APPLICA4N MRAOW00p 36 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00485 Received Date: 8/4/2003 SITE ADDRESS: OLD GARDINER RD SEQUIM, 98382 OWNER: WILLIAM A ROOKARD PHONE: CHRISTINE M ROOKARD PO BOX 2445 SEQUIM WA 98382 SUBDIVISION: ROOKARD SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 002344017 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981DL Expires 4/1/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,669 VALUATION 235,519.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 1,525 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 3N GARAGE: 848 SHORELINE: CONST TYPE: DECK: 836 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY 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 Datej/ 0-e:5 ' F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A1R'1 e V E ED Permit $1,755.35 MJA 08/04/03 58259 Plan Check $1,140.98 MJA 08/04/03 58259 SEP 1 9 2003 State Building Code $4.50 MJA 08/04/03 58259 Jefferson County Planning Potable Water Application $51.00 MJA 08/04/03 58259 & Building Department Total: $2,951.83 BUILDING • PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD03-00485 SITE ADDRESS: 2086 OLD GARDINER RD Received Date 08/4/2003 SEQUIM, 98382 Issue Date 09/19/2003 APPLICANT: WILLIAM A ROOKARD CHRISTINE M ROOKARD PHONE: PO BOX 2445 SEQUIM WA 98382 SUBDIVISION: ROOKARD SHORT PLAT PARCEL NUMBER: 002344017 Block: Section: 34 Township: 30 N Range: Lot: 1 CONTRACTOR: 02 W ESTES BUILDERS PO BOX 1377 PHONE: SEQUIM WA 983882 Contractor's License: ESTESBL981DL Expires 04/01/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION: NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE REQUIRED INSPECTIONS: SETBACKS: " - c -o'3 [ UFFER: 7,d--(, [ Footing: C= z _ [ ] Foundation: CoNo C 10- --0� [ ] Underground Plumbing: [ ] Underground Insulation: [ ] Shear Wall [ ] Framing: G0 Al`max,✓ / -# - f 1 Plumbing: / I - 4:6 [ ] Propane Tank/Lines: [ ] Insulation: E 04. 3 f+an/ coo f 1 Sheetrock - .a [ ] Septic Sytem Final Approval: f 1/ Zoning Final Approval: Vf Final/Occupancy Approval: HEALT EP R NT 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 INSP Office Hours 9:00 a.m. -4:30 p.m. ECTIONS. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOR CASE # BLD03-00485 • 1.) The application was reviewed by the Jefferson County Department of Community Development staff on (date)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: eagle buffer, at risk SIPZ, and stormwater. Site visit conducted on 9/15/03 wetland/drainage easement located along Old Gardiner Road as depicted by Rookard Short Plat. Proposal is located away from this feature. 2.) Shelly Ament with WDFW indicated that an eagle plan was not required on 9/15/03 3.) The parcel is located within an At Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. An At Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses between 100 mg/L and 200 mg/L (milligrams per liter). 4.) MANDATORY MEASURES FOR AN AT RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. Water source is from public system (PUD) 5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) The applicant is proposing to create or add 4,267 square feet of impervious surface and 8,600 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 stormwater plan for a medium project. A stormwater plan has been submitted and approved on 9/15/03. 7.) The project shall adhere toe Best Management Practices (BMPs)to ca't5trol 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. 8.) 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). 9.) Maximum lot coverage is 25%. Lot coverage is the same as impervious surface which includes structures, gravel driveways, etc 10.) The building height is not to exceed 35 feet. 11.) 20 foot setback from Old Gardiner Road (front/north), 20 foot setback from the private access road (side/west), 5 foot setback (side/east), and 50 foot rear setback from Highway 101. Setbacks are measured perpendicular from the property lines or edge of easement/right-of-way(whichever is greater)to the proposed development. 12.) Two Parkings spaces are required. This requirment is met by garage& driveway. 13.) Parking requirments are being met by the garage& driveway. 14.) A 20 foot wide non-contamination vegetation buffer along the southern edge of lot 1 is required as part of the Rookard Short Plat. Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 15.) The site plan as submitted with the BLD 03-485 application on August 4, 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 September 15, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) This approval is for a single family residence with an attached 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. 17.) TANK ONLY PERMIT MUST BE APPLIED FOR AND FINALLED PRIOR TO FINAL INSPECTION OF THIS PERMIT. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 1" - -� - I • ..�. Jefferson County Department of Community Development - �, 621 Sheridan Street,Port Townsend WA 0836813601370-4450 " '-el rif 0 0 ' 41,.. r.'s. ti Pe-i 1 ID Applicat j- orn f.,,,,, ,,,, ,„., ,0 N,,,,,,„kris,,,,,/ JEFFERSON COUNTY DCD Project Description: Building Type: Project Type: Frame Type: v Ingle Famil t5ew 'flood '✓Garage ac ed 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 SystemV Electricity Oil Proposed: 2 YL Proposed: 3 Individual System Woodstove Propane Total: 2 'L Total 3 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 U lt, ' I — 504 C 0 Square Footage: ^� For Office Use Only .Q Main Floor 2.(oG i /71 t o�3.3. ' Consistency Review 2ND Floor Base fee I 1. t 5. 3 3td Floor Plan Check fee I I -i 0 .9 Htd Basement State Surcharge fee -1•B6 Unhtd Basement I S 2. ( I , 5q 1i Subtotal — -3:7ris 7(33 Garage/Carport '4`g 4 g i q Q21. 3(0 Pot Water Review fee CJ Decks _ 3(D " 16 4 5 911/Rd Approach fee /'i Commercial TOTAL �l 1 O s 8 3 Industrial 1 a . 51% _a. Receipt# 52 a 5 q Other Cash/Check# a Oeo Total Valuation: Initials "b Or Date W I ao 03 Estimated Cost: 2.25 i CeD If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark t I/A 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 attorttey'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 entryto Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right of ent/1) applicant's property or structure shall be requested and shall occur during regular business hours. Signature: -� CS Dat • 7 3O U g e. l 3 OVER ► H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpernutApplication 11-8-01