The URL can be used to link to this page

Home My WebLink AboutBLD2005-00744 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD05-00744 SITE ADDRESS: 104 COOK AVE EXT Issue Date: 12/6/2005 PORT TOWNSEND, 98368 Final Date: 4/6/2006 APPLICANT: DALE R WURTSMITH PHONE: 360-385-6379 SANDRA WURTSMITH 1612 HASTINGS AVE W PORT TOWNSEND WA 983689213 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001043003 Section: 4 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW ATTACHED GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes Cr~� THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/6/2006 }a- old s(Act -4)1OO Buildin0 Official Si at J Date I:\F_B LD_Occu pancy.rpt 10/29/19 alUILDING PERMIT APPLICA•N B RDOe 00w p44 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00744 Received Date: 11/30/2005 SITE ADDRESS: 104 COOK AVE EXT PORT TOWNSEND, 98368 OWNER: DALE R WURTSMITH PHONE: 360-385-6379 SANDRA WURTSMITH 1612 HASTINGS AVE W PORT TOWNSEND WA 983689213 SUBDIVISION: Block: Lot: T 58 PARCEL NUMBER: 001043003 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License KOZELHS027C3 Expires 1/6/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW ATTACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13,576.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 576 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: (3o1ct Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $237.25 SLE 11/30/05 77464 APPROVED Plan Check $154.22 SLE 11/30/05 77464 State Building Code $4.50 SLE 11/30/05 77464 Total: $395.97 DEC 2005 Jefferson County Planning �Building Department -�'�,�V\-�� S, St • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00744 Received Date 11/30/2005 SITE ADDRESS: 104 COOK AVE EXT Issue Date 12/6/2005 PORT TOWNSEND, 98368 APPLICANT: DALE R WURTSMITH PHONE: 360-385-6379 SANDRA WURTSMITH 1612 HASTINGS AVE W PORT TOWNSEND WA 983689213 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 001043003 Section: 4 Township: 30 N Range: 01 W CONTRACTOR: JAIME KOZELISKY PHONE: (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License: KOZELHS027C3 Expires: 1/6/2007 PROJECT DESCRIPTION: NEW ATTACHED GARAGE CALL IN FOR THE F3EQUIJ Ep INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS:V'. /<<)/()' UFFER: Footing: /�/!%'> Foundafion:tII t3Ar' Dr, --07514 Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing:! / Framing: 3/ ,/L Plumbing: Propane Tank/Lines: Insulation: Sheetrock: Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval L//(s 6 HEALTH DEPARTMENT ND PU LIC WORKS APPROVAL REQUIRED PRIO R OR 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. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE • • SPECIAL CONDITIONS FOR CASE t BLD05-00744 1.) 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. 2.) 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Minimum setbacks from Hastings Ave W and Cook Ave Ext right-of-ways are 20 ft. Minimum side and rear setbacks are 5 ft. 8.) A minimum of four(4) parking spaces are required for the single family residence and accessory dwelling unit (ADU). 9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. I:\F_BLD_Permit_Buildng.rpt 10/29/19 Kt � 6ra ,a JEFFEFN COUNTY 1 I 1 j a � - a' DEPARTMENT OF COMMUNITY�EV T ( , `Q 621 Sheridan Street• Port Townsend •Washington 983681 360/379-4450 • 360/379-4451 �qsp'� www.co.jefferson.wa.us/commdevFaxelopment SIN Master Permit Application MLA: C5 - k9 i Project Description(include separate sheets as necessary): e 4itao/et: � - LL'h l%fewtXet /Ii ,Ati,4,iiT Tax Parcel / l •'") , / Property C Number. CO/ QyD66 ,5 /Size: rES (acres/square feet) Site Address and/or Directions to P rty: /D L, 0- �U �/ Property Owner(s)of Record: a. (� y- L� _y1f..rd Ll�' -ly2i 7`l T Telephone: - 3 ' - -3' Fax:4 PLC 3(? '~ )email: /7/.S—SGL i?� C'..{�10/'y12r�i,E Mailing Address: /(�'/& GC ti/1 S /Z, / )e ct., j G t 1 r 4Se-,? tti q,c',`wi .- .� ,i Applicant/Agent(if different from owier): Telephone: Fax: : ' email: Mailing Address: What kind of Permit?(Check each box that applies) XBuilding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑ Single Fami ❑ Discretionary"D"or Unnamed Use Classification Ri Garage Qiittached I!Detached 0 Special Use(Essential Public Facilities)** ❑ Manufactured Home 0 Boundary Line Adjustment 0 Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate ��i r I to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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,her or it's 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 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 arcs and right of elitry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and arwequired later inspections.Amess and right of entry to this property shall be requested and shall occur only during regular business hours. Signature /6��,, �—tZ -JU /f C�(�lij Dater1 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with they Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trarosfe le respo ibility for a tiering`,to and ,c—ofn n i h g,w , e ESA. The Applicant has read this disdai r and gns and dates it below. Signature: JaV/'1.�:,1_r? , f -1- i t Date: /U /? G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc CLI-7 ct 1.- r.t.1 (_-_,, III v • OWNER BUILDER STATEMENT The signer of this statement does hereby er that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as�Uming the responsibility of General Contractor for the proposed project. Signature: _ )C7.�l .,�, 11.; ,jl_,,...--(.,ffy % - (4 Date: /L /G/GS_S— GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:/ FAX: MAILING ADDRESS: - /0 A `5 tcu..,U 4/` 4.4,- /&L• EMAIL: CONTRACTOR'S LICENSE 5;t"T'y- 2 je V INS , /� NUMBER: ( 0/•- -?(a 5-,. 5D !f NUMBER W/7MA(J G.,,.. (v ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,&New &Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: tC' Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: (A) Heig t• ❑ Individual Systppl/4 Repair ❑ Masonry SEP Permit# fG ❑ Demolition ❑ Other: Bedrooms: - Water Supply: Existing: L Setback: ❑ Private well ❑ Two Party Type of eat: Proposed: ' ❑ Public /?Hp7i �'Total: C) Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employee , tc) urrent Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installati t, ark all items below that apply: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ ire ace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed Amount Main Floor Consistency Review: __, 2Nu Floor s Base fee: 3`d Floor q,`_.'sj `aAdditional Section: ( 4J Mezzanine: may', i Plan Check fee: L t a 15 1 Heated Basement j c"' ! State Surcharge fee: !`I 5 Unheated Basement ''.��.-��i Z Pot Water Review fee Other Unheated ‘31\, ._._--- 9.illRd Approach fee: E y 5-7 f 1351 f TOTAL $ 1 Garage/Carport /- � 1 � � ? Decks (� r7i`-�) i�� I __ _. Receipt Number: l l 4 Other Cash/Check Number M 1 i try 3 ESTIMATED COST(REQUIRED) Date: { •Fair market value of all labor and materials foundation to finish1 T)0(U f..-) l L. 000 Initials: } _ G:\PcrmitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc O rn �' z • A i'eh -.e. on . Mgi I , 1 ' t -riftITELliiatia=cimiltiCILL41 ' , ' , It ' I . - • r ® �,-I r. ..3,aumseailis= =mmintripimmilmmi _' hiiNL. i 1 h . • , 1 milki llimetsal g >x I, �- _ - ® • fit. .=2 ,0s. i 7(P A1 L--,i;•,- ',,I,... .4','i.. . -,-..---..- . ...„ • , , : 1111 it, 0 , iLl i;lb :IP t w, ,,,t,7:rill piEl 1 , ..1..N.4 N ...* 1,_1. I y, 1J#V al, . % ...f _ ..4___:' '71fa. 074111e..., P •IL-4 A_ __i_ , IL1I!!'! _._ 0 3 ,$Lui to 7--� — — - �- I i—- - Lru jTI I ih. 1 , , - DFA ;,._ L_. ; L _i_ J _. .•___ k ' _ . . • __L____i_ _i_ i. _f. , . I : - --1- - s,_ i 1 • 1-= ISh -I•- p-i i , , , • , • - • 1 , , - .. : --- • A ; j i_ I - - --+- - -I ! I ---I L I • i - +- -a --!---;- _ _ •' 14n I 1I- I— 1 • �- .1__ 77HJH I - r' I 1 1 I i J� * ;____I Lcio 3sioI,� I I I , r ; I 1 ! ( ij..41. i. • ; .,„,,R ! 1 •i , , r - i 4 a -- I I 1 I .•� 1 I XItt pi Kis' i - .'I I : O ft 1g ___ ___ ._._..____—___ _ .__ _. __..• ...... ...... .. .._._. 1 - E , i I I I I L r �` it , I I � _ ; • 1 --II- J L I ,_ - I - -- ' -I .. -- 1.-_1�1 t.t• I 1 , ; 1 7 I 1- i I I -} - I I I I I � � I I I� ..I }� -i- - - "'MAR I}ih..' �j' •z ' _ i I .L_ . 1 - d�) 4u JGtlP000�W's� .' ■��I.■ / - _' — I. — — —�— a - �■ - "� "7, as r rn • 7 � a 1 All I . . , _.., f ' . . ...._.4 I _ II 1i I _ I I A. 1 --I'-'------1-- -1-__ _ I 12 , • = I I T • i I - 1.._... I_._ I � I Ijt1 I — jli, I rti I — r 1 W i J rn _. I 1IIT_ 1_ 1 - ' I-- - — d - I rn O �. f I II I z -- I "',,,c11 " 4 _--rt rn ----T- CJCc�Js.� • 1 I I I- - -j _ ' I — ®— — — ■ i 1 r . 11E I ii IF er -+- L • 11111 j * . 111111, r , H L- -a -- ...--- -1 F ERS N COU II. .. V:.........!". rim .... �� - - a - I — lIE4 DEFT.OF CQ' MUNIT'= ` 1111 _ ■ �� _ j • I .., - __L_ ; I — __ .