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BLD2006-00294
• • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00294 Received Date 05/24/2006 SITE ADDRESS: 1770 SWANSONVILLE RD Issue Date 06/21/2006 PORT LUDLOW, 98365 APPLICANT: DONALD TRUMBLE PHONE: (360) 437-5192 SANDRA M TRUMBLE 1770 SWANSONVILLE RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 821053005 Section: 5 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License: TOWNCPF099LT Expires: V§6/Mot691 PROJECT DESCRIPTION: NEW POLE BUILDING/STORAGE BUILDING - NO PLUMBING - NO HEAT CALL IN FOR THE REQUIRED II4SPEc T,IONS THAT APPLY TO YOUR PROJECT. SETBACKS: IJe�C oG ,lY UFFER: Aia Footing: e-/W ayzz/ (P6r /4/o1-- c Foundation: SCAR Stormwater FINAL Approval: Underground Plumbing: N/A Underground Insulation: IVA Shear Wall : Sheathing: Framing: ( 41- 1 � 1) , Plumbing: N/A Propane Tank/ LO es: /V/A Insulation: OVA Sheetrock: P/A Septic Sytem Final Approval MUST be obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: $ r /1/3-2/01 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED RIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HC)URS 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 ItILDING PERMIT APPLICAT N MLA06-00272 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00294 Received Date: 5/24/2006 SITE ADDRESS: 1770 SWANSONVILLE RD PORT LUDLOW, 98365 OWNER: DONALD TRUMBLE PHONE: (360)437-5192 SANDRA M TRUMBLE 1770 SWANSONVILLE RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 821053005 Section: 5 Township: 28 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE B LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 06/30/2007 REPRESENTATIVE: TOWN & COUNTRY POST FRAM PHONE: (425) 743-1555 TAMARA 16521 HWY 99 STE B PROJECT DESCRIPTIOP NEW POLE BUILDING/STORAGE BUILDING - NO PLUMBING - NO HEAT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 20,515.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 1,152 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 5 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $335.25 KAS 05/24/06 8:3416 Plan Check $217.92 KAS 05/24/06 8:3416 JUN..1 2006 State Building Code $4.50 KAS 05/24/06 8:3416 Total: $557.67 Jefferson County Planning & Building Department artment 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 #: BLD06-00294 SITE ADDRESS: 1770 SWANSONVILLE RD Issue Date: 06/21/2006 PORT LUDLOW, 98365 Final Date: 11/22/2006 APPLICANT: DONALD TRUMBLE PHONE: (360)437-5192 SANDRA M TRUMBLE 1770 SWANSONVILLE RD PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 821053005 Section: 5 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW POLE BUILDING/STORAGE BUILDING - NO PLUMBING - NO HEAT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes Co.) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/22/2006 \Q(410() Building Official Signature Date .(tov\•00k.i ) I:\F_BLD_Occupancy.rpt 10/29/19c ' • • �) 1(a ( ifd� ,r•-t yr i sj� • ) lellike> JEFFERSON COUNTY CSTA DEPARTMENT OF COMMUNITY DEVELOPMENT H"Y c) ,i 2 s 621 Sheridan Street • Port Townsend •Washington 98368 ju 360/379-4450 • 360/379-4451 Fax p Af ri,i }� �} 1gN0�0'P www.co.jefferson.wa.us/commdevelopment JEffEASCN CGUN 1 I)CU Master Permit Application MLA: O(t- al Project Description(include separate sheets as necessary): +rvd- 1 -- 24 x Li /O vf� n - , Tax Parcel 0(�7 Pro rty _ Number: Q CA I Size: to -©(..o acres/ quare feet) Site Address and/or Directions to Property: j.7-7 on 5M)�,O,50n ,/l/e /n r t fro u Property Owner(s)of Record: ()O;/) it t4 T! Telephone:A)-''13-7—61 9 7 Fax: email: Mailing Address: Oa JYA2! Applicant/Agent(if different from owner): ,�,�d ' ✓ Telephone: Z r `� Fax: Z e a ��fi,,a. Mailing Address: What kind of Permit?(Check each box that applies) ❑Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]"* ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage Attached Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** • Commercial' ❑ Binding Site Plan** • Change of Use ❑ Long Plat** U Address I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments*` ❑ Propane ❑ Plat Vacation/Alteration*" ❑ Allowed"Yes"Use Consistency Analysis 7 Shoreline Master Program Exemption/Permit Revisions"" C Stormwater Management ❑ Shoreline Management Substantial Development"* C Site Plan Approval Advance Determination(SPAAD)* = 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: -.XDESIGNATION OF AGENT I hereby designate to act as my agent i �mattttters relating to this application for permit(s). OWNER SIGNATURE 2 MC 0( {SC A Vre. Date: t , j 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 attorneys 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 pr ' e access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and an equi d later ins ect ons. s "d right of a ,, this property shall be requested and shall occ only du ng regular business hours.Signature: 1f ( AL_ Date: y7 6 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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: • • zcvox 06. JEFFERSON COUNTY ia iIA Vr' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 MAY ' 360/379-4450. 360/379-4451 Fax t'!.�.i Pi SH IN 4Q www.co.jefferson.wa.us/commdevelopment ! Master Permit Application MLA: Jf I f f h1 l N LitiNfy (J CQ Project Description(include separate sheets as necessary): Tax Parcel Property Number: Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: Telephone: Fax: email: Mailing Address: ApplicantlAgent(if different from owner): /et rA" yPti-1' Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑Building ❑ Variance(Minor,Major or Reasonable Economic Use) Q Demolition Permit [1 Conditional Use fC(a),C(d),or Cj ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached I Detached ❑ Special Use(Essential Public Facilities)'"' ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* Cl Binding Site Plan** ❑ Change of Use Cl Long Rat** ❑ Address 'Road Approach CI Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions'* ❑ Stormwater Management Cl Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* CI Shoreline Management Variance ❑ Temporary Use CI Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment ❑ Forest Practices AcURelease 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 /a fr)---in P-w Ileer�5 to act as my agent in matters relating to this application for permit(s). 9 OWNER SIGNATURE ��i A—'" pe - Date:_fit/_/06 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 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: Date: 17202 6 The action or actions Applicant wilt 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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: � �c/�i_� Date: 9/j7/0 6 C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc ' 05/10/2006 11:50 3603 51 JEFF CO DOD • PAGE 03 • 06/09/7006: 15:44 42574 437e PERMABILT INDUSTRIES PAGE 04/07 I 1, • ... MAY f) x etelse' OWNER[SIMPER STATEMENT 7 -'^e 5tgner of tlls steteRtent doog hereby certify that they are the Owners of the parcel referenced hsraln,that they are not licensed contractors and that Ivey will be assuming the response $Itty of the General Contraptor for the proposed project. J [[ , S!gnature: Date: E f f L I I I I ! li i t.I i U U j GENERAL CONTRACTOR OR MANI IFACTURQD HOME INSTALLER:eR; PHONE; Fnx: IIII ( 2 ) 7l5'j ( 7y ,/rNLfN4 A017riE89; EMAIL: i CONTRACTORS LIcENa / L L.L 1). /� WAINS NUMBER: o7 NUMBER • ARCHITECT/ENGINEER: PHONE ( 4 ). + ,MIZIrr 7;tg. MAILING ADDRESS: EMAIL • "'raiect Type: E me Type: Bathrooms: Shoreline: Type of Sewage Disposal: , yew Wood Existing: C Sewer Addition Steel Proposed: Bank Q Community System Alterationmerrrodal L Concrete Total: Height: individual System 0 Repair GI Masonry SSP Permit ff o Demolition ❑ Other: Bedrooms: Water Supply: Brisling: Setback: Private well 0 Two Party _ale of Feat: Proposed: -er --, _._fr?a'\p Total: _ ID Public Name of System: rj tulis iSi,.a Cuttmtlar tal Project you must answer the following: Ns17,,ber of Parking SpLloes: Current: Proposed: Number of AM Parking Spaces: IumbBr of 000upents(includes owners,tenants,employees,etc) Current Proposed ?SC Occupancy: IBC Type of collstruotlon: Will you have Food Service? Yee / No this Is a Propane Tank stator Appliance Instaiiation_perini$,mark all items below thataDply: Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove i Waodatuve i Fireplace Insert I HOC Water Tank I Pallet Stove I Other Lo this Apgtlence being Installed iris Manufactured/Mobile Home? Yes / N4 When applying for•permit to Install a propane tank you must also submit 0 site plan showing all of the buildings,all property Foes, tank location and site,distances from the propane tank to ail property lines,buildings and septic a item corn..nun f:tcIudt', the reserve area. vie EH Bk1 App Review: ' • For Office:Use ■ • 0 Current `""'a • ,!,ec. •....?':'`i. r, 4 oln Floor • • :_ • C� Consistency Review: I��} ���t/�� Fi : r .82 Base fee: 5, 5 ... � poor J ulooc Additional Section:7,7 ____^ i^ezzeninC: 7,_ `-?- ''pl; Plan Check fee: (� ari , '^gated Basement i, S State Surcharge fee: t 50 : Unheated Basement P. Pot Water Review fee: _, j Other.Unheated �: SUBTOTAL /_r-�1 �/�}f1� tM1� ' V, YJ, ) Garage/Carport ... /f 5-r?ler 1 511.. 1 0 911/Rd Approach fee: , iock5 `[ J � �t �t r+ fk TOTAL; $ G (')• Cb er - r w.sTlm o _ D Receipt Number: %3 L I I , , foundation to finish Cash/Check Number: �1J rr tni gL _ Data: C:\r:pcuments and Setting\mncF+;1\De ktr,p\Montt Permit Applituuti,.,n 7.9.04,dee ' Initials: . • • OWNER BUILDER STATEMENT ,; f y The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. ►d'AV to 4 r rs r Signature: Date: JLrrcGENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: i. F,x:;, (YZ5) 2V•3 i 5 (9737V.th3723 MAILING ADDRESS: EMAIL: pe m; --5 i3 form j/e/J't/f CONTRACTOR'S LICENSE l Q� (f 1) - WAINS (`' NUMBER: lip/_ 3 ©7 _ �✓ NUMBER ARCHITECT/ENGINEER: -- PHONE ( Ltd)9 666/ FAX:(92$)54v�� 71 MAILING ADDRESS: EMAIL 7 O �v 7/lsJ /lS AProject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New X Wood Existing: 0 Sewer ❑ Addition Steel Proposed: ... Bank ❑ Community System ❑ Alteration/Remodel u Concrete Total: Height: lie Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: )1( Private well ❑ Two Party Type of Heat: Proposed: _&- Public /00-rk t.../ Total: 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,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/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 Base fee: 3ro Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport // ) TOTAL: $ Decks Receipt Number. Other Cash/Check Number: ESTIMATED COST(REQUIRED) Date: .F market value of all labor and materials foundation to finish c20 6/ )-a2-- Initials: C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc SPECIAL CONDITIONS FOR CASE A BLD06-00294 1.) 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. 2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 3.) 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). 4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 5.) Minimum setbacks from Swansonville Road and Reuben Johnso Road rights-of-ways shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 6.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 7.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 8.) The building height is not to exceed 35 feet. 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Y' /�J 9 TLP wl—a o ��L) in own &— Z CLEAR SPAN/GRID o design /I_ AdY FRua.A.B.t COMBINATIONS aPP�wdn EM :30(). (�tJv / Quality: Our Future Depends On H.• date 9/29/04