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BLD2008-00260
• 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 Al Scalf, Building Official PERMIT #: BLD08-00260 SITE ADDRESS: 1 HOOD HEAD Issue Date: 03/12/2009 PORT LUDLOW, 98365 Final Date: 6/8/2010 APPLICANT: STEVE HUMMEL PHONE: 425-444-9665 10316 NE 185TH ST BOTHELL WA 98011-343 SUBDIVISION: SEVEN SISTERS BEACH Block: Lot: 1+ PARCEL NUMBER: 994000001 Section: 36 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE ALSO A/G 20 GAL PROPANE TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes .no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/8/2010 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Asion Permit Nu : BLD08-00260 Applicant: HUMMEL BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control Foundation Footing geotech and strcutural eng letter to include deck footings and all isolated pads Footing Drains Foundation Stem Wall eng letter Underground Plumbing Straps(hold downs) eng letter Ext. Shear Wall Nailing engineer letter Rough-in Plumbing S nc t J C tudt. Framing d 9 eng letter floor edge's per eng letter Airseal g j j4 !L / k Insulation: Walls r lk Insulation: Floors I 10 AA if Insulation: Ceiling ' /0 Wallboard Nailing 1&1 Gas Line: Interior S(. /Cc jL./ •;I^Jt1 Gas Line: Exterior P "� Propane Tank 6--te-r Heat/Chimney Clearance r_I l o r,/L Drywell/Alt Drainage / SEE CONDITION #1 FOR DRYWELL Address Posted 5' SEE ( rhm 15 - rt or 'FTC�ncd_ FINAL INSPECTION i l l 10 J t. F FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR UILDING PERMIT APPLICAION MLAO8-00289 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00260 Received Date: 6/12/2008 SITE ADDRESS: HOOD HEAD PORT LUDLOW, 98365 OWNER: STEVE HUMMEL PHONE: 425-444-9665 23425 NE 156TH PLACE WOODINVILLE WA 98077 SEVEN SISTERS BEACH SUBDIVISION: Block: Lot: PARCEL NUMBER: 994000001 Section: 36 Township: 28 N Range: 01 E CONTRACTOR: TOMEK'S CONSTRUCTION CO LLC PHONE: 425-444-9665 TOMEK NICZYPORUK 2559 NE IVY WAY ISSAQUAH WA 98029 REPRESENTATIVE: TOMEK NICZYPORUK PHONE: 425-444-9665 2559 NE IVY WAY ISSAQUAH WA 98029 PROJECT DESCRIPTIOI NEW SFR \QVAS'2D SI $log I\L.`_h 1\IL, .} U ( Al- TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 864 VALUATION 200,000.00 ADD'L: 768 HEAT TYPE: WOD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 768 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 832 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 2 Total: 1 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: e P I_�.m, e vE r Permit $1,553.75 AMS 06/12/08 100299 /� Plan Check $1,009.94 AMS 06/12/08 100299 MAR 1 Z-2005 State Building Code $4.50 AMS 06/12/08 100299 Potable Water Application $59.00 AMS 06/12/08 100299 Jefferson County Planning Total: $2,627.19 &Building Department ;/ ^: JEFFE•N COUNTY A.1/4,- Wsi e, 1111 RE C,Ervrpir) %�` O. DEPARTMENT OF COMMUNITY DEVELOPMENT `' 621 •Sheridan Street• Port Townsend • Washington 98368 JUN 1 2 2008 • -, 360/379-4450 • 360/379-4451 Fax Q, www.co.jefferson.wa.us/commdevelopment NW', JEffER _. ' IY 61;11 Master Permit Application MLA: (TY5 - Project Description(include separate sheets as necessary): SINGLE FAMILY RESIDENCE Tax Parcel 994-000-001 Property 16,500 SQ/FT Number: Size: (acres/square feet) Site Address and/or Directions to Property: SEVEN SISTERS DRIVE LOT#1 SEVEN SISTERS BEACH, JEFFERSON COUNTY UVASHINGTON,98365 Property Owner(s)of Record: STEVE HUMMEL Telephone:206.669.7027 Fax: email: Mailing Address: 23425 NE 156 TH PLACE WOODINVILLE,WA 98072-7264 Applicant/Agent(if different from owner): TOMEK NICZYPORUK Telephone:425.444.9665 Fax: email: TNTQIHMAIL.COM Mailing Address: 2559 NE IVY WAY ISSAQUAH,WA 98029 What kind of Permit?(Check each box that applies J (Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** 171 Single Family ❑Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address 0 Road Approach ❑Binding Site Plan** ❑Home Business 0 Cottagelndustry 0 Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre-Applicatiop Conference _ **Requires a Pre-Application Conference Please identify any other_local or federal permits required for this proposal, if known: TOMEK NI Po u DESIGNATION OF AGENT--„ I,hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE - -- Date: ` 2.L - C] By signing this application form,the owner/agent ttes 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 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. J\ 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 iiiiiiiitle access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and anyrequirEtFl later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicaf 1fthat he dr she wa tsprior notice— Signature:__-- _ Date: -- Z� - The action actions Applicant will nde Re,as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead t .a otentjal'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: T4�- ---\\6 Date: \__ 2_ C:\Documents and Settings\carat\Local Settings\"1`emporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc ! , .,_ t fo nt �r►51eCLA IS BUILDER STATEMENT am '3U nr The sig is statem t oafs-hereby that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they wi be ponsibilityof the aL,Contractor for the proposed project. 7-Signature: __ Date: 2� (iEN CONTRACTOR R MA UFAC ED HOME INSTALLER: PHONE: FAX: TOME OM LLC (425)444.9665 ( ) MAILING ADDRESS: 2559 NE IVY WAY EMAIL: 2559 NE IVY WAY CONTRACTORS LICENSE WAINS NUMBER: TOMEKCC951 JO NUMBER ARCHITECT/ENGINEER: BRANDOW DEVELOPMENTS LLC PHONE (425 )802 3766 FAX:( ) MAILING ADDRESS: 14033 180TH AVE SE RENTON,WA 98059 EMAIL DennisBreandow©msn.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 41 New 11 Wood Existing: 0 Sewer O Addition 0 Steel Proposed: I.5 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: /I Individual System ❑ Repair 0 Masonry 20 FEET SEP Permit# 0`Gj -( (Cp _ ❑ Demolition 0 Other: Bedrooms: Vater Supply: Existing: 0 Setback: t Private well ❑ Two Party Type of Heat: Proposed: 54 FEET i.l Public WOODSTOVE 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: ❑Underground Tank °Above ground Tank Size of Propane Tank: Q =- 1 ❑Heat Stove 0 Cook Stove 0 Woodstove CI Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 Current Proposed For Office Use Only Amount Revision ,311?JJ Main Floor Heated EH Bld App Review O - 864 SQ/FT r�'6,W7•<S -1 0 2°Floor Heated Consistency Review. ' 15� 00 768 SQ/FT 5.5i-cow-'''o Other Heated Base fee: 1553.-?5 11.00 C� Mezzanine Additional Section: J Heated Basement Plan Check fee: l t 009 ."1 y"- Unheated Basement State Surcharge fee: r 768 SQ/FT I I i ce35-a0 L i . 5v Other Unheated Pot Water Review fee: ct 5 ob Garage/Carport SUBTOTAL a zci®r I n t a co Decks a 911/Rd Approach fee: I`5 cc,00 832 SQ/FT AO,qG I Other TOTAL: $ 30`I G . 19 15 1-W Receipt Number: 1 00 919 Cash/Check Number: '3 q a �,4 00 ILA c,G59 ` 1 ESTIMATED C� Date: CQ r c al do .Fairs of all labor and materials foundah o finish In CSC ` 7....._ 2.001 Oaa ' , C;t,�) C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • CONDITIONS for Building Permit# :BLD08-00260 1.) 1. Drywell bottoms must be a minimum of 1 foot above seasonal high groundwater level or impermeable soil layers. 2. If using drywells, each drywell may serve up to 1000 square feet of impervious surface for either medium sands or coarse sands. 3. Typically drywells are 48 inches in diameter(minimum) and have a depth of 5 feet (4 feet of gravel and 1 foot of suitable cover material). 4. Filter fabric (geotextile) must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 4 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide 3-6 Volume III — Hydrologic Analysis and Flow Control BMPs February 2005 hazard area or slopes greater than 15% without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and with jurisdiction approval. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL 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 requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) 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. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 1111 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor 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 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Pre-existing legal lots of record less than one acre in size in rural residential districts are subject to the stormwater requirements in Chapter 18.30 JCC and must meet the "Area of Impervious Surface Coverage" to the maximum extent practicable as determined by the administrator. Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Setback from Seven Sisters Drive right-of-way is no less than 20 ft., side setbacks are no less than 5 ft. Setback from the top of the shoreline bank is no less than 30 ft. from the top of the shoreline bank. 14.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 15.) A stormwater 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. 16.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan signed by the property owner on September 17, 2008. A copy of the eagle habitat management plan can be found in MLA08-00289 filed in the Jefferson County Dept. of Community Development. / Y'-0 / / 230-2 3/4• / 15'-3 I/4' / 4'-0. / / I]i-C. / / D'-�• / 3 G I> Z 6. •lr Ai ti 1> 4050 4050 4410 SW- 530 SW-2 1 Z \ - - - : C 1 - — -I Lj� J I 4 \ , I P(J I Or I 1�1 a n ! � S 1; ti 6. eI I a \ a I 606E EXT.SLIDER sm.4-1.4n I+I 4. sut1I I ' s: uro6la w 1 II. i 7 add o \ u \ \ + 4050 4050 4C50 81U-I L • 4. a� tli2L ROOM b \\ —1— sw-1 — - - - - s. \ lit 6 W \T \ D 9,4 n 3t; /Or 4 0. ,f E.-0. / / Ib'-2 3/4. / pxm 8 / D'-C• / 32-0' / 4'0' / '- c 7.-'6a' 4E'-0. S c 484 In a y 44'-0• , 1 3 7 y T,, / 3e'-2 3/4. / I3'-5 I/4. / D Z (>il 0 Al 6x10 DF n \ r v v r ,r r ,r ,- ,r ,r°rr r , ,r it ,r ,r ,r ,r ,r \\ it -70 P I> b 3 6x10 OF n Zn n ,r x if a d • o r n °Ic D. X \\ VI ixl0 DF n e_ —11 i I. i Ei 1 € ii — . I44,�1.u4 owl I. I- o o .3 - i o /.--.1 11Ve F ti z Y :VI it h :VI o A , , � , _ d N N bx10 DP Js F i g r 4 N 4. O 6. 4.1 s o D ' F 6 q 5 i 6 1 .1:7---t________......"------_,.....1z____, a I. 1 0g = . I. 1 x 1,- , 1 r n i : : : ! 1: iiiiiiiiiiii i h i b 6x10 DFn a. n /• r 4. o �^ C q> 6x10 DE X \\\ \ c� Z n II F--, t QQ" �.> Ai , 4'-0. / e'-0. / / l2-0. , 3Y-0' / 4'-0' / C is,...) / 4E'-0' / o a ttli A- \� / \ / a w W V. v PROJECT OWNER. m L BEACH HOUSE o) LOT NUMBER 1 SEVEN SISTERS DR SEVEN SISTERS BEACH WA, 98365 / i \ / ♦ / ') I— J -U m Al r O O 1 6 e r ri I • SW-I F Z \ "I\ I--- --'N - qt R�. / y-0. / n XU n�' _ L 999E _ g 4 T. 8 1 All m 9A Ir 4, WOOD STOVE 6 I E041416T0 ` A S J.1 \ I eW-I NI I \\ =.. --_ - - - _.:1-____ _ __=21=-___ 123E-____• '- H / eI-I. / e'-e. / e'-e IM / I0'-e IA' / ace' / 3240• / 400• In 7r r O O 3 r I I 7 —7 I 7 1 Z1 ,b ir 1 is r Jiiiiiiiiiii :e-VJ 4L2,1 1 11 ill r 0 `\ i A 1 \ O. € _ z I 1 I I I I i N as¢ c . $ .0-1. D os A a —. m v I L i.,_______L. I I f I I I l 1 0 I _ i O 6 A 6`. >2 e4 11 XI —T 6` \ 0 n 6` 1 I 1 .. _ 40�-0. / / \ / PROJECT OWNER: V1 •• ' 7 a 0 ICH L BEACH HOUSE to LOT NUMBER 1 SEVEN SISTERS DR SEVEN SISTERS BEACH WA, 98365 BAYWATER BAY BALLANCED MEANDER LINE N �16'30* E 0 60' 1 ,an i^vil, b° ZI' ---.....i_z„....,_ .pk EXISTING DECK & DOCK EXISTING R GAINING WALL Im ` m CN -.1 D.I �'D0� vJfJ� N ypa9s�r 0� z/ I W D � D m 1am1'J ,,,0504}.1 J Li-hi6p !tin 1 0 tfi © o -ii �1oK�cno4 ,o,Id as1wIQ I g> a-,,N,$;i T)1ar i)•A4 m m c 4-4— h•E a°7'8!J o z D1l r `� N 00 $° •"0p \ 1 'I j `� z�' i zjm O I O I = D D J U) O tliril? - .. O o W � 2 ► rn M m o 0 m n N cn D CO , 7) 0 ^ m .. 1 l ) ;. z 11.3' , z m I ' o o IJ-I 0 -1-1- m z X Jv N �) J 1bI co 4=7* I IP> m C1 m z -‘i--) `J co o u_ rn m M ii O N _1 co 0 m > 0C1� mU� _ O 4 (n -1 c_ I}- -n m co > --n c,- n 73 0 N z 1 1,3.))il --.1cii C) cD O --i-- ix) ui O 4'. C z —I * i D 0 4 Z G) 0I --1 R I O W 0 rn cri (./) 1 C) D r 1 I m I II : _ I N J 0 -11 OD I I - .6 f/2 N o y "d a> 5' SETBACK CK -- Oz �d 0 60.31 ' C"' N 05'47'30" E - ti r � ZLJ SEVEN 15iSTER z S DRIVE