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BLD2009-00256
• 1116 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 #: BLD09-00256 SITE ADDRESS: 1632 KALA POINT DR Issue Date: 09/3/2009 PORT TOWNSEND, 98368 Final Date: 8/16/2010 APPLICANT: CATHERINE M WHITE PHONE: 360-385-7156 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 SUBDIVISION: KALA POINT#8 Block: Lot: 328 PARCEL NUMBER: 965000287 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: CRAFT'S ROOM ADDITION TO EXIST SFR 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 8/16/2010 I:\F_BLD_Occupancy.rpt 10/29/19 IU ILDING PERMIT APPLICA•N MRAOW00p 63 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00256 Received Date: 8/5/2009 SITE ADDRESS: 1632 KALA POINT DR PORT TOWNSEND, 98368 OWNER: CATHERINE M WHITE PHONE: 360-385-7156 1632 KALA POINT DR PORT TOWNSEND WA 98368-9532 KALA POINT#8 SUBDIVISION: Block: Lot: 328 PARCEL NUMBER: 965000287 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 7/28/2009 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTIOI' CRAFT'S ROOM ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 169 VALUATION 17,230.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 0 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $293.25 LYK 08/05/09 110684 APPROVErPlan Check $190.61 LYK 08/05/09 110684 State Building Code $4.50 LYK 08/05/09 110684 SEP 3 2 009 Total: $488.36 Jefferson County Planning &Building Department Jefferson County Building Dillon Permit Numbs BLD09-00256 Applicant: WHITE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 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 Foundation Footing q/b-txr94_ r-t(I t i RR 6.4.c. to E7cirr 6:1 Fcmx t2 Footing Drains Foundation Stem Wall Dr-so +to A ISh� tr- Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Framing c n Airseal Insulation:Walls 10-tQ-0`i Insulation: Floors Insulation: Ceiling Ip.-I`t_Oct Int. Shear Wall Nailing FINAL INSPECTION $.,`(fl,,Id �J FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD09-00256 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 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. 3.) This parcel is within a no shooting area per JCC 8.50. 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.) The building height is not to exceed 35 feet. 6.) Minimum setback from Kala Point Dr right of way is 20 feet. Minimum side and rear setbacks are 5 feet. j 40Ni° V � JEFFERS•COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT y 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450• 360/379-4451 Fax Yq p) www.co.jefferson.wa.us/commdevelopment SMO1 Master Permit Application MLA: Oct — Project Description� (include separate sheets as necessary): ft2UO C)alnJl- , (C.i4Ar-F.T4:1. Roc,; ) Tax Parcel Property Number: 'bS ()00 2137 Size: 1 Z /lc-R(4' (acres/square feet) Site Address and/or Directions to Property: I 10-""i Z l4, t_ PT . Pg.- ?? . Taw ASt-yo 1,�,•y r Property Owner(s)of Record: C.irf*jU r ILet.u-I Wr}l TE Telephone: (pa • 38 5 i i 3 L. Fax: email: Mailing Address: I(ct 3 2 V Md- Pr 'D Q. Pr. 1-0ti-5&7..41 (,,,,rip. 9 8 3(be Applicant/Agent(if different from owner): EZt..gt S NI tZO S /r.G . Telephone: '--/-,6i)— 3$ $- ,r S V Fax: i,b D - 3 ii 5- ! ) I z• email: Mailing Address: ZV U 'tt4 1 , T'T . '" A . Pr. TUIw►-StrA-ot WF q1 a 3t( What kind of Permit?(Check each box that applies) U Building J Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit J Conditional Use[C(a),C(d),or C]*' y[Single Family — i'''1 J t¶ b\-1 J Discretionary"D"or Unnamed Use Classification U Garage Attached/Detached J Special Use(Essential Public Facilities)'* 0 Manufactured Home I Boundary Line Adjustment AUG - 5 2009 U Modular J Short Plat*' U Commercial* J Binding Site Plan** U Change of Use J Long Plat** U Address l Road Approach J Planned Rural Residential Development(PRRD)/Amendments** U Propane J Plat Vacation/Alteration*" U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management J Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* J Jefferson County Shoreline Master Program Amendment U 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 V.YLLE� NP L�s /r.10o act as my agent in matters relating to this application for permit(s). C-OWNER SIGNATURE l . Date: — 3 ^ /" / 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 re uired later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. �/Cl Signature: Date: 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-tran�fgrable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: g' ^,"3 ,_ al C:\Documents and Settings\rnochil\Desktop\Master Permit Application 7-8-04.doc • • 1 BUILDER STATEMENT 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. Signature: Date: GENE CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: S h( E tc S �r� (3c()) 3S —1 IS( , ( ) ,38-5—3) 15 MAILING ADDRES : .. k/ EMAIL: CONTRACTOR'S LICENSE 1 t WAINS NUMBER: eLLG-sT t5(`�c_F-- NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New '1Alood Existing: .Z ❑ Sewer Addition 0 Steel Proposed: Bank 11 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: ,4 Individual Sys em Li Repair ❑ Masonry `�SEP Permit# c L_y 1 Bedrooms: ❑ Demolition ❑ Other: Water Supply: Existing: 3 Setback: Private well ❑ Two Party T of Hey Proposed: LI'P lic t-r {-1iFir 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated "- -._ 2 I C 1 c,, C . EH$Id App Review: ---2- Floor Heated v - - Consistency Review: Other Heated Base fee: CQC6 Mezzanine Additional Section: Heated Basement Plan Check fee: I O Unheated Basement State Surcharge fee: 4 SD Other Unheated Pot Water Review fee: Garage/Carport / SUBTOTAL --74. Decks 911/Rd Approach fee: Other ' S� TOTAL: $—TN 3( • l Receipt Number: l I O !fU4 Q Cash/Check Number: � U I ig a32 ' ESTIMATED COST(REQUIRED) Date: �. _^ •Fair market value of all labor and materials foundation to finish Q,,`"1`1T"'f--f) iCCO Initials: } rc-----t-e- 1-4 M — _ `‘o p gg oil? 19 & <71 ��t C+4 I ►+� - d '` iz 3' ' io . >4.4.v.44,„„ na+. vol _ 1-F ' 7b Fie Pa- ?IP N e--- ► � C Ct 'r e `f , " I IK16I _ I tp i2 4 . vi - 3 '� a�a ( t 0. P�b ;o I �o Lo4- 3,2-8 4 0-4 li'r, '3v v N gci-b. 40P�'g '� : Q sw AUG - ;'Our *4%S 0002el I' - 4 t- h_ ,� v 10, f 1 0 K.� Poi f111 O 3 ST •-› S.'''`� N °AP�'RwE® , Gpg • pg. kiA © SI�['E PLAN r `b ��pr-� WA equi SEP 3 2009 ? RrEd te� s /aT3�g ' 4, v)ut JEFFERSON C OUNTY DEPT.O '�'�, U I Y DEVEL M SIGNATU • or e, -- • . / 1 '- ,' / 3/O-5/O 13ot,5161, ..... ............ ......................... -8 Q o / 12'-4' 0 N - o O new vaulted ceding . N t .o. N • existing beam .. existing beam 0 .• I .: \existing flat ceiling existing wall Nisting Col d►'a-ck :; il -----'.. \ V2/6-6/10F12 Yi4+inq Notice (owner provides) existing wall existing wall HInnr plan I/4" = I' AUG - 5 2009