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BLD2010-00103
I CERTIFICATE OF OCCUPAN Y Jefferson County Department of Communityi 621 Sheridan Street Port Townsend, WAe98368nt (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT#: BLD10-00103 SITE ADDRESS: 21 E CEDAR ST PORT LUDLOW, 98365 Issue Date: 08/11/2010 Final Date: 10/7/2010 APPLICANT: CLARA P WALTON 21 E CEDAR ST PHONE: 360-437-0254 PORT LUDLOW WA 983659740 SUBDIVISION: PARADISE BAY ESTATES Block: 4 Lot: 28-29 PARCEL NUMBER: 983400424 Section: 22 Township: 28 N Range: 01 E PROJECT DESCRIPTION: New Sin le Famil Residence 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 crib THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/7/2010 I:\F_B L D_Occu pa n cy.rpt 10/29/19 Jefferson County Building Dion Permit Nurrr: BLD10-00103 Applicant: WALTON 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 (1, Erosion Control �f` Foundation Footing Footing Drains Foundation Stem Wall (,.4-I Q! Underground Plumbing C7 Q Under Floor Framing e?-25--rJ Oar Straps(hold downs) J` Ext. Shear Wall Nailing 2,tz Rough-in Plumbing "I Framing t , V.i„Ct 'C L' evi) r. G-�� /`��'� 1 /IL>' Blocking Airseal Insulation:Walls Insulation: Floors Insulation: Ceiling 1' Int. Shear Wall Nailing Wallboard Nailing (o._1 Gas Line: Interior Gas Line:Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted IC ).' FINAL INSPECTION IL 1 . V. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I MLA10-00129 UILDING PERMIT APPLIClON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00103 Received Date: 4/8/2010 SITE ADDRESS: 21 E CEDAR ST PORT LUDLOW, 98365 OWNER: CLARA P WALTON PHONE: 360-437-0254 21 E CEDAR ST PORT LUDLOW WA 983659740 PARADISE BAY ESTATES SUBDIVISION: Block: 4 Lot 28-29 PARCEL NUMBER: 983400424 Section: 22 Township: 28 N Range: 01 E CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981BT Expires 2/10/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 81,000.00 MAIN: 898 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE CONST TYPE: GARAGE: SETBACK: DECK: 60 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: f- --- ' Type A unt Paid Bv: Date: Receipt: I Approved/Date Permit $860.75 LYK 04/08/10 117531 APPROVED Plan Check $559.49 LYK 04/08/10 117531 �/ State Building Code $4.50 LYK 04/08/10 117531 AUG 11 2010 Potable Water Application $98.00 LYK 04/08/10 117531 Total: $1,522.74 Jefferson County Planning & Building Department •CONDITIONS for Building Permit# :BLD1�-00103 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.) 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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.) Building setback from Cedar St road right-of-way is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. • • ,40Y- O06 JEFFERSON COUNTY kilo li DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ���, OtSO www.co.jefferson.wa.us/commdevelopment Master Permit Application . - o �3 J MLA: IL- IT! c Project Description(inclu a separate sheets as necessary): Tax Parcel Number: LiII'-J--Lim =L L) Property Size: ( i CO r :'4 j (acres/square feet) Site Address and/or Directions to Property: Q 1 e . Ceo t„/ Ste{t i Pati,i- Lus ltw : kA.rnt- 98cicDS Property Owner(s)of Record: (a A&KA o J,&, a f a"., Telephone: 3(2f -i-f;?—WI? Fax: k)(1fl- email: V.)) I,/} Mailing Address: a 1 E, (IG "/Sh"ct i- i PO.i(' LILA1.t)..) , uifi,A 1 b S i.e5 Applicant/Agent(if different from owner): I-i f&.i tit}ytA , Telephone: 'MI7Li° •Yri ' t0 Fax:3Lt3-37i-II I i email: f' t,h le Mailing Address: iiLI at"- Srj a Pt. ,c , Pev-i' .T-M,vv e,,,A• 64.111 z1 5 l ICI I W�h.�"`151 E��-� I What kind of Permit?(Check each box that applies Building 0 Critical Areas Stewardship Plan )4 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) .Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat*" 0 Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes'Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Please identify any other local,state or federal permits required for this proposal, if known: g `1 / -nnF.SIGNATION OF AGENT I hereby desi na` `Cr to act as my agent in matters relating to this application for permits . OWNER SIGNATURE C���b(�t L X U" /, ( ) J �� Date: By signing this application form,the o er/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its 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 requiredter inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of th application that?he or she wants priol otice. ,,,_�� Date: r Signature: _ / %7 -01 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: 1Ql(j" G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: 6 Li 'ew, colu.aMe EMAIL: •{ Nyiej Q3}, VA.6l,uYwv-:(Iv\-N CONTRACTOR'S LICENSE 1)(70— W r1p33 4, WAINS NUMBER: 14^L LT=1• +yt � t NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )4, New Wood Existing: ❑ Sewer n Addition ❑ Steel Proposed: I Bank 0 Community System 0 Alteration/Remodel ❑ Concrete Total: I Height: X Individual System ❑ Repair 0 Masonry SEP Permit# 73E. Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Proposed: I ' Public Type of Heat: 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: T Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove j 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 T4l t1 t 2a! titt:7 5 it Main Floor Heated v no� EH Bid App Review: �( i o 0 art s�` 2"0 Floor Heated !f� Consistency Review: Other Heated NCI .. Base fee: "LCC 115 Mezzanine f/i4- a Additional Section: Heated Basement N`/f ' Plan Check fee: c5c(', Unheated Basement 6/1- e 24- State Surcharge fee: J ) (^_ 111) Other Unheated //.; Pot Water Review fee: Garage/Carport SUBTOTAL eciLl Decks , 911/Rd Approach fee: �_X($1 Other TOTAL: $1 p _-[Ll �� Receipt Number: 11-11)3 Cash/Check Number: 51071bC ESTIMATED COST(REQUIRED) Date: %I . .Fa' r and materials foundation to finish �T e g/, Initials:: s A. iw I � u G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc a \ D00m -0co OMW -090 0 -1 MmDKwcnDmrn 20DP (no ? 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N —Dim3D0 > %� rr ■ al mzKpGz) IB. ca \ = Z r.?o ? DD� m m Z N'' cn m < z . z ri; Z cn 'n w 3D 0 v G� wL... ___ F rn__I T 60 610 S G.D. 40 36IHS 40 50 HS 7'-0" S 5'-1" / 6'-8" g,-2., '._8, 6'-92,. 3 0 ` / �, 12.-1" 13'-52.,— X 11'52.. / 37.-0" / / (- 0 73 Nv-= W D P �DWF CLAUDIJA '' > * m Z zrerZ FLOOR - °CNm WALTON HiL NE C N O t D PLAN 21 E. CEDAR STREET o D<O PORT LUDLOW,WA 98365 H 0 M E S x�TK c, ,,c m (360)437-0287 www.HiLineHomes.com ` CIO �wm(n J' W ' W ©copyright 2005 HiLine Homes \......._. _ O W IMIIIIIIIIIIIIIIIIIIII.II. . 1 0 ,---- 1,- 1 N 'ON (-N'''' ' 1 \''• CN 1\ 7L ' ''''. ' `•-,- r..1 -,) cr.\ '"",.,1 c 1- NI t ...._, A A ci\ Vs II (.,1 N \) Nt •\,) .,,,,' •--, CIN N 1 ) 'v ',' •-,c) . f \ \ -, H . . - ) i 1 k u, k iti I 0- . 0 1,_, w \ ul rrk . . \ 0 0 1+ 1-1-1(i\• -:1 , . . , . - -- — -— • ...._ _ — - .-2L: -6 ,„ oi\ , . .' 4.) • ' i I • ' 11, -\k. , `t\ \.-‘(I- t. ,___. i'.--t,6— ?. •_ ,, i— 1..., , . . N \.., 'CD . .— --.‘ . . - '.. . — — ' • \ ' 'I ) . 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