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BLD2010-00209
111/ I 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 #: BLD10-00209 SITE ADDRESS: 250 SADDLETREE DR Issue Date: 08/4/2010 PORT TOWNSEND, 98368 Final Date: 3/30/2011 APPLICANT: PAUL W LOUBERE PHONE: 360-385-7156 FRANCES A LOUBERE 826 N 7TH ST DEKALB IL 60115-2502 SUBDIVISION: KALA POINT#4 Block: Lot: 94 PARCEL NUMBER: 965000088 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 120 GAL PROP 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 ono THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/30/2011 I:\F_BLD_Occu pancy.rpt 10/29/19 Jefferson County Building gAsion Permit Nu•r: BLD10-00209 Applicant: LOUBERE BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 v„1 �� Footing Drains . Foundation Stem Wall r(O \W �r Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing h_/y_jt /Z 1 ll Rough-in Plumbing I(_k_ t p Q Framing 1 1—"No''p Q_ Blocking Airseal I(—it"' Insulation: Walls VT_(D 9— Insulation: Floors f a-1L:=+ f. Insulation: Ceiling t`( I Int. Shear Wall Nailing /p 19_(O, Fly �-cf p'15,4 ?r g 2 t c aCp` dJ Ill Wallboard Nailing , f0 pry 1i Gas Line: Interior /Z t Gas Line: Exterior 3 I Propane Tank 4.136(I Heat/Chimney Clearance II Drywell/Alt Drainage Address Posted 3 (3c\ I( `} FINAL INSPECTION .,�W 1 k FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT APPLIAION MRLA1evi0 OOp233 e: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00209 Received Date: 6/10/2010 SITE ADDRESS: SADDLETREE DR PORT TOWNSEND, 98368 OWNER: PAUL W LOUBERE PHONE: 360-385-7156 FRANCES A LOUBERE 826 N 7TH ST DEKALB IL 60115-2502 KALA POINT#4 SUBDIVISION: Block: Lot: 94 PARCEL NUMBER: 965000088 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 6/6/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,140``�� VALUATION Z5,53,G't-lG ADD'L: 911v4 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: 221 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: -40 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: lion} ggp. SHORELINE: CONST TYPE: DECK: �6 "Kr BANK BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: KALA PT BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,800.15 LYK 06/10/10 117837 Plan Check $1,170.10 LYK 06/10/10 117837 APPROVED State Building Code $4.50 LYK 06/10/10 117837 Potable Water Application $98.00 LYK 06/10/10 117837 AUG 1010 Total: $3,072.75 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD10-00209 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.) 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. 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 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. 5.) This parcel is within a no shooting area per JCC 8.50. 6.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Building setback from Foxfield Drive and Saddletree Drive is no less than 20 feet. Side and rear setbacks are no less than 5 feet. • • / 6'-0" / / 6'-0" / . 0'-0" / ,-, 2/0-5/0 Pic. 0._ \ / VSSZ::::::::5 =5:::::::: :::::::::::::::::::ssz::::::::::::::::t::::::::::::::::::::;::::::::::::::::::::::::::::::::::::::::::::::2:::::::::: ,./ ...6. : I 0 i:1 • i :• ••• ----.. ,- .: — ra.n , -----f.1. 2.'' / •-...‘ I .. 0:4; •••.-:' t..• •Irt .,_I :.: 1Cj 0 :.• 4 •• ••• ... :••• . 13erknom s qci' cl 9 .2::.'. • _ * 1411—scN CH!I • :.... -• •!. .• ---, 3 • 0 *\'''' • .•••:•.•• . $ ..• 0 ip ... , (ince,. , , •.: .:4. . R ,,,,, . .. ,. , .... :,,•.•.•.:. ..., K t 4 41 ••::1 1 :: K Fri CL 2/6-5/0 Csrnti •:i. :• \ i:;:;:;::::=:•X•:;;;M:::::Kw.%%%%•.•.%%%%%•.J i - - ' ,.: K . :••.::, . :4 E Kitchen 9'clq 0 (valtecl ceguti) -- \_ (---°. 0 ‘r l iying ____.\ \ ___ $ \..... ..... •.:, N ii: •••-. ::*:•mrar.wal::;:;:;:;:;:;:;:;:;:; k•,‘ 2/6-5/0 C5ant ::: I :$ i!i:•1 I Pining I (valted ceihng) • -f.- 'S / * 4. ••• A *:".i:!:.?*:*:i:i**:Mi:+*****:+:.!:.+:!*:4*M..*****:!W•:.!:§:.!:+***:i:+:+3M.,:i*IIIIIIIIIIIINC=0**:+*:.!:.!:.t**:;: . 2- a:5/0-5/ •'-0" ,o,._0" u,,,,trnile,4 / / t2, ni-%In JUN 10 iu M tu ain F loor 1,140 Square Feet • • ' 6' 0" / ,',OII 0' 0" / 1/2/6-4/0Pic 2/0-4/0 I'Ic. 3/0-2/6 Awn ��„w/ 2/6NallRd.(n ed) \ M - »------- 5' . "� • P �� h�l w.A Tub/5hwr I r �1♦ c a V 41 k f w.31 111 . i 14'1' 14' 3" ‘p � �ffice/ ®e 0i np efnr Omni 8'cci IOO Mas+er DeArrrrri ,, I O ,; r.Cs' Let // p a e- Is:•:i: 4/0-2/6 Awn. Prey+Trim 0 eclqiN 14'-9-I/4" 14'-3-3/4' / cv O I rzx4pisaaEa 1 �t:==:=______..Z 2-Ea:3/0-4/b 91 ,'-01I z0,_0l1 / 6' 0" / Second Moor ,l'oN, 1 r 911 Square Feet 1/4'I = I' • • / 36'-0" / / 6'-O / 30'-0" / Z/0-2/0 Awn 2/0-2/0 Awn •rat fa InsJaum • :::: / I''---/ I-1,A rr) .: e.. hum iii 2 l andm/l>tilitl .11,11 14'2-3/4" © w V it • I v. CC 4. I I cAor , CC I O • ( a�n bay# (exaar(3'ay #2_ Pe Z \ 4' 4 i 9'— 14'-4-3/4" 90 O" 4' 30'-O" / 6'-0" / asemn- 221 Square Feet(Heated) (does not include Shop) rig, `JEFFERsipouNTY" DEPARTMENT OF COMMUNITY DEVELOPMENT j621 Sheridan Stn�• Port Townsend•Washington 98368360/379-4450. 360/379-4451 Fax www.co.jef'feerson.wa.us/c ommdevelopment JUN 1 0 2010 Master Permit Application MLA: /0 •- 2 3 3 Project Description(include separate sheets as necessary): tJ lZtA., Si ►..) ?Le, ' ‘ t L.y Z i c 1'P tiC :. 1 Tax Parcel Number: 940 S OM b b li p p Property Size: 2.04 o Co b 5/_ (acres/square feet) Site Address and/or Directions to Property: Go j2 Pa? C r SPODL c-112 LAG 1OX Fi&Lib Th2 /N Il i- o' - Property Owner(s)of Record: POt U r_- /- )v Fie)Z Telephone: Fax: email: Mailing Address: g Z l.J N 7 tb -7` a I✓K/4if3 C L L V 0/ / Applicant/Agent(if different from owner): KCt-L-G`f `3/`+I L-..-zi S / . Telephone: 77 t70 -7.,j 5 -11 S I Fax .2,S J - ,l 1 ;7 email: Mailing Address: 2b° - ti •-rr -1 /z . Pr- Ulo A1,S&'- 3 £ 1 A g 3(-S r What kind of Permit?(Check each box that applies NODuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) X.Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary'ET or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment ti-Address 0 Road Approach 0 Short Plat"* ❑Home Business 0 Cottage Industry 0 Binding Site Plan** Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed'Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 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 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: c •,. DESIGNATION OF AGENT Li3 I hereby designate i--ta 67 )5 /r..l� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ""b-� ✓J4 %-t/te Date: L ct - 2 No 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 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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicratign that he or she wants prier notice. Signature: .V GL� '7 c-;` —&-t--C_ Date: ( _-j - -7-e/U 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 II "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-trap responsib"rt or adhejingto and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. i Signature: , &t "et--( Date: (.0 .—�)/ G:\PermitCenter\###FORMS###\DRD FORMS\Master Pernik Application 5-29-O8.doc ill BUILDER STATEMENT II The signer of this statement does hereby certify that they are the eTB 1 the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Co or for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: � LG 1 S1-1-/EZpc h,;‘:-. (%()) 36 -7 1 s(' (.36c) 38, -31/ MAILING ADDRESS: ZQ rAtil f1-, Di2 Pr.-. ,'ssG,, ) EMAIL: `- (!`., d S G") of- L+,-(L,`,• 11 CONTRACTOR'S LICENSE _ WAINS �4 ` f NUMBER: , �EZ—L,�S 1 I SOLF NUMBER ARCHITECT/ENGINEER: Vi.t-CC t Siii 2e-40 L-! /?L., J1H/rd PHONE ( )38.3 "7/.S b FAX:( ) MAILING ADDRESS: �0 /( - P .. j . /, 7 j . ..v 1vS t i EMAIL o 1t i e/dc 6) O f I ID J S. /;/ Project Type: Frame Type: Bathrooms: Shoreline: Type bf Sewage Disposal: New Wood Existing: ill ❑ Sewer ❑ Addition ❑ Steel Proposed: 'Z Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: v Height: xIndividual System ❑ Repair ❑ Masonry "SEP Permit# P i--pi rr4 ❑ Demolition ❑ Other: Bedrooms: Water Su pply: Existing: l • CI Private well ❑ Two Party Type of Heat Proposed: 7_ Public Total: 2— Name of System:- it11 t r i7 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 ve ground Tank', Size of Propane Tank: /Z D C2ttr-+ i Heat Stove look "tovee 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. S•uare Foota• - Current • • • •- .• _' ,� "" .. tr. Main Floor Heated 117%3 I l 1/i^ EH Bid App Review: `T� ?(t 2 Floor Heated CI of'34S ci I I r Consistency Review: Other Heated Base fee: I SNI-1 1 .13 Sy uu 15 . , ���` Mezzanine ? Additional Section: Heated Basement Z 1 S Vicis Z , 41• Plan Check fee: i I i c . (() 4.0 Unheated Basement tli 1n E t 46 1 State Surcharge fee: L( Other Unheated Pot Water Review fee: Garage/Carport Z$7c ZA 11• 3 SUBTOTAL �- C-- 3 �� . 1 � DecksD454.3 7014174 911/Rd Approach fee: / ' (.o Other ( c_ ;38.1dD TOTAL: $ U'C l. l Receipt Number: J 7 3� 7 r\�, t' Cash/Check Number: /( �J 1/ Z 6 2 ESTIMATED COS REQUIRED)„ Date: / •Fair market value of all labor and m fiats foundation to finish - lU -1 2 1eil g 7b u Initials: ' 7- G:\PennitCenter\###FORMS###\DRD FORMS\Master Pen nit Application 5-29-08.doc -11 \ hi 01 \�r� o � o \X /,, C,k) 01 4 .1. N.) -.....4 7'i /•. � • / , / erd�‘ 01 ` / . , 4410p . I" 4L� � 4 1 MP S` , 4. �. mi �s` - \ ,�m a ,,,,,, ,r, , ________,_.- .. . ..,._._,.. _--,, ',DA \ ,4 . , ___...... . ,,,,.... • „. c ,, .,...,, ,. -k- , „ ‘,.... 4 NPP ik. i.". po. �, '.. IRE _m -T- C38 r II t ? it ct. ,z.: V,3)- \-• >,1-5. ,_>c, ilk ' 1 f„, (7.1'; K.-,,,, i J: t , --ek —,‘‹___' .,,. * 1 ( .0) • ....• , . ..11 _ * ...o. II - ... ,(4] I s• i ' 6.411L 'M i 'il - W Likerillillab, \ s, 7\---\ \ -,,,,,,' 1, . \ ,‘ 4 -,ci iii • r . r i : . 1 fillik -1-)Ff,, • V , 1 , A -1/4 lop 1-,Rexi.,,, .8 r • o _... .. 1 , • ..„ i...,_:, • . 6 7, , II vi ,A, , ,,,ot... ► `- . +1400s o � i coco -� I -• `° 1 0 drainage ea easement °- +90' a' 0 (.., c 0\ •N 0 ‘, E 6 --) s-- LT]2.cn el :-.)-'g),1 F N N p. 9 � C p _' 0 j N Pi -n E° 7 1T1 3 r ,) a,' ._.•cb F) ib-. / 5 5 4.. •1:1 0 \-- vl o ki\ t C: a � r N 4 C ici — C6; 4 &-- . • CD M (3.7 `G (T tD d Cn O d '� o�.. 0o .Aa (n ,ti 1, d4i t -_ C f� - t o 0 o c, m 0 z z 0 ,n 0 GO �: N O kr; = o m v1 O Z ., - O < Cn 0FD. w Q N oti - a0 c m zp- "- za0 m 4' 0 N a