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Home My WebLink AboutBLD2010-0309 111 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 #: BLD10-00309 SITE ADDRESS: 834 MACDONALD RD EXT Issue Date: 10/14/2010 QUILCENE, 98376 Final Date: 4/21/2011 APPLICANT: JOHN J KUEBER PHONE: 206-391-4952 KATARINA F KUEBER 2616 25TH AVE W SEATTLE WA 98199-3414 SUBDIVISION: Block: Lot: TX 26 PARCEL NUMBER: 701324006 Section: 32 Township: 27 N Range: 01 W PROJECT DESCRIPTION: NEW MODULAR RESIDENCE - 2 BUILDINGS CONNECTED BY DECK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/21/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Dijon Permit Nun BLD10-00309 Applicant: KUEBER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 0- '% (C�- (��%l kS. V'? c- C/ Erosion Control � Foundation Footing (u) -9 (d ' 1 P Footing Drains Foundation Stem Wall Z_1 b — Rough-in Plumbing Address Posted �V2rI cc.,r WR.)C r ouLity LnsvNLLc---j (b0 /1-1 c te- c..✓` 1 I ad ct re3 1' r,-• '+ `.‘1` l / c?- 0 (>5A 1 01) FINAL INSPECTION 1. :J ll 1 V- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR !UILDING PERMIT APPLICAMN MLA1000324 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00309 Received Date: 8/26/2010 SITE ADDRESS: 834 MACDONALD RD EXT QUILCENE, 98376 OWNER: JOHN J KUEBER PHONE: 206-391-4952 KATARINA F KUEBER 2616 25TH AVE W SEATTLE WA 98199-3414 SUBDIVISION: Block: Lot: TX 26 PARCEL NUMBER: 701324006 Section: 32 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: ANN RAAB PHONE: 360-385-5614 606 ROOSEVELT PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NEW MODULAR RESIDENCE - 2 BUILDINGS CONNECTED BY DECK TYPE OF WORK MOD SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 756 VALUATION 100,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2009 OCCUPANCY: HEAT BASE: HEAT TYPE. OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 100 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total 2 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $391.25 LYK 08/26/10 120000 APPROVED Plan Check $254.31 LYK 08/26/10 120000 State Building Code $4.50 LYK 08/26/10 120000 OCT I / 2010 Potable Water Application $98.00 LYK 08/26/10 120000 Jefferson County Planning Total: $748.06 &Building Department • • CONDITIONS for Building Permit# :BLD10-00309 1.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED WITHIN THE Bolton SUBBASIN IN A DESIGNATED COASTAL MANAGEMENT AREA; AS SUCH, THE FOLLOW IS REQUIRED: INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. REFER TO ENCLOSED DOCUMENTS FOR MORE INFORMATION OR CONTACT ECOLOGY AT 360-407-6300 2.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 3.) The building height is not to exceed 35 feet. 4.) Setbacks of approved site plan meet UDC requirements. Site plan shows 282 feet to OHW--- Meets the 150 ft requirement. 5.) 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. ► I 0 l , ,sQzv e06 JEFFERSON COUNTY A DEPARTMENT OF COMMUNITY DEVELOPMENT 46.4 621 Sheridan Street•Port Townsend•Washington 96368 360/379-4450• 360/379-4451 Fax . .6, O www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I (I)-5q IProject Description(include separate sheets as necessary): Tax Parcel Number: Property Size: (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: j C. i fly y £ ;",tir: )Ce`4 Telephone: ''"t` f () .�t -t ..ax: .• i"f' Kine.rt r i Mailing Address: ,:_.,,Jr w .,.,.7 Ale:-e:- (A.). s.i s.tt.,, w•4-71'- f e ,. / Applicant/Agent(if different from owner): ` Telephone: Fax: email: . Mailing Address: What kind of Permit?(Check each box that applies °Building 0 Critical Areas Stewardship Pian ❑ 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)" O Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage industry 0 Binding Site Plan** i 0 Propane 0 Long Plat'* ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments'* I ❑Allowed'Yes"Use Consistency Analysis 0 Plat Vacation/Alteration"" ❑Stormwater Management °Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance o 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-Appiication Conference j Please identify any other local,state or federal permits required for this proposal,if known: It DESIGNATION OF AGENT I hereby designate `/&'Ai C4,4/3 r to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE •/r �.�'•'' r Date: ( ,l /it, if ' By signing this application form,the ownerfagent attests that the information provided herein,and in any attachments,istrue and correct to the best of ! 1 his,her or its knowledge. Any material falsehood or any omission of a material fact made by the ownerfagent with respect to this application packet may result in this permit being null and void. i i further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments.court costs,reasonable attomey's fees and I expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit 1 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 appiici9m thrijetruni she wants priorpotice. r,, v,.!rw_A/X r1.�A..:.--w- i..- .-i s �,, : i r - � ! Signature: ---ri e � Date: rl / �.- , E 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 9out\ty development code.The Applicant acknowledges that he,she or it holds individual and non-transfer4e re ability for adherigg_to and complying with the ESA. The Applicant has read this disclaimer and signs and gates it below. Signature: w.r. c r„r,1L'tir�v�'c:-`t.X . Date: r; % '-a I r + A G:\Pem itCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-OS.doe . 11) t6 co JEFFERSON COUNTY • 4 ' `A DEPARTMENT OF COMMUNITY DEVELOPMENT '-1 • 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �, p"� www.co.jeffe5rson.wa.us/commdevelopment Master Permit Application MLA: L D J A. Project Description(includeee separate sheets as necessary): .I g\. 446 t r7 c_e -- f—1 0 Gt�A 2 17 E t -lt,c r f w j 1..• t r Tax Parcel Number: 7 0 13 2-1 oU (' Property Size: /J , Of ei cr-G3 (acres/square feet) Site Address and/or Directions to Property: G'34 M6r7e.,f.1 n.L12 izt: r.V"r / G�ui Gt;u y837G Property Owner(s)of Record: -S-O to N. (-<A TA R.i,,i/a K u e o Ere. Telephone: 2060 3 9J `l ' 2 Fax: email: fC u e be r q wia,(,cool i Mailing Address: 2.4, i to Z'S t'H A r= w 1r51 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies ❑Lot or Road Segregation CdM3uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Lingle Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .0 Modular El Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry ❑Binding Site Plan** ❑ Propane 0 Long Plat** 0 Sign .• 0 Planned Rural Residential Development(PRRD)/Amendments** ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management ❑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 0 Tree Vegetation Request **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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE( Date: 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 application that he or she wants prior notice. 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-transferable responsibility for adhering to and complying with the ESA. 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