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BLD2012-00402
CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD12-00402 SITE ADDRESS: 323 MACHIAS LOOP RD Issue Date: 01/10/2013 PORT LUDLOW, 98365 Final Date: 2/21/2013 APPLICANT: RONALD R KLETTI PHONE: 360-215-4100 MARY L KLETTI 323 MACHIAS LOOP PORT LUDLOW WA 98365-8706 SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 76 PARCEL NUMBER: 990400472 Section: 8 Township: 28 N Range: 01 E PROJECT DESCRIPTION: HTD UTILITY ROOM ADDITION THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 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 2/21/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 Jefferson County BuildinRivision Permit tuber: BLD12-00402 Applicant: KLETTI BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 .3 O _ Foundation Stem Wall i -29 -13 Underground Plumbing Under-Floor_Eraming Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing op Airseal q- Insulation:Walls Insulation: Floors J� Insulation: Ceiling (9\ 2\ - \ 'f Int. Shear Wall Nailing Wallboard Nailing Smoke&CO2 Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ItILDING PERMIT APPLICATI N MLA12-00266Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00402 Received Date: 12/11/2012 SITE ADDRESS: 323 MACHIAS LOOP RD PORT LUDLOW, 98365 OWNER: RONALD R KLETTI PHONE: 360-215-4100 MARY L KLETTI 323 MACHIAS LOOP PORT LUDLOW WA 98365-8706 PORT LUDLOW NO. 1 SUBDIVISION: Block: Lot: 76 PARCEL NUMBER: 990400472 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: SINNOTT CONSTRUCTION PHONE: 360-638-2219 31266 SUNRISE BEACH DR KINGSTON WA 98346 Contractor's License SINNOC*894DT Expires 3/30/2013 REPRESENTATIVE: RICHARD SINNOTT PHONE 360-638-2219 31266 SUNRISE BEACH DR KINGSTON WA 98346 PROJECT DESCRIPTIOP HTD UTILITY ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 128 VALUATION 22,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 0 Total: 3 Total: 2 - Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $349.25 LYK 12/11/12 139816 APPROVED Plan Check $227.01 LYK 12/11/12 139816 State Building Code $4.50 LYK 12/11/12 139816 BAN 10 2012 Total: $580.76 Jefferson County DCD \\+irlcmorL\rlo+o\+nrmc\F RI f1 4r+n PI, rn+ 10/1A PJf11') 4IP CONDITIONS for Building Permit# :BLD12-00402 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.) 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6.) This parcel is within a no shooting area per JCC 8.50. 7.) Maximum lot coverage is not to exceed 45%. 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.) Minimum setback from Machias Loop Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 10.) Per MPR Code Section 3.107, Accessory Dwelling Units (ADU's) shall not be allowed within the MPR-SF zone. \\tirlamark\data\fnrmc\F RI fl Parmit Rlrin rnt 1/1N9f113 c�, ' 9N cps JEFFERSO OUNTY r��' ' .A DEPARTMENT OF COMMUNITY DEVELOPMENT `• '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax ,4s P.'AsC) www.co.jefferson.wa.us/commdevelopment $INp Master Permit Application MLA: ()NJ Project Description(include separate sheets aq necessary): • Tax Parcel Number: 7 t7 c q(;�(.) •--C/ / ,2)-- Property Size: /&Ai' t 4, /CilI( (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ' t G, I '�a e �/ �S /+� /1'" i• I r-�,,C' ( 7 ^ `I !-, i.' 1 \`\ �. f,• / I ; ! email: Telephone: /S ©c Fax Mailing Address: 3 ,tit 0_, t l/ a S i- (t Applicant/Agent(if different from owner): J Telephone: ;�' �::3`b .JI/(/ a4i:j/ � t' //L- /S/( email , ' S iffl / S -i' 8tcir ,c J<i,a i7� .'"-., 1-'014 �l'ff�ltf 6 Mailing Address:� / 1 /" ,Ra fl What kind of Permit?(Check each box that applies 0 Lot or Road Segregation gilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit Adc ❑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 I 0 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** ❑ Propane 0 Long Plat** • 0 aiyn 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 0 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: DESIGNATION OF AGENT I hereby designate ! i c.'li(,,*e -�y>7 i?G' to act as my agent in matters relating to this application for permit(s). /.4c; 5 i,1c, w /tt) �'/ -/`�, OWNER SIGNATURE /f X Date: / "Z- 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 applicati that he or she prior o' / ,,l ` Signature: -� — Date: i 2— 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 nresponsibility or adheri ggn lying with the ESA. The Applicant has read this disclaimer and�gn and dat) — es it below. Signature:non-transfer Date: //)�L�. .�. (;��PrrmifCenfer\fS#`#FCIRMC###\TlRrl FCIRMc\('„rrP.+rflRTI .....:. e.-...t:,....:,_..c 1n no a,.- •MIL 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:-7/0--/c f(t FAX: n Ai 0-6-6- C(T-?l 91t e. ,) j 3N 2 C� ( ) MAILING ADDRESS: EMAIL: S/di)t L... CONTRACTORS LICENSE WAINS NUMBER: r- t {y 7— NUMBER SJ/1 }}�•" C. � � !✓ /L( C 5 ( ARCHITECT/ENGINEER: PHONE (f� I�tC�i? , �(.` ) e -i_ A SxFAx. ) MAILING ADDRESS: '2c `,j ,c:tj-6 31 r .44,14 /.,, te),t EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: : .E New Wood Existing: A Sewer E Addition ❑ Steel Proposed: r Bank 0 Community System C Alteration/Remodel 0 Concrete Total: .Z__ Height: ❑ Individual System ❑ Repair 0 Masonry 1y 'c SEP Permit# L Demolition 0 Other: Bedrooms: 2. Water Supply: Setback: Existing: 0 Private well ❑ Two Party Type of Heat: Proposed: /'r Public Total: _ _ Name of System: Commercial Project you must answer the following: I '-. .L= h \t i l -._-D � �' I If this is a Number of Parking Spaces: Current: Proposed: 1 :---Number.of ADA Parking'Spaces: Number of occupants (includes owners,tenants,employees,etc) CurreAl Proposed' • • Type Occupancy: IBC T e of construction: 1 , Will you.have Food'Senitc_��Yes / No . If thi is a ro ane Tank and/or Appliance Installation permit,mark all items below that apply: '.�� 11 1 Un e gr Ilk I Above ground Tank Size of Propanesauk - -"7 7 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank I );.Pellet‘Stove I , ,t rOther } _ 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 , lUitt EH Bid App Review: ,nOt 6 � --9'..57 i-x.,- -2r4 Floor Heated Consistency Review: .a Other Heated Base fee: 3 Gt p` a5 • Mezzanine Additional Section: Heated Basement Plan Check fee: aa- •0 i Unheated Basement State Surcharge fee: -4 6C7 Other Unheated Pot Water Review fee: ,pcoaen-N,© 11>\0 ex.-coo.A Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: $1,5.14ArN Other TOTAL: $ -‘0a '1 Receipt Number: k3 C L 0 Cash/Check Number: (062 ESTIMATED COST(REQUIRED) . . Date: (�r 4t y to �C.)•Fair market valu of all labor and materials fow dation to finish ,(9 J , ) Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc -ii TQ 1IV13O 39vNivaa ,„ I ala alr . ao... V LWJ 2115 '�NOIldRlOS3O 1V931 if t N'1 3LI5 Q ' II I I Li B i, 1 5 - 1 ,',, I I I ,......= 11101 i I I 11 �Y 1 I - I �� - an.4. ,A/ I : I b.. I I I �{.� �'i'� /%��1 I /�/ ' ' '�—� emu "• . 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