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Home My WebLink AboutBLD2013-00154 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#: BLD13-00154 SITE ADDRESS: 491 S BAY WAY Issue Date: 06/11/2013 PORT LUDLOW, 98365 Final Date: 9/10/2013 APPLICANT: ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921294009 Section: 29 Township: 29 N Range: 01 E PROJECT DESCRIPTION:ADD ONE WINDOW, REPLACE EXISTING W/ NEW WINDOWS. THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes 111) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/10/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 1UILDING PERMIT APPLICA.N BLD13-00154 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00154 Received Date: 5/16/2013 SITE ADDRESS: 491 S BAY WAY PORT LUDLOW, 98365 OWNER: ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921294009 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADD ONE WINDOW, REPLACE EXISTING W/ NEW WINDOWS. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 2,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $69.25 JLA 05/16/13 142097 Plan Check $45.01 JLA 05/16/13 142097 APPROVED State Building Code $4.50 JLA 05/16/13 142097 JUN 1 1 2013 Total: $118.76 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 5/16/2013 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00154 Received Date: 5/16/2013 SITE ADDRESS: 491 S BAY WAY Issue Date 6/11/2013 PORT LUDLOW, 98365 Expiration Date 6/11/2014 OWNER: ALDEN B JOHNSON TRUSTEE PHONE: 360-437-8049 JUDITH M JOHNSON TRUSTEE 491 S BAY WAY PORT LUDLOW WA 98365-9420 SUBDIVISION: Block: Lot: PARCEL NUMBER: 921294009 Section: 29 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADD ONE WINDOW, REPLACE EXISTING W/ NEW WINDOWS. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 2,000.00 ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $69.25 JLA 05/16/13 142097 Exist: Exist: Plan Check $45.01 JLA 05/16/13 142097 Prop: Prop: State Building Code $4.50 JLA 05/16/13 142097 Total. Total: Total: $118.76 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY Jefferson County Building Dillon Permit Numi BLD13-00154 Applicant: JOHNSON TRUSTEE 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 Framing G r--15 - MF 88/10113 FINAL INSPECTION 9/0/i3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I s i` � C MI V [E � D NEW 60"x59"WINDOW TO USE EXISTING HEADER, MAY 6 2013 PATCH d FILL BELOW AS NECESSARY,MATCH �� EXISTING FINISHES,TYP. J FAMILY DECK EXISTING 60"x80"DOUBLE JE=FERSON COUNTY ROOM DOOR TO BE REMOVED DEPT OF CDMMUNITY DEVELOPMENT NEW 56"x80"OUTSWING EXTERIOR DOOR TO USE EXISTING HEADER ` DEMO EXISTING 48"x54" C WINDOW NEW INFILL STUD WALL TO MATCH EXISTING Contact ti-' rtment _= CONDITIONS,TYP. at 3 79 4 ;kIrIv 4hkir es —— or rev1:ii:J11a to U"tc ai.:}.',vYett plans DIRECTION OF EXISTING FLOOR JOISTS NOOK 7 1 `CLNG HEIGHT a 8'-0" A.F.F. C� _ Ix- I NEW EXTENSION OFF JEFFERSON COUNTY DCD EXISTING GAS LINE FOR KITCHEN APPLIANCE BUILD1NGfltAN-R — — - EXISTING GAS LINE FROM PROPANE TANK APPROVED AS SUBMITTED KITCHEN NEW CASEMENT WINDOW; SIZE TO MATCH ADJACENT 0 APPROVED A5 NOTED EXISTING WINDOW UTILITY L_ 0 REJECTED _J EXISTING EXTERIOR WALL, TYP. tF Date k-"��` j Reviewer _Ass .Fp EXISTING 56"x42"WINDOW 7 NOTICE: Plcr+r ar 3 - C� FILE COPY any errors or omis:ol . Ai; work purr, GA as inspection in c, irmance with V plicable codes ' reculatinvm. studioSTL 210 N.Victory Avenue (ID MA 1'1 FLOOR FLAN Port Townsend,WA 98368 360-640-8814 SCALE: 1/4"=1'-0° 05/16/2013 simon@studio-stl.com •+• w oN • � � ,-- ISM 44 cbe, JEFFERSON COUNTY ,... 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street O. Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �'rys,� 0(00 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: y Pr j ct Description(include s parate sheets as necessary): ,Al.( OM, Jralio rtt1'% L ekiS -( , W/ 1'L2 s w \ALA . Kei.4•n4-'�� 1�eA.1e . Tax Parcel Number: 9 Z 12.94 OO l Property Size: 402.Z Rc-rt) (acres/square feet) Site Address and/or Directions to Property: LL� 44 r!C 5f. .., 0,K �\ Tikc Le 64 AlfJlel LA Tcke w r P 11- o S. Y kid_ / n ✓` Property Owner(s)of Record Al f^ -r TA, , b hA, o r Telephone:- O -- 80 4 Fax: email: iA._ •r n _A *6, .•'1 C f Mailing Address: 1 5. 13.i. (Za,,�j*/*.' L j �j 346 Applicant/Agent(if different from owner): 51,vze i L.i -11-1 c ,/ S.7(44t'4 Sri.Telephone: .0 . 0 ;; j Fax: email: Si ni on # 571-1.-silic., Mailing Address: 6 ' „a , -e p A Ji / 8 b i What kind of Permit?(Check each box that applies Building 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor,Major or--- •.-• - _conomic Use) )a,Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d f ]J 0 Manufactured Home 0 Modular ❑Discretionary"D"or Unna <N, DV 2 ❑ Commercial* 0 Special Use(Essential Pu•F•�=• I- D !_,,C Change of Use 0 Boundary Line Adjustmen 0 Address ❑Road Approach 0 Short Plat** I ❑Home Business 0 Cottage Industry 0 Binding Site Plan** MAY 1 6 2013 ❑Propane 0 Long Plat'"* ❑Sign 0 Planned Rural Residentia Deve••,•-.t PRRD)/Amendmen 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration JEFFERS ' 0 Stormwater Management 0 Shoreline Master Progra Fxe , �eppcjjp 0� ** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantia a PMENT ❑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 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Re.uires a Pre-A••lication Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate i9 /.) 477 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: �//4 /24[3 By signing this-appli n form,the owner gent 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 appli 'on that be or sr is p'or notice. Signature: Date: L5-//(P/ [3 The action o coons 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-tray le responsibility for eri to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 4W Date: 57/6 /-2-d"/3 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 assumi the responsibilityon�si� e neral Contractor for the proposed project. Signature: � �-G ldi- Date: c//67/ z13 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: 3 ❑ Sewer ❑ Addition ❑ Steel Proposed: 0 Bank 0 Community System Alteration/Remodel 0 Concrete Total: 3 Height: idividual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: Private well 0 Two Party Type of Heat: Proposed: V ❑ Public 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 ;Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank 1 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 Offtcai se Only Amount wiaion - Main Floor Heated I jd� / EH Bld App Review: 2"°Floor Heated 1 Ilr L Consistency Review: — -- Other Heated Base fee: _LS 2- Mezzanine Additional Section: Heated Basement Plan Check fee: iis I Unheated Basement I State Surcharge fee: `/ G, Other Unheated Pot Water Review fee: tlx: Garage/Carport 5 7/ 1 SUBTOTAL Decks / c' 911/Rd Approach fee: Other TOTAL: $ l ig� 7`.4,, 4, Receipt Number: //i 2-d17 4 Cash/Check Number: III `/8 7 ESTIMATED COST(REQUIRED) Date:.Fair market value of all labor and materials foundation to finish �[/ l 5 ,3\3 Initials: G:\PermitCcntcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc (F----' ----).---) II) ..; alT. C ,UP .I ) r--, ,, . . •-zr CV f - .2! 1(r..2 -.1- I ---: ! L...._; ' .,.,.-....c.) 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