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Home My WebLink AboutBLD2013-00153 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#: BLD13-00153 SITE ADDRESS: 80 HARMS LN Issue Date: 06/13/2013 PORT LUDLOW, 98365 Final Date: 4/15/2014 APPLICANT: DIANE SPROCH-WILKERSON PHONE: 360-301-6375 80 HARMS LN PORT LUDLOW WA 98365-9610 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: PARCEL NUMBER: 990603165 Section: 9 Township: 28 N Range: 01 E PROJECT DESCRIPTION: SUNROOM ADDITION WITHIN EXISTING FOOTPRINT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes F THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/15/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 4/15/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00153 Received Date: 5/16/2013 SITE ADDRESS: 80 HARMS LN Issue Date 6/13/2013 PORT LUDLOW, 98365 Expiration Date 6/13/2014 OWNER: DIANE SPROCH-WILKERSON PHONE: 360-301-6375 80 HARMS LN PORT LUDLOW WA 98365-9610 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603165 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: SUNROOM ADDITION WITHIN EXISTING FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 21,900.00 ADD'L: HEAT TYPE: UH 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: SEW WATER SYSTEM: 68700 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $349.25 ZAL 05/16/13 142095 Exist: Exist: Plan Check $227.01 ZAL 05/16/13 142095 Prop: Prop: State Building Code $4.50 ZAL 05/16/13 142095 Total: Total. Total: $580.76 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 CountyBuildin�ivision Permit Number: BLD13-00153 9 Applicant: DIANE SPROCH-WILKERSON 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 06//5 ti Foundation Footing Straps(hold downs) 9/i�' 1ViB/fl3 moment frame _ Framing /3 Insulation: Ceiling 3/2til1y fi FINAL INSPECTION �/`4/j eX FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • 3 BUILDING PERMIT APPLIATION B Review Type: Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00153 Received Date: 5/16/2013 SITE ADDRESS: 80 HARMS LN PORT LUDLOW, 98365 OWNER: DIANE SPROCH-WILKERSON PHONE: 360-301-6375 80 HARMS LN PORT LUDLOW WA 98365-9610 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990603165 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr SUNROOM ADDITION WITHIN EXISTING FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 21,900.00 ADD'L: HEAT TYPE: UH 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: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: Exist: P-op: Prop: Tc•tal: Total: Rcutinp Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $349.25 ZAL 05/16/13 142095 Plan Check $227.01 ZAL 05/16/13 142095 APPROVED State Building Code $4.50 ZAL 05/16/13 142095 Total: $580.76 JUN 13 2013 Jefferson County DCD \\4 ir4cmor4\rInf,\fnrmc\C RI n Ann PIA rn4 F/9R/Oril1 ��goN c�� JEFFERPN COUNTY4. I I I 0 v � EL) �Vi 411 ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 IIU1 MAY 1 6 2013 360/379-4450 • 360/379-4451 Fax Li,_gs�N0�O� www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY Master Permit Application __ DF_PT.OF COMMUNITY DEVELOPMENT PP MLA: Project Description(include separate sheets as necessary): cyrlr`wein /t _,,,a, Tax Parcel Number: (7670 keg f ., Property Size: 1,)b4/'/6• / res/square feet) Site Address and/or Directions to Property �rins 47i>'r- rl irlr�� 9. s3� ' Property Owner(s)of Record: 0 9//r' G ;7, , '/a, jr;ryf.G► / rJ C' Lb/ .e./ Telephone: C-r rr - �� Fes; email , ) ,. ., MailingAddress: �(? L /7�//'�S � �i'� t�l'l� .'Ld i� ��'F3CGS�; Applicant/Agent(if different from owner): .cn .3r•6 'V Telephone: i��!" �-i(,)/-&•37 Fax: ✓/ , email:euee etel�G/�,�llezfV Xsci Mailing Address: What kind of Permit?(Check each box that applies f9Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) 1�Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** b Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑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)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑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 Conference Please identify any other local,state or federal permits required for this proposal, if known: , DESIGNATION OF AGENT I hereby designate ,A-;? lit /' _ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE AL, t Date: I, • i By signing this applidation 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 appli ' n t t)� �i/she�wants prior notice. jam_ Signature: /. , v�4r� Date: ")~(/ i'" 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-transfer le res nsi, ility f d In to and complying with the ESA. The Applicant has read this disclaimer and sin and dates it below. Signature: � �4��.�t �- Date: -7 -1), / G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this s aterrrent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a u i t r nsibil of the General Contractor for the proposed project. Signature: //.ry Date: 514 "'( GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: (36® 3691-64jt' ( ) MAILING ADDRESS: EMAIL: J CONTRACTORS LICENSE �r L f C.��/'�t/f�f� tnr�it, WAINS /tAl NUMBER: NUMBER ARCHITECT/ENGINEER: 4f%9/I-f `, eiQ /, PHONE LL��s ,J�r FAX: MAILING ADDRESS: / !/" ]� � �/J�36/v ( ) . EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: _ kl Sewer )(Addition ❑ Steel Proposed: O Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# IDemolition ❑ Other: Bedrooms: Water Supply: Existing: o? Setback: I I Private well ❑ Two Party Type of Heat: Proposed: .'Z— $ Public Total: ._ Nar)e gf System• r[ryC 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 I Cook Stove I 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. o: t,'''', M lit'i % 4 - Square Footage Current Proposed For,Qf j 'Nye 4 ,,m , Amount . '` Rev sior) Main Floor Heated . EH Bld App Review: } 2�Floor Heated `� s� wer- 7;7Consistency Review:, PO0;1 ✓J'Other Heated +14/— Base fee: Mezzanine Additional Section: �r 1.075 Heated Basement Plan Check fee: o7,2 7' 0/ Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL 7b 520 Decks 911/Rd Approach fee: ‘49--- Other TOTAL: $ co Receipt Number: (140095 `` Cash/Check Number: /0J, ESTIMATED COST(REQUIRED) , Date: qq .Fair market value of all labor and materials foundation to finish -sI 1�iJ a/r 9ve . 0 d Initials: / G:\PermitCenter\###FORMS###\ORD FORMS\Master Permit Application 5-29-08.doc • • � g'soN e � JEFFERSON COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT 4 p D ,, 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 •• 360/379-4451 Fax 4s 1N�` http://www.co.jefferson.wa.us/commdevelopmenU Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: Qh✓//(' / h/Y/6 c "/�/i/` ,,w, DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. , PARCEL SIZE(I.E.,SITEI Size of parcel f ,.) acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet //S k' sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple,shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/4 acres or more of Construction site for structures 6e sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well,utilities,etc. sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking,roads,etc. sq/ft Circle: Yes No Lawn, landscaping,etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 60 sglft Cut Fill (cu/yd) [over] r0) ClUVE ----\ i MAY 1 6 2013 stormwater calc worksheet—REV.2/20/2008 — LAi / ✓ 1 JEFFERSON COUNTY _ DEPT.OF COMMUNITY DEVELOPMENT • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) ;s sq/ft Structures(all roof area) /7d/ sq/ft Sidewalks sq/ft Sidewalks /f 9 sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc sq/ft Driveway, parking, roads,etc sq/ft Other sq/ft Other sq/ft Total New ✓ sq/ft Total Existing / C / sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft "This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: /� Does the site have 35%or more of existing impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of affected prop, rty. ({+ 1/Lif �-" (LAI4DOWNER OR AUTH RIZED REPRESENTATIVE SIGNATURE) (DATE) • r a lur. t" �j t �}•. �� " � �, 1r'ey•i `I r 7x�a �� by "ta....-iw. .,ymr,a+ er: '`'..ItT � 1E...r_.._.._. �� stormwatec calc worksheet—REV.2/20/2008 2