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HomeMy WebLinkAboutBLD2013-00187 UILDING PERMIT APPLICN BLD13-00187 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00187 Received Date: 6/19/2013 SITE ADDRESS: 30 CONDON LN PORT LUDLOW, 98365 OWNER: DALE L WILLIAMS TRSTE PHONE: 206-883-8234 MARGARET L WILLIAMS TRSTE PO BOX 65129 PORT LUDLOW WA 98365-0129 PORT LUDLOW NO 1 AREA 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990400216 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: NORDIC SERVICES INC PHONE: 206-522-9570 9618 MIDVALE AVE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 1/1/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REBUILD OF FIRE DAMAGED HOME, USING EXISTING FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 100,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2009 OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: GARAGE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 outing Date: . L ,l c s` ; Type Amount Paid By: Date: Receipt: Approved/Date Permit $993.75 JLA 06/17/13 142187 APPROVED Plan Check $645.94 JLA 06/17/13 142187 State Building Code $4.50 JLA 06/17/13 142187 JUN 2 5 2013 Total: $1,644.19 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 6/19/2013 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#: BLD13-00187 APPLICANT: DALE L WILLIAMS TRSTE PHONE: 206-883-8234 MARGARET L WILLIAMS TRSTE PO BOX 65129 PORT LUDLOW WA 98365-0129 SITE ADDRESS: 30 CONDON LN Issue Date: 06/25/2013 PORT LUDLOW, 98365 Final Date: 6/19/2014 SUBDIVISION: PORT LUDLOW NO 1 AREA 2 Block: Lot: PARCEL NUMBER: 990400216 Section: 9 Township: 28 N Range: 01 E PROJECT DESCRIPTION: PARTIAL REBUILD OF FIRE DAMAGED HOME, USING EXISTING FOOTPRINT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-2 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FIN INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/19/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 6/19/2014 , io iy.)o) '3- 1 8'1 DEPARTMENT JEFFERS UNTY OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 . 360/379-4450. 360/379-4451 Fax www.Co.jefferson.weuslcomnidevelopment et Master Permit Application MLA: Project Description(include separate sheets as necessary): Re-hcA td Tax Parcel Number: 44 o 4/00 216 Property Size: #lf % acre, (acres/square feet) Site Address and/or Directions to Property: 3c Go idor&_ N � Tba-t Lc,ollea►i 9•s 3 6 5" Property Owner(s)of Record: Its/c. &)l li;ow S Telephone: ,?b6 - $ 13 15 2.51 Fax email: 14/A Mailing Address: ?O 3ok 65"/?4 PT /.crrl I ed 4 756 5- Applicant/Agent(if different from owner): Br:ow, Less in helcsp Telephone:4/25--'iIZ111-• ZOO £2.54 Fax 1 ,-721-613/ email: `taealadibkig.I, Ieires.eew Mailing Address: IO2.9 Igor a sit Ate kIamoi , 14 A 07o 3s What kind of Permit?(Check each box that applies (Building 0 Critical Areas Steward-1 r ai F r F 1 \/_E ❑ Demolition Permit ❑Variance(Minor,Major• .„, •.,-. • .�-r.,, fA Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a), I • C]** ❑ Manufactured Home ❑ Modular ❑Discretionary`D”or Lin i- se Classification ❑ Commercial ❑Special Use(Essential • •I• acili ❑ Change of Use ❑Boundary Line Adjustm ` � 7 2013 ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry ❑Binding Site Plan** 0 Propane ❑Long Plat** JEFFERSON COUNTY 0 Sign 0 Planned Rural Resider •.-IA• .-",k 1•.'.-t„t, 4:il-t ** 0 Allowed`Yes'Use Consistency Analysis ❑Plat Vacation/Alteration*' ❑Stornwater Management ❑Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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•Applicatlon Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate a• •r _Mir e A - .u, ■ t• :* as my agent in matters relating to this plication permit(s). � Z OWNER SIGNATURE / /_ a Date: ZC)43 By signing this application form,the ownerfagent 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 pr a access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any req • later inspections. Staffs access and•_ht entry will be assumed unless the applicant informs the County in writing at the time of the app[" he•+she • 'or / 41 Signature: .- . �. Date: �c Z/ `a .w 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 appicant that the actions that MI 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 y in compliance with the Jefferson County•: -lopment exile.The Applicant acknowledges that h ,she or it holds individual and non•transfe le pons City for ailhering to and .• p, f' the ESA. The Applaud has read this die- imer nd •ns= •dates it below. Signature cca C---e ( —t-fei Date - ZO G:\PermitCenter\###FORMS###\DRD FORMS\Master Pemuk Application 5-29-08 doc I LZ 1 K. r 4 BUILDER STATEMENT The signer of this ent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be mi a ponsibt of the Genera rach r for the proposed prof Signature: At(, c �.�._ . Date: /Z C) GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: A ere':L Servrs.es let._ / MA 13ury se (tab) r z -9s OP ( )S"Z�l'-told/ MAILING ADDRESS: 961'0 islkl rro� A . 1J t-_N/-�A EMAIL: CONTRACTOR'S LICENSE 7�+'� WAINS NUMBER: NUMBER ,2 N FD aCS.�4 $e c§.a Gzy y9',5¢5,5932 ARCHITECT/ENGINEER: Dlic,ipz, Ngivider. /at... PHONE (q )'8L8-42ooOr�7Ax: it)814-6/3/ MAILING ADDRESS: ✓ EMAIL Project Type: Frame Type: Bathrooms: Shoreline; Type of Sewage Disposal: ❑ New S Wood Existing: 3 $1 Sewer © Addition CI Steel ' Proposed: Bank ❑ Community System ❑ Alteration/Remodel o Concrete Total: 7 Height: O Individual System e Repair Q Masonry SEP Permit# Demolition ❑ Outer Bedrooms: Water Supply: Existing: 2 Setback: o Private well C Two Party Proposed: ,----- Type of Heat: /� Public t/ _. 11- 1-.7° 1 Total: _z.______ Name of System n/y.&pfc �If this is a Commercial Proiect 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a perm/t to install a propane tank you must also submit a site plan showing all of the buildings,ail properly lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, includin• the reserve area. S• are Foote•a Current Pro.._ed I ' ��. . '. ; ;� Main Floor Heated EH Bld App Review 2"°Floor all a p4%111 Consistency Review: Other Heated Base fee: Mezzanine ' Additional Section: IL krilakitliiiti Heated Basement Plan Check fee: MgilCil MOM 12`' Unheated Basement Kil C t, k--- r w‘ '#,Z1: 1 � State Surcharge fee: u Other Unheated 11111111MMINEW4;4,151 Pot Water Review fee; MEI II Garage/Carport 111111111111111444MWM 1 SUBTOTAL MEM illiittliftLir,Decks —) FFERSON COUN 911/Rd Approach fee: Other DEPT.OF OMMUNITY DE i, - . p� TOTAL:.- t14 i8I } Receipt Number. Cash/Check Number: 1 ozvikP ESTIMATED COST(REQUIRED) Date: *Fair value of all labor and materials foundation to finish 1t" \ i r'db, ��___ initials: G:1,PermitCenterr###FORMS###VAD FCORMS\Master Permit Application 5-29-08.dac 4 • i , JEFFERSON COUNTY ; .i FE C E o v 44 r . DEPARTMENT OF COMMUNITY DEVELOPMENT �' JUN 1 7 2013 �� III 621 Sheridan Street• Port Townsend•Washington 98368 I 360/379-4450 •360/379 451 Fax http://www.co.jefferson.wa.us/commdevelopment! ` JEFFERSON COUNTY _ PP PT OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: killk se5 RR-Astoty/DrIAA 4 hi cl 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 II.E..SITES Size of parcel j_ acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 14/0,N / 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 uldigenous 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 deared for: Does the project convert%acres or more of Construction site for structures 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. l0 sq/ft Circle: Yes (N� Well,utilities,etc. / sq/ft Does the project convert 2 34 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. /6 sq/ft Cirde: Yes (:# Lawn,landscaping,etc. sq/ft Other compacted surface,etc. . sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance piS sq/ft Cut / Fill (culyd) [over] stormwater cat worksheet—REV.2/20/2008 1 • • • • • 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. STORNIWATER CALULATIONS—IMPERVIOUS SURFACE EXISTING. Structures(all roof area) ,/5_ sd/ft Structures(all roof area) 2. '5 sglft Sidewalks pl sq/ft Sidewalks sqfit Patios sq/ft Patios Sq Solid Decks sq/ft Solid Decks (without infiltration below) (without infiltration below) Driveway,parking,roads,eta. C sq/ft Driveway,parking,roads,etc '$O sq/ft Other 1 sq/ft Other sq/ft Total New sglft Total Existing 34^8.S sglft TOTAL NEW+TOTAL EXISTING* 3 Y$S 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.REDEVELOPM NT 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 C No 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—en 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 Stour rwarrr aterManagement 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. 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Zm7 r ZN m C r m < r f7 D D v Z mDC O o C UC) 0 O O �� j z p� P1 Z rn � > r ,s D U) Z z D C 'O G7 `I` tt� `�1 D m rm 2 m z -1Z7C m z �.✓ „i,,4� ° U�ll ° zUm O mmm 7 7 « BeI c, -. QOJD O ADC_ #:.,Zr� m C3 c� � �pZ — n 2 D mrn � N � < 9 +� (n D V m 2 OJ D � R8 ��? � N � ti � W �vl� T C) o © c� N cNi) PC m D mm D o N G — r— v w D � Cry N m z O � � r♦��'� m Ph �"t xYk _ 06/13/2013 WILLIAMS RESIDENCE MRL DATE: SHEET NAME: DRAWN BY: V, DIBBLE ENGINEERS, INC. 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'A 4 _ 6 DATE: SHEET NAME: DRAWN BY: DIBBLE ENGINEERS, INC. 1 H 1 06/13/2013 WILLIAMS RESIDENCE MRL PROFESSIONAL STRUCTURAL ENGINEERDIG SERVICES N PARTIAL ROOF 1029 Market Street,Kirkland,WA 98033 cn N -SCALE: V-0" BJL PLAN FIRE DAMAGE REPAIR REVIEW BY: Phone(425)828-4200-Fax(425)827-6131 / BJL W W W D I B B L E E N G I N E E R S . C O M I I I I I I I I I I - _ o M I:(11-1 O G7 �� ...._-1 m = m Its L ii z II L o _ ^ - O O N O O O Z D x O T Z Cis w Mi I DD 0 c w DO i- I Z r0 ° rp 1 = I ! IE- - z r� (D cI nP I D I -I D o r- 1 M vet I o r ti m r= j D m c) — m > ^ C) ' D 0 > > m I = Op ° S I = ° S 03 I M ° c I-I�I G z I : r G 1 c� Z r 03 I r I r ir r D H1 z II C C' I = O . a • o p °- f 4 • . ''L,== !0 iliw O — n.. D — x ix m m a— I > ' II- I / I Z it VJ v - CO^ m -0 �. �7 co 17,2)- rn � M p v ° m m ry _ m r : s _ D r O Z m �1 ` ' Z-ri in r O Z Tl 1T1 m r D a D ° r D a x x m ° zm mD t Z zr D mD Z Z , . 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Eal) "Fri r-1 >, ....%46. /� _ w co G 5, DATE: SHEET NAME: DRAWN BY: DIBBLE ENGINEERS, INC. b7 1 ik 06/13/2013 WILLIAMS RESIDENCE JVN PROFESSIONAL STRUCTURAL ENGINEERING SERVICES (� ! STRUCTURAL 1029 Market Street,Kirkland,WA 98033 SCALE: SECTIONS & DETAILS FIRE DAMAGE REPAIR REVIEW BY: Phone(425)828-4200-Fax(425)827-6131 N U7 AS NOTED BJL W W W D I B B L E E N G I N E E R S . C O M — I I I I I I I I I I • Jefferson County Building Division Permit Number: BLD13-00187 Applicant: WILLIAMS TRSTE 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 Under Floor Framing 9/3Of i3 Rough-in Plumbing / 0,4/237<, 4/3o/i Framing q/30/i3 Lei Airseal / �T Insulation:Walls /D/7/13 9 Insulation: Floors { ' Insulation:Ceiling Ihrth14-hr 2-13 Y Mechanical Systems `l Smoke&CO2 /" of lo-t-t-13 2- -- '✓ Ulna-tr 5TAMIL4y 1kJ4'1—, FINAL INSPECTION (0 is, I/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 O CONDITIONS for Building Permit# : \\tirlamark\rlata\fnrms\F RI 11 Parmit Rlrin mt R/95/9013 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00187 Received Date: 6/19/2013 SITE ADDRESS: 30 CONDON LN Issue Date 6/25/2013 PORT LUDLOW, 98365 Expiration Date 6/25/2014 OWNER: DALE L WILLIAMS TRSTE PHONE: 206-883-8234 MARGARET L WILLIAMS TRSTE PO BOX 65129 PORT LUDLOW WA 98365-0129 PORT LUDLOW NO 1 AREA 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990400216 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: NORDIC SERVICES INC PHONE: 206-522-9570 9618 MIDVALE AVE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 1/1/2014 PROJECT DESCRIPTION: PARTIAL REBUILD OF FIRE DAMAGED HOME, USING EXISTING FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 100,000.00 ADD'L: HEAT TYPE: HTP 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 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $993.75 JLA 06/17/13 142187 Exist: 2 Exist: 3 Plan Check $645.94 JLA 06/17/13 142187 Prop: 0 Prop: 0 State Building Code $4.50 JLA 06/17/13 142187 Total: 2 Total: 3 Total: $1,644.19 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