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BLD2014-00169
•UILDING PERMIT APPLICA•N BRD1e 00169 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00169 Received Date: 5/15/2014 SITE ADDRESS: 696 WOODLAND DR PORT TOWNSEND, 98368 OWNER: GERALD A HICKEY PHONE: DEBORAH K HICKEY 696 WOODLAND DR PORT TOWNSEND WA 98368-9555 MADRONE RIDGE SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 001273007 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP POLE BUILDING GARAGE, NO HEAT, NO PLUMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 17,000.00 ADD'L:' HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 864 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: APPROVED Exist: Exist: Prop: Prop: MAY 3 0 2014 Total: Total: Routing Date: Jefferson County DCD Type Amount Paid By: Date: Receipt: Approved/Date Permit $245.00 MEB 05/15/14 148631 Plan Check $159.25 MEB 05/15/14 148631 State Building Code $4.50 MEB 05/15/14 148631 Total: $408.75 \\firinmor1A01.4.1fnrme\F RI fl Ann PIA rnf F/1A 7111A 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#: BLD14-00169 APPLICANT: GERALD A HICKEY PHONE: DEBORAH K HICKEY 696 WOODLAND DR PORT TOWNSEND WA 98368-9555 SITE ADDRESS: 696 WOODLAND DR Issue Date: 05/30/2014 PORT TOWNSEND, 98368 Final Date: 7/16/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001273007 Section: 27 Township: 30 N Range: 1W PROJECT DESCRIPTION: POLE BUILDING GARAGE, NO HEAT, NO PLUMB THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/16/2014 a S Gerald 1-Iic key ' Loci" Wood land Dri✓ems Port jownsenoI, with 983108 ni PorceI OD 7 ) 03 001 1 Prepared by: Sound $u,jdinn Sys+e.Ks Inc. Scale 1 " -=10' 3f4' rnd y ke Rea.c( Por-t- LudIow, v,4 98'3".5' ),y2 1'Y t 35" -0 r t r O. L p� 3� U5 6 I yS / ') t V g Q v t ,EKI.fng '� . SFR ° O Re s e r v e -i- M '''=,-... 1 - Area - t- , _ V U 1N3Wd013A30 d11Nf O31O 1d30 �C AIN11O0 NOS 3J331 APPROVED ys ��oz I yew SITE PL N Y /� Q MAY 2 0 204 JEFF °. . «1• 'DEPT OF *!�:A � v mr a ; u i IGNA•,jT��..�� o 3U open space eageMe � 0 • dav0J19.1A MA,l'i 7.1n umenn col 111:4111414W 10 1171 0 0 o 1 c z CI a 0 Z . -o Z 4 m • 3068 � v I- y ` x W 03 • I\ 0 , 2 v _ 0 Z Kz-1Z 0 .... Mr- -I mmrnm x . 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Cpl Ill O (11 .."` + • Cs n° NA 1,3 °e P.7.7\ /W o r 2600 N.COLUMBIA CENTER Y GERALD HICKEY 1 ° q 41, N a •• o BLVD.SUITE#208 Cr n^ z ? d B ER K F,y RICHLAND,WA 99352 24'x36'xl l' POLE BUILDING BUILDING V1 Si PHONE:(509)736-7552 696 WOODLAND DRIVE ELEVATIONS L I d A . [ Engineering FAX: (509)736-7557 PORT TOWNSEND, WA 98368< �� � CO � JEFFERSON COUNTY l 0 N. COLUMBIA CENTER BLVD. s • to ., • E 208 SHEET OF RICHLAND, WA 99352 f PHONE: (509)-736-7552 CALC BY_ DATE BERKEY FAX: (509)-736-7557 CHECK BY DATE www.berkey.biz Project.D.es.criptiop JEFFERSON COUNTY DCD B,tildng Width= 24#t Eave Ht1. L....41...ft BUILDING PLAN *REVIEW Biiiiding Length = 36 ft lIK APPROVED AS SUBMITTED Pole Building Design for 0 APPROVED AS NOTED___,, Gerald-dickey 0 REJECTED Date y ?,/79' Reviewer, Criteria REVIEWED FOR 2012 IBC - CODE COMPLIANCE 2000•Post Frame Design-Manual E..fV .. 2040 NDS 1 ACSE7= TO L MAY 1 2 2014 i if 25 Of Snow Load 110 mph Wind, Exp. B JFFEFj$pCDO . fFPT OF COMMUNITY DEVELQPMEM Seiscnic_�Qne : D1 ..............Concrete.: fcl = 2500 Sdq: SY.F........140.0 psf,.Vertical..Soi1..Press.ure I S-�- 100 psf/ft; Lateral Soil Pressure ir'' �• "' it t: `t'�.-A s Arrpft Ptrme ere Improved errs t :..... ca 3. ;:°rc r.0 .r.o t.Q0 r. AU were 01 uiSt , . .. c7708 . l 's rt p, 1lon in cerdorpa el.with P0.�► 41' , ° al rip iicable code*and regulations. . a T: a.. 0 {EXPIRES 08/113/...15y 1 contact. he Building Department at..37 -4450-prior to mating changes iij or r evisitn...to the ariprOveid.-Mans ..,,1 • S at . N. COLUMBIA CENTER BLVD. j4110 E 08 SHEET 2° OF RICHLAND, WA 99352 BERKEYPHONE: (: :;:::;:FAX: CHECK BY DATE. www.berkey.biz Snow Loads Wind.Loads Basic Wind Speed=. 110 mph Pg..'...25..psf Exposure= B Is= 1 0 TABLE 1.5-2, ASCE 7-10 I = 1.00 Ce-.T....1.2 TABLE-?-2;,ASCE 7-10 A...=..1:00 • h = 13 00 Ct = 1.2 TABLE 7-3,ASCE T-10 a= 3.00 2a= 6.0© Roof Pitch 4/12 6= 1.8.43...degrees.. 0:322.radians- Horizontal Pressures FIGURE 28 6-1 ASCE 7-10 Exp= B 0.316 sine A= 24.1 0.949 cos e P= $ Pr=-.Pg(0.7)(1s)(Ce)(Ct) 0.900 Eos2 e C = 16 = 25.2psf D = 4.6 SLOPE-FACTOR Vertical Pressures E=...23:1 Cs = 0.94 FIGURE 7-2 ASCE 7-10 F= 15.1 G = 16 Ps T (P.r)(CS) H = 11.5 23:63 psf Overhangs >=oH._...3.2.:.3 Pmin = 25 psf GoH= 25.3 25 psf Controls Lam... m /11110 N. COLUMBIA CENTER BLVD. E 208 SHEET OF RICHLAND, WA 99352 B E�EY PHONE: (509)-736-7552 CALC BY DATE FAX: (509)-736-7557 CHECK BY DATE. www.berkey.biz Lateral Control....-..Wince Seismic L= 36 ft Overhang =x= 1.5 ft DLroof="'5 psf Overhang = y = 1.5 ft DL ails= 5 psf span..=..s..=....24..ft pitch..=..m ...4../12 Area of Roof: Ht= 11 ft Aeavewall_(Ht•0.5)(L) AR= (s+2y)(L+2*) = 1053 sf = 378 sf Area of Walls: Aroof= (L+2x)(m(s/2))= 156 s Aw= 2[(L)(Ht)+((s)(Ht).t(m(214)1= 1416 sf • htroof= m(s/2)= 4.00 ft Wt, of=AR DI-roof) = 5265 lbs Wind Forces Wtwa s=AA(DLwaus)= 7080 lbs VA= (24..1){Ett)(2a)...=.........1.591..1bs Wt Wtroof Wtwaii = 12345 lbs V8..= (8) m(s72)(2a+x)= 240 lbs Seismic Parameters: Vc= (16)(Ht)(L-2a) = 5280 lbs le= 1.0 Table 15-2 ASCE 7-10 R,=._2,5 Table 12 2-1,ASCE 7-10 VD (4:6)111(S 2)(L:+x 2a).= 580 lbs SS=...0.8 U- GS Hazard.Citrues Fa.=..1.t able..11.4-1 ASCE 7-19 $Ms= ($s)(Fa).._...0..9 Eq.1.1.4_1..ASCE 7-10 cc /UNWIND= 7690 lbs Sips= (2/3)Sms= 0.6 Eq 11 4-3 ASCE 7-10> " Cs= (SD )(!0)/R= 0.3 Eq 12 8-2 ASCE 7-10 Vseismic CsW= 3108°ibs Eq 12.8-1..ASCE 7-10- 3.11 Kip < 7.69KIp Meal Wind.C.ontra.ls T0 N. COLUMBIA CENTER BLVD. E 208 SHEET OF RICHLAND, WA 99352 PHONE: (509)-736-7552 CALC BY DATE B E�EY FAX: (509)-736-7557 CHECK BY DATE www.berkey.biz Lateral...Model 3..Bays D.iap.h.ragrn.-.Stiffness Assembly..#..9 1( , 2 3 4 ' 29 ga. Steel(1I) Overlap Purlins w/o i , Shear Stiffness c= 4700 lbs/in }3 j Shear Modulus G=-4700 Ibs/i•n i i 1 2b 1 Allowable Shear Va = 160 plf I ' 1 Cp= (G(bh))/(s(cos8) = 5574 lbsf n 41 A Ry s._...........1.2:OO ft bh = 13:50 ft [ -{ .2 .3 R.4 Bay 1 2 3 Width 12 ft 12 ft 12 ft $tiflness..Properties Fra.me..Loacls Frame 1: Kp= 7722 lbs/iirn Frame 1: R1 = 836 Frame 2: KR= 735 lbs/in Frame 2: R1= 1013 lbs Frame 3: Kp• 735 lbs/in Frame 3: R f.=..4Q..3 lbs Frame 4: Kp= 7722 lbs/in Frame 4: R1 = 506 lbs Lima- 0 0 J 1 • 0 N. COLUMBIA CENTER BLVD. •TE 208 RICHLAND, WA 99352 SHEET 5 OF PHONE: (509)-736-7552 CALC BY DATE ]3] JJç] "s/ FAX: (509)-736-7557 CHECK BY DATE www.berkey.biz Frame...S.tiff n ess Frame 2-3 Cantilevered.Past Frame 18&4 29 ga. Steet(11) Post Size 6x 6 N = 2 C= 3700 lbs/in G= 3700 lbs/in €._....1100 ksi J = 1.08...1114 ua= 110..p1# w 21 ft 11.6 Ht Ht= 11 #t Kp= ( EI/H 3 - p= (Gw)/Ht= N 3 p )- 467 Ibs/in K Gw/Ht 7400 lbs/in CIL W 410.1. 0 N. COLUMBIA CENTER BLVD. TE 208 RICHLAND, WA 99352 SHEET (/ OF B jjjjy PHONE: (509)-736-7557 CAL'C BY DATE CHECK BY , DATE www.berkey.biz CAE.I...I.In.p.u.t Number of Bays 3 Roof Stiffness 1,ay 4 400332 Bay 2 10032 • Bay 3 4003 2 Frame Stiffness Loads 1 7722 lbs/in 836 lbs 2 7351bs/in 1013..ibs 7351bsrn 1p43lbs 4 ,......7722 lbs/in 506 lbs .... , Q emu. • • 14346.DAF FRAME FRAME APPLIED HORIZONTAL LOAD RESISTED FRACTION OF NUMBER STIFFNESS LOAD DISPLACEMENT BY FRAME APPLIED LOAD 1 7722.00 836.0 .2034751 1571.2 1.8795 2 735.00 1013.0 .2767641 203.4 .2008 3 735.00 1013.0 .2693535 198.0 .1954 4 7722.00 506.0 .1807004 1395.4 2.7576 DIAPHRAGM DIAPHRAGM SHEAR SHEAR NUMBER STIFFNESS DISPLACEMENT LOAD 1 10032.00 .0732890 735.2 2 10032.00 .0074106 74.3 3 10032.00 .0886531 889.4 0 w Page 1 0 N. COLUMBIA CENTER BLVD. • TE 208 RICHLAND, WA 99352 SHEET OF B E�zh FAONE: 509)-736-7557 CAI,C BY DATE CHECK BY DATE www.berkey.biz Da.p.hrag.m..Shear Dap.h.rag.lm Chords VP=(chiCn)(Vn)/(cos 6,) =, )(L)/4= 8005 ft=tbs = 469 lbs Chord Force Vh..»...889:4-1 bs Z.Pa_=..Md/bX 1= bh/cos 9 = 14:23 ft , v = V /I = 32.9 plf P; »M m ._ ..._ R.i�dg .........._....._ I�3 M0.-- .._...._...._....._.__.... P 2 #,,,... Use only the outer 3 purliris Purlin Spacing =z= 24.0 in W= 24 ft bx_,=..W-2.(z/.12)= 20.0D ft=..Md/bN= 400'tbs a= 1.5 in b= 5 5 in Apuriin ab= 8 25 inz i✓" Let Pi _(Wibx)(. Pe)/3 = 16.0..1bs (fT)max = Pi /Apudin = 19.4 psi igami N.08 COLUMBIA CENTER BLVD. 7! RICHLAND, WA 99352 SHEET OF PHONE: (509)-736-7552 CALL BY DATE BERI(EY FAX: (509)-736-7557 CHECK BY DATE www.berkey.biz Post...Q.es.i.gxt .n.d.-.to.- n.d...She.arw.alls Olaf of Nand Forces Lateral wind force. Reaction for fixed-pinned posts on gable ends= ZR Hp= 116 in s = 12.00 ft ERi = 3/8(VW(EE).) _ w=1-92 plf AEE•= 312 sf AA= 78 sf Mactual=w(FE )2/8 t 2243 ft-Ibs FE= 1899 Post Size 6x 6 Dtstri.h.ute....For..ce to...1....Walls E.= 1100-ksi F= 108...1n4 Total length of controlling...-hear element S= 36 1n3 Fb= 575 psi LEE = 36 ft Trib = 24 ft CD= 1.6 Fb 920 psi Span-.s..=..24 ft Mmax = 2760 ft-lbs VEE=(Trio/s)FEE = 1899 tbs 2760 ft-Ibs> 2243 ft-lbs OK VEE=VEE/LEE= 52.8 plf Shearwall Type =29..ga...Steel..(1.1) allowable Shear = 110 plf 52.8 plf< 11Q.0 plf Q.K. SHEAR-WALL-CHOICES 29 ga w/o stitch screws 110 plf 29 ga with stitch screws 160 plf J Ula 7116' O$R with...Sti.pies 39 plf to N.000LUMBIA CENTER BLVD. J• E 0 RICHLAND, WA 99352 SHEET OF ZONE: ( CALL BY DATE B F� y CHECK BY DATE www.berkey.biz Constra nect..Ppst..E.mbed.d..d...in...E.arth Base So[Lateral Bearing.=...S=•100'pcf Embedded Element Width = b= 2.00 ft Required spacing-for-increase in PFDfdl•8.3.1-1 6b- 12.0 ft USE INCREASE W= 192 plf S' = 26.6..pcf L= 967..ft Ma= 2243 ft=tbs Actual d = (4Ma/S'b)113 Actual..d= 2.56 ft Used= 3:50 ft • C) is TE 0 N.208 COLUMBIA CENTER BLVD. f RICHLAND, WA 99352 SHEET l OF BF1:PJKF1'Y PHONE: (509)— CALC BY DATE FAX: (509)- 36-7557 36 7552 CHECK BY DATE www.berkey.biz Uplift Frame...1....Sh.ea.rwal.l Trib, 12:00 ft Total length of controlling shear element Tnb2= 13.50 ft L = 21 ft Area=•A= 162 sf V..= 157.1.2 • llptiftPressure= G= 16:0 psf V = V/L = 74:8 plf Uplift= Pup= 2592 lbs Shearwall Type = 29 ga. Steel (11) Sofl GQrte Allowable Shear-...1.1 O plf dT= 3.00 ft (P = 35 a 0.61 rad 74.8 plf< 110.0 plf OK r= 1.00 ft Ap= 0.25 sf Vs=((rr(dTt.ricp+"r)*2(dT+litanq))i3)-(rrr*3 13tancp)-dTAP Frame 4-.Shearwail 42cf Total length of controlling shear element Yw7)= 110 pcf L = 24..ft FED=Vs(y =..4.:66 kip V= 1895.4 2.59 kip < 4.66 kip OK v = V/L = 58.1 plf Shea.rwa.11.Type =29...ga,...St eel...(.11) Allowable...Shear = 11.0 Of 58.1 plf < 110.0 plf OK • • Cti JOIST & RAFTER CALCULATOR PURLINS BEAM PARAMETERS: STRESS CALCULATIONS: Horiz. Span: 12 ft Types Moment @ midspan = 886 ft-lbs Slope (V:H): 0 :12 #2 DF-L Moment @ Point#1 = 0 ft-lbs True Span = 11.25 ft #2 HF User Calc'd Moment= 0 ft-lbs Beam Type: #2 DF-L LVL S4S lumber? YES PARALLAM Shear @ 0'end= 301 lbs Shear @ 11.25'end = 301 lbs • No. of Pieces: 1 User Calc'd Shear= 0 lbs Spacing: 24 in Width: 2 in Reaction @ 0'end= 315 lbs Depth: 6 in. Reaction @ 11.25'end 315 lbs LOADS: VERT. LOAD PERP. LOAD fb= 1406 TEN. BENDING OK Uniform Dead: 3 psf = 3 psf fv= 57 SHEAR OK Uniform Live: 25 psf = 25 psf Point#1: 0 lbs @ 0 ft LL S allow.= 0.75 in TL 5 allow.= 1.13 in BASE DESIGN VALUES: Live Load S = 0.62 LIVE DEFLECTION OK Allow. Live Load 5: L/180 Total Load S = 0.70 TOTAL DEFLECTION OK Allow. Total Load 8: U120 Fb= 900 psi F'b= 1547 psi Requires 1.50 in. bearing surface Fv= 180 psi 1= 18 in4 Fcpe1 = 625 psi E = 1,600,000 psi ADJUSTMENT FACTORS: Cd= 1.15 Cf= 1.30 Cr= 1.15 SPECIFICATION: 2 x 6 #2 DF-L @ 24 in. o/c C 0 4if`+NN?'j • • I3 POST FOOTING DESIGN MATERIAL PARAMETERS: P Base Allow.Soil Press.= 1500 psf Adjust.Allow.Soil Press.= 2550 Concrete Strength:fc'= 2500 psi Post Width= 6 in Post Depth= 6 in FOOTING PARAMETERS: CALCULATIONS: Diameter=b= 2.0 ft Thickness=t= 6 in Actual Soil Pressure=q= (DL+LL)/(trb2/4) = 1376 psf OK Column Width=h1 = 6 in Depth to Base= 42 in Punching Shear(Vu 2) = q[(rr(b/2)2)-((h1+h2)/12)2] Column Depth=h2= 6 in = 4127 lbs AXIAL LOADS Allow. Shear(4Vc)=(85)(4)SQRT(Fc)(4)(h 1+h 2)(h 2)/2 Dead Load=DL= 720 lbs = 24480 lbs OK Live Load=LL= 3600 lbs Actual Conc.Bearing= (1.4DL+1.7LL)/(h1•h2) = 198 psi Allow. Conc.Bearing = (0.85)(0.7fc'SQRT2) = 2975 psi OK CONSTRUCTION SPECIFICATIONS: 2 ft.dia.x 6 in.CONCRETE FOOTING 2 ft.dia.x 42 in. DEEP HOLE(BELL OUT AS REQ'D) 2500 psi CONCRETE �A 0 V J it c ( Lf Lf BEAM-COLUMN AXIAL LOADS & STRESSES: BENDING LOADS &STRESSES: P1= 4320 LBS Max Moment(M1)= 0 lb-ft P2= 0 LBS Max Moment(M2)= 2243 lb-ft P3= 3240 LBS Max Moment(M3)= 1682 lb-ft D + S, fc= 120.00 psi Load Case (16-9) D + S, fb= 0.00 psi D+W, fc= 0.00 psi Load Case(16-11) D +W, fb= 747.56 psi D+0.75(S+W), fc= 90.00 psi Load Case(16-10) D+0.75(S+W), fb= 560.67 psi TRUSS MEMBER PARAMETERS: Length: 9.67 ft S= 36.0 in"3 Ke: 0.8 I= 108.0 inA4 Effect. Length = 7.7 A= 36.0 in"2 SPECS: CALCULATIONS GRADE: #2 HF Le/d= 15.5 Width: 6 in. Fc*= 920 Depth: 6 in. FcE = 1379 d = 6in. KcE = 0.30 Fc= 575 psi c'= 0.8 Fb= 575 psi CP = 0.810 E= 1100000 psi Fa'= 920 ADJUSTMENT FACTORS: wind CD = 1.60 snow CD = 1.15 CF = 1.00 INTERACTION EQUATION LOAD CASES: (fci F'c]Z+ Lfb1 (Fbl'(1-fc/Fou)]<_ 1.0 STATUS CASES (16-7&12) By Inspection OK CASE (16-9) D+S 0.050 0.000 0.050 OK CASE (16-11) D+W 0.000 0.813 0.813 OK CASE (16-10) D+0.75(S+W) 0.015 0.652 0.667 OK SPECIFICATION: USE 6inx6in #2HF a. 4ig$ON C06 JEFFERSO UNTY 1'-4 ' I (0-1)\-. ` ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 V..4,17 A' ",4e 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment ,st?N Master Permit Application MLA: Project Description(include separate sheets as necessary): (Sok' t .,,t6 ,..-c_1,6 - Tax Parcel Number: Q )I .473 001 Property Size: I.1p 7 acre square feet) Site Address and/or Directions to Property: 6 410 Wood I441c1 Or,✓e- l Port )04.4)4145 end Property Owner(s)of Record: Ge fal J N 1 c ke y Telephone: Fax: email: Mailing Address: 109& Wood land Dr,ve At "a.u+' sr.,+d / W/1 18494 Applicant/Agent(if different from owner): Soured B u,1 d,,,i 5s I h t. Telephone: 3bo-L137--/a19 Fax: 3 l - 437-i..2 18 email:5oundbu,ld,ri1K 1em5&tiotrr,aa/.tom Mailing Address: 3S94 Thorn d y ke Road hrr t k.ad l ow, VIA 9 8.3 S What kind of Permit?(Check each box that applies CliBuilding ❑Critical Areas Stewardship Pla ❑ Demolition Permit 0 Variance(Minor, M -- 1:94n1/4,1i4, ❑Single Family Garage Attached DetacI ❑Conditional Use[C :\ \•i.•. �.-- ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or -• se Classification ❑ Commercial* ❑Special Use(Essentr' 'If is Facilities),**,) VAS ❑ Change of Use ❑Boundary Line Adjus 1\g`(❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** COUNTY ❑ Propane ❑ Long Plat** )EffERSON yOP�EN� ❑Sign ❑ Planned Rural Reside tai Dey09pmpltl!�-1 - endments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteratio ❑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 Sou n d u,(4 ,• s f,- Ms ,i o act as my agent in matters relating to this application for permit(s). f 7 ANEW , / OWNER SIGNATURE — ..i. i. Date: -/2-/'7 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 provi.- -ccess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any require' later io . Staff' acre- and right of entry will be assumed unless the applicant informs the County in writing at the time of the a licati• that the is io'not'--. _ PP � J p / Signature: .._!_i © -�= � -y�-/`7 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 issue• ill not violate the ESA. Any end' idual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you in co ,, ce ith t e ffers County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabl respop.'.'y f dhe to complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 4 i Date: ,G' -/e...- /r G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT 0 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: FAX: Sound /gutidinrr S�,s�'ehis Sam (310©) Li37 -ta.r? (31po)H37-/Aiff MAILING ADDRESS: J 5 3y(o I hcrndyke_ Raael EMAIL: CONTRACTORS LICENSE Port Lzt ei l e w, ul A 9 l?4$ WAINS NUMBER: SbUNOl35c 7NM NUMBER ARCHITECT/ENGINEER: 8e r ke y Er(3 y,e ring PHONE (fo7) 73k 'SS1 F (Sb?)73( 7SS7 MAILING ADDRESS:„tboo n colup,.,,, ter Blvd "ice Ad,14n4 WA 91331 EMAIL Project Type: Frame Type: y Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New lg Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: 5 Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: o 5 Public Total: Name of System: P u 0 it I 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank 1 Pellet Stove 1 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 Office Use Only Amount Revision Main Floor Heated EH Bld App Review: '-'1 _ 2nd Floor Heated Consistency Review: �J Other Heated Base fee: T"c Mezzanine Additional Section: CA • Heated Basement Plan Check fee: jccl. ZC- Unheated Basement State Surcharge fee: ��//,, �c ) u • Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL ,---- Decks 911/Rd Approach fee: Other TOTAL: $ —4-3(4.t.7.5.-- Receipt Number: 1'i(/ 6 t Cash/Check Number: l 2-0e,3 , ESTIMATED COST(REQUIRED) Date: J •Fair market value of all labor and materials foundation to finish S l " q`/ 1 a ffa Initials: ii,_ .-j G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc L4 t4 C L Front Parcel Review j C h 1( 2" ( ( (6: 3°�p z Parcel 001273007 ( Z O (C* t( - 00 Printed: May 12, 2014pu ' GERALD A HICKEY Site Addr s(es): DEBORAH K HICKEY 696 WOODLAND DR P T TOWNSEND, WA 98368 696 WOODLAND DR n C� PORT TOWNSEND, WA 983689555 'l- go ( % a� Parcel Number: 001273007 S-T-R: 27-30N-01W Total Acreage 2 Legal Description MADRONE RIDGE SHORT PLAT LOT 2 SUBJ/OPEN Land Use: 1100 SPACE, WITH& SUBJ/EASE Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: School District 50 Zoning: �Z COMP PLAN G ( � ,_ C DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ r.]' Ploantates "property line" [ eisaArgeet Map(Property lines ubmitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [Vf Legal Access to Property eV NO [ 4/"Parcel Tags or Scanned D ocuments 4110 NO _ r [1 ESA's: Special Reports N-arby YES NO HA' Designated Ag YES 0 [ J- Shoreline Designation: YE [ Shoreline Slope Stability: YES cT Stream Type:YES NO FWHCA: YES NO Wetlands: YES NO `� Rare Plants:YES NO C(66 C� Seismic: YES NO 3t/D Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ VI Forest Lands: YES NO Adjoining Forest Lands: ,�--� Commercial/ Rural/ Inholding [ Mineral Lands: YES �N [ (,]" Agricultural Lands: �Y "1 [1)-- Archaeology: YES !!`'' [ yNo Shooting Zone: YES . \ MARV -[ Stormwater: New Impervious Surface g 62(1' Land Disturbing Activity (/ 6'1 ESA's Stormwater R q's:M in Req i#T Min Req#1 thru#5 Min Req#1 thru#16 Engineering [ Vf Notice Provision lsclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ 1-f Landscaping Required: Yes No [ frr Parking Spaces Required NO ether f .Y Building Height:0 UBC Standard LSOS (c-o0kik./S . • 9-9— c0,>. JEFFERSON COUNTY .144014 DEPARTMENT OF COMMUNITY DEVELOPMENT E C � ', / 63 E dan Street • Port Townsend •Washington 98368 O 3450 • 360/379-445 Fax h .co.jefferson.wa.us/commdevelopmant/ DEPT 0'CG' Stormwater Calculation Worksheet ^R MLA# PROJECT/A P PLICANT NAME: �e ra /- + e� 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.,SITE) Size of parcel I.1e 7 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 'S, 2 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 3/4 acres or more of Construction site for structures I Sio`1 sgftt 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 21/2 acres or more of native vegetation to pasture? Driveway,parking,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 soft Cut v Fill (cu/yd) [over] stormwater calc worksheet—REV.10/1/2003 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, ar d fled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE s ` NEW EXISTING Structures(all roof area) &' y sq/ft Structures(all roof area) a y o b sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks 2 7 2. sq/ft (without infiltration below) (without infiltration below) Driveway sq/ft Driveway / 9 D 0 sq/ft Other sq/ft Other sq/ft Total New ?to'1 sq/ft Total Existing `!S 1 sq/ft TOTAL NEW+TOTAL EXISTING* S'-I 3 Is 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: L % Does the site have 35%or more of existing impervious surface? Circle: Yes t3o 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 the affected property. 0 DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) — '§ Y �--r€c �._... t s ..._,�.._..,._.�.._...._._..... t ......_..._..__._�-_..._: stormwater calc worksheet—REV.10/1/2003 2 [V Impervious Surface coverag ercentage: Resource Lands&Public: 10%111, Rural Residentia 25% Rural Indust.Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [Vi Total Building (s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,00 F All others:subject to septic&water constraints/None specified [ "1 Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ kr Road Classification: _ Road Approach.�Ex1sTIN Q'D RAP [ SEPA Required: YES EXEMPT [ M Flood Certificate: e(-i( - [ 1( Existing Case(s)&Condition(s): Violations: Yes No [ Recorded Date of*division: AFN Over 5yrs=UDC Plat Conditions: ' (,&A_o4 U t .A' _ e_.. (,-O••)' <5yrs=Plat Conditions on plat or Old Ordinance Lots/Require Declaration of Restrictive Covenant YE NO, submitted: YES NO [9X � [V- UGA No Protest Agreement YES ' 0, -ubmitted: YES NO [ L..f Site Visit conducted YES 0 [ t...K Require Final Zoning Approval --- S O) [ ADMIN: Setbacks entered in Permit Plan case 4 YES New Parcel Tags entered in rmit Plan O *ES Special Reports Scanne N/A YES c Title Notes Updated Parcel tags found for parcel 001273007 1.) Storm Water Pla 09/09/1996 Cases Associated with APN 001273007 Cases Name Review Type Status Planner BLD96-00729 WALLIN &JEANNE WALLIN F Application Received: 11/22/1996 Permit Issued/Case closed: 12/16/1996 Case Finaled: 9/30/1997 single family residence COM97-00083 ROGGE F Application Received: 7/9/1997 Permit Issued/Case closed: Case Finaled: 2/20/2002 No ilding LD98-00020 WALLIN F cation eceived: 1/14/1998 Permit Issued/Case closed: 1/30/1998 Case Finaled: 7/16/1998 Single family residence. OTH95-00245 WALLIN F M GREWELL Application Received: 10/6/1995 Permit Issued/Case closed: 10/24/1995 Case Finaled: 10/24/1995 to divide a 5 acre parcel into three (3) lots with a minimum lot size of 1.55 acres. OTH96-00004 WALLIN A Application Received: 1/5/1996 Permit Issued/Case closed: 1/8/1996 Case Finaled: glen cove south PRE95-00008 WALLIN M M GREWELL Application Received: 7/19/1995 Permit Issued/Case closed: 8/17/1995 Case Finaled: 8/17/1995 PREAPPLICATION CONS'ULTATTOON: three (3) lot short plat SEP91-00264 SCHURIAN F Application Received: 6/3/1991 Permit Issued/Case closed: 2/14/1997 Case Finaled: 4/17/1998 EES BY ENVIROCHECK 1/16/03 SEP96-00111 WALLIN F Application Received: 4/10/1996 Permit Issued/Case closed: 6/18/1996 Case Finaled: 5/16/1997 SUB95-00097 WALLIN F M GREWELL Application Received: 10/6/1995 Permit Issued/Case closed: 11/7/1995 Case Finaled: 6/12/1996 to divide a 5 acre parcel into three(3) lots with a minimum lot size of 1.55 acres. Community water and on-site sewage disposal is proposed. The lots are proposed for residential use. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/12/2014 Page 2 of 3 SOM96-00111 ROGGE RCR Application Received: 5/16/1997 Per•Issued/Case closed: 10/3/2013 Ca inaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/12/2014 Page 3 of 3 • • • . ...�� .>,. .tf�s,�-TELL, . .. .. r,.,..,...k: �•1.U..4.w,.�„NY,ayi��.ry ,++kiMM..Y1aa.+1�N's ltl :...tti �Y .t- '-` .. :`�i'. MADc2OINE HODGC 0I�O1'T PL.A T s gJ-o0,qA7 ,.. Al I ON nonnvl OF THE SE fl/49 �5 fl/4 SEG, 27 r gD Nast 1:2 g Way Wilfa N JEFFERSON COUNTY WA MMOTON' LINE CURVE DATA TABLE LEGEND xt-_(xl?s�l�tut_.LENGin • • AI JEAN Wi�,L11}/ At 6'os'sr 737.39• 33.33' • (� set We'REBAR,MM Y[t S. I IO4 TIC SUNK rOR'S EDEN IKICA nON pDLI'�L�D AZ !1'so•se• 179.39• 11.47' CAP STAMPED •1MNrrRS, t.S. Ie104.ON 9-70-93 • VOUN0 5/6•R[BAR MM YELLOW PLASTIC SURE VOR•S xX NIKIGAnON p N0.__.-.al!Kll'�i_____.01$(ANCE. CAP SrAMP[0 'lI.T.I. N(SARY l5 »!..•ON 9-70-M 761 3....—99 R"1JR! At S S.'77•S!•C 139 76' t.'00--'--11.: ^ 0 room 3/6•REDAR and tutors PLASTIC SIARV[tDR'S NXNTVICA•oN SCALE.r'�IUU• CAP STAMPED 'DEA 700.7••ON 9-70-95 Ai s V �1�1 19 94•. O A2 .. • 4. C" • • • IDLING 7•BRASS CAP MM PUNCH w YONW[NI CASE ON 9-70-93 0 SO' 100 200 Ati>4,V• • APPROx4ATE LOCATION CF SOT. LOG AS PER INFORMATION FRONDED '�� \ •'.}7 •Br CRAIG WALLIN M HOMESTEAD OEYGN, /NC ; . !v• • s, NOTICE W POTEN77AL PURCHASERS o I I • O 1.075 CREATED HEREIN SHALL NOT BE FURTHER DIVIDED IN AN,'MANNER WITHIN A PERIOD Or FIVE (5) YEARS LOT 1 �i u N.-SET DETAIL 'A" /tumour nit FILLING Or A FINAL LONG PLAT. LN ACIDS 'n . ANY REMOVAL Or OR MAJOR QSTLIROANCE Or sat WITHIN MC PROPOSED DRAINER-LSO AREAS MAY CREATE i.�hi () : SUE CONa R01IS THAT ARE UNACCCP fABIE TOR IH( wS1AlLA T10N Cr SEWAGE DISPOSAL SYSTEMS AND COULD I APPROA LIVATION OF INVALIDATE ME SEWAGE DISPOSAL PERMIT, IN e."ia-riw T st PrtC. p I A. 'vs YOM. • INC LOTS, PARCEL. OR TRACTS CONTAINED NITHIN THIS sooaNSION WERE APPROVED BASCO ON DESIGN STANDARDS - I AND REGULATORY REOUIR[MENTS IN EFrrcr AT ME TIME aF FINAL APPROVAL. SEWAGE DISPOSAL SYSTEMS HAVE ('Il699•I IOJ.1 " NOT BUN APPROVED FOR ME tors. PARCELS. OR TRACTS CONTAINED WITHIN INC SUBDIVIYON. ON-SITE SEWAGE ® N 08. 10 020, 6 d.• DSPOSA( SYSTEMS SNAIL MEET DESIGN STANDARDS ANO REGULATORY REQUIREMENTS IN EFFECT Al ME MME OF APPLICATION TOR A SEWAGE DISPOSAL PERMIT. PURCHASER SHOULD CONTACT DC JEFFERSON COUNTY HEALTH 10 __..) w_�.4S'W10C CASEMENT CO DEPARTMENT FOR PROCEDURES CONCERNING PERMIT APPLICATION N 8 I FOR IHt PuRPOSC , 8 � or wdlESi tTX+tss Paw r0 THE COMMENCEMENT Or ANY LAND DISTURBIN3 ACDNnES AND PRIOR 10 ISSUNCE or A BUILDING PERMIT. ${ • $I $ o uncRES - CO A STORM WATER SITE PLAN SHALL BE DEVELOPED r0 THE STANDARDS Or THE WASHINGTON SLATE DEPARTMENT OF .. " *un ACCESS PERM'► ECOLOGY STORM WAFER MANAGEMENT MNUAL (CuRRENr EATON) AND BE SUBMITTED 10 M[ DEPARTMENT Or .1 Ro Ac PUBLIC WORKS FOR APPROVAL. TEMPORARY EROSION CONTROL M(THooS FOR CONS TRUE noN PURPOSES (ROADS, rAGUTIES) SHALL BE APPROVED BY ME DEPARTMENT Jr PUBLIC WORKS AND EMPLOYED DURING CONSTRUCTION. ._ W O j,pT 20 OPEN SPACE DECLARATION OPEN SPACE AREAS 10 PROVIDE WrIOLIFE HABITAT AND TO REMAIN , - t.67 ACRES• I , AS NATURAL VEGETATION AI A MCI ► OF NO LESS MN 6 F(. . \ O •. •I (y RkNii lisvIl L4�p'► if 't{,�.OpGeY a, M4•L1 F R ,KS 7d.T p��`� r1'44 {r "tio�111Jy o LA F Owntls w�i in 'p FouNO ROAR&CAP TAUS N • �+• 8 q t 41 RESTRICTIONS I FROM TRUE Poslnav AND 7.9 fI. [AST 0►LINE SETBACKS FROM PROPERTY LINES W STRUCTURES SHALL CONFORM NTH ME JEFFERSON COUNTY I (•- --I '� ZONING CODE, AND UNIFORM BUILDING CODE. I x' --•1 f I •�OIL•_CL ~ 0 FOUND RCBAR•CAP FALLS 171 t \ 171.17• O � S u•a7sr•t. 76srr. � • ‘.;.1....:.•,. ALL LOTS CREATED BY THIS SHORT PLAT SHALL BE sue c ro All COL•ENrANrS, CONDITIONS ND \ S 15 TRUE E. 263 AND• NB8.16'OL''W y .'� RESTRICTIONS AS SET FORM UNDER WOODLAND HILLS C. L. t R.'S AS RECORDED UNDER AUDITOR'S \ 7.7 FT. CAST Or ONE 11 01 e000 FIE NQ 128835. RECORDS Or JEFFERSON COUNTY, WA, ♦ , 111 •.'9199? $ 10.17• B • roll ROAD MAINTENANCE AGREEMENT SEE AUDITOR'S FILE Na -- $" R DETAIL "A • - PROPERTY DESCR1P770N N.CS. for 3 Or ROW HILLS N0. I, AS TILED UNDER vOLUMC 11 OF SURVEYS. PAGES 50-53, RECORDS m T LOT s SOUTH I/4 CORNER r fp Or JEFFERSON, CO. WASHINGTON. O FOUND 1-3/4'BRASS CAP SW SECTION CORNER A JO'IN BOW 2-I/7•IRON PIP( IN room)3-1/2.BRASS CAP IXDIWRD TOR CCNNN[TI SrAt1PED OI:CLARATION w Cu s. Aptly MONUMENT r. M[PvRPOSr OF • AGYCARNSBERar INC. ME U S. ARMY CNGt. UCPT. it •OPEN SPACE•(Fri.) $ 1.5. 64JS•ON 9-70-9s .t• ME UNDERSICNEO, OWNERS OF ME LAND HEREBY PLATTED, HEREBY DECLARE THIS PLAT AND GRAN ON 9-70-93 Ti s� 1) 10 LOT OWNERS ME HON-ExCtuSIYt RIGHT r0 USE EASEMENTS AS PLATTED AS A MEANS Or INGRESS. POTENTIAL p(AIp1AilI3 R EGRESS AND urLIUES. ME PLArrORS HEREBY ACCEPT ALL RESPONSIBILITY FOR All CLAIMS AN � DAMAGES W►eCH MAY BC OCCASIONED FOR OTHER LAND OR PERSONS BY ACTIONS OF SAID PLO ---- r� I� ' AUTHORIZED BY INC COUNTY IN R(LA Boni TO THIS SNORT SUBDIVISION. NE HEREBY CONSCNr}�1 I$ I S 6373 O7•[ r 5 ti' 6671' SA 47' • S e6 t1'07•[ I SHORT SUBDIVISION.- 1 179134' Y.E�OQ 6036) r . ar S 8978.02" E 242.36 LAN WAItIN I S' • CRAIG WALLIN / <. t APPROVALS x1y T,I APPROVED IMM RESPECT TO COMPLIANCE TWIN Alt SHORT SUBDIVISION REQUIREMENTS Or THE STATE OF WASHINGTON ) ��'�': 55 -- 4 JEFFERSON COUNTY SUBDIVISION O�fiaNANCf AND AF�LL C�f1 S a SUMMARY APPROVAL. COUNTY OF JEFFERSON ) ":-':�; o JEFFERSON CO. HEALTH DEPT. _ 7J -..1..d.__ - ----. DATE. _. ._S-y'I/ L MIS 1S TO CERTIFY MAT ON MISC..' it _ DAY co' t,.._._ _I___. 1996. PERSONALLY APPEARED • JEFFERSON CO. PUBLIC WORKS DEPT. IF •- T— DATE: -.•30-/ CRAIG WALLIN t LAN WALLIN, TO ME KNOWN TO BE THE IN(TNDUALS DESCRIBED IN AND ° .;: ,F' j WHO EXECUTED THE M MIN NO FOREGOING INS)RUMEN t, AND ON OA M STATED THAT ,r EFFRESON CO. DEVELOPMENT RENEW OW — 4 : ,,.----N DATE: ._!=9� AUTHORIZED TO EXECUTE THE INSTRUMENT TO BE INC FREE AND VOLUNTARY ACT Or 5 R FOR INC USES AND PURPOSES MENTIONED IN THE INSTRUMENT. r� F -OVEC Y •7 FF*SON COUNTY BOARD Of COUNT f...l ISYCNENS nos _I-�-- DAY • S of— i ,9 + • -_ •MMESS YY VINO AND OFFICIAL SEAL ON INC DAY AND YEAR FIRST ABOVE WRITTEN. P: '- \ , ' • 1 •, • I ,,,.,4,.. - Jr .. 1 • . 1 1 ' i' I YAW, BOARD J NTY COMM COMMISSI 5---- NOTARY PUBLIC IN ANO (OR THE STATE OF WAYaNGTON RESIDING IN 14( p1� I• I •• . . f, I . k. ATTEST CIERN Or ME Pomp Or COUNrr COM ssIONERS j NOTES: • I. T IS SURVEY RTE SUPPLEMENTED EDTB (MIL TRAVERSE USING A 10 SECOND •TOTAL. STATION* TREASURER'S CERTIFICATE I 2. BAYS Or BEARINGS TS S 8616.02'C BETWEEN ME MONUMENTS AT ME SW SECTION I. ILA J.►A 11.W6M14TREASURER OF JEFFERSON COUNTY. WASHINGTON. HEREBY CERTIFY THAT PAYMENT or CORNER AND THE SOUTH 1/4 CORNER AS SNOW HEREON. ALL TAxES AND DELINQUENT ASSESSMENTS ON THE ABOVE PROPERTY FOR THE YEAR 5996. HAS BEEN ) • • DULY PAID AS REQUIRED BY RCW 58.08.040 ' I FOR SECTION SuBDIMSION SEE VOLUME II Or SURKrS, PAGES 50-51 RECORDS OF JEFFERSON .11.1 �lL • CO., WASHINGTON. (A.F. NQ !78886) al-9I pCPUTY COUNTY TREASUIa R 6-114 I SURVEYOR'S CERTIFICATE AUDITOR'S CERTIFICATE �(� A �e�� 5896 Af{l.i:.�CY.. -M. IN • 1 HEREBY CERTIFY THAT MIS SNORT PLAT Is BASED UPON AN ACTUAL SURVEY MAT SHE'COURSES FN ED F RECORD THISµms_ DAr or At THE RE5996 OF R.M WINTERS CO. ARC PLACED ON IN GROUNDINCOMPLINCE WITH THE JEFFERSON COUNTY SUBDIVISION ORDINANCE. VOIUMC� or SHORT PLATS Ar PAGE -,. ^^��`` .r • TY COUNTY AUDI TOR R.H. INNTERS, L.S. 5810 t�"*It''•• R.lt. Winters Co., Inc. �o•'' 5.77,r 3ON.IW A��� SURVEYING • ■■■ s EF MAPPING • SURVEYED NY MONUMENTEO:Y(�[I4�----- _ X ( �Int6t5'J serest HWY. 101 SEQUIN, WA. �4L LAWO SEQUIN PN:683-3363 I 4AOM NOT TO SCALE PT. TOWNSEND PH: 386-1225 DATE 4- ix 46 MAX:683-1860 f : .Stilt+ 1 or 1 • • • Jefferson County Building Division Permit Number: BLD14-00169 Applicant: HICKEY BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 5/28/2014 Post Holes 5/28/2014 fv12.3 ► Foundation Footing 5/28/2014 Framing 5/28/2014 -)) 151 iv A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION j .71 ts- Iq FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00169 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 site plan as submitted with the Building Permit application on May 12, 2014 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 20, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) DWJ 4.) This parcel is within a no shooting area per JCC 8.50. 5.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. \\tidemark\data\forms\F_BLD_Permit BIdg.rpt 5/30/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00169 Received Date: 5/15/2014 SITE ADDRESS: 696 WOODLAND DR Issue Date 5/30/2014 PORT TOWNSEND, 98368 Expiration Date 5/30/2015 OWNER: GERALD A HICKEY PHONE: DEBORAH K HICKEY 696 WOODLAND DR PORT TOWNSEND WA 98368-9555 MADRONE RIDGE SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 001273007 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 PROJECT DESCRIPTION: POLE BUILDING GARAGE, NO HEAT, NO PLUMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 17,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 864 CONST TYPE: DECK. SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $245.00 MEB 05/15/14 148631 Exist: Exist: Plan Check $159.25 MEB 05/15/14 148631 Prop: Prop: State Building Code $4.50 MEB 05/15/14 148631 Total: Total: Total: $408.75 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 SPECIAL CONDITIONS APPLY-SEE ATTATCHED �fFSOx c�GL JEFFERSON COUNTY / DEPARTMENT OF COMMUNITY DEVELOPMENT f. �.5i \0C ! Date: 7// /0./0.5-4/ m Time Received: la - a pm Mon. Wed. Thur. Fri. !/! Date: i/'f BLD: /q'- /&f Contact Name: // Owner: Contact Number: 360 C L 57 / 2/9 Address: cog& LA)aoa-47J° DA. 206 T Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing )(... Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling SON coo JEFFERSON COUNTY 2` DEPARTMENT OF COMMUNITY DEVELOPMENT /j gy f11 x6c° Date: r 1 9 Time Received: /-/3 - am pr . Tue. Wed. Thur. Fri. Date: 6 23 BED: /g —40? Contact Name: Owner: Contact Number: 360 9/7 / L/1 Address: CR(o t Ja , tr 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks ) Under-ground Framing Under ground Furance Footing X Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m., we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection.