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BLD2010-00101
BODING PERMIT APPLICATION, M RA1 w Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00101 Received Date: 4/5/2010 SITE ADDRESS: OSPREY LN BRINNON, 98320 OWNER: MICHAEL DIEHL PHONE: 360-302-0156 JUDITH ROGERSON PO BOX 10218 BAINBRIDGE ISLAND WA 981100218 SUBDIVISION: Block: Lot: TX 1 PARCEL NUMBER: 601192002 Section: 19 Township: 26 N Range: 01 W CONTRACTOR: OLYMPIC RIDGE INC PHONE: 360-302-0156 15940 LINDSEY LANE POULSBO WA 98370 Contractor's License OLYMPRI986NA Expires 8/7/2010 REPRESENTATIVE: KLINKER PHONE: 360-302-0156 159, II -8-4-4 Y LANE 360-598-3992 POU -=0 WA •." 0 PROJECT D • -IPTIOP NSFR W/ATT GARAGE &A/G 100 GAL`PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,205 VALUATION 300,004,00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: 770 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 487 CONST TYPE: SETBACK: DECK: 180 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Tota Rou inq Date: 4-(0-to Type Amount Paid By: Date: Receipt: /\PPRfED Permit $2,113.75 LYK 04/05/10 117507 v Plan Check $1,373.94 LYK 04/05/10 117507 JUL tZ 2010 State Building Code $4.50 LYK 04/05/10 117507 Potable Water Application " $98.00 LYK 04/05/10 117507 Jefferson County Planning Total: $3,590.19 &Building Department 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#: BLD10-00101 APPLICANT: MICHAEL DIEHL PHONE: 360-302-0156 JUDITH ROGERSON PO BOX 10218 BAINBRIDGE ISLAND WA 98110 SITE ADDRESS: 233 OSPREY LN Issue Date: 07/12/2010 BRINNON, 98320 Final Date: 7/10/2014 SUBDIVISION: Block: Lot: TX 1 PARCEL NUMBER: 601192002 Section: 19 Township: 26 N Range: 1W PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 100 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/10/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/11/2014 *iiiikNe II d, JEF FERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT � o= 621 Sheridan Street• Port Townsend•Washington 98368 % ' 3360/379-4450. 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 10`108 Project Description(include separate sheets as necessary): Tax Parcel Number: //qa..1 Property Size: .Jr (acres/square feet) 4 Site Address and/or Directions to Property: // i. Property Owner(s)of Record: 711 )n...).4/ .+- 7 Pcs ilfet. cu--. Telephone: e, - 3001—.0/s6 Fax: „--o— email: -o- Mailing Address: .iOd. •,c /:o/c 4C,k.,1 - 1-,),,,_ 9 re) Applicant/Agent(if different from owner): 7- k/.;, ^ ©f.,...,lc.: f24 Telephone:7(D- ")Oz QtJ C Fax: - - .1_ email: & -.- Mailing Address: lr9c1Y7 Cd ,r- /20.,10 Gasel. er?4, Wh M(l"nd of Permit?(Check each box that applies 0 Lot or Road Segregation A - 1 /.v s(j uilding ❑Critical Areas Stewardship Plan O_Pernolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family arage ttache Detached 0 Conditional Use[C(a);C(d),or C]*" ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach 0 Short Plat** ❑ ome Business 0 Cottage Industry ❑Binding Site Plan** Propane ❑Long Plat** ❑Sign - ❑Planned Rural Residential Development(PRRD)/Amendments** O Allowed"Yes°Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program.Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑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 **R-•uires a Pre- ••lication Conference Please identify any other local,state or federal permits required for this proposal,if known NATION OF AGENT I hereby designate WiutP1 e Z T>tsf Wilk�jto act as my agent in matters relating.to this application for permit(s). OWNER SIGNATURE -412.(2 �' 'Y� Dater A411401ftelt. 2.9101 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 a h' - -e Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide --• and right of entry to -fferson County and its employees,representatives or agents for the sole purpose of application review and any required _=r inspections. Staffs a•►- and right of entry will be assumed unless the applicant informs the County in writing at the time of the application •- he • he wants prior notice Signature: s►" Date: 4 0/6 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 •. are in compliance with the Jefferson County development code.The Applicant acknowledges that he she or.it holds individual and non-transfe— res s ity fo wring to and mplying with the ESA. The Applicant has read this disclai ,and Signs and dates it below. Signature: I t j) Date: ?GI ; 242 to BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: /!! • � �j J/ � mot ) `sD�. er S'S�-7Q�f� MALILI DRESS: V l,y� - 4:av C./t d, c . MAIL: �� W AINS Q�c�,r M ,�` 2 CONTRACTORS LICENSE NUMBER: Cat!s c Yl�i°/2.r9'�6 A(47 NUMBER ARCHITECT/ENGINEER: G,/DA, nc k- LAq. PHONE O ) )ft yy cif—FAX:( t( ) MAILING ADDRESS: / li r `• EMAIL Project Type: F e Type: Bathroo - Shoreline: r Type of Sewage Disposal: B'New Wood Existing: --o— ❑ Sewer ❑ Addition ❑ Steel Proposed: `3 Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: '3 Height: cy Individual System O Repair ❑ Masonry 27 t SEP Permit# —4D--(94 Bedrooms: ❑ Demolition 0 Other: WaterSupply: Existing: r-.in Setback: VPrivate well ❑ Two Party Type of Heat: Proposed Total: 2 ��' ❑ Public ndo 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: 1 Underground Tank ibove ground Tank Size of Propane Tank: 1��(") 1 Heat Stove 'V6pok Stove 1 Woodstove replace Insert 1 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, includin• the reserve area. S.uare Foota•e Current Pro'•-ed , . `.' �.__;. ... Eap . : J� Main Floor Heated EH Bld App Review: 1 120 3 2n°Floor Heated .y i ; Consistency Review: i r, Other Heated �. Base fee: V' Mezzanine '= A ,�. «,. Heated Basement `. 70 � I Plan Check fee: Unheated Basement Y ; ,,,A,..._ ,..D t31�q�-1 State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport 4 84,7 f SUBTOTAL / . 19 Decks 1 911/Rd Approach fee: Other r f1� �2 „* TOTAL: $ 414 t • )� 0, . Receipt Number: 1`x '7 . � t60 Cash/Check Number: 0 ESTIMATED COST(REP : D Date: l 0 .Fair market value - abor and materials fou •n to finish 4 Initials: C .. n_ __✓__.__\iFiFfrCllD L.fCtHfft\TIP TI RrIPA,fC\r`..«a..r ;L- 11)I G.-,.,,,. \f..cr...Po-emir Am.l:.-orin..S_7Q_r1R Ant- • 0 D ---I * x -b 01 CO --1 -b x -I --1 CD 01 -• -• 01 -0 CIJ 01 X O_ CI r+ X 01 0 -1 -0 01 O - -0 -3 -3 0 01 < M. CD 01 0 CD D- p CC -• CD CC m m H CD rF O CD - 7C m -3 E 7 .- CD = O m #C C N -' -A CD C-3 CO O 4 -1 0_ O O O � -, O -. 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' \„,,,,„.,,,,, / N to ns VI I-. /y� 1 Ai s eVM O 0 a 14,„ n w a 0 0 D n cs S w ▪ p O // // • O / * G� /// co n // Q/ // /O // O //// -5 // Z7 'I L- ,- --1 co v -n -, ► ► ► . f at. . 0 0 3 n til { Q I I I I I O 1 I 1 1 1 I I - �1 IPII 11111_ ____ ■ ■ 3 G' {T 4 A 00 ;lam 7: 0 0 , , .‹: a_ 1 0 p vO z r �. o N \• = P i. 1 0 o r A.4Er cVY O p 3y4Y n 13 E a n V. r9' Contractors or Tradespeople Printer riendly Page • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L6tI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Olympic Ridge Inc UBI No. 602191592 Phone 3603020156 Status Active Address 15940 Lindsey Ln License No. OLYMPRI986NA Suite/Apt. License Type Construction Contractor City Poulsbo Effective Date 8/1/2002 State Wa Expiration Date 8/ 7/2010 Zip 98370 Suspend Date County Kitsap Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty Effective Expiration Status 2 Date Date All In One Construction ALLONBS005LF Building ftAmp; Contractor General Unused 6/6/2000 6/4/2011 Active Supply OLYMPR*066JD Olympic Ridg e Contractor Construction General Unused 4/4/1994 3/25/2003 Archived KLINKEJ106BQ Klinker, E J Construction General Unused 1/18/1990 1/1/1993 Archived Contractor GILLEC*110ND Gillett Company Construction p y Contra ctor General Unused 8/4/1989 5/30/2000 Archived CDGILC*161KH C D Gillett Construction General Unused 5/8/1984 4/12/1989 Archived Construction Contractor CDGILC*175MK C D Gillett Construction General Unused 7/12/1983 4/12/1984 Archived Construction Contractor CDGILC*181MG C D Gillett Construction Carpentry/Framing Unused 7/7/1982 4/12/1983 Archived Construction Contractor CDCONC*221QG C &Amp; D Construction Carpentry/Framing Unused 11/7/1978 8/21/1981 Archived Construction Co Contractor SEATTR*938KJ Seattle Construction Cabinet And Unused 5/11/2007 5/11/2009 Expired Reflections Contractor Millwork Business Owner Information Name Role Effective Date Expiration Date Klinker, Elliott J President 08/01/2002 , https://fortress.wa.gov/lni/bbip/Print.aspx'' 4/6/2010 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 • Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date 1 CBIC SE3537 08/01/2002 Until Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amou AMERICAN 9 SAFETY 0S103108 03/25/2010 03/25/2011 $1,000,01 INDEMNITY CO 8 United 05100642 03/25/2009 03/25/2010 $1,000,01 Specialty Ins Co 7 GENERAL BAG000333500 03/25/2008 03/25/2009 $1,000,01 FIDELITY INS CO 6 GENERAL BAG00003335 03/25/2007 03/25/2008 $1,000,01 FIDELITY INS CO QUANTA 5 INDEMNITY CO GAG000787500 03/25/2006 Until Cancelled $1,000,01 4 CBIC INSSE3537 03/25/2005 03/25/2006 04/04/2006 $6,000,01 3 CBIC INSSE3537 03/25/2004 03/25/2005 $1,000,01 MOUNT VERNON 2 FIRE CL2258294 03/25/2003 Until Cancelled $1,000,01 INSURANCE Summons/Complaint Information Summons/ Complaint Cause Number Tax Warrant Id Plaintiff County Complaint Date Complaint Amou CATHCART, 1 052002548 WALLACE JEFFERSON 08/11/2005 $0.1 Et VETIS KAY Judgement Information Judgement Cause Number Tax Warrant Id Plaintiff County Judgment Date Judgment Amount Payment CATHCART, 1 052002548 WALLACE JEFFERSON $0.00 VETIS KAY https://fortress.wa.gov/lni/bbip/Print.aspx 4/6/2010 WSR_ /AT-T- rry11d" 128 9A-L JEFFERSON COUNTY PERMIT CENTER APPLICANT n n ANT GAME:Iv I ICI'zin L. -a rucuh0-0O �Y 'HONE: SITE ADDRESS:73 a_sn DATE: L.c'`�� rxy O HEALTH APPROVAL PTI 'ERMIT# SEP 0-94, _ FOOD SERVICE 2. SHORELINE BANK HEIGHT SETBACK 3. FLOOD ZONE 4. FOREST PRACTICE APP (C •SS ) 5. PLANNING APPROVAL 'TICAL AREA REVIEW i. • G 8. HEIGHT 9. LOT COVERAGE 10. ADDRESS 11. FEE OOP N TRACTOR'S LICENS 3. ENERGY SHEET 14. BOND HOLDER/LENDER 15. NTT 16. SETBACKS 17. PROVIDE WA STATE ENGINEER STAMP/ARCHITECT'S STAMP 18. STORMWATER SITE PLAN 19. D.O.T. ACCESS APPROVAL 20. FIRE FLOW FOR COMMERCIAL STRUCTURES c -5-to (9 P OCCUPANCY: 22. TYPE OF CONST: 23. EXPOSURE: 24. WIND: 25. SNOW: 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 3.6. 37. 38. 39. H:\HcME\PLNCNTRMINFOBLG\BLDCKLIS\2/2000 ..,c-3,$) o 0 • � Q N' 1 f I � � � \ t 10 \ :+h ` \ 8 i _ �� :1:::: ` , - ___ ..\'''''' N N. � \ ;.�. __ - — f ,;ry� rF s t t i �/k rfp•: t Q ' N Q X 1�`�•`'\ ���, , ...,. ..... 1 . t r .O g r �. / A\ '- �� -+ r / Y10, 7 '� P�.r . 1 t -t, \ I. s' k ,�n_ �t� �'i�.� r :':.'::,.:'-'2 P \ .} ( spy �I CO i ig , , II ft t �5 to #�q 1 'j 3 * A 1 X D �� I -� m I -0 A ' tr .t t ?7� t i.44 ,r 1 t r s•a r i-• i: ��" \ tr� ty y �� ��� r "`t `s r' \ M ti a. ,Ato ''`''Sts t � �r c ,&.:o��s' . ht i r< 1�'" >,f .. ',, ].. 1 111 AV ,,,,,,,',444,,R;...v.T.......,,vz,,,A .„.„ —-.. 1 r e s „1,.„.:,,,,,,,,•,,r '� "A 7 dgiar 2 el t+ r . 1 , c: - v N o 3 *,.''''.:':',“"":',''''''r,', Aa'� \ SFr ,1 i Ad'� �, �d 3 r I �` f rr A° ��.� V �� p• • '• .. .4 3 4 , a - at7 a� �` v �J�a r s r, ' 2' 6. 9 e x a `� n b Wp ��' X �a fx {'� Y' t. • \ C I A4 iJ7, Q r 1 ' co O ` wl � 4 ,,fir?fin Q R.( -.p. T rSfir�Tp,, !td, Q ( i n� C D Siq a 'b f 0 0.., -3 \(0 Li y r Syr ¢r s �C� 9t 3 O - (p « L • k 9 j''' E. 4. 0 y y (8 d� 0 r.G - '_. tlf �• Sn d cyr33. hf `� �' y r r s t E; t i t 3°... ��H.S ((ups Q7 n Ctp y l0 0 -ia -g� y ti. { 'sy 7 L -s j Q O N =t0 - S.V y r ! r �. �71 _Q —0 ry LR l�0 . O n��' . to r w r i i .q',. G7 8 Q. -1-g �d .xs § ' + �t J ° 31ra,t p°t^' S'� -,;.',iVi'''.4;'''',t;.'''.\''LQ`'.',;..''''.`;;,',,,''.''`'.;!.:,,:l',., ii,—F O t .� y 0 8 1-854 0 Er N _7O 30- -3? "NS ": 0+ y �—F �+ `pSc { • • v\ . ). . V./ -4 N 3.,:.h • A C P. 4 - . .tel it C • .. i r4 \ . u it a, o a v' ,,� �ti y �d ITS r t:1 il • • TELECOPIER MESSAGE To: Community Development From: Michael Diehl II Judith Rogerson @Fax: 360 -379 -4451 Date: June 30,2014 (US) Re permits: BLD10 -00101 & -00107 Pages: 1, including this Jefferson County Community Development, Permits & Permit Technician(s) — We have two 2010 building permits for projects at 233 Osprey Lane, Brinnon. Permit BLD 10-00101 4s for the home, and Permit BLD-00107 is for an ADU. We are working towards a final inspection on the home, but will not be proceeding with the ADU. As part of finalizing Permit-00101, we have been in touch with Jefferson County Health, where Ms. Linda Atkins helpfully informed us that the septic/health aspects of Permit-00101 cannot be finalized while Permit-00107 remains "open". As we will not be doing the building covered by Permit-00107 for the ADU, and will not be renewing that permit,please cancel it, but without impeding Permit-00101. When Permit-00107 has been canceled or terminated,please advise Ms. Atkins so that she can move the house permit aspects forward, to allow us to seek a final approval on Permit-00101. It is our hope to request the related inspection before July 12, 2014 (possibly on July 10), but time is short to finish some details and arrange the inspection. Please call the MOBILE number below if there are any questions. Thank you. r'441-rteA Michael Diehl &Judith Rogerson Michael Diehl P.O. Box 10218 Voice: 206.780.4004 Judith Rogerson Bainbridge Island WA FAX 206.780.4005 98110-0218 Mobile: 206.941.5984 United States of America OLYMPIC E.J.Klinker Phone(360)302-0156 Fax(360)598-3942 INC. ejk @olympicridge.com January 10, 2011 Jefferson County Planning Department Pertaining to: 233 Osprey Lane Brinnon, WA 98320 As of January 1, 2011 Olympic Ridge, Inc. will no longer be contractor of record for the Diehl/Rogerson project at above address. it#BLD10-00101. New contact information: Michael Diehl PO Box 10218 Bainbridge Island, WA 98110-0218 (206) 780-4004. (eikcliq ' ScokL. ko ch .- Thank you, (efa, eriVA-Q42C1 comp-- of- bc) e (Lft ffrInlif ID V\f,en a/ Islam!, fleeltcsaalrailb E. J. K in- President,Olympic Ridge Inc RECEIVED JAN 12 2011 JEFFERSON COUNTY BCD 15940 Lindsey Lane NE • Poulsbo,WA 98370 / Will Langemack Ltd. 1115 Wing Point Way NE Field Clarification Bainbridge Island, WA 98110 Joe Klinker 7-14-10 Olympic Ridge, Inc. 15940 Lindsey Lane Poulsbo WA 98370 Re: Diehl Residence Job.No.2009-242 Jefferson County Enclosure Comments Detail 2/3 dimension callout should be 16" as correctly drawn and similar to Detail 1/3. The plan callout controls. I use the wider footing for mushy ground conditions only. Action For your use and records I I Please contact my office if you have any questions; thank you. 4966 Will Langemack, Architect REGISTERED Pres./ Will Langemack Ltd From: ARCHITECT 206.780.4145 WILLIAM K.LAN ACK STATE OF WASHINGTON JEFFERSON COUNTY ic)c. ) NO. 142274 DATE 7-1 W-I 3 RECEIVED FROM A` Di eiLt DESCRIPTION BARS# AMOUNT CURRENCY 60 n� t_ r�1 �`�`4 COIN 1 �" Z1 ' io -10t ,,,,i,„ CDs n L o—11 tell 1 c cn 0 x 11: 6 f t ES Y RECEIVED BY TOTAL , 11CD/4 .0J ..> I . _._ ii-\tokil b --7 - roi -16 r Date j__ time received 5 am / pm Mon. Tues. Wed. Thur. -• Fri. BLD: ! a - (0 / Date: 7 - 19 - ID OWNER: r ) 0 : VI / Contact Contact Name: C)e._ ADDRESS: J �3 C � ` b 0/Jail Contact Number.360 3 O Z 0 1- rig/ Notes: c OS.cxvx C % I 11 v\.0 G Foundation Plumbing - Framing Propane Tank Mechanical Setbacks. Under-ground_ Framing Under ground _ Furnace _ Footing Rough in Air seal Above ground Gas _ Stemwall Hydronic Exterior shear — Exterior lines _ Oil _ Straps Interior shear _ Interior lines ` Ducts _ Post Hole Ventilation Appliance _ Underfloor Gas/wood stove! Man-Homes Setbacks — Insulation. Final Inspection Foundation Block&Tie floor _wall ceiling Address Posted , r�',1 ..v�_ Mo"' •Oat" ct0 l® c° Df 4_: am Co"�,othe ce-'® �^ -D�(K' aka", pro . 9QOU"d. V"de round F�,rni" Pbovg 9c Cc"es\" Fcam0\t j C1" tp\umb. pct sea`1 shear /round/ wed°c sheet /c-9 / ecU /p oV= / ve"iils_ /j Hydro \WA --�ii Mst, c"9i�xio083 gtoot"sue/_A to /Ti e .— - Nfi ,,i ' Date Y"--la time received('"/'I 67/ pm Mon. Tues. Wed. ICO Fri. BLD: O – e71 Date: &f Z OWNER: Contact Name: ADDRESS: 02.3 a OS P [./l' Contact Number:360 0Z, /.a:" Notes: 206 Foundation plumbing -Framing Propane Tank Mechanical Setbacks _ Under-ground Framing Under ground Furnace Footing Rough in Air seal Above ground Gas _ Stemwall __ Hydronic i Exterior shear Exterior lines Oil _ Straps Interior shear Interior lines Ducts Post Hole Ventilation '— Underfloor Appliance Man-Homes Gas/wood stove Setbacks Insulation. Foundation_ Final inspection Block&Tie _ floor _wall ceiling Address Posted 1,111>51-07,4: Date time received am / pm Mon. Tues. Wed. .e .,Fri. BLD: CV —16 ` OWNER: /-• Date: _ 3 1)1/2,(./ �kl Contact Name: ADDRESS: 23 30 7.----01 S Contact Number.360 Notes: .rarti 206 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace _ Footing Rough in Air seal Above ground _ Gas Stemwall __ Hydronic Exterior shear _ Exterior lines Oil P Interior shear Interior lines Ducts Post Hole Ventilation — Underfloor Appliance _ Man-Homes Gas/wood stove Setbacks Insulation. Foundation Final Inspection Block&Tie _ floor _wall ceiling Address Posted ■ W Date 7 "-; " time received am / pm Mon. Tues. Wed: ur •• Fri. BLD: 1b — !01 � �`j Date: '-'7 Z.-r OWNER: ff Contact Name: ADDRESS: 2 % ? '. V\ Contact Number.360 30?'—"01 Notes: 206 Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing _ ground Furnace _ Footing Rough in Air seal Above ground Gas _ Stemail Hydronic Exterior shear i Exterior lines Oil _ Straps Interior shear Interior lines Ducts Post Hole _ Ventilation — Appliance _ Underfloor Gas/wood stove Man-Homes — Setbacks insulation . Final Inspection Foundation_ Block&Tie — floor wall ceiling Address Posted 1 Date 4 tine received �'2 "4 am /4fi9 Mon:• Tues. 850 Thur. - Fri. BLD: /0 — /ga/-._ Date: /.2-/S-- OWNER: Contact Name: ADDRESS: 3 3 ®SI2RL�Y Contact Number 360 .0 Z 05.6 Notes: L.,0 206 Foundation Plumbing - ramin Propane Tank Mechanical Setbacks _ Under-ground` Framing Under ground _ Furnace Footing. Rough in Air seal Above ground Gas _ Stemwaii Hydronic Exterior shear _ Exterior lines Oil Straps interior shear _ Interior lines _ Duds Post Hole r x` Ventilation Appliance _ _ Underfloor Gas/wood stove Man Homes Setbacks _ jnsulaatign. . Final Inspection Foundation Block&Tie floor waft ceiling Address Posted *"-i" SI--;■- • time received_am kg) Mon. Tues. Wed. de Fri. Date-�� Date: '1-v ' 12.•,SW: I i 1,© I p-�i-` OWNER: Contact Name:�J, Contact Number: LS ADDRESS: �:.-b�� 1�r' Notes: 1 to Fram1 Propa k e nSc 1 Foul n Furnace _- Framing Under ground Gas Setbacks Under-ground _ Air seal Above ground .L Rough in _.. Exterior lines __._ Oil Footing Hydronic Exterior shear— Interior lines Ducts Straps — Interior shear Appliance Straps Ventilation Gas/wood pian stove Post Hole Underfloor — Ilan H--°-n-- Insu.____lattcn Setbacks _ final inspection Foundation ____ floor vrall ceiling Block&Tie ____ • i1 I i _ illtll■� Date ` 1,--- t 5 time received t3`2 am Mon. Tues. lam" Thur. • Fri. BLD: Date: t 1 t7 OWNER: e Contact Name: ADDRESS: 2 2?-3 t� ` N y\ Contact Number:360 Notes: 206 Foundation Plumbing Framing ` Propane Tank Mechanical Setbacks Under-ground / Framing ✓ Under ground _ Furnace _ Footing Rough in ✓ Air seal Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil _ Straps Interior shear Interior lines V Ducts _ Fist Hole Ventilation Appliance _ Underfloor \\e"„‘.„ as/wood stove Man-Homes �w'�""`���` -- Setbacks 6V `c Insulation. Final Inspection Foundation Black&Tie _ floor _wall ceiling Address Posted V Date time received �� / pm Mon. Wed. Thur. _..Fri. BLD: `i) \0 \ Date: (t) OWNER: IPp `etok.'G' / Contact Name: rrJJ__ / ADDRESS: 2 ?j 05 t..4A, Contact Number:360 -3 S[i �� 206 Notes: Foundation Plumbing - Framing Propane Tank Mechanical Setbacks — Under-ground_ Framing Under ground _ Furnace — Footing Rough in Air seal ,. Above ground Gas Stemwall _ Hydronic Exterior shear \// Exterior lines Oil _ Straps Interior shear ✓ Interior lines _ Ducts Post Hole Ventilation Appliance Underfloor Gas/wood stove! Man-Homes --00' Setbacks lnsulatign. Final Inspection Foundation Block&Tie floor wall ceiling Address Posted ���SO\ co JEFFERSON COUNTY Bre fuE W Pu 1-34 K DEPARTMENT OF COMMUNITY DEVELOPMENT (? AL1 PT 4 R Date: `T/ Ct Time Received: 7 /3- a-n pm Mon. Tue. Wed. (_. ur: Fri. Date: 7 /C? BLD: /0 - 1 tip/ Contact Name: Owner: Contact Number: 360 Address: 2.'3 3 G9.`rpr".4..,,, c.,.,; i 206 ` 4// 4 d 9 Notes: � - 1 \r =_ — _ � -� 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 XE Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00101 Received Date: 4/5/2010 SITE ADDRESS: 233 OSPREY LN Issue Date 7/12/2010 BRINNON, 98320 Expiration Date 7/12/2011 OWNER: MICHAEL DIEHL PHONE: 360-302-0156 JUDITH ROGERSON PO BOX 10218 BAINBRIDGE ISLAND WA 981100218 SUBDIVISION: Block: Lot: TX 1 PARCEL NUMBER: 601192002 Section: 19 Township: 26 N Range: 01 W CONTRACTOR: • ■■ -IC RID IC PHONE: 15940 =�:. Y LANE OLOK)C--(yeju t,( ee_ Po• SBO WA-:= . PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 100 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,205 VALUATION 300,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: 770 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 487 SHORELINE: CONST TYPE: DECK: 180 SETBACK: 40 BANK HEIGHT: 40 SEWAGE DISPOSAL: . ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,113.75 LYK 04/05/10 117507 Exist: 0 Exist: 0 Plan Check $1,373.94 LYK 04/05/10 117507 Prop: 2 Prop: 3 State Building Code $4.50 LYK 04/05/10 117507 Total: 2 Total: 3 Potable Water Application $98.00 LYK 04/05/10 117507 Total: $3,590.19 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 7 am the day 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 iamom Jefferson County Building ► ision Permit N BLD10-00101 Applicant: DIEHL BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that 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 1-it-cl) pc Erosion Control 1°{1,b Foundation Footing 7J i tk.. 'ID Footing Drains g.--. ---11 0 c Foundation Stem Wall 7 Ai a Underground Plumbing ,12_ro PfieM-i U&O Under Floor Framing /-/7_1C ;7,f-/3 Straps(hold downs) to/of to Flip Ext. Shear Wall Nailing /0 /� 1d 1 -�� Rough-in Plumbing I/_/I ,_/0 FM Framing l /- �/7_l d 17 Blocking ) / -17/0 /7 Airseal +1/7/ I 7.- a c Insulation:Walls /Z, .--V Insulation: Floors ,f-/7_/& 2 J C ,1 l G Insulation:Ceiling /�_X_�a ( Int. Shear Wall Nailing l c so 1��Wallboard Nailing Ce `� Gas Line: Interior /j/) 7 h Gas Line: Exterior a iS_0, fr Propane Tank ��-'2_ / Heat/Chimney Clearance )/_j 7_ 1 y' J7ij / Drywell/Alt Drainage P�-- _ley V c.. Address Posted oc,,K-10 .J„() Miscellaneous /--(9(/ l0 �'_ OORANGE BARRIER FENCE ALONG SOUTHWEST PERIMETER OF CONSTRUCTION SITE i° 'lit 11.11 6C1 0 QC) PIectS.e t'0,qf 1 It .r U y th4 -- FINAL INSPECTION -7//t 4 c f if FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BL[T10-00101 1.) The project is subject to compliance with the Department of Ecology In Stream Flow Rule of WRIA 17. The parcel is located within the Devils Lake subbasin in a designated Coastal Management Area; as such, the follow is required: Installation of a water meter, meeting Department of Ecology specifications, is required for all new uses throughout the watershed. (WAC 173-517-180). Brochures with specifications are enclosed with the permit. Refer to enclosed documents for more information or contact Ecology at 360-407-6300.. 2.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three(3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative,of the types of water conservation measures. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) A Geotechnical Report was prepared by GeoResources LLC, dated February 4, 2010 and submitted in conjunction with this application. The report concluded that there was no evidence of significant erosion, slope instability or channel migration and the soils are not subject to seismic liquefaction. 5.) All construction activities shall not encroach upon the Habitat buffer. This includes the storage or preparation of materials. A temporary orange barrier fence shall be installed waterward of the builiding site as indicated on the approved site plan and maintained throughout the construction of the Single Family Residence. 6.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 7.) 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. 8.) A Stromwater Management Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Outdoor residential storage she maintained in an orderly manner and shireate no fire, safety, health or sanitary hazard 10.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage)yards. In no case, shall any such junk motor vehicles be stored in a critical area. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Osprey Lane setback is 20 feet, side setbacks are 5 feet. Shoreline setback is 60 feet. Habitat Conservation Area Buffer setback is 117.5 feet from OHWM. 15.) The applicant shall install a temporary orange barrier fence along the southwest perimeter of the construction site to prevent encroachment into the habitat conservation area.