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HomeMy WebLinkAboutBLD2014-00043 T � 4143UILDING PERMIT APPLIC MLA14-00008 N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00043 Received Date: 1/31/2014 SITE ADDRESS: 372 MOEN RD NORDLAND, 98358 OWNER: GREGORY T KISSLER TRSTEE PHONE: 360-301-2163 STANA R KISSLER TRUSTEE 11310 SE 77TH PL NEWCASTLE WA 98056-1662 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 921094014 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: 360-385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/2/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr Detached garaged, no heat no plumb TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 50,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: SHORELINE: GARAGE: 1,008 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $577.00 MEB 01/31/14 145743 Plan Check $357.05 MEB 01/31/14 145743 State Building Code $4.50 MEB 01/31/14 145743 APPROVED Total: $938.55 Jefferson County DCD \\+iricmor4\rh+e\fnrnnc\I RI fl Ann Rlrl rn+ 9/4/9(I1A 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#: BLD14-00043 APPLICANT: GREGORY T KISSLER TRSTEE PHONE: 360-301-2163 STANA R KISSLER TRUSTEE 11310 SE 77TH PL NEWCASTLE WA 98056-1662 SITE ADDRESS: 372 MOEN RD Issue Date: 03/27/2014 NORDLAND, 98358 Final Date: 7/3/2014 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 921094014 Section: 9 Township: 29 N Range: 1E PROJECT DESCRIPTION: Detached 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 7/3/2014 \\tidemark\data\forms\F_BLD Occupancy.rpt 7/8/2014 J - c Z--- Roof Beam(2000 International Building Code(97 NDS)1 Ver:6.00.7 By:Dennis Shields,Kelley Shields Inc.on:01-26-2014: 1:26:49 PM Project: Kissler-Location:Garage Door Header Summary: 5.125 IN x 12.0 IN x 12.0 FT /16F-V1 -Visually Graded Western Species-Dry Use Section Adequate By:632.6% Controlling Factor:Section Modulus I Depth Required 5.28 In Deflections: Dead Load: DLD= 0.03 IN Live Load: LLD= 0.04 IN=1/3949 Total Load: TLD= 0.07 IN=U2112 Reactions(Each End): Live Load: LL-Rxn= 450 LB Dead Load: DL-Rxn= 392 LB Total Load: TL-Rxn= 842 LB Bearing Length Required(Beam only,support capacity not checked): BL= 0.29 IN Camber Regd.: C= 0.05 IN Beam Data: Span: L= 12.0 FT Maximum Unbraced Span: Lu= 12.0 FT Pitch Of Roof: RP= 6 : 12 Live Load Deflect.Criteria: L/ 240 Total Load Deflect.Criteria: L/ 180 Camber Adjustment Factor CAF= 1.5 X DLD Roof Loading: Roof Live Load-Side One: LL1= 25.0 PSF Roof Dead Load-Side One: �7 DL1= 15.0 PSF Tributary Width-Side One: I"T \V/ TW1= 1.0 FT Roof Live Load-Side Two: ; '\ )11_-_,' =���- LL2= 25.0 PSF Roof Dead Load-Side Two: 1 ;'"`- DL2= 15.0 PSF Tributary Width-Side Two: i t'��f `' TW2= 2.0 FT Roof Duration Factor: 3 1 _,; Cd= 1.15 Beam Self Weight: �'� BSW= 15 PLF Slope/Pitch Adjusted Lengths and Loads: ,I r Adjusted Beam Length: ' U U .....-----1 Ladi= 12.0 FT Beam Uniform Live Load: j;.F}R,T, LOUNPI wL= 75 PLF Beam Uniform Dead Load: P�eT__�F CO"+9;Jil1NflN DE�1EL0°ME�dT wD adj= 65 PLF Total Uniform Load: wT= 140 PLF Properties For 16F-V1-Visually Graded Western Species Bending Stress: Fb= 1600 PS Shear Stress: Fv= 140 PS Modulus of Elasticity: Ex= 1300000 PS Ey= 1100000 PS Stress Perpendicular to Grain: Fc perp= 560 PS Bending Stress of Comp.Face in Tension: Fb_cpr= 800 PS Adjusted Properties Fb'(Tension): Fb`= 1805 PS Adjustment Factors:Cd=1.15 CI0.98 Fv': Fv'= 161 PS Adjustment Factors:Cd=1.15 Design Requirements: Controlling Moment: M= 2525 FT-LB 6.0 ft from left support Critical moment created by combining all dead and live toads. Controlling Shear. V= 707 LB At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus(Moment): Sreq= 16.79 N3 S= 123.00 N3 Area(Shear): Areq= 6.59 N2 A= 61.50 N2 Moment of Inertia(Deflection): treq= 62.91 N4 I= 738.00 N4 IbririrD ri7,0rtssrow4L Parini yr!7€s1,,,. t NAT/0 7 -6 -,.......,. Sk £`Y pppy N DLNIS A. SHIELDS ?390 Roof Beam(2000 International Building Code(97 NDS)1 Ver:6.00.7 By: Dennis Shields,Kelley Shields Inc.on:01-26-2014: 1:25:55 PM Protect: Kissler-Location: Double Door Header Summary: 5.125 IN x 12.0 IN x 6.0 FT /16F-V1-Visually Graded Western Species-Dry Use Section Adequate By:404.4% Controlling Factor Area/Depth Required 4.7 In Deflections: Dead Load: DLD= 0.01 IN Live Load: LLD= 0.01 IN=U6318 Total Load: TLD= 0.02 IN=L/3693 j Reactions(Each End): Live Load: LL-Rxn= 1125 LB Dead Load: DL-Rxn= 800 LB Total Load: TL-Rxn= 1925 LB Bearing Length Required(Beam only,support capacity not checked): BL= 0.67 IN Camber Regd.: C= 0.01 IN Beam Data: Span: L= 6.0 FT Maximum Unbraced Span: Lu= 2.0 FT Pitch Of Roof: RP= 6 : 12 Live Load Deflect.Criteria: L/ 240 Total Load Deflect.Criteria: L/ 180 Camber Adjustment Factor CAF= 1.5 X DLD Roof Loading: Roof Live Load-Side One: LL1= 25.0 PSF Roof Dead Load-Side One: DL1= 15.0 PSF Tributary Width-Side One: TW1= 12.0 FT Roof Live Load-Side Two: LL2= 25.0 PSF Roof Dead Load-Side Two: DL2= 15.0 PSF Tributary Width-Side Two: TW2= 3.0 FT Roof Duration Factor Cd= 1.15 Beam Self Weight: BSW= 15 PLF Slope/Pitch Adjusted Lengths and Loads: Adjusted Beam Length: Ladi= 6.0 FT Beam Uniform Live Load: wL= 375 PLF Beam Uniform Dead Load: wD_adj= 267 PLF Total Uniform Load: wT= 642 PLF Properties For 16F-V1-Visually Graded Western Species Bending Stress: Fb= 1600 PS Shear Stress: Fv= 140 PS Modulus of Elasticity: Ex= 1300000 PS Ey= 1100000 PS Stress Perpendicular to Grain: Fc peril= 560 PS Bending Stress of Comp. Face in Tension: Fb_cpr= 800 PS Adjusted Properties Fb'(Tension): Fb`= 1835 PS Adjustment Factors:Cd=1.15 CI=1.00 Fv': Flt= 161 PS Adjustment Factors:Cd=1.15 Design Requirements: Controlling Moment: M= 2887 FT-LB 3.0 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear: V= 1309 LB At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus(Moment): Sreq= 18.88 N3 S= 123.00 N3 Area(Shear): Areg= 12.19 N2 A= 61.50 N2 Moment of Inertia(Deflection): Ireq= 35.97 N4 CERTIFIED PROFESSIONAL WILDING DESIGNER 1= 738.00 N4 ® NATIONAL COUNCIL .' 0 G 4r S ::: 0 4k�4gON COG JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Q.1471t,COQ Date: 7/Z- Time Received: it' 03 am pm Mon. Tue. Wed. er. Fri. Date: 7/3 BLD: g4 OW 4.3 Contact Name: Owner: jSSle.. Contact Number: 360 3i% 7 l$.h, Address: 37`L Moan IZA 206 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 • 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. eu!I!a0 SILL)2 Toole palsod ssaappy IfeM uo!lepunod Joold spegnas uopadsui feud uopefnsui sawoH-uew anols pooh/seD Joolliapun aoue!Iddy uo!lef!luaA aloes }sod spna sou!!Jo!aalu! aeags Joualul ales JaleM loH sdealS I!O scull Joualx3 _wags Joualx3 a!uo.JpAH II UAW alS seg punoa8 anogt/ IeaS a!y of q nob 2u!lood aoueand puno.i8.iapufl SulweJd punoa�aapu� speglas Ie*leqpaW )fuel auedoad 8u!wea d 2u!quan!d uogepunod n--a. A`d!Q :saloN 90Z a li A.1-2 21,1' :ssaapp95/Z. S E 09E :JagwnN oeluoD :aweN peluo0 £, -, -±t :a18 /i " 2 :also •!ad 'anq i ivig •anl •uow wd /e °11 It p anlaoa 8 aw!lal._O1 :ale(' 1N3INdOl3A3a A1INf1WWOa JO 1N3WlaVd3a �. �` AINnOO NOSNBAnf Z-90 posse, U ��, s c. ;g�.F JEFFERSON COUNTY L. DEPARTMENT OF COMMUNITY DEVELOPMENT Date: g Time Received: 7/.9 air /pm Mon. Tue. /Wed. Thur. r Date: 1 5 BLD: Ill ..- y 3 Contact Name: Owner: r Contact Number: 360 17S4' Address: -37 Z .v11,6--c.V, 0 D 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing X 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 ��w�sON C JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT O -i-H,NG.S Date: 44—V/ Time Received: 7/6 e/pm o Tue. Wed. Thur. Fri. Date: 471— 7 BLD: /ti- 93 Contact Name: Owner: Contact Number: 360 7!S'6, Address: _3 7 L MC)C,J 206 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 c s m m p O m _1 0 N (3 v o co Z x 2 z 3 o v 5 r m - v < N O -I O o m < "`� M > c O -' 5 \. . .. : = 01- ••• 6 5. 0 I• co CD • n z \ � 3 ,A (' ► 3 Z m m w 5. o A r o� xl G N c.',1) a o a \ RI t0 I w -1 o -, � \ �` ■ y t, n CO a ? m a) �t s jr 0 ° a G al g M t c ti y o -( + pi N C 1 O 0 n n CD r,, 3 0 Ili Z o0 'CI colii: o 07 m d ` s. cp iN * Z ° • •C �0 L, , • = o I- Nm o m 1,F o, "1 8 0 cA w t =5 cii. \O, = (A t. \ m I' �I .. ....:,',114,4,_-'•:..'11:,.,\,,,.`.;,,.,..1.,'; 06/03/2014 13:32 3603853115 KELLEY SHIELDS INC PAGE 01 _.,..... • - ,. ,.....e...., . -,--..-_Ff... ',,,, '1,': ' ;,' ' •... ''. r ' ‘;- - ,:-''' ' ' . .., ' ' r;' '‘,:. ' • ' 41 , 4 T r a c y's Insulation Inc. -F y D U B "INSULATING YOUR COMMUNITY" - ... 1 -6 LD (Lt.- tr )i3 14' CARLSBORG,WA 98324 INSULATION CERTIFICATE • THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS(WASHINGTON STATE ENERGY CODE)OR PER APPROVED PLANS,AT THE ADDRESS . LOCATED BELOW. ADDRESS 317. ikAoen {tot . . :.1: ,,,/,,,?• . .. : . •,-._-, , 5.',.,• ,. :,.4 Navalcindt ( JA ,:::1, ,,,t,, ...____ • SUB-CONTRACTOR: TRACY'S INSULATION INC. CONTRACTOR'S REG. NO. TRACYII917BT • ::ile,,i ;r---- •:. • MANUFACTURER THICKNESS R-VALUES . .. '.■‘ - - EXTERIOR WALLS ;'4 --;'''' A, M 0 SIZ,I „,--- , Type of material:Fiberglass ::!$.,: .•'• ./ =LIAM f■ Pr _. • u it, q .,__.• .,. ::. Type of material:Fiberglass {■,t,_ , i 0 ' '1'''". 4,--- SLOPED/VAULTED CEILINGS : ,,4..2 '•• •''P'''' 1.,,!•/.,' ,• Type of material: Fiberglass '.. I j i 6 ,, •A, wiLk,, Arm BLow 1 0,61-, • aki e I (':3-7v1 t2,(,fc) ,.: ,4 12, Type of material:Fiberglass W 4:: . • 1- ,:,,,,,, ,r. ,.,:.... t: FLOORS , -.-4 Type of material: Fiberglass N IR _... ..... :{ 1.... ,.,. ' ?-■ ''. '\,3'p PIPE WRAPS Type of matetial:Fiberglass YES NO .4' . VAPOR BARRIERS, CEILING (\ I A- WALLS_Nia _ FLOORS Ni A- .i• ,-. .i, tt:, ! • 1 ,;,'1( 0 .. 1 1111 Ir 1ht . , I 1 13601CLariefr - 21-19 AUTHORIZED SIGNATURE TITLE DATE ,/.'4' Y ::-c-' ,frii; ‘74•"/;v4VgilliMil.\\‘‘-,.-:::.`ctv‘,..-,-,,,,r; -„:,,ti,aissiowi., i.,,,, L., t4 . le,./., . .4:_,_w._ ,, ..-, -w.---s, ,v:. ,'„ ,:,:-...._.0,,i \\.14-64./,\ -.442 ,---T7- • ,,,,,,-r-7,,, , --_,,,,,, - , , •• • . . 0 ,o, . . 11 .t "U • N / 4:1 ...,,, \ .....), . .1 • / . Z le Ilk 1 . % 0 / t,,y4?n_ 1 • .< / • 0.' ,.. , , ,.... . - . t . ....., ;, __./. I ,i ....._- \ j, - \13. 7 . a 1 c 7 .., 1 • ti c, . 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Illp113 Cani. / ....."---- ....-- ro •-• =f • ,--- v., -ll- •, . / /- • ,....,...) 0 /billi"Te... t..111 V.CD c-,„..._ ,,,, < 0 / t"" in _, -- 0 IILN / NI' . r....) . >< ......t. 4.17-, b , c) 7_,... -0 Nil..... . ,, 1: ---E; Ilfr•,/ / / IA° Z&It'll U.) c... . , ..._L,..._ ,-_, -,r---I) 0 • _____ ii c.o ....,... 3k 0 • . ... /I i ../1., /./11 ,------Roof Dowmvoti, Hatse .,',1),/ -A / Cath B.win -A 7:4 i 04-41-ci Drain) , --, -----------L-4 z.....k, ....„ --... Dayrvott 0 DRY WELL . 481rd-t Dia rreter Hale Filled with PLAN VIW 1412-3'WASilaJ , ' L , Di-an-Med NT$ 974 Dotirg-i- / i—Mark Cater of Hole Ho ac4. / -04?tflow 1 wiih r Capiaci Rh ii or Oter rreem Tops cil— i 1 FiLzhwith c'..-1 p l rfrip' - —'=1-lash Block i wt. -7:7,'. •,..., ' — 1 1 f>'WV:-'.--;,711:A.7-,:;;-,i''.:..,-.1' ,i - ____________ :4,i3W,41,:foiVRAPP WV • rif-1 -_, i Frvt.pip?, l CtitchBosin ti;'''' -2-inat, f. IA i ("Yard Drairi) o 3,-• : I 4-,, 11 A' ' 4:3 ircri via wff-y :. --,--mtn.. 1 , . 1 Sides of Hole— .4. Hole.Filled with IF Li/let-N:1n t' 1iI2-VA*511elj .•: IFilta-FEibrio. ,-;. Drain Roc.* :.. NI h DRY WELL H igh Groucthvatar SECTION t NITS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III-Hydrologic Analysis and Flow ControIBMPs-August 2012 3-9 r • Setbacks Local governments may require specific setbacks in sites with slopes over 40%, land slide areas, open water features, springs,wells, and septic tank drain fields.Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be Iess than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield_ Volume III—Hydrologic Analysis and Flow Control BIVIPs—August 2012 3-10 for Infiltration These systems are uesrgiieu as spGIUllGU UGlvw. Drywells Generale • 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impeuneable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric (geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and with jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 e N c,...‘ Isrjii JikERsoN COUNTY L'13-tiq ---- 1-t , ! DEPARTMENT OF COMMUNITY DEVELOPMENT 4.41,.... . 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.coiefferson.wa.us/communitydevelooment IsAr Nds9 Tel 360.379.4450 I Fax:360.379.4451 I Email:dcdaco.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning 1 Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): -Derpretiera 61.14.0-P6iE as...1 1,/...k k. 1".....; pit.iva . .‘ Tax Parcel Number q 2,1 ociA- b\ er Property Size:-700 oco f6 (acres/square feet) I; Site Address and/or Directions to Property: 612- Moey•J PO . WW -417%-b 1A,11 Clg'3Sg Property Owner(s)of Record: Le L_ % _ •• Telephone:1W, - L11 — 2.110 Fax: email: Mailing Address:tt3in "bE; —11 it fk. 1-)6. ---rt.e- tit/A q go , 1 1 Applicant/Agent(if different from owner):t ELLE) S/1/el-Pc /).C.— • Telephone: ..,1 - : S - c5 - Fax: -3 q.5 -';It 5 .._, email: I 0 vS.Se(..., . 4 , Mailing Address: ADO , pt_. rr 1-6Kh-gs7.c) q4f- c(, What idnd of Permit?(Check each box that applies 0 Lot or Road Segregation I r----\ rr•--- 62-- r uilding 0 Critical Areas Stewardship_iPi;\s3 LC-7: `:-,---7 Lle=74, \l', EL., Ill O Demolition Permit 6-----) 38:Sfariarxie(Minor,Major or Re , ,Ote Economic Use) 5 I 1 El Single Family V.Garage Attached ached 0 Conditional Use[C(a),C(d)i or-Q1** ,, i I 1 O Manufactured Home 0 Modular 0 Discretionary"D°or UnnamdTIse Clas;F[fication O Commercial* 0 Special Use(Essential Pubic Noities)-"m. O Change of Use 0 Boundary Line Adjustment , Id 1 L., O Address 0 Road Approach 0 Short Plat** 1 0 Home Business 0 Cottage Industry 0 Binding Site Plan** KT,LriSON LOUNTY 0 Propane 0 Long Plat** L, DrEl OF COMELONIFY DEVELOPMENT 0 Sign 0 Planned Rural Residential Development(PRRDyAmendments** 0 Allowed"Yee Use Consistency Analysis 0 Plat Vacation/Alteration** 0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance 0 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *Afay regain,a Pre-Apphcation Conference 0 Tree Vegetation Request **Requkes a Pre-Apptcatfon Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate V-kaki . .- 1 Sti-iO4)5 . 1,..,. .,...to act as my agent in matters ref relatrngto this appli ication for permit(s). OWNER SIGNATURE t4yA7 Date: 1 240 By signing this application form,the 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,cote costs,reasonable attorney's fees and : expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application 1 rev:ew and any required tater inspentione, staffs acy.e.;,,,,-,:.--,,d;;inn;ef entry will be assairrie4 Larites-s the applicant informs thrlif-isinrity in writing at this 1 time ef the apr..qication that!,e e°she went,pneriy.. .A.,‘„ , Signature: 74:://c/-7.4A-1 le\ Date: k)Ito I l(V-- ; Th:e nction c_'ir actlans Analicant wit!ar,deftrake as a result af tne issuance af tn!s-rr,..---n..nit may ne.oativa4y-4--tq.-iais.t upon r._'-ne.or more threatened or. en-tangored Spr'CieS and CV_!!'i!ead tf.,'a potential'take of an eneandeted spectes as these t.Lttrn.:Is ate c_iettned kt the ft-dem!kt_rtt known:71 5--,i.=:h e Endangered Species Act or-ESA."JeiterSori County makes no assurances to the 44-meant mat me actions Mat wiit be Li naecta- Ken Decatise tiliS p-errilit has been issued will not violate lfic ESA Any individual,grOtii)OT 014e1 L.-14.7 c,an Ilia a!ay.-aria a,L6aia:f a ar,CI dangered apeit;es i-esiard;:aii 75.21‘; t.,...i:tp:;,-:,:r,,,,,,ro.:St tilt:Jeffe:t,txt 1 Cuurity eit-7,'rek..ptItt--;tt LEAe.The Applit-trit atA:tv*-6,,....i9,-,-......i;:r.i.i -..t.,r.i tt.. ut ii i...-.nd ncri-•ransferat-le respansibHity far adhennn to and ci.-.snp!y:ng with ths ESA. Thea Appli=nt han read thid distdaim-."and aim s and dates it tietsv: _.... ——..., -4.1-., ■ J • BUILDER STATEMENT III (i12,11P/v- 37 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 assigning the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX 1L 4d r Si /�S tr-Ls. (3W) 3EcS-1t5 c, /( ) 3%5".3►i j ~u0O Fib` f• pit.. i , 1- , EMAIL: ')l I e t S '. J MAILING ADDRESS: Lw � Li (ip✓Ss it P CONTRACTOR'S LICENSE WAINS NUMBER: t4 LLE S L I So (.,F NUMBER ARCHITECT/ENGINEER: rrk-S ✓ PHONE (%e ) .g.5-7(5 VAX: ) MAILING ADDRESS: -'" r l , Pk_ • /4.1 . EMAIL d thi of�c 60 c/ O c . NC/ Project Type: Frame Type: Bathrooms: Shoreline: Type of Se va posal: L New Wood Existing: V Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: individual S stem ❑ Repair ❑ Masonry SEP Permit G r 66170 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed Total: t Public Name of System: P 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 an items below that apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP I knaT retaWtoH I Is this appliance being installed in a red t Mobile Home? Yes f No When applying for a permit to install a pyre tank you must also submit a site r'M"I 4.,t e lit- :<_r aLi • ••-►tY lines,tank location and from the propane tank to�property " �Irtings anaaepCrc system¶F.. erns, including the reserve area. L' Square Footage Current Proposed For Office Use Only � I ��a t �. ►'`- , s Main Floor Heated EH Bid App Reviewi , - 0 2' Floor Heated Consistency Revie�nl: L `' '' ,,f f'T QE� ti OR LOPMENT Other Heated III Base fee: 5 • Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: q` C Other Unheated Pot Water Review fee: Garage/Carport t t°0$ SUBTOTAL Decks 911/Rd Approach fee: .+ ....- - .... q c,„,..-,„..., Other TOTAL:I $ k((C( (o.S-S-' 0 A Receipt Number: Minn ',,m, CashlCheck Number: ,lial=1 ESTIMATED COST(REQUIRED) &/p•a , Date: J� \ 1�/ •Fair market value of all labor and materials foundation to finish y l Initials: Yvvt2,+y -1 07/24/2013 " zzy ›- • • CC r~ I-I 0 = O 0" LL N 0 Z LL O I-I O LO -7 O N N — N .- CA W O O O L C9 -0 E C: 'O +-1 CO Z C: U C) = I-I L LJ O O CO ++ 10 H C) O I •- O L L L co h- Q -ct U U U W Z O C: 0 J C_ C_ = I- F- 0 O CI) N CA "0 = O N U CO CC F- 'O W CO W C = W W ■ 3 1- } CO O I- W 1 O CI) C: J U O co I- CO -a CE O Z C: CO L0 `�� C O C9 I-I I- = F- O v -- W M Q: CO CO \ X N C: C: F- = 07 I- CO C9 CO W C: J "O C= O W CO J C: I- C_ ‘,'� C: W d' - J W C.0 W Q W CL. CA W CO CC 00 J C: = 3 0 O W CC 0 I-1 01 W I- •- CC I- X 0 Y CA J CD CL N W co Q +c F-i CA ti 07 .- C: I- F- SC CO W 0 J N Cr F- W I-I W J GE I-- ]- C: Y CO I-- C 1 W v rn CO C= X W C: co CC U N .- W F- CU J O CC CA O I- J C) CL C-0 Z .- U O X 00 Cn C0 W Q ad CO 3 CI) O CC C0 7 C_ 0 C= I- W cm cn F- H +I ', U CD CO C9 Z Y CO - ++ O CO o O • Nt N , a) co co CO (t t F � I-� ; N I-1 1 W i I � 07 Y CJ �� O L.0 Cam` i 1 O co C+� O O "O L. O C) , !I� I i C) U) N .- CUi �' _ # C O Cf)i - a) -- L 3 L cnt , _,,,. . ViY 4 C d O a--' N 1-1! I)i.i,} n 9l!^i'r ` IO��r�FpiT N —co ) N = Y.._ _ .. �_.___c U) U 00 0) 'O > (0 U L L Q - 0 C0 O_ L 0 CO X 4-1 U -0 X (0 CO 0.. CO -- -- co U) I- F- X CI- F- CA CO 4- % )E F— Q KELLEY SHIELDS INC • • Page 1 of 2 0 Washington State Department of Labor & Industries KELLEY SHIELDS INC Owner or tradesperson 260 KALA POINT DR KELLEY, DENNIS M PORT TOWNSEND, WA 98368 360-385-7156 Principals JEFFERSON, County KELLEY, DENNIS M DENNIS SHIELDS Doing business as KELLEY SHIELDS INC WA UBI No. Business type 600 579 660 Corporation Governing persons DENNIS M KELLEY License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. KELLESI150LF Effective—expiration 06/06/1985—06/06/2015 Bond CBIC $12,000.00 Bond account no. SC8396 Received by L&I Effective date ,∎ ;; 05/06/2002 05/28/2002 ,, Insurance Wesco Insurance Co $1,000,000.00 Policy no. WPP1026482 ,i Received by L&I Effective date 05/22/2013 06/02/2013 Expiration date 06/02/2014 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600579660&LIC=KELLESI150LF&SAW= 1/31/2014 KELLEY SHIELDS INC , Page 2 of 2 Lawsuits against the bond or savil No lawsuits against the bond or savings during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 499,736-00 Doing business as KELLEY SHIELDS INC Estimated workers reported Quarter 3 of Year 2013 "4 to 6 Workers" L&I account representative T3/THOMAS BOYLE(360)902-4886-Email: BOYT235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access Wash ington +:'rtsl.wtx'r a.d,..rrimot Wts'qtr ` l i 117 i iI ,; J L. ... J nr rT 9tI"iT https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600579660&LIC=KELLESI150LF&SAW= 1/31/2014 0 Jefferson County Building Division Permit Number: BLD14-00043 Applicant: KISSLER TRSTEE 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 - Erosion Control . /If gif Foundation Footing 8//ti Footing Drains 0/A { Foundation Stem Wall i1 Straps(hold downs) / 4 Ext.Shear Wall Nailing j, Framing ppy /�' Drywell/Alt Drainage �f 11 I ,i i 7 : iac#rioil P_NAosiS APPRCyZD er teat. Address Posted OPY 11? System Finaled 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 i/* - 4• Gt' 1 v►cL� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00043 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 2.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 4.) 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. 5.) The revised site plan as submitted with the Detached Garage, No Heat, No Plumbing application on March 13, 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 March 25, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 9.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 10.) Lip Lip Lane setback is 20 ft, Moen Rd setback is 20 ft, side setbacks should be no less than 5 ft. 11.) The building height is not to exceed 35 feet. 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. \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 3/27/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00043 Received Date: 1/31/2014 SITE ADDRESS: 372 MOEN RD Issue Date 3/27/2014 NORDLAND, 98358 Expiration Date 3/27/2015 OWNER: GREGORY T KISSLER TRSTEE PHONE: 360-301-2163 STANA R KISSLER TRUSTEE 11310 SE 77TH PL NEWCASTLE WA 98056-1662 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 921094014 Section: 9 Township: 29 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: 360-385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLESI150LF Expires 6/2/2014 PROJECT DESCRIPTION: Detached garage, no heat no plumb TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 50,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 1,008 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $577.00 MEB 01/31/14 145743 Exist: Exist: Plan Check $357.05 MEB 01/31/14 145743 Prop: Prop: State Building Code $4.50 MEB 01/31/14 145743 Total: Total: Total: $938.55 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