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BLD2014-00341
BLD14-00347 alk3UILDING PERMIT APPLICAON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00341 Received Date: 9/22/2014 SITE ADDRESS: 220 HUCKELBERRY PL PORT TOWNSEND, 98368 OWNER: ROBERT STEIN PHONE: 218-326-3649 34407 CIMARRON LN GRAND RAPIDS MN 55744-5537 9414 SUBDIVISION: Block: Lot: PARCEL NUMBER: 941400009 Section: 13 Township: 30 N Range: 2\A CONTRACTOR: SOLUTION BUILDING INC PHONE: 360-301-4191 PO BOX 761 PORT TOWNSEND WA 98368 Contractor's License SOLUTB191405 Expires 9/18/2015 REPRESENTATIVE: ROB GRUYE PHONE: 360-301-4191 P.O. BOX 761 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CONVERTING GARAGE TO ART STUDIO WORK ALREADY COMPLETED- NEW HOME OWNER WANTS TO PERMIT ART STUDIO 352 SQ FT OF HEATED SPACE NO CHANGE TO BEDROOMS OR BATHROOMS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT VALUATION MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: EEE CODE EDITION: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 352 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $366.00 SRE 09/22/14 151536 APPROVED Plan Check $237.90 SRE 09/22/14 151536 State Building Code $4.50 SRE 09/22/14 151536 SEP 2 5 2014 Total: $608.40 Jefferson County DCD \\tidemark\data\forms\F- BCD`App_Bld.rpt 9/22/2014 • 0 ; -5° eoe, DEPARTMENT OF COMMUNITY DEVELOPMENT :� ,,.\ 621 Sheridan Street,Port Townsend,WA 98368 -< Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment }f1 o E-mail:dcd @co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00341 APPLICANT: ROBERT STEIN PHONE: 218-326-3649 34407 CIMARRON LN GRAND RAPIDS MN 55744-5537 SITE ADDRESS: 220 HUCKELBERRY PL Issue Date: 09/26/2014 PORT TOWNSEND, 98368 Final Date: 10/14/2014 SUBDIVISION: 9414 Block: Lot: PARCEL NUMBER: 941400009 Section: 13 Township: 30 N Range: 2W I' PROJECT DESCRIPTION: CONVERTING GARAGE TO ART STUDIO WUhK ALREADY COMPLETED- NEW HUME OWNER WAN i b TO PERM1 i ART STUDIO 1 352 SQ FT OF HEATED SPACE NO CHANGE TO BEDROOMS OR BATHROOMS THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM ye n THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/14/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/15/2014 , ON Co l °?' JEFFERSON COUNTY et , DEPARTMENT* COMMUNITY DEVELOPM. Date: 4q//4 Time Received: 9-so (Q/pm Mon. Tue. Wed. Thur. difir Date: / 0 O -' BLD: I — I ' Contact Name: Mandl Owner: � / AIF& Contact Number: 360 i�� ' Address: r/ ,�w /i�/ ' • 206 Notes: J7ca 6diePV bi cad J f r /) Irra- Foundation r 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 X Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling - ‘ I E ocip,4_upsz- i OCT 13 2014 ,,,,,,,7... tf.. -•-.";'?if .... —7.1"'"d‘d, r . , Tracy's Insulation Inc. .I.I„,:,,, - X ..,..:,...,,,,,-. i,--, "INSULATING YOUR COMMUNITY" P.O.Box 970 I CARLSBORG,WA 98324 INSULATION CERTIFICATE THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE 7 . CURRENT THERMAL PERFORMANCE STANDARDS(WASHINGTON , 1 , 1 STATE ENERGY CODE)OR PER APPROVED PLANS,AT THE ADDRESS , LOCATED BELOW. .., 4 , ADDRESS , ZZei Hk3cat-ex\oczw\A PIC‘to ii c,c„,,,,,okci_e * .r, , ..., ., :11 733; SUB-CONTRACTOR: TRACY'S INSULATION INC. CONTRACTOR'S REG.NO. TRACYII917BT , . # . , MANUFACTURER THICKNESS R-VALUES , a0 , . EXTERIOR WALLS CA°- ,......# _ AP P"' Type of material:Fiberglass :, ,.... A, ■ ATTIC BATTS • '4I i', Type of material:Fiberglass N I R ....., ........ , ,. , . , SLOPED/VAULTED CEILINGS K\ I Pt- Type`44 f i a .......' ........."' d',...:, Type of material:Fiberglass 1 1 rr 1,10 3, -7Cli _.?: f1 , !,,•.,,,,=4,, ,.,0 4,, . 6 ,, (\TAU {-- Type of mateiial:Fiberglass *trl'I, 4§43, ' ..„, FLOORS A-4 f\, 1 pr _..... ......... -,:.,- Type of material:Fiberglass k..„,..,,''' :,.'' ..4 'it,- PIPE WRAPS i . . YES 1( .'t t':' Type of material:Fiberglass NO '`..'„, ...Y''. 44 -;..,,.. ''It-' N. i A._ ,, ,,,... 4 VAPOR BARRIERS CRI,ING tb.-1 t pt WALLS h _ FLOORS 1\3 11- I _ 4—^ -,'- , oc. .. A 7' — , .. ,,,,;''..' i .,., -;-rt:,I:• 1 ...i: 001 00( t 10 10 1 , ... Id it i I rAi A A , ., , i qcciet, - - q .....,., _ .. . A, 1 1 '+id 4.Iil+i,• AUHORI D SIGNATURE TITLE DATE ''= •-.p 0-,, .,......., , . --- ' • ,Lts,,,,,,.,),,,,,,,,,,...,`,.70,4VV.4.4,4`...Ite.1,44, 30,,r.14,,C,0nrrr,,,,.r..0.,,,,,,Air•t.,t ...P.:... rrf.at..!r,-.4 rirlr,4Z4.;;,.r,,,rr.r.-14r...=1 ; ',5.Z.,., , , *4 ' ■/V ihddiVdMddtgadOMOdd'Xig441' 'n'd-'''''' '''''- 4,4514''''' ' 'N'''''7,4,1.4!"7i. .d,i:Ad' ■,,',-7; i'd' .4:4/ •';-`'.•'.•'d, \\d',dd T'.,;&<';:",,, taiNiOr '..".',-:'Aiik' 1L,-* , -.,‘..-„:„,‘"- , ,, e,d-,.."-z-- .7.`, X, 73,,t * ?,, ,.., -7"', -.' ----, Prescriptive Energy Code CorrlPance for All Climate Zones in Washington' Project Information Contact Information This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure, the appropriate number of additional credits are checked as cho n by the permit applicant. Authorized Representative Ko L C Y s Date c vZ All Climate Zones R-Valuea U-Factora Fenestration U-Factor° n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGCo'e n/a n/a Ceiling 49, 0.026 Wood Frame Wall9•k.I 21 int 0.056 Mass Wall R-Value' 21/21h 0.056 Floor 309 0.029 Below Grade Wall`* 10/15/21 int+TB 0.042 Slabd R-Value&Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 01. Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. 02. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. Q3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option _Description Credit(s) la Efficient Building Envelope la 0.5 0 lb Efficient Building Envelope 1 b 1.0 ❑ 1c Efficient Building Envelope lc 2.0 0 2a Air Leakage Control and Efficient Ventilation 2a 0.5 2b Air Leakage Control and Efficient Ventilation 2b 1.0 lil 2c Air Leakage Control and Efficient Ventilation 2c 1.5 3a High Efficiency HVAC 3a 0.5 3b High Efficiency HVAC 3b 1.0 3c High Efficiency HVAC 3c 2.0 3d High Efficiency HVAC 3d 1.0 4 High Efficiency HVAC Distribution System 1.0 El 5a Efficient Water Heating 0.5 5b Efficient Water Heating 1.5 6 Renewable Electric Energy 0.5 1*1200 kwh 0.0 Total Credits 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energy.pdf • Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums. When insulation is installed in a cavity which is less than the label or design thickness of the insulation, the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. e The fenestration U-factor column excludes skylights. The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation,second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings, the insulation may be reduced to R-38. k Int. (intermediate framing)denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. • • FREDERICKSON ELECTRIC, INC, FAX COVER SHEET PO Box 2108 Port Townsend, WA 98368 Phone: 360/385-1395 Fax: 360/385-5333 To: (A / .-ec. �2 From: FPa - T' - Company: e Qvz, Date: ?7z /t` Fax: Pages: 3 Re: 776,4,1,/ c , gekeS 4 P 9 Le+ (4 kArol-t) tyrti d24-eeS4Aff. Lt SEP 2 1 2014 JEFFERSON COUP'Nn'J _COi14M11N1Ty DEVELOPMENT frmViewlnspection https://secureaccess.wa.gov/lni/epis/frm.ReglnspSearch.aspx • • 1 0 Washington State Department of Labor & Industries View Inspections Permit Permit Number 2423110E Status Inactive Applied 9/12/2014 Total Corrections Special Instructions This permit has been finaled. Fee Due $0.00 Applicant Permit Holder FREDERICKSON ELECTRIC Name Address 402 GLEN COVE RD City PORT TOWNSEND Inspection Site Company Name Owner Name Stein, robert Address 220 Huckleberry PI City PORT TOWNSEND :IrMPITrailggiiiiiRif.ig.- 'mg '',R=l..,_..:1:Ko)I«.Ys`lOf6 Requests I nf') 9/22/2014 8:49 AM I fnnViewlnspection https://secureaccess.wa.gov/lni/epis/frinRegInspSearch.aspx • • Created Requested Reason Status Action 9/16/2014 9/17/2014 Request Edit/Cancel Taken Request Inspections Inspected Inspector Corrections Corrections Comments Written Completed 9/18/2014 ANDERSON, MICHAEL 0 0 Details Inspected Inspection Result Comment 9/18/2014 Miscelianeous,Other ACT Megger Approved test on Complete coverd circuits. garage. No visiable inspection possible. CI Washington State Dept.of Labor&industries.use of this site is subject to the laws of the state of Washington. t ox.m+ Aga II • „f 7 • 9/22/2014 8:49 AM ��'' A c°t, JEFFERSO[ UNTY h ' `.,4 DEPARTMENT OF COMMUNITY DEVELOPMENT C� I v E 621 Sheridan Street • Port Townsend •Washington 98368 & .,> . 360/379-4450 • 360/379-4451 Fax SAP 2 1 2��4 qs0 www.co.jefferson.wa.us/commdevelopment BINS Master Permit Application MLA: JEFFERSON COUNTY Project Description(include separate sheets as necessary): II cr n.�1 +,v„,5�\a�Pe- Av ....to Co u.e. . v, ' 4 $ % \. Tax Parcel Number: ` ��9 �� V Property Siz-: (acres/square feet) Site Address and/or Directions to Property: 2 VL) e 1—e- .\Iv 1/ pk.< _ NA —T;\,,4•�,�1,_, Property Owner(s)of Record: Telephone: -\46 90. Co R Gl{ Fax: email: Mailing Address: Applicant/Agent(if different]]from owner): Rom G,-i■-'� Telephone: 31,4 3t\ 4 k ct\ Fax:34,z, t %S GL 2° email: Ro\, p'y S �v\�°k Mailing Address: ��._ 1 C( fod* T ,r•6t-�� vA q' 3;h What kind of Permit?(Check each box that applies ❑Lot or Road Segregation 44Building r-e..r..ud9- ')x 5asc 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) 40)g Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]** • Manufactured Home .❑ Modular - ❑ Discretionary'"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** 0 Home Business ❑ Propane ❑Cottage Industry 0 Binding Site Plan** ❑ Long Plat** ❑ :iyn ❑ Piannea Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ■ ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** j— ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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: I.A _ __ -� DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she is prio notice. 9 �y Signature: / Date: / - (7- /T The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with t Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for ad ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: l?' /7•f y G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc FP t „3 BUILDER STATEMENT 0 The igiet 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'wi(1 be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GEN RALCONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: btL sort I k1 f/14R 1hC ( ) l -41Si ( ) MAILING ADDRESS: P-0. 31.01 i_ \A/A. EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 0 New ❑ Wood Existing: C Sewer C Addition ❑ Steel Proposed: Bank ❑ Community System C Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry — SEP Permit# — C Demolition ❑ Other: Bedrooms: Water Supply: Existing: - Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert I Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only, _ Amount Revision Main Floor Heated EH BId App Review: 2nd Floor Heated Consistency Review: Other Heated Base fee: Mezzanine I Additional Section: C^ co Heated Basement Plan Check fee: 90 Unheated Basement State Surcharge fee: 4 .s- b ` Other Unheated Pot Water Review fee: Garage/Carport 352 4ti SUBTOTAL Decks 911/Rd Approach fee: ��'°'" -Other TOTAL: $ ,0 . -.1.k0 Receipt Number: 1 Si53te Cash/Check Number: ESTIMATED COST(REQUIRED) Date: CV ' •Fair market value of all labor and materials foundation to finish Initials: S s G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc SOLUTION BUILDING INC Page 1 of 2 • 00 Washington State Departilient of Labor & industries SOLUTION BUILDING INC Owner or tradesperson PO BOX 761 GRUYE, ROBERT ELM PORT TOWNSEND, WA 98368 360-301-4191 Principals JEFFERSON County GRUYE, ROBERT ELM, PRESIDENT Doing business as SOLUTION BUILDING INC WA UBI No. Business type 602 923 198 Corporation 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. SOLUTBI91405 Effective—expiration 09/18/2009—09/18/2015 Bond Contractors Bonding &Insurance Co $12,000.00 Bond account no. SH7723 Received by L&I Effective date 05/02/2014 04/09/2014 Expiration date Until Canceled Insurance Contractors Bonding & Insuranc $1,000,000.00 Policy no. C12SH7723 Received by L&I Effective date 05/30/2014 06/06/2013 Expiration date 06/06/2015 Insurance history Savings No savings accounts during the previous 6 year period. • https://secure.lni.wa.gov%verify/IJetail.aspx?UBI=602923198&LIC=SOLUTBI914:05&SAW= 9/22/2014 SOLUTION BUILDING INC Page 2 of 2 Lawsuits against the bond or say. No lawsuits against the bond or s gs accounts during the previous 6 year�od. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. 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. 114,569-01 Doing business as SOLUTION BUILDING INC Estimated workers reported Quarter 2 of Year 2014"4 to 6 Workers" L&I account representative T1 /TYRONE COLEMAN (360)902-4807-Email: COTI235 @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 % asl in tni https://secure.lrii.wa.gov/verify/betail.aspx?UBI=602923198&LIC=SOLUTBI91405&SAW 9/22/2014 • Sally Ellis Subject: Rob Gruye Start: Mon 9/22/2014 9:00 AM End: Mon 9/22/2014 10:30 AM Recurrence: Weekly Recurrence Pattern: every Monday from 9:00 AM to 10:30 AM Organizer: Mary Blain Name of Appt person: Rob Gruye Phone Number: 360-301-4191 Name of Property Owner: Robert Stein Parcel Number:94140009 Address, if applicable: 220 Huckleberry Ln. Project: (NSFR, SPAAD etc?) Unpermitted conversion of garage to art studio 6L-DO Z 1 9 s5 Z x 2) c i o C arcsct Prt c.e. j3X t 0-2q aa. 0 — Sp 9_ Ckect6c1 s( ce c� enco ,a( 6-} 8 1,L1 sE Wo. Ob { taw a 31-096 dku) Ol.. GEC roar rickoic C e 44 SI-ucti o e r From k - o,ar ie a i aere nce v p�r4J2 no La.'d JUce veuiew or E/F rev e..O -- (1004- L 1rlaGq e 611/U OWOrt' jl r anc ate JEFFSON COUNTY NO. a��e 1 of � DATE RECEIVED FROM DESCRIPTION BARS B AMOUNT CURRENCY COIN CHECKS t using TOTAL t Due RECEIVED BY 5627.40 3627.40 Convenience Fee: S17.50 First Name. robert ITotal Payment: $644.90 Last Name: gruye Address Line 1: p.o.box 761 Address Line 2: City: port townsend State: Washington Zip Code: 98368 Phone Number: 3603014191 Email Address: rob©olypus.net Payment Information Card Number: **`*`*******0624 Expiration Date: **/*' Print & P Parciof i •Pay�• - Create Orde Thank you for your payment! This service has been provided by Jefferson County Dept of Community Development, WA and Point & Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Dept of Community Development WA . Jefferson County Department of Community Development thanks you for your payment. For questions about your account, please call 360-379-4452 Name: robert gruye Address: p.o. box 761, port townsend WA, US, 98368 Contact: 3603014191 Comments: Payment ID: 15173944 Date: 09/22/14 09:26 AM Subtotal: $627.40 Fee: S17.50 Total: $644.90 Method: Credit or Debit Card( ***********0624 Item Purchased Transaction Description Account Amount Invoice Payment Jefferson Co C D GOV new app. $627.40 Signature: Date: / / By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window Parcel Details Page 1 of 2 • . f on o nty e ers u tot: Home County Info Departments :, Search Parcel Number: 941400009 SEARCH Parcel Number: 941400009 Printer Friendly Owner Mailing Address: ROBERT STEIN 34407 CIMARRON LN GRAND RAPIDS MN55744-5537 Site Address: 220 HUCKLEBERRY PL PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area:Quimper (2) Sub Division: 9414 - CAPE GEORGE VILLAGE #6 Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: CAPE GEORGE VILLAGE DIV 6 LOT 10 Tax, A/V, Sales, Photos, and Permit Data Bldg Data Map Parcel Plats &Surveys Septic Monitoring Info s County «; HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later ge Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=941400009 9/22/2014 0 1 1SX24 PRINTED i)N NO. 100()"6LEAFIPRINT, . Cwt A CC. -'.55 . ..... . ....... .. Contact Pie Building Deparheift at 319-4450 prior to making changes. C" I Ot rOVisjong to the approved plaus Lo CL 0 zf > LLJ F'(, _4,) f J SCALE: -1 I OV APPROVED BY: DRAWN BY A : � 1- C) Lu DATE: .77 REVISED ;f Lu DRAWING NUMPER tA evvi's V 4- /V r "S C5- 0 PLA,� ott 0 ,A'LD L _J 0-00--rJ4 C"_ ff–MIC—E. Plaits are approved excepting any errors or Ofnisslons. All work mp.1st pass Inspection In conformance will, 811 applicable codes and regulations. ALL GLASS AND GLAZING SHALL COMPLY WITH CHAPTER 24, 1997 UDC AS AMENDED BY WASHINGTON STATE BUILDING CODE COUNCIL Contact Pie Building Deparheift at 319-4450 prior to making changes. Ot rOVisjong to the approved plaus CL 0 zf > LLJ F'(, _4,) f J SCALE: -1 I OV APPROVED BY: DRAWN BY A : � 1- C) Lu DATE: .77 REVISED ;f Lu DRAWING NUMPER O t N# .0 Z. V3 71, 4 Ij . I I I `fit S 1.0 ii C9 Dow x 1�6 f-0 q ii 10 koea -r 'T v /(I-) DA 0 --T-- __....._...._..._..._M_:. t - 1 0 m I . It 1f a wit 1'70 • A o R"5 >< Ea v,/ (M • WI WD o W MUST Nicer VJ 1 �4 VJ TZ�Cotj:F(Cup-s- IN FLOOfF-- PL-A-4 7v IJ&-6� 7-6 wit'i0ow OCT I o j t F "'A IN T OF CO"!,V JNI DE� LO Tl- SCALE APPROVED BY----] DRAV DATE _C> 7_ 7 REVIE D -1,j `CU Re ID&--jcr,- k - jr p i'xi wjJ VL UU01"m a%* )XIII:* Irl'!AS-0101 W. va emrlm ta ii IT V K l 2 b, r" ly, m—__ A A CIQ'Vt.Lk VICE) �_'SON COUNTY DEPT. OF, CE: orrf,,,, �;' . I T-Y - DEVELOPMAFNT SCALE f APPROVED BY DRAW DATE 2- REVV-:: 0 srl S rtb FF-0 ?V 6%i( VAC-r c) t-4