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HomeMy WebLinkAboutBLD2010-00030 111 MLA10-00036 UILDING PERMIT APPLICA N Review Type:l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: LD10-00030 Received Date: 1/28/2010 SITE ADDRESS: i3 MILO CURRY RD PORT TOWNSEND, 98368 OWNER: ANNA B SIMCOE TRUSTEE PHONE: (360) 385-7287 ANNA B SIMCOE REV LIV TRU 41 SIMCOE RD PORT TOWNSEND WA 983689657 SUBDIVISION: Block: Lot: GL 3+ PARCEL NUMBER: 001321001 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981 BT Expires 2/10/2010 REPRESENTATIVE: BARBARA BLOWERS PHONE: (360) 385-6860 124 HARRISON ST (360) 379-8470 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,484 VALUATION 296,877.00 ADD'L: 1,292 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 624 SHORELINE: CONST TYPE: DECK: 228 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 5 Prop: _ _33. � Total: 5 Total: 3 � j c Routing Date: Type Amount Paid By: Date: Receipt: v d/Date Permit $2,096:95 LYK 01/28/10 113723 A FFIR OVED Plan Check $ 1,363.02 LYK 01/28/10 113723 State Building Code $4.50 LYK 01/28/10 113723 MAR232010 Potable Water Application $98.00 LYK 01/28/10 113723 Jefferson County P lan nin Total: $3,562.47 &Building D�a rtm ent g • • `f) DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jeff erson.wa.us/communitydevelopment Y; N( Cr~ Email:dcdaco.jefferson.wa.us 4111 . CERTIFICATE OF OCCUPANCY PERMIT#: BLD10-00030 APPLICANT: ANNA B SIMCOE TRUSTEE PHONE: (360) 385-7287 ANNA B SIMCOE REV LIV TRU 23 SIMCOE RD PORT TOWNSEND WA 98368-9657 SITE ADDRESS: 143 MILO CURRY RD Issue Date: 03/23/2010 PORT TOWNSEND, 98368 Final Date: 10/20/2014 SUBDIVISION: Block: Lot: GL 3+ PARCEL NUMBER: 001321001 Section: 32 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 0 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/20/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/21/2014 • • Sally Ellis From: Sally Ellis Sent: Tuesday, October 21, 2014 8:59 AM To: Jodi Adams; Linda Atkins Subject: ? BLD10-00030 - SEP09-00102 Jodi& Linda Hey Ladies I was looking at BLD10-00030 to print the C/O certificate of occupancy and to send the file to Archives- . I found-that the Septic in the activities was not signed off- SEP09-102 but was final 3/24/11. I also found that SEP09- 102 is listed on a different parcel number 001-321-062 € „. Parcel Caaa[ Address +"�.. ,:«.kL.11:1 i't3:si::le .�z,'i. {xi L:,_,—,,,2'.2.-.1,;a lr:..:....t; ..,�:....... ».... ..:t',.,�^.r....'i '3.5t: Se tee , 4iCt<7 f r t R t k I Help a �•.r -. -o:: 0-0132) t W l_U5 V M..D tiket1S`Al*t 11 617- 5-ti-v. te. +v _ 1., s aory s un .:2 Stops F4CSo .AEm kcrrs __.... ti y ,E.� , ZIP ;1 '�I pwwg.0.40.14 p.-- sewer...1--- v L „_ .i - + r -�— " .' 1 . — . _ —_ .. '': Which then made me look at the Parcel#under the Building permit- BLD10-00030 which is 001-321-001 Which with Denny help I learned this parcel says it's a retired parcel- which with further research- I found SUB09- 00013 which says it is a Last Will and Testamentary Division. 1 ■Associated Cases ' , \\.k"','*', ,';'' ',',,*p4:,i;,I \v em, Parcel Select 001321001 BLD10-00031 143 MILO CURRY RD 001321001 RAP10-00011 143 FAt_O CURRY RD \ 001'..321001 BO9-00013 63 MILD CURRY RD \ �� er � r� \ v yn .. . rY a4 t Hl ep\, �\ \l y� \.: / am ,ue \ '\ « y _ s \ done a ,..,....,,,,,,....yeiy,',::::,,,,,,,,,.,‘.,, ......., ......, ,. .. ., a \\ ' f r \ \ \ '''',4\,:,W- 3ti 1Y ..''..,,,..„.;r.,:,-,'"I',-,,-77:- ,,..,... ./.�"*. . T" � :te \\� . T4� $ ,1 FHB 4 .e,S}:§ �. 1 \VC d 8 6 F E c_ .0;00, Denny said I should email you both-as you too both know how to clean up the parcel-so all cases are showing up under the new parcel . I do hope this makes since-if either of you have any questions please feel free to contact me. THANK YOU! Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St. Port Townsend,WA 98368 360-379-4452 sellis@co.jefferson.vva.us 2 BUILDING PERMIT EXPIRATION NOTICE Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00030 SITE ADDRESS: 143 MILO CURRY RD Date Issued: 3/23/2010 PORT TOWNSEND, WA 98368 Date Expires: 3/23/2014 APPLICANT: ANNA B SIMCOE TRUSTEE ANNA B SIMCOE REV LIV TRU 23 SIMCOE RD PORT TOWNSEND WA 98368-9657 SUBDIVISION: BLOCK: LOTS: GL 3+ PARCEL: 001321001 Section: 32 Township: 30N Range: 01 W According to our records, YOUR BUILDING PERMIT HAS NOT PASSED A FINAL INSPECTION AND WILL EXPIRE ON 3/23/2014. To keep your building permit active you must pay a$228 renewal fee. This will keep your permit active for one year after the date of expiration. If renewal fee is not paid by time of expiration, no more inspections can be performed until received. Please contact our office if you have any questions. Sincerely, Permit Technician \\tidemark\data\forms\F_BLD_Permit_Exp_Ntc.rpt a ' \D 00 �( • \ : t� �� = y ° • .. ... �I N ` / . 1Nb. o h � 0 � x r z ,A III . 7„.") , 4.1°111' 0 o o . _ . a .nom� � O , ct> N � � °- q o 2 3 c h m 3 m cl p ° CD N O CA °: v • •a --im D � Da ° oo = co m m D 7 D) 0 01 5• = 7 o CD a 7 O ' CD D O N . 13 y a) N 0 =CO ^ (D N CA y 0 n j' O O v as CD a O C O• r- C = to 0, 3 y 5 -o = -0 2 a: = 2 E cr (n -6. 3 . 10 mmy ovoocoaa 3 o c m -.. = 3 S lit � ° 0 c Oc) o a) 5`' 3 S. d •• ,i (. .. . CD d Cr 7 Ilflf =' C 5i ` CD — CD E T > a) 0 3 CI1 3 rg-t. a. .•. co n a, 7 6s (,D O N C ° O 3 61 15 n C 7 3 _ O < 3 O , D) ,. t n m acid a $, . o m a 7a -* ° c7 � m °- c g. x m CD o 0 0 0 `° m 0, 3 3 a 10 Cn 0. — \ Y\ 0. 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Y' @ - =' `v) a v, o0cc3 ° v '� m �D — x gov v C- 0 , cu, Q, n 5:02:678 9, o tTN1 �) re) S 0- �/`� 3 =o.0 c d o s y Q a• grn n o 4 0 el, JEFFERSON COUNTY g 14.6,4„ 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 A 360/379-4450 • 360/379-4451 Fax ,15;2 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1,d-3-tp Project Description(induct separate—sheets as necessary): Os�� ( o A'1 1 --fi�rr Tax Parcel Num . Q2/ - 2 / - or Property Size: r, 7 9' (acres/square feet) Site Address and/or Directions to Property: n C G.z:..-,�1�-i 77th,,1 ' ,c• ,t 7 Ef l5(LC Property Owners)of Record: :,rte 0 N t - Telephone: 30 D • 3 ®5• 7 B 7 Fax: -- email: Mailing Address:20 2,3 ,Simko c ka/ idort 7-o w n s cn S r tiit 9 8 3 4.8 Applicant/Agent(if different from owner): flYl i ii ,may 5(41144 4 -IC t' JAN 2 & 20k) Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies *Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) IR-Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification O Commercial 0 Special Use(Essential Public Facilities)** ❑ Change of Use 41 1 O Boundary Line Adjustment O Address ©Road Approach V (e( ❑Short Plat** O Home Business ❑Cottage Industry ❑Binding Site Plan** O Propane 0 Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)JAmendments** O Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** O Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'"'* O Temporary Use 0 Shoreline Management Variance O 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 DESIGNATION OF AGENT - I hereby designate 'L` It Jz <i c Icy,.Ne IC 5' to act -s i y agent in matters relating to this application for permit(s). OWNER SIGNATUREd/Yvb \J..-vrfj l/t + _ !i.- ate: / By signing this application form,the owner/agent attests that =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. Staff's access and ',. of:ntry will be assumed unless the applicant informs the County in writing at the time of the app•-=tion th e,or she =nts prior o,'•-, J J Signature: r /`'4 z11J /_.r ,ef,'5 Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been 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 the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: ------,: ' ' ,0- 11*--77------- G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • 0 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' Sf4) : 37f fie, cg0��)��37_ 9/7/ MAILING ADDRESS: : EMAIL: G.' ',e 1 /4;vi/i.Wv. c,4QA CONTRACTOR'S LICENSE WAI• : NUMBER: _ N/ L., r i I :ER ARCHITECT/ENGINEER: / -g PHONE O$ FAX:( ) MAILING ADDRESS: //3/v 67,4„.4) aio /401„.49 EMAIL Project Type: Frame Type:/! llthrooms: Shoreline: Type of Sewage Disposal: ew Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing:. Setback: ❑ Private well 0 Two Party Typo of Heat:- Proposed: 0 Public ri-e i(� Total: Name of System: If this is a Commercial Protect 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: JA N 2 8 2010 i Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove I 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 fora 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. S'uare Foota s e Current - i ''' E Main Floor Heated : EH Bid App Review: 2"0 Floor Heated ! n qz :" , Consistency Review: <-13,,- Other Heated " ' as x y�,('� Base fee: -�`�i� , '.Wiz, Mezzanine Additional Section: ______ Heated Basement l-4 '-�5- Plan Check fee: O Unheated Basement ! 1+ State Surcharge fee: _op Other Unheated Pot Water Review fee: Garage/Carport ‘25/ *A ` SUBTOTAL 41 Decks 2 rj t k '11/Rd 'pproach fee: 0 ln Other TOTAL: '1 Receipt Number. ` Cash/Check Number. ESTIMATED COST(REQUIRED) Date: 'Fair market value of ail labor and materials foundation to finish 1-- -ICS /./a r v.O d -- Initials: • G:\PemutCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-013.doc 0 D —I -b o1 cn —I --b x —I —I co m -- -- m v cn CO x O_ n r-I- x - 01 O -5 "0 0 O - "O 7 7 O CU C CL CD 01 0 CD S O CC -- co cc co co H CD r+ O CD - O 7C 3 7 e 7 •• O n O 7 It C ---' '--' CD n p — 7 C1 O O O --% O C3 O CA O H O 3 n cA N O O O O C Cn O --` O r+ - CO CA v -p a a C7 '� r• H r r c7 CA v o • Z Z o -o C 3 m cn o Cal co 7o Z Z 3 o1 as n CO C N O —I cn D D -0 CO O cn -1 I-I r CD -1 m D r --I n 77 -1 3 00 CO m x -1 x o CA O_ m C7 O n —I —I a -1 O D 3 M o cr7 CO m 70 x Cn c s r— O Z M H H -1 C CJ'1 W 73 O Cn 3 3 D D CA 77 I • -` O rn m 73 Cl n o x —I 7o cn r M Do -- Z v O O 0 a m I CO CJJ CA O C7 m m 77 o m rn ry M m r— r— —I m 7 70 -1 Cn m Cn x p 73 CZ m 73 CO a CA N —I M E c z c v co � � � D Cn = Z 03 -1 -` --- r- —I F-I a � Z 0 3 7 H m Z • -? 3D- 0_ CO 4C m o n r o 03 --1 - CD O CO O • 01 r— a --` -1 E C.7 -1 C O a x CJ1 m rn 73 O. - 70 CO C n D �I N I O C v ,.--' CA CO O_ CA C_ O CD CD Cs7 CI1 -J CO C1 O ro O —I —I n � 3 v -o r o E o z D n n n CT a -,I n O• c •• D CO CO H O- r+ Z> v o M -I C o n 7 CO r+ O- 73 3 Q O r -s o o 1 a cn — O_ O Z co — CD -Ii O �l CJ1 L O H p T Z 6 T .0 C H 73 / 111C 1<mp 11111 11m 111 J 111111111 111. 1. 111 <1 zm1 111 O l 1 1 l' � fiIG� DO � o � 2 � 2 (xiO v (?1 � N � 'nm � � Z � n � -G m � z =rDvpT (n Om •0 0m �0 n � � m o) r r0 o- � m cn � o -IrT. z =lm p x -10 c () Dpr�il � -im `�7 � Qu o) zvcc0 m -10 ?I = v � cn - zoo ooTl � Dz0 ZOr � C mpv coo c� Z � m � zm v -zjzm AG) ao � � n � � c n � a (nOCrnDO � - O r � � � 0icri� m � _ � m � c00 � � � zp< 0pD0 D (n0y zzrnmr 0 = 0m my � s� rm mz = li � T � DV my Ds � � mvzmmH z z z � mmz0 crnDD � - nP (nz v� z � c� zD m cnm mvZ (n OzOV � p � s � OrZ O � v -IDS D � co0 � D mDV '� m -I m0 � oDO � v � � oo Oz � v O � ln � � mv � m = rO� r � mm 00 � oorymrD- cn0 c� � mm � D mmr � �� v r z � � nry � • � O -� � � � � � m � N A NI. a -- - a p 2 * cn g m m0 r x t Dmm y 0IDh D -iv c 0 Xi 0 () Firm 0 s s C n 0 41k. v Oy,,, ,, > ,D -ic D Iv En 2 � m : ; m U 70i ?of, N b Gal o z ID z cn cnl N. —n C r v O 2 O . 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N I TUB * X60 50 HS 40 40 HS x / 7'-0" 7, 4,4" S.G. v o T-72" 13-52 >n0 , 6'-0" 12'-11" / cn 34'-0" / / W � � Vj ANITA & JON "ANDY" " �`� m tlz FLOOR SCHMUCKER 1HiLINE1 J7 N�6= 81 SIMCOE ROAD H M E s -'� / i , R D 2° PLAN PORT TOWNSEND,WA 98368�_� 0 ,c) (360)385-0705 www.HiLineHomes.com- —warn ©copyright 2005 HIL ne Homes O (DC) • S w - OD OD N W O +' 02 is 02 .p 0 O co NI w II u n u u °� r Z -' 111I rn O G� m n D , D r o OI r C * N � °' V O T T O O (q CD .p 0) 0 n NI r D o D � DD f---'''`C)Z w v=i w 3'-51„ = x 1. u x m o1 o r m) l 2 / II 0) m 2'-34, — --- - - \ °D c m ° w D z N c II {o 02 o W v N I O cn w " 1 4'-0" .A \ rn w AA A °-r1 w o0 n n u T r N 2 cn 57 Gs N u N X < ° O v! rn ISo n _ • \ N O ea pal- o h \O - A i N 0 h -0 17f 3_g" 271 N X A F 1 _ o a W Cn 7J ''c--- Nli CO o M ? l�7J cn 1:3 = O U12 L , cu CTi > X N� N s CO IXQe C co,.. R, / 0 \ \ V - \ , 1 \ ... 2030SH 1-82" / / 13'-01„ 6'_02 3�-52 11'-52' 2 r / r / f 34'-0" / . , a m t''',511-==r-r2 ANITA & JON "ANDY" '' z UPPE R FLOOR SCHMUCKER iii •� N*o= 81 SIMCOE ROAD o ` v co Z O PLAN PORT TOWNSEND,WA 98368 H .0 M E s 2 ° v, in (360)385-0705 www.HiLineHomes.com N co 0 w m ©copyright 2005 HiLine Homes .2 \ O co E Untitled Page • • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&tI 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 HI-LINE HOMES UBI No. 602167453 Phone 2538401849 Status ACTIVE Address 11306 62ND AVE E License No. HILINH*981 BT Suite/Apt. License Type CONSTRUCTION CONTRACTOR City PUYALLUP Effective Date 1/30/2002 State WA Expiration 2/10/2010 Date Zip 98373 Suspend Date County PIERCE Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent NW CENTRAL Company CONSTRUCTION INC Other Associated Licenses, License Name Type Specialty 1 Specialty Effective Expiration Status 2 Date Date HILINH*983BD HI-LINE CONSTRUCTION GENERAL UNUSED 1/4/2002 11/8/2011 ACTIVE HOMES CONTRACTOR CREATIVE CABINET CONSTRUCTION CREATDB101QM DESIGN CONTRACTOR CARPENTRY/FRAMING AND 11/14/1990 11/7/1994 ARCHIVED BUILDERS MILLWORK HILINW*960BL HILINE OF CONSTRUCTION GENERAL UNUSED 1/13/2004 1/13/2008 EXPIRED WOODLAND CONTRACTOR CREATIVE CREATD6066QG DESIGN CONSTRUCTION GENERAL UNUSED 11/7/1994 11/7/2003 INACTIVE BUILDERS CONTRACTOR INC Business Owner Information Name Role Effective Date Expiration Date SUNDBY, WILLIAM PRESIDENT 01/30/2002 SUNDBY, CHERYL SECRETARY 01/30/2002 Bond Information Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Account Date Date Date Date Amount Date Name Number 1 OHIO CAS 3716229 01/15/2002 Until $12,000.00 01/30/2002 INS CO Cancelled https://fortress.wa.gov/lni/bbip/Detail.aspx 2/1/2010 Untitled Page • Page 2 of 2 • Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date 10 VENTURE 1004460266 09/11/2008 Until $200,000.00 09/19/2008 BANK Cancelled VENTURE Until 9 BANK/SOUTH 343003133 05/23/2006 Cancelled $50,000.00 05/24/2006 HILL CENTER VENTURE 8 BANK/50UTH 343003117 05/23/2006 09/11/2008 $200,000.00 05/24/2006 HILL CENTER GRANITE 02LX5059963 7 STATE INS 04/07/200504/07/2007 $1,000,000.0004/07/2006 CO GRANITE 6 STATES INS 02LX50599630 04/07/200404/07/2005 $1,000,000.00 04/20/2004 CO GRANITE 5 STATES INS CIS032360 04/07/200404/07/2005 $1,000,000.00 04/13/2004 CO NORTH 4 AMERICAN BXC000193400 04/07/2003 04/07/2004 $1,000,000.00 04/03/2003 SPECIALTY NORTH 3 AMERICAN BX0000174 04/07/200204/07/2003 $1,000,000.0005/14/2002 SPEC 2 MARYLAND SCP3260966 02/23/200204/07/2002 $500,000.00 05/14/2002 CAS CO MARYLAND 1 SCP3260966 02/23/200102/23/2002 01/30/2002 CAS CO Summons/Complaint Information Summons/ Cause Tax Complaint Complaint Complaint Number Wa'rdant Plaintiff County Date Amount DAVID & 2 092106431 LORRAIRERC E 06/26/2009 $0.00 VILLARS SHAWN &t 1 092000728 BRENDA JEFFERSON 03/31/2009 $0.00 BEGGIO Judgement Information Judgement Cause Warrant Plaintiff County Judgment Judgment Payment Payment Dismissal Paid Number Id Date Amount Date Amount Date By DAVID & 2 092106431 LORRAINE PIERCE $0.00 VILLARS SHAWN & 1 092000728 BRENDA JEFFERSON $0.00 BEGGIO https://fortress.wa.gov/lni/bbip/Detail.aspx 2/1/2010 QSFIL (Z/ PT-T- tilir--7e- inA-10 - (io AS Aca-t a JEFFERSON COUNTY PERMIT CENTER APPLICANT NAME: : .I1 . , PHONE: g CDT i SI TE ADDRESS: )43 inub Okirici � DATE: (-Z:3-10 EA_LTH APPROVAL PERMIT# SEP 061- 102- FOOD SERVICE 2. SHORELINE BANK HEIGHT SETBACK 3. FLOOD ZONE 4. FOREST PRACTICE APP (C SS ) 5. PLANNING APPROVAL . ICAL AREA REVIEW /> '` 8. HEIGHT 9. LOT COVERAGE 10. ADDRESS 11. FEE NTRACTOR'S LICENSE(' `13. ERGY 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 A 1. P REVIEW Z--14 -t S fDfJ OCCUPANCY: 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:\HOME\PLNCNTR\IN FOBLG\BLDCKLIS\2/2000 • • ‘1/'\ I .�.. : 11114 - t Date q"-(4--.' time received 7' am / Mon. Tues. Wed.' iir •-Fri. BLD: li p — ;c) Date: t q 1 l0 OWNER: C/kA.k ' Contact Name: ADDRESS: k k:3 -t.(0 C..UJ/2 U4., Contact Number:360 ( 1- 7 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks _/ Under-ground Framing Under ground _ Furnace _ Footing V Rough in Air seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines _ Oil — Straps Interior shear _ Interior lines i Ducts Post Hole Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks _ Insulation Final Inspection Foundation Block&Tie — floor _wall ceiling Address Posted • • ' /0 N V Date I —19—// Time received ( 'V am/ Mon Tues Wed Thurs / BLD: ! or - C200 3 0 Date: / ' / �r OWNER: /cc 4 C Contact Name: ADDRESS: /1(0 f`ld Ce.0 1 ,/ Contact No: 3 - CAW "s\-1"'l0 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 Insulation Setbacks _. Final Inspection Foundation Block&Tie _ floor wall ceiling Address Posted • • had Date Time received .1 •/'J am/pm \ Mon Tues Wed Thurs ri BLD: l d — ap 0 3a Date: `2 i 7- /O OWNER: S Contact Name: ADDRESS: ( If 3 // C 1 Contact No: 6 G ' L(C Notes: Foundation Plumbing Framing / Propane Tank Mechanical Setbacks Under-ground_ Framing v 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 Insulation Setbacks _ Final Inspection Foundation_ Block&Tie _ floor wall ceiling Address Posted 4 Y _ • 0 F .k Date t d time received A.f 1: / pm Mo Tues. ,Wed. Thur. .-Fri. hV /i ce,.( BLD: �,��t,�V°'4/ Date: OWNER: Cl*t# ti-14.. ' Contact Name: ADDRESS: Contact Number.360 """ , 206 Notes: Foundation Plumbing naming 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 paisod sseippy Bwpao Henn Joni; 811 18 "— uopepuno3 —uol oadsul leuld uonelnsul sve93eS sewowueig -anois pOOM/Se0 - .00luQPun eouegddy uolieIivan — elOH Pod siona — sou!!Jouaiul — Jeous Jouaiul _ sdeuig Hp scull Jouaix3 .eays 1ouaix3 — olucuP,cH IIeMU 3S see puno.16 enogy leas-1Iy — ul 46noa Bugood eoewn3 _ punaB iapuH 6ulweJ3 '—"puno.16-Jepun sVegiaS 1Boluetioew luej euego d uiwera_ uI6 gwnld uopepunod :se;oN 90Z ` 2 , 09£ �agwnN;oe;uo� �17fJ?� :SS32laay ii � �''�i `'"rJ � �. � l :aweN ioe;uoa ,• :d3NMO •' — QJ :e;ea al8 •pd... %mu (9 •sand, •uoyy (tad)/ we 0 2 Q. panlaoai owl; /) _Ql eieQ i �i J )\4--k ) , • _ e -// , ,,-, 2-- = 1.0( 07: filii-i; F 4 Date ` + time •receivedam / pm Mon. Tues. Wed. Cihu Fri. /(% - Date: 9 a BLD: ` / OWNER: �//f r0, S 4—r (,�C /Le, Contact Name: ADDRESS: /`"/� 1'"1 ! 4 0-Ay -red f Contact Number: ‘2"-6'`O k /2_4 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 °i""'""° • 0 .9j t _ Date t �ZB~1, 'time received tL,,3 J am / pm , .rues. Wed. Thur. - Fri. BLD: 1 t) ^ Date: OWNER: S,k WL tk CC,-Jr,-- -k Contact Name: C� ADDRESS: I k--2, r►" 4LC)Cup p Contact Number:360 2S vOb 6co 206 LNotes: tion Plumbing • Framing Propane Tank Mechanical ks _ Under-ground_ Framing Under ground _ Furnace Rough in Air seal Above ground Gas _ ali __ Hydronic Exterior shear Exterior lines _ Oil — F + " Interior shear _ interior lines _ Ducts ole __ , ``" Ventilation Appliance '`.1 Underfloor Gas/wood stove omes lnsulatign Final Inspection at�on Tie _ floor _wall ceiling Address Posted • • • • . Date 5 .9 time received 91 pm `_ ,, ., . Tues. Wed. Thur. Fri. BAD: ' :lb Date: r OWNER: Contact Name: ADDRESS: At C04-4,V Contact Number:360 20 &l +C:° +1 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 _ r Straps Interior shear Interior lines Ducts _ Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes — Setbacks _ Insulation Foundation Block&Tie _ floor wall ceiling Final Inspection m e Date 'time received?' t am /r6, Mon. Wed: Thur. -Fri. OLD: I 0 - n Date: .`.g. OWNER: /,- .,,� tt Contact Name: ADDRESS: t 4 L lt3 � 4. coma .�, '°` 6-21 et Number 360 2-S tw Vii:,•; Notes: 200 4 .J ouidatieEn; Plumbing -Framing Propane Tank • Mechanioat Setbacks , Under-ground Under-groun Framing Under ground Furnace Footing - Rough in Air seal Above ground __ Gas stemma Hydronic Exterior shear Exterior lines Op Straps Interior shear Interior lines • Ducts Post Hole Ventilation Underfloor Appliance • Man-Homes Gas/wood stove • Setbacks Insulation . Foundation Final ins. ., . tf Block STie floor wall ceili ng Address Poi , /-fig '/l,� JEFFERSON COUNTS • , `�'� i DEPARTMENT OF COMMUNITY DEVELOPMENT Date: f®-(3 Time Received: 9-4,9 e/pm Mon. Wed. Thur. Fri. Date: BLD: (d - n Contact Name: Owner: S I tAX4.tJ Contact Number: 360 r...)j 04'57 Address: ( 4 3 -0. c,;Rap 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 ,�SG S 0 oL JEFFERSON COU r DEPARTMENT OF COMMUNITY DEVELOPMENT Date: (On Time Received: e2 am/65) Mon. Tue. Wed. Thur. Date: 7—f? BLD: (0 — d Contact Name: Owner: Contact Number: 360 9,O 3x/037 Address: /G/3 /VOID t.J 7 206 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 Lo c c° N v d. I"-, Cl) o) W y M F- N C S N C V .N C % A A N z co • •_ v O = V o 2 i w o .- •- s N \ a) _c m �� �� ® _ �� _ ° - = a CO Z � a Y C c __ 0 0 N 4;)' CC it Q ° u) ci '.... t 7 II a� � H ill ++ 3 W V E Y N ki 0 ell c -■-• ca w V O ® N 7 Q i -° V c0 v E 1. �_ ..k w a N CEO G as co z c 4C 2 O ' a h a`) .° U .. 5 5 O ~ W 7 .8 E Z E. a) al 5 Y (> Ii Ic m w N c•°re N C _- a Li ::(1); Ci = V = O Q• .v ,o p '1 C •y 0 w '� °a w O O - CO Z a c t, _ ° ° ti _ a 0. G = w c _U o U) C C • -1.r s i■I• V o = a C W • w 11 ti E W • L• v o -o- a) o — L ..ow Co . • 1 w p C t + 1 (1 2 m > v m V N 4111• V -o m n w i w = = • CO \n z (% g a ilti 2 V" O > " t� o' 2 z Q r w U a ca o p m N z W > 1� o m o F- d 0 U } f- _0 0 m _ Jefferson County Building Divan Permit NumbBLD10-00030 Applicant: SIMCOE TRUSTEE 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 t?.1° C� Erosion Control Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing 14/h Under Floor Framing Straps(hold downs) ,')_'/7_(d 1 ' `" Q J . S` , /5 O a I°l ec k S r i..L Ext.Shear Wall Nailing la,D, �0 (-(4.73 Rough-in Plumbing ,H_N O Framing Id-47-to Blocking l ) _-'-7--Id Airseal I 7-1d Insulation:Walls Z,v( Insulation: Floors /M/14 Insulation: Ceiling 044 Int.Shear Wall Nailing -L 7-(0 I Wallboard Nailing I -fit-tl bi?. Gas Line: Interior 1.VA Gas Line:Exterior Propane Tank IVA Heat/Chimney Clearance fS�A Drywell/Alt Drainage Address Posted FINAL INSPECTION 10-90 FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00030 Received Date: 1/28/2010 SITE ADDRESS: 143 MILO CURRY RD Issue Date 3/23/2010 PORT TOWNSEND, 98368 Expiration Date 3/23/2011 OWNER: ANNA B SIMCOE TRUSTEE PHONE: (360) 385-7287 ANNA B SIMCOE REV LIV TRU 41 SIMCOE RD PORT TOWNSEND WA 983689657 SUBDIVISION: Block: Lot: GL 3+ PARCEL NUMBER: 001321001 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*98IBT Expires 2/10/2012 PROJECT DESCRIPTION: NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,484 VALUATION 296,877.00 ADD'L: 1,292 HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 624 CONST TYPE: SETBACK: DECK: 228 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,096.95 LYK 01/28/10 113723 Exist: 0 Exist: 0 Plan Check $1,363.02 LYK 01/28/10 113723 Prop: 5 Prop: 3 State Building Code $4.50 LYK 01/28/10 113723 Total: 5 Total: 3 Potable Water Application $98.00 LYK 01/28/10 113723 Total: $3,562.47 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 ATTAI'CHED CONDITIONS for Building Permit# :BLD10-00030 1.) See SUB09-00013 for prior case conditions and findings that apply to this property. 2.) 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. 3.) A Stromwater Plan, which includes provisions for BMP T5.30 Full Dispersion, 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. 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 6.) A minimum of two(2) on-site parking spaces shall be provided for the single family residence. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Building Setback from Milo Curry Road right-of-way is no less than 20 ft., side and setbacks are no less than 5 ft. Rear setback from South Discovery Road is no less than 20 feet. If an environmentally sensitive area(ESA) is present, then the more restrictive setback shall apply. • • 1 __ _ I , , • Vicinity Map Owner Name: Anita Schmucker Mailing Address: 81 Simcoe Road Site Address: XXX Milo Curry City: Port Townsend City: Port Townsend Zip: 98368 Zip: 98368 Phone 1: 360-385-0705 home Parcel Number: 001-321-001 Phone 2: 360-301-0937 his cell Miles From Hiline Sales Office: 2 Phone 3: 360-301-0311 her cell 1 40 4k 041111i ‘4i i f J cS 1‘'?"12,./ • -e. Ole tli 11 1 •�p 1 y V 04 cl- iito op Ot / fib) 17 HILINH*983BD-HILINH*981 BT Rage 9 of 10 Ipyright HiLine Homes 2005,Revised Sept 2007 1