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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 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 / 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 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