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BLD2014-00164
ILDING PERMIT TIS BD1e 001 64 Rv p e Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00164 Received Date: 5/7/2014 SITE ADDRESS: BROOKSIDE ST OWNER: HABITAT FOR HUMANITY OF EAST PHONE: 360-379-2827 JEFFERSON COUNTY PO BOX 658 PORT TOWNSEND WA 98368-0658 BROOKSIDE ESTATES SUBDIVISION: Block: Lot: PARCEL NUMBER: 936500005 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: HABITAT FOR HUMANITY PHONE: 360-379-2827 PO BOX 658 PORT TOWNSEND WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR, and unheated storage shed, no garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 896 VALUATION 105,000.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 32 CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 168 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,062.00 MEB 05/06/14 148653 Plan Check $690.30 MEB 05/06/14 148653 ApPROVE State Building Code $4.50 MEB 05/06/14 148653 JUN 0 5 2014 Potable Water Application $67.00 MEB 05/06/14 148653 Total: $1,823.80 Jeffersor County DOD \\+irlamor4\rlo+o\fnrme\C RI r Ann Rlrl rn+ F/7/9f11A v-sON c06 DEPARTMENT OF COMMUNITY DEVELOPMENT _Lt 2� 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 j Fax:360.3794451 Web:www.co.jefferson.wa.us/communitydevelopment 9S f ' E-mail:dcd( co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00164 APPLICANT: HABITAT FOR HUMANITY OF EAST PHONE: 360-379-2827 JEFFERSON COUNTY PO BOX 658 PORT TOWNSEND WA 98368-0658 SITE ADDRESS: 118 BROOKSIDE ST Issue Date: 06/5/2014 Final Date: 12/5/2014 SUBDIVISION: 9365 Block: Lot: PARCEL NUMBER: 936500005 Section: 11 Township: 29 N Range: iw PROJECT DESCRIPTION: NSFR, and unheated storage shed, no garage 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 12/5/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/8/2014 . BUILDING LEAKAGE TEST PP \(at-) H/ Date of Test: 11/20/2014 Test File: Brookside House#2 Infiltration Report Customer: Habitat EJC Technician: Elizabeth Coe PO Box 658 Project Number: EJCO2 Port Townsend, WA 98368 Phone: 360-379-2827 Building Address: Brookside#2 Email: info @habitatejc.org Brookside Street Website: habitatejc.org Port Hadlock, WA 98365 Test Results 1. Airflow at 50 Pascals: 318 CFM50 ( +/-7.1 %) (50 Pa= 0.2 w.c.) 2.66 ACH50 2. Leakage Area: 17.5 in2 LBL ELA @ 4 Pa 3. Building Leakage Curve: Flow Coefficient (C) = 23.6 ( +/-40.8 %) Exponent(n) = 0.665 ( +/- 0.115) Correlation Coefficient= 0.98521 4. Test Settings: Test Standard: RESNET Multi-Point Test Test Mode: Depressurization 5. Accuracy Level Standard Level of Accuracy Test Infiltration Estimates 1. Estimated Average Annual Infiltration Rate: 13.8 CFM 0.12 ACH 4.6 CFM per person 2. Estimated Design Infiltration Rate: Winter: 21.5 CFM Summer: 16.8 CFM 0.18ACH 0.14ACH Cost Estimates 1. Estimated Cost of Air Leakage for Heating: $ 8 per year heating 2. Estimated Cost of Air Leakage for Cooling: $ 0 per year cooling • BUILDING LEAKAGE TEST Page 2 of 4 Date of Test: 11/20/2014 Test File: Brookside House#2 Infiltration Report Building Information Location Climate Information Volume 7168 Ventilation Weather Factor 0.85 Surface Area Energy Climate Factor 22.00 Floor Area 896 Heating Degree Days 4615 Height 8 Cooling Degree Days 35 #of Bedrooms 2 Design Winter Wind Speed 9.6 mph #of Occupants 3 Design Summer Wind Speed 9.5 mph Year of Construction 2014 Design Winter Temp Diff 42 deg F Wind Shield L Design Summer Temp Diff 6 deg F Heating and Cooling Cost and Efficiency Information Heating Fuel Heat Pump HSPF Heating Fuel Cost $0.090/kwh HSPF 12.50 Cooling Fuel Cost $0.090/kwh Cooling SEER 23.0 Equipment Information Type Manufacturer Model Serial Number Custom Calibration Date Fan Energy Conservatory Duct Blaster A - Micromanometer Energy Conservatory DG700 38992-7 3/31/2014 BUILDING LEAKAGE TEST Page 3 of 4 Date of Test: 11/20/2014 Test File: Brookside House#2 Infiltration Report Depressurization Test: Environmental Data Indoor Temperature(°F) Outdoor Temperature(°F) Altitude(ft) 65.0 50.0 100.0 Data Points Nominal Baseline Adjusted Fan Nominal Adjusted Building Pressure Building Pressure Pressure Flow Flow Fan (Pa) (Pa) (Pa) (cfm) (cfm) %Error Configuration 4.6 n/a n/a -55.5 -57.6 582.6 370 359 2.8 Ring 2 -49.2 -51.3 501.4 343 333 2.9 Ring 2 -44.3 -46.5 421.8 314 306 0.9 Ring 2 -37.0 -39.2 332.0 279 271 0.3 Ring 2 -33.0 -35.1 277.6 255 248 -1.4 Ring 2 1 -23.5 -25.6 166.9 198 192 -5.8 Ring 2 -19.7 -21.9 127.7 173 168 -8.4 Ring 2 -11.7 -13.8 100.0 153 149 9.9 Ring 2 -0.3 n/a n/a Time Averaging Period: 10 Deviations from Standard RESNET Multi-Point Test-Test Parameters None - *correlation coefficient outside of normally accepted limits. * n value and/or correlation coefficient limits are not officially part of the RESNET Multi-Point Test Standard. • BUILDING LEAKAGE TEST Page 4 of 4 Date of Test: 11/20/2014 Test File: Brookside House#2 Infiltration Report Comments None . , • cr -cQ a' >� O > o 6o ° z � gsn °z (5 =4 sn ), 77 a rrt 1_, 0 -K3 -- r I STS 73 7[1 ITS X C3 y " (p 0 o q m 1` 1'„ _ y7<s -► nom ozsrrsc» vz Qr nSOSI r ZZ Ofl 2 > z r- O Sl --{{ �7u q > g () S7CQ � = -► Q = -C C IHPdU G} rC� �' �'� °d rn (I rn ort � si ))., s 2, 20x „•, ti79, ), ;1IAu, x, \ rn (--n �r' o� .. 0 � CD c = u� 7a © 7n1 csl c J > > _J cnLVFa ,1 < 7D C) c�770 ) - c7 � zin o C? y ° o otDnQ � rn El ,-- >, 8 DD.. 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S' ,7-1, V V _ II , nz� ——-ni- -�- Cf (SS Ili ST; gti rzlz E.CP I f km _I II � 5 !! 6 (5�I • __ ' a1 'Q O { O m ' 3 C) -i + 7t3 IZ 7 C 11 N I.L JrJ C_409 -Ft ZS"nF C1 K �� .\ I s1Z �L d z m .� � As7- -0 �'' �l� Cli sst � ---- arc 'k ' I C rit o� � 3 z � n �Q ZS , m 2 a V' = = buzz --I C STS Z _ r' �._ _- r^ °0 O BROOKSIDE S`TREE 1E-mg,' 4 h Q FILE COPY 70 -1 -1 sn z m RESIDENCE FOR: SITE PLAN, TERRAPIN- _< 7A H .H.E.J.C. PROJECT INFO. ARCHITECTURE PC ti o C., B ROOKSI DE ST. LOT 5 '! 9. 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LOT 5 H ITECTU RE PC 11 D 0 �_ C H I MAC U M, WA 98325 :1, 719 TAYLOR STREET (36°)379-8°9° PORT TOW NSE NQ,WA 98368 0 • / -0 1O'V" 1V-0 '\o.:1 1 o 4 i X yt. i � H I i fiS� r I+--- — 1 \ m 44, \ " I \ Q b • 7 / 12-C4 /'�' 13'-1t ( � 've. �, No - I z X � FS -11 j II Iit- li rn 0 N I C «'i 773 J Ay -• � C) rtt Op PIS r- r- 0 a cO , b VP I N =I f N I � I 1-0, 4-- I'� I / & 1� zi" 11 �" f I -9N I I CP -P x t!I I - WATER LINE, � 53 > G�r—VERIFY LOCATION - m p m I L 1 J zE --- O'I ' •-. •-_ G0 7A `) -� cs, orn o rn tx rnn � �X' Y b 1 m4. u rn cs b � , � , � 6 4x -P 44" - - ti ,-/ 9'-C.7" I 9, I / 28-0" r m O � n_ 1T m o 0 5 Z cnZZv70 2Arn ti rn = rn cn , � Z = 7aQ o C rC r CO * 77 z q co rOO � W W co Y2 Ncn0 > rn tiA � N � � V] > n ccn = C7 n Z t m N illik) 6 z `� z Ffl ! rn EJC HABITAT FOR HUMANITY cja 2 BEDROOM S.F.R. FOUNDATION PLAN TERRPIN 11° ' 771 BROOKSIDE ST. LOT 5 ARCHITECTURE Pc m u t rn Y CHIMACUM, WA 98325 ° 719 TAYLOR STREET (360)379-8090 , PORT TOWNSEND,WA 98368 _ . /95 VERSA,AM rn Q HEADER 1 i flA CR CR I -stt - r 1 p' 6 i 9.5 VERSALAM b ! HEADER - - - — - ..- — — ,*--- 1 —LI 9.5 VER5ALAM i ,A I, — HEADER — 1 = I I , j — — 1 — — ` tn p 0 Li) H _ , I , ', i - 1 III �_ ' K — i� __ 4 — --, —/ 1 — L — u-',..,.. — 7f, co f ill- `n CII�� I I 117'3 �'II II TRUSSES AT 24' o,c. � " � ri \. I I _ .. I I CS f N ____ � — i — I, 'I 1 I -1 j —J \r. I I " 0! - Q � I I ' 11= tx 710" iii 1la0 pf -{ II a -/ 2'-0° / j 9.5 VER5ALAM j`t j 95 VE125ALAM 1 _ �HEAOEK_ I I ! - HEADER_. 2�-0 — I -1 Ti J !-- -—-1=- - =1 c K cp — — — _ _ _ m4 DF#2 4X8 BEAM — DF#2 QS REAM — \ ® — DF12 4XS SEAM {, 6 32'-0° / sectaz tm SAN o ti • a X C z = C �, y m ellt: § ss, , :Ns iIiHm lir, 7U z o Q m n �o ti 0 .A = EJC HABITAT FOR HUMANITY o ROOF FRAMING TERRAPIN co D m 75 • r 2 BEDROOM S.F.R. m c,,,J PLAN ARCHITECTURE PC N o B ROOKSI DE ST. 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LOT 5 AND DETAILS ARCHITECTURE PC „ o CD 719 TAYLOR STREET (360)379-8090 CHIMACUM, WA 98325 PORT TOWNSEND,WA 98368 ' Z 117'1 • I1 i I I --a • Ililji 111 i � I — 1 _—� - 1 I 1 ff l 1 1 1 1 1 1 1 �— ( I- _ }- _ —_'- — 1 —I 70 cii 1 ___1- V I I I ---1 a u, I j 1 1 I _ HL__—_ - Q -- . — I — --- es0 �> 70 70 1 I-- I { ; i { " I 1 --1 1 — I—� -1— 1 1 i " i i I Ili- ! l i ( 1 I — .�— 1 1 i I i i 1 :� H- I ' nix ` l I III •_ ( ! � � ( ( t - 1111 11 —1--I-_ " , j — II i l j l I I 70 ° , 1 1 1 ( 7— I 1I 4 . I Q i H �= I I 1 1i 1 __ ! � ; 1111 1 11 �— —_ 11 , � 1 _ i — ' 11 " li I 1--, 1 1 0_1- _ 1 _ t 111 ( 1111 ! , 1 1 _ ; _ , I I ' Iij I — 1 —{_ Ii i { 11 1 ll _ ! — �- _ � ; , 1 1111 ! 1 1---r1-1 LW ' l j i 1 1 — — —� • ■ — 11 i 1 l 11 1 1, II1 61 i1 1 1 { ---! _ 1 I i i I I { I 1 ( - � il 1 1 i-- it l I � iiil 1 1 j + ,�, • 1 I 1 • ts) LA _. 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LOT 5 II (�c 7 719 TAYLOR STREET (360)379-8090 .- C H I MACU M, WA 832 5 PORT TOWNSEND,WA98368 _ • • . k , . 4 • • • V 4 • • / / .2c-91 ire i / / / a L_ 9 k t-9 Hi i , R '0 2 › 73 C.3 0 C) ...,-- 6 P gt 0 _c_ pl t c-, .F) 1 a F4 S-R 0 6 9 -ri niX33 -0 > C) Z (i) 0 sr, - 70 K-.) v a (4 2 T --1 K 71 F -' 1 _ 1 -1 - -1 1r- m C) En -0 0 (S) a 0 / .. z —i 7,c, 0 c... ,_ m z -4 - - T --I - -- , : L._ • . \ ll 1 i„,--1--H111111111I 'l i___I----__) 1 t-- - i I 1 1 I -h1L-T--- --•,. L_ -1 _ _ 2 a-) I a L_ -) > 7o it51(-51 , . > • - I I - — ' i SI) " 1 7N t--- ---1 CS) 1 1 , 1 ,0 -11 co CD I.__-II- 6 _ rs1 rii a • • -1-- • ! HI ili 1 0 H 1 • ' - -\\ . III . , , . 01 i \ I /. . r---1 —I- - ---r- -- 1 • 1 , . 1 i 1 F T , __I i__ ; , ] 1, , 1 L -- W , 1 • I . 1 1 I ill III ----1 1- 1-11-1 I _ _ , 1 _ I I 1 1 1 1 :4-H--if_i- 1 1 1 ' ■ , / L-IL I 1 F i r_ ,_ _i • , I 1 1 ' I : ,---- I 1 1 , - , I . c_A 6 --I P 0 _±- , r---Li- .. , . ---1,__, 1 HI _ L.) 1 H ,_.1 r____ 1- , i___I----L. . CD L__ • (...$)6 . . — . _ 1 Pi 1.11 — ' . CD N.) r-, 111 --j I • I MI 11 II I r_ii ri- HI-1----1-1-1— , 1 \ _____ ._ k) . . I I [—I 1_ HI I i 1 I iiii r _ ! 0 , , I —,-- I-- -1 c-, 0.1 ),.. (.11 • .._1 •'•• 1 0 Y I li 11 -1 , - 1 i r— : - 1--1 - t- $ .2 -1 7-1. __:- • __ ._ _ L__ 73 n 7113 - 1 ' x 7e3 -1 rii 70 --- rti I 1 1 ' .7_-----1-1- ks) ii 1 1 1 f "2 > c-• III 1 .. --1 > r, 5 > n 7-11R., -P- -t-- -I -I ats %ft iii Is t, >2t) 70 __ I :0 fri,3 o 47: cr) ci co EJC HABITAT FOR HUMANITY EAST AND NORTH TER PIN ... 2 BEDROOM S.F.R. Lon . ELEVATIONS ARCHITECTURE • BROOKSIDE ST. LOT 5 II 0, —k 719 TAYLOR STREET (360)379-8090 - --• CHIMACUIvI, WA 98325 PORT TOWNSEND,WA 98368 = I • • • I,I ICI Prescriptive Energy Code Compliale for All Climate Zones in Washington A Project Information / Contact Information H g0 1Nog. 0'675- 0, - . ., 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 chos y the permit applicant. • Authorized Representative _._..___ Date 5/‘// 'b /' All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 tit 6$-S Skylight U-Factor n/a 0.50 D 01l S--°1 • Glazed Fenestration SHGCb e n/a n/a Ceiling 4 0.026 t'y r Wood Frame Wall9'KI 21 int _ 0.056 lid '✓J I a V t: Mass Wall R-Value' 21/21h 0.056 Floor 309 _ 0.029 Below Grade Wall°k 10/15/21 int+TB 0.042 MAY — 6 2014 liSlabd R-Value& Depth 10,2 ft n/a ,_.3 *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. 1'EFFERSON COUNTY _ DEPT.OF COMMUNITY DEVELOPMENT 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: K1. 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. ❑ 2. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑ 3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) S27'' 1 a Efficient Building Envelope a 1 a 0.5 ❑ .j^ fi t s 1p 1 b Efficient Building Envelope 1b 1.0 � ✓- a lc Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ ytA'‘' 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ R- U ,i;.-S 2c Air Leakage Control and Efficient Ventilation 2c 1.5 EI Lic°. id)" / 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 ❑ 5a Efficient Water Heating 0.5 ❑ 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 I"1200 kwh 0.0 Total Credits 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energv•wsu.edu/Documents/2012%20Res%20Energv.pdf Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= corkous insulation, int .= intermediate framil 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. b 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. ! LI iI F.:_k_t ... rn (-,rn c) N .. Cu' co 1 g > CA --1 Ap ° m - `=4,) N , n �s �-�-5 -n 0 rn CD ZE n GZ ZE Cy \.N lt nr11 = Ozr- � O z -n 0Z -n a c 7a O cnq a • 68 -∎ c� -< c) ,� , , �' c�. i. � 07cta� rZg =co rn -4 -4 tnra � �s (�ZSyo � 2c� � y � 4�` 4 ° � a � � az O -n k7 m 7 Z 20 X rn . 70 z �. 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M � <:� ', i o rn 70 M SrN - i CA CP Ali g. ;1::1$ pp .1- rn ; Sy � I _, r o zrn . .7, r- #C0)44; ut R - I Pi— - __ i k'". - Nirr) s: , ,-... :,,,-4.744..4,ol , . It 1 . t,, i FR 1 ti I i c r�"' tsv x . I * Cn -11 Cn f� 50�.-ii" t 281-o' 35',34''1- - - o - _ o -1 -1 zS rt -37L1 j �y? S;i > t OC > rn �' r s- �' X11 ei 1 L.-�--_ - rrt , -� PO a p 7a 70 1 2d 5 ' =AGK n y /s t7 O R 6N 'r N 70 0, = 0 r- O 2 to '� 0 11.2 -i mz - -1 ■-- _ > ! •27 0 m 0 CSC ht _ _ us. , H Z 0 0 ,BR?OKSIDE Wt5.E1' sa 12 ril 711 5 73 -‘ In.1MMust W mprn 12-Cr z m RESIDENCE FOR: SITE PLAN, TERRAPIN r- ?LI 75 -' H .H.E.J.C. PROJECT INFO. ARCHITECTURE PC o • BRQOKSIDE ST. LOT 5 C H I MAC U M, WA 98325 AND INDEX 719 TAYLOR STREET (360)379-8090 PORT TOWNSEND,WA 98368 = IC v a._. k • , .. ,,,, -,.zi . • St 3 .gmr---7 1,,17,-,„i „, 1-c,sitti '-- ti i 1 1 7t?- N '! Xl - r: ,. 1 , $ , ...� ♦ +i!WPe'19llwe'nybRM'.•'...1 • lY. Front Parcel Review W Parcel 936500005 '� 'i Printed: May 5, 2014 Fe e HABITAT FOR HUMANITY OF EAST Site Address(es): JEFFERSON COUNTY CHIMACUM RD , WA PO BOX 658 PORT TOWNSEND, WA 983680658 Parcel Number: 936500005 S-T-R: 11-29N-01W Total Acreage 1 Legal Description BROOKSIDE ESTATES LOT 5 (UNDIV 1/6 INT IN TRACT Land Use: 9100 A) SUBJ/OPEN SPACE TRACT Flood District: Fire District: 1 Planning Area: Flood Map(FIRM)Panel No: School District 49 Zoning: c- COMP PLAN DESIGNATION: CMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ V, Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [121 Legal Access to Property YES NO [ ,,] Parcel Tags or Scanned Documents YES NO [P ESA's: Special Reports Nearby YES [k/r Designated Ag YES 0 [ frj— Shoreline Designation NO , ��,,, • 1� [ fi]' Shoreline Slope Stability:4 NO Stream Type:YES NO FWHCA: YES NO Wetland ES NO — ��� ,� (,C, ' Rare Plan . S NO Seismic: YES NO Landslide: YES NO Flood: NO A -- cv ( A Erosion: S NO Aquifer Recharge Arkyr ' NO (}"Ye SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stormwater site plan su itted: YesNo [ r•'j Forest Lands: YES Adjoining Forest Lands: Commercial/ Rural/ Inholding [ IT Mineral Lands: YES O [ I/j Agricultural Lands: YES NO [ i4 Archaeology: YES NO [ (,}"No Shooting Zone: YES • [ V] Stormwater: New Impervious Surface () t 1 Land Distur ing Activity ESA's Stormwater Req's:Min Req#2 m R:• #1 thru#5 in Req#1 thru#10 Engineering [ V J Notice Provisions/Disclosure:Ai..o YES NO MRL YES NO Forest Lands YES NO [ v( Landscaping Required: Yes ie. [ Parking Spaces R-: •' d NO Other F Vl' Buildinli Height:w UBC Standard [1,/r Impervious Surface coverage paientage: Resource Lands&Public: 10% 1111Pkural Residentia 25% ) Rural Industrial:411 UDC Sec 6.7 Rural Commercial: 60% Area of Building �rerage:60%in Rural Industrial Lands only [ Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 , All others:subject to set&water constraints/N pecified [i/] Setb ks: Front: Left Side: Right Side: Rear: ict Re k c) 0 Loo f C et LSHA Setback: [ VI Road Classification: Road Approach: EXISTING Q'D RAP [ SEPA Required: YES EXEMPT [14- Flood Certificate: Gv (4 [ Z Existing Case(s)&Condition(s): Violations: Yes No [ Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ p, Lots/Require Declaration of Restrictiiv- ovenant YES" ubmitted: YES NO [ Vy UGA No Protest Agreement YE ��CiJ�submitted: YES NO [[ Site Visit conducted YES ► • [ Require Final Zoning Approval YES NO [4 ADMIN: Setbacks entered in Permit Plan case YES New Parcel Tags entered i it Plan YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 936500005 1.) WSRC Coaching - 2012-03-23, CZ 08/28/2013 Other Parcel tags found for parcel 936500005 2.) WSRC Coaching - 2012-03-23, CZ 08/28/2013 CAO Parcel tags found for parcel 936500005 3.) WSRC Coaching - 2012-02-14, CZ 08/28/2013 Other Parcel tags found for parcel 936500005 4.) WSRC Coaching - 2012-02-14, CZ 08/28/2013 CAO Parcel tags found for parcel 936500005 5.) WSRC Coaching -LID 2012-02-14, CZ 08/28/2013 Parcel tags found for parcel 936500005 6.) WSRC Coaching - 2011-01-18, CZ 09/03/2013 Other Parcel tags found for parcel 936500005 7.) WSRC Coaching - 2012-03-26, CZ 09/05/2013 CAO Parcel tags found for parcel 936500005 8.) EROSION/SEDIMEN 11/21/1996 Parcel tags found for parcel 936500005 9.) Storm Water Pla 11/21/1996 Cases Associated with APN 936500005 Cases Name Review Type Status Planner SEP05-00070 MC CARRON C Application Received: 3/15/2005 Permit Issued/Case closed: 3/19/2008 Case Finaled: Now filed with SEP12-86 as is SEP99-36 and OTH99-50 SEP12-00086 HABITAT FOR HUMANITY A Application Received: 7/24/2012 Permit Issued/Case closed: 2/6/2013 Case Finaled: SEP05-70 (expired) now filed here \\tidemark\data\forms\R_ParceLCRMLA.rpt 5/5/2014 Page 2 of 3 CAR99-00063 • BISHOP • F S THEISS Application Received: 2/19/1999 Permit Issued/Case closed: 8/5/1999 Case Finaled: 8/5/1999 New alternative septic sys e. OTH99-00050 BISHOP F L ATKINS Application Received: 12/29/1999 Permit Issued/Case closed: Case Finaled: WET SEASON EVALUAI ION SEP99-00036 BISHOP W Application Received: 2/19/1999 Permit Issued/Case closed: Case Finaled: info filed to SEP05-70 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 5/5/2014 Page 3 of 3 .,c,oN Ci7 ON COUNTY • iterrib- �'1 ,� 010 V i o °ARTMENT OF COMMUNITY DEVELOPMENT ay 1 62' !it an Street 1 Port Townsend,WA 983581 Web:v nw.co.iefferson wa.us/cammunitydevelopment I � Tel: r i {'9.4450 I Fax:3611379.4451 1 Email:dcdaco.iefferson.wa.us ,I. MAY - 5 2014 Bulldi 1 ;f its&inspections Develo lac f '3onsisfenc Review Long Range Planning Watershed Stewardship Resource Center Y 9 9e 9 p Ma .ter PerniftFAJ9pti l ton MLA: DEPT.OF COMMUNITY DCVEL01'M'.NT Project Description(n/civae separate sheets as/r/�ecessa/r ):) / Lk' \S t-&%Ol9N1 4 I f15//.G `f sy" f✓J -c-- 1 l ar.4- Tax Parcel Number: C/3‘ 5 7o (((/// Property Size: / 1f`V 4.crL5 `__ quare feet) Site Address and/or Directions to Property: �1' r;:-..,- Gi..',,.,F‘,,,.,.,,, 02\i. 4-k ri ef,5.- vr+4-o P,I.<..N„s 4, i2,44/0„, ese,. s,a� S, � o rr y�4� , Propertyowner(s)of Record: 14,15,`4,4 4t r N,..rv,an,ty Z3-C. Telephone: 36o- 3'? - araq Fax: ?,Go -✓✓.'1 /-25o email: 4.0,1g-trt, on t3shte.ic, Mailing Address: Po v. 6 S$ j'o 4- T wets e / OA q ff34,T Applicant/Agent(if different from owner): Telephone: Fax: em ail: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Iipuilding ❑ Critical Areas Stewardship Plan I- Demolition Permit fl Variance(Minor,Major or Reasonable Economic Use) IKSingle Family ❑ Garage Attached/Detached U Conditional Use[C(a),C(d),or C]** C Manufactured Home C Modular ❑ Discretionary"D"or Unnamed Use Classification C Commercial* ❑ Special Use(Essential Public Facilities)** C Change of Use ❑Boundary Line Adjustment L_'Address U Road Approach ❑Short Rat** U Home Business U Cottage Industry ❑ Binding Site Plan** ❑Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis U Plat Vacation/Alteration'* ❑Stormwater Management U Shoreline Master Program ExemptionlPermit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑ Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDCILand Use District Map Amendment U Forest Practices Act/Release of Six-Year Moratorium U Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference fl Tree Vegetation Request "Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: S4V1"4. — 69 I o�-oo° C 6 ----�q f { DESIGNATION OF AGENT I hereby designate /`�7 l to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 1 J,a`' /%1 /�: I '......-11, �`C IP trAor Date: ti a 2-Cj1 By signing this application rim,the owner/agent ate. that the information provided herein,and in any attachments,is true and correct.to the best of his,her or its knowledge. 'ny 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,judgements,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 ac ess and right of entry will be assumed unless the applicant informs the County in writing at the time of the appf I In that he or sr- ants-prror noti3.. i1 t Signature: �, r �� _r / l fE' Date: ZS The action or actions Applicant will undertak•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-transfer-• responsibili■ f+ adhering to a,complying with the ESA. The Applicant has read this disclaTz77J'1 er d sign and dates it below. Signature: r Il p'- Date: L i 4 IF 24/21113 • ' BUILDER STATEMENT • I 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 ming the res.onsibility okhe General Contractor for the proposed projec I Signature: ;/ ,, ►%'1cxec.�iPeder Date: i zoil1 • GENERAL CO TRACTOR OR MANUFACTURED HOME INSTALLER: !!PHONEEE: C p FAX: Iii 6.-6-7 1"11 ;L7 a, w,wt...ca,n; /e�'vgu.S4- Ja(C-S..n (36 *�1 -? n(�v) 3L/Iii — MAILING ADDRESS: T 0 i`t/jc, (' J'Q '�1. Irt A 9134? EMAIL: Lc.t 5 4-r.,G 4.'ort a L Jj a Fs+J' -G f C. 0°`9 CONTRACTOR'S LICENSE �� WAINS f� NUMBER: NA:c .iV-f N of l 0 s NUMBER ARCHITECT/ENGINEER: s„, .p,,✓t 44 , 4. cc,/w s+cam. PHONE (540)VA..-50.:10 FAX:( ) MAILING ADDRESS: 1,21 TAy Ian (f "PT) (,s 1 '3615 EMAIL e G k.1.trrp:v - 4.7.4,& • Go+'h Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )■New D( Wood Existing: It Sewer Addition I Steel Proposed: 1 Bank I Community System Alteration/Remodel I Concrete Total: Heit: )(Individual System Repair I Masonry /"/-I SEP Permit# )and & Demolition ii Other: Bedrooms: Water Supply: Existing: Setback: I Private well Two Party Type of Heat: Proposed: Z , Public _14...-1- e....14 Total: —hf Name of System: 1( ' e PO p If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: _ Proposed: A 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 andlor Appliance Installation permit,mark all items belowthat apply: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO 1 evotS telleP I knaT retaWtoH i Is this appliance being installed in a Manufactured 1 Mobile Home? Yes I 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 H Bid App Review:qi 2m Floor Heated //, I Consistency Review: 22 ry Other Heated Base fee: 1 / . CU Mezzanine r Additional Section: k.a Heated Basement Plan Check fee: /_ w • ` 40 • Unheated Basement r State Surcharge fee: /A "l OtheUnheated / N «'l OO Pot Water Review fee: ____. CP___ ____ Garage/Carport -1 �o SUBTOTAL / r- 1.CA- V)) Decks / `a� `(1- 911/Rd Approach fee: Gf Other TOTAL: $ /0(.4 O t Z,32_Recetpt Number: I t iL l9 CashlCheck Number: ESTIMATED COST(REQUIRED) Date: c fro( (/41 +Fair mar t value of all labor and materials foundation to finish ( 1 0Q ) , Initials: /1/1% • i In/24/2013 S $O e 0,, JEFFERSON COUNTY {0 F p V IE W DEPARTMENT OF COMMUNITY DEVELOPMENT J 621 Sheridan Street • Port Townsend •Washington 98368 MAY - 5 2014 Ss, INen° 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: l'LG,`4,f T1wP4-6,4,` DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel ,, 1(6 acres +-�An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 6, 3`J q 7- sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert' acres or more of Construction site for structures 9(9CD sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. 5 sq/ft Circle: Yes o Well, utilities,etc. 50--0 sq/ft Does the project convert 2'A acres or more of native vegetation to pasture? Driveway, parking,roads,etc. l®o sq/ft Circle: Yes No Lawn, landscaping,etc. 5 � sq/ft Other compacted surface, etc. )1 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 8 sq/ft Cut_ Fill (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 . . Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior tá development. A hard Surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oild, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) \- 6 sq/ft Structures(all roof area) sq/ft Sidewalks V. sq/ft Sidewalks sq/ft Patios g sq/ft Patios sq/ft Solid Decks P sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc /3/o sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other sq/ft Total New `361q sq/ft Total Existing 'I sq/ft TOTAL NEW+TOTAL EXISTING* 69/1 sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT , Divide the total existing,impervious surface above by the size of the parcel and convert to a percentage: 7, / % Does the site have 35%or more of existing impervious surface? Circle: ► No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. . APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affe ro -„.., :5/› / (LANDOWNER OR AJJ41ORIZ D REPRESENTATIVE SIGNATURE) (DATE) FOIL OFFICE USE ONL f f ` w,, k i Y • `S Ff § a 7 ✓t.` t�` r,,, 4 �9 4 k, 4 r_ g � P t 4 SMALL_ MEDIUM. GE REDEVELOPMENT `'' ▪ Storrr►waterSite Plan ' 'Yes N±► .k.. stormwater talc worksheet Rev 9-9-2010—REV.9/9/2010 2 I N I . 1 �P I uw , l L 9ANT:L1W1ff1RSO PION NGDIXXiLR+nION .CNYDhY RWN0.0 DAN011M e -N000 V. 141, • JD)) kis, od E t, t SECTION 11,TOWNSHIP 29 NORTH,RANGE 1 WEST,W.M. JEFFERSON COUNTY,WASHINGTON LEGAL DESCRIPTION NOTICE TO POTENTIAL PURCHASERS A. PRIOR TO 111E COMMENCEMENT OF ANY LAND DISTURBING ACTATES CH THE STE,AN ALL THAT PORDON CF 114E NORTHWEST I/4 OF THE SOUTHEAST 1/4 AND THE NORTHEAST EROSION AND SEDIMENT CONTROL PLAN SHALL BE DEVELOPED TO TIE 510404RD5 OF I/4 Of THE SOUTHWEST 1/4 OF SECTION II.10.9W 29 NORTH.RANGE I REST,N.M. TIME WASHINGTON STATE DEPARTMENT OF ECOLOGY STORM WATER MANAGEMENT DESCRIBED AS FOLLOWS: MANUAL(CURRENT EDITION)AND BE SUBMITTED TO THE DEPARTMENT OF PUBLIC WORMS FOR APPROVAL. BEST MANAGEMENT PRACTICES SHALL BE IMPLEMENTED AND COMMENDING Al THE SOUTH QUARTER CORNER OF SAID SECTION 11,THENCE SOUTH USED AT ALL TIMES DURING LAND DISTURBING ACTIVITIES. 6925'04"EAST,ALONG THE SOUTH LINE OF THE SAID SOUTHEAST 1/4 OF SECTION II. 859.13 FEET B. PRIOR TO THE COMMENCEMENT Of ANY LAND DISTURBING ACTMTIES AND THENCE NORM 173•00"NEST 1552.69 FEET TO THE TRUE POINT OF BEGINNING OF PRIOR TO ISSUANCE OF A BUILDING PERMIT,A STORM WATER SITE PLAN MIS DESCRIBED TRACT SHALL BE DEVELOPED TO THE STANDARDS OF THE WASHINGTON STATE THENCE CONTINUING NORTH 173'00 REST 42.68 FEET THENCE NORTH 0034'00" DEPARTMENT OF ECOLOGY STORM WATER MANAGEMENT MADA(CURRENT REST 700.26 FEET THENCE NORM 691056"REST.PARALLEL TO THE EAST-WEST EDITION)AND BE SUBMITTED TO THE DEPARTMENT OF PUBLIC WORKS FOR CENTERLINE OF SAE SECTION 11.465 FEET.MORE OR LESS TO THE CENTERUE OF APPROVAL. COUNTY ROAD NO 18; THENCE SOUTHWESTERLY,ALONG THE SAID CENTERLINE 773 FEET,MORE OR LESS,TO A C. THE LOTS.PARCELS OR TRACTS CONTAINED NTHIN THIS 9JBDIL490N WERE P ONT WHICH IS NORTH 8916'68"WEST FROM THE TRUE PONT OF BEGINNING: APPROVED BASED ON 00904 STANDARDS AND REGULATORY REQUIREMENTS THENCE SOUTH 8916'56"EAST.PARALLEL TO THE SAID EAST-WEST CENTERLINE OF II EFFECT AT THE TIME OF ANAL APPROVAL. SEWAGE DISPOSAL 5/TRAM SECTION It 711 FEET.MONK OR LESS.TO THE TRUE PONT OF BEGONING: HAVE NOT BEEN APPROVED FOR THE LOTS,PARCELS OR TRACTS CONTAINED EXCEPT RIGHT Of WAY APPROPRIATED BY DRAINAGE DISTRICT NO 1 N JEFFERSON WITHIN THE 5UBGWSION. ON-SITE SEWAGE DISPOSAL SYSTEMS SHALL COUNTY SUPERIOR COURT CAUSE NO 3195 MEET DESIGN STANDARDS ANN REGULATORY REQUIREMENTS IN EFFECT AT SITUATED N JEFFERSON CONTY.WASHINGTON. THE TIME OF APPUCATDN FOR SEWAGE DISPOSAL MKT. PURCHASER SHOULD CONTACT TIC JEFFERSON COUNTY HEALTH DEPARTMENT FOR TOGETHER NTH AND SUBJECT TO AN EASEMENT FOR INGRESS,EGRESS.AND VTIUTY PROCEDURES CONCERNING PERMIT APPLICATIONS. ANY REMOVAL Of OR PURPOSES.6000 FEET IN MOTH.6000 FEET WESTERLY AND SOUTHERLY OF THE MAJOR DISTURBANCES OF SON.WHIN THE PROPOSED DRAINPIEID AREAS FOLLOSWNG DESCRIBED LNE: MAY CREATE SITE CONDITIONS THAT ARE UNACCEPTABLE FOR THE COMMENCING AT THE SOUTH QUARTER OF SAID SECTION 11:THENCE SOUTH 6925'04" INSTALLATION O SEWAGE DISPOSAL SYSTEMS. EAST.ALONG THE SOUTH LINE OF THE SAID SOUTHEAST 1/4 Of SECTION 11.859.13 FEET 0. APPROVAL OF THIS SUBON90N DOES NOT CONSTITUTE APPROVAL OF THENCE NORTH 173'00"WEST 586.96 FEET TO THE TRUE PONT OF BEGINNING OF BUILDING OR SEWAGE DISPOSAL PERMITS ON EACH LOT. PERMIT MIS DESCRIBED LNE: APPROVALS W0..BE SUBJECT TO BUILDING LOT PLANS.TYPE OF USE, THENCE CONTINUING NORTH 17'3'00'WEST 1,008.41 FEET; CONTOURS,AND SOILS ON INDIVIDUAL LOTS. PERMITS HILL BE RENEWED THENCE NORTH 0034'00-NEST 708.26 FEET; N ACCORDANCE WITH SITE CONDITIONS N40 REGULATIONS EXISTING CO THE THENCE NORM 8816'56"WEST PARALLEL TO THE EAST-NEST CENTERLINE OF SAID DATE THE PERMIT IS APPLIED FOR. SECTION 11.434 FEET.MORE OR LESS,TO ME EASTERLY RIGHT-OF-WAY CF COUNTY E toad HR( AAPti A rcem .* rsconitd ander ROAD NO.18 1ND THE TERMINUS OF THIS DESCRIBED UNE. AFFJ 3444yE. 1 AL STUATE IN THE COUNTY OF JEFFERSON.STATE OF WASHINGTON. LAND SURVEYOR'S CERTIFICATE OPEN SPACE/OPEN seAcz Maindeina.ce I MATHER C.MACLEARNSBERRY,REGISTERED AS A LAND SURVEYOR BY THE STATE OF AN EQUAL AND UNDIVIDED 011E-99TH INTEREST RI THE OPEN SPACE SHOWN WASHINGTON,1.LNIRY MAT THIS PUT OF WOODRDGE VILLAGE IS BASED ON AN ACTUAL 014 THE FACE Of THIS PLAT SHALL BE VESTED N THE OWNER OF EACH SURVEY OF THE LAND DESCRIBED HEREIN.CONDUCTED BY ME OR UNDER MY DIRECTION LOT.'(Toe.OQQora-Man and mRIw4Pmm.LA 00 4456 ope•NOICG. . 0URING THE PERIOD OF MARCH.1996 THROUGH AUGUST.1998; MAT THE DISTANCES. .35.11 be.At fesponi611iir 44 36.I14 owned WII(TI11 COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY;AND THAT MONUMENTS HAVE 4h(, 354 l6ion. BEEN SET AND LOT BOUNDARIES STAKED ON THE GROUND ROTH 3/4-IRON PIPES NM SURVEYOR'S I.D.CAP NR 6425 �46 F,6 APPROVALS_ °' U T ATHEW C MACEARNSBERRY 4.. ,,f f / CERTFCATE NUMBER 6426 i N (0Mr0.46' L _ in CTOR.JEFFERSON COUNTY HE DEPARTMENT -p,,,,,e428 j�' .,g ' • , ��,F 0'S, .._�- '7 DIRECTOR JEFFE' 7 •.' TY PUBLIC 1 S DEPARTMENT EXPIRES:JUNE 7 1986 -F AA. /�S�r DATE .9/3/Ar JEFFE• • COUNTY DE ail I RENEW DIVISION DEDICATION KNOW ALL PERSONS BY THESE PRESENTS THAT WE.THE UNDERSIGNED OTTERS O INTEREST IN THE LAND HEREBY SUMMED.OF OUR OWN FREE WILL.LID CONSENT,HEREBY D ECLARE THIS PUT TO BE THE TOO GRAPHIC REPRESENTATION OF THE S ADOWS KI MADE HEREBY,AND DO HEREBY DEDICATE TO JEFFERSON COUNTY FOR THE USE OF THE PUBLIC APPROVED BY THE JEFFERSON COUNTY BOARD OF T./ ..-o. , MS FOREVER IN FEE SIMPLE ALL STREETS SHOWN AS PUBLIC HEREON AND DEDICATE THE USE to THEREOF FOR ALL PEOD PURPOSES NOT INCONSISTENT 41111 THE USE THEREOF DA OF E.-'I '1 19 FOR PUBLIC HIGHWAY PURPOSES AND ALSO THE MOHT TO MAR ALL NECESSARY SLOPES FOR CUTS AND FILLS UPON THE LOTS 940YN THEREON IN THE ORIGINAL o�--P.05°. REASONABLE GRADING O SAID LOTS AND AVENUES. FURTHER.THE UNDERSIGNED OWNERS WAVE FCR THEMSELVES.MER SUCCESSORS AND ASSIGNS,ANY AND ALL CHAIRMAN. OF COMM 9' CI AIMS FOR DAMAGES AGAINST JEFFERSON COUNTY KOCH MAY BE OCCASSIONED ATTEST C EM OF THE BOARD O COMMISSIONERS BY 11E ESTABLISHMENT.CONSTRUCTICN,OR MAINTENANCE O PUBLIC ROADS NTIIN THAT PORTION OF THIS SUBDIVISION DEDICATED TO JIERERSON COUNTY. (� n^ e.` IN WITNESS WHEREOF WE HAVE SET OUR HANDS AND SEALS. 8. / '�'1_ BY __ BY: Y/CAIN n lam_ TREASURER'S CERTIFICATE lRl rMCC NOREEN M.MCCARRON ��JJ AAAAyRRR�RRRROO��JJNNN I HEREBY CERTIFY THAT ALL STATE AND COUNTY TAXES HERETOFORE LEVIED BY.4 N.9 AGAINST TA lO,MY OFFICE,HAVE BEEN LIYH,PAACECORDINDI DISCHARGED IOUNCLUDING SELL I� ���//.JNNCCEE 9O5SHH0CPP Qom`\"4rwm \TA4AA1l V.S)�L�A. ACKNOWLEDGMENT TREASURER OF JEFFERSON COUNTY f -o STATE OF WASHINGTON 55 41�"„ ,�"' ,} FILING RECORD COUNTY OF EFFEHIBN M. • Kin 6. FLED F CORD AT THE REOUESLOf ON THIS DAY PERSONALLY APPEARED BEFORE ME,JAMES MICCARRON AND NOREEN N MINUTES PAST QCOCRND..-M`iD.AND RFLVROED N VOLUME T ,LONG V•'1(�•�`- M.MCCARRON',i1HUSBAND AND NEE.JAMES R9HOX'AND JANCE BI9IO'HUSBAND AN0 RIFE.AND AS MS SEPARATE ESTATE,TO ME KNOWN TO PATS PAGE RECORDS OF JEFFERSON COUNTY,WASHINGTON. =-l10 BE THE INOWWALS DE�RIBF.D IN AND MID EXECUTED THE WHIN AND FOREGOING INSTRUMENT.AND ACKNOWLEDGED THAT THEY SKIED THE SAME O ACl 1404 MNDPA/W(}RIND AMC oemoi.11.0flegi Yak.... 111EIR ONN FREE AND VOLUNTARY ACT AND DEED.FINN THE USES AND PURPOSES ca4AM...se8�-YN5 I(/" ' THEREIN MENTIONED. r� MAIN 8.i Aepne, 5 JEFFERSON COUNTY AUDITOR DEPUTY L� OVEN UNDER MY H 10AL SEAL THIS J.% DAY OF NY ` < feu t./no AD/S F J aLQ.. Z TY35,LL131/ fl FaL roe s7T?6 o8. Y • 0� : NOTARY PUBLIC Al AND FOR THE U Wi°MIAL 8.A4 /5,,J,UCR1C, 4,F •.0 • H4LG STATE OF WASHINGTON.RESIDING Al" A90-> 2aAR d '. � A.`, Al 1/SOO Rf1O W�' — `�_. O MALL EARNSEERRY, Inc. SURVEYORS D ENGINEERS O PLANNERS 6 159 WYATT WAY NE W BAINBRIDGE ISLAND,WASHINGTON (206)8415514 PAGE 2 OF 2 .411111101090*7.014. 1 . LIL L . I Lp NL: Jo Moamar...m.075ot ........4 .... lip did o d Estates SUB95-0007 SECTION 11,TOWNSHIP 29 NORTH,RANGE 1 WEST,W.M. JEFFERSON COUNTY,WASHINGTON tH1 , • / ii,i--r , riio r- ir*r"F.:A /1FR rs)/mai a n\ , ,V,I,?Vore,t,Tyt,F•ioAtiii--41..;Tfio-r-iioro,••■•I ;';)r-ii,,zPrAl ''',"'n''6■5''6''6. ,•--`- i-..4"' ''.4- , 'c.. - N 656 16 413 -.. .54' ' 691 S '', I' q./ • I 'MACY!kl Ii...' (■NO !M.'PEBAR./ • \ g -,114.1v.L./22379 ti, \ .. i.,(V,4r1434.3/12ST.Is'__14 8914426::16:w . I \' I 9 8916.5r ri I \ • - 392.25 I ■ i 1 a 111 i i,i . . . . - / 1 , - ,. t • [ . - i Olio, . . _ . . , . : . N BEAVER . . V\ \ N 691656.w / 42850' CS d PROJFCT . , p■ 0 . ', (%. . . . , I i ,, . ! N$.:: N . r‘ v I: 1,-...4 VICINITY MAP N. ,...:: \ ., ..-.. -,.1 ., . / N;I: .... '1,.', / i — 9 I ( ii N 84'56'W / i /A,i1/31 re , ;4. i .„• 0 (-6 i ,.....4t.; I . :■ 1 - , ...... ; / 3.., I i; i' ll - '1'' ' ROAD MAINTENANCE I ;t e---% b IL ,. , • • I W,e/ !,! AN AGREEMENT FOR THE CONTINUED MAINTENANCE OF /- 4- ; 0 Is - TIE ROADS THE FACE p ; t,1, 1 ' ,O. ' I ' Cl‘c A, . AUDITOR'S nu NUMBER 3UlEi6r5. A" ii N 8:,:".5:-w —A7 8 LY-1-41 I, / / 8. .. LOT ADDRESSES , la4 ' ' . IN ACCORDANCE NTH JEFFERSON couNre ORDINANCE . /,"I NuMeER 2-0401-91 AS AMENDED.ADORESSES WILL BE P' '.›, APPLIED FOR AT THE TIME OF BURANG PEWIT '‘.•:: 0 APPUCATION N 191,6"5567: 4 W : ..-% i TRACT A OWNERSHIP , i' •, ./ 1 c...): 15 7 AN EQUAL AND UNDIVIDED 1/6 OWNERSHIP OF TRACT A ', C' Si ■ _......,5.- SHAU.BE VESTED IN THE OWNERSHIP OF EACH OF LOTS 1 THROUGH 6 ;5. I PSI Mi NI■0,.! . __ _ IyHri Aka.)Dt Iltit I / P: t ,:• ..cm,,..,,,, ."i v , : / - ) . . r 2' %V.CtUet. I A.,4"iiiA.t.440, E i --, 1. ..-N- 22.2W - 471' 4IP ett141 s arie'ser . ./ 679.6r / '3"9.LEGEND ‘ . `,03,,,F.Dis-re ik. II NOTE ‘ 0.- .4...., \ %, c 'Aii Liiios 0 2'DIAMETER CONCRETE-FILLED IRON PIPE WITH BRASS DISC 3/4'IRON PIPE NTH SURVEYOR'S I.D.CAP/8425 (-1--) ,,,.. 6,\1... • BEARING SURVEYOR'S I.D. CAP #0425 SET AT ALL LOT CORNERS. \ ,.r., , -S ' '-',"St \I DATE: .9.4,Per 4 FOUND 3/8 REBAR WITH SURVEYORS I.D.CAP#15647 EXCEPT WHERE NOTED Ac. Miiiiiiiiii61■■■•11- MIIIMMIIIIIIIMI S.\kr, ■•e„ LOCATION OF FOUND SOIL LOG ' 1 1901. 60 FEET 11 ''.. PROPOSED ROAD APPROACH LOCATIONS 7 859.13' ' / S ains'oe E 2738.45' 6 MACLEA!"NSEERRY, Inc. SU l''VEYORS°ENGINEERS 0 PLANNE 1,!S 6 159 WYATT WAY NE'BAINBRIDGE ISLAND,WASHINGTON'(206)8415514 PAGE 1 OF 2 4111•16199P1.1.011N 0 • Jefferson County DCD Building Division Correction Notice PERMIT NUMBER / Y'- 4 V OWNER JOB LOCATION 7/9.0 Oo S/A,E Inspection of this structure has found the following violations: &TAllEgAse _r w# a .5°,1 i ,19-)Uchoe ACT Per fit.ti) /4E4 To cls A 7'/7EA/ 80 t7- w/3 it („fkitve- a A-he j 4t no L,-rE"ija tc s "....4 ,17-vt> I rs n-r /D 4 ok 70 u /4 - L You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call r inspection. Date 9/4 7 Inspector BUILDING DIVISIO N(360)379-4450 I PECTION HOTLINE(360)379-4455 I THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE 0 0 Jefferson County DCD Building Division Correction Notice PERMIT NUMBER 'l' --A A 4 ,- OWNER I/\t s JOB LOCATION Imo ,Y�- D( Inspection of this structure has found the following violations: dill .—clIA ANL ' J141# iiik A NI P ,-- • II 1 CA i 14 C/Cite t i W iii r cAAA,4-(;/(/( 44 c44-41 drilkirtilIMINIMININF- c r) You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date eit"1 Inspector BUILDING DIVISION(3 0)379-4450 INSPEC I HOTLINE(360)379-4455 I THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE I 0 0 Jefferson County Building Division Permit Number: BLD14-00164 Applicant: HABITAT FOR HUMANITY OF EA: 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 -7)7//11 Erosion Control `7/1 i T c , f Foundation Footing i 7 iq n Footing Drains ? zLI /ft-- Foundation Stem Wall 717i/11 1111 y Underground Plumbing 71/��,111 /1 j Ext.Shear Wall Nailing 7/Bi iq, 1-C---142 if Rough-in Plumbing C// /fit /CAI, Framing too,q ,, ` Airseal 9/, /lY A Insulation:Walls q/1 /i L Insulation:Floors 6> Insulation:Ceiling )1 fir//(f Int.Shear Wall Nailing 5.. ,_,i_.f -,06 Wallboard Nailing 0--17--0y 14C1- -. Address Posted 451° ,9A-' Septic System Finaled •, .4,-sel,LcA(re r 42-f- d 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 1,115111 FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD14-00164 1.) DWJ 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.) The site plan as submitted with the Building Permit application on May 5, 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 May 12, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This parcel is within a no shooting area per JCC 8.50. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 6/5/2014 I PERMIT BUILDING P Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00164 Received Date: 5/7/2014 SITE ADDRESS: 118 BROOKSIDE ST Issue Date 6/5/2014 Expiration Date 6/5/2015 OWNER: HABITAT FOR HUMANITY OF EAST PHONE: 360-379-2827 JEFFERSON COUNTY PO BOX 658 PORT TOWNSEND WA 98368-0658 BROOKSIDE ESTATES SUBDIVISION: Block: Lot: PARCEL NUMBER: 936500005 Section: 11 Township: 29 N Range: 01 W CONTRACTOR: HABITAT FOR HUMANITY PHONE: 360-379-2827 PO BOX 658 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: NSFR, and unheated storage shed, no garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 896 VALUATION 105,000.00 ADD'L: HEAT TYPE HTP CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 32 CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 168 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,062.00 MEB 05/06/14 148653 Exist: Exist: Plan Check $690.30 MEB 05/06/14 148653 Prop: 2 Prop: 1 State Building Code $4.50 MEB 05/06/14 148653 Total: 2 Total: 1 Potable Water Application $67.00 MEB 05/06/14 148653 Total: $1,823.80 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am-4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED DSO\ C 1-k. ° JEFFERSON COUNTY „4 DEPARTMENT OF COMMUNITY DEVELOPMENT ',Hi-NG,- Date: 1(-3 Time Received: 0 S-"P a4'pm Mon. Tue. Wed. aliP Fri. Date: 11^q BLD: `(H( 'T Contact Name: Owner: Contact Number: 360 57 ( 3C,T(:, Address: 1 IS Ibr0o4'tbs,__ 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4�¢SON c o a -- JEFFERSON COUNTY 4.-44,-,„.,o.$ DEPARTMENT OF COMMUNITY DEVELOPMENT Date: JO Jc ,4_ Time Received: I ! S 7 am/6) Mon. Tue. Wed. Thur. alp Date: 19j 1(OA- BLD: I 4—Ob I (O Contact Name: 4-4,0-e-- Contact Number: 360 Owner: ra3 i - 36°l Na�� a-r' Nu.,-h are � Address: I 1 �ks f.� �� 206 8 1 Notes: ?S►ll t I/7171Af' \Y\ -çc . 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 V �4� s" °bo JEFFERSON COUNTY '< DEPARTMENT OF COMMUNITY DEVELOPME Date: Time Received: ` am m °Mon l' Tue. Wed. Thur. fI Date: -'7 ,Y -g BLD: l�"f 1 b V Contact Name: Owner: 1-1-44m r Contact Number: 360 5'31 k,F',b Address: ( ( t t'jti''* ` SU29._ f( 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In___Ic_ Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear x 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 /Ox Alb el s,��� co J JEFFERSON COUNTY �U( b �- ,,p.t...-. DEPARTMENT OF COMMUNITY DEVELOPMENT ;^v/^�_J// /// N4.�i f`GAO Date: 7.—'j Time Received: 1( (5 Opm Mon. Tue. Wed. Thur. Date: q' —2...g BLD: ' `I — ((04 Contact Name: Owner: 1-kt-6 Contact Number: 360 5'3/ -3 é7 10 Address: 118 .i)(b ic4inr, 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 4e1-SOs BOO f ti� • JEFFERSON COUNTY -1 SHINO DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 9 /5 Time Received: //f5' ii/pm Mon. 0 Wed. Thur. Fri. Date: 7.-/(c7 BLD: iq' / ,4 Contact Name: Owner: Contact Number: 360 53/3 A Address: f t ro6 ICS'1114— 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing >6 Under ground Furance Footing Rough In Air Seal ,4 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 NM SOS JEFFERSON COUNTY �`F �b � G2 DEPARTMENT OF COMMUNITY DEVELOPMENT -14'H f`i o.6° Date: ` -n Time Received: aZ 13 am/a Mon. Tue. Wed. OW Fri. // Date: -7/17 BLD: /f" /6'`i Contact Name: Owner: Contact Number: 360 j 3/ 34, 94 Address: //g $too('22, 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 7( 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 ,-'y. co Fte °2� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT gsHt�4 0 '4 Date: '-)/j Time Received: l0 57 pm e941. eV Wed. Thur. Fri. (( '' Date: BLD: / ( / �� Contact Name: Owner: / Contact Number: 360 20/�2 9? Address: 6/264 t ap 206 Notes: (IS '�1 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 45°11 co JEFFERSON COUNTY "' °' DEPARTMENT OF COMMUNITY DEVELOPMENT 9,p�.I N°.SO ate: y{ Time Received: /155 a pm Mon. drIP Wed. Thur. Fri. Date: 02//,/ LD: 14 Contact Name: - dO " Contact Number: 360 5,3/—.3691, tw ner: /4/9 206 ,ddress: /I ?rams,Db dotes: t-14 'PILAW 4- S1,.s38 Foundation Plumbing Framing Propane Tank Mechanical ground Furance Setbacks Under-ground Framing Under g Gas Footing Rough In Air Seal Above ground Exterior shear Exterior lines Oil Stemwall Hydronic Hot Water Htr Interior shear Interior lines Ducts Straps Appliance Post Hole Ventilation Underfloor Gas/Wood stove Insulation Man-Homes Final Inspection Setbacks Floor Foundation Wall Address Posted Ceiling <e"4s°N c'o JEFFERSON COUNTY 1 DEPARTMENT OF COMMUNITY DEVELOPMENT �L,q'rg7NQ,�-Y 1 Date: 7/ /04-Time Received: 6t'S`� am 0 Mon. Tue. ed Thur. Fri. (((( Date: /b` BLD: )4 00/& 9 Contact Name: r Owner: a $ ` , `A1 it ,v. , , Contact Number: 360 53/- 3b 9■ Address: / • i ,/ 5iJ Of 206 Notes: lam,g- O e7n -/--op the ( be-2/ 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. <4SON moo, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Sc-'sRl N.-- Date: '7\ '?) rime Received: - I .m Mon. Tue. Wed. Thur. Fri. } j � Date: r� � � BLD: ' `-1 — (.F"f Contact Name: i e. Owner: gi,_ Ito r U s Contact Number: 360 - cj' ) 3u,ci w Address: i 1 P) ' c Sidle S-}- - ' 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas 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. k' °� JEFFERSON COUNTY -. so= DEPARTMENT OF COMMUNITY DEVELOPMENT Date: Time Received: �, ,x% l5 am Mon. Tue. ,.�. Thur. Date: I� BLD: r f T-21 t`C ( Gj Contact Name: Owner: Contact Number: 360 sir (:)q.(,, Address: l( B(baLCS t�.a._ 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 V,, Address Posted Block&Tile Ceiling m44g4N coca JEFFERSON COUNTY Nyytx4.t4 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: i%" Time Received: I s9 (i pm Mon. di, Wed. Thur. Fri. Date: 71 / BLD: 141 O0144. Contact Name: Owner: Contact Number: 360 53/-36/49 Address: /18 B icsiV6/ 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.