Loading...
HomeMy WebLinkAboutBLD2012-00252 4/UILDING PERMIT APPLICAN MLA12-00178 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00252 Received Date: 8/16/2012 SITE ADDRESS: 3383 WEST VALLEY RD CHIMACUM, 98325 OWNER: BRUCE GLEEMAN PHONE: 360-732-0696 AMY R DUBIN 3383 W VALLEY RD CHIMACUM WA 983259751 SUBDIVISION: Block: Lot: TX 13 PARCEL NUMBER: 901342027 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt NSFR W/ U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW IN 1,153 VALUATION 113,239.00 ADD'L: 240 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 280 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 e 3 Routing Date: / Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,072.15 LYK 08/16/12 135110 Plan Check $696.90 LYK 08/16/12 135110 APPROVE' State Building Code $4.50 LYK 08/16/12 135110 Oc-f 23 2:412 Potable Water Application $64.00 LYK 08/16/12 135110 Total: $1,837.55 Jefferson County Pianninm;. & Building Denartmenf 1\+irlcmar4\rio+e\forme\G RI r1 Ann 26-1 rn+ A/1 R/9r119 I • I SITE APPROVED / a N PLAN Igtill v1 SEP 1 $ 2012 DEPT. JEFFERSON COUNTY ag SIGNATURE: `� OFD-'1'11 ___--- wm»n 1 san : �`� a m i \ \ 1 \ L''' g as \ ■� Eo,.GWniz 2611,V I. \ ,, *? ! Fan r f.ffl:: ,, cN ` 1 we.., ` 'U a' r PrL cnum.rw. , „ !cx F Twe.asr Nam o �� i \ I j : di, �., cc l� i ' 1 PROPOSED o '° �1. . . Prn EC.wMr HOUSE ''.4 1: : 1:gi I ,i 1 �. 1 I 1.- O I I .N I I ' 1 I _ i II • I it 6 20 I Ii Q, 52 f j ...i IEXCAVATED DITCH 0 j o i Z i -- i (- I ;\ \.. _ :.. fETIntD' . i n i i f--2; 7.3 .:,--) 0 \ \ ! 1 '‘\ `,"'\:',\ ‘`',', A fr a, \ \\\�; NT > P ei CNK> • 0 -� '°(j"(lug Sameaei PxoPOCTr Bouonrcr-470 p $ _---_ \ §1 1 OCAm � �I ~ 1 T� —N� Z I ' } NO o c ea rn m w O Zi�NLf>.:N� O (7i ;° m r 1 J rn 70 9 � � �T � t , s D "1 t 11 a a i<na Z rn >N Nei, HH 6 -, v N m 3 D 2 • • ric 4s orrc qSN JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street Port Townsend, WA 98368 October 4, 2012 Property Owner: Bruce Gleeman Amy Dubin 3383 W Valley Rd Chimacum, WA 98325 Permit Applied For: Single Family Residence 3383 W Valley Rd Chimacum, WA 98335 BLD12-2520 MLA12-178 This memo is in response to your request to prepare ground for and place forms for footings and foundation prior to permit issuance. This can be done with the following conditions: _ 1) The area for the structure must be staked out per the attached site plan with required setbacks. 2) The Setback Inspection called in and signed off aT tvi,,,e5,mac 4 before footing and foundation forms are set up. Setback Signoff/O 6/ L fin 3) Footing & Foundation Inspection must be called in and passed prior to pour. Ftg/Fdtn Signoff`0'all- /Zrp This work being completed prior to the issuance of the permit is being done at your own risk. Concurrence from the property owner or appointed representative is required by signature below. 1 Property Owner Carl Smith or Appointed Representative Director f Building Permits/Inspections Development Review Division Long Range Planning (360) 379-4450 FAX: (360) 379-4451 • 0'"t WPC • Frank Benskin From: Amy Rose Dubin [oleegal @hotmail.com] Sent: Tuesday, October 02, 2012 3:03 PM To: Frank Benskin Subject: Permit Logic Dear Mr. Benskin, While awaiting the WRIA decision on my property, I would like to proceed with construction of a foundation for my residence. I will assume all responsibilities and liabilities during this process. Thank you for your consideration in this matter. Sincerely bruce gleeman 3383 West Valley Rd Chimacum, WA 98325 360-732-0696 3-) çu " v Yrs-- 1 lir ,�,gON C,O �� , JEFFERSON COUNTY ,-1 DEPARTMENT OF COMMUNITY DEVELOPMENT 1-) ` '.4( 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 4Ar gyp.www.co.jefferson.wa.us/commdevelopment $INO Master Permit Application MLA: 13—I gg Project Description(include separate sheets as ne ary): 1.)5F12. (>0.7 1 . -oO i 0c. Tax Parcel Number: C3 134202.7 Property Size: (acres/square feet) Site Address and/or Directions Property: 33`rs 3 (), ...,Sr �(A �-( ,'�c i-�4 �n , (A.A. Gig 325 Property Owner(s)of Record: rC , - r • - a,..,. `.ss:` Telephone: Go G ? 3 a 0(0 4 Fax: email: Mailing Address: 3S'3 G,.). )....MI ilci 0 .rnnac.�-. U.) pr. 4r8 325r Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Phuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular - ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑❑BoundaShort Plat ry Li* ;111,1t l ii R�V/n E O Address ❑Road Approach O Home Business ❑Cottage Industry ❑Binding Sit , a 'Propane ❑Long Plat* O Sign - ❑Planned R 1 idene�rel9pct(P-,'• riendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacati 'f J Cation ❑Stormwater Management 0 Shoreline a$t 'rogram Exemption/Perm �;;�isions*'` O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline anage - NI+.y! ;f ti i ti -• ent** ❑Temporary Use ❑Shoreline ana• A - li !memo k ' 4, .1 O Wireless Telecommunication* ❑Comprehens - .. -: -.. ' -r ‘4-. amendment O Forest Practices Act/Release of Six-Year Moratorium ❑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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a equired later i•-•- tions. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time oft OM xtion that h or sh:w nts prior notice. ++ )4 Signature: k r�C Vic-(%� Date: 1 \ 0 — 4 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 •' ou are in liance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and no -[a erable respo sibili or adhering to and complying with the ESA. The Applicant has read this aime and siigQ�s and dates it below. Signature: `.. 9,i� '.-� Date: 0 /v` • II 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��n�respo gstbiiity f the General Contractor for the proposed project. i nature:: +tN►.1" Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: $t New ❑ Wood Existing: _ ❑ Sewer ❑ Addition ❑ Steel Proposed: _ Bank ❑ Community System _ ❑ Alteration/Remodel ❑ Concrete Total: _ _ Height: ),Individual Syst^m ❑ Repair Masonry SEP Permit# PI o Demolition ❑ Other: Bedrooms: Water Supply: - Existing: 0 Setback: Private well ❑ Two Party Type of Heat: Proposed: 22. . ❑ Public M &Id 1 i Total: Name of System: • w If this is a Commercial Proiect 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 Pro•ane Tank and/or A.•fiance Installation •-rmit mark all items below that a••I : jnderground Tank I Above ground Tank Size of Propane Tank: IDO TQ I- I Heat Stove i Cook Stove $/lloodstove t Fireplace Insert i Hot Water Tank I Pellet ove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. . Square Footage Current Proposed fmr Office Use;e my Amount Revision Main Floor Heated EH Bid App Review: n/ _ ( 16 3 3g5$7 .Ato _ 22 Floor Heated a 13)$ Consistency Review: Other Heated Base fee: 1072 • 15 Mezzanine Additional Section: 1 Heated Basement Plan Check fee: LP9 .(10 Unheated Basement State Surcharge fee: 4.5° Other Unheated• Pot Water Review fee: ,o3- Garage/Carport SUBTOTAL X _ )74.55 Decks covered. En 4_11i 911/Rd Approach fee: 280 q(o(n3(DO ts-n Other TOTAL $ Receipt Number: 1 351 10 tI 3q0� Cash/Check Number: 1 023 STIMATED COST(REQUIRED) Date: •Fair ma materials foundation to finish ` Ill tiWe"" 0 000 — Initials: _ r .. .!-__.-\u1AUr/1nnrc4#4$4Anon cnnxrc\r.._-__.nnn c,._......\Ar n,........:.d...-1:....4....c�n no A,,, a -1 X • fi 0) CO -I -F) x -1 -1 CD 01 -- -- d -0 [n 01 X O_ C7 6-F X 01 0 -5 -O 01 O - "O -5 -s n 01 C O_ CD 01 0 CD 3 G7 CC -- CD CC CD 0) r CD rf- O CD - O 2C m -5 E -s -- CD m o = # CC CA — N CD C7 o -6 -5 O- O O O O --- o . • O CO O �1 C7 CO -P r o m m w . -P O) N 0 0 o N C co O -.1 O rF - 01 G7 C7 CO a 07 M •., r+ r -1 C) C7 2 W 3 73 O 'O C m a CO CD H GD -C c 3 01 CO m x -P O 3 GO C7 -0 CO 3 a Xo m r CD -1 a � -1 in 73 C7 C m x Z GJ N O_ m C7 2 0 G7 - O 37 3 3 C c r m N r- 1=1 a ao m -1 0 73 Co r H M 37 a 73 O CO r z 3 0 � x c M 73 -• X I„ a o a Cl w o a -C Z 73 CO m -P ID m m r N M O 73 CO M O 73 O_ CO 0 CO 0) -1 CO N -C M GO = __ N H O 3 D O Z 3] C1 I 0 C-3 r co o co o � m —i E �1 M 2 7 m CJ1 O_ 73 (-3 O c C1 M CD CD O O -1 -1 CD '� � 3 r o 73 O z Mco c) c3 o a 3 ? C I CO CO H O. r+ CO v O M ^l H c o C7 O \ I Z CO r+ O_ 2 3 o c) -s O O r -P — O. O 1 m C= w N - CD -b _III a ■ CO -- -- (� N al L `� ' --.1 O H O \ � M Z cr N T .o o c O H CO 33 • 0 m L'd t--- . ., .0-0 5< 'Ili § ,D157,?,—,04 ,ZA B- B-V , Z C—.0-2,02,—S 2,, ® .,,... 0 0.1.Jr----). . ,.. , ,, 2 ' 1 GMCCotats ...,,,,,... ara9 I .II1---.11 I NM 1 , .0. i. e (All lir"? . .1111 -.0_ • - IAN - t 1 , 4_ 1 $E-. 01 iria 1 ie5i At —,_" i ,. , ,_•• " il , V oxobo i 1 g! iiwie El “D I CD I 1 IN En ,. . . . NM NM ,N l'. i I 1 , :'2 ?Ja'• g 2i xP nt 4 x .g 8 !r kiilb i 14 , t, 4 .......■, wir in 4- -1-1 1 IIMIII - 1,- L . I • W-§pirg.,i aLo 1W; t <Pp 41§P 1 — 3 li IV .,1@ al 508', 1 if,i .1 t 1.11 trli li il .t411114 ' 'w- ligiii otql!1% i 16,i gc,u. 8 6 1 111:111111!iiiiii 71 pi I ,-,, ile - ''' 5g 11115111 11 gV;;2 txt ttt b ' I . - Pkillimini _.,..i ri- -3) Ilinl.ibiel $ 1 1 "III ,C- , .. Kr_ (......., :-194o-olilliA .,plillillwo ' `c ) F3 E-14lig &EWA ,S = -- ,SW MI1 T.° cc) , t.... . UAW 4 • 1---114 III MP-- 1 z ® . LI . t t .4 31,,g,51512,1 Da AVL II IL k Ili E . IIIMENIMINIM t - - ' ' 1111161111 v : • , OL 1 I BENIMMIE - 1.••• rain M---s- 8 1 ••■ go , im■ 2,' NM 511 II—s- ill NZ 1 C\I mmg st 11111111i Ill . 17= • 1 .. ■ e . ■ ! f 4 ■ ,/ " / I , . 1 11111111111111111111' .; . 111111111111111[ 1 .• : „ , .i 1::::liscsocceccuss. 1: COIOCEOCE010000100CE§ 1 s ,k.w r 0 SENDER: COMPLETE THIS SECTION 1 v'"7PI ETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete ,' 7 ,¢,item 4 if Restricted Delivery is desired. 0 Agent ■` Print your name and address on the reverse `■ 0 Address» so that we can return the card to you. 7� nted Name) D ae ' • Attach this card to the back of the mailpiece, �� ,ems - _\ k i ri or on the front if space permits. 'r�1 kS N different from item ? IN Yes 1. Article Addressed to: risoaelhieciaddrigr.s� v J f��4�Bruce e�l�o� n ,i� `il am Dubin H! top, 3(383 yi Va//� ! . ice Type u qU3�5 Mail ❑.}� istedtli ll--- Exprgi Receipt for M rchandise �I �al/P1 _�._ s iiie_PCNO�`.POPM;NT 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7007 1490 0003 8940 4640 (Transfer from service labeq l PS Form 3811,February 2004 Domestic Return Receipt 102595.02-Wt-154r UNITED STAT r/L11ERVICE • First-Class Mail Ca NOV Postage&Fees Paid USPS ' Permit No.G-10 friq I. • Sender: Please print your name, address, and ZIP+4 in this box• JEFFERSON COUNTY PERMIT CENTER 621 Sheridan Street Port Townsend.WA 98368 BLb 12. OD 2- z U.S. Postal Service,. CERTIFIED MAIL,. RECEIPT D (Dometic Mail Only;No Insurance Coverage Provided) ..D For delivery information visit our website at www.usps.como� F)1 l L. USE 0- Postage $ 0- Certified Fee fr I Postmark p Return Receipt Fee Here (Endorsement Required) D Restricted Delivery Fee (Endorsement Required) D • Total Postage&Fees ant Air ./'1 or PO Box No. ! City,State.ZIP+ / t /Il,Q l/ ' Iyii 1 - PS Form 3800,August 2006 See Reverse for Instructions Certified Mail Ptovides:' 1 ■ A mailing receipt • A unique identifier for your mailpiece • A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Mai or Priority Mail®. • Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail, For valuables,please consider Insured or Registered Mail. • For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. • For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". • If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 SON cbc, YN J COUNTY fr DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment gsHi Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center FINAL NOTICE November 6, 2014 RE: BLD12-00252 Dear Mr. Gleeman and Mrs. Dubin, It has come to our attention that your permit has not received final inspection. Upon review of your Building Permit file, it appears that your project is only in need of the following three inspections, which may be scheduled once we receive payment for renewal: 1. A septic final inspection, which you may schedule through our Environmental Health Dept. at 360-385-9444 2. Blower door test and building final inspection, both of which can be received on the same day, and can be scheduled through our hotline at 360-379-4455 once your project has passed septic inspection. Prior to scheduling inspections, payment of all accrued fees is required.The total amount of fees due for your project is $456.00. If we do not receive payment by December 1, 2014, your permit will be cancelled. Once cancelled, you will be required to reapply for a new permit, pay current permit fees, and the structure built to current building codes. Having your building receive and pass all of its required inspections is valuable to you as it is your assurance that your building meets adopted standards for quality and safety. Additionally, having documentation that your building has passed required inspections may be required from lenders or buyers if you ever decide to sell or re-finance your building. This is the last notice you will receive. In the event that you do not receive final inspection within 30 days of this letter, the County may choose to record a "Notice to Title" on the property, to document the property is out of compliance with the County's development codes. If you have any questions about the renewal of your building permit, you may call our office at (360) 379-4450. We look forward to assisting you in completing your building inspections. Sincerely, Carl Smith, Director USPS.com® -USPS TrackingTM Page 1 of 1 USPSCOM' Search Click to access search. Search or Enter a Tracking Number Search or Enter a Tracki!Search USPS TrackingTM Have u Customer Sery ice> Have questions?We're here to help. Tracking Number:700714900003894046 40 Updated Delivery Day:Saturday,November 8,2014 Product & Tracking Information Postal Product: Features: Certified Mail' November 8,2014,12:53 Delivered CHIMACUM,WA 98325 pm Your item was delivered at 12:53 pm on November 8,2014 in CHIMACUM,WA 98325. November 8,2014,9:56 am Out for Delivery CHIMACUM,WA 98325 November 8,2014,9:46 am Sorting Complete CHIMACUM,WA 98325 November 8,2014,7:37 am Arrived at Unit CHIMACUM,WA 98325 November 7,2014,11:34 Departed USPS Facility TACOMA,WA 98413 pm November 7,2014,10:06 Arrived at USPS Facility TACOMA,WA 98413 Pm https://tools.usps.com/go/TrackConfirmAction?qtc tLabels1=70071490000389404640 12/12/2014 • , . Jo ., " JEFFERSON COUNTY 1 �t DEPARTMENT 1 OF COMMUNITY L M NT 621 Sheridan Street,Pert Townsend,WA 988 I Web:wwwco.jefferson.wa.uslcorrmunitydevelopment Tel: 360.379.44501 Fax:360.379.4451 I Emal:dcd a`co.iefferson.waus SquareONE Resource Center I Building Permits & Inspections I Development Review} Long Range Planning March 14, 2014 BRUCE GLEEMAN AMY R DUBIN 3383 W VALLEY RD CHIMACUM WA 983259751 RE: SUBJECT: FAILURE TO RENEW SITE ADDRESS: 3383 WEST VALLEY RD PERMIT#: BLD12-00252 PARCEL: 901342027 LEGAL DESCRIPTION: BLOCK: LOT: TX 1: PROJECT DESCRIPTION: NSFR W/ U/G 500 GAL PROP TANK DEAR BRUCE GLEEMAN The Community Development Office sent you a renewal notice indicating the need to either renew or schedule a final inspection on your building permit. To date, a final inspection has not been successfully passed nor has a renewal fee been paid. An annual renewal fee is due unless a final inspection is passed and a certificate of occupancy is issued. Please submit payment of$228.00 to renew your permit to 621 Sheridan St. Port Townsend, WA 98368. If you have any questions you can contact our office at 379-4450 between 9:00 a.m. and 4:00 p.m. Monday through Thursday. If we do not receive payment or hear from you within thirty (30) days from the date of this notice, we will proceed with cancelling the building permit. If the structure has not passed a final inspection we will begin the process of placing a notice to title on your property. Once cancelled, a new permit will need to be applied for, new fees paid, and the structure built to current building codes. Sincerely, Permit Technician cc: file f 2- 8 y — l' --& 41C ( ilt)i?4,ee-. g a 12 0 v2-5- - - --------- ._________ ------- fa 7L'Vt-e-e-14, _Zs 7/3 ..6--R_. rece/i -e-L 4 I i --- Alli." ---- . .-- -----°----- ---'- - - - ---- 1"."' 1111111 11111111 . ---- . t itu .4 4 N l/I II 1/ : _1_24,,V20 14._1 J (21,4CS _Ira(fi ja / I . : DEC - : ,, I ,J L 1 ------ - __. , :. :,LL._, -‘0TY NITY MEI OPMENT _ II 0.y�� J COr C\t_3(.._\ b ( J .-1--- - do ‘,....._ Q .0.) se.k. ‘c." .76 CA. - F4.- c0,) 0e._, 0 sc......4,-0, wc-vtr\ c6.5-■ siA„A, 1 .2- ; - 19 , Rsk___. - Q.. - Oo - c . DEC _ 4 iI !iY ,, `' ( , DEPARTMENT OF COMMUNITY DEVELOPMENT w 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment q7 E-mail:dcd @co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD12-00252 APPLICANT: BRUCE GLEEMAN PHONE: 360-732-0696 AMY R DUBIN 3383 W VALLEY RD CHIMACUM WA 983259751 SITE ADDRESS: 3383 WEST VALLEY RD Issue Date: 10/23/2012 CHIMACUM, 98325 Final Date: 12/17/2014 SUBDIVISION: Block: Lot: TX 13 PARCEL NUMBER: 901342027 Section: 34 Township: 29 N Range: 1W PROJECT DESCRIPTION: NSFR W/ U/G 500 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes n THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/17/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/17/2014 Sir'Qle Heating System Size: Climate Zone 1 Project Information (24-S% Contact Information 33 a.3 we,1- 'J - R�. •tv 64..._64..._ al Indoor Design Temperature 70 Outdoor Design Temperature 1'0 Design Temperature Difference(AT) . C N kfq p w 5 L.) ,. E�v aitc.4(... + I-0"- AT=Indoor-Outdoor Design Temp 70 Conditioned Floor Area 0 Conditioned Volume C4'. H j-P-I 4 Glazing " ©ti2.›c.- 0e- - :;, t&S. 45 x Copy Sum of UA from Glazing Schedule 2.4.o I Attic U-Factor X Area = UA R-49 0.027 .290 siN. (0. 1? R-38 Advanced 0.026 No (o 2y Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 13Sa 3G.'-is- 1 I I . Above Grade Walls U-Factor X Area = UA R-21 0.056 1 Sa • Q',S I I Floors U-Factor X Area = UA R-30 0.029 lag? 3/. 3 I I I . Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 I(� 10 I DV 3.5' Depth Walls 0.041 1 I I 7' Depth Walls 0.037 I F\ I 1 I 1\I AUG162012 Slab Below Grade F-Factor X Length = UA ' J 2' Depth 0.59 i 3.5' Depth 0.64 JEFFERSON COUNTY 7' Depth 0.57 L DEPT.OF COMMUNITY DEVELOPMENT I I I Slab on Grade F-Factor X Len.th = UA R-10 2' perimeter 0.54 IR-10 Full - Heated( 0.551 Mil 7o1.VS Sum of UA 1 0- • a Envelope Heat Load 1 31a.l01Btu /Hour Sum of UA X AT Air Leakage Heat Load Isti)$;4 'Btu/ Hour ((Volume X 0.6)X AT)X.018)) Building Design Heat Load BMW Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 1 I Btu/Hour . If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% I -- 'Btu /Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 r Glazing Schedule Project Information Co act lnformatio 33 43 cu s - t1a\l-k (ick - "3620 )32 06 V Conditioned Floor Area \313 Sum of UA for Heating System Sizing). I Sum of All Glazing Areas From Below a,k(o Glazing to Floor Area Ratio I 1"`' 602.7.2 Exception Ratio(not to exceed 1%4 I Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U-factor Glazed Qt. Feet inch Feet Area Area Area UA t-t'o r.►- fit^ yr 6- .ZD 0 1 3 a ft G o (q 1 . .1-4 _ M...),k.rootYk ZOO r n,F.G- ao d 1 3 o G 6 o tq.% , n d L,. S aor w.PG- •4..o 0 1 3 0 . 4 (O o In .go One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) I 0 I 1.1 cr j, 114 Area Weighted U=UA/Area Sum of Area and UA for Heating system size only(include exempt door) I I Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA '004z. Gla-b d �o v.)- V,4-0... 1J tit Q.12 3 1® o 4 0 Sy si% MN.,- 0.1a Y a. 0 a. 0 1(. i, nn- O.1a I 3 0 (4 0 Ia 0.1a 8 3 0 3 o la. o•1a 1 6, 0 3 o I Ss 6.-)J: I 1 a ° a o y ., k 0.11 1 y 0, 4 0 14 O.la a 3 0 3 v 1 % , 1 l I�` AUG 1 20"2 - 1 JEFFERSON MINN DEPT F COMMUNTf DE'/F LOPME IT I cc Sum of Area and UA 1 ac.(o • os'5\' ot Area Weighted U= UA/Area 9 WSEC Prescriptive Worksheet(2010 Edition) wsE-C C1^17-1-- ° • WSUEEP10-010 Copyright 2010 N0.-�,o Nti CI � -I Overhead Glazing Plan Component Glazing Width Height ID Description Ref. U Qt. Feet Inch Feet Inch Area UA Sum of Area and UA Area Weighted U= UA/Area Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height ID Description Qt. Feet "`h Feet "ch Area UA Sum of Area Sum of Area X 3(This total is automatically included in the glazing area total.) Glazing UA for Heating System Size Only=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 • Pfescripiive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information 'cf.vv ( 25C 4-c•., 1�3 ww G-1_12_1-Q a lvl r/U 3 V3 co - Of tkc 3/e0 `?3 06ff4 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in.Climate Zone 1. - .. g t..1 .-'7. -PI, ahem, The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings (WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Option Area Glazing Glazing U-Factor Door 9 Ceiling' Vaulted Wall Wall into Wall ext4 5 Slab6 U-Factor g Ceiling3 Above Below Below Floor on %of Floor Vertical Overhead1 Grade Grade Grade Grade o R-49 or R-21 R-21 R-10 O I 13% 0.34 0.50 0.20 R 38 R 38 Int.., TB R-10 R-30 2 Adv. R-49 or R-21 R-21 R-10 II 25% 0.32 0.50 0.20 R-38 R-38 TB R-10 R-30 Adv. Int. B 2' R-49 or R-21 R-21 R-10 OIII Unlimited 0.30 0.50 0.20 R-38 R-38 R-10 R-30 2' Adv. _ See WSEC table 6-1 for footnotes — Glazing.Schedule Attached to Document ❑ Does not apply. (SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. Option I or II,Glazing to floor area limit(WSEC 602.7.2) ❑ Area weighted window,skylight or door U-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: []� R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description la High Efficiency HVAC Equipment 1 ❑ 1 b High Efficiency HVAC Equipment 2 ❑ 1 c High Efficiency HVAC Equipment 3 1 C 0 H _ V E -11 ❑ 2 High Efficiency HVAC Distribution System 1 i i i , ❑ 3a Efficient Building Envelope 1 I , �° i ❑ 3b Efficient Building Envelope 2 111 Al) 1 2012 3 CI c Super-Efficient Building Envelope 3 I i 11 CI 4a Air Leakage Control and Efficient Ventilation `� i 0 4b Additional Air Leakage Control and Efficient Ventilation i JEFFERSON COUNTY 5a Efficient Water Heating nF�T C c f ^,`��IT oc�JF'P r FNT-- ❑ 5b High Effieciency Water Heating 6 Small Dwelling Unit ❑ 7 Large Dwelling Unit ❑ 8 Renewable Electric Energy `1200 kwh ❑ Total Credits 0.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 . . • ......,...f..`,,K,W. '' . . .. . . . 5.§:Yil tkV1,442 .77z:A. . ' 1 .• - . ....: . -- Date-7i i3 time received- A ? -0 am / I Mon. 410 Wed:. Thur. -Fri. • BLD: r2.-- 2-C1-- • Date: r.•---) • . - OWNER: • • - . Contact Name: - - ADDRESS: -a s s 9 LA) vAl.-44( Contact Number:360 12.1 , :-......„ • • , 206 A Notes: . • - . . . . . - • . . - - .Foundation •Plumbing - Framing' . Propane Tank • Mechanical ' -• . . _ Setbacks Under-ground Framing Linder ground Furnace Footing 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 .• • ••=,.= ,.1 .,.. -,?.- Block&Tie floor wall ceiling • Address Pogecl , i ... - • , . A rir.—.4—:,..:-z,S11--44.-•,•Z-7,„.....-.-„:" `i'e',• .... ,,,a.t. .11,...tS,;-.5 F-f ...i.. . , .... _ _ Date vo -2 time received am / pm Mon. Tues. .1,C) Thur. -.Pri. BID: k 2- - Date: 1/0 OWNER: _ A. z A 1 ' . Contact Name: - ADDRESS: (A) 0 1 ' , iieci. Contact Number:3eo Notes: IZ t-go - , .__. k*,--vca aw., 206 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 a— r— __ - Post Hole Ventilation Appliance — Underfloor ____ Gas/wood stove . Man-Homes Setbacks Insulation. Final Inspection >1 Foundation . 0 Nock&Tie floor _wall ceiling Address Postbd i . r I F,, Date /0 24' time received 1.2`7' am /4i 7 Mon. Tues. .Wed: -Sri. BED: /4- oZ Z Date: OWNER: Contact Name: Q ADDRESS: 33 3 l� ir - Contact Number.36087 j -` 02 0. .;•, ,< 206 4 a�. Notes: Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing i Underground _ Furnace _ Footing Rough In Air seal Above ground _ Gas _____ Stemwall Hydronic Exterior shear _ Exterior lines _ Oil Straps Interior shear Interior lines Ducts T____ Post Hole Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes . Setbacks Insulation. Final Inspection u Foundation S M1„4- Block&Tie floor wall ceiling. . Address Posted { ...-- I 1 • ‘ . • . PRPod ssaIPPV - -6umao Hem Joou. — ai_l_'8)10018 • , • - 1Jolopuno3 udg.oadsut lewd - -uolleinsui . smovolas • . • • . sa.woltuew anols poomisu 0 Joowepun . ,. aouenddv • • uollemum — G1OH ISO.d ' • 6 spna • saw.'Joualui _mays Jouawi sdaiis no . salmi ibual.x3 ..I8G1.1S J01.10pC3 oluoipAH IleMW91S punw6 anoqv .--: "\, re9S-IIV ui 1.16noli Bunood . aoewnd punw6 Japun Bulway punw6-.1apun si0e91GS , ,.. .. ... . - leo wegoa w - wei,auedoad - • buiww3_ .13.6.14 wnjd. uonepunos. . , . . • • • . . • - * • • :sawN , ., • . .. • --„,17T oe.:Jaciwnw 4oeluo3 ) :SS3:1CIGV M 0 ) :aweii 43eluoo • • --; _ N1tA0 .U3 - • 1-- 7 -,....,r1•4.-a.)6) - - . • . • . . ..alea• •• • ' ......-.•■••2,5 • • 14d' -inta PM - • _ ' 400) -uow wd / we II paniaoal awn. e ....c) al:ea • , . . - -?...::;,. . . 1.. _..— -57-7A A - - . . .. ... • - ..1.,T.v.....t.--4,- -c .--.:_fikv.4: . . .• . . .„;..,-.,,,,ev.,.. - • •. . .--._5.ie,,,,,. • • - .1;4,0.-0.3 4..,.1,0' .7.- intv; • . • .....4,,,,,,,v,„1„,...,,,zr..-,4.,....:•*,...,:te.v.t.. .... , . - • - -..4!...,.:,,,47,74;;;;.,. . . . . . 1...1•!•_,Nrzfi.,..1h.,-.• ; - • N:...,-4,50::::,.• • • -• .: ,, •t. . • - • . i • . P.q1S3c1 ssaIPPV • -6uniao Ilem- J0011. — al.1.1)19°E1 .• - .:",-..' ------- uonepunod • 41i ,:::..,,;:". • . • ‘;-:.; uagoadsui teuid • . - uogeinsui . mpEctleS • . • • • S a.1 1--TO T-i WS 1 GAOIS poomis -ee - mouizpun . , aoueildcIV • • LI(*mum . — apH;sod • Spri a ----: seuti Jopalui nags J01.10p.11 ScleilS . 110 --. sat*Japapc3 nays Jouoix-A o!UOJp,(1A - HEMUIGIS •___. SE e .----- pun-w6 anoqv leas JIV tilti6no 5unou aoewnA • punoi6 npun .' / ButweJA — specRaS .punotiurricliewpnuind. ...._ ... __------.• leoluepe 161 - .xuel auedwd . • ,buiumid _ ungepurioA• . . . . . . . • . -i- • .. • . - :saioN . . . " 9.0Z - • • . ....,,,... . I -- () -JacititnN 4osluo3 -Ty- --,2(-" -•c-----a--(1-) • :SSDAC1GV `......1 ‘../ ct. ?5c) --- --,3-. .. .. ...!auteN;otwo3 •. . - -'11111Thni . . . • . • . :a;e13. ------72. 2 :ale -9 0 . • .pd-- -3nia .t.inivC -.sani tud / —.. . 7,..--</... - . . . .. .. . • .g',--:21. -%/..ii . _ .• s 5.!..zwn .4,.wo,..,:.7 • . •t, 1 4 ' ...--,.,.....,..a..„.a..,,,,:z....t7.,--a-t....::,..< •,--,.,.,..„,,,„;.,,,,. . - .. . • - . , • "44:fig'''. . . , . .. . ..• ‘ . " , 4-1,411 .•=1.-TE - VI.A.,747t----t . - :i..- ...1•1". .-, Z."-• _ - Date 1 -___1_:..,...4—. time received 1-05 am 67.17).. Mon. el, •Wed-. "Thur. --Pd. - BLD: )'s -_2.rz. Date: 2-'4 OWNER: C,1--Q- - Contact Name: - - ADDRESS: 3 3 3 ■.),. k.)ki_t....6:r Contact Number:3Q0 73 444y i 9 0 2.i!) a Notes: .c411:1•A - • . ' Foundation Plumbing -Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground d Furnace Footing Rough in Air seal • Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines — Oil _ - .,,,_ • Straps Interior shear Interior lines - Ducts y______ • . Post Hole • Ventilation Appliance •• • Underfloor Gas/wood stove Man-Homes • Setbacks S ' Insulation. Final Inspection• • Foundation . -• Block&Tie floor wall ceiling Address Posted• . i ____ A - ri« Date —10 time received 5, el ?pm Mon. Tue . ,Wed; ur --Fri. BLD: / 2- - 2 X 2 Date: q C I OWNER: Contact Nameg ADDRESS: 33 d 3 -v kU Contact Number.360 �Zi4 %).2..0,. 206 Notes: ` Iv .Foundation Plumbing - Framing Propane Tank Mechanical • Setbacks — Under-ground Framing Underground Furnace _ Footing Rough in Air seal Above ground Gas _ Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines _ Ducts f_- . Post Hole — Ventilation — Appliance . Underfloor . stove Man-Homes — --. • Setbacks — Insulation. Final Inspection >1 • Foundation xr Block&Tie _ floor wall ceiling. . Address Posted • 1 . 4k.,soN COG 1110 2{ JEFFERSON COUNTY -,,,,ING'G4 DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ((v Time Received: 5' tab•m Mon. Tue. , r ed. Thur. Fri. Date: 12r BLD: 12, 3,5-2, Contact Name: Owner: Contact Number: 360 gal FO zj Address: 33 63 W J, ,at 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 . V.• Ufa W'' " - Y - Date /04113 time received 2:45 am pm Mon. Tues. Wed: --Fri. BLD: Z" 00 2-62- ' ff OWNER: f�ct.C� - - _ - - Contact Name: ADDRESS: 3583 14) // Contact Number.360 gZ/ *it' . 206 fi Notes: - rKc� - . . . . . - Foundation Plumbing -Framing' . Propane Tank- • Mechanical Setbacks Under-ground Framing Underground Furnace Footing Rough in Alrseal Above ground - Gas Stemwall __ Hydronic Exterior shear Exterior lines OH Straps Interior shear Interior lines • Ducts Post Hole Ventilation . . Appliance Underfloor _ _ Gas/wood stove Man-Homes . • Setbacks Insulation. Final Inspection -:i Foundation _ - s Block&Tie _ floor _wall ceiling. . Address Posted i - • - . .4:-*.•Icir,1:70 ' . . . t44 - - - . . . . . . — Date -6 'time received ID:ffli am / pm - Mon. Tues. Wert:. 40 --Fn". • BUD: i 2- 0026 2.... Date:. frz i / 4 13 • - 1 . . OWNER: LEAN") - - - . Contact Name;: . . ADDRESS: 3383 - id VA i Ler g° Contact Number.360 87...1 • . _ - 206 ,.= Notes: . . -e - - • .Foundation Plumbing - Framing' . . Propane Tank • Mechanical . . Setbacks Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground _ _---K- Gas Stemwall Hydronic Exterior shear Exterior lines )1 Oil Straps Interior shear Interior lines , Ducts 4" • . Post Hole • Ventilation . Appliance • . Underfloor . Gas/wood stove Man-Homes - . Setbacks " Insulation. . • Final Inspection - Foundation.- - • •D Block&Tie floor wall ceiling . Address Post'ed , 1 / i'--- t.,..-..,,,w. ., .,..,........,..„....,-,..„...;.„,-,.„..,............7.,- -- Date 7/ 3 time received ?3'5-- diD I pm Mon. Tues. el Thur. -Pd. BLD: 1'2-- 2-X2- Date: 7/2-q OWNER: Contact Name: , , ADDRESS: .5 5 11 3 LA) vAts.,-,y Contact Number 360 , Notes 206 : -.‘"(-3 i, Foundation Plumbing • Framing Propane Tank Mechanical ' • Setbacks Under-ground Framing Uncle':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 ManHomes — - , Underfloor Gas/wood stove_____ — . . • Setbacks ' Insulation . Filial Inspection ;..1 erl • Foundation ,.3.• -4y Block&Tie floor .ceiling Address Posted i _____ Jefferson County Building Division Permit Number: BLD12-00252 111 Applicant: GLEEMAN BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 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 10/16/2012 setbacks pass as presented 10-16-12 RTB Erosion Control Foundation Footing 10/16/2012 footing pass 10-16-12 RTB Footing Drains �p-25--( Foundation Stem Wall F4?) i� -tom-ice Underground Plumbing / I Straps(hold downs) 2'�- I Z vb Ext.Shear Wall Nailing ,2-s- c Rough-in Plumbing 4'1 _ ' Shower Pan 10-V1 S Framing y, -Blacking-- tc.' i Airseal 14 10 f 13 Insulation:Walls 7 frpli3 Insulation:Floors #ireirS Wit d/JpeR5L4B t2 Insulation:Ceiling JO-11-‘5 Int.Shear Wall Nailing 2 _ a Wallboard Nailing V24/13 Gas Line: Interior Gas Line:Exterior 9/243 Propane Tank #41/3 J Heat/Chimney Clearance I A(413 /J� Mechanical Systems ��yy Blower Airtight Test Smoke&CO2 tb`C1--l3 Drywell/Alt Drainage 1_t 1_ `3 SEE CONDITION 1 FOR SPLASHBLOCK CRITERIA Address Posted c'L/ v)2 • • FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00252 Received Date: 8/16/2012 SITE ADDRESS: 3383 WEST VALLEY RD Issue Date 10/23/2012 CHIMACUM, 98325 Expiration Date 10/23/2013 OWNER: BRUCE GLEEMAN PHONE: 360-732-0696 AMY R DUBIN 3383 W VALLEY RD CHIMACUM WA 983259751 SUBDIVISION: Block: Lot: TX 13 PARCEL NUMBER: 901342027 Section: 34 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,153 VALUATION 113,239.00 ADD'L: 240 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 280 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,072.15 LYK 08/16/12 135110 Exist: 0 Exist: 0 Plan Check $696.90 LYK 08/16/12 135110 Prop: 2 Prop: 3 State Building Code $4.50 LYK 08/16/12 135110 Total: 2 Total: 3 Potable Water Application $64.00 LYK 08/16/12 135110 Total: $1,837.55 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 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 ATTATCHED • • CONDITIONS for Building Permit# :BLD12-00252 1.) DESIGN CRITERIA FOR SPLASH BLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) A setback of 40-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 3.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 5.) All construction activities shall not encroach upon the wetland buffer. This includes the storage or preparation of materials. 6.) 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. 7.) A stormater plan 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 and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehiclehall be stored on any lot unless totally sailed 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. 10.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 13.) The building height is not to exceed 35 feet. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) Minimum setback from West Valley Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. If a critical area is present, then the more stricter setback(s) shall apply. 16.) The existing well for this development lies within the WRIA 17. Per Washington State Department of Ecology consultation on_Oct. 18th 2012 , documentation has been provided to support a determination that the well is exempted and not subject to the in-stream flow rule for domestic use, metering, and exempt well irrigation. \\tirlamark\data\forms\F RI 11 Pprmit Rlrin rot 1(1/93/9019