HomeMy WebLinkAboutBLD2014-00408 BLD14-00408
BUILDING PERMIT APPLICAN Review Typ e:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00408 Received Date: 10/31/2014
SITE ADDRESS: 1851 SWANSONVILLE RD
PORT LUDLOW, 98365
OWNER: DAVID A V AMOS PHONE: 360-437-2454
1871 SWANSONVILLE RD
PORT LUDLOW WA 98365-8715
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821053018 Section: 5 Township: 28 N Range: 1E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BUILDING/GARAGE NO PLUMBING
SEP75-503
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 0
VALUATION 11,185.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $179.00 SRE 10/31/14 151711 AP I
R® \/ ED
Plan Check $116.35 SRE 10/31/14 151711 �
State Building Code $4.50 SRE 10/31/14 151711 JAN -$ 2015
Total: $299.85
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_Bld.rpt 10/31/2014
6 S
erv-� cr DEPARTMENT OF COMMUNITY DEVELOPMENT
c
,,, 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
g r NCO E-mail:dcd( co.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD14-00408
APPLICANT: DAVID A V AMOS PHONE: 360-437-2454
1871 SWANSONVILLE RD
PORT LUDLOW WA 98365-8715
SITE ADDRESS: 1851 SWANSONVILLE RD Issue Date: 01/8/2015
PORT LUDLOW, 98365 Final Date: 1/30/2015
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821053018 Section: 5 Township: 28 N Range: 1E
PROJECT DESCRIPTION: NEW POLE BUILDING/GARAGE NO PLUMBING
5E1-'75-503
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012
EDITION.
OCCUPANCY GROUP: U-1
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/30/2015
\\tidemark\data\forms\F_BLD_Occupancy.rpt 2/2/2015
2600 OLUMBIA CENTER BLVD.
R JOB /
SUITE `/
• RICHLAND, WA 99352 SHEET OF
PHONE: (509)-736-7552 CALC BY DATE ii'/4//Y
FIRKFIY FAX: (509)-736-7557 CHECK BY DATE
1 www.berkey.biz
Project..Description
Building Width = 24 ft Eave Nth - 8 ft JEFFERSON COU tCD
Building Length= 24 ft BUILDING PLAN REVIEW
id APPROVED AS SUBMITTED
Pole Building Design for
David Amos 0 APPROVED AS NOTED
0 REJECTED
l∎
Da t e ��3 Reviewer,
o
Criteria
2012 IBC
2000 Post Frame Design Manual
2010 NDS
ASCE7. 10
25 psf Snow Load
110 mph Wind, Exp. B
Seismic.Zone..: D1 0.01
•
Concrete:
fc= 2500 REVIEWED FOR 1
-CODE COMPLIANCE
=
Soil :
Sy= 150.0 psf,..Vertical..Soil..Pressure ■ . .
S= 100 psf/ft, Lateral Soil Pressure C � /'�
di)ri Pv.:31/1.4).
:' ;.
40 k,
1 �.;
... .
1
- -\‘'\--i'L:,-: 6.77.11-5,-TI \\I-7 - -. >ii-
IEXPIRES 08118//. ....I 0.
OCT 3 0 2014
i Contact the Building Department
Lli
. , ,i,nn,n ,r� at 379-4450 prior to making (hinges
or revisions to the approved plans
L
2600 IAIOLUMBIA CENTER BLVD. JOB
SUITE
RICHLAND, WA 99352 SHEET• 2- OF
B
DATE
r E Y T PHONE: (509)-736-7552
CHECK BY FAX: 509 736-7557
DATE
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Sn-ow.Lo:a.ds Wind Loads
Basic Wind Speed- 110 mph
Pg = 25 psf
Exposure= B
Is= 1.0 TABLE 1 5-2,ASCE 7-10
I = 1..00
Ce W 1:2 TABLE 7,2 ASCE 740
A = 1:00
h = 10.00
C f = 1.2 TABLE 7-3,ASCE 7-10 a = 3.00
2a=...6.00
Roof Pitch 4✓12 El= 18:43-degrees.
E
0:322 radians Horizontal Pressures F«U 28. 1,..ASCE.7:.1.0
Exp= B 0.316 sine A= 24.1
0.949 cose B= 8
Pf= Pg(0.7)(Is)(Ce)(Ct) 0.900 013$2 C= 16
= 25.2 psf D= 4 6
SLOPE FACTOR Vertical Pressures
E 2 .1
Cs = 0.94 FIGURE 7-2,ASCE 7-10 F= 15.1
G= 16
Ps -7 (Pf)(Cs) H= 11._5
23.63 psf
Overhangs
EoH= 32.3
Prnin = 25 psf GUN= 25.3
25 psf Controls
..
2600 acOLUMBIA CENTER BLVD. JOB
SUITE SHEET '3 OF
RICHLAND, WA 99352
BERKEY PHONE: (509)-736-7552 CHECK BY DATE
DATE
FAX: 509)-736-7557 CALC BY
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Lateral Control - Wind - Seismic
L 24 ft Overhang =x= 1.5 ft DLroof= 5 psf
Overhang =y = 0.5 ft DLwa„s= 5 psf
span-s= 21 ft pitch =..m. 4/12 Area of Roof.
• Ht= 8 ft Aeave wall= (Ht-0.5)(L) AR= (s+2y)(L+2x) = 594 sf
= 180 sf
Area..of.Walls
Aroof.=.__...(.L.+.2x)(m(s/2))..,x.._....95 sf
Aw= 2[(L)(kit)+-((s)(Ht)+(m(s2/4)]= 794 sf
fit =m(s/2)-...3:50 ft
Wtroof=AR(DLroof) = 2970 lbs
Wnd Forces
Meal},._=AW(.0 Lw )= 3968 lbs
VA= (24,.1)(Ht)(2a)...=..__..1-1.57-Ibs
Wt=W mof+" walls= 6938 lbs
Ve— (8)(nn(s/2)(2a+x)= 210 lbs
Seismic Parameters:
V T (16)(Ht)(L-2a) = 2304 lbs le= 1.0 Table 1.5-2,ASCE 7-10
R..=...2.5 Table 12.2-1,ASCE 740
Vp..=.....(4:6)€ (s 12)(L+x•2a)= 314 lbs 55.= 0,8 USES-Seismic Hazard Curves
Fa=...1:1$ Tabte 11:4=1;ASCE 740
SMS= (Ss)(Fa)= 0.9 Eq 11.4-1,ASCE 7-10
VVWINp = 3985 lbs Sps L (213) ms= 0.6 Eq 11.4-3,ASCE 7-10
Cs= (Sps)(Le)/R= 0.3 Eq 12.8-2,ASCE 7-10
seismic».. .CgW .........1746 Ibs Eq-12:8-1;ASCE 7104.,x:-
��,:.
1.76 Kip C 3.98 Kip
Wind..Controls *� ..
2600 iiii0LUMBIA CENTER BLVD. JOB •
SUITE Mr SHEET 44 OF
RICHLAND, WA 99352
BERKEY PHONE: (509)-736-7552
FM: (509)-736-7557 CALC BY
CHECK BY DATE
DATE
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Lateral Mgdel 2 Bays Diaphragm Stiffness Assembly# 9
29 ga Steel (11) Overlap Purlins w/o
Shear Stiffness c= 4700 lbs/in
Shear Modulus G=-4700 lbs/in
Allowable Shear Va = 160 plf
Cp= (G(bh))/(s(cos0) = 5161 lbs/in
s= 12:00 ft bh- 12.50 ft
Bay 1 2
Width /2 ft 12 ft
Stiff ness. Properties Frame Loads
Frame 1: Kp= 4693 rbs/in Frame 1: R1 = 644 lbs
Frame 2: K = 1203 lbs/in Frame 2: R1 769 lbs
Frame 3: Kp= 11840 lbstin Frame 3: Rv= 385 bs
>"'
iz
2600 MINOLUMBIA CENTER BLVD. JOB
SUITE SHEET 5-
OF
RICHLAND, WA 99352
B E PHONE: (509)-736-7552 CALC BY DATE
FAX: (509)-736-7557 CHECK BY DATE.
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F.ram.e...Stiffness
Frame 2 Cantilevered Post Frame 1 29 ga. Steel w/Stitch
Post Size 6x 6 N = 2 C= 4400 lbs/in . G = 4400 lbs/in
E...= 11O0ksi I = 108...in4 Va=...160plf w= 8ft
Hp= 84 in Ht= 8 f
•
Kp= N(3EI/Hp3) = 1203 lbs/in Kp= (Gw)/Ht= 4693 lbs/in
Frame 3 29 ga. Steel (11)
C= 3700 lbs/in G = 370.0..I.bs/in...................
Va= 110plf w= 24ft
Ht= 8 ft
Kp= (Gw)/Ht= 11840 lbs/in
j
0..
tea..
LL
2600 MIKOLUMBIA CENTER BLVD. JOB
• SUITE lig
SHEET
• RICHLAND, WA 99352
BERKEY PHONE: (509)-736-77557 552
FAX: (509)-736- CALC BY
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DATE
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DAF I Input
Numb&of Bays 2
Roof Stiffness
Bayl 9289
Bay 2 9289
Frame Stiffness Loads
1 4693 lbs/in 644 lbs
2 1203 11)s/in 769 lbs
3 11840 lbs/in 385 Ibs
LLi
4 .7t.
. .
14591.OAF
FRAME FRAME APPLIED HORIZONTAL LOAD RESISTED FRACTION OF
NUMBER STIFFNESS LOAD DISPLACEMENT BY FRAME APPLIED LOAD
1 4693.00 644.0 .1413321 663.3 1.0299
2 1203.00 769.0 .1434068 172.5 .2243
3 11840.00 385.0 .0812677 962.2 2.4992
DIAPHRAGM DIAPHRAGM SHEAR SHEAR
NUMBER STIFFNESS DISPLACEMENT LOAD
1 9289.00 .0020747 19.3
2 9289.00 .0621391 577.2
Page 1 LLI
2600 LUMBIA CENTER BLVD. JOB
SUITE
RICHLAND, WA 99352 SHEET V OF
BEItT(EY PHONE: (509)-736-7552
FAX: (509)-736-7557 CALC BY
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Diaphragm Shear Diaphragm Chords
VP =(chich)(vo4cos 0)) Md (V )(L)/4= 3463 ft-lbs
= 304 lbs Chord Force
V577':2jb s /Pe= Mdbx
I = bh/cos 0= 13.18 ft
vp= vp/I 23.1 plf
p
bx Ridge
1 aur.
Use only the outer 3 putt s
Purlin Spacing =z= 24.0 in W= 24 ft
=W-2(z/12)= 20.00 ft
ZIP,=IVId/b),= 173 lbs
a 1.5 in b = 5 5 in A = 825 in2
pOrhn a
Pi =(W/40(/P013= 9 lbs
=P1 /Apurhn = 8.4 psi .
Lot
0
at.i
2600 alliOLUMBIA CENTER BLVD. JOB •
SUITE Mg SHEET 9 OF
RICHLAND, WA 99352
13ERKEY PHONE: 009)-736-7552
FAX: 009)-736-7557 CALC BY
CHECK BY DATE
DATE
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Post.Design End-to-End Shearwalls
OUt of Plane Forces Lateral wind force: Reaction for
fixed-pinned posts on gable ends= ZR
Hp= 84 in 5= 12.00 ft
ER1 = 318(Vw(EE))
w 192 plf
AEE = 234 sf AA= 59 sf
Mactuai=w(Hp)2/8= 1176 ft-lbs
FEE= 1424
Post Size 6x 6
DiStribUte FOrce to 2 Walls
E = 1100 ksi I = 10.8 In 4
TOta •length of controlling shear element:
S= 36 inj Fb.= 575 psi
= 24 ft Trib = 12 ft
CD= 1.6 Fbi = 920 psi
Span =s = 21 ft
Mmax = 2760 ft-lbs
VEE =(Tribig)FEE = 81.4 lbs
276Q ft-lbs> 1176 ft-lbs OK
vEE VEE/LEE=. 33.9 plf
Shearwall Type =29ga.Steel('11)
Allowable Shear = 110 plf
33.9 plf< 110.0 plf OK
SHEAR WALL GHOFGES
29 ga w/o stitch screws 110 plf ,7)
29 ga with stitch screws 160 plf 44/1
7/16" OS.13 with staples 395 plf
2600 whOLUMBIA CENTER BLVD. JOB
SUITE W SHEET +J OF
RICHLAND, WA 99352
PHONE: (509)-736-7552 CALC BY DATE
B E y FAX: (509)-736-7557 CHECK BY DATE
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Constrained..Post Embedded in Earth
Base Soil Lateral Bearing = S= 100 pcf
Embedded Element Width= b= 2.00 ft
Required spacing for increase in PFDM 8:3:11
6b= 12.0 ft
USE INCREASE w= 192 plf
S'-=.266 pcf L.=..7 00 ft
Ma 1176 ft=tbs
Actual d = (4Ma/S'b)113
Actual d-= 2.07 ft
Use d= 3.00ft
J
2600 IMOLUMBIA CENTER BLVD. JOB *
• SUITE W. SHEETS OF
RICHLAND, WA 99352
BERI(EY PHO 736-7552
FAX:NE: 736-755
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Uplift Frame I Shearwall
Telb, 12.00 ft T ta leng h of controlling shear element:
Triba-,-. 12.50 ft L 8 ft
Area=A= 150 sf V = 663.3
Uplift Pressure= G = 16.0 psf v =VIL = 82.9 plf
Uplift= Pup= 2400 lbs Shearwall Type = 29 ga. Steel w/Stitch
Soil Cone , Allowable Shear = 160 plf
d-r-7 2.50 ft = 350 0.61 rad 829 plf< 160.0 plf OK
r 1 00 ft A = •25 sf
Vs=(0T(diltarup+r)A2(d1+ritan ))/3)-(TrrA313tarup)-dTAp Frame 3 Shearwall
29 cf
Total length of controlling shear element:
Ysoii.= 110 pcf
L = 24 ft
HD=Witsoir)= 3:1-9 kip
V= 962:2 .
2.40 kip < 3.19 kip OK v = V/L = 40.1 plf
Shearwall Type= 29 ga. Steel (11)
Allowable Shear = 110 plf
0
40 1 plf< 110.0 plf OK
411111111111
• . z
JOIST & RAFTER CALCULATOR PURLINS
BEAM PARAMETERS: STRESS CALCULATIONS:
Horiz. Span: 12 ft Types Moment @ midspan = 886 ft-lbs
Slope(V:H): 0 :12 #2 DF-L Moment @ Point#1 = 0 ft-lbs
True Span = 11.25 ft #2 HF User Calc'd Moment= 0 ft-lbs
Beam Type: #2 DF-L LVL
S4S lumber? YES PARALLAM Shear @ 0'end= 301 lbs
Shear @ 11.25'end = 301 lbs
No. of Pieces: 1 User Calc'd Shear= 0 lbs
Spacing: 24 in
Width: 2 in Reaction @ 0'end= 315 lbs
Depth: 6 in. Reaction @ 11.25'end 315 lbs
LOADS: VERT. LOAD PERP. LOAD fb = 1406 TEN. BENDING OK
Uniform Dead: 3 psf = 3 psf fv= 57 SHEAR OK
Uniform Live: 25 psf = 25 psf
Point#1: 0 lbs @ 0 ft LL S allow.= 0.75 in
TL allow.= 1.13 in
BASE DESIGN VALUES: Live Load S = 0.62 LIVE DEFLECTION OK
Allow. Live Load 5: L/180 Total Load S = 0.70 TOTAL DEFLECTION OK
Allow. Total Load 8: L/120
Fb= 900 psi F'b = 1547 psi Requires 1.50 in. bearing surface
Fv= 180 psi /= 18 in 4
FCperp= 625 psi
E = 1,600,000 psi
ADJUSTMENT FACTORS:
Cd= 1.15
Cf= 1.30
Cr= 1.15
SPECIFICATION:
2 x 6 #2 DF-L @ 24 in. o/c
orof
•
POST FOOTING DESIGN
MATERIAL PARAMETERS: P
Base Allow.Soil Press.= 1500 psf
Adjust.Allow.Soil Press.= 2400
Concrete Strength:fc'= 2500 psi
Post Width= 6 in
Post Depth= 6 in
FOOTING PARAMETERS: CALCULATIONS:
Diameter=b= 2.0 ft
Thickness=t= 6 in
Actual Soil Pressure=q= (DL+LL)/(Trb2/4)
= 1376 psf OK
Column Width=h1 = 6 in
Depth to Base= 36 in Punching Shear(Vu 2) = q[(Tr(b/2)2)-((h1+h2)/12)2]
Column Depth=h2= 6 in = 4127 lbs
AXIAL LOADS Allow. Shear(4Vc)=(85)(4)SQRT(F c)(4)(h 1+h 2)(h 2)/2
Dead Load=DL= 720 lbs = 24480 lbs OK
Live Load=LL= 3600 lbs
Actual Conc. Bearing= (1.4DL+1.7LL)/(h1-h2)
= 198 psi
Allow. Conc. Bearing = (0.85)(0.7fc'SQRT2)
= 2975 psi OK
CONSTRUCTION SPECIFICATIONS:
2 ft.dia.x 6 in.CONCRETE FOOTING
2 ft.dia.x 36 in. DEEP HOLE(BELL OUT AS REQ'D)
2500 psi CONCRETE
L
k
LL
. a • 0 1
• BEAM-COLUMN
AXIAL LOADS&STRESSES: BENDING LOADS &STRESSES:
P1= 4320 LBS Max Moment(M1)= 0 lb-ft
P2= 0 LBS Max Moment(M2)= 1176 lb-ft
P3= 3240 LBS Max Moment(M3)= 882 lb-ft
D+ S, fc= 120.00 psi Load Case (16-9) D+ S, fb= 0.00 psi
D +W, fc= 0.00 psi Load Case(16-11) D +W, fb= 392.00 psi
D+0.75(S+W), fc= 90.00 psi Load Case(16-10) D+0.75(S+W), fb= 294.00 psi
TRUSS MEMBER PARAMETERS:
Length: 6.67 ft S= 36.0 inA3
Ke: 0.8 I= 108.0 in^4
Effect. Length = 5.3 A= 36.0 inA2
SPECS: CALCULATIONS
GRADE: #2 HF Le/d= 10.7
Width: 6 in. Fc*= 920
Depth: 6 in. FcE = 2897
d = 6in. KcE = 0.30
Fc= 575 psi c'= 0.8
Fb= 575 psi C P = 0.923
E = 1100000 psi Fn'= 920
ADJUSTMENT FACTORS:
wind CD = 1.60 snow CD = 1.15
CF = 1.00
INTERACTION EQUATION
LOAD CASES: [fc/F'c]Z+ [fbl/(Fbl'(1-fc/FcEI)] 51.0 STATUS
CASES (16-7&12) By Inspection OK
CASE (16-9) D+S 0.039 0.000 0.039 OK
CASE (16-11) D+W 0.000 0.426 0.426 OK
CASE (16-10) D+0.75(S+W) 0.011 0.330 0.341 OK
SPECIFICATION:
USE 6 in x 6 i #2 HF
0
C
Z
0
a
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t.„1.0 '�� r N n N m Z N -I -1 D , 1 0 m O m Z C o D
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/~ n d b 2600 N.COLUMBIA CENTER, DAVID AMOS
tri 4' o
z ' o BLVD.SUITE#208
� �• � 24 x24 x8 POLE BUILDING FOUNDATION PLAN
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SITE PLAN
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: 1 DEPT.OF COMMUNITY VELOPMENT
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Standard Conditions for Residenti•evelopment in Jefferson County •
1. LIGHTING: 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.
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.
2. BUILDING HEIGHT: The building height is not to exceed 35 feet.
3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall
create no fire, safety, health or sanitary hazard.
4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally
screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable
performance and development standards specific to the district in which the storage is kept, and shall be in
keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC.
Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as
an automobile wrecking yard or junk(or salvage)yard and allowed as a permitted use in Table 3-1 or
Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100,Automobile wrecking
yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical
area.
5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence.
6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse
the applicant from complying with other local, state and federal ordinances, regulations or statues,
applicable to the proposed development, but consistent with RCW 90.58. Future development beyond
that specified in this permit shall require further review.
7. BMPs: 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.
8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal
ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW
90.58.
Development pursuant to this permit shall be undertaken subject to the applicable policies and
performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson
County Unified Development Code.
If during excavation or development of the site an area of potential archaeological significance is
uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once.
The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon
became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under
the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined
as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine
2013-03-07_SFR_StdConditions 3/7/2013 1
Fisheries Service can levy pies. Portions of Jefferson County, inclIg marine waters, are included
as "critical habitat'for a listed species. Development of property along any marine shoreline, freshwater
shoreline,
or floodplains could harm habitat if protective measures are not taken. To minimize the potential to
damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or
floodplains are advised to do the following:
All development activities should avoid unstable slopes, wetlands, and forested areas near surface
waters
Remove minimal vegetation for site development, especially large trees
Allow trees that have fallen into surface waters to remain there
Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging
directly into surface waters or roadside ditches
The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of
an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from
"taking" bald eagles. This federal law defines the term "take" and describes the possible legal
consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or
their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their
habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about
how this law affects your project.
Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance
with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting
with a professional fisheries habitat biologist, and following the recommendations for site development
provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle,
or the U.S. Fish and Wildlife Service.
2013-09-06 SFR StdConditions 9/6/2013 2
Design Criteria for Splashblocks
A typical downspout splashblock is shown in Fir ure 3.1.7_ In general, if
the ground is sloped away from the foundation and there is adequate
vegetation and area for effective dispersion, splashblocks will adequately
disperse stoiiu runoff. If the ground is fairly level,if the structure includes
a basement, or if foundation drains are proposed, splashblocks with
downspout extensions may be a better choice because the discharge point
is moved.away from:the foundation. Downspout extensions can include
piping to a splashblock/discharge point a considerable distance from the
downspout, as long as the runoff can travel through a well-vegetated area
as described below.
The following apply to the use of splashblocks:
_ Maintain a vegetated flowpath of at least 50 feet between the discharge
point and any property line, structure,slope steeper than 15%, stream,
wetland,lake,or other impervious surface. Sensitive area buffers may
count toward flowpath lengths.
2. A maximum of 700 square feet of roof area may drain to each
splashblock.
3. For purposes of maintaining adequate separation of flows discharged
from adjacent dispersion devices,the vegetated flowpath segment for
the splashblock must not overlap with other towpath segments, except
those associated with sheet flow from a non-native pervious surface.
4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet
long by 6 inches deep) at each downspout discharge point.
5. No erosion or flooding of downstream properties may result.
6. Have a geotechnical engineer or a licensed geologist,hydrogeologist,
or engineering geologist evaluate runoff discharged towards landslide
hazard areas. Do not place Splashblocks on or above slopes greater
than 15% or above erosion hazard areas without evaluation by a
professional engineer with geotechnical expertise or a licensed
geologist, hydrogeologist, or engineering geologist, and approval by
the Local Plan Approval Authority.
7. For sites with septic systems,the discharge point must be downslope
of the primary and reserve drainfield areas. This requirement may be
waived if site topography clearly prohibits flows from intersecting the
drainfield or where site conditions (soil permeability, distance between
systems;etc) indicate that this is unnecessary.
Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012
3-15
• hous.
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700 sf. Of roof
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NTS
Splash
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Figure 3.1.7-Typical Downspout Splashblock Dispersion
Vc :are III—Hydrologic Analysis and Flow Control BMPs—August 2012
3-16
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�+ O C N '-5 x Engineering FAX: PORT LUDLOW, WA 98365
_J ` C7 a, to J (509)736-7557 JEFFERSON COUNTY
•UILDING PERMIT APPLICAAN BLD14-00408
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00408 Received Date: 10/31/2014
SITE ADDRESS: 1851 SWANSONVILLE RD
PORT LUDLOW, 98365
OWNER: DAVID A V AMOS PHONE: 360-437-2454
1871 SWANSONVILLE RD
PORT LUDLOW WA 98365-8715
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821053018 Section: 5 Township: 28 N Range: 1E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BUILDING/GARAGE NO PLUMBING
SEP75-503
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 0
VALUATION 11,185.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
outing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $179.00 SRE 10/31/14 151711
Plan Check $116.35 SRE 10/31/14 151711
State Building Code $4.50 SRE 10/31/14 151711
Total: $299.85
\\tidemark\data\forms\F_BLD_App_Bld.rpt 10/31/2014
C ON COL JEFFERSON JNTY
ea DEPARTMENT OF COMMUNITY DEVELOPMENT ! �\ [ I- 621 Sheridan Street• Port Townsend •Washington 98368 '1 ; - -�360/379-4450 • 360/379-4451 Fax� '� www.co.jefferson.wa.us/commdevelopment OCT 3 2014 ;'
Master Permit Application MLA: ---a
,. .i,rrr
Project Description(include separate sheets as necessary): ,_T 1 : "L.„'1O°'^ANT
Ccf *tc�c�* QL.I xQ� pelt' I _At IA I'll 1 c� — in pL Ambl rlQ �
Tax Parcel Number: (��,. C`�( c- Property Size: I,5'-i n{ • quare feet)
9
Site Address and/or Directions to Property: I S S I "St'PI-Y r1\!1 /EC - n-d
poc -- LL ak t.�, ti.)n 13(d
Property Owner(s)of Record: NF1- i cA. Pt irvi
Telephone::A®O y 3 7-? 4 a y Fax: email:
Mailing Address: L 1 I r71 f fill n'flu i I tf: d'0 N F-+- t f rktri.,)l I 9 3(. 5-
Applicant/Agent(if different from owner): 0 -It Telephone: - 0 - L__ Fax:. _ ® email: 6 hoi-ifff( . Corn
Mailing Address: (OM f' !L\ & r — i + i A i l,�pt 9 ,3Gn.")
What kind of Permit?(Check each box that applies
❑Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family tit Garage Attached/ etached ❑ Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address ❑ Road Approach ❑ Short Plat**
❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑ Long Plat**
❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions'"""
❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑ 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: NI IA
' DESIGNATION OF AGENT
I hereby designate ov�uk)3 �1QJ,7f f F vh .s to act as my agent in matters relating to this application f`orr permit(s).
0 ,OWNER SIGNATURE .. A ',t� ( �� Date: /0 ` 30 I
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati n at he or e,wan tt nor notice. 1
Signature: / Urn., )c 1�td�O Date: /� ` 30-ii--)
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not;violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans ble respons' ility fo dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dat s it below.
Signature: /Yvr{� Date: A — �C� - / 7
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• BUILDER STATEMENT S
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PTIONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
t)t New X Wood Existing: VSewer
❑ Addition 0 Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System
O Repair 0 Masonry SEP Permit# - 50S
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: Private well ❑ Two Party
Type of Heat: Proposed: 0 Public
Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank i Above ground Tank Size of Propane Tank:
I Heat Stove i Cook Stove j Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying fora permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For.Office Use,Only Amount Revision
Main Floor Heated EH Bld App Review: .p 0
2nd Floor Heated Consistency Review: a.a-g,v°
Other Heated Base fee:
Mezzanine Additional Section: 14.00
Heated Basement Plan Check fee: 1 4..5�.
Unheated Basement State Surcharge fee: I 4 ,70
Other Unheated Pot Water Review fee: __
Garage/Carport 53-(49 i$S 52 SUBTOTAL (4 .vS-
Decks j 911/Rd Approach fee:
Other TOTAL: $ . ZS.8s`
Receipt Number: 15 '31'
Cash/Check Number: ao3b
ESTIMATED COST(REQUIRED) Date: koi 30/1
.Fair market value of all labor andiv terials foundation to finish
0 . b O Initials: i4C-
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
•
ciii, •
,___JEFFERSON COUNTY ;, ��
1 DEPARTMENT OF COMMUNITY DEVELOPMENT ,tom
f
4. , , 621 Sheridan Street • Port Townsend • Washington 98368 OCT ) 1
1 360/379-4450 . 360/379-4451 Fax 3 O 20j4 i _��
D` http://www.co.jefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA# PROJECT/APPLICANT NAME: 1141/10 4 y A 5
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 I t 5LA acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet GE,GCVO 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 3/,acres or more of
Construction site for structures �j,('t) sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes Qo
Well,utilities,etc. sq/ft Does the project convert 21/2 acres or more of
native vegetation to pasture?
Driveway,parking,etc. sq/ft
Circle: Yes No
Lawn,landscaping, etc. sq/ft
Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance sq/ft Cut 0 Fill C (cuiyd)
/
[over]
stormwater calc worksheet—REV.10/1/2003 1
J
• •
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to 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 oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS–IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) 7Co sq/ft Structures(all roof area) 7S o sgfft
Sidewalks sq/ft Sidewalks tJ sq/ft
Patios 6-) sq/ft Patios O C sq/ft
Solid Decks sq/ft Solid Decks C sq/ft
(without infiltration below) (without infiltration below)
Driveway 0 sq/ft Driveway 7C 0 sq/ft
Other sq/ft Other `` sq/ft
Total New (e) sq/ft Total Existing 11 `j 4L'1 sq/ft
TOTAL NEW+TOTAL EXISTING* 03 O sq/ft *This amount will be used 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: ._ cro
Does the site have 35%or more of existing impervious surface? Circle: Yes 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 affected property.
/D – fib -
)
DOWNER OR AUTH IZED REPRESENTATIVE SIGNATURE) (DATE)
I �7 t�2 -I
stormwater calc worksheet—REV.10/1/2003 2
• Front Parcel Review • CDs)z). _ °C g os
Parcel 821053018
Printed: November 4, 2014
DAVID A V AMOS Site Address(es):
1871 SWANSONVILLE RD 1851 SWANSONVILLE RD PORT LUDLOW,WA 98365
PORT LUDLOW,WA 98365-8715
Parcel Number: 821053018 S-T-R: 5-28N-1 E Total Acreage 2
Legal Description S5 T28 R1E TAX 140 Land Use: 1100
Flood District: Fire District: 3 Planning Area: 7
Flood Map(FIRM)Panel No: School District 49 Zoning: �g.A-�
COMP PLAN
DESIGNATION: RP V -S
COMMUNITY PLAN: UGA: UGA Trans
[ ] Plot plan states "property line"
[ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[ ] Legal Access to Property YES NO
[ ] Parcel Tags or Scanned Documents YES CCThi
[ ] ESA's: Special Reports Nearby YES
[ ] Designated Ag YES NO
[ ] Shoreline Designation: YES NO
[ ] Shoreline Slope Stability: YES NO
Stream Type:YES ®
c2_,S?
FWHCA: YES 6
tiovey...‘A)
Wetlands: YES
Rare Plants:YES
Seismic: YES el
Landslide: YES
Flood: YES t■
Erosion: YES
Aquifer Rechar e Area:YES
SIPZ: on At Risk High Risk Coastal
CMZ: none High Risk Mode ate RiskDisconnected CMZ
Stormwater site plan submitted: e o
[ ] Forest Lands: YES No,
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[ ] Mineral Lands: YES ti 0
[ ] Agricultural Lands: YES 10
[ ] Archaeology: YES
[ ] No Shooting Zone: YES NO
[ ] Stormwater: New Impervious Surface 67(6-1GSOILand Disturbing Activity 900s9/ ESA's
Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering
[ ] Notice Provisions/Disclosure: ort YES 6o3 MRL YES (3j Forest Lands YES
[ ] Landscaping Required: Yes
[ ] Parking Spaces Reed 2 Other
1 1 Building Height: 13.5) UBC Standard
[ ] Impervious Surface coverage Racentage: if c/o
Resource Lands&Public: 10% 11.Rural Residential: 25% Rural Industrial"UDC Sec 6.7
Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only
[ ] Total Building(s) Size:
RVC:20,000 SF CC:5,000 NSF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified
[ ] Setbacks: Front: ' Left Side: S ` Right Side: 5 ` Rear: £5 `
Shoreline Setback: j)/'/\ ' g--c)'serfi i r ers
LSHA Setback: 1i/A
[ ] Road Classification: (,,,Uv-t
Road Approach: jj_s_ MG__NOT'REQ'D RAP
[ ] SEPA Required: YES Ex�E IET_
[ ] Flood Certificate: NVA
[ ] Existing Case(s) &Condition(s): i&J zA-k)
Violations: Yes `mac)
[ ] Recorded Date of Subdivisi2n: �/ AFN Over 5yrs=UDC
Plat Conditions: /OM <5yrs=Plat Conditions on plat or Old Ordinance
[ ] Lots/Require Declaration of Restrictive C•venant YES C submitted: YES NO
[ ] UGA No Protest Agreement YES • ubmitted: YES NO
[ ] Site Visit conducted YES .1 6
[ ] Require Final Zoning Approval YES
[ ] ADMIN: Setbacks entered in Permit Plan case N/A
New Parcel Tags entered in it Plan ta YES
Special Reports Scanne N/A YES
No parcel tags found for parcel
Cases Associated with APN 821053018 Review
Cases Name Type Status Planner
BLD14-00408 AMOS P Anna Bausher
Application Received: 10/31/2014 Permit Issued/Case closed: Case Finaled:
NEW POLE BUILDING/UANAGE NO PLUMBING
SEP75-503
BLD92-00232 AMOS F
Application Received: 4/14/1992 Permit Issued/Case closed: 4/14/1992 Case Finaled: 1/4/1994
repair
SEP75-00503 EVANS F
Application Received: 9/30/1975 Permit Issued/Case closed: 9/30/1975 Case Finaled: 10/14/1975
repair detail filed on sewage disposal permit
SOM75-00503 EVANS FIN
Application Received: 7/6/2012 Permit Issued/Case closed: Case Finaled:
repair detail filed on sewage disposal permit application
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 11/4/2014 Page 2 of 2
• D QD • BLD14-00408
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00408 Received Date: 10/31/2014
SITE ADDRESS: 1851 SWANSONVILLE RD
PORT LUDLOW, 98365
OWNER: DAVID A V AMOS PHONE: 360-437-2454
1871 SWANSONVILLE RD
PORT LUDLOW WA 98365-8715
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821053018 Section: 5 Township: 28 N Range: 1E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2016
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW POLE BUILDING/GARAGE NO PLUMBING
SEP75-503
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 0
VALUATION 11,185.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $179.00 SRE 10/31/14 151711
Plan Check $116.35 SRE 10/31/14 151711
State Building Code $4.50 SRE 10/31/14 151711
Total: $299.85
\\tidemark\data\forms\F_BLD_App_Bld.rpt 10/31/2014
�w4`S0N Cot, JEFFERSOIOUNTY III
' A DEPARTMENT OF COMMUNITY DEVELOPMENT - ' ! " �1
' ` '� 621 Sheridan Street • Port Townsend •Washington 98368 --- I '!'
360/379-4450 • 360/379-4451 Fax _ I 1
p www.co.jefferson.wa.us/commdevelopment OCT f
�s Gz 3 0 _01- X 11
Master Permit Application MLA: ----jam
Project Description(include separate sheets as necessary): r, r^:T
Cc_ f1Sk-Cl.tC�`- 314 >QL\I ite. G <C\1'1 R - N(Th p1u,i i)bE ilG
Tax Parcel Number: 8(l0 ,: C)( 17-rif operty Size: I.b1-1 1)-0-b---; (acres square feet)
Site Address and/or Directions to Property: 1 5 I ('' rt (1\''1 I -,
Site
0 r"'4- L_L_ 1 to t tie I t.v 1 c J
Property Owner(s)of Record: NA-t:id t o"1�`Th
Telephone:3(00° y 3-7 -?.L-15-1--1 Fax: email:
•
Mailing Address: t% 1 I `�t.)\I f i-1 t^r"ll..,t I tt-, + L(y.\(( Lr)/ t,,..-.4- 9-K 3L;
Applicant/Agent(if different from owner): .�5t�LU1c\ '3 \ lCA t y t`? rr\5°-k -
Telephone: AS- L. Fax: , .4-4 -- t email -va hot-mf i f ( t �.c(Yl
Mailing Address: 1• sac._ ! i. , 41 G
What kind of Permit?(Check each box that applies
❑Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit -----1 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family Vt Garage Attached/ etached_, ❑ Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address ❑ Road Approach ❑ Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑ Long Plat**
❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑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: NI/A
DESIGNATION OF AGENT
I hereby designate ...5.c) ,,�' 2>v` 4.1.._' c< _4, to act as my agent in matters relating to this application for)permit(s).
OWNER SIGNATURE ff., , 1. �/ Date: /JJ 3� ' /`7
Ate- ,- ."
By signing this application form,the owner/agent attests that the information provided herein, and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati.n • at he or e:want;•rior notice. 1
Signature: ,. �. .. Date: _ 3° �/7
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in corripliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe7ble respons ility fo dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: t/l/), t,� 1/t,(Ni Date: /0 — Ye) - / '1
\
G:\PermitCenter ####FFORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• •
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: DONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New X Wood Existing: _ Sewer
• Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel n Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit# 75- 503
Bedrooms: Water Supply:
❑ Demolition ❑ Other: Be pp Y:
Existing: Setback: X Private well ❑ Two Party
Type of Heat: Proposed: Public
Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
i Heat Stove 1 Cook Stove i Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage _ Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: .fir ,o p
2`d Floor Heated Consistency Review: 3.1g.°°
Other Heated Base fee: - * dp
Mezzanine Additional Section: 1 A.o v
Heated Basement Plan Check fee: I I te.3S
Unheated Basement State Surcharge fee: LI .c
Other Unheated Pot Water Review fee: -G--
Garage/Carport 53449 `t t9S, SUBTOTAL ��, VS
Decks i' 911/Rd Approach fee: -
Other TOTAL: $ L225.8s-
Receipt Number: 15 I--(1
Cash/Check Number: 3.03b
ESTIMATED COST(REQUIRED) Date: 10'30,/l
.Fair market value of all labor and terials foundation to finish
7�5 100 . b U Initials: VC
� `
G:\PeimitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
•
JEFFERSON COUNTY --
DEPARTMENT OF COMMUNITY DEVELOPMENT — \ l 1,
,._.�,� 621 Sheridan Street •• Port Townsend •• Washington 98368 a
O 360/379-4450 • 360/379-4451 Fax 111 A
LINO http://www.co.jefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA# PROJECT/APPUCANT NAME: . p V [ A)1,1 r,
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 t + 5L1 acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet (.65-1;500 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 3/4 acres or more of
Construction site for structures ()O sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes
Well, utilities,etc. sq/ft Does the project convert 2 1/2 acres or more of
Driveway,parking,etc. s native vegetation to pasture?
Circle: Yes No
Lawn,landscaping, etc. sq/ft
Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance sq/ft Cut L , Fill (cutyd)
[over]
storrnwater calc worksheet—REV.10/1/2003
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 to 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 oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS–IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) 7 7(.c sg/ft Structures(all roof area) 7 sq/ft
Sidewalks L sq/ft Sidewalks C ) sq/ft
Patios sq/ft Patios sq/ft
Solid Decks ( sq/ft Solid Decks C so/ft
(without infiltration below) (without infiltration below)
Driveway C) sq/ft Driveway 7C C sq/ft
Other sq/ft Other f sq/ft
Total New ((') sq/ft Total Existing I 1 t4L\ sq/ft
TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used 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: ,5- %
Does the site have 35%or more of existing impervious surface? Circle: Yes 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
Preverition—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 affected property.
f0 - 3b - ) '-)
i DOWNER OR AUTH IZED REPRESENTATIVE SIGNATURE) (DATE)
ttsL r
storin ester talc worksheet-REV.10/1/2003 2
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�p o y �Y bti 2600 N.COLUMBIA CENTER DAVID AMOS
Lel z o BLVD.SUITE#208 24'x24'x8' POLE BUILDING
- ro B ELY RICHLAND,WA 99352 FOUNDATION PLAN
d 00 1851 SWANSONVILLE ROAD
Z n m PHONE:(509)736-7552
O v PORT LUDLOW, WA 98365
---/ ` < d C / E n g l n e e r i rig FAX: (509)736-7557 JEFFERSON COUNTY to
Standard Conditions for Residentialevelopment in Jefferson County
1. LIGHTING: 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.
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.
2. BUILDING HEIGHT: The building height is not to exceed 35 feet.
3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall
create no fire, safety, health or sanitary hazard.
4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally
screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable
performance and development standards specific to the district in which the storage is kept, and shall be in
keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC.
Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as
an automobile wrecking yard or junk (or salvage)yard and allowed as a permitted use in Table 3-1 or
Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100,Automobile wrecking
yards and junk(or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical
area.
5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence.
6. This permit has been reviewed consistent with JCC 18.40.130& 140. Notice: this permit does not excuse
the applicant from complying with other local, state and federal ordinances, regulations or statues,
applicable to the proposed development, but consistent with RCW 90.58. Future development beyond
that specified in this permit shall require further review.
7. BMPs: 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.
8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal
ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW
90.58.
Development pursuant to this permit shall be undertaken subject to the applicable policies and
performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson
County Unified Development Code.
If during excavation or development of the site an area of potential archaeological significance is
uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once.
The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon
became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under
the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined
as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine
2013-03-07 SFR_StdConditions 3/7/2013
— 1
Fisheries Service can levy •Ities. Portions of Jefferson County, inning marine waters, are included
as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater
shoreline,
or floodplains could harm habitat if protective measures are not taken. To minimize the potential to
damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or
floodplains are advised to do the following:
All development activities should avoid unstable slopes, wetlands, and forested areas near surface
waters
Remove minimal vegetation for site development, especially large trees
Allow trees that have fallen into surface waters to remain there
Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging
directly into surface waters or roadside ditches
The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of
an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from
"taking" bald eagles. This federal law defines the term "take" and describes the possible legal
consequences when a"take" occurs. Among other actions, "take" includes a disturbance of bald eagles or
their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their
habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/)to learn more about
how this law affects your project.
Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance
with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting
with a professional fisheries habitat biologist, and following the recommendations for site development
provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle,
or the U.S. Fish and Wildlife Service.
2013-09-06 SFR_StdConditions 9/6/2013 2
•
Design Criteria for Splashblocks
A typical downspout splashblock is shown in Figure 3.1.7. In general, if
the ground is sloped away from the foundation and there is adequate
vegetation and area for effective dispersion, splashblocks will adequately
disperse stain runoff.If the ground is fairly level, if the structure includes
a basement,or if foundation drains are proposed, splashblocks with
downspout extensions may be a better choice because the discharge point
is moved_.av_ay from the foundation.Downspout extensions can include
piping to a splashblock/discharge point a considerable distance from the
downspout, as long as the runoff can travel through a well-vegetated area
as described below.
The following apply to the use of splashblocks:
1. Maintain a vegetated flowpath of at least 50 feet between the discharge
point and any property line, structure,slope steeper than 15%, stream,
wetland,lake,or other impervious surface. Sensitive area buffers may
count toward flowpath lengths.
2. A maximum of 700 square feet of roof area may drain to each
splashblock.
3. For purposes of maintaining adequate separation of flows discharged
from adjacent dispersion devices,the vegetated flowpath segment for
the splashblock must not overlap with other flowpath segments, except
those associated with sheet flow from a non-native pervious surface.
4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet
long by 6 inches deep) at each downspout discharge point.
5. No erosion or flooding of downstream properties may result.
6. Have a geotechnical engineer or a licensed geologist,hydrogeologist,
or engineering geologist evaluate runoff discharged towards landslide
hazard areas. Do not place Splashblocks on or above slopes greater
than 15%or above erosion hazard areas without evaluation by a
professional engineer with geotechnical expertise or a licensed
geologist,hydrogeologist, or engineering geologist, and approval by
the Local Plan Approval Authority.
7. For sites with septic systems,the discharge point must be downslope
of the primary and reserve drainfield areas. This requirement may be
waived if site topography clearly prohibits flows from intersecting the
drainfield or where site conditions (soil pelnieability, distance between
systems;etc) indicate that this is unnecessary.
Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012
3-15
IP •
house
11
Roof I
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serves up to
700 sf. Of roof -----
MEM
50' MID. I - -- --
-----
Vegetated -
flow path
Splash
11 block
ti Downspout extension
NTS
Splash
„1 block
EEfEtI
Figure 3.1.7-Typical Downspout Splashblock Dispersion
(
:me III—Hydrologic Analysis and Flow Control BMPs—August 2012
3-16
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Nov 04
11:44:00 2014
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
correctness or validity. Data contained in this map is limited by the method and accuracy of its collection.Tue Nov 04
11:44:10 2014
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 11/4/2014
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Jefferson County Building Division Permit Number: BLD14-00408
Applicant: AMOS
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 p-15-
Post Holes 0-15-
.gnundatio -Footing-`
Framing �. �-
Blocking
Septic System Finaled 11/17/2014 dis 0&M provided
11/1/2011 dls property is now leas than 10 acre parcel,will need an 0
&M
ROUTED TO E/H 10/31/14 SRE
A final inspection will not be scheduled until 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 h,.30.t
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD14-00408
1.) 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.
2.) The site plan as submitted with the Building Permit application on October 30, 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 November 4, 2014 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
3.) This approval is for a building permit for a new pole building/garage only. Any future
permits on this site are subject to review for consistency with applicable codes and
ordinances and does not preclude review and conditions which may be placed on future
permits.
4.) AWB
5.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 1/8/2015
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD14-00408 Received Date: 10/31/2014
SITE ADDRESS: 1851 SWANSONVILLE RD Issue Date 1/8/2015
PORT LUDLOW, 98365 Expiration Date 1/8/2016
OWNER: DAVID A V AMOS PHONE: 360-437-2454
1871 SWANSONVILLE RD
PORT LUDLOW WA 98365-8715
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821053018 Section: 5 Township: 28 N Range: 1E
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2016
PROJECT DESCRIPTION: NEW POLE BUILDING/GARAGE NO PLUMBING
SEP75-503
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 0
VALUATION 11,185.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 576 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $179.00 SRE 10/31/14 151711
Exist: Exist: Plan Check $116.35 SRE 10/31/14 151711
Prop: Prop: State Building Code $4.50 SRE 10/31/14 151711
Total: Total: Total: $299.85
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