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BLD2014-00333
BLD14-00333 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00333 Received Date: 9/15/2014 SITE ADDRESS: 500 GOSS RD PORT TOWNSEND, 98368 OWNER: VICKI DOHRMANN PHONE: 360-379-6994 500 GOSS RD PORT TOWNSEND WA 98368-9416 SUBDIVISION: Block: Lot: TX 6 PARCEL NUMBER: 002131015 Section: 13 Township: 30 N Range: 2V1 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOF' Remodel to existing basement 540 sq ft of basement to be finished sheetrock- ceiling- and adding a toilet. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 36,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 1 Total: 2 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $433.00 SRE 09/15/14 151525 P, �� Plan Check $287.95 SRE 09/15/14 151525 P ' . * State Building Code $4.50 SRE 09/15/14 151525 OCT 3 0 Total: $725.45 2094 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 9/15/2014 0 1 x 4 1 A4,1 E l F- L,. I1 6 //I _ L.:1-' C- I1 sa t .46 Yf}' t r CP u 4'i A. Sept 2014-Scope of work includes finishing walls with EverLast Wall Panels (prefinished vinyl surface with foam insulation),MillCreek plastic flooring, and 2'X2'recessed mineral wool tiles, and pump up toilet. 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I A. ) ' 1 1 " 1 Ill '; l _� 1' s 1—! a F 4-(7- % t f 1 I c'. , l , 1 'i1 H I çj ; f_ y I _—_ 1 ,,H — I- 1 1 1 I \ �'{ I + !I [�. 1 1 111 r r t�l -- ;�I — {.. n L — 1 I i I ' I r _, 1 `'' 1 ( , G 11 1. 4 I I �`)_ - 1 1 r' \ lc 1-4 -' I I 1 } I _ r _t y T 1, �/Via.., �l '' r i f t 0 I 1 ,.� ' .I 1 spk, -0 ca 11 I 4 1 ' i � ° l • �,, n -�1 . 1 4- 1 �. r c } j i :L. V, 1 , I 11 i ,� I �, Cam _ i, I1 I r i�Z ! 1> 1,-.-- r_ . r•_J. �) f _ 1 l I �� 1 J ca a I� �1 1 ' K I I I' �-,, I� �7 I l i °# I K ,, �t I ,b 'e",) tt_,1�. I iii , . . i 1411 .-- I ;0 1 r 1 .1 I I_ 7 ,. .� r 1 111)1! 1 ' 1 9 1 1 i - .4 1 1 ,t 1 1 1 — 3 ; 5, , � — ..__.__ — n- — 11 -) 1 I :1 - a - 1 .L. j I.__ —I 1--1411— L._ - E>C41/11 12"6114111494144(---- S 4w45ON 0063 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 141/N GSG$ Date: r2, ® Time Received: amt Y Tue. Wed. Thur. Fri. Date: .2--ct BLD: ' 9n Contact Name: Owner: Contact Number: 360 374 6ggq Address: C> C-3-055 V,y, 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 Inspections., Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. Inspectors will not access a home that has personal affects inside when the owner is not present. Commercial projects require 24 hour notice for inspection. P °t, JEFFERSON COUNTr Y o DEPARTMENT OF COMMUNITY DEVELOPMENT 7 gsy Date: (a-(g Time Received: \2. am/pm Mon. Tue. Wed. Thur. Fri Date: Ira ^ l9 BLD: V- -- * j Contact Name: Owner: (00tr" NAa.Gt-: Contact Number: 360 2j1 —LCICt et-d Address: 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing t/ 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 DAB[ - 1_- „ .� �4i�"s OQ JEFFERSON COUNTY ...semen ,Pi vi tsn f�� I W irlik r� DEPARTMENT OF COMMUNITY r�l d�F_L-OP ` l or I Y + ,7,k-f- I", - N ' 621 Sh eridan Street• Port Townsend,± -,1� Q7,3a�- 360/379-4450 • 3607379.4451 Fax 11 �� o' www.cojefferson.wa.us/commdeveidp lent 4 )y ' SEP 1 1 i:0a . Master Permit Application 1 JEFFERSON C-0IJNTY ' Project Description'(inctude separate'sheets'as necessary): '„ h iR T satl�pEskT'�R�,MoD>�1--�• ADD‘ng DryW0.tt"rfe��cc�'�t���' E! rt,.;•:-Toi le+) Tax Parcel Number: 0 0 o�13 1 O t 5 Property Size: Z5, y o, Fr- (acres/square feet) Site Address and/or Directions to Property: 500 �osS'Roil 094-7-FowY1se l WA Q$&406 Property Owner(s)of Record: VICKI Do h.r rna v-y \ Telephone: 36)(:).51.0t(6.01,A Fax::- 0 3 1' -CB 1 email: �!cJ t d Q4Y12t•Cip1�{, Mailing Address: 500 GOSS 0AD Port TOwn.jrr'c LU9 4Z3Gv� Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation 18JBuilding ' ' ❑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 O Commercial* ❑Special Use(Essential Public Facilities)** O Change of Use O 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 Aovance 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: )Jon e• DESIGNATION OF AGENT I hereby designate _ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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,'resasonable 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 penriit.` ' 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 application that he or she wants prior notice. Signature: V[ Date: a-18-14 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-transf ab re ponsibility for adhering to and complying with the ESA. The Applicant has red this disclaimer and signs and dates it below. Signature: [lmivt.`_� Date: Q—a IL) G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 0.t inimmimmommilmmimml 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 as ct uming the responsibility of the General Contractor for the proposed project L .. Signature: V t'C�7 Date: t`$- vi GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHC:NE: FAX: G MAILeNa G nSDpSaSca : f fTA'4113 m Sls-tt-o ck j1 303 &E. 64>: il ol° ( t�) Q/) . c]�{,�t CONTRACTOR'S LICE E ''{�/ e I I:• 8ru oe _��c_e NUMBER: �Yt7l.+-» CteQnSNgbt3 �y • NUMBER 1f• b� f11V�D7! ARCHITECT/ENGINEER: Abi , , -- PHONE ( - ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: r: New I , JQ Wood Existing: � � r Sewer ` C Addition ❑ Steel Proposed: r a Bank ❑ Community System X' Altefatio /Remodel ' : g Concrete Total: 2 T Z_ Height: : . : � Individual System CI Repair `"" ❑ Masonry _1_46 SEP Permit#,03 1a, D Demolition ❑ Other: Bedrooms: n Water Supply: Existing: - Setback: x Private well ❑ Two Party Type of Heat: Proposed: 0 125' ❑ Public Heat Pump-duc,tless Total: a Name of System: • If this is a Commercial Project you must answer the following: MA 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: 1 Heat Stove 1 Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes 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 Y Amount Revision Main Floor Heated 0 EH Bid App Review: ,1• ts 0O .f� � j 2 °Floor Heated t% L =-' D Consistency Review: Other Heated O O Base fee: , ` Mezzanine 0 Additional Section: - 1 CI . o e Heated Basement 10 5140 Plan Check fee: — Unheated Basement q? l) /1 State Surcharge fee: s-b Other Unheated n U Pot Water Review fee: u . Garage/Carport i 20/670R "� D SUBTOTAL ©^ cgc3-4s— Decks /350 0 911/Rd Approach fee: Other TOTAL: $ �a7J` `5 Receipt Number: 1152S Cash/Check Number: -' ESTIMATED COST(REQ D)' \ Date: 1 – •Fair market value of all I-.or and materials foundation to nish i Y�/i s y i/h�er1 Initials: vv�J j t G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Fors\',Master Permit Application 5-29-08 doc t rZ • n Ste-' ��aaC,c 31 Clea 4 N O R T H W E S T,M. 15 .-1 Authorized Basement ems Dealer Bruce Ramey Systems Design Specialist-Crawl Space Repair 5943 State Hyw 303 NE (877)698-0260•(360)698-0260 Suite D102A bruce@cleanspacenorthwest.com Bremerton,WA 98311 www.cleanspacenorthwest.com WSCL:CLEANSN930BW EC E n\ 1, 1 SEP 1 1 2014 tjj I _ I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • 2014 Basement Remodel Scope of Work: Basement addition(see July 2003 plans)to be remodeled and will include installation of a dehumidifier, ductless electric heater, MillCreek flooring, TBF EverLast partition panels and recessed mineral wool ceiling tiles and a pump up toilet. • t 0 �• 0! ��5°N co& JEFFERSON COUNTY ,, , DEPARTMENT OF COMMUNITY DEVELOPMENT FE C L _ V FE--- !1 I . /4,, ' 1 ` 621 Sheridan Street • Port Townsend • Washington 98368 I 11-\—<‘ Ii ! SEP 1 1 201E .q O 360/379-4450 • 360/379-4451 Fax �' ; `� INO� http://www.co.jefferson.wa.us/commdevelopment/ ti l\I '� ` JEFFERSON COUNTY � DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: i /,-,. 1' 0 hil rnQn Y ' 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 q' R LI acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet or9 15/ 1 S�•q sq/ft / urbin activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and Land-disturbing y Y 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 sq/ft native vegetation to lawn or lands -•ed areas? _ Drainfield,septic tank, etc. 4110 sq/ft Circle: Yes No Well, utilities, etc. l/ sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. 0 sq/ft C� Circle: Yes No Lawn, landscaping, etc. sq/ft > Other compacted surface, etc. O sq/ft Indicate Total Volumes of Proposed: D Total Land Disturbance O sq/ft Cut 0 Fill 0 (cued) [over] 1 stormwater talc worksheet Rev 9-9-2010—REV 9/9/2010 il • • 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) CJ sq/ft Structures (all roof area) 4a6 1 s /ft Sidewalks O sq/ft Sidewalks /U sq/ft Patios C ) sq/ft Patios • () sq/ft Solid Decks O sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc O sq/ft Driveway, parking, roads, etc 5300 sq/ft Other O sq/ft Other _sq/ft Total New sq/ft Total Existing ✓ Ulf" I sq/ft TOTAL NEW+TOTAL EXISTING* i14(1)`4 _sq/ft *This amount will be used BY STAFF to cF► 9 eck total lot coverage. t 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 percentagc • 0,0 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 aff- ted . operty. 1PF _ _ (LAN ER OR AUTHORIZE D ' 'RESENTATIVE SIGNATURE) (DA �/ FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 • ! Sally Ellis Subject: Vicki Dohrmann Start: Mon 9/15/2014 9:00 AM End: Mon 9/15/2014 10:30 AM Recurrence: Weekly Recurrence Pattern: every Monday from 9:00 AM to 10:30 AM Organizer: Mary Blain Name of Appt person: Vicki Dohrmann Phone Number: 379-6994 Name of Property Owner:Vicki Dohrmann Parcel Number:002131015 Address, if applicable: 500 Goss Rd Project: (NSFR, SPAAD etc?) Remodel of basement �NiNe ( U\ 1 Parcel Details Page 1 of 2 • • ') Jefferson co nty , , u ,'4 , , I LFeTher Stalizon 4 . ,Mitabase 1-43a15 Ma Home �bcam Count Info Departments Search Parcel Number: 002131015 i SEARCH Parcel Number: 002131015 Printer Friendly Owner Mailing Address: VICKI DOHRMANN 500 GOSS RD PORT TOWNSEND WA98368-9416 Site Address: 500 GOSS RD PORT TOWNSEND 98368 Section: 13 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Chimacum (1) Township: 30N Tax Status: Taxable Range: 2W Tax Code: 0111 Planning area:Quimper (2) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: S13 T30 R2W TAX 6 WITH & SUBJECT TO EASEMENT Tax,A/V, Sa`es, Photos, and Permit Data Bldg Data Map Parcel 'fats&Surve s Septic Monitoring ................... Jeffenon County HOME I COUNTY INFO I DEPARTMENTS I SEARCH _y Best viewed with Microsoft Internet Exp`or er 6.0 or later Windows- Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_NO=002131015 9/15/2014 Cases Associated with a Parcel• Page 1 of 2 , � N f 1 e er ,„ ,.. . / , „ : ,, 0.: ,,,, , -.•,. ..., 11t�,., tatwn .pat base Tao1S :4 maps ;, -ah--carrx time County Info Departments Search Cases Associated with Parcel No: 002131015 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. Case Number BLD10-00099 Description NEW DETACHED GARAGE - UNHTD, NO PLMB REVISED 9/7/11 - NO OFFICE,DECK OR PLMB Last Name DOHRMANN Received Date 4/1/2010 No Images Case Number SOM03-00125 Description Last Name DOHRMANN Received Date 8/28/2003 No Images Case Number BLD03-00495 Description ADDITION TO EXISTING SINGLE FAMILY RESIDENCE Last Name DOHRMANN Received Date 8/6/2003 No Images Case Number SEP03-00125 Description SEP79-22 cancelled and filed here Last Name DOHRMANN Received Date 5/7/2003 Images Case Number SEP03-00125 Description SEP79-22 cancelled and filed here Last Name DOHRMANN Received Date 5/7/2003 Images http://www.co.jefferson.wa.us/commdevelopment/ppquery/em.asp?value=002131015 9/15/2014 Cases Associa with Page 2 of 2 1111 • ��� ��yucCoi �_ . Case Number OTH02-00O24 Description WET SEASON EVALUATION Last Name RYAN Received Date 12/30/2002 No Images Case Number SEP79-00032 Description SEP07-31G expired and filed here Last Name GUILL Received Date 4/5/1979 'manes jenerson Lady v,.;‘ HOME I COUNTY INFO DEPARTMENTS I SEARCH 600, Best viewed with Microsoft Internet Expiorer 6.0 or later Windows Mac h/bp://wwn/.co 'cffermou.na.us/coozmdeve]opment/nnguczy/cm.uop?vu[uc=0O2l3l0l5 4/15/2014 I • ' 1-3 cli t'o 00 = = = '—' 4". '_ .—_ __ ___ .. _ lra3 . . 0 0 0 4• ,,,,,: 1sg 2:o 0 . (DI _ ® 1----1 IN) 8 —IT-- ; r -..... ---2_.--. , ----=:-...:-_--_---L,—.L.-4 ----IT-------1 ._ . : r--7---c—r------7 . EF --' * 1' , ' 3, --7---;-----: Zs 331, ! „ f= I j®1 1 a I I __,_ . ■ , 3 1 91 . _ I ( : 1 ; ' 1: - --11 ' ir ' -1 ' F.— 1 s—, ,■, m C0 M ,■■ 0 CA 0. eo • , 111 i ' -1 ---1 r L __ .....J L...:: LI I_ _1 , . • 1 <9 I its r 1 • ,' • .. . .• . . . i 1.------ .1 .7_ 1 1-3 S tri, 1 1 c-- i ' , •,.• - i • - - - -_I, :Is ,. ,..._.... ' III) •- . 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''■-' i ') • f , — 7 I_ 1, 1.__ .4 ■ A 1...... ..-I COO -- 1 i • I Jefferson County Building Division Permit Number: BLD14-00333 Applicant: DOHRMANN 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 Rough-in Plumbing t247izt , Wallboard Nailing w2tAk 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 02-7 -/c 3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR A BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00333 Received Date: 9/15/2014 SITE ADDRESS: 500 GOSS RD Issue Date 10/30/2014 PORT TOWNSEND, 98368 Expiration Date 10/30/2015 OWNER: VICKI DOHRMANN PHONE: 360-379-6994 500 GOSS RD PORT TOWNSEND WA 98368-9416 SUBDIVISION: Block: Lot: TX 6 PARCEL NUMBER: 002131015 Section: 13 Township: 30 N Range: 21/1 CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: Remodel to existing basement 540 sq ft of basement to be finished sheetrock- ceiling- and adding a toilet. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 36,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $433.00 SRE 09/15/14 151525 Exist: 2 Exist: 2 Plan Check $287.95 SRE 09/15/14 151525 Prop: 0 Prop: 1 State Building Code $4.50 SRE 09/15/14 151525 Total: 2 Total: 3 Total: $725.45 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