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Home My WebLink AboutBLD2013-00019 • ,BUILDING PERMIT APPLI ION MLA13-00013 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00019 Received Date: 1/17/2013 SITE ADDRESS: 83 ELDERBERRY LN CHIMACUM, 98325 OWNER: LAWRENCE J MC CONNELL PHONE: 360-732-7540 JENNIFER L MC CONNELL PO BOX 482 CHIMACUM WA 98325-0482 IRONDALE ORCHARD TRACTS BLOCK SUBDIVISION: Block: 6 Lot: 9 PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII ADDITION TO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 680 VALUATION 73,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Total: 3 Total: 3 Routing Date:�7 I l - 13 Type Amount Paid By: Date: Receipt: Approved/Date Permit $804.75 LYK 01/17/13 139910 APPROVED �®®"C Plan Check $532.09 LYK 01/17/13 139910 A R V G State Building Code $4.50 LYK 01/17/13 139910 Total: $1,341.34 MAR 1202 Jefferson County DCD \\4irlcmnr4\rh4e\fnrmc\F 121 fl Ann R lrl n+ 1/17/9(194 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00019 SITE ADDRESS: 83 ELDERBERRY LN Issue Date: 03/12/2013 CHIMACUM, 98325 Final Date: 10/14/2013 APPLICANT: LAWRENCE J MC CONNELL PHONE: 360-732-7540 JENNIFER L MC CONNELL PO BOX 482 CHIMACUM WA 98325-0482 SUBDIVISION: IRONDALE ORCHARD TRACTS BLOCK Block: 6 Lot: 9 PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W PROJECT DESCRIPTION:ADDITION TO SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/14/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2013 .......:-,.e. 41,:-.. . A- r07e.7'e.it...'41,- ":-;-.7:41. • - ,t•.?;',:-.1. 7,..?-6 , _Ail. 410 - • 4,:i.. . - Date _/ _‘ __— time received:///5 am ived t I Pm Mon. Tues•_ ,.Wed: ai --Fri. BED: ,/g — 7 9 . . fr) - /0 - Date: /,.... — . . OWNER: . Contact Namer. . - . , C.--t-b -t-i(d.e.--ry .01' Contact Number.360 . . t.,•,.- /t i i ADDRESS: g.:.5 Notes: - _ - ' 206 fi 1-. - a • . . . • Foundation Plumbing - Framing Propane Tank Mechanical Setbacks _ Under-ground Framing Underground Furnace Footing ____ Rough in Air seal Above ground Gas _____ Stemwall Hydronic Exterior shear Exterior lines Oil A _ • Straps --- Interior shear Interior lines • Ducts r Post Hole Ventilation Appliance _ - Underfloor stove Man-Homes - - . c Final Inspection Setbacks _ Insulation - '0. Foundation, . --*• floor _wall ceiling . Address Posted Block&Tie _ i 1 . - - - ' - - • - . •. :•14e*W - A. - ............:...,&-:47,....vv..-..,......„- 117:::47 g .i•-,,,, 9:11 . . . :02:-0W1•.: ...p. c 411 . • I . • , . ..ec......tct--.....f--t—.: 2•?. . v.:, • -.7:i. . . AP A, — Date :11"- time receivedann--) Tues. .Wed: Thur. -Pd. • • OLD: /3 -19 . Date: 9-30 - . OWNER: Contact Name: . . ADDRESS: - ,,,. S-.5 -61---*_46.---7 Contact Number:360 36/_---S ?9? , - . a . - . 206 • k-I-Gt C----(AA-1.-1-7- - a•st Notes: - • Foundation Plumbing - Framing Propane Tank - Mechanical . . Setbacks Under-ground Framing Under ground Furnace Footing Rough In Air seal Above ground Gas ___ ......_ Stemwall Hydronic Exterior shear Exterior lines Oil Straps -- Interior shear Interior lines • Ducts • —. Post Hole • Ventilation . Appliance Underfloor stove Man-Homes , Setbacks Insulation Final Inspection -1 Foundation . -.--, Block&Tie floor wall ceiling • Address Posted 1 .. _ '- ' . •'-' . - - ..r.,.., . . .....it°V.,. ■ .-It1V.t..:"Aniq. . . . / " 1.3•L'ar4.1.-ML,i' - - jg-.1:tTZCAV. • INTAK-:.:;:i?,2• 47,1nre;,- ' . qd,..nuan ti 4:F1.1..:t' . . . - . _. . - r2-7 Date — time received - , am / !IP - Fa) TueS. ,Wed Thur. -Fri. BLD: , .-- ( _?-, lc( ,,, . . Date: C")— .' . • OWNER: lik, „,C.. C\–Ukiiiik-e--A , V • • . Contact Name: ADDRESS: V g S e„(gfAro 6),u,t t____ci rc..._ Contact Number.360 ??K) —759 T 7 • _ (1 (,,(,(),g, 206 Notes: . _. - ' • " - • • - Foundation Plumbing - Framing' Propane Tank Mechanical - V ---- _. . . Setbacks Under-ground Framing Under ground Furnace Footing Rough in Air seal Above ground • • Gas _ Sternwall _ Hydronic Exterior shear Exterior lines Oil Straps _ Interior shear Interior lines , Ducts . Post Hole Ventilation Appliance Underfloor . Gas/wood stove Man.-Homes . Setbacks Insulation. Final inspection -., - Foundation- . •.:- Block&Ile floor _wall ceiling. Address Posted . i . . . . . :7,.,;;:ei..,..-.,.....7,:• . ,-.........-...,:"...^.:Tzvi,04., . 47-14.-,- , jinif. . ,..W4iN. . . . . . ..•esi .,..: - - - • . Date ___!.—ta :time received Cl:0 Z,..- i pm Mon_ Tues.. ,Wed: Tbur. --Fri. MAX , i • Date: '9_1 t.1 .. . " , . OWNER: \AA-C— --6 k i&-c-A . • Contact Narn&: ADDRESS: • - • 6e.01 (..4,„ Contact Number:360 36 (:". sselq • ... 206 ,. Notes: . . - . • . . Foundation "Plumbing - Framing • . Propane Tank ' Mechanical ___-- Setbacks Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground - Gas Ste,mwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines • Ducts - ' Post Hole Ventilation . Appliance • Underfloor _ .. Gas/wood stove Man-Homes Final Inspelon Setbacks Insulation . Foundation • . Nock&Tie floor wall ceiling. . Address Posted i / - s . I. • x !31 F:I Date .—3 ( -time received / S-4? am /g) ' ' T u es. .Wed: Thur. - Fri. - BID: C S — [C7 Date: if— • - OWNER: Contact Name: ADDRESS: si....- .0 /'mot Contact Number 360 30/5 7 206 t�• i Notes: . - - 9 .Foundation Plumbing - Framing Propane Tank - Mechanical • Setbacks _ Under-ground Framing Underground _ Furnace Footing Rough In Air seal Above ground _ Gas _ Stemwall _ Hydronic Exterior shear Exterior lines _ Oil -Straps Interior shear — interior lines _ Ducts - . Post Hole ^ . Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes . Setbacks _. ' insulation. Final Inspection :E. Foundation— ; < Block&Tie — floor wall ceiling Address Posted r i •1 _ yy , - . -t• ,�j*gip N .� so- • Date 5— r *time received .'/O / pm Mon. TueS. ,Wed: Qhur.%-Fri. • BLD: / /9 Date: . ''to • OWNER: . Contact Name,: • ADDRESS: g' t—t-he!"kr''/'y. Contact Number:360 30/ S' 7• i Notes: 206 k r :Foundation Plumbing •Framing Propane Tank Mechanical s • Setbacks _ Under-ground Framing Underground Furnace Footing — Rough In X Air seal iti Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines • Oil — Straps Interior shear Interiorlines Ducts Post Hole ___._. Ventilation — Appliance _ Underfloor Gastwood stove Man-Homes — Setbacks • Insulation. Final Inspection :,` Foundation — <'? Block&Tie _ floor wall ceiling to 9 Address Posted i Date 3 12-0 time received d V cf59/ pm Mon. Tues ,Wed:(g)_-Fri. BLO: 13 Cl Date: f u OWNER: �/ 1 . • Contact Names • ADDRESS: IS 3 �j� `�/ Contact Number 360 5-61q ef) Notes: 206 fx Foundation Plumbing • Framing Propane Tank Mechanical • Setbacks _ Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground — Gas Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior Interior Ducts Post Hole _ Ventilation '-" — Underfloor Appliance _ Man•Homes Gas/wood stove Setbacks • Insulation. p Lion Final ect �� • Foundation— ^� .Sys 4 Block&Tie _ floor X _wal ceiling . Address Posted 4 • 'y3y-a- • • Date i *time received a7-5--- p am t ,Wed: Thur. - Pri. BLD: /'3— / ?m Date: - OWNER: • Contact Name: ADDRESS: ' t-ber/51-rrl Contact Number:300 Notes: 206 .Foundation Plumbing • Framing . Propane Tank Mechanical • Setbacks _ Under-ground X- Framing _, Underground Furnace _ Footing Rough In Air seal Above ground . Gas Stemwall _ Hydronic Exterior shear Exterior lines • Oil Straps Interior shear Interior lines Ducts f Post Hole — Ventilation Appliance _ Underfloor Gas/wood stove — - Man-Homes . Setbacks — Insulation. Final Inspection Foundation :.> Oiock&Tie _ floor wall ceiling. . Address Posted i . . - . • ,.....:iSt:., - s :',.",;•:•,-..-...,,i4 . . -. • - '4:::14C-,-tc,-...........- . '" - ;:(;75TAR g.:41• - . , . . • . - - . - . • ;:;.:- . . . --- - - - . rt .c..._,.., 1 Date -time received Li am pr(Di Mon. Tues. . .gp Thur. -Fri. - BLD: .1 ...- - Date: — V V P P OWNER: VAC_ c...--D-,4„,t, V Contact Name. ADDRESS: _ ' L " - .--f.-,__ G (/ .. -- Contact Number:360 ., 0 (------1 ,a,-,f.7 . 206 i. Notes: V - . . Foundation Plumbing - Framing . Propane Tank - Mechanical V Setbacks Under-ground Framing Under ground Furnace , Footing ____ Rough in Alr seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil • Straps — Interior shear Interior lines . Ducts f Post Hole Ventilation Appliance• Underfloor .Gaslwood stove _ Man-Homes Setbacks Insulation. - Final Inspection ..,, • .: :? Foundation V .-.. -. Block&Tie floor wall ceiling. Address Posted• i 11■"' ,, V , , — \ , c----- ; ■ ,----,,.. t. • • ,,,,T 1 Z. " ; yo 'p ("<---•-• . i. cm \\ ;• !, \--- \\ cl\-1 ..,,,,...z.,,,,-- c• .." . • _., [.... . , .. --- -C4 , . ,c, , 0.. -r--' -4 • 0 , . ?'r 0. , 8' Y•1 4 oc, ' ; .. 7 / .....!„; :: !z._ /:-.7\ . /' ,..- '1* 1.,..' i /z_, „... ., n c, 1 i! , ._....-- -, 0 6— (P 1 u'i ctt ro 1, 1 • N --__ P., p : 7 ; _ a ---‘1 ".---,.. \-■ A -1 • ... • ! • i 111 , . ty • 111 _■ , - • 4 ..T,' \ 44 ■S\ 7- \' iC ■; 44' ■IL , 4 1\ \ 471 U'k , , . I i : d , M . . ; . ,......., , . ; . ; . . OS1 . , I CI 1 IkA- ) , .. . 03 1.P. o tv ; ;• 1 _ E. P . ± ii.. . .., . , 04 , . •---I,\ . i A . ■ . . . . Di-- i \ \ , . . il g ■. .. , K.) ' . L 0 1, .. i, . 7,- ‘ --- , k . , ...„, I ' , , E 5... -.,... ---■ \ )d , \ -13 -.V..„ , . , , -A 4,12 . . , . , , , , CD 0 3 , ,\...,...,\..\. \_,.\ .. .76,, , ,, _...._ \ ,..., !I r) , . -1.. . , er) . ... . . ---, , -"Y H . . . i . • . , . N"--- ,, . . U\I , ■ E / „., c, 11....., , N : i :o.. N ,, 11 . P '!..‘ PZi#0..k . ...- I isilliz:, . 'ss•-■ :, Cr.) ir qt.- ■ 1 , IIH r-i ./,,,N ;:..., ._ .._. - , ..11..iiiiii............k... .. 144(vie I; \ ..... 1 _ 1 ‘ , : .J. . . 0 / . , : , . . ..s1 . 1 ... . . _ ... _____.„... „....„................___„..„..„„..,.. . .„ ..S.-) / a 1 • 31 ' ;-__A F • • Site ID/Address: *it# 2009 WSEC Residential Additions Worksheet Purpose:This worksheet demonstrates compliance for a proposed,addition where heat loss improvements in the existing home receive credit toward compliance. Perform a Chapter 5 Component Performance calculation only on the addition before using this form. Note:This worksheet is only applicable for additions under 750 ft2;all other additions must show full WSEC compliance as a stand alone project. MAIN WORKSHEET 1 PROPOSED UA VALUE (from Chapter 5: Component Performance Worksheet) 2 TARGET UA VALUE (from Chapter 5: Component Performance Worksheet) 3 Addition heat loss deficit (box 1 minus box 2) 0 4 'Existing home improvement credit (compute total credits below) 0 ADDITION COMPLIES IF BOX 4 IS GREATER THAN BOX 3 Existing Dwelling Improvement Credit Calculations Existing home Change Area(Ft2) U-factor UA improvement credit Existing glazlcn 0 0 0 Replacement I inq 0 0 0 0 Existing insulation Floor .._/ 0 0 Ceiling Q 0 0 Wall P., • 0 New insulation 0 Floor 0 Ceiling 4'46. 0 0 Wall P- 2 1 0 0 Total Credits 0 Existing Home U-Factors (Refer to the 2009 WSEC,Chapter 1 - Building Envelope Values: Exist rid IEjid ulgl 1 Ceilings wino insulation U=0.30 Single Pane •< i U .2 Floors wino insulation U=0.134 Double Pane(metal,frame), JAN 1 / 20 13 U; .9 Walls w/no insulation U=0.31 Double Pane w/vinyl or wood sash U Glass Blocks U=0.51 Revised 01/24/2011 Washington State University Edenton Energy pr�pmm A,ur.1997.ciao pV698 Plan Review(For official use only) The selected Option is appropriate for this dwelling design: YES ❑ NO CI nP DT.OF COMMUNITY DEVELOPMENT NOTES: Approved By: Date: • • 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 storm 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: 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 permeability, distance between systems, etc) indicate that this is unnecessary. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-15 III ° • _ , house rIll I 1 Roof downspout serves up to 700 sf. Of roof €.....1...... 50' min. II Vegetated t r.:.::.:.:::.;:. flow path 4 ,,,,,, ...... .............. .,::::;a 1:::::::::::1-- "" ..... Splash ':•��•� block I h ...:. 4 ___ _____-- y :,_rrd'a Downspout extension INS Splash block 'Ir."' Figure 3.1.7-Typical Downspout Sitolashblock Dispersion Vc ame III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-16 • BMP C105: Stabilized Construction Entrance / Exit Purpose Stabilized Construction entrances are established to reduce the amount of sediment transported onto paved roads by vehicles or equipment. This is done by constructing a stabilized pad of quarry spalls at entrances and exits for construction sites. Conditions of Use Construction entrances shall be stabilized wherever traffic will be entering or leaving a construction site if paved roads or other paved areas are within 1,000 feet of the site. For residential construction provide stabilized construction entrances for each residence,rather than only at the main subdivision entrance. Stabilized surfaces shall be of sufficient length/width to provide vehicle access/parking,based on lot size/configuration. On large commercial,highway, and road projects, the designer should include enough extra materials in the contract to allow for additional stabilized entrances not shown in the initial Construction SWPPP. It is difficult to determine exactly where access to these projects will take place; additional materials will enable the contractor to install them where needed. Design and See Figure 4.1.1 for details.Note: the 100' minimum length of the Installation entrance shall be reduced to the maximum practicable size when the size Specifications or configuration of the site does not allow the full length(100'). Construct stabilized construction entrances with a 12-inch thick thi ad of 4 - p inch to 8-inch quarry spalls,a 4-inch course of asphalt treated base (ATB), or use existing pavement. Do not use crushed concrete, cement, or calcium chloride for construction entrance stabilization because these products raise pH levels in stormwater and concrete discharge to surface waters of the State is prohibited. A separation geotextile shall be placed under the spalls to prevent fine sediment from pumping up into the rock pad. The geotextile shall meet the following standards: Grab Tensile Strength(ASTM D4751) 200 psi min. Grab Tensile Elongation(ASTM 30%max. D4632) Mullen Burst Strength(ASTM 400 psi min. D3786-80a) AOS (ASTM D4751) 20-45 (U.S. standard sieve size) • Consider early installation of the first lift of asphalt in areas that will paved; this can be used as a stabilized entrance. Also consider the installation of excess concrete as a stabilized entrance. During large concrete pours, excess concrete is often available for this purpose. Volume II—Construction Stormwater Pollution Prevention -August 2012 4-7 • • Fencing (see BMP C 103) shall be installed as necessary to restrict traffic to the construction entrance. • Whenever possible,the entrance shall be constructed on a firm, compacted subgrade. This can substantially increase the effectiveness of the pad and reduce the need for maintenance. • Construction entrances should avoid crossing existing sidewalks and back of walk drains if at all possible. If a construction entrance must cross a sidewalk or back of walk drain,the full length of the sidewalk and back of walk drain must be covered and protected from sediment leaving the site. Maintenance Quarry spalls shall be added if the pad is no longer in accordance with Standards the specifications. • If the entrance is not preventing sediment from being tracked onto pavement,then alternative measures to keep the streets free of sediment shall be used. This may include replacement/cleaning of the existing quarry spalls, street sweeping, an increase in the dimensions of the entrance, or the installation of a wheel wash. • Any sediment that is tracked Onto pavement shall be removed by shoveling or street sweeping. The sediment collected by sweeping shall be removed or stabilized on site. The pavement shall not be cleaned by washing down the street, except when high efficiency sweeping is ineffective and tore is a threat to public safety. If it is necessary to wash the streets, the construction of a small sump to contain the wash water shall be considered. The sediment would then be washed into the sump where it can be controlled. • Perform street sweeping by h. d or with a high efficiency sweeper. Do not use a non-high efficiency mechanical sweeper because this creates dust and throws soils into storm systems or conveyance ditches. • Any quarry spalls that are loosened from the pad,which end up on the roadway shall be removed immediately. • If vehicles are entering or exiting the site at points other than the construction entrance(s),fencing (see BMP C103) shall be installed to control traffic. • Upon project completion and site stabilization, all construction accesses intended as permanent access for maintenance shall be permanently stabilized. Volume II—Construction Stormwater Polluti 2n Prevention -August 2012 4-8 . , • Driveway shall meet the requirements of the permitting agency It is recommended that the entrance be crowned so that runoff drains off the pad Install driveway is arlpe � there a4 roadside ditch present p 8 Quarry spalls Geotextile "� 17 min.thickness Provide full width of ingress/egress area Figure 4.1.1 —Stabilized Construction Entrance Approved as Ecology has approved products as able to meet the requirements of BMP Equivalent C105. The products did not pass through the Technology Assessment Protocol—Ecology(TAPE)process. Local jurisdictions may choose not to accept this product approved as equivalent, or may require additional testing prior to consideration for local use. The products are available for review on Ecology's website at http://www.ecy.wa.gov!programs/w q/sormwater/newtechiequivalent.html Volume II—Construction Stormwater Pollution Prevention -August 2012 4-9 co -I V -I -I co 01 -• 01 -o cn 01 x r+ x 01 O -5 "O - -O -5 -5 0 01 (D CO 0 CD 7- 3 CC CC (D co CD m O m - O m n = # c -P (D C7 CO CO n Cr) X CO C-7 o O -P O c.o co N O 4 co CJ1 CO O rF - CO 3 C-') C. r n r+ n r I-I C7 S O rn D O -o C O M N H Z X 3 CO N C7 --I O O 3 O Z M) v CO O Z 7> O H m I- (D --1 Z O n 73 CD x m Z m x Z n O_ M M c m n -- m r a 3 3 -P = m m r co m N I- 0 CO -I r CO N r L D a - co O rn 0 x 73 73 X 3 3 0 n r n - o n n n m o a x O -o rn rn r X a 41. m n n co m m xi co ,3 o_ o o O CO rn o -P -I co Z Z Z N -G = CA Z Z = n _1 -- N m m 1-1 m 73 3 D cn r r z a n o_ 1 r r 0 n r r_ n co o O o --. 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I 1 1 1 I .,A•- $ CD RI ----------------_Dj 1 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: 1.' C__�- Date: _//, ',//0 o 1 3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New he-Wood Existing: 2- ❑ Sewer Addition ❑ Steel Proposed: / Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: _2____ Heig . Individual System ❑ Repair D Masonry SEP Permit# -2(4C.) ❑ Demolition 0 Other: Bedrooms: 3 Water Supply: I Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: .1 .Public .' - C Total: 3 — , t..xi � F, — F. O M E If this is a Commercial Project you must answer the following: I l ' ! Number of Parking Spaces: Current: Proposed; Nun-hket i f A_P_arking_Spaces:____ Number of occupants(includes owners,tenants,employees,etc) Current road I III • IBC Occupancy: IBC Type of construction: Will you tiveJood Service? Yes / No l If this is a Propane Tank and/or Appliance Installation permit,mark all items below that aiply• 1 I Underground Tank I Above gro nk Size of Propane Tank: JEFFERSON COUNTY I Heat Stove, I Cook Stove ondstov I Fireplace Insert I Hot Water Tank I 'elle�t EVELOPMENT _ Is this appliance being installed in a Manufactured I 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 O.ff.[ce Use ly Amount ftxtsio Main Floor Heated /,70 &Set EH Bld App Review: rrE3 -- 2`"'Floor Heated Consistency Review: 2- r Other Heated Base fee: Mezzanine - Additional Section: Heated Basement Plan Check fee: _552.09 Unheated Basement State Surcharge fee: c Other Unheated Pot Water Review fee: Garage/Carport L.&/J SUBTOTAL Decks 911/Rd Approach fee: Other GI cS'il'-'�'t TOTAL: $ I ,t4 (•3 Receipt Number: '. 2 q a)O Cash/Check Number: J t ESTIMATED COST(REQUIRE ) Date: *air market valueofalllaborand :terialsfoundation to finish 1 y11—t3 _ zo, O 0 p ° Initials: --------- GAPermiicenter\###FORMS#ttAnri n poRMC\C,,rr n fRrl F.,«...\r.r.,...e.A.........A--1:—.---c ')n no J__ .fox co .w , +1 JEFFERS COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT in V 621 Sheridan Street • Port Townsend •Washington 98368 -°"` 360/379-4450 . 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment 'ZINC Master Permit Application MLA: `-(3 Pr jeect Description(in�cllude separate sheets as paceGary). cfcLhcwi Tax Parcel Number: 76,3 l Property Size: y 3�, �3 (acres/square feet) Site Address and/or Directions to Property: 83 e(d UJ G r1 � �-. �5 A �jt32s� ofd Oil 44 1 LL Ct. Property Owner(s) e-4 eR r Juti) h t ten%,_ 1 I Telephone: 73 a-7S-Y0 1 3°r- s---19 7 Fax: email: Mailing Address: I,b. QoX (-/6-2- Ch ".\ti '. `',.‘ CJ.., 98.J r • Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: at kind of Permit?(Check each box that applies ❑Lot or Road Segregation $uilding ❑ Critical Areas Stews r• - p(� ❑ Demolition Permit ❑Variance(Minor, Maj Rea Rv t 10.Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a (• or ❑ Manufactured Home .❑ Modular - - ❑ Discretionary"D"or Oiled Use Classification ❑ Commercial* ❑Special Use(Essenti: " lic F 'itief)7" 2013 ❑ Change of Use ❑Boundary Line Adjt:s ant ❑ Address ❑Road Approach_ ❑ Short Plat** Li U ❑Home Business ❑Cottage Industry ❑ Binding Site Plan*- JEFFERSON COUNTY ❑Propane ❑ Long Plat** .DFP, IF 1. u•,, A N1 "• ** . ❑Sign -.. ❑Planned Rural Rest.- . . - •: 1 i J+t`�t•'•u nts ❑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: DESIGNATION OF AGENT I hereby designate 7�i., to act as my agent in matters relating to this application for permit(s). '�WNER SIGNATURE / �� Date: // 9"12 013 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 ttii e of the application that he or she wants prior notice. - -.ignature: c�-- G Date: i J, / L o/ 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 d non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclime and signs and dates it below. tgnature: f/ // - . :a' Date: / 3 °13 Jefferson County Buildingivision Permit•ber: BLD13-00019 Applicant: MC CONNELL BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 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 `� I� Minimum setback from Elderberry Lane right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control -313 SEE CONDITION 2 Foundation Footing .13-. Footing Drains Foundation Stem Wall Underground Plumbing 1i((1,1,3 Under Floor Framing I Straps(hold downs) Ext.Shear Wall Nailing if/ Rough-in Plumbing S 213 Framing 512_115 551.._- Blocking Airseal "Ai 3 - Insulation:Walls 4'117 Insulation: Floors 7i /O Insulation:Ceiling 5-1 1 13 Int.Shear Wall Nailing Wallboard Nailing 01°) Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Heat/Chimney Clearance Wood/Pellet Stove to .-1t-`3 Smoke&CO2 Drywell/Alt Drainage 1 p _k3 SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted 10 13 Fil"" 10'1( 3 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00019 Received Date: 1/17/2013 SITE ADDRESS: 83 ELDERBERRY LN Issue Date 3/12/2013 CHIMACUM, 98325 Expiration Date 3/12/2014 OWNER: LAWRENCE J MC CONNELL PHONE: 360-732-7540 JENNIFER L MC CONNELL PO BOX 482 CHIMACUM WA 98325-0482 IRONDALE ORCHARD TRACTS BLOCK SUBDIVISION: Block: 6 Lot: 9 PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADDITION TO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 680 VALUATION 73,000.00 ADD1: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $804.75 LYK 01/17/13 139910 Exist: 3 Exist: 2 Plan Check $532.09 LYK 01/17/13 139910 Prop: 0 Prop: 1 State Building Code $4.50 LYK 01/17/13 139910 Total: 3 Total: 3 Total: $1,341.34 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 • CONDITIONS for Building Permit# :BLD13-00019 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: AVEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 4.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 5.) The site plan as submitted with the building permjt application on January 17, 2013 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 March 12, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. • • 7.) 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. 8.) 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. 9.) 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. 10.) Minimum setback from Elderberry Lane right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 11.) The building height is not to exceed 35 feet. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tir1Amark\rlata\fnrmc\F RI 11 Parmit Rkin rnt 3/19/9(113 2001 lRa Tz314.3 Swa AlOrnts To be Located 41, enhsteepivuo room RvAoRtsiote iw the VLoLvuity of the bedrooms. fwteroovweoted :L:to volt with battery bnVeRp. c>o, each story av"Ot kl2bkubLe attic. rL.42ag- R202.10.1 TV-L4SS de Lie_ drRW�!nRS. _ - - TrRss AsLov. arC(MvOS SkOLL be provided With SktPmcvt of trusses CIAJ Must be ow site for frRmiwo tv.SPe010V,. ...... ..... 200 9 1 R-a R315 Q�a rb o v. M 0 A,0,dd e A Lot rm Approveol aarbovu moo-0/dA alarm shaLl, be io,stcilleol oLtts'�0(c eac,h se7t.,arate sLecpiwq area akui be tvsta[10 per �wstrvat�ov�.s. -Z /-), __ e It V, Fl t A 0 Y'l e) 0, Vo . 1,j nool ivter%or 1�graced waLl, pay.6s are to be V 0 iwspeoteol a vLol approved prwr to cover.v AA 0 t-A t�l� U HD 5 P whole FfoLtse Eciah knUtctbLe roont to be provided with fresh nibr per the w.s. v. i.A. z c�. N it 'j. -f 0e. /bk 0 v -T- J NJ F 7D 'WRAW- WA L-OAT). F5;5�tA,? A.&A -r K05 4 .4 & t-A . It I LAO V S14 f�k W, 11-t) tj� I Vl FrAD14 1,AJAVi/ I ) '0't -tu V TV\ r< 1:5 P, f-5 0 . c , V e -Tyr AA 60 V13 C - 69 �1-10 'I) a vove_ 10 -V 1,Z (LV/ y 8r AT TIME OF FOLANDATION INSPECTION I>t;- f-)I>r- "K1=:C7 KA 1-1 1 111s I E "N'T's' by ST-R_'I NCI LINES TO V61;_>IFY SET_FAaK_S. IF z PROPERTY LI N FS ARE NOT MAPVeD A 6 RCI NSPEaTION FEE MAY g5 RE6214PE-, 0 f ,A F� TO FALRTH5R_ INSPECTION. JEFFERSON COUNTY D BUILDING PLAN RF-VIEW 0 APPROVED AS SUBMITIED APPROVED AS NOT REJECTED Dato _q,,j, jjef� t�Vj�, "Reviewed for Code Compliance" z....... V&-r to -110 ii U � �i ) 1, I JE1FERSC,;t,4 COUNTY --p 17 crm1/11!N1-jy Di-vFl nDV F -NIT 0 /Wr 14 1 IJ ............ ------- — ------------------ A - A' A ......._,__,- �_..w.w_ r..v., « x._..., _._..._ _ k-T 4-4 V ----- ------ -13 o P te 1 1 -A 0 hA j vt- W k),.) o L_ -r 0 2- All ----------- ul 0 ♦ VJ T 0 k, t A e4 1 9CALK: r APPROVED BY: DAT 9 -7-13 FO DRA or