HomeMy WebLinkAboutBLD2013-00053 BUILDING PERMIT APPLI ION Review 00033
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00053 Received Date: 2/14/2013
SITE ADDRESS: 353 LOFTUS RD
PORT TOWNSEND, 98368
OWNER: WALTER S WOLF PHONE: 360-912-3299
KRISTINE R WOLF
PO BOX 13286
BURTON WA 98013-0286 HAROLD HARVEY SHORT PLAT
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 001181031 Section: 18 Township: 30 N Range: 01 W
CONTRACTOR: O'BRIEN CONSTRUCTION PHONE: 360-531-2430
1406 GARFIELD ST
PORT TOWNSEND WA 98368
Contractor's License OBRIEC*908PK Expires 10/12/2014
REPRESENTATIVE: JOHN O'BRIEN PHONE: 360-531-2430
1406 GARFIELD ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW CARPORT - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 9,139.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 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: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid ate: Receipt: Approved/Date
Permit $181.25 LYK 02/14/13 140000 APPROVED
Plan Check $117.81 LYK 02/14/13 140000
State Building Code $4.50 LYK 02/14/13 140000 MAR 2 0 2013
Total: $303.56 Jefferson County DCD
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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#: BLD13-00053
SITE ADDRESS: 353 LOFTUS RD Issue Date: 03/20/2013
PORT TOWNSEND, 98368 Final Date: 5/1/2013
APPLICANT: WALTER S WOLF PHONE: 360-912-3299
KRISTINE R WOLF
PO BOX 13286
BURTON WA 98013-0286
SUBDIVISION: HAROLD HARVEY SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 001181031 Section: 18 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW CARPORT- UNHTD, NO PLMB
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes 0
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/1/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 5/16/2013
Deck Joists Knox Gonzales
Beam # 1
Main Span = 6.6' Loads 428 1 1428
Tr i b Area = 72 sf '"'���`"`
LL Reduct = 6'l. Reaction
(Lbs) 1283 1283
File
1.3
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6x6 DF-L #2 - 1.9 '-` 1.3
V L+. d = 1.1 Kips • :
Area = 56.3 in
Fv(alD= 178 psi -
Moment
SMmax = 128 in_3 fft-k)
b 875 ps i Fbf a l l)=
MOE = 130 in 4
LL Def =LF 861 •
TL Def =L' 604
Camber = 6.65 in -
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JEFFERSON 2,O1NTY •OF COMMUNITY E EVELOPM NT 1P' vRal' ` )
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A g'S°N coy,. JEFFERSON COUNTY
W � \,v \ DEPARTMENT OF COMMUNITY DEVELOPM T
621 Sheridan Street • Port Townsend • Washington 3i - `V' E B V ET:51
ys, �O 360/379-4450 • 360/379-4451 Fax
lINO http://www.co.jefferson.wa.us/commdevelopment/
FEB 1 4 2013
u u r +
Stormwater Calculation Worksheet IEFFERson,co,;,w---'
D DT_F,4MiinTyDCt'r ftoFvf uT
MLA# -33 PROJECT/APPLICANT NAME: K c p_, 4-
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel 4,1 acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet 20k 5 3 O sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation,and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow,elderberry,salmonberry,
and salal; herbaceous plants such as sword fern,foam flower, and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
Does the project convert' acres or more of
Construction site for structures ' sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes Ne
Well, utilities,etc. sq/ft Does the project convert 2'A acres or more of
native vegetation to pasture?
Driveway, parking,roads, etc. sq/ft
Circle: Yes C)
Lawn, landscaping, etc. sq/ft
Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance sq/ft Cut Fill (cu/yd)
[over]
stormwater caic worksheet Rev 9-9-2010—REV.9/9/2010 1
,V— cob JEFFERS,COUNTY •
- - ' IA DEPARTMENT OF COMMUNITY DEVELOPMENT
~' `� 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
k 0 www.co.jefferson.wa.us/commdevelopment
F1IN
Master Permit Application MLA: { ,5 3
1
Project Description(include separate sheets as necessary):
VI y L' - yvcVabeL_ - `?o •� gt- Iock.o.crN nec c''■ �, -5
Tax Parcel Number: Oo 11 $1 ■ 31. Property Size: (acres/square feet)
Site Address and/or Directions to Property:
353 L-.okkvs 'Rd. „c-t l.o",c-,sl_s d 1 wiry
Property Owner(s)of Record: 1Gr x ,Ic tcko_ Rokkzra ' 3S- `t' VJakez- 5 , (.3.3c.1-c-
Telephone: 3G.0 ckt2- 33°k k Fax: email:
Mailing Address: 35 3 L,®�*.as tR8 k Q4ct TOwt■surd Wft 9%3L4
i
Applicant/Agent(if different from owner): I-4.m CC Sc:1.4-. .7 ` ,
Telephone: 3�b 531- ' 43a Fax: I i - f• 'V
I , iii-1� 1• a� It.
d.Lefh
Mailing Address: t`to6 Cz<sc,.sd St. \ ?nc-t To�.1c,So,.nd, 1 I Fi 91$34.$ T
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregatior>F E 1 4 2013
Q4 Building ❑ Critical Areas.Stewardship Plan I
❑ Demolition Permit ❑Variance(Mindy, Major or Reasonable Econo 1 ' se)
❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), C(J;FMAI t tliNTy
❑ Manufactured Home •❑ Modular - ❑ Discretionary"D"or tinganimplItseMagigil,,-:fin
❑ Commercial* X vet,_ 54,o,1(c�c1,a c-}" ❑Special Use(Essential-Public Facilities)**
O Change of Use ❑ Boundary Line Adjustment
❑ Address ❑ Road Approach_ ❑Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑ Long Plat**
❑ Sign ❑ Planned Rurai 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:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requi ed later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appliti.i that wants prior notice.
Signature: / Date: 2- t 3-12-
The action or a'n.ns 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 yo are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf:rab` respo p '•'' for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ∎•-.::. .. r • Date: .2-'5-12,
vl
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
ill III
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:
•: Sc�r, Gt.0stc..-1 c ' 0c1 (36‘)s2,% - ay-3a ( )
MAILING ADDRESS: IqOL• a.,tkas. c 5t. Q:r, 0-1 t1 etg3C.154EMAIL: eloc“acNcrtAc a rr.rw�•f. err,
CONTRACTORS LICENSE WAINS
ir
NUMBER: OA3R.S.2_C gcis PK NUMBER
ARCHITECT/ENGINEER: GAY �vo PHONE (3 ) 51;S-cipsz FAX:( )
MAILING ADDRESS: l `I EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
x New Wood Existing: 0 Sewer
E Addition ❑ Steel Proposed: Bank C Community System
❑ Alteration/Remodel ❑ Concrete Total: _ Height: f"Individual System
❑ Repair 0 Masonry 'SAP Permit# S-t iS _
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
T t: 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:
I Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove 1 Cook Stove i 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 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 On y Amount Revision
Main Floor Heated EH BId App Review: rig
2"d Floor Heated Consistency Review: 228
Other Heated Base fee: f8 (. 25
Mezzanine Additional Section: 1
Heated Basement Plan Check fee:
17 'SI
Unheated Basement State Surcharge fee: '/(
Other Unheated Pot Water Review fee:
Garage/Carport - ' 9ll� SUBTOTAL loo I ,
Decks 911/Rd Approach fee:
Other TOTAL $ ((:;09.
Receipt Number: i-Coon
-.,, Cash/Check Number: r Fr53
STIMATED COST : • D) Date: ,
• air ma et value of all labor and materials foundation to finish
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