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BLD2013-00055
BUILDING PERMIT APPLIC Review ON 00034 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD PORT TOWNSEND, 98368 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: LITTLE& LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLCI57C5 Expires 3/6/2013 REPRESENTATIVE: SIMON LITTLE PHONE: (360) 360-640-8814 210 N VICTORY AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: gA,WkoeM ,8=t.1 ,{A CONST TYPE: GARAGE: 044161SHORELINE: CONST TYPE: DECK: 4 0 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 0 Pros Total: 1 Total: 1 Routing '0.te: Type A v: Date: Receipt: Approved/Date Permit $650.75 LYK 02/14/13 140002 APPROVED Plan Check $422.99 LYK 02/14/13 140002 State Building Code $4.50 LYK 02/14/13 140002 MAR 2 8 2013 Total: $1,078.24 Jefferson County DCD c ' lc%ec� 3�.Id,nc� pit rntkr c,n(41-13 \\+irlomor4\r7n+n\fnrn,& RI n Ann RH rn+ 9/10/9119'3 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#: BLD13-00055 SITE ADDRESS: 245 MC CURDY POINT RD Issue Date: 03/28/2013 PORT TOWNSEND, 98368 Final Date: 10/30/2013 APPLICANT: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 SUBDIVISION: MIDDLEPOINT LAND CONSERVANCY Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W PROJECT DESCRIPTION: UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR- REVISED THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/30/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with Lai to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name RUBIO&CO UBI No. 603137514 Phone 3603854452 Status Active Address 2529 Holcomb St License No. RUBIOC'895NQ Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 8/18/2011 State WA Expiration Date 8/18/2015 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date RUBIO,ANTHONY J Owner 08/18/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Contractors Bonding SJ3107 08/18/2011 Until Cancelled $12,000.0008/18/2011 a Insurance Co Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Contractors 1 Bonding a C11SJ3107 08/18/2011 08/18/2014 $1,000,000.00 07/05/2013 Insuranc Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/30/2013 110 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD Issue Date 3/28/2013 PORT TOWNSEND, 98368 Expiration Date 3/28/2014 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: PHONE: - c '' ‘2t04 gg LL PHONE: 34 o PROJECT DESCRIPTION: CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: Mud room ,82r tat CONST TYPE: SHORELINE: CONST TYPE: GARAGE: _384- SETBACK: DECK: --tail BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $650.75 LYK 02/14/13 140002 Exist: 1 Exist: 1 Plan Check $422.99 LYK 02/14/13 140002 Prop: 0 Prop: 0 State Building Code $4.50 LYK 02/14/13 140002 Total: 1 Total: 1 Total: $1,078.24 Directions to Site: tNSW 'el\ Rl 5 -13 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 0" eo DEPT COMMUNITY DEVELOPMENT ,t,„,....* 40 "ilkt, JEFFERSON COUNTY 621 SHERIDAN ST. , PORT TOWNSEND,WA 98368 ..-4, : ." '1 • 11.7k- -; , ''' 'ILT11„4613 • tto c ' , .-cn,ni 1 ff: tSLI.J13-UUUbb fE ADDRESS: 245 MC CURDY POINT RD PORT TOWNSEND, 98368 i' NI'XI"E 9.38 DE 189 0011/2S/13 1 , ''PLICANT: MARK BERLIN 245 MC CURDY POINT ROAD RETURN TO SENDER NO MAIL RECEPTACLE PORT TOWNSEND WA 98368 UNABLE TO FORWARD A18%••■•••••■•11 ....,“•-• . ...- -■ ••■ 3C: 98358243921 *1795-19512-19-43 1 983691.ajw e HOL-...: S . ,i3-0. 2-,'�3 `` 13� Date 7/2-..1 'time received (?. am l0 Mon. Tues. ,Wed:4015- Fri. - BLD: $r • . Date: • OWNER: Contact Name,: ADDRESS: 02`4`2 ytAcuoveil Contact Number:360 • 206 " Notes: - t • •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 i Ducts _ . Post Hole _ Ventilation Appliance _ Underfloor Gasiwood stove Man,Honies - Setbacks _ Insulation. Final Inspection ••, Foundation 4 Block&lie — floor _wall ceiling. . Address Posted Date/19—a g time received //l pm Fri.D. Date: /®-Z9 0.- OWNER: A Contact Name.: ADDRESS: q c�K �.(`),'�— Contact Number:360385— T7g3 - 206 Notes: .Foundation Plun?bing Framing 'r:� Propane Tank. Mechanical . SEtbacres Under-ground Footing Framing Under ground Furnace Rough in Air Ste4—nwali Hydronic G Above ground Gas Straps ExZenor shear — Exiericflines Oil Interior shear Post Hole lntercrlines • Duds '_ Ventilation Appliance . Und„rloo; APP h`:an=Monies Gasrvrood stove Setbacks _ Insulation. Final Inspection J� `, • Foundation -----on Biock iie floor pection wall_ ceiling. Address Posted ■ ' 13 "..nm-,,,, ..,..4 .. es / - , .. -. :•:•-tsts-- • . '- - . R;44:4: 7.• 0'74. - - • :rA:i= ,iag,ittsMy,,--At . . . Date-7/245 time received 7 • am 40 Mon. Tue . _Wed: Thur. ( i) BLD: 13 - 5 5 Date: . . - 7/Z-b/ • .... . OWNER: Otg.1-14/ . - Contact Namec - ADDRESS: 245 -M c- C.L rely p-t. 'go Contact Number.360 5.56> 591 44,5 0 - . , - 206 ir.. Notes: - - . . - „Foundation Plumbing - Framing' . . Propane Tank - • Mechanical ' • • der 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-Horries - Setbacks - insulation • Final Inspection Foundation- . . • _wall 1.7 ceiling . Block&-Tie floor Address Posted , c -..- . - • '-' . .. - . . ,•,:*,`-^, • .2,,,,,÷.V.,•15',.. • A- - ''''''':: ":„1".:5P.:itir..i.17.1,4"...•- • . . - - C2-:J1.1115.ese:freAl- . - . " _ :■::, - . . . " Date 13 time received 2 :Z-1- arn i pm Mon. Tue . 1.1Veciii Thur. .• - SLID: 13 *--Peke,55 . - . .Date: 7//21/3 . . OWNER: . 0:,-00 - - - Contact Namer. . - . ADDRESS: 245 _ _ Contact Number:360 5 3.0 3 f/7 .., • 206 . s, Notes: . - - . /.1415• ZE-14F - - . . . . • Foundation 'Pluming Mechanical b - Framing' . . Propane Tank .. . . . Setbacks tinder-ground Framing Underground Furnace Footing Rough in Air seal Above ground - Gas _ . _ Sternwall Flydronic Exterior shear Exterior lines Oil Straps ___ Interior shear Interior lines • Ducts ._ Post Hole Ventilation Appliance • Underfloor . Gastwood stove Man-Homes - Setbacks Insulation. . Final Inspection .':,' • Foundation- - . -..-- -... Biock&Te floor _wall ceiling Address Posted ` _.„...,,,:.„: :,.......„,,,, ,.,......_ ..„.„..,..,,,,,, ^ .,.., „....., _.„...,_,.......„. l'*4 ` ,. '..._-,_-..�-�` x�3 �p- {:•,:� Date ~7 ��� � time |� 0 �— ��� - - ' � ~ ~~ `~ ' ~- am /pu� �N��^ 13 Mon. Wed; Thu: �M BLD: w - ���- `~~~-' - ' ' Date: 2.. OWNER: . Contact Noma ,� � ~^ """�` ADDRESS: �� . S- �mtwm�^ o - �� . Contact Number:360 , ' ' Nos: � ` �Foundation, . ----~-.~ frank Propane Tank ' • Setbacks U - Framing Un�de�Umund Furnace ---_ _ - -___F__ " Rough Akoou Above ground o----Ghmonu _ - .. Exterior lines � Post Hole -,-- Interior shear � , Interior lines •--' - � --' ___��_ ___ __� _^__ _ ____ _._ __ ___---_� Ducts Hance �r___ Man-Homes . Underfloor ___ _ Setbacks ' ' ' • ^�' Filial hm ;- -- Foundation f..) Block floor _wall ceiling Address i. PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8378• FAX(360)694-3376 email:info@johnwparkin.com June 27, 2013 Simon Little StudioSTL 210 N Victory Avenue Port Townsend,WA 98368 Site Address: 245 McCurdy Point Road Port Townsend,WA 98638 RE: RFI#1 Dear Simon, At your request, I have designed an alternate footing detail for the new mudroom that will be located at the above address. The new footing is a stem wall footing and is an alternate to the originally designed thickened slab edge. You will find the detail attached. Please let me know if you have any questions regarding this memo. Sincerely, // / / Michael Daubenberger, SE i 1008-02 ALT FTG 4��Z K ILL j. o r , `. ., A446 s/ONALL _ WRI-ROOL �a�.�...Afmynuboth.s°"th-ROot,Inc. www.johnwparldn.com /.�.F PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8378• FAX(360)694-3376 email:info@johnwparkin.com McCURDY POINT MUDROOM 6/27/13 STUD WALL&SHTHG PER PLAN 2x PT PLATE UNO w/AB'S PER PLAN. DO NOT COUNTERSINK ANCHOR BOLTS EDGE NAILING PER SHEAR I WALL SCHED/PLAN 1 (1)-#4 CONTINUOUS -�� #4 @48"OC F. C 6"CONCRETE STEM it WALLS A/V. \/IVAA\ \/� FIN GRADE ri i\ / z J CO U (2)-#4 n 'III:,=> . • 462.9i R , 15" Sf , �` ONAL 6"27-/ 3 0 ALTERNATE FOOTING DETAIL SCALE 3/4"= 1'-0" TH-ROOT,INC. A member of the sm SIIJ ith-Root,Inc. .ipormF.Ash„,,,com,,,,,,go. family of businesses W W W.JOHN WPARKIN.COM . PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8378• FAX(360)694-3376 email:info@johnwparkin.com June 27, 2013 Simon Little StudioSTL 210 N Victory Avenue Port Townsend,WA 98368 Site Address: 245 McCurdy Point Road Port Townsend,WA 98638 RE: RFI#1 Dear Simon, At your request, I have designed an alternate footing detail for the new mudroom that will be located at the above address. The new footing is a stem wall footing and is an alternate to the originally designed thickened slab edge. You will find the detail attached. Please let me know if you have any questions regarding this memo. Sincerely, / // / / Michael Daubenberger, SE i 1008-02 ALT FTG �( z KT L �4 ., .. 4. . a •,.. , -1 A 46291s4, %NAL !>-Z7 l3' lea Ri ANC A member of the Smith-Root Ina rre6KnGe. familyofbusith.eS www.johnwparkin.com l 7 PARKIN ENGINEERING I N C. 14014 NE SALMON CREEK AVE.,VANCOUVER,WA 98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)694-8373• FAX(360)694-3376 email:info@johnwparkin.com McCURDY POINT MUDROOM 6/27/13 STUD WALL& SHTHG PER PLAN 2x PT PLATE UNO w/AB'S PER PLAN. DO NOT COUNTERSINK ANCHOR BOLTS EDGE NAILING PER SHEAR I WALL SCHED/PLAN 1 (1)-#4 CONTINUOUS —.A1 #4 @ 48"OC pr C� 6"CONCRETE STEM t WALLS // \j% '\ ���� FIN GRADE Z - KI D" ' 4k-v,*WASi $,C�, - tl — -a/ cc t =, ..ri, _ , _. J CO 0 (2)-#4 i. fn ` .0 4.x]62991 15" ``�'SfONAL�-;`'` °s� ALTERNATE FOOTING DETAIL 0 SCALE 3/4"= 1'-0" NrotOLINC: A memberofthe Smith-Root,Inc. family of businesses WWW.JOHNWPARKIN.COM . r 1 McCurdy Point Addition Mark Berlin Carport and Mudroom engineering MJD 5-29-2013 JOB# 16907 J C 245 McCurdy Point Road Port Townsend, WA 98368 r0EgViEp - Ili JUN 4 2013 i JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT v,Ty I LLI ,q- ' I VA sit/ 44,4 ef f y / 1i .• R 46 ,.I. 4,o �� -'GISTO:, c$ 'SSIONAL SvG -29—/3 CONTENTS: 16906 1-5.R1 16906 S 1.0-S 1.1 R 1 16906 S2.0-S2.1 R 1 16906 S4.0R 1 16906 S5.0 PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER,WA.98686 FAX(360)694-3376 WWW.JOHNWPARKIN.COM PARKIN ENGINEERING INC. j ci07.--I' r CONSULTING AND STRUCTURAL ENGINEERING. 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER,WA 98686 FAX(360)694-3376 /AA U n i/2,Gc 04 ki r- F, ik.t r--,,.. l`= >_ er-:-r, I.Q;t .., E,.. l s 8.,ter \A✓"IPA 0 L'o}a:j6%x v, 1.--t-c- `C1 C i ( r,_•, it,4-74.1 I x ��, (o, 4 :t. r✓. (.- ,) p , ." C ; /4 7` 4:5---/:-. . IA)I j,. t.? ,?° ,' . „.: fS i .4!,__. 7.- `i . /4. f to -..'! PARKIN ENGINEERING INC. r<4�U 2_R CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360) 694-8378 VANCOUVER,WA 98686 FAX(360) 694-3376 _ _ r is A .,;: f...C..—r ..-' /¢ r:..f i„ I f ,i s if'.„/ P` , f . �M�I HROdOTuaN . fA a mmiely m obf e br u osf n tehe Smith-Root,Inc. isses www.johnwparkin.com PARKIN ENGINEERING INC. 1�' 3' l CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER,WA 98686 FAX(360)694-3376 1 , °fi-;r ,\. .) i, l //.,.f r 57-':2, ` f � /, "' /- e,: r Imo'-i :_ 1.r'' w f'''''Cn,�( . Jr'`.-. // j , 7 S f J SMITH-ROOT INC. A member of the Smith-Root,Inc. w...._tx�olagy For fisheries tonser/mi. family of businesses www.johnwparkin.com ( )B --`F.F PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER, WA 98686 FAX(360) 694-3376 COL.-L,-0— 1r 1E i ';1:: f---------- ' - /.._>' \\\, 0c i JL)//\U--/ i n A rtrt-ii3E'2 ,�9Y' C :1-'"1 1 I a 1"1'l�' `" . ` 4 c ( S PL c to >F c5 ( } 2 ,e (2- 7 4144-N 4 ,' 7C / ,5 1 . Z e7 OCR t2sl . T7 6- pa ri-e_,E 7 9.s--(It 1 _ 2etc-4+- _ 0:Ic L'(65 , 1 ■ 1 V I D 4 8 c 12-c: 5'. lid S.c(2-6 I to e-.,mss T.) . u-,- ( C1p) —sl Ps-6-, So w.s Z2.-1 ov D.r, l F -wf c.-r 4c) c--60) -2 irz9.5D ug_..S SMITH-ROOT,INC. A member of the Smith-Root,Inc. Tntelhgy For Fuhono Conunmlon family of businesses www.jolinwparkin.com PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360) 694-8378 VANCOUVER,WA 98686 FAX(360)694-3376 / 14. 13m ( 4:7c)j (/, 2 cd- fc 7 ? 7/Lie '''--72(-11:} Z17 , -5- A c).)(1- 172 / --- e 5-7c(6 ) I CAS c") LAS • - t-GC)61 gcs, S- Cd 1-) LAS o.L SMITH-ROOT,INC. A member of the Smith-Root,Inc. 6.14Sh„.....1,4gy for Silvans imnimi. family of businesses www.johnwparkin.com c McCurdy Point Addition Mark Berlin Carport and Mudroom engineering MJD 5-29-2013 JOB# 16907 ( ) Pad P245 ort TownsendMcCurdy , Woint A 9836Ro 8 D JUN 4 2013 JEFFERSON COUNTY _ DEPT OF COMMUNITY DEVELOPMENT 4���T KILL,/ 4, x, 46 '1 ,c, Off, ,i‘ a- iii- 0 ... �Ss oNAL 0 EGISTE3 s- 45 CONTENTS: 16906 1-5.R1 16906 S 1.0-S 1.1 R 1 16906 52.0-S2.1 R 1 16906 S4.0R 1 16906 S5.0 PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE (360)694-8378 VANCOUVER,WA.98686 FAX(360)694-3376 W W W.JOHNWPARKIN.COM PARKIN ENGINEERING INC. 1 C10 ''''''�' r CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER,WA 98686 FAX(360)694-3376 L l (,-.e r.. ,/ f ,)./_/ v / i_-3t Is i. j l. f;;E.-tf+.f7 ` I) /V (.9 e__,,,,)rvi H,,--c- 'F`tw Y-'-- 17._-_-- >, (=spa,-c, \ ti-., t"''. I r t ,,. f4 ,2S—' t6 i ' ` - ( l —F-Cc,r "w. Ai:,)/./f.:.? 4 6 i ` J x >r .-. 13-7- 1 i tT ?i...3 t.;1 i-' :1:_... .. i.I d� i t!.__ 1 � s a `- I i_. i.,,, J t x i w ` _ 1 I F G ,-.),_811,_ / !I,, f ..i J p ` i ° t` s ¢ :-. t ' ` .. .ate 1.... s SMITH-ROOT,INC. A member of the Smith-Root,Inc. �t iiLhgvFor F'dwiesCmurvofion family of businesses www.johnwparkin.com PARKIN ENGINEERING INC. / e70 2_R CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360) 694-8378 VANCOUVER,WA 98686 FAX(360)694-3376 r F ( ,. R✓ 1.�,-- f6,�1` 1,...--zE_..-S '".,...#...✓il"- 'l ' 2 IS S "48„nwr«k,"'.". h i fP/ t t... ,L1_,..?,- Y,:---/''-',---- t ° ,' t >j"« + 'n-::,, < /477,,-2_,<" j'm_ _, � SMITH-ROOT,INC. A member of the Smith-Root,Inc. 'T loerkrFi,leiecon:mnion family of businesses www.johnwparkin.com PARKIN ENGINEERING INC. -3' l CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360) 694-8378 VANCOUVER,WA 98686 FAX(360) 694-3376 { r'h I`,/T l � (.)i',"t.�.Ji' q.,, l' era ,. , fie j t c.. d✓'?-. IL/4 t`r �. , F o rr rs`-f tom �p � � ,j%` f f F f ,..,6 _ f L., ( ,„„, .;....-rte <,. 4 . 3 6) ;) ( C. r/ " '" • f cr7 c—_ .. 1 SMITH-ROOT,INC. A member of the Smith-Root,Inc. indnologyFor Fshed,,Ce,,uston family of businesses www.johnwparkin.com PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360)694-8378 VANCOUVER,WA 98686 FAX(360) 694-3376 i 4,. � 1 3.45( - c il k i.� //z' \\ Pit.,u V I 1(5 (2) y., fi.,c. ("2 i 7 444 C;(C?) ,' 7 7 e5 I . f 6- Fa►CGS 7" - 26 c,,s (n s'� _ ,.etc--164- ' 20 's- 1"<(6S , . 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T a 1 !.,1, ill v ,(D, McGUR17'r' F'OINT ADDITION I it, ,;_ . ; 1\•) 11 PORTE COCHERE/MUDROOM/PECK I ill 1/11 11 ■L-. —.... 0,i 245 McCurdy Point Road 11 II Port Town9end,INA 95565 • 1 .r.—J • • •• Contractors or Tradespeopleonter Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L£tl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name RUBIO 8 CO UBI No. 603137514 Phone 3603854452 Status Active Address 2529 Holcomb St License No. RUBIOC*895NQ Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 8/18/2011 State WA Expiration Date 8/18/2013 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date RUBIO,ANTHONY J Owner 08/18/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Contractors Bonding SJ3107 08/18/2011 Until Cancelled $12,000.00 08/18/2011 Et Insurance Co Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Contractors 1 Bonding a C11SJ3107 08/18/2011 08/18/2013 $1,000,000.00 06/25/2012 Insuranc Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 6/4/2013 ' t ik06.4e;rn40 0d JEFFERM COUNTY I DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax $,s, AO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1-3 --34 Project Description(include sepa - e sheets as necess: el,) °( e k c an Co n '4-Nb„e unItcc-e l I Oe� c ilt . Tax "areal Number: /0/ 325 O o) Property Size: 4.72 a c/'<,S (acres/square feet) Site Address and/or Dire 'ons to Property: 245 �CU` po;., K�. rOf l�w„s�� Uf ,g3.4-15 Property Owner(s)of Rec6rd: t1 lc J et it'll Telephone:360-3b- ` 1?3 Fax: email: Mailing Address: 5 A M•e c..s ro Cc / Applicant/Agent(if different fro owner •Al on r`� [�. A16".-0 TL Telephone: lo. d 0 : y - Fax: J Mailing Address: 0 A :G ! i r 6•ail: 5�r�rr n S u -.5i-i.C h• What kind of Permit?(Check each •••x that applies Auilding ❑Critical Areas Stew ip —' 'stir Demolition Permit - ❑Variance(Minor,M r Ra :•!a . :s i I ❑Single-Family , ❑Garage.. Attached/Detached ❑Conditional Use[C i ( or C]"" 1 ❑ Manufactured Home_ ID Modular ❑Discretionary"D"o rY �m`a�ed Use Classifi ! � ❑' Commercial*': ) " ) c��Q I ❑Special Use(Essen i '�ublic ieS �` LU I� 4 0-:Change of Use ❑Boundary Line Adjuent ❑ Address' ❑Road Approach ❑Short Plat"" Li Li 0 Home Business ❑Cottage Industry ❑Binding Site Plan"" I ❑Propane ❑Long Plat"* JEFFERSON COUNTY ❑Sign ncoY OF CD°��}9L'Jlh C�'.,Fl OP F"T ❑Allowed"Yes'Use Management ten Analysis 0 Rural Residentialdet►�D)/Amendments"" Consistency Y ❑Plat Vacation/Alteration'""" ❑Stormwater Management' O Shoreline Master Program Exemption/Permit Revisions*" 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'" q 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 1 hereby designate to act as my agent in matters relating to this g 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 -nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re* d later i -pections.- Staff's access and.right of entry will be assumed unless the applicant informs the County in writing at the time of the apples on that h • •- •ti •rior notice. - Signs•.n_*�' - - �" ...f Date: ( 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 Speoies Act"or"ESA.°Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued ill not violet- the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you. a in compli�t with the Jefferson County development-code.The Applicant acknowledges that he,she or it holds individual and non transfer responsibi ' for adhering to and complying with the ESA. The Applicant has read this disclaimer and-signs and dates it below. Sign.:: c: ,,� Date: DZ' /4.'" 3 G:\PemvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . .. - ... II 0 _ 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 CONT' OR OR MANUFACTURED HOME INSTALLER: PHONE:. FAX: RvLr'Q AA X, Cdrvp& (5CO) 301'51111 ( . ) _ .. MAILING ADDRESS: 2521 yak_d 4 5'L l!4 r 7L 7-4-9-1_,a uJ EMAIL: CONTRACTORS LICENSE 111 WAINS Ku61oC$15Na d NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (3to )Kg983T 3 FAX:(5Co) C! 4.. 7( 1401 N� 5. Eh q,✓lcer nq� �q p l MAILING ADDRESS: rya4 Cite lc AYt! �NLoW/J W /8`0` EMAIL Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal: o _New Wood Existing: ❑ Sewer Addition- 0 Steel Proposed: 0 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: i Hei$ht: ,, Individual System- . .. ❑ Repair ❑ Masonry 3✓ SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: . Existing: 1 Setback: /Private well 0 Two Party Type of Hell Pro po sed: D 07`"yr` ❑ Public V/l'e A Total: _Z____ Name of System: If this is a Commercial Protect 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-Prooane Tank and/or Appliance Installation permit,mark all items below that apply: 1>Underground Tank i Above ground Tank Size of Propane Tank: - 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove T Other . Isthis.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, - includin• the reserve area. S•uareFootae Current Pro•osed w r �� - _ - "` -.t,•1 �_,. Main Floor Heated i'2 - , EH BId App Review: I O 2 Floor Heated z g Consistency Review a Other Heated ' Base fee: j Mezzanine - -: --' -, Additional Section: Heated Basement - N., .: Plan Check fee: } 1{72 .619 Unheated Basement i ?: - State Surcharge fee: ,�( 1 Other Unheated ; p L Pot Water Review fee: _ C010k Pin --> Garage/Carport IT,Y"►7 • SUBTOTAL 7 Decks O 140 911/Rd Approach fee: ,! Other Y TOTAL $ 1 .24 - tz Receipt Number. (A(Do02, ,L.-_ Cash/Check Number: F (C-7Q3q 7 ESTIMATED COST(REQUIRED) Date: _ .Fat market value of all labor and materials foundation to finish 5)160-0 • Initials: c____/ 'C i14.43 Trae.ea (4 4 - ti3 i'CciakfAcze. GAP emvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc ! Up Front Parcel Reviev Parcel 101325003 Printed: March 12, 2013 MARK BERLIN Site Address: 245 MC CURDY POINT ROAD 245 MC CURDY POINT RD PORT TOWNSEND WA 98368 PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368 Parcel Number: 101325003 S-T-R: 32-31N-01W Total Acreage 5 Legal Description MIDDLEPOINT LAND CONSERVANCY LARGE LOT Land Use: 1100 SUB-DIVISION LOT 3 SUBJ/JLT CONSERV EASE V394/P80 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: School District 50 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ V Plot plan states "property line" [y/r Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ irr Legal Access to Property 40 NO [ 1,J— Parcel Tags or Scanned Documents olliir NO [ 1,.r ESA's: Special Reports Nearby YES NO [yr Designated Ag YES 0 [ VI- Shoreline Designation: gify No kO _ ou o 20 a [ [ Shoreline Slope Stability: YES NO Stream Type:YES NO Fish& Wildlife:YES NO f- Wetlands: YES NO 5 e"--' .2,06j 0 -g — 5 Rare Plants:YES NO Seismic: NO 5 Landslide NO Flood: YES NO Erosion: YES NO Aquifer Recharge Are :YES NO _ _, SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDis • r ected CMZ Stormwater site plan s�u• itted: YesNo [ l( Forest Lands: YES OPT Adjoining Forest Lands: Commercial/ Rural/ Inholding [VI Mineral Lands: YES [ Agricultural Lands: YES 0 [ Archaeology: YES vSI [ Stormwater: New Im Surface '-{ Land Disturbing Activity ESA's Stormwater Req's• in Req#2 Mm Req#1 thru#5 Min Req#1 thru#10 Engineering M� Notice Provisions isc osure: ' •4•ort YES NO MRL YES NO Forest Lands YES NO [ VJ Landscaping Required: Yes l ' [ a/Parking Spaces Re• ired NO r Other f V Building Height: GO UBC Standard [ 1.K.Impervious Surface covera a percentage: Resource Lands&Public: Rural Residential: % Rural In ial: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural I trial Lands only [ \./1" Total Building (s) Size: RVC:20,000 SF CC:5,0 0 SF NC:7,500 SF GC: 10,00 All others:subject to septic&water constraints/Noe specified [ Setbacks: Front: Left Side: C.5 Right Side: 4C Rear: 43 Shoreline Setback: LSHA Setback: [ 14 Road Classification: Road Approach: EXISTING : REQ'D RAP YES XEMP [ rA- Flood Certificate: [L- Existing Case(s)&Condition(s): Violations: Yes No [4' Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ CY Lots/Require Declaration of Restrictive Covenant YES°A.submitted: YES NO [ UGA No Protest Agreement YES submitted: YE NO [l.� Site Visit conducted YES 411► • [A4/ Require Final Zoning Approval YES + O [ t( ADMIN: Setbacks entered in Permit Plan case YES New Parcel Tags entered in Permit Plan (9 YES Special Reports Scanned 60 YES Title Notes Updated Parcel tags found for parcel 101325003 1.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 2.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 3.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 4.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 5.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 6.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 7.) Erosion/Sedimen Plan required OK BY BOMI 09/21/95 10/9/95 Parcel tags found for parcel 101325003 8.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 9.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 10.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 11.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 12.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 13.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Parcel tags found for parcel 101325003 14.) JLT CONSERVATIO #355053/Vol 394, p.80 12/13/95 Cases Associated with APN 101325003 Cases Name Review Type Status Planner \\tidemark\data\forms\R_Parcel_CRMLA.rpt 3/12/2013 Page 2 of 3 • BLD93-00454 LESSMEIER F Application Received: 6/30/1993 it Issued/Case closed: 7/13/1993 like Finaled: 10/9/1995 single family residencee-covenannts on the property OTH93-00012 LESSMEIER A Application Received: 6/30/1993 Permit Issued/Case closed: 7/2/1993 Case Finaled: private well BLD95-00454 LESSMEIER F Application Received: 8/10/1995 Permit Issued/Case closed: 8/22/1995 Case Finaled: 8/27/1996 Garden shed M LA03-00439 ZONO3-00051 MLA03-00439 MORGAN I E S HOSKINS Application Received: 8/6/2003 Permit Issued/Case closed: 8/25/2003 Case Finaled: Site Plan Approval Advance Determination MLA13-00034 BLD13-00055 MLA13-00034 BERLIN I P Application Received: 2/14/2013 Permit Issued/Case closed: Case Finaled: CARPORT, UNHTD NEW DECK ADDITION TO EXIST SFR SEP93-00286 LESSMEIER F Application Received: 2/4/1991 Permit Issued/Case closed: 7/12/1993 Case Finaled: 12/3/1993 SOM93-00286 ROSS TRUSTEE RCR Application Received: 12/3/1993 Permit Issued/Case closed: 9/5/2012 Case Finaled: \\tidemark\data\forms\R_Parcet_CRMLA.rpt 3/12/2013 Page 3 of 3 • BUILDING PERMIT APPLICerION MLA13-00034 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00055 Received Date: 2/14/2013 SITE ADDRESS: 245 MC CURDY POINT RD PORT TOWNSEND, 98368 OWNER: MARK BERLIN PHONE: 360-385-9983 245 MC CURDY POINT ROAD PORT TOWNSEND WA 98368 MIDDLEPOINT LAND CONSERVANCY SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 101325003 Section: 32 Township: 31 N Range: 01 W CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5 Expires 3/6/2013 REPRESENTATIVE: SIMON LITTLE PHONE: (360) 360-640-8814 210 N VICTORY AVE • PORT TOWNSEND WA 98368 PROJECT DESCRIPTION CARPORT, UNHTD MUDROOM & NEW DECK ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 51,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 84 SHORELINE: CONST TYPE: GARAGE: 384 SETBACK: DECK: 408 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 0 Prop: 0 Total: 1 otal: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $650.75 LYK 02/14/13 140002 Plan Check $422.99 LYK 02/14/13 140002 State Building Code $4.50 LYK 02/14/13 140002 Total: $1,078.24 \\+iAumer4\rle+e\fnrrne\P PI Il Ann PIA rn+ 7/10/7!11'2 • • 4e14--.6°\ JEFFERSON COUNTY ` +r DEPARTMENT OF COMMUNITY DEVELOPM 14 FEB 142013 I 621 Sheridan Street• Port Townsend •Washington 9 "83681 .q% +�c7 360/379-4450 . 360/379-4451 Fax JEFFERSON Coy:do http://www.co.jefferson.wa.us/commdevelopment/ DFPr p,=COMMUNITY Dtt%EIOPMEM Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: McCURDY POINT ADDITION / studioSTL.Simon Little 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 4.723 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 205,730 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 Geared,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 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic 0 /ft tic tank,etc. sq/ft Circle: p q 111 eS � N`l 0 Well,utilities,etc. 0 sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking, roads,etc. 0 sq/ft 0 Circle: I n I yes 1,10 Lawn, landscaping,etc. sq/ft Other compacted surface,etc. ° sq/ft Indicate Total Volumes.of Proposed: Total Land Disturbance 0 sq/ft Cut 0 Fill 0 (cu/yd) [over] stormwater talc worksheet—REV.2/20/2008 1 Standard Conditions for Res.tial Development in Jefferson Coin 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. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re- vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta),Douglas Fir(Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder(Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak(Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7. 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. 2013-03-075FR_StdConditions 3/7/2013 1 ter Itel oosON % JEFFERal COUNTY DEPARTMENt COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend •Washington 98368 A ,N. 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Applications L 13 -34 • Project Description(include sepa a sheets as necess : i I NUJ else Comer( AAK iincon�L��bne, ►ti 5f-eg[iiii�iol a,Z0134 c',.�' ff.);1tn( e Tax foarcel Number: / 0/ 325 ()D) ' L �' Property Size; , Z a cr S (acres/square feet) 1 Site Address and/or Dire 'ons to Property: ' JEFFERSON COUNTY ��' fQCOMU /DEV 0•M245 l�cCu� �'���� 9- KJ. ;3�� Property Owner(s)of Record: Mwk lc- J e.Y 11 fit Telephone:3CO-'585- TI F3 Fax: email: Mailing Address: 5 a«•.e. co rai lc / Applicant/Agent(if different fro owner on r`t C.f_ 7c01,-0 TL // Telephone: Iv0 O 1 Fax: �-� email: 56 *01 t° 5 u �'u St'/•c Mailing Address:/0 N. V:07 (rt., 70 r-1- �uh 1 i4 klA 7g3'6.8 What kind of Permit?(Check each ox that applies Auilding ❑Critical Areas Stewardship Plan O Demolition Permit . ❑Variance(Minor,Major or Reasonable Economic Use) 0 Single family ' ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]" O Manufactured Home ' El Modular ❑Discretionary"D"or Unnamed Use Classification ❑ 'Commercial' ❑Special Use(Essential Public Facilities)" ❑:Change of Use 0 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" ❑Stomiwater Management ❑Shoreline Master Program Exemption/Permit Revisions" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development-- 0 Temporary,Use ❑Shoreline Management Variance 0'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 -nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re. :d later i pections. Staffs access and.right of entry will be assumed unless the applicant informs the County in writing at the time.of the appl �on that h • •: t,.• •rior notice. Signs•0'- iii — Date: 0-/4- 15 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 11 not violet- the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you.- in,compli>r wig the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non transfe - responsib'v for •,= ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Sign= . si ---�..� Date: OZ !�� 3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • CC CU H = O Q LL N .0 Z LL O H O CO -7 LID O CD — Cr) O -J LU O "O — LO J O O C_ CD -0 X CX -o +.1 CO Z / C C.) 0 = H 1J Lu O 0 00 -F. "O H O O I Cn 7 L L L CO r--- cc U U U W Z O CC O J CL 0- X I- I- O O O CO CO } O_ N N U F— N "O Z O = O Q J f3) U co CY ' co 'O CO W Cr >. C = = O CO B F- LU Z CO O CC CO O CO CO O LU J C-1, O O CO -0 CL Z H CO Z CC C O CO CC H -- .-- U H LLJ 3 I- CC X •- 7 Z X F- CV O H >. 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I• .110 .4 c I Fi i g 0- 0 zi T .4..A; 5 > McGURDY POINT ADDITION .' 21: A 8 .N Z PORTE COOHERE/MUPROOM/PECK ': !•;: .., (1) . 1.3 ■.1. niCU 4:", 245 McCurdy Point Road r—i Port Townsend, lAtA 418568 Contractors or Tradespeopletnter Friendly Page • Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name LITTLE Et LITTLE CONSTRUCTION UBI No. 600565184 Phone 3603855606 Status Active Address 1210 West Sims Way License No. LITTLLC157C5 Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 2/25/1985 State WA Expiration Date 3/6/2015 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status KITCHBS945ND KITCHEN a BATH Construction General Unused 8/18/2006 8/23/2014 Active STUDIO Contractor WHITEJG952DN WHITEY JOHNSON Construction General Unused 3/15/2005 3/15/2015 Active GEN CNTR INC Contractor WHITEJG159DN WHITEY JOHNSON Construction General Unused 3/15/1985 3/15/2005 Archived GENERAL CONTR Contractor JOHNSLC162PN JOHNSON&LITTLE Construction General Unused 10/15/1984 10/15/1985 Archived CONST CO Contractor JOHNSLC213PN JOHNSON&LITTLE Construction General Unused 10/15/1979 10/15/1984 Archived CONST CO Contractor Business Owner Information Name Role Effective Date Expiration Date LITTLE, ROBERT LEE President 02/25/1985 LITTLE,CHRISTINE ANN MIMI Secretary 02/25/1985 LITTLE,GAGE ISAAC Treasurer 03/03/2011 LITTLE,SAMUEL ALEX Vice President 03/03/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 9 RLI INS CO LSM0142377 02/18/2010 Until Cancelled $12,000.0002/22/2010 8 NATIONWIDE MUTUAL 7900640031 02/18/2006 Until Cancelled 02/18/2010 $12,000.00 12/12/2005 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 26 Nevada Capital NCIC0005439 11/05/2012 11/05/2013 $1,000,000.00 11/06/2012 Ins Co Kinsale 25 Insurance 01000037120 11/05/2011 11/05/2013 11/06/2012 $1,000,000.00 11/02/2012 Company Kinsale 24 Insurance CCP00223246 11/05/2011 11/05/2012 11/08/2011 $1,000,000.00 11/04/2011 Company 23 Century Surety CCP679003 11/05/2010 11/05/2011 $1,000,000.0002/10/2011 https://fortress.wa.gov/lni/bbip/Print.aspx 3/28/2013 Contractors or Tradespeoplinter Friendly Page Page 2 of 2 BROWN& 22 RIDING CCP679003 11/05/2010 11/05/2011 $1,000,000.00 11/04/2010 INSURANCE SERVI 21 Nevada Capital NCIC000720 11/05/2009 11/05/2010 $1,000,000.00 11/05/2009 Ins Co 20 INDIAN HARBOR ESG0024709 11/05/2008 11/05/2009 $1,000,000.00 11/04/2008 INS CO 19 INDIAN HARBOR ESG00247079 11/05/2007 11/05/2008 $1,000,000.0011/02/2007 INS CO 18 CORNHUSKER WAC460053 11/05/2004 11/05/2007 $1,000,000.00 11/03/2006 CASA CO Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 08--2 003-35 2 Date: 10/09/2008 Date: Date: FERGUSON ENTERPRISES INC JEFFERSON Amount: $5,128.55 Dismissed Amount: $0.00 Amount: InterPlead: No Bond(s):7900640031 Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 3/28/2013 - . • ,...• , •„ . 0 ,/: \\,\-/ //./ / / ,i :,,/-- , • • .• ,•" : • ,...., , ..,...,••---,-' ,, \'- -- --; N ' ; j. ••:N,;-'.:•• i ,. . ; - ,,‘.;)'•"';,‘.i,,',./,, ',.„,.,..- , , '‘ , / t"'k ''':"'•..„ ..! 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The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes 3-C. Setbacks (6 C . Foundation Footing r r> Framing .7 2S ►3 Insulation:Walls Zq ?3 Insulation:Ceiling 2‘1 i3 Wallboard Nailing 3 Rep 071/5 1f— FINAL INSPECTION j 0.3!: 11) A2,2 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD13-00055 1.) Deck footings must be 3'or more away from the edge of the septic tank. 2.) 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. 3.) The site plan as submitted with the Building Permit application on March 4, 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. \\tirI mark\data\fnrmc\F RI fl Parmit Rlrin rnt 1/7R/7f111