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HomeMy WebLinkAboutBLD2014-00234 BLD14-00234 Bk.' DING PERMIT APPLICATSIP Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00234 Received Date: 7/3/2014 SITE ADDRESS: 200 CHIMACUM CREEK DR PORT HADLOCK, 98339 OWNER: STEPHEN R RICKETTS PHONE: GLORIA W RICKETTS JTWROS 200 CHIMACUM CREEK DR PORT HADLOCK WA 983399415 CHIMACUM CREEK ESTATES DIV 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 943700004 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: G LITTLE CONSTRUCTIONS PHONE: 360-385-1020 1210 W. SIMS WAY PORT TOWNSEND WA 98368 Contractor's License GLITTLI886KZ Expires 5/9/2016 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDITION TO SFR (177 SQ FT) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 164 VALUATION 195,211.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 13 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 0 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: 1q( yP,Olga s.l l^ Permit $1,699.00 SRE 07/03/14 148864 Plan Check $1,104.35 SRE 07/03/14 148864 hiIOZ 9 0 91v State Building Code $4.50 SRE 07/03/14 148864 _ Total: $2,807.85 a r '° V \\tidemark\data\forms\F_B LD_App_Bld.rpt 7/3/2014 ON • JEFFERS�COUNTY • _�� �r" DEPARTMENT OF COMMUNITY �`F, ��s DEVELOPMENT • trr f∎', 621 Sheridan Street, Port Townsend,WA 98368 I Web:www.co.jefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.iefferson.wa.us SquareONE Resource Center 1 Building Permits&inspections 1 Development Review I Long Range Planning July 15, 2014 STEPHEN R RICKETTS GLORIA W RICKETTS JTWROS 200 CHIMACUM CREEK DR PORT HADLOCK WA 983399415 RE: SITE ADDRESS: 200 CHIMACUM CREEK DR CASE#: BLD14-00234 Dear STEPHEN R RICKETTS: We have started the plan review process on the subject permit. Unfortunately, we are unable to finish the necessary plan review. We are in need of additional information and/or items as listed below: The plans submitted are incomplete. Please submit revised plans showing the following: -Rebar schedule -Floor joists -Footings proposed -Insulation ratings -Window proposed Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions, please feel free to contact me at(360)379-4450. Sincerely, Plans Examiner L.Jp- EOVE i JUL 2 1 2014 c: File G LITTLE CONSTRUCTIONS G LITTLE CONSTRUCTION JEFFERSON COUNTY _ DEPT.OF COMMUNITY DEVELOPMENT G LITTLE CONSTRUCTIONS cQ.L. t-Pca 74 VI t---E \\tidemark\data\forms\F_B LD_Add I nfo_PInChk.rpt 11/3/1999 • • When recorded,please return to: Jefferson County Department of Community Development Development Review Division 621 Sheridan Avenue Port Townsend, WA 98368 RESTRICTIVE COVENANT Irondale/Hadlock Sanitary Sewer System No Protest Agreement Grantor(s): _Stephen & Gloria Ricketts Grantee: County of JEFFERSON, a Washington municipal corporation Reference: BLD14-00234 Assessor's Property Tax Parcel(s) No: 943 700 004 DESCRIPTION OF REAL PROPERTY AFFECTED: Lot(s) Lot 3 Block(s) Div._2 of_Chimacum Creek Estates Section_2 , Township_29N_, Range 01W WM. WHEREAS, the Grantor(s) are owners of the parcel(s) listed by owner and parcel identification number above and said parcel(s) is/are located within the planning area boundary of the Irondale/Hadlock Urban Growth Area (UGA); and WHEREAS, confirmation of sewer service and connection to sanitary sewer is a condition of development or redevelopment of a commercial, industrial, or multi-family residential use located in the sewer service area within the planning area boundary of the Irondale/Hadlock UGA; and WHEREAS, any commercial, residential and/or public development and/or redevelopment at or upon the parcels listed above may be permitted to hook up to and utilize on-site septic systems subject to the terms and conditions of this Restrictive Covenant Irondale/Hadlock Sanitary Sewer System No Protest Agreement Page 1 of 2 P:\DavidWJ\Planner Info2\Forms\NO PROTEST AGREEMENT 01-09-2008(2).doc . IP copy NOW THEREFORE, the GRANTOR covenants and agrees that at any time a Local Infrastructure Financing Tool (LIFT), including but not limited to a Local Improvement District (LID), Utility Local Improvement District (ULID), or any other pro rata sharing of costs to construct and extend public sewer to the parcel(s) listed above is formed and the(se) parcel(s) are subject to a LIFT or within the service area of a LIFT, then the owners and successors in interest as their interests as they may appear of the parcels hereby waive their right of protest to said LIFT except as to the method of assessment and NOW, THEREFORE, the GRANTOR covenants and agrees that development or redevelopment at the parcels listed above shall connect to the sewer within one year of its availability; and GRANTOR and GRANTEE acknowledge and confirm that the terms and conditions of this Restrictive Covenant "touch upon the land" and shall "run with the land" or any part thereof described in this agreement for perpetuity. DATED this day of , 20_. PROPERTY OWNER(S): STATE OF WASHINGTON) ss. COUNTY of JEFFERSON ) On this day personally appeared before me , to me known to the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that signed the same as free and voluntary act and deed, for the use and purposes therein mentioned. Given under my hand and official seal this day of , 20 . NOTARY PUBLIC in and for the State of Washington residing at My commission expires: Irondale/Hadlock Sanitary Sewer System No Protest Agreement Page 2 of 2 P:\DavidWJ\Planner Info2\Forms\NO PROTEST AGREEMENT 01-09-2008(2).doc O Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_StdConditions 3/7/2013 1 i Sally Ellis From: David W. Johnson Sent: Monday, March 02, 2015 10:33 AM To: Sally Ellis Cc: David W. Johnson Subject: RE: BLD14-00234 Go ahead and final it. I signed off that activity. From: Sally Ellis Sent: Wednesday, February 25, 2015 10:24 AM To: David W.Johnson Subject: FW: BLD14-00234 Hey David- Please see the below email from Little and Little-please advise how we proceed? If there is anything we can do? Or if this must be signed? From: Laurabelle Ritter [mailto:laurabelle @g-little.com] Sent:Wednesday, February 25, 2015 8:47 AM To: Sally Ellis Subject: BLD14-00234 Hello Sally, The customer's are refusing to sign and record the No protest agreement. G.Little would like a final inspection preformed to just sign off our portion,for obvious reasons. If the county would then like to hold on issuing the final,we would understand. We would just really like our portion signed off. Stephen Ricketts 200 Chimacum Creek Drive, BLD14-00234 Thank you, Laurabelle Ritter G . LITTLE 1210 W. Sims Way, Port Townsend, WA 98368 T 360-385-3443 F 360-385-5078 q-little.com 1 • I Sally Ellis From: David W. Johnson Sent: Monday, March 02, 2015 10:33 AM To: Sally Ellis Cc: David W. Johnson Subject: RE: BLD14-00234 Go ahead and final it. I signed off that activity. From: Sally Ellis Sent:Wednesday, February 25, 2015 10:24 AM To: David W.Johnson Subject: FW: BLD14-00234 Hey David- Please see the below email from Little and Little-please advise how we proceed? If there is anything we can do? Or if this must be signed? From: Laurabelle Ritter [mailto:laurabelle @g-little.com] Sent: Wednesday, February 25, 2015 8:47 AM To:Sally Ellis Subject: BLD14-00234 Hello Sally, The customer's are refusing to sign and record the No protest agreement. G.Little would like a final inspection preformed to just sign off our portion,for obvious reasons. If the county would then like to hold on issuing the fmal,we would understand. We would just really like our portion signed off. Stephen Ricketts 200 Chimacum Creek Drive, BLD14-00234 Thank you, Laurabelle Ritter G . LITTLE 1210 W. Sims Way, Port Townsend, WA 98368 T 360-385-3443 F 360-385-5078 q-little.com 1 I Sally Ellis < > From: Laurabelle Ritter laurabelle little.com @9 Sent: Wednesday, February 25, 2015 8:47 AM To: Sally Ellis Subject: BLD14-00234 Hello Sally, The customer's are refusing to sign and record the No protest agreement. G.Little would like a final inspection preformed to just sign off our portion,for obvious reasons. If the county would then like to hold on issuing the final,we would understand. We would just really like our portion signed off. Stephen Ricketts 200 Chimacum Creek Drive, BLD 14-00234 Thank you, Laurabelle Ritter 1210 W. Sims Way, Port Townsend, WA 98368 T 360-385-3443 F 360-385-5078 q-little.com 1 °? JEFFERSON COU• DEPARTMENT OF COMMUNITY DEVELOPMENT• -,''.r 6C°- l .--�∎Time Received: ( am m Mon. Tue. FesC) Thur. Fri. Date: --2 � BLD: 1,— 2C\-- Contact Name: Owner: (12`c-V `t t— Contact Number: 360 Address: U 7 (� ( �.f-(� c t,1/4- e/Le-Vic SA_ i 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection/ Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling o°2 JEFFERSON COUNII s =�÷ DEPARTMEN OF COMMUNITY DEVELOPMENT SHtvCit Date: /9 /..5—Time Received: /2,39 am/.p.pe Mon. Tue. Wed. Fri. Date: 729-1(p BLD: /CI'/13`71 Contact Name: Owner: Contact Number: 360 724G2,y/y Address: app cJZ/k4/w,.+a 206 Notes: ._.}-� B Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling • ¢SON c0 ww °� JEFFERSON COU /~„ DEPARTMEN OF COMMUNITY DEVELOPMENT 9,,H1 NC'�O� ------ Date: /mac Time Received: 7:� 4m m / Mon Tue. Wed. Thur. Fri. Date: VW//` BLD: 14 - OO134. Contact Name: euac-lc Owner: kocx57 Contact Number: 360 3 - z' Address: 2'' 641,,ICu-f L>zege. Dk 206 Notes: Hozb P k Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear X Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ^ens `o JEFFERSON COW. . DEPARTMENT OF COMMUNITY DEVELOPMENT ss„ e r Date: `.,Z-Z. Time Received: 1 i/3 an Mo . Tue. Wed. Thur. Fri. Date: 8e2.5 BLD: 1 1{- A31-- Contact Name: Owner: Contact Number: 360 :3(%i 024,Yg Address: ),O0 4.414. C.. C 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor— Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block & Tile Ceiling SON c - - co _ A. r ii k r • • _e io `OO JEFFERSON COUNTY '' DEPARTMENT OF COMMUNITY DEVELOPMENT Date: cs--t Time Received: 712_, am m Mon. Tue. Wed Thur. Fri. Date: &-2O BLD: 1 — A 37i" Contact Name: CJ Ucir, 1.4 0-6.4i Owner: Contact Number: 360 Sot 2,(0 3q, Address: 2,00 clA,cw. Cam.- —.e.�& 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks 7 Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling _SON co .�� °1-. JEFFERSON COUNT & DEPARTMEN E COMMUNITY DEVELOPMRT is/f r N G.0 Date: II DTime Received: _3 6/0 Mon. Tue. Wed. Fri. i 1 71 Date: 1.D.-2 BLD: /41/'tPUtt Contact Name: / Owner: Contact Number: 360 3/ AL,.?"/ Address: a00 C.,ukt e-rte.1.4 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing A Under ground Furance Footing Rough In Air Seal 1.. Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling JEFFERSON CO ,e0 1-,-' �. DEPARTME OF COMMUNITY DEVELOPMENT 'II N G Date: /'-0 Time Received: .725- 09/Pm Mon. 40 Wed. Thur. Fri. Date: l29_7 BLD: /t `-a3t/ Contact Name: Owner: Contact Number: 360 Address: A©p LL/16 GR 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall X. Address Posted Block &Tile Ceiling CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT 181 Quincy Street, Suite 301A,Port Townsend WA 98368 PLUMBING CERTIFICATION PRESSURE TEST BUILDING OWNER P- s PERMIT# ADDRESS 2 a 0,0 DATE OF TEST `-1 - PLUMBING CONTRACTOR r,no, tt.).1,c►.vJ Qc uw,",M-- LICENSE# 116^,: (..P 014 ❑ GROUND WORK '„ROUGH-IN PLUMBING 0 FINAL DWV WATER SERVICE Air PSI Air PSI Water o Head Water C' Working Pressure Time C;,,,Minutes Time Minutes NOTE: TESTING REQUIREMENTS(SECTION 318 UNIFORM PLUMBING CODE)MINIMUMS: Water Test—10'Head—15 Minutes Test at Working Presure Air Test—5#PSI—15 Minutes 50#PSI—15 Minutes I hereby certify the information provided above is the result of the Plumbing System pressure test conducted by the undersigned at the indicated address and date. Misrepresentation of this certification is a gross misdemeanor under RCW.9A.72.040 subject to a two-year statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE COVER. � Signature Date 1 — ' 14‘ SON r, • `�v4. �G� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT .. 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.ee.jefferson,wa.us/comr unitydevelopment �-111-1.16s° Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd(�co.jefferson.w us r i ,v�,/ i Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource tenter Master Permit Application MLA: i , 1 i, i Project Description(inclyde separate sheets as necessary): - i ' SF R, Add( rgw-N , Tax Parcel Number: j(4-1--TO Q — co Li Property Size: - - - - -- - - (acres/square feet) Site Address and/or Directions to Property: 240 Ctext mac IA..m Cr e.e_ 1Z..• Zr. c Rri(-t- IOck , L � Property Owner(s)of Record: 1r1,en. 4 G t01Y 1 Ol RI ciAe. S Telephone: 3(00- 5 - L'S y Fax: T�� email: Mailing Address:Zc50 C..�rs yv-t.gCt..Lw- Cre e.IL aY . b 4' is Applicant/Agent(if different from owner): . Litt-l.c., Cc rt t'y kjOVI Telephone:3(p0-325 - 1,02-o Fax:3(4=0- 32'S —50T email:LO,.LJ%04C>eate Mailing Address: 1020 S%VY`S for v 4-1bAfer 3 'a— kA k{-Va. • c r' What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation Xpuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑ Short Plat** ❑Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑Propane ❑ Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: 1 `^�_.D._ SIGNATION OF AGENT I hereby designate W to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE L_2:1 1,€"_,L- LJ Date: � tj. / 20 I L By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl' t he or she wants prior notice.-11.1./ Signatur Date: '-Z I — The action o actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfe esponsi ' for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur ' n -1-Date: ` Z (—I Li \\\ 07/24/2013 • • BU • : STATEMENT The sig - • this stateme does hereby certi • ey are the 0.. -rs of ., :. e referenced herein,that t are not I' • on racto•and that the ' ill be assuming th• responsibilit • - General Contract.'• - proposed project. Signature: Date: GENERAL CONTRACTOR PHONE: FAX: E i • U "I t.. C O 1r1 S y U.C± t, 0 Y1 3‘0)3ISS-602-O 54=0 SES S6-I2 MAILING ADDRESS: L'Z O 1.0 • S `t.. EMAIL: , . , Le_ .,•„L. ,_ , CONTRACTOR'S LICENSE rbr+-Te›owns ev.d•,�,.L 4 WAINS NUMBER: 621-CT T L L 886K7— NUMBER ARCHITECT/ENGINEER: J PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: 2. Cl Sewer )1( Addition ❑ Steel Proposed: O Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2. Height: Xandividual S tem ❑ Repair ❑ Masonry SEP Permit# S-- oOLI Bedrooms: Water Supply: ❑ Demolition El Other: PP Y: Existing: 3 Setback: ❑ Private well ❑ Two Party T pe of Heat: ' ` Proposed: ❑ Public Total: ___,._ Name of System: If this is a Commercial P •'ect ou must answer the followin.: Number of -- ng Spac=: -, Proposed: mber of ADA Parking Spaces: Nu •-- of occupa . :-s owners,tena ,emplo - , - c Current Pr.•• -- :C Occupancy: IBC Typ • -. ruction: A ' •• ave Food Servi.-'? - ! • If this is a Pr._:,:,u-'Tank and/or _L:,ir l.m- Installation •- u- - I11i ems below that apply: Under. • nd - k .ove groun• ank Size of' •pane -• . .t Stov- C.= tove Wood- ove "'replace .nsert rehtO i ev• telleP i •- - .,■ .- - Is this a!,- '-nce being installed in a Manufactured/Mobile ome? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 't�� 1 ,5o — EH Bid App Review: 00 Floor Heated � Consistency Review: o C1 Other Heated Base fee: I i c .UCH , Mezzanine � Additional Section: -Ici -VC) Heated Basement /" Plan Check fee: L I Oil', � Unheated Basement /- State Surcharge fee: vi fT Other Unheated � Pot Water Review fee: Garage/Carport SUBTOTAL { Decks / 911/Rd Approach fee: Othecc:Ayer+ \T QM 13 1(2- 1 LI C .`tb TOTAL: $ 3C)4,)/(A8e. it ► ous.e, Receipt Number: I g Y7p� Cash/Check Number: ____ESTIMATED COST(REQUIRED) Date: -413) Y ' .Fair market value of-"i1hor and materials foundation to finish fi 5 v/ 0__ Initials: 07/24/2013 • Jefferson ounty Department of Community Developmell 621 Sheridan St, Port Townsend WA 98368, (360)379-4450 APPLICATION FOR DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY Resolution#99-90 requires building permit applicants to provide evidence of an adequate potable water supply. If initial information submitted is not adequate for approval and additional information or work is needed, an hourly rate will be charged accordingly. Name Sk * \ 4. 6 l CS((O\ (2-i C 1k.Q f b Phone 3yO "g - I ' i, Mailing /'�� _� Address ZOO Ch i r Y\ e_c.rn Ut. &< '- . Zip Code g 339 Parcel ID# Cl 43700 700 00 y Subdiv. ChtWkae_LUYI C.Q4 -AC. 2 'S Block 2_ Lot(s) 3 Site �^'? Address 2–CO oh Y� l r\!1C\A--V-Y1 ��F.eQ l L Zip Code c.. 8 ". `-'1 Type of Structure S. P----- Check all that a••I Note: Special conditions may apply within Seawater Intrusion Protection Zones. (SIPZ) illAlternative system (provide justification and design per Jefferson County Environmental Health policy 97-01) • Valid Water Right Permit(generally applies to springs, attach copy) • Approved Public Water(Submit the attached Water Availability Notification form completed by your water purveyor stating the system is capable of and will supply water.) ❑ Individual Well--attach copy of: 1) Well logs (If no well log report is on file, a 1 hr stabilization test may be substituted) 2) Lab analysis for water quality parameters tested within 3 years of application: -Total coliform -Nitrate-N -Chloride ❑ Two-party Well—items above AND recorded Operation&Maintenance agreement and recorded Easement. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 purpose of application review and any required later in .- tions. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Sign ure Uhl, t--' Date L- `2-0 i ( FO- e iSEONLY 1) Water Right Permit# 2) Public Water Supply WS ID# In Compliance Yes No 3) Individual Well /� Driller Name Date Ertl E C E Q V Depth Produdti r Meets Water Quality Standards Yes No WRIA IO SIPZ Yes Circle: Coastal Moderate High No Subba'id Id 'JUL - 2 2014 1� Based upon information provided by the applicant, it appears that the potable water su ■: U meets conditionally meets dbes not meetFERSON COUNTY the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability.t8trW ii .EVELOPMENT Application Reviewed by Date Date Fee Receipt# Check# Case#BLD Jefferson County Department of Community evelopment ' 621 Sheridan St, Port Townsend WA 98368, (360)379-4450 WATER AVAILABILITY NOTIFICATION PUBLIC WATER SYSTEM TO: Jefferson County Environmental Health Department FROM: (Water System Name) System Operator: State ID Number: Total connections for which system is approved: Number of service connections existing (in use): Number of service connections committed: Date and results of most recent water bacteriological analysis: The water system is capable of and will supply potable water to the following location: Assessors Parcel ID#: Legal Description: Site Address: Operator Signature: Date: EXPIRATION DATE OF THIS SERVICE COMMITMENT: Rev 01/09/13 dm Jun. 13. 2014 10: 50AM • • No, 1681 P. 1 • Public Utility District #1 Of Jefferson County WATER AVAILABILITY NOTIFICATION Board of Commissioners Barney Burke, District 9 PUBLIC WATER SYSTEM Kenneth A McMillen, District 2 Wayne G. King, District 3 James G. Parker,Manager To: Jefferson County Environmental Health Department From: Quim er Water System p Y System Operator(s). Eric Storey State ID Number: 05783U Number of existing connections: 2429 (Estimated). Number of permitted connections: 3149 Number of committed connections: This water system is capable of; and will supply potable water ater to the following location: Assessor's Parcel ID# 51 001904 LegalDescription —r Dal t W + E' ***Water Connection is available once all fees/charges have been paid*** Site Address: � ___ '"° `—' . Signature: Title: Cam`; 1 Date: . THIS IS A NON.-BINDING STATEMENT OF WATER AVAILABILITY. IT PROVIDES THAT AT THE TIMEOF REQUEST,WATER IS AVAILABLE WITHIN THIS SYSTEM. THIS NOTIFICATIOON IS GOOD FOR ONE YEAR 230 Chimacum Road!P.O.Box 929,Port Hadlock,WA 98339 PH(360)386-6800 FX(380)385-5945 Jun. 13. 2014 10:51AV No. 1681 P. 2 raieci UcutILS • Pagc i of 2 Jefferson Counly 4q1 ' y �1 * ';'^ _ , :: r i.. �,,`' i{:., .__ ::, r 1 , _, ( r ','i „r t i ' a 8 ,l . V' ' ;h Nome : County Info Departments �- )earth Parcel Number. 943700004 I I SEARCH Parcel Number: 943700004 Printer Friendly Owner Mailing Address: STEPHEN RICKETTS GLORIA W RICKETTS JTWROS 200 CHIMACUM CREEK DR PORT HADLOCK WA983399415 Site Address: 200 CHIMACUM CREEK DR PORT HADLOCK 98339 Section: 2 School District:Chimacum (49) Qtr Section: SW1/4 Fire Dist:Chimacum (1) Township: 29N Tax Status: Taxable Range: 1W Tax Code: 211 Planning area:Trl-Area (4) Sub Division: CHIMACUM CREEK ESTATES DIV 2 Assessor`$ Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: CHIMACUM CREEK ESTATES DIV 2 l LOT 3 l 1 1 Click on photo for larger image. Permit Data Assessor Bldg Data Map Parcel Plats E.Survey Tax,A/V.Sales Info SeptIc Monitorino Info Jefferson County HOME I COUNTY INFO I DEPAIZTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later di Windows-Mac hftp://www.co.jeffersop.wa.us/assessors/parce1/parceldetalasp 6/12/2014 . .. Jun. 13. 2014 10:51AM • No. 1681 P. 3 ...y.,= � ..rT.r— (� fly ID(.•' ! r ,• — .• LJ 0. 00[(ILA I'A� 114 Ho Di' f0 12 IID I!L"l11 the 1,icl i 1.1'.1..":4:;';'._ _ mi' ''x .r._�_. �'n, 1C pv 01004 114, it f 1Pg: 1------. -.'------. ..... ...::::::::::: -.4. 1':::?:::.!:::: :'.2...' 1 El a.l ka s m U \i';;& ` `"'-! i ` c $ • 1 — i alI i g 2 .•,..*.',":Jy.,,,,,z^...7, .T., i. N. e �% •,•"'y _Lill ''' 1 - F. I la E '_III E m $'tit { t, I CI . 1 '..•..!...•1.:14'•'.'.'i'';',r,,,i,:.. • -7 . 1.......• . ._. ,,• Ai a a}v° ? ' '�; 4 r , ;' te ,� .� 3<: •S_ f..3. } �xj k Y y 4 t I' ''dam: 2y �1 •' •r'-'�•'S • ro7�L~' ' r '�'�k�." g •.,.., 4,•1•I',•,:;:!,`..st,.'•''''."i•... ' \\:\ , .. p111 :k t : i•I I ?' ;at• • `2 ' .4';I ,/ 1 F. Ii �ff r GGG • jil:.•i ''''.;74,..4N, M.4s-'4,-...',4 / \ ' . .. � ,X11.lit■1■1U � r' �` � ¢.+�-®• .0 Eft D Zrr_•' ' = , :V''.- v, x„ k �- ,"`D : •of _,, s.; : T 4 . 4 __ .I'F d d � Ir e i .�i'.:• `'I •rie:rry'<;1t''1 5`'s:rp.m. ” IFIR ;j4:1, v=0'.. ,° i h �Ia •4::'�4*':g..."!•.;::'nit ,. ? 6 F � 1 a� ••••{ 1 furl• s:'I "" •1' N a�r;1.F! �'''. Y l. "L • V e.' ,,'r d, ?`f y t. 3'ti;Tti.t r'` c7� i,4r ttry S- i + ?i i 1..'yi, " °'R' Kt fj .ra,4• r¢w Y z0-f'ff t' N r '1 x f lL:; t,s -t .,. '+ '� " '' '• .`r.1 •.'tf.4 t a ;, �I t I Z i �'33 fix".. .. i i:. r...S•d..1...-::.,S:i L 41 (VI`� ,0-0,--'- f .i k . * sr G LITTLE INC Page 1 of 2 • _ C,I0Washington State Department of Labor & industries I G LITTLE~~ INC^`~~~ 1210 W. Sims Way Owner ortradesperson PORTT0VVNSEND. WA 98368 LITTLE, ���{�E | ' 360'3854020 Principals JEFFERSON County LITTLE, GAGE I, PRESIDENT Doing business as G LITTLE INC WA U0 No. Business type 603 191 423 Corporation U License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no GLITTLI886KZ Effective—expiration 05V09/3O12--OS/O9/2O16 Bond Wesco Insurance Co $12.000.00 Bond account no. 46VVB047502 Received by L&l Effective date 05V08/2014 05/09V2014 Expiration date Until Canceled Bond history Insurance Nevada Capital Ins Co $1.000.00000 Policy no. 77NPP4025961 Received by L&l Effective date 05/05/2014 05/00/2014 Expiration date 05/09/2015 Insurance history https://securelni.wa.gov/verify/Detail.aspx?UBI=603191423&LIC=GLITTLI8861(Z&SAW= 7/3/2014 G LITTLE INC Page 2 of 2 Savings • No sangs accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. IWorkers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 238,318-00 Doing business as G LITTLE INC Estimated workers reported Quarter 1 of Year 2014"21 to 30 Workers" L&I account representative T2 I HAN CHUNG (360)902-4713-Email: CHUK235 @Ini.wa.gov IWorkplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. ACCe"as Washington" https://secure.lni.wa.gov/verify/Detail.aspx?UB1=603191423&LIC=GLITTLI886KZ&SAW= 7/3/2014 • • Sally Ellis From: Sally Ellis Sent: Tuesday, July 01, 2014 3:56 PM To: 'Laurabelle Ritter' Subject: RE: 200 Chimacum Creek Dr. Port Hadlock I am sorry- I don't not understand your question. From: Laurabelle Ritter [mailto:laurabelle@g-little.com] Sent: Tuesday, July 01, 2014 2:38 PM To: Sally Ellis Subject: Re: 200 Chimacum Creek Dr. Port Hadlock Can I revise this for 200 square feet and $185,000. please? On Thu, Jun 19, 2014 at 8:59 AM, Sally Ellis <SEllis @co jefferson.wa.us>wrote: Laura belle, Here is the price quote you request yesterday. Site Address -200 Chimacum Creek Dr. Building base Fee- $1384.00 Scanning Fee- $19.00 Plan Check- 899.60 State Fee- $4.50 For a total cost of$2,307.10 Please ensure that the set of plans includes the Structural Engineering and are Wet stamp this will be required for this permit. We have set an appointment for June 30th at 9 am. However I can do a 1:30pm appointment for next week on Monday, Tuesday or Wednesday if that would be more helpful for you. Please let me know if you have any questions or need any more information. 1 Ct . Li I sobv\ ctc ctfplic& 7/2/ 1q Sally Ellis 3D _ I 0 From: Joel Peterson Sent: Wednesday, June 25, 2014 5:00 PM To: Mary Blain; Sally Ellis Subject: RE: Ricketts permit Laurabell had a question if the setback needs to be surveyed-in... I said just the property line and to identify the setback with stakes. I've seen a surveyor's rebar&cap to identify the line of setback, which is spendy! Our ROW setback requirements just say"staked". Laurabell is already having a surveyor out to find the property corners. For marking the setback, I suggested the surveyor pound 2x2 hubs into the ground so they are more stable than just a piece of lathe that gets knocked over or blows away. With stakes in place and visible,we can measure the setbacks from a string-line. I asked Jim a couple of weeks ago, if I remember right:The 5-foot side-yard setback is measured from property line to foundation. So the eves can overhang into the setback. But the maximum length of standard eves is 24"; over 24" would require engineering. Question remains: would we let someone engineer an eve that covers the whole side-yard setback? Joel From: Mary Blain Sent: Wednesday, June 25, 2014 4:05 PM To: Joel Peterson; Sally Ellis Subject: RE: Ricketts permit It is my understanding that set backs must be determined by a land surveyor, but I'm not sure about the over hang. Isn't the setback of 5 feet include the overhang? Or can that go within the setback? From: Joel Peterson Sent: Wednesday, June 25, 2014 3:53 PM To: Sally Ellis; Mary Blain Subject: RE: Ricketts permit Done. I spoke with Laura belle. From: Sally Ellis Sent: Wednesday, June 25, 2014 11:32 AM To: Joel Peterson; Mary Blain Subject: FW: Ricketts permit Please read the below and advise the correct measure and or action customer needs to take. Thanks Sally From: Laurabelle Ritter [mailto:laurabelle@g-little.com] Sent: Tuesday, June 24, 2014 8:50 AM To: Sally Ellis Subject: Ricketts permit Hello Sally, 1 • • I need to confirm a couple of things before we submit the Ricketts addition permit. We are going to be fairly close to the 5' sideyard setback, does the County require a survey or just the property markers in place? How far can the roof eave/overhang extend into the sideyard setback? Last you will probably have to refer to someone, I originally talked to Joel on this project,but I don't have his email. We may submit a variance at the same time as the addition permit, the customers are doing this remodel for handicap purposes and to do one of the things they need, they would need a front yard variance so we can push the front door into the front ROW setback 12" so they can get rid of an interior step. What I need to know from Joel or someone else, does the County JUST want the front property markers in place or do they require a full survey for the variance? Thank you, Laurabelle Ritter G . LITTLE 1210 W. Sims Way, Port Townsend, WA 98368 T 360-385-3443 F 360-385-9733 q-little.com 2 ■ Y r r r a 0 C .- 0 Ir U) C z U) Y d 42,69 --- - 70,00 rl cr- 0 'a 1 ni rri 0 I —1 I I ti n I z I IAs t cd a X I C I \ Cl -v -4 I • 0 ■ E co I •n' I m � � I 2 .--1 m Z —70 I I 1 I , rn \ , r - \ I rri i Z O I N I Z I n I '-n n n 1 I M U)) P = Con I I 1 y I , O 1 , I n I n co trt o cm I 4 V x 1 , jx m '\\d rrA�I r ,.) V�F�1 I " t = c'>. I - o m gr-d' y Ci) I 1 PI VCC ,C 1 X �^"' I .7_-ti I cd m I 8 ' 4' . A q 1 C# tri o �' I R I g � z o N r O Pr Ia 0 n o (ID O •-• 1� rxn J> <, r, r~ z Y n m I I y y ( ) r7 r" c"n rr y xxa l z.c �1 I I ) -3 !Ti y O M d o a �, H C7 o r El I I r ' C� m n x \ \ LJ z g A z d ?" nx Y m "! I1y ! yo I v 'a o ,., _ ry c:, ,-- ' M �— ® N Cr1 �w as- O , " n d c , O vt :v m I a O SON CO o2 JEFFEN COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.uslcommunitydevelopment vshlNC'�o Tel:360.379.44501 Fax:360.379.4451 (Email:dcd(a7co.jefferson.wa.us Building Permits&Inspections I Development Consistency Review(Long Range Planning Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as necessary): ¶ R. Ada (mn Tax Parcel Number: q43--To Q- 00 y Property Size: (acres/square feet) Site Address and/or Directions to Property: 200 cte\ maLc.),Lm r. P0+ . . lode_ , L \ Property Owner(s)of Record: ,.- . •- • Telephone: -tea — ' — Fax: email: Mailing Address:Zc50 Gh l lelr nse_. J`Yr1 CY'P AIL �T . FbY*- - Tculi ck_ Applicant/Agent(if different from owner):2 . CYl€St Y'La.0 i OVA Telephone:3(cD"3$S - 1 02-0 Fax:B4=0— 3$'S --5011 email:1—CLUJraiae..t lG Mailing Address: 10210 S�VriS �XJ►.�� 3Y4- TduJn e►�t 41— ei • cc ry- What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ,3uilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management El 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: ,, D SIGNATION OF AGENT I hereby designate el • L _- Y '. 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 required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: 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 Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it-below. Signature: Date: 07/24/2013 • BU • ; STATEMENT • The sig - • this stateme does hereby certi •- ey are the 0., •rs of •- :. e referenced herein,that t . are not f : • on ractor-and that the • ill be assuming th- responsibilit • -General Contract.f• • -proposed project. Signature: Date: GENERAL CONTRACTOR PHONE: FAX: E2 . U-H--le. (r\ - r(A±, cs -ac..o)3$s-Loz0 134.0325 SUI$ MAILING ADDRESS: Lz. O LLD • k vas t,,,A EMAIL: , a lia e...1.14_ . t: is 06 CONTRACTOR'S LICENSE "br-F--VbwAsev‘d• L 1A WAINS NUMBER: LLITT L` 88(K7.. NUMBER ARCHITECT/ENGINEER: < J PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New X Wood Existing: ' ❑ Sewer )IC Addition ❑ Steel Proposed: O Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: ' 2, , Height: ' jndividual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition . ❑ Other: : Bedrooms: Water Supply: Existing: 3 Setback: ❑ Private well ❑ Two Party t: Type of Heat:l Proposed: ❑ Public Total: 3 Name of System: If this is a Commercial P •'ect ou must answer the followin•: Number of '- ng Spac:: • Proposed: • mber of ADA Parking Spaces: Nu •,• of occupa :-s owners,tena -,emplo --:, - c Current Pr... -- :C Occupancy: IBC Typ • ruction: A ' ••• ave Food Servi.-'? - • • If this is a Pr:.„I v—Tank and/or ..,in.u.w Installation •• mark a ems below that apply: Under• •und . k ,•ove groun• ank Size of' •pane -• . -.t Stove C.: tove Wood-ove "[replace .nsert rehtO i ev• telleP i .- - - 6- ' Is this a• '.nce bein• installed in a Manufactured/Mobile ome? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated ! I/� EH BId App Review: I tp / 1J./lc • 2nd Floor Heated / Consistency Review: Other Heated Base fee: i 3, y 0° • Mezzanine / Additional Section: J 00 Heated Basement / Plan Check fee: . •t.° Unheated Basement / State Surcharge fee: CJ 'yl v Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL ' Decks / 911/Rd Approach fee: Other co Yl vt2r+ T7 o M I-. i12- TOTAL: $ VC...wae_ kb t,• S� Receipt Number: 11 l Cash/Check Number: ESTIMATED T(REQUIRED) Date: .fair market value of"n l; rvd materials foundation to finish (ISO, ICJ T_ Initials: t�ll.(-St- Nkt)t” gruCfl-ta -12-itryneer - -PS ` 07/24/2013 r Cc CS • • Sally Ellis From: Mary Blain Sent: Wednesday, June 25, 2014 4:05 PM To: Joel Peterson; Sally Ellis Subject: RE: Ricketts permit It is my understanding that set backs must be determined by a land surveyor, but I'm not sure about the over hang. Isn't the setback of 5 feet include the overhang? Or can that go within the setback? From: Joel Peterson Sent: Wednesday, June 25, 2014 3:53 PM To: Sally Ellis; Mary Blain Subject: RE: Ricketts permit Done. I spoke with Laura belle. From: Sally Ellis Sent: Wednesday, June 25, 2014 11:32 AM To: Joel Peterson; Mary Blain Subject: FW: Ricketts permit Please read the below and advise the correct measure and or action customer needs to take. Thanks Sally From: Laurabelle Ritter [mailto:laurabelle(a>g-little.com] Sent: Tuesday, June 24, 2014 8:50 AM To: Sally Ellis Subject: Ricketts permit Hello Sally, I need to confirm a couple of things before we submit the Ricketts addition permit. We are going to be fairly close to the 5' sideyard setback, does the County require a survey or just the property markers in place? How far can the roof eave/overhang extend into the sideyard setback? Last you will probably have to refer to someone, I originally talked to Joel on this project,but I don't have his email. We may submit a variance at the same time as the addition permit, the customers are doing this remodel for handicap purposes and to do one of the things they need, they would need a front yard variance so we can push the front door into the front ROW setback 12" so they can get rid of an interior step. What I need to know from Joel or someone else, does the County JUST want the front property markers in place or do they require a full survey for the variance? i 0 Thank you, Laurabelle Ritter G . LITTLE ,) N t 6 1210 W. Sims Way, Port Townsend, WA 98368 T 360-385-3443 F 360-385-9733 q-little.com 2 (z4 [ L- P W T Front Parcel Review 0 Qp o ct l 1 t c — 9 - / ' Parcel 943700004 Printed: July 2, 2014 STEPHEN R RICKETTS Site Address(es): GLORIA W RICKETTS JTWROS 200 CHIMACUM CREEK DR PORT HADLOCK, WA 98339 200 CHIMACUM CREEK DR PORT HADLOCK, WA 983399415 Parcel Number: 943700004 S-T-R: 2-29N-01W Total Acreage 0 Legal Description CHIMACUM CREEK ESTATES DIV 2 LOT 3 Land Use: 1100 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM)Panel No: School District 49 Zoning: COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ l/] Plot plan states "property line" [ 1,,r Assessor's Map (Property lines o mitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ '4 Legal Access to Property ES '' NO [ u' Parcel Tags or Scanned Documents YES \ CD [(A— ESA's: Special Reports arby YES No [t]' Designated Ag YES O [,/r Shoreline Designation: YES Z c.)- 0 - e,J CCA.,t, -�_ e. [ bi, Shoreline Slope Stability: YES NO Stream Type:YES NO FWHCA: YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Are Y NO (1c P ?A- SIPZ: none At Risk High isk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan sub la itted: YesNo [ 11 Forest Lands: YES o• Adjoining Forest Lands: Commercial/ Rural/ Inholding [ Mineral Lands: YES 10 [ kr Agricultural Lands: YES 10 [ iir Archaeology: YES „,„ [ ti/ No Shooting Zone: YES _. , __ [ Stormwater: New I perviuirs face . � Land Disturbing Activity ESA's Stormwater Req' .Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [/ ' Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ti,1,- Landscaping Required: Yes No [ 4- Parking Spaces Required NO 2 Other I l_I— Building Height: 35' UBC Standard 4 Nic O t. 2 . P d c)s<ri) k al Ce--c — [ (X Impervious Surface coverarcentage: o Resource Lands&Public: 10 Rural Residenti, : 25% Rural Indus Per UDC Sec 6.7 Rural Commercial: 60% Area of Building • erage:60%in Rural Industrial Lands only [1/T Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: tC0.0 SF All others:subject to se ti &water constraints/None s ecified [ l/r. Setbacks: Front: -Le? Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ 14. Road Classification:__.__ Road Approach E 9sTING REQ'D RAP [k�— SEPA Required: - EXEMPT [\. r Flood Certificate: [ 1,1- Existing Case(s) & Condition(s): Violations: Yes No [ t-4/ Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [irr Lots/Require Declaration of Restrictive Covenant YE$ubmitted: YES NO [ 14" UGA No Protest Agreement ES NO, submitted: YES NO [V Site Visit conducted YES [ Require Final Zoning Approval YES [C ]'' ADMIN: Setbacks entered in Peniiit Plan case N/A YES New Parcel Tags entered in Permit Plan /A YES Special Reports Scanned N/ ' YES No parcel tags found for parcel Cases Associated with APN 943700004 Cases Name Review Type Status Planner SEP85-00004 COTTON CONSTRUCTION F Application Received: 4/8/1985 Permit Issued/Case closed: 4/23/1985 Case Finaled: 8/12/1985 SOM85-00004 RICKETTS F Application Received: 8/12/1985 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 7/2/2014 Page 2 of 2 • 7-00©dcf v.SON c w JEFFERSON COUNTY ti ,` DEPARTMENT OF COMMUNITY DEVELOPMENT 0 621 Sheridan Street • Port Townsend • Washington 98368 • 471401 360/379-4450 • 800/831-2678 • 360/379-4451 Fax STORMWATER CALCULATION SHEET Pursuant to Unified Development Code (UDC) section 6.7, all new development and redevelopment must conform to the standards and minimum requirements set by the Washington Department of Ecology Stormwater Management Manual for the Puget Sound Basin (SMM). For specific information regarding the storm water minimum requirements refer to UDC section 6.7. Generally, the minimum requirements and thresholds for developing specific plans are as follows: • Small Parcel Erosion and Sediment Control Plan [see UDC section 6.7.3(b)] — Generally, this is required for all development that: (1) creates or adds less than 5,000 square feet of impervious area [individual detached single-family residences, accessory dwelling units, or duplexes creating or adding less than 3,000 sq/ft of impervious surface shall follow Best Management Practices (BMPs) but are not required to submit a plan]; (2) land-disturbing activities of 10,000 sq/ft or more but less than one acre. • Small Parcel Erosion and Sediment Control Plan and Permanent Stormwater Quality Control Plan [see UDC section 6.7.4(a)] Generally, this is required for all development that: (1) creates or adds less than 5,000 sq/ft of impervious surface that covers more than 50% of the site; and (2)the creation or addition of 5,000 or more sq/ft of impervious surface. • Large Parcel Erosion and Sediment Control Plan [see UDC section 6.7.4(b) — Generally, this is required for all development that includes: (1) land disturbing activities of one acre or more. If this is required you should contact a licensed engineer. Stormwater Disposal Policy Along Marine Shorelines Pursuant to UDC section 3.6.5(c)(3) all new development activity, including single-family residential construction, located on Marrowstone Island, Indian Island and within 500 feet of any marine shoreline is required to infiltrate stormwater runoff on-site, to the maximum extent practicable. This provision is intended to prevent seawater from intruding into underground aquifers, reduce non-point source pollution to marine waters, and reduce the potential for shoreline erosion due to tightline failure. This provision is interpreted as establishing a hierarchy in which the first and best alternative is on-site infiltration using drywells or other methods, the second best alternative is upland off-site disposal, and the least preferred alternative is direct discharge into marine waters through a stormwater tightline. In order to utilize the least preferred alternative (a stormwater tightline discharging directly into marine waters) applicants must demonstrate through a geotechnical or similar report prepared by a licensed professional that both on-site infiltration and upland off-site disposal are not practicable or feasible. The report must include cost figures for comparison. Please note that if a stormwater runoff tightline that terminates at or near the marine shoreline is allowed to be included in a development application, review under the Jefferson County Shoreline Master Program, the State Environmental Policy Act (SEPA) and other agency approvals (such as Hydraulic Project Approval from the Department of Fish and Wildlife) may be required. A Joint Aquatic Resources Permit Application (JARPA) form would need to accompany any permit application which includes a stormwater tightline at or below the ordinary high water mark. 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Date g 2c I Inspector`s BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00234 Received Date: 7/3/2014 SITE ADDRESS: 200 CHIMACUM CREEK DR Issue Date 8/6/2014 PORT HADLOCK, 98339 Expiration Date 8/6/2015 OWNER: STEPHEN R RICKETTS PHONE: GLORIA W RICKETTS JTWROS 200 CHIMACUM CREEK DR PORT HADLOCK WA 983399415 9437 SUBDIVISION: Block: Lot: PARCEL NUMBER: 943700004 Section: 2 Township: 29 N Range: 1V\ CONTRACTOR: G LITTLE CONSTRUCTIONS PHONE: 360-385-1020 1210 W. SIMS WAY PORT TOWNSEND WA 98368 Contractor's License GLITTLI886KZ Expires 5/9/2016 PROJECT DESCRIPTION: ADDITION TO SFR (177 SQ FT) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 164 VALUATION 195,211.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 13 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,699.00 SRE 07/03/14 148864 Exist: 3 Exist: 2 Plan Check $1,104.35 SRE 07/03/14 148864 Prop: 0 Prop: 0 State Building Code $4.50 SRE 07/03/14 148864 Total: 3 Total: 2 Total: $2,807.85 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE ATTATCHED • • Jefferson County Building Division Permit Number: BLD14-00234 Applicant: RICKETTS BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Erosion Control Foundation Footing Footing Drains Foundation Stem Wall /,..2,0_,„N Under Floor Framing ,2 r Straps(hold downs) "` Ext.Shear Wall Nailing q_ ( z Framing IO -2-rY Blocking Airseal f l 0-74A �� Insulation:Walls u Insulation: Floors /0--) Insulation:Ceiling Int. Shear Wall Nailing Wallboard Nailing Septic System Finaled A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD14-00234 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) The site plan as submitted with the Building Permit application on July 2, 2014 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated August 5, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) DWJ. 4.) Please complete, notarize, record with Auditor and submit copy of the attached No Protest Agreement to DCD prior to final building inspection. 5.) This parcel is within a no shooting area per JCC 8.50. II \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 8/6/2014