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HomeMy WebLinkAboutBLD2010-00147 •UILDING PERMIT APPLICASJN MRLA e0 00175 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00147 Received Date: 5/6/2010 SITE ADDRESS: 380 SOUTHPORT LN PORT TOWNSEND, 98368 OWNER: KELLY P WORRELL PHONE: 206-722-0195 ADELA B WORRELL 4753 36TH AVE S SEATTLE WA 981181705 SUBDIVISION: Block: Lot: TX3• H PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE THRU & U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,367 VALUATION 514,424.00 ADD'L: 1,882 HEAT TYPE: HTP CODE EDITION. 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 1,184 CONST TYPE: 5N SHORELINE: GARAGE: 1,127 CONST TYPE: SETBACK: DECK: 1,775 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 4 Total: 3 Routing Date: CT- Type Type unt Paid Bv: Date: Receipt: Approved/Date Permit ''"- $3,300.25 LYK 05/06/10 117657 1DIDR \fE I Plan Check $2,145.16 LYK 05/06/10 117657 State Building Code $4.50 LYK 05/06/10 117657 JU(,,,S 2010 Potable Water Application $98.00 LYK 05/06/10 117657 Total: $5,547.91 Jefferson County Planning &Buhr r -*mor t ,. -""` (;---">\ DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 — ' Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment �.1 �� L E-mail:dcd(a)co.jefferson.wa.us 5//1 Ni_k CERTIFICATE OF OCCUPANCY PERMIT #: BLD10-00147 APPLICANT: KELLY P WORRELL PHONE: 360-382-7224 ADELA B WORRELL 380 SOUTH POINT LN PORT TOWNSEND WA 98368 SITE ADDRESS: 380 SOUTHPORT LN Issue Date: 07/8/2010 PORT TOWNSEND, 98368 Final Date: 4/7/2015 SUBDIVISION: Block: Lot: TX31 i PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 1W PROJECT DESCRIPTION: NSFR W/ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE THRU & U/G 500 GAL PR A, .A.49 .L,,,(,_ c---s ooec- — THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes ' no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/7/2015 \\tidemark\data\forms\F BLDOccupancy.rpt 4/7/2015 BUILDING PERMIT EXPIRATION NOTICE Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00147 SITE ADDRESS: 380 SOUTHPORT LN Date Issued: 7/8/2010 PORT TOWNSEND, WA 98368 Date Expires: 8/2011 APPLICANT: KELLY P WORRELL ADELA B WORRELL 4753 36TH AVE S SEATTLE WA 98118-1705 SUBDIVISION: BLOCK: LOTS: TX31-1 PARCEL: 901081026 Section: 8 Township: 29N Range: 01 W According to our records, YOUR BUILDING PERMIT HAS NOT PASSED A FINAL INSPECTION AND WILL EXPIRE ON 7/8/2011. To keep your building permit active you must pay a $213 renewal fee. This will keep your permit active one year after the date of expiration. If renewal fee is not paid by time of expiration, no more inspections can be performed until received. A Final Occupancy will not be approved until the septic system permit is finaled by the Environmental Health Department. Please contact our office if you have any questions. Sincerely, LISLL VaCet. Permit Technician RST bac cc:file d ( ci CE I:\F_BLD_Perm it_Exp_Ntc.rpt 0 tii CA b b � t :1 rx b rl zm CV ° —"^... We tern ga _- o •_ r . o so .__,. N O o . w o m F 0 0 o • C a co 6: In ,. — •i , .' x o o' co • •I co, N ��O u � u ♦ (n ' , 1 r 1 y b �.W 'r i d ii 11- 0 N O -CO to r.� S , iiff !( o rn +Ry ` � ' ', a » ro�Ocr G �` 0.,..73 l',I\ ....' CO to ■ g.,) o .32- -2_ C.--71 D �, N ' c' !,:4311. n`aN * ,_ 0 M1 6 , :I, � a � � :ixmlk. ,. a r;°m ,l- ri 9„ N . i.„, 0 cn0 bm x... 3 J.1,4 - o ,� `. ,Vii 0, 0 V a o ' o o % pPPra 'n n m a • �oa� S' terP►°matron 36. mate I ne .event 7 p e m 'Y26y `n e.wsw ; J ' � fO'N e DEPARTMENT OF COMMUNITY DEVELOPMENT " A ,4"' , ,. 621 Sheridan Street,Port Townsend,WA 98368 fr Tel:360.379.4450 I Fax:360.379.4451 4. n n .. Web:www.co.jefferson.wa.us/communitydevelopment `9S�ING`SO E-mail:dcd @co.jefferson.wa.us FINAL NOTICE 1 November 19, 2014 Kelly Worrell 380 South Point Ln. Port Townsend WA 98368 RE: BLD10-00147 for a New Single Family Residence with attached garage, carport, breezeway, covered drivethrough and underground 500 gallon tank Dear Kelly Worrell, Upon review of the Building Permit file, it appears that your project has not received an inspection since 2011 and is near final inspection. Please pay your accrued renewal fees in the amount of$456 and schedule a final inspection to be conducted no later than December 19, 2014. If you do not comply with the above requirements, your permit will be cancelled and you will need to reapply for a new permit, pay current permit fees, and the structure built to current building codes. Having your building receive and pass all of its required inspections is valuable to you as it is your assurance that your building meets adopted standards for quality and safety. Additionally, having documentation that your building has passed required inspections may be required from lenders or buyers if you ever decide to sell or re-finance your building. This is the last notice you will receive. In the event that you do not receive final inspection within the timeframe listed above, the County may choose to record a "Notice to Title" on the property, to document the property is out of compliance with the County's development codes. If you have any questions about your building permit, you may call our office at(360) 379-4450. We look forward to assisting you in completing your building inspections. Sincerely, yi3 // ,i Elizabeth Williams, Administrative Clerk Sent by USPS Certified Mail:70071490000389404633 U<SPS.com® - USPS TrackingTM Page 1 of 1 USPS.COM Search Click to access search Search or Enter a Tracking Number Search or Enter a TrackiiSearch TM Customer Sery ice> USPS Tracking Have questions?Were here to help. Tracking Number:700714900003894046 33 Updated Delivery Day:Thursday,November 20,2014 Product & Tracking Information Postal Product: Features: Certified Mail' November 25,2014,1:06 PORT Delivered pm TOWNSEND,WA 98368 Your item was delivered at 1:06 pm on November 25,2014 in PORT TOWNSEND,WA 98368. November 20,2014,2:24 Notice Left(No Authorized PORT pm Recipient Available) TOWNSEND,WA 98368 November 20,2014,8:35 Out for Delivery PORT am TOWNSEND,WA 98368 November 20,2014,8:25 Sorting Complete PORT am TOWNSEND,WA 98368 November 20,2014,8:19 Arrived at Unit PORT am TOWNSEND,WA 98368 November 20,2014,7:02 Departed USPS Facility TACOMA,WA 98413 am November 19,2014 7:54 Arrived at USPS Facility TACOMA,WA 98413 pm https://tools.usps.com/go/TrackConfirmAction?gtc_tLabels 1=70071490000389404633 12/12/2014 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signs item 4 if Restri Delivery is desired. ❑ 4gent • Print your name e and and address on the reverse X ddressee so that we can return the card to you. eived by(Printed Name) C. Date of Delive • Attach this card to the back of the mailpiece, / / y1�� l/..�� or on the front if space permits. Gr/ D. Is deliv address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No I EAi �t Woridt I V P . i SO �o �k %r�- Ln 1 01(4-. r wV\ VV A 3. Service `Certified TYpe Mail 0 Express Mall g3 ("� 0 Registered 0 Return Receipt for Merchandise YO 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (transfer from service labe9 700? 1490 0003 8940 4633 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. Postal Service,,, CERTIFIED MAIL,., RECEIPT m (Domestic Mail Only;No Insurance Coverage Provided) m For delivery information visit our website at www.usps.com O OsFICIAL . ❑^ Postage $ EU Certified Fee m Postmark p Return Receipt Fee O (Endorsement Required) Here Restricted Delivery Fee O (Endorsement Required) IT- =�- Total Postage&Fees $ rR Sent To 0 Kai j J[Wcyr.r Street,Apt.No.; ^2 0 4h Ptir* or PO Box No. y� f`- City,State,Z1P+4 r► All ' bg PS Form 3800,August 2006 See Reverse for Instructions . 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'!,',;.I.t,:. m,oroz,:: 0-..,,,,.:' .-:' --'..„'.=':.,,,.#?,,,,„- .,,„:',.,v,...ti,'4;i>;.,„,''',3.;,.;,....: ..'. .,:.=, :,...,,..,g...... *,i;„ ",.,,O.. :,:',,;(•f,,,k,:w,:---:.:-=,:',4' ,-A--'', '-:,.....„..:,...:.;;::,::,:::::A.,4,,,,,,,,,,,,,,,,,--- :::-.:1,,,t4.c.A..*:!..1.1.-\:,1,',......, !..:',..•::::,:,i'A.,,,,:;.*A--tate,-,,,,,,4=-A,,,,,,„. ,,,,,.., 'Ilf\ic)Ik 1)(— ' 0 <S4----- 1 --- ..„SON c°e, DEPARTMENT OF COMMUNITY DEVELOPMENT W 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitvdevelopment '9SNINGC) E-mail:dcda,co.jefferson.wa.us December 1, 2014 Kelly Worrell 380 Southport Ln Port Townsend WA 98368 RE: BLD10-00147 for a single family residence Dear Mr. Worrell: Thank you for your payment of accrued fees associated with the above-mentioned permit.Your permit is renewed until 03/31/2015 by which time you are required to pass final inspection. If you do not comply with the above requirements, your permit will be cancelled and no further extensions will be granted. Should your permit be cancelled, you will need to reapply for a new permit, pay current permit fees, and have the structure built to current building codes. This is the final notice you will receive. Please be aware that no one is permitted to occupy the residence prior to final inspection. If you do not receive a final inspection before 03/31/2015, the County may begin the process of placing a Notice to Title on your property. Please feel free to contact our department regarding your building inspections at 360-379-4450. Please contact Environmental Health regarding final septic approval at 360-385-9444. Sincerely, ■ k / Elizabeth Williams, Administrative Clerk Sent by USPS certified mail: 7012 3460 0001 6300 0544 USPS.coni® -USPS TrackingTM Page 1 of 2 English Customer Service USPS Mobile Register/Sign In USPSCOMT TM Customer Service USPSTracking Have questions?Were here to help. gLo)Oal47 Tracking Number:70123460000163000544 Updated Delivery Day:Wednesday,December 3,2014 Product & Tracking Information Available Actions Postal Product: Features: Certified Mail'M Text Updates DATE&TIME STATUS OF ITEM LOCATION Email Updates December 15,2014,4:58 PORT Delivered pm TOWNSEND,WA 98368 Return Receipt After Mailing Your item was delivered at 4:58 pm on December 15,2014 in PORT TOWNSEND,WA 98368. December 11,2014,3:01 PORT Available for Pickup pm TOWNSEND,WA 98368 December 3,2014,3:10 pm Notice Left PORT TOWNSEND,WA 98368 December 3,2014,8:12 am Out for Delivery PORT TOWNSEND,WA 98368 December 3,2014,8:02 am Sorting Complete PORT TOWNSEND,WA 98368 December 3,2014,7:55 am Arrived at Unit PORT TOWNSEND,WA 98368 December 3,2014,2:37 am Departed USPS Origin TACOMA,WA 98413 Facility December 2,2014,9:46 pm Arrived at USPS Origin TACOMA,WA 98413 Facility December 2,2014,2:57 pm Departed Post Office PORT TOWNSEND,WA 98368 December 2,2014,10:42 PORT Picked Up am TOWNSEND,WA 98368 Track Another Package Tracking(or receipt)number Track It https://tools.usps.com/go/TrackConfirmAction?gtc_tLabels 1=70123460000163000544 12/16/2014 • SENDER:'COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. �-/ 0 Agent • Print your name and address on the reverse X lr— 0 Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the back of the mail iece, i ✓ — p �z�4,k l'' � or on the front if space permits. D. Is deli ery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: o rullg )4}61Yreiti m IECENVF -Th 330 o-V-A 1)694 3. SErVi;el e � ??�� I �//� ❑CortiFieb Mai t`�P1iorify YJf�il�presst" Ore li--270'figind 0 Registered 0 Return Receipt for Pitttn.ise q g, Insured Mail 0 Collect on ndi"o.y �atIr7T1 ■ Yes 6g 4. Rffstricted peliMerYWO,I 7 n1r , n II 2. Article Number 7012 3460 0001 6300 0544 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt U.S. Postal ServiceTM CERTIFiED MAILTM RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) If) For delivery information visit our website at www.usps.comn, Ifl Postage $ Certified Fee r-1 Postmark CI Return Receipt Fee Here CI (Endorsement Required) tm Restricted Delivery Fee I:3 (Endorsement Required) =" Total Postage&Fees $ rn Sent To ru D Street,Apt.No.; r_ or PO Box No. City,State,ZIP+4 PS Form 3800,August 2006 See Reverse for Instructions JEFFERSON COUNTY NO. 5 7 1 3 DATE /. j 8 v b 7 4. RECEIVED FROM a r DESCRIPTION BARS# AMOUNT k J`{I," 456 a [d(-S/ COIN C J CK C O ., m ( &x 6 RECEIVED BY A ': . . ,/ TOTAL 4, .tr° S � ( i 's � 1 .. „..., ��4j _. Date 2 4( time received (2 ' 2 , am/....6 `� Mon. Tues. Wed. Thur. Fri. /'� e— BLD: v -- Date: (...) OWNER: CL .� Contact Name: 730 ADDRESS: 321) 0U,, (LOLA � �, Contact Number:360 1z3 \ sos Notes: '. t A, ri iV. 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 Gas/wood stove Man-Homes Setbacks — Insulation Final Inspection Foundation _ Block&Tie _ floor _wall ceiling Address Posted Date ��//��time received 11 am / pm Mon. Tues. Wed. Thur. - Fri. BLD: 0 LVo' fa- t.i.7 Date: OWNER: nn Contact Name: ADDRESS: - kV s) , . pr..7-‘,..1"-- Contact Number.360 Notes: ' . 01 r1 206 Foundation Plumbing - Framing Propane Tank Mechanical ' Setbacks _ Under-ground+_ Framing Underground Furnace _ Footing Rough In Air seal Above ground Gas — Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines Ducts Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks Insulation Foundation Flnal inspec#ion Block&Tie floor wall ceiling b - 9 Address Posted r. k t ' ! S Date 6- (6 time received t• am /4;) Mo Tues. Wed: Thur. -Frt. • BLD: (0 — I`-{-1 y.� Date: OWNER: W A(Li/Le -- i {r Contact Name: ADDRESS: ______ _EF3_ZD____ ZHA_.JLJ 0 {"- ' Contact Number:360 Notes: 206 ^ 3,I D 4. Foundation Plumbing -Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace _ Footing Rough In Air seal Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines Ducts Post Hole Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks I sulation Final inspection x Foundation p Block&Tie floor ceiling Address Postbd ,' E t c3 .- i a 7 j/ p .,1 Date /d"ll am / p93 Mon. Tues. j /(�' �• Wed Thar —Fri. BLD: ( a ` ,C/ l ( ) . / Date: ‘' OWNER: Q� [ �0'1V'f 1. /. Contact Name: • ADDRESS: �l) ei s 0,-4/(12),/- I Contact Number:360 .2 Notes: 206 )K)') ` ro /(76,t, 4 . it 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 Ducts Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks Insulation FinalInspection Foundation P Bieck&Tie floor _wall ceiling Address Posted 5/\• ne-AI •time received / am I Date –''} m Mon. (f'ues ._Wed:. Thur. -art: • BLD: .OP . . ( ' l Date:. -l "4, OWNER: r(1. �� Contact Name:1.(ADDRESS: a Ce- : I r'\ Contact NumbeR-304 '' Q "'p k; Notes: 206 .:. 4 Foundation Plumbing' "Framing Propane Tank Mechanical Setbacks — Under-ground Framing Underground Furnace _ Footing Rough in {7 AIr seal Above ground Gas Stemwall _ Hydronic — Exterior shear Exterior lines Oil Straps Interior shear Interior lines Ducts Post Hole Ventilation _ Appliance . Underfloor Gas/wood stove Man-Homes Setbacks Insulation. Final Inspen Foundation , Block&Tie floor____wall ceiling. Address Post! • . ) : • x ,,.-' L ' IMO MIIIIIIrIII rIlrak`- Date v( `—I't time received Q , am f pm Mon. Weds Thug. Fri. 2 BLD: to 1 . Date:?""i S OWNER: WLY1 I eki Contact Name: ADDRESS: ) t.ttk c)l1 -. Contact Number:360 206 Notes: 1— r Foundation Plumbing • Framing Propane Tank Mechanical Setbacks , Under-ground— : Framing Under ground Furnace _ Footing Rough in vc Air seal Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines _ Ducts Post Hole _ Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks Insulation Final Inspection Foundation Block&Tie floor _wall ceiling Address Posted T r l r Vs Date ([ {E time received 1`' 2 C.-6D pm Mon. Tues. Wed. Thur. - Fri. BLD: `0 T 1f pc�7 Date: \ V — \ OWNER: L" CY.( e/" ` Contact Name: ADDRESS: -"66 O p 1„ Contact Number:360 ri Notes: 206 -;E<C. 47(0 00 Foundation Plumbing Framing Propane Tank Mechanical I Setbacks Under-ground Framing Under ground Furnace _ Footing Rough in Air seal Above ground Gas — Stemwall __ Hydronic Exterior shear / Exterior lines Oil _ Straps Interior shear Interior lines Ducts _ Post Hole _ Ventilation i Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks Insulation Final Inspection Foundation Block&Tie floor wall ceiling Address Posted • Date /0 (1.-- time received am / pm Mon. Tues. Wed. Thur. Fri. BLD: (0 v-c-' ! Date: OWNER: ). ',' / C - Contact Name: ADDRESS: Td � ��(,� � ) Contact Number:360 Notes: �� 1a . i-\'‘ 206 7_,,g/ .-- �'/ '. Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing __ Under ground Furnace _ Footing Rough in Air Above ground _ Gas _ Stemwall __ Hydronic Exterior shear Exterior lines Oil _ Straps Interior shear Interior lines Ducts _ Post Hole Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes Setbacks _ Insulation Final Inspection Foundation _ Block&Tie _ floor _wall ceiling Address Posted 1 • °N co , 6 JEFFERSON COUNTY ' 44 DEPARTMENT OF COMMUNITY DEVELOPMENT ■ 4 621 Sheridan Street• Port Townsend •Washington 98368 A 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: r)-1-7 ) Project Description(include separate sheets as necessary): _A 4-/gy/L 0Gv z-/. Tax Parcel Number 91,2/08/0,2L, Property.Size: 1, , 4c. • (acres/square feet) Site Address and/or Directions to Property:. Property Owner(s)of Record: /€-. GZy Telephone: .ZD 6- 3-(/OB 206-72 Z-0/95 email: •6d Llvo-RA co 42 • !t/E' Mailing Address: 17 3 , 7,4YE ot77i' ,Se-4-,7 , /{/A 'e /J Applicant/Agent(if different from owner): Telephone:___ Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation (SlBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) 6a'Single Family AGarage tliDetached ❑Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home ❑ Modular - 0 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** o Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void: I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any 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 applicatio- a or sheeww nts • r notice. Signature: //.l Date: The action or action Ap nt will dertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species a 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 .mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer-• -•onsi•;'ty f• -diering to and complying with the ESA. The Applicant has read this disclaimer 90 signsfin dates it below. 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C� �'r. +x / t.1 F m $ Q 7 T a° hm Qrs • Y 1 d t ,- L°1 z$e ,N j b� g 8 , 1m � 9 moo . �&$ a 1 1 ' - fCj F W t IN • i N- 0 Tay 3+ r Rsrn D IFv 5 IMIIMMIIEJ1111 •kat Lhwc,i4 -- i Oitc14Le) 19441 611, f"Dett-vol Ae,(AlArtA- • • Jefferson County Department of Community Development Building Division 621 Sheridan Street JUL - i Port Townsend, WA 98368 Date: June 30, 2010 Subject: Request to expedite building permit approval Please review the enclosed letters from the businesses and construction workers that are being affected by the delay of the approval of Bld. 10-147, MLA 10-175 NSFR w/Att. Garage, carport, breeze way. 1. Stewart Excavating/Mark Stewart 2. Cotton Redi-mix/Sterling Huntingford 3. Thacker & Son Construction/Mike Thacker 4. Carl's Building Supply It has been approx. 2 months since I submitted plans for the above project and far as I know a Plans Examiner has not been selected to start the examination review. Please consider the economic impact that a continued delay is having to the workers and businesses in the community. The above mentioned are but a part of the numerous tradesmen and material suppliers who would benefit when the building permit is issued. We are ready and waiting to proceed immediately. Thank you for consideration in this matter. Kelly Worrell JUL - 1 ;N, • I • Carts PO Box 548 BUILDING SUPPLY, INC. 10733 Rhody Drive Chimacum, WA 98325-0548 360 385-2111 Port Hadlock, WA 98339 1-800-788-2110 "Buy Where the Builders Buy" Fax: 360-385-2911 To whom it may concern, We are requesting that you please expedite the permits listed below. With the economy being so slow we would appreciate it if this job started as soon as possible to avoid any further layoffs within our company. Sincere) , Im Hoover Controller BLD10-147 MLA10-175 NSF RW-ATT Garage and Carport and Breezeway JUL - 1 ;.; • • COTTON REDI-MIX P.O. BO X 179 PORT HADLOCK, WA 98339 6/10/10 TO WHOM IT MAY CONCERN: WE ARE REQUESTING THAT YOU EXPEDITE THE PERMITS LISTED BELOW. WORK HAS BEEN SO SLOW AND WE DON'T WANT TO HAVE TO MAKE MORE LAYOFFS. ANY ATTENTION TO THIS MATTER WOULD BE APPRECIATED. SINCERERLY, STERLING HUNTINGFORD COTTON REDI-MIX BLD10-147 ,4�/, � MLA 10-175 NSFRW-ATT GARAGE A,'I) CA' 'ORT A '% : ' EZEWAY JUL - 1 • • THACKER & SON CONSTRUCTION 80 W. FITCH BU RG AVE. PORT HADLOCK, WA 98339 6/10/10 TO WHOM IT MAY CONCERN: WE WOULD LIKE YOU TO LOOK INTO EXPEDITING THE PERMITS LISTED BELOW. I HAVE NO WORK SCHEDULED AND WOULD LIKE TO GET STARTED ON THIS AS SOON AS POSSIBLE THANKS FOR ANY HELP YOU CAN GIVE IN THIS MATTER. SINCERERLY, MIKE THACKER THACKER& SON CONSTRUCTION BLD10-147I MLA10-175 NSFRW-ATT GARAGE AND CARPORT AND BREEZEWAY Zimbra:k lworr @comcast.net http://sz0016.ev.mail.comcast.net/zimbra/ma • Smart Zone Communications Center Collaboration Suite kelworr @comcast.net letter Thursday, June 10, 2010 11:12:05 AM From: stewartexcavating @q.com To: kelworr @comcast.net June 10, 2010 As a licensed contractor in Jefferson County, we at Stewart Excavating are asking if you would expedite the building permit for Kelly Worrell: #BLD 10-147, MLA 10-175, NSFR W-ATT with attached Garage- Carport Breezeway. Due to the economy and with as many sub-contractors involved with this project, this would be a real boost for them and their families. Thank you, Mark Stewart Stewart Excavating JUL - 1 of 1 6/10/2010 8:07 r• kae, (uyik:Friccyts2) ,6-t-_ . 51(A0- A w U�C 5 - Pry �C r JEFFERSON COUNTY PERMIT CENTER APPLICANT NAME: 'KILL Ad i_ C,GJYr LQ PHONE: Z(4) 3R, --(p)(021 fir)U SITE ADDRESS: jk 4� �'SY DATE: 10 pr. ALTH APPROVAL _ qc RM IT # SEP y LJ imp/ FOOD SERVICE 2. SHORELINE BANK HEIGHT SETBACK 3. FLOOD ZONE 4. FOREST PRACTICE APP (CLASS ) 5. ' A NNING APPROVAL 4.6. C. ICAL AREA REVIEW _ �r= ,�/-- •NING 8. HEIGHT 9. LOT COVERAGE 10. ADDRESS 11. FEE„ 12. Cs ► " ACTOR'S LICENSE O( L t , / r� SHEET 14. BOND HOLDER/LENDER 15. NTT 16. SETBACKS 17. PROVIDE WA STATE ENGINEER STAMP/ARCHITECT'S STAMP 18. STORMWATER SITE PLAN 19. D.O.T. ACCESS APPROVAL 20. FIRE FLOW FOR COMMERCIAL STRUCTURES I :1. PLAN REVIEW 7-(,-(3 0,10{2, OCCUPANCY: TYPE OF CONST: 23. EXPOSURE: 24. WIND: 25. SNOW: 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. H:\HOME\PLNCNTR\IN FOBLG\BLDCKLIS\2/2000 • • Jefferson County DCD Building Division Correction Notice PERMIT NUMBER /0-06(4-7 OWNER tlijOkRELI- JOB LOCATION 3 So Salt-t-14?es zr km Inspection of this structure has found the following violations: C I t ALL- lA)A-r&rz Pi,t-s L14'bn7 RESoLVe a Ar ov 1SSL TN r3 re 2.tU1 t-rr 640o . - . n at-- - A S C.,,eJRd P t _ r . _ i C SUED , Aovij 7 11)O MI '3I 4 f You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. ,t' �� Date 05 � i' _ . / , BUILDING DIVISION(360)379-4450 ECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE 1 Jefferson County Building øision Permit Nuer: BLD10-00147 Applicant: WORRELL BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. q Y p ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. T he electrical permit must st be signed off by the State Inspector prior to the County's Framing Inspection ection Inspection Item Date Approval Signature Notes Setbacks 1-q2-tv• Erosion Control 3/34/5 Foundation Footing 1.,),Z)10�1� ctirb Footing Drains �,Z V i 1V Foundation Stem Wall Underground Plumbing _10 Under Floor Framing Straps(hold downs) /011_/U_/e Off/ Ext. Shear Wall Nailing 7 y P Rough-in Plumbing 1,,51//: (� Framing ✓ (74.6 Blocking %j. C1, ' ( ! t (t't(13 A irseal G. 1( 1 ( 5 Insulation:Walls t(9-(1)- t( Insulation: Floors (A) _ Insulation: Ceiling 2 Int. Shear Wall Nailing I I 4-27 Wallboard Nailing 1- Gas Line: Interior ge 15' LAO P, ' v - fa/5 is rc) Jets., Gas Line: Exterior P/A f J t / 14-1- Paw' 3730-5 Propane Tank i-V- Heat/Chimney Clearance 5/3.dis Drywell/Alt Drainage 3/4 /��: Address Posted 3A///3 t 135 . VES Qf FINAL INSPECTION 006- ,f/y/-7 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 0 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00147 Received Date: 5/6/2010 SITE ADDRESS: 380 SOUTHPORT LN Issue Date 7/8/2010 PORT TOWNSEND, 98368 Expiration Date 7/8/2011 OWNER: KELLY P WORRELL PHONE: 206-722-0195 ADELA B WORRELL 4753 36TH AVE S SEATTLE WA 981181705 SUBDIVISION: Block: Lot: TX31H PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE THRU & U/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,367 VALUATION 514,424.00 ADD'L: 1,882 HEAT TYPE: HTP CODE EDITION. 2006 HEAT BASE: HEAT TYPE: OCCUPANCY. R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: 1,184 CONST TYPE: 5N SHORELINE: GARAGE: 1,127 CONST TYPE: SETBACK: DECK: 1,775 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $3,300.25 LYK 05/06/10 117657 Exist: 0 Exist: 0 Plan Check $2,145.16 LYK 05/06/10 117657 Prop: 3 Prop: 4 State Building Code $4.50 LYK 05/06/10 117657 Total: 3 Total: 4 Potable Water Application $98.00 LYK 05/06/10 117657 Total: $5,547.91 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 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED • • CONDITIONS for Building Permit# :BLD10-00147 1.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED WITHIN THE QUIMPER SUBBASIN IN A DESIGNATED COASTAL MANAGEMENT AREA; AS SUCH, THE FOLLOW IS REQUIRED: INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. REFER TO ENCLOSED DOCUMENTS FOR MORE INFORMATION OR CONTACT ECOLOGY AT 360-407-6300. 2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 3.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (top of steep slope -western 1/3 of parcel). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 5.) All construction activities shall not encroach upon the landslide hazard buffer. This includes the storage or preparation of materials. 6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 7.) 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.) A Stromwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) Outdoor residential storage shat a maintained in an orderly manner and sha reate no fire, safety, health or sanitary hazard. 10.) 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Building setback from private driveway accessed of Southport Lane is no less than 20 feet. Side and rear setbacks are no less than 5 feet.