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HomeMy WebLinkAboutBLD2013-00100 • BUILDING PERMIT APPLICIIION BLD13-00100 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00100 Received Date: 4/2/2013 SITE ADDRESS: 121 WINDSHIP DR PORT TOWNSEND, 98368 OWNER: WARNIE W TURLEY TRUSTEE PHONE: 3603854586 LAVON TURLEY TRUSTEE 121 WINDSHIP DR PORT TOWNSEND WA 98368-2513 KALA POINT#1 SUBDIVISION: Block: Lot: 63 PARCEL NUMBER: 964700063 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: NORDIC SERVICES INC PHONE: 206-522-9570 9618 MIDVALE AVE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 1/1/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION FIRE DAMAGE REPAIR TO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: 1,521 VALUATION 124,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: 1,255 HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 37500 BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: Prop: Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $1,064.54 JLA 04/01/13 140180 APPROVED State Building Code $4.50 JLA 04/01/13 140180 Permit $1,637.75 JLA 04/01/13 140180 APR ` 2 201` Total: $2,706.79 Jefferson County DCD \\firlcmorL\rlofo\fnrmc\G RI fl Ann PIri rnf A/1/W111 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD13-00100 SITE ADDRESS: 121 WINDSHIP DR Issue Date: 04/2/2013 PORT TOWNSEND, 98368 Final Date: 11/7/2013 APPLICANT: WARNIE W TURLEY TRUSTEE PHONE: 3603854586 LAVON TURLEY TRUSTEE 121 WINDSHIP DR PORT TOWNSEND WA 98368-2513 SUBDIVISION: KALA POINT#1 Block: Lot: 63 PARCEL NUMBER: 964700063 Section: 26 Township: 30 N Range: 01 W PROJECT DESCRIPTION: FIRE DAMAGE REPAIR TO SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/7/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013 or 1 SON c III 4111 t O. JEFFERSON COUNTY 5 q DEPARTMENT OF COMMUNITY DEVELOPMENT , `9.1.;`'4 621 Sheridan Street•Port Townsend•Washington 98368 • .±-;.;� 3601379-4450• 360/379-4451 Fax ,g�," ® wvrw.co.jefferson.wa.us/cornmdevetopment Master Permit Application MLA: Project Description(include separate sheets as necessary): 1 Tax Parcel Property Number: l,_,-y ,., ,, > r., ,y Size: „,-2.5 ‘;-J C; (acres/square feet), Site Address and/or Directions to Property: Property Owner(s)of Record: I...,. ,::. _ r, I Telephone: _ -74; . Fax: email: r,. , -, 4" yaw,-.<<:.i' Mailing Address: s - .,_/ , ,/'3 36% Applicant/Agent(if different from owner): : f. , „, Telephone: .,. .. ,f3. .s, Fax: : ,?, f;,, .i email Mailing Address: ;r, . . , it What kind of Permit?(Check each box that applies Building Cl Variance(Minor,Major or Reasonable Economic Use) O Demolition Permit ❑Conditional Use[C(a),C(d),or CI** pi Single Family G Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification D Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)'* O Commercial* 0 Boundary Line Adjustment ' 0 Change of Use 0 Short Plat*' G Address 0 Road Approach 0 Binding Site Plan** G Home Business 0 Cottagelndustry 0 Long Plat** G Propane 0 Planned Rural Residential Development(PRRD)!Amendments Ct Sign 0 Plat Vacation/Alter'ation** 0 Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** G Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)' 0 Shoreline Management Variance E0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment LI Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request May require a Pre-Application Conference **Re.uires a PreApplicatian Conference Please identify any other local,state or federal permits required for this proposal,if known: 'DESIGNATION OF AGENT I hereby designate, 4, /,.fro 1�% to act as my agent in matters relating to this application for permit(s). r" / y ■ OWNER SIGNATURE ,r , ._..`=f 1„/_ke!/ Date: { -1/% /1 j By signing this application form,the owner/agent attests thatthe infocfiation provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omissionof 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 to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Stale s access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application tha)he afrhe wants p notice. Date: // Signature:.��fl. , _---.1.--- , _ .r.r. , The actl e-of'a> o Applicant will undertake as a result o y e 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 J erson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable;responsibiiity for 8heri�nd complying with the ESA. The Applicant has read this disctai er and signs and dates it.b low. Signature: \—� - , :.r -�r fi-J Date: - t /fit 7 4^1.../ /..,"' G\D,cumae*andSealy;s',carat\LocalStt ngs\TemporaryInwrnetFitcs\QLKK%\ttssterPemst.kpptesd'in 12-19-2C06.doc . ~, . -- - - - •Nt r| BUILDER STATEMENT I The signer of this statement does Jaa%by certi , at they are the Owners of the parcel referenced herein,that they are not ficensedmntractors and that I they will be assuming tbfq resporisibllit9 of th, *emaaum .�nmrmenpn�� S — ,g���_-�� _ '_7 ° ov�� �� GiERAL CONTRACTOR OR MNUFACTURE[)HOME PHONE: ( ) z �� �` ( / ) , �,.;-7 MAILING ADDRESS: , ^ � . � �� EPA, CONTRACTOR'S LICENSE vvmwS NUMBER: /4u,Cl(.5 1 / �" Cs A NUMBER (7:, 2/.1///4/90 ARCHITECT/ENGINEER: /zs h t,_ £�, / PHONE (,`� �) . . e�`,(., �x:(- ) . Z�0'�/ MAILING ADDRESS: /��^/ •�4�. '� ��/, '� ,`^/`/^� �� �'�`�/�*/� � - - Project Type: Frame Type Bathrooms: i Shoreline: Type of Sewage Disposal: 7 New 'X Wood Existing: -,- | -: Sewer | -- Addition - Steel Proposed: 2' Bank -- common�ayn�o ._ c Concrete Total: - ue�m al System A Repair 7::: waonnry | SEP Permit u ,cc '�e. - Demolition - Other: Bedrooms: Water Supply: Exisuno / Setback: Private well - Two Party Type of Heat: Proposed: ) / —~ --- N Total: � ame of System: __ . If this is a Commercial Project you must answer the followinq: Number of Parking Spaces: Current: Proposed: Number Parking Spaces: Number of occupants(includes owners,tenants,employees.etc) Current Proposed IBC Occupancy: IBC Typo of construction: Will you have Food Service? Yes / No If this is a Propane Tank andfor Appliance Installation permit.mark all items below that apply: �O Underground Tank 0 Above ground Tank Size of Propane Tank: O*eat Stove O Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / No When applying for a permit,nmntaxvpmvaootaoxvnumxn/amoovomuon/mpmnsoowmgaxv/meuvomoos,axproperty ( lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area. i Square Footage Current Proposed | For Office Use Only Amount | Revision Main Floor Heated / , }.\�,� \ 2 ^^ Engm«ppne,ien: | ___~__ � 2r Floor Heated | Consistency Review: _____^ | -- Other fee: Base e: |t»37,7c-S | Mezzanine Additional Section: — ' Heated Basemen .� � ' ho � \ p�»o»�kw w: \{3i»J , 5J Unheated Basement State Surcharge fee: | Other Unheated | Pot W te Review e Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: | _ . Other TOTAL: c i � Receipt Number: \ | Y`�� J~l 2 Caumc»ec»Number: | } ��/ | � ' ~/ ESTIMATED COST(REQUIRED) �� �l �wvmamom�mmox�um�m ` foundation \ —\ �� /24<()oC) Initials: i A { / c\o""inen"and Se"un°��u�"ca!Settings neise"mT Internet rikc*OLx86\NI2ste,Permit Application u,o-20xm^lo" ������� :______. • • E,OIV CC) JEFFERSON COUNTY K;... a DEPARTMENT OF COMMUNITY DEVELOPMENT ^, . 621 Sheridan Street• Port Townsend • Washington 98368 O 360/379-4450 • 360'379-4451 Fax ING� http://www co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet r PROJECNAPPLJCANTNAMC L ` A1,0uc !n DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium,"or'large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel O.5 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet - sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and!or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple, and vine maple; shrubs such as willow,elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower,and fireweed, ■ LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUTIFILL Calculate the total area to be seared,graded, filled, Answer the following two questions related tc excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/d acres or more of Construction site for structures ,; sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank, etc. sq/ft Circle: Yes o Well,utilities,etc 0 sq/ft Does the project convert 2 '/4 acres or more of native vegetation to pasture? Driveway, parking,roads,etc. si, sq/ft Circle: Yes Lawn, landscaping, etc. t f sq/ft Other compacted surface, etc. C. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance Q sq/ft Cut Fill (cu/yd} :over] stormwater chic wcrksheet Rev 9.9.2010-REV 9/912010 • • Impervious surface is a hard sir-face that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quant?;es or at an increased rate of flow from the flow present under natura conditions prior to development, Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) sq/ft Structures (all roof area) l 5 z ( sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios , sglft Patios sq/ft Solid Decks ` sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads,etc 0 sq/ft Driveway, parking, roads, etc //C c' sq/ft Other sq/ft Other v sq/ft Total New sq/ft Total Existing i Ct L I sglft TOTAL NEW+TOTAL EXISTING* I ci 2 1 sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: $ % Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DOD has prepared a submittal tempiate of a Stormwater Site Plan principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. r c�iti� j CY�bti 1�/L 3�z 7/Z-ca/ (:NOOv.NER OR Au THORIZEp-R PRESENTATIVE SIdNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE_ REDEVELOPMENT Stormwater Site Plan: Yes No ,,« ona i ao..4.c.a i*n_aFV aar�n,n 2 h1k!!P: c� mAm -. 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V 1 C z `i z 7� l� -3 z o p a> w o '"" CrJ C W r u' ,_ b•_ awn yoe ti — pv 3 mike Ei z •Z z to ��� :.' ti$ � b C77� a a C� to \ (.4•) cn � Z � w C° � x > y� m r c �f� � �N� v� C � o oro � � ^d - �1zlTl m � ac t" .01.1 r q d mm sq a NF 7� E--' III m r V) W t Jefferson County Building•ision Permit Neer: BLD13-00100 Applicant: TURLEY TRUSTEE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Under Floor Framing Rough-in Plumbing G_''; -13 Framing � _ ty0 Airseal �� 7 Insulation: Walls �-l6 -(3 i b Insulation: Floors 6.t6 -t2? t`6 Insulation: Ceiling PS-(6. -p? Wallboard Nailing 173- 30 J Mechanical Systems ".1.3_('J p.L6 Smoke&CO2 _ FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD13-00100 Received Date: 4/2/2013 SITE ADDRESS: 121 WINDSHIP DR Issue Date 4/2/2013 PORT TOWNSEND, 98368 Expiration Date 4/2/2014 OWNER: WARNIE W TURLEY TRUSTEE PHONE: 3603854586 LAVON TURLEY TRUSTEE 121 WINDSHIP DR PORT TOWNSEND WA 98368-2513 KALA POINT#1 SUBDIVISION: Block: Lot: 63 PARCEL NUMBER: 964700063 Section: 26 Township: 30 N Range: 01 W CONTRACTOR: NORDIC SERVICES INC PHONE: 206-522-9570 9618 MIDVALE AVE N SEATTLE WA 98103 Contractor's License NORDISI180QA Expires 1/1/2014 PROJECT DESCRIPTION: FIRE DAMAGE REPAIR TO SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: 1,521 VALUATION 124,000.00 ADD'L: HEAT TYPE: CODE EDITION. 2009 HEAT BASE: 1,255 HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 37500 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Plan Check $1,064.54 JLA 04/01/13 140180 Exist: 2 Exist: 2 State Building Code $4.50 JLA 04/01/13 140180 Prop: Prop: Permit $1,637.75 JLA 04/01/13 140180 Total: 2 Total. 2 Total: $2,706.79 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