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HomeMy WebLinkAboutBLD2013-00114 II BUILDING PERMIT APPLI ION Review D0114 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00114 Received Date: 4/9/2013 SITE ADDRESS: 1662 SHINE RD PORT LUDLOW, 98365 OWNER: CHARLES P MARQUIS PHONE: PATRICIA A MARQUIS 7112 230TH ST SW MOUNTLAKE TERRACE WA 980432310 SUNSET HAVEN SHORT PLAT SUBDIVISION: Block: Lot: A PARCEL NUMBER: 721031027 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: TOWN &COUNTRY POST & FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 / '� Contractor's License TOWNCPF099LT Expires - 3 (0130 (S REPRESENTATIVE: TOWN & COUNTRY POST FRAME PHONE: (425) 743-1555 BRYAN BORCHERS (425) 742-4378 16521 HWY 99 STE C PROJECT DESCRIPTIOI NEW POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13,776.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 616 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: 0 Prop: 0 Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $237.25 CJZ 04/09/13 140222 Plan Check $154.21 CJZ 04/09/13 140222 APPROVED State Building Code $4.50 CJZ 04/09/13 140222 Total: $395.96 APR 13 `LO :: Jefferson County DCD Hf 4nrn,e r RI n Ann Rld rn+ A 10l91HQ 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 #: BLD13-00114 SITE ADDRESS: 1662 SHINE RD Issue Date: 04/18/2013 PORT LUDLOW, 98365 Final Date: 7/29/2013 APPLICANT: CHARLES P MARQUIS PHONE: 425-775-7879 PATRICIAA MARQUIS 7112 230TH ST SW MOUNTLAKE TERRACE WA 98043-2310 SUBDIVISION: SUNSET HAVEN SHORT PLAT Block: Lot: A PARCEL NUMBER: 721031027 Section: 3 Township: 27 N Range: 01 E PROJECT DESCRIPTION: NEW POLE BUILDING THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes e THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/29/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 415.34.,, 4t N JEFFERI COUNTY Ill 40, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 3601379-4450 • 360/379-4451 Fax • p' www.cojefferson.wams/commdevelopment Master Permit Application MLA: Projeq Description(include separate sheets as necessary):7 if" V —, C'on sf r u �a fycm o� � G>r �rk e Tax Parcel Number 2.j 03 U 2----7 property Size: I� (acreslsquar�e --R Site Address and/or Directions to ' .•_- : I i i APR 9 2013 /646a VD» ,fie,, /2>� ° iae) , fr3 5 Property Owne s)of Record: R c_ Al 'n ' S xrfY-- i Telephone: 4_. 7 - . " �'' \ ,,.vt�TT--Fax pp� em I _. ?E°T.OF CO" LAITY nrl____ ,___ Mailing Address: 7//2 IAA- Sf JCCJ lfral/2J,7 2 r UPS,h '-C.e-- iIA.98040 - Applicant/Ag= (if different from owner): >�O(. ri61. i. iw2h_• A. i .1.! .I/ It _,!.v Telephone' • _ 74 --/55 q Fax: ' 742- ' 78 email: ii.', if Mailing Address: 11P52I Y i/ -e iome:utak 171 , / `Da What kind of Permit?(Check each box that applies ❑Building ❑Critical Areas Stewardship Plan tit Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family El,Garage Attached ❑Conditional Use[C(a),C(d),or CJ" ❑ 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)lAmendments** ❑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: IGNATION OF AGENT I hereby designa = J,-,01...11!_� L. • '.4' i2// (• -* as my agent in matters relating to this application for permit(s). v (119,/ OWNER SIGNATURE 'ila--_ IA . . _ Date:_ ii rue l3 By signing this application form,the owner/agent attests th- e information provided herein,and in any attachments,is 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 app n that he or she wants prior 2nkotice. \,` Signature: f , L'O Date: t� —1 A-�.� The action or actions Applicant will undertake as a suft of the Issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential lake"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-transfera esponsibility for adhering to and complying with the ESA. The Applicant has read this disclai era signs dates it below. Signature:non-transfera J k.6-A t L-c Date: 3/7 �� •3 G:\PermiitCenter\###FORMS###\DRD FORMS\Master Permit Application S-29-08.doc ' • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. •, Signature: Date: GENERAL CONTRA TOR OR MAN TURED HOME INSTALLER: • PHONE: FAX: la&i]atnc�'£ tic fr :; < d//2 (42,5) •74.3 %555 (42- 74-2- 7.5 MAILING ADDRESS: ;662/ CY49 '4' 2Ciz/�llJ(Xf U/N gOU3 MAL: g.h.Y! , t,_anit Ir a)}.rni l Li1-,64 CONTRACTORS LICENSE it WAINS' NUMBER: - NUMBER ARCHITECT/ENGINEER: 7-5.6"'61T/L.12-0.A L/7/ PHONE ( ) FAX:( ) MAILING ADDRESS: -1 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New A Wood Existing: er ❑Sewer J Addition ❑ Steel Proposed:Total: .� Height ❑ Community System ❑ Alteration/Remodel ❑ Concrete g ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# R{2, - d t, ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: & Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public I-ILVLF' Total: -1--- Name of System: If this is a Commercial Project you must answer the following: I Number of Parking Spaces: Current N/A Proposed: /b/4 Number of ADA Parking S :/✓/4 Number of occupant (includes owners,tenants,employees,etc) Cu t 471 Proposed _L IBC Occupancy:/�/� IBC Type of construction: /.4 Will you have Food Service? If this is a Propane Tank and/or Appliance Installation permit.mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove I Other — , Is this appliance being installed in a Manufactured/Mobile Home? Yes ,Ni ` r 1 ' ' L� �, • When applying fora permit to install a propane tank you must also submit a site plan showing altof , lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system compone — including the reserve area. i Seuare Foote!- Current Pro..—d • 'g 'ls "i..,.c.. °)d. h i, .,i',17u4 n a+l,N41,E:,1+ . _ :1;11,. _F .. Main Floor Heated ,' EH Bid App Review: ri I 2"0 Floor Heated Consistency Review: �� -r-0 ;' Nn'rr'FtOPMFNT Other Heated {a Base fee: 31 5 finr Mezzanine Additional Section: Heated Basement " Plan Check fee: ( / Unheated Basement ,a*'r ± State Surcharge fee: I r, � �., Other Unheated f : ', Pot Water Review fee: Garage/Carport T ,.., SUBTOTAL (.0/c,,,Decks n.Pt ` 911/Rd Approach fee: 01r:p 4 r Other q' '11" rf TOTAL $ lug(' g(' x ° l' Receipt Number: 1,`�'d a,a -,, j Cash/Check Number: 1 Cad b _-__ - , ESTI •TED COST(REQ• - ) Date: .Fair,, et value of all labor and is foundation to finish . -9 -)3 • 43 /�G 5/ l Initials: G:\PemutCenter\###FORMS###\DRD FORMS\Master Pem*Applies lion 5-29-08.doc • . �., Town S.Country. ��� 18521 8.417ay 99•Lynnwood,WA 96027-3151 POST FRAME BUILDINGS B u d i n Des i n 1:(425)258.4171 Puyallup:(253)840-9552 g g Admtnistralive Headquarters: (425)7434555 R PERMABILT FAX: (425)742-4376 Toll Free: 1-800-824-9552 _Qt„,„,,,,,,,,Furore Depends On it,,, Contractor's Lb.#:TOWNCPF099LT �OD) 1fflirflifl r rili PL, ASE CHECK FLOOR PLAN � oll-up doors fit in Bays Wind MPH Draw North Arrow in Circle Roll-up doors will not hit Truss ---/g— Wind Exposure 4f/2- Roof Pitch �' Eave Height (I■D I'- 01 Lc' Snow Load 7 Minimum Clearance I ; ,H , 1 • q■ ��� ■ _ �■ ■ Ni 1 11111111- _ - 11111111 I i0 c 2 :; f Will �� ompi�►N I♦.2i ■RRRR al UUi1111111 ... ilRallireal_ I I !I1'IIIIIIiIIiii .1 1. ' ! RUU• i 1 !' MIII: 1 j. -I Mr= I 1 t ' • MOI■ I 1— —b Zz z x4 I �� M 1, W 5 Am- 1 ig ,, f ff L'P"sfa�t. 11 s j �� ` P • I r c .0 , I , U� �,x-T Rall . t , Its ,_ C I �-all t I ( 11� �� , _ -1L-1 - ■ � _ �. I .— i si w i — IIMINEE ' ; r. 1 E 1 , 'r 111111111 ' , ; !1 IN - BUILDING ELEVATION •Customer has verified and approved the orientation of the building to the North and verifies that all items specified in Paragraph B of the contract are shown on this drawing and vice versa. Customer Name: t' ' ':- Ail"'l'(' " _- ,' ct Lead# /7 3c/ Customer Signature ;A t?.. el--- 1111111111111111111 White-Customer Copy Canary-Office Copy 01995 Perma-Bilt Industries FR-85 6/07 -' ... . '-I-._ " i(,'x7v-i'r7.7.:i C1wi0-...LE-Eti-<– II III ��.i ON cad JEFFERSON COUNTY !� [ C [ 0 V CE hDEPARTMENT OF COMMUNITY DEVELOPMENT!! , I 621 Sheridan Street• Port Townsend I Washington 98368 APR 9 2013 q0 NO.tO 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ ,__,I i JEFFERSON COUNTY "FP? OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME I I. (LA ,//oiD- a, .L?t l 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 1' /'7 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 CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: ., �/ Does the project convert'/,acres or more of Construction site for structures �'f sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes C. Well,utilities,etc. .Q sq/ft Does the project convert 2'/z acres or more of Q n native vegetation to pasture? Driveway,parking,roads,etc. / ( ` sq/ft Circle: Yes Lawn,landscaping,etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Q Total Land Disturbance I sq/ft Cut Fill 2-(06,, (cu/yd) lover] stormwater talc worksheet—REV.2/20/2008 1 • I Impervious surface is a hard surface 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 quantities or at an increased rate of flow from the flow present under natural 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 Ho Structures(all roof area) sq/ft Structures(all roof area) -(- ' sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) rin (without infiltration below) Driveway,parking,roads,etc 0 o ` sq/ft Driveway,parking,roads,etc Sob sq/ft Other (621\lcRk"'(EI)A l sq/ft Other sq/ft Total New �3O1 sq/ft Total Existing FD sq/ft TOTAL NEW+TOTAL EXISTING* 41987 sq/ft `This amount will be used 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 �q 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. DCD has prepared a submittal template 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- e:app wm t t in ormation provided herein is true and correct to gthe best of my knowledge. I also certify',tha�h fi t3 is elw h he full knowledge and consent of all owners of the affected property. !j (17}1A.Z- ; 9 2013 (LANDOWNER A THORI ED REPRESENTATIVE SIG RE) 1 (DATE F _ Sc�.t �°si � ` �3= _:...._�,Y"C` :..._ ..__u._ stormwelar cal°worksheet—REV.220/2008 2 -__.-- ...-_- -____—_- ..--- sTown &Country: Si a Phan ... mmonimmemil Suite C•16521 Highway 99 Lynnwood,WA 98037-3161 Ple a Check After Doing Site Ptan; POST FRAME BUILDINGS 9 ptic and drainfield Everett:(425)258-4171 Puyallup:(253)840-9552 �party dimensions Br lines 2e Draw North Arrow in Circle DIVISION OF Administrative Headquarters: (425)743.1555 tion of party PERMABILT LM Fycistos buildings tbacks of A� 1 FAX:(425)Administrative Hea76 Toll s:(4(425)743.1555 z ❑❑❑❑PPP' proposed&existing buildings die of veal r //�� 1 TM Contractor's Lic:#:TOWNCPF099LT _ Joposed building in road with name I rplan t,�' . Quality:Our Future Depends On It."" asements Access to proposed budding ones.&gtin ours(5'increments) �`"%J Job Name: k - JOb SitsAdddress: k„T.f .-C..k.c..E� TsxAccounf#: y (01 02f/ Legal Description: At ( LfL Lfzt aid %l3o5 t- az_e= I.14ab'e sU' . 1/V = AleEa of SRI ,e,1/41cE Posh ealSi-huc..6c5rI I' =G v' nn lio .- ♦�r Y' Ch ?,� t 3v A-cc k5( EACEMFAr:I ' , n Z (� .0 - - - - _:- .4- 7vra-ff ts.=t0�v n tartk� c (A �' sz&...0(.14 22 c. l4Po , o yY PF2v$ ovs gLO&-: 7&)' P2rwt� r4 I. 110 14.446-f s'. 682 vi1 ar I1 I I I I2-6 4/Z4/4:-. 13bn LoT " c-' M I S . •l t r I. } ek.5 E EIUrr Cod (0-) INSFr ! r o • (,o` {#cc>cSS • 4'14 s h $3 Z ,-7r'_., -- r acct Ln 411;"1 22 ka5 iii r ktpcsrm w 4 11 mst&ff6ot N AO Er— o 11E07-1VIE0, � J t::I/ ., � z"' ate; I I PR 9 2013 ,k C ' � o>� � � i w lii .;',; , JEFFERSON COUNTY W y .=td 1 , PEPT.OF COMMUNITY DEVFLOPMENT =1 w -R'. F,) h DO NOT SIG INCOMPLETE SITE PLAN! U'1 Customer has verified and approved the location of the building,orientation of the building to the North,and.verifies that all White-Customer Copy White-Office Copy utilities are shown on this dra In{),�nn�the correct location _ CUSTOMER SIGNATURE -. (''`-? tf v,. ‘t /' `::•� '�' . v tEAO# /��� ! 01995 Perma Industries FR-34 6/07 111E111111111111111 •1 0 Op Front Parcel Review • Parcel 721031027 Printed: April 10, 2013 CHARLES P MARQUIS Site Address: PATRICIAA MARQUIS 1662 SHINE RD 7112 230TH ST SW MOUNTLAKE TERRACE, WA PORT LUDLOW WA, 98365 Parcel Number: 721031027 S-T-R: 3-27N-01E Total Acreage I Legal Description SUNSET HAVEN SHORT PLAT LOT A SUBJ/EASE Land Use: 1100 Flood District: Fire District: 3 Planning Area: 8 Flood Map(FIRM) Panel No: School District 49 Zoning: z_ COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ kc Plot plan states "property line" [✓ Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [frr Legal Access to Property e' NO [1/j Parcel Tags or Scanned Documents ES NO tvT S — [ 1/( ESA's: Special Reports by YES NO - [ Designated Ag YES _ [ r•j' Shoreline Designation: YES NO [ ) Shoreline Slope Stability: YES NO Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Are")S� NO 5 rf SIPZ: none At Risky Hig Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ tormwater site plan sue . itted: YesNo [ orest Lands: YES •O Adjoining Forest Lands: Commerciall Rural/ Inholding Mineral Lands: YES [ ] Agricultural Lands: YES [ 11 Archaeology: YES al [ V Stormwater: New n.-• •• face C 7 07— Lan. Di bing Activity (30(� ESA's Stormwater • r ' -• Min keg#1 thru#5 Min Reg#1 thru#10/ Engineering [ yr Notice Provisions/Disclosure:Ai'port YES NO MRL YES NO Forest Lands YEs No [ , Landscaping Required: Yes o_ [ Parking Spaces Re• d NO l©Other 1 t Building Height: UBC Standard [ ,,j Impervious Surface covera ercentage: Resource Lands&Public: 10W Rural Residential 40, Rural Indu. Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ITotal Building(s) Size: RVC:20,000 SF CC:5,000 SF NC: 7,500 SF GC: 0,000 S All others:subject to septic&water constraints/None specified [ L.V.--Setbacks: Front: 20 Left Side: ik!_ 2' 'ght Side: S Rear: 4 Shoreline Setback: SHA Setback: [ Road Classification: Road Approach: NOT REQ'D RAP [ t SEPA Required: 'YES [ Flood Certificate: [ g< Existing Case(s) &Condition(s): Violations: Yes No [ I/r Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ Lots/Require Declaration of Restrictive Covenant YES O, submitted: YES NO [ GA No Protest Agreement YES [ LTS O• submitted: Y NO Site Visit conducted YES i T [ W.-Require Final Zoning Approval 'ES 0 [ (.]'ADMIN: Setbacks entered in Permit Plan case DYES New Parcel Tags entered in Permit Plan 4lie YES Special Reports Scanned OA YES Title Notes Updated Parcel tags found for parcel 721031027 1.) Storm Water Pla 1/24/96 Parcel tags found for parcel 721031027 2.) Storm Water Pla 1/24/96 Parcel tags found for parcel 721031027 3.) Storm Water Pla 1/24/96 Parcel tags found for parcel 721031027 4.) Storm Water Pla 1/24/96 Cases Associated with APN 721031027 Cases Name Review Type Status Planner BLD13-00114 MARQUIS I P Application Received: 4/9/2013 Permit Issued/Case closed: Case Finaled: NEW POLE BUILDING LD96-00638 WOODSIDE CONSTRUCTION IN F Ived: 10/10/1996 Permit Issued/Case closed: 11/19/1996 Case Finaled: 9/17/1997 single family residence SEP96-00017 WOODSIDE F Application Received: 6/7/1989 Permit Issued/Case closed: 2/5/1996 Case Finaled: 1/31/1997 SOM96-00017 GILMAN F Application Received: 1/31/1997 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms 1 R_Parcel_CRMLA.rpt 4/10/2013 Page 2 of 2 . y ' • -- m ' ` � i > wl V 17 ) Q 1IU Z W HWil,# r l rop ? ., ;U7 }y�I LLi-5 9 — 1 IH W a i 15 a-a-r-2-4,&,,5`yi"'�.� _i A:. z n —I o IQ 4'. 4.! -59 �l ~ r e W'113i i IW Z v' 2^S° a _ M 1..CO'v O N Z W E. • F. 44! s E F €iE V i i I� W o E 1::'"-_? �p;.. . 4- 5N 1.-_ Z a $ IO W JI 1� 'T KIf W ni ¢ W iH! 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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 i Erosion Control Post Holes Straps(hold downs) Framing (9`Z(o - 15 U��: Blocking Drywell/Alt Drainage Address Posted FINAL INSPECTION 7)fi� 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#: BLD13-00114 Received Date: 4/9/2013 SITE ADDRESS: 1662 SHINE RD Issue Date 4/18/2013 PORT LUDLOW, 98365 Expiration Date 4/18/2014 OWNER: CHARLES P MARQUIS PHONE: PATRICIAA MARQUIS 7112 230TH ST SW MOUNTLAKE TERRACE WA 980432310 SUNSET HAVEN SHORT PLAT SUBDIVISION: Block: Lot: A PARCEL NUMBER: 721031027 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 7/7/2013 PROJECT DESCRIPTION: NEW POLE BUILDING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13,776.00 ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 616 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $237.25 CJZ 04/09/13 140222 Exist: Exist: Plan Check $154.21 CJZ 04/09/13 140222 Prop: 0 Prop: 0 State Building Code $4.50 CJZ 04/09/13 140222 Total: Total: Total: $395.96 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 i CONDITIONS for Building Permit# :BLD13-00114 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 April 9, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 10, 2013 shall be resubmitted for review and j approval by Jefferson County Department of Community Development. 3.) DWJ 4.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 11 firiemarklrlafalfnrmclF RI 11 PArmit Rldn rnt 4/1R/7013