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HomeMy WebLinkAboutBLD2013-00116 • BUILDING PERMIT APPLIIION BLD13-00116 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00116 Received Date: 4/16/2013 SITE ADDRESS: 726 WEST VALLEY RD CHIMACUM, 98325 OWNER: CHULJIAN PROPERTIES LLC PHONE: 1303 WASHINGTON ST PORT TOWNSEND WA 983686715 SUBDIVISION: Block: Lot: 27+ PARCEL NUMBER: 901151001 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: DAVID GOLDSMITH PHONE: 360-385-3907 536 FOSTER ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP Adding new deck to exisiting garage TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date , Permit $97.25 CJZ 04/16/13 140248 Plan Check $63.21 CJZ 04/16/13 140248 APPROVED State Building Code $4.50 CJZ 04/16/13 140248 Ay _ -, 07(14!, Total: $164.96 Jefferson County DCD \\ti.iemorkl,ofolin....o1C RI n Ann RW r1 A/1R/7(111 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 #: BLD13-00116 SITE ADDRESS: 726 WEST VALLEY RD Issue Date: 05/7/2013 CHIMACUM, 98325 Final Date: 6/11/2013 APPLICANT: CHULJIAN PROPERTIES LLC PHONE: 1303 WASHINGTON ST PORT TOWNSEND WA 983686715 SUBDIVISION: Block: Lot: 27+ PARCEL NUMBER: 901151001 Section: 15 Township: 29 N Range: 01 W PROJECT DESCRIPTION:Adding new deck to exisiting garage 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 6/11/2013 \\tidemark\data Worms\F_BLD_Occupancy.rpt 7/15/2013 ..,1".1.. ' . t, i4.9.. " lL Date V- time rece ved ��( l ! pm Mon. 1 . .Wed: Thur. -Pri. q • BLD: — \`�. Date: - C ' • `��+i�^(\ OWNER: _. A.. ' 1 '�1' ' r l - Contact Name: \ /� ADDRESS: ' "1 2 C� t.) .t ``.J�'e-t.r Contact Number 360 "3 t1�D r±,2 1\ 20 6 F - Notes: - ' .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 f"_ . Post Hole Ventilation Appliance ' Underfloor Gas/wood stove Man-Homes Setbacks Insulation Final inspection - Foundation — i Block&Tie r floor _wall ceiling. . Address Posted - i i • J +v:•e; r • pi., 1 �ne cr .tv �- ;2 Date -time received 12:(I am / It) Mon. Tues. , ed Thur. -Fri. BE �— 1 � b D_ n ( crate: �j ^l`� OWNER: l/1gd9G C/i Contact Name: 301 ADDRESS: 1,! J Contact Number.360 (/ - Gd0 . , 206 A Notes: - -E .0. Foundation Plumblnq - Framing . Propane Tank' ' Mechanical Setbacks // Under-ground Framing Underground _ Furnace Footing -A/ Rough in Air seal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines Ducts V_ '_ I Post Hole Ventilation Appliance _ - Underfloor .Gas/wood stove Man-Homes Setbacks _ Insulation. Final Inspection Foundation'_ z^ �' Block&Tie _ floor _wall ceiling. . Address Posted ' i - _ ___ - - n 3 €' 3 to 07 N: I - .._. 1'° II 1 _______.,... - ------- , ri,„ \ [ • ______{ t t -�^_ �' P F�F ` f Q- s ' / {I d o-3.. / • •..._ — ... ` Q- i , ..d r-- fr I ! j X " i b m --_ 1".----- nill ,,IL'"1' _,... I, 1 I til te___ __ ___ ■ �.._ I ♦..._ _s.... _.'--- ,.___........__ .e.�._,.�... r , q'.:If a ___. - r i 0 _ �_. :„... 4 o ❑ , E0 1.-: rif.., -- -, _ tort," " 4t G_ ir ,, 1,... ilck -- -0 r -n t NCB W I F• v- ff V I< O V ---- I O i mow- 0 +mac-r: C C 1 1." Z .,, t 0 / ...•••• i 0 4 G Iry -a . 1;---- o 1� ,r I , .< 1 . 1 . , seememomm� -- June L,•mb 1 Highway as•Lynnwood,WA 980373181 n aae\♦aeon HI der wnly JIM Han: --. . .N -e1t,rTh Ie-- L J'tol size Draw North Arrow in Circle � , POST FRAME BUILDINGS Everett:(425)258.4171 Puyallup:(253)840-9552 Voperty dimensions • •,,-sloes-..-' C1lfevation of property �! DIVISION OF Administrative Headquarters: (425)743-1555 Q' a -��� existing buildings • =}backs of proposed& buildings C3'B odies of water .�•.r - ' FAX. (425)742-4378 Toll Free: 1-800-824.9552 t ` PERMABILT Contredo sLlc.N:TOWNCPFO99LT �Foposed building n ain road with name E3'F)oorplan Easements ccess to proposed building -Slopes&Contours(5'increments) TM 6 Quality:Our Future Depends On It . /1 Job Name: 4-' :u I I Job Site Address: PLLI L qt.') /CI W/ — V�� `ms-- ;.,) I IC ( &J1 Legal Description: _ . Tax Account//: N 14- ,7 < 25-- / L_or 512, = .63.i3 4c.1-A. Y..C. It G. - ' , s _ of ()aorcct♦ S'1c,t,.,w1 - Z.. z1 Ac. cOJ IS ) Oa 1 U POST fgi971-1 ‘0,4 SA oc7- ei F' ow T,a y,J rest N© r. a K.P/c,, S ,,RILE; fa Rim • 1I yfvI —� P Pms o 1 Sao > l rki a nti/j oo s E t�'T1 M 14,2 t/1 1 I ��, �� INSEC 1 1( fL) (-' !cZo 1a BLDGs ,. 59 0 -75-B 1 /44 E1K : USE XISrAly- 9a� as. aot �—G��55 • .71-ti IN an.�ay - � ST��A�, �Et� ') . I ( J1 I51 au D cz--- r_,z 3o' . *-Soo• ■ Y \ \\ r• / - \ . / 2` \ • T/ Ex1SZINCx S-Cr2.¶ . , 1\= �' I r / ?erg-. Cow\N, �s J-,,,,,,t„,? - - - z,./O4 \ . . - \ .- <° Pcl oft<,4 . ♦ (�Y\Sri ,„..M rA r, I ..5 I i \ I -�� Y - - - . ( - I AA . 7'j, \ c'�� r e tv ,i----o), . . ii, ,. MAY 2012 � J \ ..\ *+4 -n 1. ' ', J qr. JEFFERSON COUNTY 1t . • DEPT.OF COMMUNITY DEVELOPMENT _ O . <> ; ;iC o 4d , ■ . . cs+ - • - f.. - . `-„ c,,.,.,., L..J F S T Lr wE . \ 2r Rrvfz. Tur_pR.z w e_r, s - r - f 'C r4• T S 4 1 likff ii- 4 .. ` ` � kyo ��= ° UUlulul en CM I' n // 17x1 1? c — ru, ICS `&i i2 )• rzt�fll G� co III: WS - .. % . •4 41ih1k11 DO NOT - OMP1. `` Customer - •. A'✓ v.• - - - - - if th- b ilding,orientation of the building to the North,and verifies that II _3 White-Cu.omer White-Office Copy utilities are show d . 1• =aor,: •c: on/ / ! t) CUSTOMER SIGNA 'E t LEAD# ( I IIIIII IIIII IIII II a 01995 Perma-Bilt Industries FR-34 6/07 1) ......el .o - - i o S 4.0 LIMITS OF SURVEY Asbestos surveys are non-comprehensive by nature and subject to many limitations as described below. Our assessment has considered risks pertaining to asbestos; however, this survey is limited to only those locations sampled. This survey was not designated to identify all potential concerns or eliminate all risk associated with potential asbestos containing materials (PACMs). Evaluation of other risks, such as toxic and hazardous substances in (or in contact with) soil and ground water, structural, electrical, mechanical, radon gas, slope stability, building settlement, moisture, or site-drainage/flooding, have not been included. No warranty, expressed or implied, is made. The site visit consisted of a through visual walk-through of the subject area for the purpose of viewing and sampling PACMs. Accelerated Analytical is not responsible for materials, which require destructive means to access, or materials that are hidden from sight, those materials hidden behind walls or materials, which cannot be found with reasonable diligence. Accelerated Analytical LLC performed this survey in accordance with the generally accepted standards of care in the sampling profession in Washington State at the time of this study. This asbestos survey was performed in preparation for a demolition of the subject structure. </at 7"/ Todd L. Venable AHERA Accelerated Analytical LLC AHERA No: 12-1807 P.O Box 309 5 Phonc:360-239-0354 Litderock,Washington 98556 Email: acceleratedanalytical @comc as t.net I IP ��ierilk'S01V cods JEFFERSON COUNTY • ! ) 1 Li & Eu DEPARTMENT OF COMMUNITY DEVELOPMENT W •a '' 4 04 621 Sheridan Street• Port Townsend •Washington 98368 (I I . APR 1 6 2013 4 $ 3601379-4450 . 360/379-4451 Fax II '9S.�N�r0 www.co.jefferson.wa.us/commdevelopment u1 i JEFFERSON COUNTY Master Permit Application M DEPT OF COMMUN F�OPTV Project D scription(include separate sheets as necessary): Arc-<C 1 /0 /` c A "41 dell-FP" .-5-2//VC-1(.-5-2//V.-5-2//VC-1(1/C1'Tax Parcel Number: / /1St/O?}/ Property Size: cr 2 ff ke, (acres/squarree�feet) Site A 1d��alp-Directiss to Property: /7 .v-P- 00.-1-1-07 /e® &�,y.,.s,tGri„r, ArloL- fJ2. Arcler vywc,4'w 1/.,T2 ...r&A 001 /n 4,/cr f c0.al-y rt.?, �GiAr_,✓ ¢a .- arI , 2Hs. .. of - . a$L Property Owner(s)of Record: "'4:J"ra a "Are-if .' LG Telephone: 34-0-5 //74 Z-- Fax: email: Mailing Address: /30.3 4,,,si Tor L....°. -$' 6, Applicant/Agent(if different from owner): A))! , O L ,4, --' )ffi .• L, Telephone: r' -IS' 01 Fax: r x)44 i t& - f! Mailing Address: X 1 - , 1 r ,t�/ijtra/ GA �33 emai �' Mat kind of Permit?(Check each box that applies ❑ Lot or Road Segregation uilding ❑ 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 Ci** ❑ 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 Rurai 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 Pro-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designat v)J ��4.409/7t I to act as my agent in matters relating to this application for permit(s). X OWNER SIGNATURE 4 . • 1 r , Date: Y/r�(3 • 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 an 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 tion that he or she �s prior Signature: o _ii "re �e( ""�- Date: 117///Z49/.3 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-transfef$�Dle respo ' ility for adh to an complying with the ESA. The Applicant has read this disclai era f�signs and dates it below. Signature: 4•� l Date: `fit / 3 n.\n...__:J` \AUUVIIn X.QA{FUI non c71)A/c\r ..non c.,__.. A I n_ :.A_L__.Z__C on no J__ 0 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that X they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER , . ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: ❑ Sewer ).Addition DEr - U Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System O Repair ❑ Masonry SEP Permit# _ o Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public fjQ Total: Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees, etc) Current Proposed • • IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes f 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 EH Bld App Review: t 22 Floor Heated Consistency Review: (gab, /�0 Other Heated Base fee: (77r (Qc J — Mezzanine Additional Section: Heated Basement Plan Check fee: 2 (�/ �t Unheated Basement State Surcharge fee: .(7f ` ' Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks /(io ,a /K 0(0 911/Rd Approach fee: — Other ,37 I TOTAL: S 3_9 a W. - Receipt Number: Pet,0 A` Cash/Check Number: 1(a"?, - ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish V A 6a O Initials: ej) / —,.. •.n..._.\444SJ3rfOTXCiii313\Tun CnDAIC\r..�._...non C,......,-\T(........Da....:.Al .,.......:...: C'MI 114.1...- V • • ,I [ (iT-60N co�� JEFFERSON COUNTY APB 1 6 2013 !I .a DEPARTMENT OF COMMUNITY DEVELOPMENT [ 621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNTY ` DEPT.OF COMMUNITY DEVELOPMENT �INO *O 360/379-4450 • 360/379-4451 Fax - -- http://www.co.jefferson.wa.uS/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: 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) ll�d' Size of parcel , 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 e Cc, sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well, utilities, etc. sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. sq/ft Circle: Yes ( No) Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sqlft Cut Fill (cued) [over] stoat-meter talc worksheet Rev 9-9-2010—REV 9/9/2010 1 • • 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 Structures(all roof area) sq/ft Structures(all roof area) � *`� sq/ft dir Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other r�" sq/ft Other / sq/ft Total New (-C sq/ft Total Existing / 5 ' sq/ft TOTAL NEW+TOTAL EXISTING* ,'52 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. 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 the applicant/owner attest that the information provided herein is true and correct to the best of my knowle.•: also certify that this application is being made with the full knowledge and consent of all owners of the affected prope•' ,,"‘ , • y//S /3 (LANDO OR AUTHORIZED R -RESENTATIVE SIGNATURE) (DATE) IFOR OFFICE USE ONLY SMALL LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater celc worksheet Rev 9-9-2010—REV.9/9/2010 OP Front Parcel Review Parcel 901151001 Printed: April 16, 2013 CHULJIAN PROPERTIES LLC Site Address: 1303 WASHINGTON ST 726 WEST VALLEY RD PORT TOWNSEND WA 983686715 PORT TOWNSEND, WA 983E CHIMACUM WA, 98325 Parcel Number: 901151001 S-T-R: 15-29N-01W TotalAcreagc 84 Legal Description S15 T29N RI W TAX 27(PARCEL B V25/P58) SUBJ/CONS Land Use: 8300 EASE W/JLT AF#540361 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 [ pr Plot plan states "property line" [v( Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [p}- Legal Access to Proper YE NO [fK Parcel Tags or Scanne oouments ®, , NO [ (X ESA's: Special Reports •arby YES [ y esignated Ag YES NO [ f ;Shoreline Designation: YES NO [ Shoreline Slope Stability: YES NO Stream Type*NO 411' Fish& Wildh e YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide-4 NO C, (c L11— •i— 9�1 Flood: Y S NO Erosion: YES NO Aquifer Recharge Ar :YF NO 5CA__,A_..C.— SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ [(/JStormwater site • submitted: . YesNo Forest Lands ASIPIF NO Adjoining Forest Lands: ommerciaV Rural/ Inholding [ Mineral Lands: YES 45 [C/f gricultural Lands: YES {t Archaeology: YES 5) [rj]' Stormwater: New Impervious Surface r CI ( Land Disturbing Activity g ESA's Stormwater Req's: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 D.4.- Landscaping Required: Yes C• [ Parking Spaces Re I uired co 2 Other y Building Height: ® UBC Standard [ ] Impervious Surface coy- . .ercentage: Resource Lands&Publi 4B, Rural Residentia 4g, Rural Indus. Per UDC Sec 6.7 Rural Commercial: 60% Area of Building ove age: 60%in Rural Industrial Lands only [ V Total Building (s) Size: RVC:20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,00 All others:subject to septic&water constraints/Nonecified [ Setbacks: Front: 2-0 Left Side: Right Side: 5 Rear: 6 Shoreline Setback: LSHA Setback: [ Road Classification: Road Approach: EXISTING .• REQ'D RAP [ SEPA Required: YES ' [ /17-Flood Certificate: [ 0/Existing Case(s) & Condition(s): Violations: Yes No / n [ t.-Y Recorded Date of Subdivision: (ri( 1q AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [i4 Lots/Require Declaration of Restrictive Covenant YESZ submitted: YES NO [ GA No Protest Agreement YE submitted: YES NO [ m,/ ite Visit conducted YES [ f� Require Final Zoning Approval YES C1 [ ] ADMIN: Setbacks entered in Permit Plan case 40 YES New Parcel Tags entered in Permit Plan ! YES Special Reports Scanned eg/A) YES Title Notes Updated Parcel tags found for parcel 901151001 1.) Custom Warning Flag Per Assessor's office e-mail dated 09/22/2004 -This is 12/6/07 Parcel B of Survey V25/P58-9. Approved by DCD, parent parcel being divided into three 80+ acres parcels with a recorded survet. Land size for CFL=80 acre minimum. Processed in 2002 for 2003's taxes. Parcel tags found for parcel 9011.51001 2.) Custom Warning Flag Per Assessor's office e-mail dated 09/22/2004 -This is 12/6/07 Parcel B of Survey V25/P58-9. Approved by DCD, parent parcel being divided into three 80+ acres parcels with a recorded survet. Land size for CFL=80 acre minimum. Processed in 2002 for 2003's taxes. Parcel tags found for parcel 901151001 3.) Custom Warning Flag Per Assessor's office e-mail dated 09/22/2004-This is 12/6/07 Parcel B of Survey V25/P58-9. Approved by DCD, parent parcel being divided into three 80+ acres parcels with a recorded survet. Land size for CFL=80 acre minimum. Processed in 2002 for 2003's taxes. Parcel tags found for parcel 901151001 4.) Custom Warning Flag Per Assessor's office e-mail dated 09/22/2004-This is 12/6/07 Parcel B of Survey V25/P58-9. Approved by DCD, parent parcel being divided into three 80+ acres parcels with a recorded survet. Land size for CFL=80 acre minimum. Processed in 2002 for 2003's taxes. Cases Associated with APN 901151001 Cases Name Review Type Status Planner ADR12-00073 CHULJIAN PROPERTIES LLC F Application Received: 10/3/2012 Permit Issued/Case closed: Case Finaled: 911 BLD13-00116 CHULJIAN PROPERTIES LLC P Application Received: 4/16/2013 Permit Issued/Case closed: Case Finaled: Adding new deck to exisiting garage \\tidemarkldata\forms\R_Parcel_CRMLA.rpt 4/16/2013 Page 2 of 3 Ril LA12-00113 • • BLD12-00162 MLA12-00113 CHULJIAN PROPERTIES LLC I F Application Received: 5/23/2012 Permit Issued/Case closed: 5/23/2012 Case Finaled: 12/3/2012 NEW DETACHED GARAGE -UNHTD, STUB OUT FOR FUTURE PLMB USR09-00030 CHULJIAN PROPERTIES LLC A Application Received: 610/2009 Permit Issued/Case closed: Case Finaled: 720 West Valley Rd.according to application \\tidemark\data\forms\R Parcel_CRMLA.rpt 4/16/2013 Page 3 of 3 • • Jefferson County Building Division Permit Number: BLD13-00116 Applicant: CHULJIAN PROPERTIES LLC 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 Setbacks ' Foundation Footing l'1 Framing FINAL INSPECTION vI I p 115 n 51-4112s FINAL FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD13-00116 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 16, 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 16, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD13-00116 Received Date: 4/16/2013 SITE ADDRESS: 726 WEST VALLEY RD Issue Date 5/7/2013 CHIMACUM, 98325 Expiration Date 5/7/2014 OWNER: CHULJIAN PROPERTIES LLC PHONE: 1303 WASHINGTON ST PORT TOWNSEND WA 983686715 SUBDIVISION: Block: Lot: 27+ PARCEL NUMBER: 901151001 Section: 15 Township: 29 N Range: 01 W CONTRACTOR: PHONE: PHONE: PROJECT DESCRIPTION: Adding new deck to exisiting garage TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION ADD'L: HEAT TYPE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $97.25 CJZ 04/16/13 140248 Exist: Exist: Plan Check $63.21 CJZ 04/16/13 140248 Prop: Prop: State Building Code $4.50 CJZ 04/16/13 140248 Total: Total: Total: $164.96 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