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HomeMy WebLinkAboutBLD2012-00225 •UILDING PERMIT APPLICAIN MLA12-00149 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00225 Received Date: 7/23/2012 SITE ADDRESS: 171 SHORE DR PORT LUDLOW, 98365 OWNER: GARRETT LARSEN PHONE: 206-842-9984 DIANNA L LARSEN 120 MARINER PL PORT LUDLOW WA 98365-8738 PARADISE BAY ESTATES SUBDIVISION: Block: 14 Lot: 3 PARCEL NUMBER: 983401403 Section: 23 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ ATT GARAGE & CARPORT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,505 VALUATION 250,963.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: 576 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 90 CONST TYPE: 5N SHORELINE: GARAGE: 598 CONST TYPE: SETBACK: DECK: 580 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 36705 BEDROOMS_ : BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 To • 3- Routing Date:-_ .1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,839.35 LYK 07/23/12 135014 Plan Check $1,195.58 LYK 07/23/12 135014 APPROVED State Building Code $4.50 LYK 07/23/12 135014 JAN - 2 2012 Potable Water Application $64.00 LYK 07/23/12 135014 Total: $3,103.43 Jefferson County DCD \1tirlem•arl,1r1.t fnrme\G GI fl Ann RtrH rnl 7/75/9!119 BUILDING PERMIT APPLICAI .JN Review Type: i Review Type: l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00225 Received Date: 7/23/2012 SITE ADDRESS: 171 SHORE DR PORT LUDLOW. 98365 OWNER: GARRETT LARSEN PHONE: 206-842-9984 DIANNA L LARSEN 120 MARINER PL PORT LUDLOW WA 98365-8738 PARADISE BAY ESTATES SUBDIVISION: Block: 14 Lot: 3 PARCEL NUMBER: 983401403 Section: 23 Township: 28 N Range: 61 E 1 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE & CARPORT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN 1,505 VALUATION 250,963.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2009 HEAT BASE: 576 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 90 SHORELINE: CONST TYPE: GARAGE: 598 SETBACK: DECK: X580 BANK HEIGHT: SEWAGE DISPOSAL: ALT . WATER SYSTEM: 36705 l*et)BEDROOMS: BATHROOMS: ,S' Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 11MIOf C.cfr1 I� To Rou ir�'Date:- — '44 o Type Amount Paid By: Date: Receipt: Approved/Dte Permit $1,839.35 LYK 07/23/12 135014 • rm. Plan Check $1,195.58 LYK 07/23/12 135014 r - State Building Code $4.50 LYK 07/23/12 135014 , Potable Water Application $64.00 LYK 07/23/12 135014 Total: $3,103.43 i `mssON cart DEPARTMENT OF COMMUNITY DEVELOPMENT +� 2� 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax: 360.379.4451 Web:www.co.Jefferson.wa.us/communirydevelopment q . . 0O E-mail:dcd( )co.jefferson.wa.us "5./11 N G� CERTIFICATE OF OCCUPANCY PERMIT #: BLD12-00225 APPLICANT: GARRETT LARSEN PHONE: 206-842-9984 DIANNA L LARSEN 120 MARINER PL PORT LUDLOW WA 98365-8738 SITE ADDRESS: 171 SHORE DR Issue Date: 01/2/2013 PORT LUDLOW, 98365 Final Date: 6/1/2015 SUBDIVISION: 9834 - PARADISE BAY Block: 14 Lot: 3 PARCEL NUMBER: 983401403 Section: 23 Township: 28 N Range: 1E PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & CARPORT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/1/2015 \\tidemark\data\fo rms1F_BLD_Occupancy.rpt 6/10/2015 ke ��` -- 1' A `�----- 817 1. \O M rri ^'i ° ° v til 111110:: r.,..., or.„ 1 � - Nb ric t ���� _r ,9 Z�'�{ _ Q N ,c�� \\3 -, :r -1',.bpd„�'yR Si _ 0,0:Th icir) c-.)”___::a):1 in — t �$,: 1' I l 9 ,{, milt I p` i „ v \ I R; a Z `"- 0,3_ i , �_ i3� h sat H:! :J -D _ 0. VU ,I:! L1- �-- V ; t gyp}° pyo 1 I II zA.-r :-.- A - ---'-- 7 '!Z P Ullukt IA v ‘ v,)1,0 •i I- ' L ^fix- . ,I ' i �i 1 N \l ,0„ ill , k I rl E .5-, ilk ,@ c„ CD ,.; •a �� A P.' � 3 Iii I. s a 1 (tr N o °u _ p 1 l �n al § iEit I • linrl J o / hl 1 11 --.,/ 1 Y 1 IA I� 1 ■< 1 -> c � i <7 HU 1-1 ; • . / ' o .yam I n lir j co a[— \!p s 33 �[ �i 11 �A. /11 -Ur ' o ' _ _ a 1� —.. :� f \ \ 111 1 T — 7 - -i([ µ µ �[ l t I s ,\,_�1d» ! v 11 N li i� ? p /�, s F - / / / ., / �4I /id 1 r I / f t 7 v a / /� f ! I / / o J O 1µ9 , � / 4 O o m --P •r ti 1 �� _ / �� r q 9 ) e . :2 el N N 1_ O Cdr 6 0 0 �'� 0 APPROVED _ STORMWATER PLAN 0 cad �c, JEFFERSON COUNTY ti ' ts- p4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 9836: DEPTOFD►F=:i. COUNTY �1--r), t t , ELOPh1£;NT jam q�, p 360/379-4450 •360/379-4451 Fax SIG\.�,• FITNG http:!/vdww.co.jefferson.wa.us/commdevelopmentl ......—�.m. STORMWATER SITE PLAN SUBMITTAL TEMP • E MLA# -t-LA CI PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where th=144 iCegp IIe ite map, the applicant may choose to either incorporate the elements into the general plot plan fgrlih er an Use AppltcatiO 'o Ito submit a separate stormwater:site plan map. I : ,II II 1 1, I JUL 4 2012 11 I I ' �I . . !Li Project Overview 1 i 1. Describe the proposed developed conditions of the site. Indicate position and relative sizARAF lrnpr vemen son the site map. DEPT DE COMMUNITY DEVELOPME IT 22'E.W1/hir/DF,• 1.. i1 '/AtC" i iir Of" 40 444/s5,0 _rte- if,/ of • ,. G'Y 0 S_, /_, . . / a. ar Lat.- '21 bp/1G R64je,al/4/ .ve7iIle ,�,Sdpfpen/ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. $L345 ' /Al lg.° ' Ta . 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 5407.# .3)is"/12.7 9 , /* Iy ,e-Asr, 50�y Sz.i4ele 7 ,J,-)j "ESN 4. Describe the existing soils. Indicate soil type on the site map. 5/9,g42/41 aaes, ,Lady Avgi2_ s w.-jp HOC& 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the grpund). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. i- �`-_ f a A . 1a 7 Ar . /, .- /// u`e c./ k/ -.57 70 EAST A5 A G4 ' -Ak C /V4,J,LFL c 6. Describe any excess levels of noise generated by the proposed use or activity: O I 1 - U _t I \V Mill V in ! J U L 2 4 2012 1 11 J Li I I I JEFFERSON COUNTY stormwater site plan template.doc-rev.10/12t2003 L_ DEPT.OF COMMUNITYDFVELOPMFf T - 5 • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. 11,4,2 ,/2,0A/7 it/7 'V h4i d U L- B. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes, steep slopes, etc.). ,c ep..EL6reo corn/Mb/I. 1 , .Baily .iemfa W- G $pies - 'a> „d 1-^r G Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. I g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold ischarge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.) C i I 0 __a + I. -I • S Slt> [NlC 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"larger projects or projects that involve the potential for dispersion of contaminants.) VI 572:14,7 7P 4T.ygt1Z trAo SEp c '7 A461/4/E7dy 40at-i 11. Describe the performance goals and standards applicable to the project. r 6 THE /7 ' ll 6S�� /�_-fit �i�yT.4i� coo 2,,/iesv$ 12. Describe the flow control system. s5/./ / !��jia� fi►K f4Nb TREK) Arai am. Ii 11 ;;tij? Li 1) stormwater site plan template.doc—rev.10/12/2003 I 6 JEFFERSON COUNTY _ DEPT OF COMMUNITY DEVELOPMENT • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. p. "7-< j.--1ht F ete. 7-6 C47 &4 $(1.J n/A, 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. d ` i- .#F ' �' . . �- : • . - 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Jdt.I19.4f,, �DUl�✓l�.O ���i �/ �f' Alm Cd/ dn� 17. Describe the proposed surfacing material. A)f . y/>. & .U2✓lli , 18. Describe methods for restoration of the site. MIN.t . • • ► e Male A. .l i! 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. /f4'. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements, describe those conditions or restrictions here. r - CEfV 254 I i- I; l sto`mwaler site plan template doc—rev.10/1212003 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual (beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. At C _ - . _ — 2. Establish Construction Access. -' (y7RO -. I r; z_ . ', .. _" U4` "` . _.. L�Jv2l/6Jr°� C.6,7=6.77 e ] !oh/h S'7-E�a 3. Control Flow Rates. \ /L cc.1LG�.,�—.� - ac---) coLAZtgao \Y s7' 4 4. Install Sediment Controls. /C6,/N E r4- FuNCTi 7a (A/T (LT1r47 - _ — _ . _ • / ,t..J ' _. _ _ r 'L ...ow (2.<S [ G2Ya 5. Stabilize Soils. ..OW 5n/ LL/\/t— f? 44. (\) •. (-400‘,c%. vvol '.eSide›(s 6. Protect Slopes. f1�t�iS .rz � .W- 'k7 ( 0-1-- c- fUt_1-_- 7. Protect Drain Inlets. G✓ - s fL7 _AIL - y rill i j III !� 1il 1, Li stormweter site plan template.doc—rev.10/1212003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. \/(!d- r3 cote s - '-' t t-7 Ta ,•',C 1 1,1 'fin be4/ f iF 9. Control Pollutants. /J. Z40 ., b ll' t • /ice,/ _f s WI &. use. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). • A A C 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. 0 6 _ .D_•. - 1 Al!..._._�_ . Cl 1".-) - 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). (4f7/2450-14GPJ A. _ ,� - C _ • 3. Environmentally Sensitive Areas. ; a. Description of environmentally sensitive areas that are on or adjacent to the,Site. • stormwater site plan template.doc-rev.10!12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g., erodibility, settleability, permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence Ca/. — Cep_t6,ptt BLS er" c , /5 b. Construction phasing(if proposed) o 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. S •4012 1 rte c:Wr c...4rTi o fJ 20/.% II. Wet Season Construction Activities. a. Proposed wet season construction activities. 1i17'eeto2 PkveiW4(2...LLI b. Proposed wet season construction activities for environmentally sensitive areas. /e)0 ft-d . 7. FinanciallOwnership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. cr7.:4Qiz 77 9i ,7Vd^WA 'fig F,-1 r7 � [ V//]F Ir, r b. Describe bonds and/or other evidence of financial responsibility for liability --sbi ea witn erns sedimentaaticn impacts. nil - 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the •Ilow �it#61*OUfdTY a Sediment Ponds/Traps. Al,l$ • DEbEMPII NT b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan temptate.00c—rev.10/12/2003 1:) • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the b .t of my '•wledge. I also certify that this application is being made with the full knowledge and consent of all owners of the ected prop'rty. (LANDOWN'.R OR AUTHO-/?D REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: I ' n JUL 2 4 2012 I J ■ , JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT stormwater site plan templale.tloc—rev.10/12/2003 12 , ox °off, J, EFFERSO�COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT f 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 1`9 O� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1 f,; 'l L j Project Description(include separate sheets as necessary): 2}3772X7 Dit7.E 4-376'/z' S 11'/ 345tYW/ IAIA' 774Tl 44'. -v 0-4,1441�� Tax Parcel Number 993 / 1D3 Property Size: ,ZS/e. /2,fd¢$, .(acres/square feet) Site Address and/or Directions to Property: /7/ 56)/W 4 / , A:=0.60/Se 4d' 9e34t - Property Owner(s)of Record: ' •l,Aol • A d .47- y L Telephone: ZOC 8112 794P Fax. "Ga' •437'543,5- emai lag, '2 ' SEAJ+f/1Gf/i7_6� Mailing Address: /20 /YJ4,e i/t>E2 /i_. /'1'27 LU•OL•p(.f/ 983 •s , CO/7? Applicant/Agent(if different from owner): /VA, Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies A$uilding ❑Critical Areas wardshiTPlan ❑ Demolition Permit ❑Variance(Min aj as.~b W I rr c •. ) ❑ Single Family 1E1 Garage Attached/Detached ❑ Conditionalry d---61' ❑ Manufactured Home ❑ Modular-- ❑ Discretionary nnamed Use Classificatio ❑ Commercial" ❑Special Use( rrt I Public Facilities)** ❑ Change of Use ❑Boundary Lin A'dj mer)U L Z 4 2012 II Address ❑ Road Approach ❑Short Plat" ❑ Home Business ❑Cottage Industry ❑Binding Site eip••�I 25 Propane ❑Long Plat"" ❑Sign ❑ Planned Rura Residential i RRD)/Amen.ments** ❑Allowed"Yes' Use Consistency Analysis ❑ Plat Vacation ' ,- -tis r.8f COMMUNITY DEVELOPMENT ❑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: DESIGNATION OF AGENT I hereby designate 4 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 attorneys 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 provi.:acre s.nd right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir-(lat., n.pections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appt t .r e wants nor notice. p Signature: ti Z� L/ Date: 7' / ''1Z.--' The action or. tions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered s.-cies 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 issu:: will of violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo •-re if . pliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf•/Je r ;• i 'lity for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,�f�/,f Date: 7 • /d •/2--- G:\PermitCcntcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this state, ent d.= hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assu/' i rex• sibility of the General Contractor for the proposed project. v Sgnature: /t �r A Date: 7 - /d •/Z GENERAL CO -•CTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHrECT/ENoMOteeR: ziotteeEf 1 '.A/1 PHONE ( ) FAX:( ) MAILING ADDRESS: /240 /0.4.2'MAgr2 PG• 9(065 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: !dr New /Wood Existing: — n Sewer ❑ Addition ❑ Steel Proposed: 3 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ,>l'Individual System ❑ Repair ❑ Masonry SEP Permit# it$i D. Demolition ❑ Other. Bedrooms: Water Supply: Existing: — Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: _Z_— )( Public Total: Name of System: 4tt?l1 a 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 h o.- rg -- If this Is a Propane Tank and/or Appliance Installation perms mark all items below t tla• • V r llruteegrvartdfierrk 1 Above ground Tank Size of Propane Tank: /, !-- �I 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank 1 P'IIe •t.ve 1 Other Is this appliance being installed in a Manufactured/Mobile Home? wee-/ No I I 1 1 JUL 4 2012 When applying for a permit to install a propane tank you must also submit a site pia ill• "ng all of the buildings,of ••• • lines,tank location and size,distances from the propane tank to all property lines, • ildin•- '• :. .-n-a co •• _ �., includin• the reserve area. JEFFERSON COUNTY S.uare Foota!e Current P ••OSed s"_i.€i1:� It-,Vall i wink& .%. ? " .kv .Win, . :x.r�-'". Main Floor Heated ` 1:"-'� Tyr EH Bld App Review: tup 2n8 Floor Heated .' Consistency Review: A rt Other Heated 2.s��c 35 Base fee: • Mezzanine 7_ �,• •r � a Pe-fib Heated Basement I Plan Check fee: MEM Unheated Basement KCAP. 1---g State Surcharge fee: YI Yy i•• Other Unheated 4... 41• Pot Water Review fee: Garage/Carport jqq{ a x „ SUBTOTAL Decks 5" —__di 0 iris►- ,_ Others.,:/` i•!1f ..: . �� � -7 TOTAL $J.44-1,0. 3 ( — J Receipt Number. 1 35C 1 0 ;_ ,0 sy t•g Cash/Check Number: ESTIMATED COST(REQUIRED) Date: •Fair market value of all and materials foundation to finish ,v 1,7y/ 1*8 490 Initials: ' G:\PemtitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • e O O H oP O O O p1uI t i e l -1 R - E. 114ti Hb' Y*P M I ,ice.• r---:-s 4-414-0 I I ' Cl> -11 • i i 0,M3ID �4— ..—.„ 1 t1 � I M' a Ye C]II I I r I ., I - / B \: I1© 111' 1, h Al ■ Y• � s I4 v F io tr `fNa ei D itgi4 s!i Z * � i* �� r 1 ---1 • `a���� 4 t. hrit„,,,, A ,--ii., 1 i�l AD z ♦ d e I kpp 1 I' 6 fi d I *I , I 464. — I- 1.--- ♦f 9 I 3 a ��@ 8 L T % � waao 4... 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I ®(:I I$ . 1 III i ! a 1 A .. ® ' 1. 5 M E �S pp i m I .. . • „ d A ©0 Mo P �W pQG°3QDOSC oQ�I G3LSD�C�IC�C I j og a.= l GO o �,a Tai aaofx onNE �`a - 0 iEl —i ,� 9 o • "I . 11 1 1 ..__, v ; , I 1 1-1- –r – , Ii_ _ , ___ asxcf� g_,I ' I iF i 4? p�ppp i Ii Af ab j+ I e Y I � \`I "4 m I hip.. n.ee■ Q � e Ili n t� id N I � , I I ,nr q iii I rEl 9 D T I ,,,i, 0IS re I 1 N Ig n IIIIIIII �` ii D 1111111111111111 r I y 4 Al nt re D n mlllll_ y --1 y 0 z 1 L P 1 1111111111111111111 11 tl ,, , . 1 , 1 • ggZ ' •1 1 -a �� ' ■ 3 IIIIIIIIIIII III ! _ !Ig Q pG°QR ° D11SC oQnf mCeODCGv1m f iii l 6' lyll 9 0 Jefferson County BuildinRivision Permit Number: BLD12-00225 BUILDING PERMIT INSPECTION APPROVALS Applicable 2ARSEN able Code: 2009 International Building 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 days 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 O./�i� s/ !nom/Yl 4.19,er766" M24)11 Erosion Control ct7Q1/ ky://3 D-/biseki/ arFt N Foundation Footing in/0-3 'f; JSTIUr (Z c/rG S , >/!er6 f /6l 'fk3A�- KJ!Footing Drains Foundation Stem Wall /`/` I 3 ,F�, Underground Plumbing 1 V �'' � d x`30// Under Floor Framing Straps(hold downs) i/0rl Ext. Shear Wall Nailing /7 1 vi Rough-in Plumbing r �1 y Shower Pan Framing i 1/ i0/z// Blocking Airseal /yip y /z/7_ / : . 1 Insulation:Walls .ie/27//�' 4//� l/rPS Insulation:Floors III 7 /O/ilvf Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing - 2.23 ,k nomS/�/ Gas Line: x — ropane 5/4' IS 11 .. v •cc 14/41)- JHeat/Chimney Clearance 3 / /r5 jWPAt?evts Mechanical Systems 3/z / 5 0,9, Duct Test Cert Blower Airtight Test Smoke&CO2 5/z1/5 A�S Drywell/Alt Drainage S�7f Address Posted e4gPC r siR6 q/17/14 J/S `r 1 FINAL INSPECTION 1z 05 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR P BUILDING PERMIT e Jefferson County Department of Community Development 621 Sheridan Street. Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00225 SITE ADDRESS: 171 SHORE DR Received Date: 1/2 PORT LUDLOW, 98365 Issue Date 1/2/2013 OWNER: GARRETT LARSEN Expiration Date 1/2/2014 DIANNA L LARSEN PHONE: 206-842-9984 120 MARINER PL PORT LUDLOW WA 98365-8738 SUBDIVISION: PARADISE BAY ESTATES 14 PARCEL NUMBER: 983401403 Section: 23 Township: Block: e: Lot: 3 CONTRACTOR: OWNER/BUILDER 8 N Range: 01 E PHONE: PROJECT DESCRIPTION: NSFR W/ATT GARAGE & CARPORT TYPE OF WORK RES TYPE OF IMP NEW SQUARE FOOTAGE: VALUATION 250,963.00 MAIN: CODE EDITION: ADD'L: 1,505 OCCUPANCY: 2R-3 HEAT TYPE: OCCUPANCY: R-3 HEAT BASE: EEE UNHEATED: 576 HEAT TYPE: CONST TYPE: 5N OTHER: #OF STORIES: CONST TYPE: GARAGE: 598 SHORELINE: SEWAGE DISPOSAL: ALT DECK 580 SETBACK: 30 BANK HEIGHT: WATER SYSTEM: 36705 Type 20 Amount Paid B BEDROOMS v: Date: Receipt: Permit $1,839.35 LYK 07/23/12 135014 Exist: 0 Exist: 0 Plan Check Prop: 2 Prop: 3 $1,195.58 LYK 07/23/12 135014 Total: 2 Total: 3 State Building Code Potable VV $4.50$4.50 LYK 07/23/12 135014 $64.00 LYK 07/23/12 135014 Total: $3,103.43 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSP ECT/0 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 • CONDITIONS for Building Permit# :BLD12-00225 1.) Unless expressly approved by the septic permit, a 10' minimum separation is required between the water line and any onsite sewage system components including sewage transport lines. 2.) 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. 3.) A Stormwater 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. 4.) The project proposes installation of a raingarden as treatment for stormwater run-off from impervious surfaces. The applicant must comply with BMP T5.13 (attached to stormwater plan)for Soil Quality and Depth as outlined in the Stormwater Management Manual for Western Washington 2005. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) This parcel is within a no shooting area per JCC 8.50. 9.) The applicant shall implement the GASP prepared by C3 Habitat Corporation that was submitted on October 15, 2012 and shall comply with conditions in the CASP permit (CSP12-00004). A MITIGATION AS-BUILT SHALL BE SUBMITTED TO DCD FOR REVIEW AND APPROVAL PRIOR TO ISSUING A BUILDING FINAL CERTIFICATE OF OCCUPANCY. NO FINAL BUILDING CERTIFICATE OF OCCUPANCY SHALL BE ISSUED UNTIL DCD HAS REVIEWED AND APPROVED THE AS-BUILT. \ltiriemark\data\fnrmslF RI n Permit Rldn rnt 1/9/2n1