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Home My WebLink AboutBLD2012-00315 Review PERMIT APPLICAIN R 00225 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00315 Received Date: 10/8/2012 SITE ADDRESS: 273 EAST QUILCENE RD QUILCENE, 98376 OWNER: JOSEPH C AARDAHL PHONE: 360-765-3473 PO BOX 252 QUILCENE WA 98376-0252 SUBDIVISION: Block: Lot: TX 22 PARCEL NUMBER: 702134015 Section: 13 Township: 27 N Range: 02 W CONTRACTOR: ALTENBURG PLUMBING/HEATING INC PHONE: 360-698-1652 PO BOX 429 TRACYTON WA 98393 Contractor's License ALTENI*223JS Expires 7/1/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOi' NSFR W/ATT CARPORT &A/G 200 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,982 VALUATION 234,516.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 725 SHORELINE: CONST TYPE: DECK: 318 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 —Total: 2 Routing Date: 1 . . .. .. - T y p e Amount Paid By: Date: Receipt: Approved/Date Permit $1,749.75 LYK 10/08/12 135280 Plan Check $1,137.34 LYK 10/08/12 135280 APPROVED State Building Code $4.50 LYK 10/08/12 135280 JUN 2 4 2013 Potable Water Application $64.00 LYK 10/08/12 135280 Total: $2,955.59 Jefferson County DCD uriao..,ork rinf anrrnc\r RI Ann Rbl r.,r 1lVA19f119 9-' '''" („ DEPARTMENT OF COMMUNITY DEVELOPMENT �,, 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax: 360.379.4451 gWeb:www.co.jefferson.wa.us/communirydevelopment YE-mail:dcd(i7a co.iefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD12-00315 APPLICANT: JOSEPH CAARDAHL PHONE: 360-765-3473 PO BOX 252 QUILCENE WA 98376-0252 SITE ADDRESS: 273 EAST QUILCENE RD Issue Date: 06/24/2013 QUILCENE, 98376 Final Date: 6/23/2015 SUBDIVISION: Block: Lot: TX 22 PARCEL NUMBER: 702134015 Section: 13 Township: 27 N Range: 2W PROJECT DESCRIPTION: NSFR W/ ATT CARPORT & A!G 200 GAL PROP TANK 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 6/23/2015 1l tidemarkldata Worms\F_BLD_Occupancy.rpt 6/23/2015 JEFFERSON COUNTY -LJ cl J NO. 148 87 DATE T RECEIVED FROM `--� OSe Cr Aa}'a-ah DESCRIPTION BARS# AMO UNT CURRENCY yY ! LLai ( )094O Z COIN CHECKS 1® o C rn 7.3 `6 CQ��r%io - Rd n 0 RECEIVED BY _ ,-11 .a.2.1.4610 TOTAL 2a DD JEFFERSON COUNTY Ci) NO. 156160 � /� DATE /3/JC RECEIVED FROM° \( SE'�V\. 7-t(11`4 hL ❑F.SCRIPTION BARS# AMOUNT CURRENCY 7.:7 / 0_0 j'� 414_l ' C `-'� J -0031 COIN CHECKS C m 33 n 0 RECEIVED BY kill, TOTAL 23— . 00 _ - 1.-Tegre40 . NSkft.143 eTgr * A if4L .-017.7 .7.2„....a. ivA.Alosetint iiveziE - . . . - - , . „., 37 - - . Date 07 time received .i.- . a pm Mon. Tueg. .Wed-.6D--Fri. BID: 12. _3 /5 . . Date: 5/Z--9 ' - - . . • ...–,.. OWNER: --Jog /6/2/24/4 _ Contact Name- . - ADDRESS: _273 - E Dan-LC.40E 01 . Contact Number.3Q0 , Notes: 206 4:7_661 Arez-1,15 - . - . . .Foundation Plumbing - Framing' Propane Tank- Mechanical V• ' .... Setbacks Under-ground )1C Framing Uncleigrouna Furnace Footing gr,..__ Rough in Air seal Above ground . • Gas _ Stemwall . Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines - Ducts g— Is Post Hole V Ventilation V V Appliance - ____ Underfloor Gas/wood stove Man-Homes V V . Setbacks V V Insulation Final Inspection q. - Foundation V V V :...1 -,...4" Block&Tie floor wall ceiling V V . Address Posted t °? JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT -uffihGib°$ I Date: - IL-Time Received: 1 02-S— m Mon. 01110 Wed. Thur. Fri. Date: 1 13 BLD: 12_[ ,3I C Contact Name: Owner: Contact Number: 360 5-0 001/4%0 Address: 2,1 3 (E--- Cc 11 206 Notes: - � Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4go 45ov c LK JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SNINGto Date: U' /Time Received: 67 a �; Mon. Tue. `�-d. 0 Fri. ��5� Date: BLD: Contact Name: Owner: Contact Number: 360 Address: 7�S .F.7/73 �7 � L C� cu ( 206 Notes: Foundation Plumbing Framing Propane Tank p Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Straps Hot Water Htr Interior shear Oil Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection X Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling '"N JEFFERSON COUNTY 1 DEPARTMENT OF COMMUNITY DEVELOPMENT -,.,,,,,:c,-,0 Date: `,\S/ Time Received: \ '.c3 'r pm Mon. Tue. Wed. Thur. cp Date: BLD: J 7 —OO 311.--- Contact Name: 345e- Owner: v�1 ALAI c---S _ Contact Number: 360 lc-c 3c-4i 3 Address: 'Z T 3 NcA Cv h{ € 3e � ' C44 Notes: q Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas • Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ?, JEFFERSON COUNTY ,, 111-r � DEPARTMENT OF COMMUNITY DEVELOPMENT . G O Date: !l '? Time Received: /73 amtn; Mon. Tue. Wed. ilga Fri. Date: BLD: f Contact Name: Owner: Contact Number: 360253 6 06 C$-D6 Address: �U-�r,___t-o r.p*-e-,7' -- 206 Notes: �l�: Qt Foundation Plumbing Frami ne Tank Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling �w¢sON.COG w ? JEFFERSON COUNTY '`� DEPARTMENT OF COMMUNITY DEVELOPMENT �o Date: / 3 Time Received: { / ,? ,, ammr Mon. Tue. Wed. Fri. Date: 6,, - BLD: 2_ �/S / . Contact Name: Owner: _ Contact Number: 360 77-71 l� / .,Z e Address: 73 ' ( RD 206 Notes: Foundation Plumbing Framing Propane Tank P Mechanical Setbacks Under-ground Framing Underground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Post Hole Ducts ent Vilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling yX `y o y�. Y:. • r Mon. Tues. --Wed: Ca.-fn. (�� time received ` :2-4 ,�t pm Date, =:LL— Date: Et-D: Q� f�0 4 Contact Names. Q� OWNER t� d') Q ��L 1 � 1_—L!! �-{/� Contact Number.360 ADDRESS: ,. 206 t Notes:_ Plvmbin Framing' • . Propane Tank NI echanioai Foun__, da-- — . Framing Underground _ Furnace Setbacks Rough _ _ �/ Air Above ground Gas Footing v Rough in Stemwall Oil Hydronic Exterior shear _ Exterior lines Duds Interior shear Interior Appliance Straps Ventilation App Post Hole Underfloor - Gas/wood stove_ Man=Hornes •Insulation Final tnspecfon— i ii.$ Setbacks vv - Foundatiwn _ Address Posted Block&rie _ floor wall ceiling. . . 4@: ' _ .z ' y�ssf'l Ooc _ _ Date .7ift 'time received 4R0,- am I pm Mon. Tues. .Wed: a -Fri. BU): 12.- 3 )5 Date: OWNER: . - Contact Name: 70!5' 1940 . ADDRESS: �'7 3 . !f Q�9,1 Contact Number.380 20.6 * Notes: • Foundation Plumbfnq - Framinq' Propane Tank Mechanical Setbacks pQ Under-ground Framing Underground _ Furnace Footing Ilti. Rough in Alrseal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines _ Ducts Post Hole Ventilation . . Appliance _ Underfloor Gastwood stove Man-Homes • Setbacks _ V ' Insulation. Final Inspection .,, a: Foundation — . . 'P?'P?Block&Tie floor wall ceiling. . Address Posted i cgs°n\o 4 ?` JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: 1, 3 tTime Received: ' amen; Mon. Tue. Wed. Thur. Fri. 2 Date: BLD: d IS-- Contact Name: ___Ja--e` Owner: _ Contact Number: 360 Address: 2 73 6 Q J , ( 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall—' Address Posted Block&Tile Ceiling w��y�G� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: ) /0, /kTime Received: 2'57 am Mon. Tue. Wed Thur. Fri. Date: e2 4. BLD: 0 --a 3K Contact Name: ['1J,S1pi) G'iCr/a_ Vie. Owner: 1L5)g eph a.,- i.c% Contact Number: 360 7&, -3473 Address: 9 73 _ fj.A/)(eV fr.L. 206 Notes: q Gtl l(" Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground raming Under ground Furance Footing Rough In -. . Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ON CO err °2 JEFFERSON COUNTY 4 V DEPARTMENT OF COMMUNITY DEVELOPMENT �sHf NG.�O Date: 1? J.j Time Received: 245- am{pm Mon. Tue. affill Thur. Fri. Date: I'Z KO BLD: fl- 36- Contact Name: Owner: Contact Number: 360 Address: 9:13 E- cps", 1 206 Notes: 1 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling „on co S e % JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 1srtr hOS°2 Date: /OM Time Received: 9: 3 am/pm Mon. Tue. Wed. Thur. Fri. Date: /On BLD: /L_ 3)5 Contact Name: Owner: 273 E OupiPiaNe Ind Contact Number: 360 coef_ 2.a Address: ARPALI 206 Notes: j-{-05 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear k Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling - I o .f m �' n d g _ - c-6 ' e . r , po Ok .,.- ,. V =.! , , ---__C-., , ,..----) ' :)a n — • v ° L. � . (L•" �j J.y .1.aj r b l 1 1 * 1 141 —". � as 4 • ,. I �8 1 /V ' z.„ ` C I C.11 I_ _ ry v \ + �; r �, p I . 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ON 0�,, JEFFERSON COUNTY Ir DEPARTMENT OF COMMUNITY DEVELOPMENT I-3 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �� p� www.co.jefferson.wa.us/commdevelopment 81N /Master Permit Application MLA: (3 -a9c95 Project Description(include separate sheets as necessary): • Tax Parcel Number: 7o2 - 'O l , / P perty Sizes C � ' ` 2• -s/square feet) Site Address and/or Directions to Property: D J L� a-73 ± u, Ico. . 1 Property Owner(s)of Record: • es E Al 4 AA-f+(-- l p ' (L: - ?(ip Telephone: & ` At Fax: U email: IIII r V Mailing Address: • - #Cr i( c•'t'r'Q �') ,.Jr " Applicant/Agent(if different from owner):_ OFPT OF CDMMUN;iY DCV£aOrmtNl Telephone: Fax: email: Mailing Address: Vyklat kind of Permit? (Check each box that applies ❑Lot or Road Segregation DYBuilding ❑Critical Areas Stewardship Plan pi Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Single Family Gara•- i • ieetached ❑Conditional Use[C(a),C(d),or C[** ❑ 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** ❑Long Plat** o Propane ine - ❑Planned Rural Residential Development(PRRDI/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 Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to at as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to pr•vide access and right of ent to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any - ed later inspections. Ste; s -•�.s .nd r`,ht of entry will be assumed unless the applicant informs the County in writing at the time of the appli th- he or sjaBwants • n /I Signature: i� _ ( AL_4A Date: ! / f ei/G �" i 111 The action or ac ••s Applicant will undertake as a result of the ssuance of this permit may negatively impact upon one or more threatened or endangered sp-•es 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 y•I ,re in compliance with the Jeffe n Co y development code.The Applicant acknowledges that he,she or it holds individual and non-transfer- esponsi•-lity for adprtlIng to corn g i the ESA. The Applicant has read this disclaimer .r• '•use. d •-tee it elow. 4 FBI ` •(Signature: 4- Date: • • 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: f �{ nbt..crc f MP A Inc, ( ) ( ) AILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE CC.F1-LTEN iIt' 2.23i'3 WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New `Q Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: 2- Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 03-3,4' _ FT Demolition D Other: - Bedrooms: Water Supply: Existing: Setback: V Private well ❑ Two Party Type of Heat: Proposed: — ❑ Public r ��_�IC 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 Sentice? Yes / No • If this is a Propane Tank and/or Applian Installation permit,mark all items below that apply: �^,� X- 1 Underground Tank Above ground Tank Size of Propane Tank: — c Q...k 1 Heat Stove 1 Cook o�Ve 1 Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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 0 2 (OQ4 EH Bld App Review: ��e- 2"°Floor Heated "i � � Consistency Review: 2 Other Heated • Base fee: 17497 5 Mezzanine Additional Section: Heated Basement Plan Check fee: `3,I, 113 . t Unheated Basement State Surcharge fee: 0 Other Unheated- - Pot Water Review fee: �! '?�1 -1111 t z5 19 3n SUBTOTAL 32q Decks 911/Rd Approach fee: 3.,18 3703 (1911•�C� Other TOTAL: $ 32g2 scr 3S 23-45(c, Receipt Number: ' 32 Cash/Check Number: 7 - ESTIMATED COST(REQUIRED.) Date: c •Fairmarketvarue or all laborandiiaterials foundation to finish I O-(�'" 12 Initials: D --I BE iE I • fi CD co - fi x -I -I (o 0 -- -. CU T U] of x 0_ n r+ x 0 0 '7 -o 0 O - -0 -5 Z o a < a CD <v a m S D CC -- CD CC CD CD 3! 0 r+ O CD - O 7C 70 7 e 7 •• CD o 0 7 SL CC O 0.7 CD CD CO Co N 7 0_ o O o CO � O O CPI o 0) D �1 Co 7! O O N O -' CA) O 4). CO o O C CO O Ul O .-I- - 0) D D T C- C7 \ r-F- 3! Sp -I Cr) 0 0 O O O 73 C 70 X CD H CO 3 0) Cn O m 0) O I- W m T Co D N C.-) O -o r CD -I S O N -I n 77 m X 2 m X r T • N O_ m [7 Z - - Z -`1 3> 3 m N n m .O N I- N D D D O F-1 T N o -0 0) 3! O • X CO r M N 77 '.. •• M 70 0 37 m m O D O T CO -o n co -o M 37 m r S Z E3 -P m o S co m -I c � 77 O_ CO r CO C7 XI I--1 o -I CO r w -‹ W M 70 N -- -.I F1 O Mi 0 3 7 CO Z O 3! 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Z 'z mx - a O g I z-► i i m _ 3 = o ti I m 0. to o T • R 26' P1101.1.RAT N'O.C. 2oNE1 :/i2 P0O1.OAT MUM ° I �� I Sw..•H I 5'w4'N I' .% 41> -2'-6• 2002 1,22 a ouww. _ -.. ... 29' W Z T1 CDm>)r c-J0 Z— r CA Fri 111 Z 7) CD ritri m—I-oo n 1 2 m m<A1 Flax a � oo� r -n Q n mmvl ) a rw z zmND <`rr v _ O ` 0 -;mcn_, ➢mr I- �OUI� cOZ '' 1 -V 0- 0O. W 0 V C—)�m I IV D 4 m -n Eli O D �� Z' v NI -n 0 M W _y N Contractors or Tradespeople Pri Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name ALTENBURG PLUMBING/HEATING INC UBI No. 600272779 Phone 3606981652 Status Active Address P.O. Box 429 License No. ALTENI'223JS Suite/Apt. License Type Construction Contractor City Tracyton Effective Date 4/10/1978 State WA Expiration Date 7/1/2014 Zip 98393 Suspend Date County Kitsap Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date ACKMAN, DOROTHY M 01/01/1980 MINDER,MICHAELJ 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 9 DEVELOPERS SURETY 125491C 02/20/2002 Until Cancelled $12,000.0002/11/2002 Et INDEM CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date! 21 Nationwide ACP756188120007/01/2011 07/01/2013 $1,000,000.0006/05/2012 Mutual Ins Co 20 NATIONWIDE ACP755188120007/01/2010 07/01/2011 $1,000,000.0005/19/2010 MUTUAL INS CO NATIONWIDE 19 ACP7541881200 07/01/2009 07/01/2010 $1,000,000.0005/14/2009 MUTUAL INS CO 18 NATIONWDIE ACP7511881200 07/01/2006 07/01/2009 $1,000,000.00 06/19/2008 MUTUAL INS CO 17 NATIONWIDE ACP750188120007/01/2005 07/01/2007 $1,000,000.0006/20/2006 MUTUAL INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 10/8/2012 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD12-00315 Received Date: 10/8/2012 SITE ADDRESS: 273 EAST QUILCENE RD Issue Date 6/24/2013 QUILCENE, 98376 Expiration Date 6/24/2014 OWNER: JOSEPH C AARDAHL PHONE: 360-765-3473 PO BOX 252 QUILCENE WA 98376-0252 SUBDIVISION: Block: Lot: TX 22 PARCEL NUMBER: 702134015 Section: 13 Township: 27 N Range: 02 W CONTRACTOR: ALTENBURG PLUMBING/HEATING INC PHONE: 360-698-1652 PO BOX 429 TRACYTON WA 98393 Contractor's License ALTENI*223JS Expires 7/1/2014 PROJECT DESCRIPTION: NSFR W/ATT CARPORT & AUG 200 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,982 VALUATION 234,516.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE 725 SHORELINE: CONST TYPE: DECK 318 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Plan Check $1,137.34 LYK 10/08/12 135280 Exist: 0 Exist: 0 State Building Code $4.50 LYK 10/08/12 135280 Prop: 2 Prop: 2 Potable Water Application $64.00 LYK 10/08/12 135280 Total: 2 Total: 2 Permit $1,749.16 LYK 10/08/12 135280 Total: $2,955.00 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 Jefferson County Building Division Permit Number: BLD12-00315 Applicant: AARDAHL 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 711-13 Minimum setbacks from East Quilcene Road and Center Road r tights of ays shall be 20 feet. Minimum north and oast property line setbacks shall be 5 feet. If a critical area is present(wetland),then the more restrictive setbacks shall apply. Erosion Control SEE CONDITION 2 Foundation Footing .1)°11/3 k-r16 Js � �K APD 4,16(.610t. Footing Drains l Py2A/6 Underground Plumbing V24/13 t Straps(hold downs) it Ext. Shear Wall Nailing � g j0�1 Ii{ Dogs aK Ib/z4 i St Rough-in Plumbing lam– Q va,„r/16.s. o f< rl,T q, Framing Blocking oJ14J 1 ' Airseal � 4 Insulation:Walls - I r Insulation: Floors Insulation: Ceiling / �//S ei Int. Shear Wall Nailing / t"Z1-�S 0 Oss oK I%bif d' Wallboard Nailing 1b Gas Line: Interior (J`itki h44" Gas Line: Exterior "t tgf(( frC C p � S Propane Tank & O( A,41-7Z, ".1r- Heat/Chimney Clearance b.LIB/ l Drywell/Alt Drainage Ile] ( SEE CONDITION I FOR SPLASHBLOCKS Address Posted (vJ 18/11 S— 9 Water Meter Inspection iv() FINAL INSPECTION i' 1415_, FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD12-00315 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASH BLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 4.) The site plan submitted with the building application on October 8, 2012 and the revised plan sheet submitted on June 17, 2013 have been reviewed for consistency under the JCC, and have been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan sheet dated June 20, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 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 vets shall be stored on any lot unless totallyikened 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.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 9.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 10.) Minimum setback shall be 20 feet from the East Quilcene Road right-of-way and 30 feet from the Center Road right-of-way. Minimum north and east property line setbacks shall be 5 feet. If a critical area is present(wetland), then the more restrictive setbacks shall apply. 11.) The building height is not to exceed 35 feet. 12.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The proposal exceeds the minimum buffer requirements of 275 feet and meets JCC 18.22.330.(2)(d)(i)(B), therefore a wetland delineation is not required and the waiver is granted from submittal of a wetland delineation. 14.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the Little Quilcene sub-basin in a designated Reserve Management Area; as such, conservation standards per state regulations require the following: 1. A permit-exempt well serving an individual user shall not exceed a maximum of 500 gallons per day(gpd)or an annual average more than 350 gpd, for all permit-exempt uses authorized under RCW 90.44.050. (WAC 173-517-120(1)(b)) 2. A well serving a group domestic system shall not exceed a maximum use of 500 gallons per day(gpd)or an annual average more than 350 gpd, for each residence, and shall not exceed a total use of 5,000 gpd for the group. The design and construction of group domestic systems must be consistent with applicable state department of health requirements and applicable Jefferson County or Clallam County requirements. (WAC 173-517-120(1)(c)) 3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 11tirIemarklrialalfnrma\F RI n Permit Rhin rnl R/24/2013