HomeMy WebLinkAboutBLD2013-00125I
BUILDING PERMIT APPLICATA BLD13-00125
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD13-00125 Received Date: 4/17/2013
SITE ADDRESS: 7802 FLAGLER RD
NORDLAND, 98358
OWNER: JONATHAN J COHEN PHONE:
4403 THACKERAY PL NE
SEATTLE WA 981056124
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021291032 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOII NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,387
VALUATION
CODE EDITION: 2009 ADD'L: HEAT TYPE: RAD
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES: 1
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist: 1
Prop: 2 Prop: 1
Total: Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
State Building Code $4.50 MKF2 04/17/13 142002
Plan Check $673.11 MKF2 04/17/13 142002 APPROVED
Permit $1,038.55 MKF2 04/17/13 142002
Potable Water Application $66.00 MKF2 04/17/13 142002 JUN 17 2013
Total: $1,782.16 Jefferson County DCD
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4EtiSON Cb6- DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 Fax:360.379.4451
Web: ;w.co.jefferson.wa.us/communitydevelopment
.9, �Sff 0` E-mail:dcd@co.iefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT #: BLD13-00125
APPLICANT: JONATHAN J COHEN PHONE:
4403 THACKERAY PL NE
SEATTLE WA 981056124
SITE ADDRESS: 7802 FLAGLER RD Issue Date: 06/17/2013
NORDLAND, 98358 Final Date: 8/5/2015
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021291032 Section: 29 Township: 30 N Range: 1E
PROJECT DESCRIPTION: NSFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes 8i
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/5/2015
\\tidemark\data\forms\F_BLD_Occupancy.rpt 8/5/2015
Frank Benskin
From: Jonathan cohen Dijcohen @comcast.net]
Sent: Thursday, August 15, 2013 11:54 AM
To: Frank Benskin
Subject: Foundation
Frank, as we talked about, hans vodder is taking over the foundation work. We have agreed to
double up the rebar to 12" on center and make 8" walls and then go to 8' high foundation.
Should be stronger and more useful. Thanks, Jonathan Cohen
206-355-8910
Bld-125-13
Sent from my iPhone
f
Sally Ellis
From: Jonathan Cohen <jjcrosewood @gmail.corn>
Sent: Friday, June 26, 2015 10:29 PM
To: Sally Ellis
Subject: permit extension
dear ms ellis, thank you for your help on the phone. as suggested i write to ask for a permit extension so i can
get last remaining changes made prior to a final inspection. permit#is
BLD-125-13
thank you
jonathan cohen
206.355.8910
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JEFFERSON CINTY
w�su� °°� DEPARTMENT OF COMMUNITY DEVELOPMENT
1 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.uslcommunitydevelopment
ii_ , , Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdpco.lefferson.wa.us
Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center
June 13, 2013
Property Owner: Jonathan Cohen
4403 Thackeray PI. NE
Seattle, WA 98105-6124
Permit Applied For: New Single Family Residence.
7802 Flagler Rd. Nordland, WA 98358
BLD13-00125
This memo is in response to your request to prepare ground for and place forms for footings and
foundation prior to permit issuance.
This can be done with the following conditions:
1) The area for the structure must be staked out
per the attached site plan with required setbacks.
2) The setback inspection called in and signed off Setback Signoff
before footing and foundation forms are set up. 9
3) Foundation inspection must be called in and passed Ftg/Fdtn Signoff
prior to pour.
This work being completed prior to the issuance of the permit is being done at your own risk.
Concurrence from the property owner or appointed representative is required by signature below.
(4
Property Owner Carl Smith
or Appointed Representative Director/Building Official
r
d spxcc� frc '' DEPARTMENT OF COMMON 621 Sheridan Street• Port T• Washigton 98368 1 �ILi .J 1 �j— l `7
4tP$ 360/379-4450 • 360/379-44"www.co.jefferson.wa.us/com ent
JEFFERSON COUNTY
Master Permit Application DEPT.OF COMMUNITY DEVELOPMENTML " :
Project Description(include s-: •te sheets as necessary):
d [. 1 ak. )....
Tax Parcel N� ber: *. P1■3 02- - 94 _0 2- Property Size: 1 . 01 acres! uare feet)
Site Address and/or Directions to Properly:
1 'o2- ' o1Rie- Rio (Act-4.095. <Cizook Mys-r y 6a r -�• QlAg_k )
Property Owner(s)of Record: J N ' ilL z°CN
Telephone: WO—$55 —$q1 0 Fax: email: 171-7.1-00 i 4.4•J 6).CoMCA6'T
Mailing Address: ...14e 3 T Ay Pi--- • fJ $' T21.t IAJA- ei fat os N1,1"
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
1Building ❑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 C]**
Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification
I ❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
El Address ❑ Road Approach ❑Short Plat**
❑ Home Business El 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)* El 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 El 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 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 ha .--411M--v ; my a•-inst all liabilities,judgments,court costs, reasonable attorneys fees and
expenses which may' any way accrue a• Jeff- •.1•aunty a a res It of or in consequence of the granting of this permit.
I further agree to pro ' access and rig t of e ry t. - t ••n Cou and its employees,representatives or agents for the sole purpose of application
review and any requi ter inspectio Sta 's a, a right ,f ent will be assumed unless the applicant informs t e County in writing at the
time of the applicatio t he or she wa prior ••ti �' ` IC V
Signature:
l'IL Date:
The action or actions A plicant 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"t..-" • : - •angered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferso• .. - es no .ssurances to the applicant that the actions that will be undertaken because this
permit has been issued I not violate the .•-- •ual,g •up or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are i compliance e Je . aunty •evelopment code.The Applicant acknowledges that he,she or it holds individual
and non-transferable rest"nsibility for :d g to `. plyi•• with the ESA. The Applicant has read this disci a'mi r atid�signs and dates it below.
Signature: ir. _ _ 1��i� Date: ? 611
G:\PemaitCenter\###FORMS###\DRD FORMS\Current DRD Fom.s\Master Permit Application 5-29-08.doc
1111=111 •
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BUILDER STATEMENT
The signer of this tement does -reby• ar. the Owners of the parcel ref need herein,that they are not licensed contractors and that
y Y
they will be assum g the responsib ity of th• r Co r ra.-or for the proposed pritect. `r t/�
Signature:
Date: 11p \ \ ?
GENERAL CONTRAC OR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
0)355-8910 ( )
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:
Wood Existing: `' 0 Sewer
C New �- Bank ❑ Community System
0 Addition ❑ Steel Proposed:
❑ Alteration/Remodel 0 Concrete Total: 1 _ Height: p<Individual System
❑ Repair ❑ Masonry SEP Permit# 5' ?OT—o02a'
U Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: 1. ,1#1,Public
YPe Total: y Name of System: •
IN O Vsb
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:
i Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove i Woodstove 1 Fireplace Insert I Hot Water Tank I 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 1 a�0 !2�� 1 EH Bld App Review: 77 00
2'e Floor Heated J T Consistency Review: may,g (A)
Other Heated Base fee: 6 55 —
Mezzanine X4 _ , — Additional Section: t ' —
Heated Basement r- Plan Check fee: (073, 1
X.Unheated Basement Or.: �— State Surcharge fee: qi 57) — —
Other Unheated --- Pot Water Review fee: 0 !_' r,V
Ne r _ 0 Vl/
Garage/Carport X _ SUBTOTAL
Decks 911/Rd Approach fee: Of/q-
Other TOTAL: Q.ag , 1p
Receipt Number: /q0 a
Cash/Check Number: a
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish
[07 , 1 51, r Initials: �1rd
. 7 •-...l e...e_I i13HkGr1RMCk!*HI\TIT?Tl FOR MC\rinrenr 1>RT)Fnrms\Master Permit Application 5-29-08.doc
alp Front Parcel Review
Parcel 021291032
Printed: April 18, 2013
JONATHAN J COHEN Site Address:
4403 THACKERAY PL NE 7802 FLAGLER RD
SEATTLE WA 981056124
SEATTLE, WA 981056124 NORDLAND WA, 98358
Parcel Number: 021291032 S-T-R: 29-30N-01E Total Acreage 1
Legal Description S29 T30 R1 E TAX 60 BND TGTH THRU BLA#103073 Land Use: 9100
Flood District: Fire District: 1 Planning Area: 3
Flood Map(FIRM) Panel No: School District 49 Zoning:
COMP PLAN
DESIGNATION: _
COMMUNITY PLAN: UGA: UGA Trans
[VI Plot plan states "property line"
[ Assessor's Map(Property lines..amini bmitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[ cY Legal Access to Property ifflIP NO
[LA Parcel Tags or Scanned Documen :AMP NO C®�,(,�,,�„
[� ESA's: Special Reports -arby YES ItO
[vr- Designated Ag YES 0 ^
[V- Shoreline Designation: YES �n�')
[ IX 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 •YF NO : ■
SIPZ: none At Risk High Ri ' Coastal
CMZ: none High Risk sclera e 'iskDisconnected CMZ
Stormwater site plan sub s tted: YesNo
[t/r- Forest Lands: YES tIP
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[ Mineral Lands: YES 0
[ (4 Agricultural Lands: YES �'
[ V( Archaeology: YES 'O
[ C Stormwater: New I • Surface k 0 Land Disturbing Activity '3 "3 ( 0 ESA's
Stormwater Re s:Min Re Min( eq#1 thru#5 Min Req#1 thru#10 Engineering
[ fry Notice Provisions/Disclosure:Airport YES NO MRL YES NO. Forest Lands YES NO
[ c�' Landscaping Required: Yes o
[ vi Parking Spaces Required NO Other
1 LI Building Height: UBC Standard
[ ] Impervious Surface coverage rcentage: �..
Resource Lands&Public: 10% Rural Residentia 25% Rural Indust Per UDC Sec 6.7
Rural Commercial: 60% Area of Building overage: 60%in Rural Indus Lands only
[/4 Total Building (s) Size:
RVC:20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic water constraints/Non ecified
[ f/( Setbacks: Front: .0 Left Side: C Right Side: r Rear:
Shoreline Setback:
LSHA Setback:
[ hr]' Road Classification:
Road Approach: EXISTIN Q'D RAP
[ V SEPA Required: YES
[ V]- Flood Certificate:
[14.- Existing Case(s) &Condition(s):
Violations: Yes No
[ i/f Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ (( Lots/Require Declaration of Restrictive Covenant YE%S).7submitted: YES NO
[Pr� UGA No Protest Agreement YES I submitted: YES NO
[ 'J , Site Visit conducted YES 0
[ I4 Require Final Zoning Approval YES O
[ [j/ADMIN: Setbacks entered in Permit Plan case 010 YES
New Parcel Tags entered in Permit Plan .1/A . YES
Special Reports Scanned N/ YES
Title Notes Updated
Parcel tags found for parcel 021291032
1.) WSRC Coaching -LID 2013-01-23 downspouts, native veg 04/11/2013
Parcel tags found for parcel 021291032
2.) WSRC Coaching - 2013-01-23 native veg 04/11/2013
SMP
Parcel tags found for parcel 021291032
3.) WSRC Coaching - 2013-01-23 Zoning, permit, code 04/11/2013
Other
Parcel tags found for parcel 021291032
4.) WSRC Coaching - 2013-01-23 04/11/2013
CAO
Cases Associated with APN 021291032
Cases Name Review Type Status Planner
BLD13-00125 COHEN P
Application Received: 4/17/2013 Permit Issued/Case closed: Case Finaled:
NSFR
M LA05-00054
SUB05-00007 MLA05-00054 POWELL I F M LINDBLAD
Application Received: 1/31/2005 Permit Issued/Case closed: 3/29/2005 Case Finaled: 4/6/2005
BOUNDARY LINE ADJUS I MEN I
OTH00-00050 POWELL F L ATKINS
Application Received: 12/28/2000 Permit Issued/Case closed: Case Finaled:
no septic permit on file
PRJ10-00333 COHEN F
Application Received: 11/10/2010 Permit Issued/Case closed: Case Finaled:
OTH00-50 filed here
SEP07-00288 COHEN F
Application Received: 8/6/2007 Permit Issued/Case closed: 9/24/2007 Case Finaled: 9/14/2010
OTH00-50 filed here
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 4/18/2013 Page 2 of 3
SOM07-00034 COHEN RCR
Application Received: 9/9/2010 Per ssued/Case closed: 5/9/2012 Ca inaled:
SOM07-00288 COHEN FIN
Application Received: 9/14/2010 Permit Issued/Case closed: Case Finaled:
1\tidemark\data\forms\R_Parcel_CRMLA.rpt 4/18/2013 Page 3 of 3
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FOR INFORMATIONAL PURPOSES ONLY-
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FOR INFORMATIONAL PURPOSES ONLY-
Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its
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�4w��ON cow JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT f4L1G"tYa
621 Sheridan Street • Port Townsend • Washington 98368 0 um, Lt1
XIINO�O 360/379-4450 360/379-4451 Fax
http://www.cojefferson.waus/commdevelopment/
Stormwater Calculation Worksheet
MLA# PROJECT/APPLICANT NAME: 562- �DtV��{ \A
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 • 0( acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet ASS qq 5 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 3A acres or more of
Construction site for structures sq/ft native vegetation to lawn or landsca•ed areas?
Drainfield, septic tank, etc. sq/ft Circle: Yes
Well, utilities, etc. sq/ft Does the project convert 2'/2 acres or more of
native vegetation to pasture?
Driveway, parking, roads, etc. sq/ft
Circle: Yes No
Lawn, landscaping, etc. a sq/ft
Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance 3 CO sq/ft Cut Fill (cu/yd)
[over]
stormwaler calc worksheet Rev 9-9-2010—REV 9/912010 1
•
Ili
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
Sidewalks sq/ft Sidewalks
sq/ft
Patios sq/ft Patios
sq/ft
Solid Decks sq/ft Solid Decks
(without infiltration below) sq/ft
(without infiltration below)
Driveway, parking, roads, etc sq/ft Driveway, parking, roads,etc sq/ft
Other sq/ft Other
sq/ft
Total New sq/ft Total Existing sq/ft
TOTAL NEW+TOTAL EXISTING* 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 N
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 1 e best of m_,... - . ;4,:i- - .o certify that this application is being made with the full knowledge and consent of all
owners of 7 e affected,op ` g 9
J ? ��)
4ttkloZot3
(LANDOWNER 1R AUTHORIZED REPRESENTATIVE SIGNATURE)
(DATE)
1
IFOR OFFICE USE ONLY
SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No
stormwater calc worksheet Rev 9-9-2010-REV.9/9/2010
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Jeff Patton<jpatton @jeffpud.org>
Water Availability Report
April 8. 2013 4:38:13 PM PDT
"jjjcohen @comcast.net"<jjjcohen @comcast.net>
2 Attachments, 52.9 KB
Hello John,
Attached is the water availability report for 7802 Flagler Rd.
If you have any other questions or concerns don't hesitate to contact me at this email address or by phone directly at
360-385-8365.
Thanks,
Jeff Patton
Customer Service
PUD#1 of Jefferson County
360.385.8365
�. t,
3 /
Public Utility District #1
Of Jefferson County
WATER AVAILABILITY NOTIFICATION Board of Commissioners
A
Barney Burke,District 1
PUBLIC WATER SYSTEM Kenneth A.McMillen,District 2
Wayne G.King,District 3
To: Jefferson County Environmental Health Department James G.Parker,Manager
From: Quimper Water System
System Operator(s): Eric Storey
State ID Number: 05783U
Number of existing connections: 2429(Estimated)
Number of permitted connections: 3149
II
Number of committed connections: 17 1 9
This water system is capable of and will supply potable water to the following location:
Assessor's Parcel ID# 0 2._ 1 2 1 1 0 3 2_ 1,8ivi)
LegalDescription S Z 9 73o E .€ t T Y 60
TGrN T1-f4i/ 8LAX103O73
"`Water Connection is available once all fees/charges have been paid*"
Site Address: ,78O 2- FL-P167 LC/2 l2-Q
V NO�`osc 1), W4- X18 3S8
Signature:�/ 4�/ i
Titie: Cx7 / / Date: y7 '/ZO1 S'
THIS IS A NON-BINDING STATEMENT OF WATER AVAILABILITY. IT PROVIDES
THAT AT THE TIMEOF REQUEST,WATER IS AVAILABLE WITHIN THIS SYSTEM.
THIS NOTIFICATIOON IS GOOD FOR ONE YEAR
230 Chimacum Road!P.O.Box 920.Pat Hadbck,WA 98339 PH(380)385-5800 FX(380)385-5945
Jefferson County Department of Community Development
621 Sheridan St. Port Townsend WA 98368, (360) 379-4450
APPLICATION FOR
DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY
Resolution#99-90 requires building permit applicants to provide evidence of an adequate potable water supply.
Name
Phone
Mailing
Address _1�Y t°
Parcel \E Zip Code
ID#
Subdiv. n,V Block Lot(s)
Site
Address
Zip Code
J
Type of Structure
�
Check all that apply Note: Special conditions may apply within Seawater Intrusion Protection Zones. (SIPZ)
Alternative system (provide justification and design per Jefferson County Environmental Health policy 97-01)
Valid Water Right Permit(generally applies to springs, attach copy)
Approved Public Water (Submit the attached Water Availability Notification form completed by your water purveyor
stating the system is capable of and will supply water.)
Individual Well--attach copy of:
1) Well logs (If no well log report is on file, a 1 hr stabilization test may be substituted)
2) Lab analysis for water quality parameters tested within 3 years of application:
-Total coliform
-Nitrate-N
-Chloride
3) Plot plan showing location of well with distances from proposed sewage system, buildings, driveways and
surrounding properties.
Two-party Well—items above AND recorded Operation &Maintenance agreement and recorded Easement.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any
material falsehood or any omission of a material fact made by the applicant/owner 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 purpose of application
review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during
regular business hours.
Signature
Date
FOR OFFICE USE ONLY
1) Water Right Permit#
2) Public Water Supply WS ID#
In Compliance Yes No
3) Individual Well
Driller Name Date Drilled
Depth Production
Meets Water Quality Standards Yes No WRIA 17
SIPZ Yes Circle: Coastal Moderate High No Subbasin
Based upon information provided by the applicant, it appears that the potable water supply:
meets conditionally meets does not meet
the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings.
Application Reviewed by Date
Date Fee Receipt# Check# Case #BLD
I
JEFFERSON COUNTY 0_ ...
NO. 14 00 •
DATE f ! 7/f
RECEIVED FROM 9nnaNlfla/1) f 0.0h
OESCRIPT ON
( I p AMOUNT
,• R .. AALAN CURRENCY Apr 1, I 0 53
<a
OCQ1 ' c1l- e COIN ,1
x`73 I I:I3- 0-&--- c CH )� � /n_
000 kilo
_t __ co m
1 61d 7 C o
O
RECEIVED BY TOTAL a cat •
. a
Date 'time received 0 22 01 pm Mon. Tues.. :Wed: Thur.
BLD: 13 '• 4%) J 25 Date: f/21/3 -
OWNER: UGAen Contact Name:. Ri o0
ADDRESS: 7002_ FiRehA R...., Contact Number.30 531-3693 L,,
206 .
Notes: .
Foundation PIumbrnq - Framinq' Propane Tank- • Mechanical
Setbacks _ Under-ground Framing Underground _ Furnace
Footing Rough in Air seal Above ground •_ Gas _
Stemwall Hydronic Exterior shear Exterior fines Oil
Straps Interior shear Interior lines • Ducts 9
Post Hole Ventilation Appliance
Underfloor Gas/wood stove
Man•Hon-res . •
Setbacks Insulation. Final Inspection_ `t lti
Foundation- .
Biock&Tie floor _wall ceiling. . Address Posted
wasoN 0, JEFFERSON COUNTY ��*.e5 p..
K DEPARTMENT OF COMMUNITY DEVELOPMENT 1
Y
9SKI�1 G'SO
r
Date: (d (lam Time Received: 12.'_ ._D am/"" Mon. ue. Wed. Thur. Fri.
BLD: Date:
�� -
) ? �2-S Contact Name: 3 .r\
Owner: C, ,,.0,,,, Contact Number: 360
Address: 1 gl`• Z -V-Ar---)Vc_{- \
206 355'-- 5-1 I
Notes: C'"•-• A N\ -- ;-'.ry -\ C a,,s-`
A'''te
Foundation Plumbing Framing Propane Tank ` S YTS
Mechanical
Setbacks Under-ground Framing Under ground Furance
Footing Rough In Air Seal Above ground
Stemwall Hydronic Exterior shear Gas
Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines
Post Hole Ducts
-
Ventilation Appliance
Underfloor K Gas/Wood stove
Man-Homes Insulation
Setbacks Final Inspection
Floor
Foundation Wall
Block& Tile Address Posted
Ceiling
�y0^1 ,�
^F� `t- JEFFERSON COUNTY
9s t .�o
DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: )619781 Time Received: am/pm Mon. Tue. Wed. IMP Fri.
BLD: / 3 lvvi e 5 Date: • Q �O '
, / � Contact Name a % C'(j 2.
Owner: G't9"/1f/A/L Contact Number: 360
Address: 1ô F/4 L I E.,/ 206
Notes:
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks Under-ground Framing )< Under ground Furance
Footing Rough In Air Seal x 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
i'''+":1.11.-. -
I
-
g0 +fa.
Date time received am / pm Mon. Tue . Wed: Thur.hu --Pd.
OWNER: tot....-?1 / Contact Name:
/ ADDRESS: 7 g�2_ r LA t Lo-r Contact Number.366 �,*
Notes:
.
Foundation Plumbihq - Framing Propane Tank Mechanical
Setbacks _ Under-groun • Framing Underground _ Furnace _
Footing Rough in Alrseal Above ground — Gas _
Stemwall __ Hydronic Exterior shear _ Exterior lines i Oil
Straps Interior shear Interior lines _ Ducts V•
Post Hole i • Ventilation , Appliance
Underfloor Gas/wood stove
Man-Horses
Setbacks — Insulation. • Final Inspection_ c '
is
Foundation- _ .;.e Bioce&Tie floor wall ceiling. . Address Posted
p50N co
^(/Ar�ya JEFFERSON COUNTY
/
P� � DEPARTMENT OF COMMUNITY DEVELOPMENT
Iti
4- ?
9SHiNO o
Date: 6/2-4 Time Received: g; 15 am7 Mon. Tue. Wed Thur. Fri.
Date: 62 j
BLD: i s1 --• C0)I ZS Contact Name: l
Owner: Contact Number: 360
Address: -7 56-z rLAScLEE, 206 355— fl9I Ca
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 X Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
1 Final Inspection
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
O? c,. JEFFERSON COUNTY
t� " DEPARTMENT OF COMMUNITY DEVELOPMENT
5111 c Q,
Date: /)_7 Time Received: 3-09 ar� ' D. Tue. Wed. Thur. Fri.
f� Date:
ED: .f�s / 3 Contact Name: .
Owner: Contact Number: 360
Address: 78d z— V 206 .....5_3—g7,0
Notes: at,
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
--, ,>
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
N
Mon. Tue. We . Thur. Fri.
Date: (I !p Time Received: 73 am/pm ��
Date: it
BLD: 3 - no f z5 Contact Name:
��v Ad Contact Number: 360
Owner: �p 206335- • 2g (0
7
Z Y.p
Address: S. Fp
Notes:
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
.t
Setbacks Floor
Foundation
Wall Address Posted
QI- -I, 2.Tiles Ceiling
Ps`) ‘ JEFFERSON COUNTY
goDEPARTMENT OF COMMUNITY DEVELOPMENT
Date: r!p/D//S Time Received: _JO: 06 am pm Mon. Tue. Wed. ® Fri.
Date:
■ BLD: 13 -CIO /Z.---6 Contact Name: y1 eira Jr-t
Owner: Jnc-{-(uL Conk-el/1 Contact Number: 360
Address: 7OZ Flq_ev TO 20 2. 6- p 7fO
Notes: f.(ir N _gna t'I We --R i (
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 x
Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling
e °• JEFFERSON COUNTY
_j DEPARTMENT OF COMMUNITY DEVELOPMENT
,/f N,
Date: 7 /5 Time Received: am Mon. Tue. Wed. �` Fri.
• Date: 7r /‘
BLD: JJ- /Q$° Contact Name:
Owner: Contact Number: 360 '
Address: 7 2 206 35-5-25'/O
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
Finallnspection
Setbacks Floor
"oundation Wall Address Posted
k&Tile Ceiling
• •
Jefferson County DCD Building Division
Correction Notice
PERMIT NUMBER �
�� (
OWNER LitJ'TYl% _j�i`J
JOB LOCATION -7-75'03._-75'03._ t Ua
-
Inspection of this structure has found the following violations:
'()6(
C3D t-Ct:CL,
TaliWitiLW --
. `
You are hereby notified that no more work shall be done upon these premises until
the above violations are corrected, unless noted otherwise. When corrections have
been made, call for inspection.
Date Inspector
BUILDING DIVISION (360)379-4450 INSPECTION HOTLINE(360)379-4455
THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE
•
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD13-00125 / Received Date: 4/17/2013
SITE ADDRESS: 7802 FLAGLER RD Issue Date 6/17/2013
NORDLAND, 98358 Expiration Date 6/17/2014
OWNER: JONATHAN J COHEN PHONE:
4403 THACKERAY PL NE
SEATTLE WA 981056124
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021291032 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,387
VALUATION ADD'L: HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES: 1
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: State Building Code $4.50 MKF2 04/17/13 142002
Exist: Exist: 1 Plan Check $673.11 MKF2 04/17/13 142002
Prop: 2 Prop: 1 Permit $1,038.55 MKF2 04/17/13 142002
Total: Total: 2 Potable Water Application $66.00 MKF2 04/17/13 142002
Total: $1,782.16
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 3pm the day,before the inspection is needed.
Office Hours 9:00 am -4:494-4i MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
Jefferson County Building Divi•
sion Permit Nu•r: BLD13-00125
Applicant: COHEN
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks I7 b
Erosion Control - `r-(t p
Foundation Footing tI��i�
Footing Drains jb jti� t3
Foundation Stem Wall q 1301 13
Underground Plumbing ya
Under Floor Framing
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Ext. Shear Wall Nailing /�
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Rough-in Plumbing
Framing l0( --C�
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Airseal 103
Insulation: Walls 'i._f
Insulation: Floors l
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Insulation: Ceiling d� l """
Int. Shear Wall Nailing ll`/ ti F$ e
Wallboard Nailing
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Gas Line: Interior it-20-1
Gas Line: Exterior � OIJA
Propane Tank 7/01/5 -
Heat/Chimney Clearance 1J/A
Heat/Chimney Clearance
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Free-standing Stove N/A
Mechanical Systems
Blower Airtight Test otrlt5 g(
Smoke&CO2 7/////5
Drywell/Alt Drainage jo/34 / C
Address Posted 7/4/16
Hydrostatic Test � *
• •
FINAL INSPECTION 7hqIS (1/7 a,(' Par C.O.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD13-00125
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 17, 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 22, 2013 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
11tidPmarklriatalfnrms\F RI n Permit Rlrin rnt R/17/9f113
ON
JEFFERSON
2 J'v. DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.uslcommunitydevelopment
Tel: 360.379.4450 I Fax: 360.379.4451 I Email: dcd(a,co.jefferson.wa.us
Building Permits&Inspections 1 Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center
June 13, 2013
Property Owner: Jonathan Cohen
4403 Thackeray PI. NE
Seattle, WA 98105-6124
Permit Applied For: New Single Family Residence.
7802 Flagler Rd. Nordland, WA 98358
BLD13-00125
This memo is in response to your request to prepare ground for and place forms for footings and
foundation prior to permit issuance.
This can be done with the following conditions:
1) The area for the structure must be staked out
per the attached site plan with required setbacks.
2) The setback inspection called in and signed off
before footing and foundation forms are set up. Setback Signoff
3) Foundation inspection must be called in and passed
prior to pour. FtglFdtn Signoff
This work being completed prior to the issuance of the permit is being done at your own risk.
Concurrence from the property owner or appointed representative is required by signature below.
Property Owner Carl Smith
or Appointed Representative Director/Building Official
INCLUDE WITH PERMIT* APPLICANT •
Standard Conditions for Residential Development in Jefferson County
1. LIGHTING: 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.
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.
2. BUILDING HEIGHT: The building height is not to exceed 35 feet.
3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall
create no fire, safety, health or sanitary hazard.
4. UNLICENSED VEHICLES: 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.
5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence.
6. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re-
vegetation include, but are not limited to: Grand Fir (Aibes grandis), Sitka Spruce (Picea sitchensis), Shore
Pine (Pinus contorta), Douglas Fir (Pseudotsuga menziesii), Western Red Cedar (Thuja plicata), and
Western Hemlock (Tsuga heterophylla).
Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple
(Acer macrophyllum), Red Alder (Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen
(Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon
White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and
Scouler's Willow (Salix scouleriana).
Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier
Dogwood (Cornus stolonifera) Salal (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum
(Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes
sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red
Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium
ovatum), Red Huckleberry (Vaccinium parvifolium).
7. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse
the applicant from complying with other local, state and federal ordinances, regulations or statues,
applicable to the proposed development, but consistent with RCW 90.58. Future development beyond
that specified in this permit shall require further review.
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