HomeMy WebLinkAboutBLD2015-00037 - NSFR go s'n Po DEPARTMENT OF COMMUNITY DEVELOPMENT
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621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 Fax:360.379.4451
Web:www.co.Jefferson.wa.us/communitydevelopment
. O E-mail:dcd(a?co.jefferson.wa.us
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CERTIFICATE OF OCCUPANCY
PERMIT #: BLD15-00037
APPLICANT: CHARLES HARTZELL PHONE: 360-461-6459
18304 26th DR SE
BOTHELL WA 98012
SITE ADDRESS: 511 SCHWARTZ RD Issue Date: 03/18/2015
NORDLAND, 98358 Final Date: 8/26/2015
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 021291037 Section: 29 Township: 30 N Range: 1E
PROJECT DESCRIPTION: NEW BUILDING PERMIT FOR A 1980 MANUFACTURED HOME
SEP14-00093
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/26/2015
\\tidemarkldata\forms\F_BLD_Occupancy.rpt 8/27/2015
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MANUFACTURED/MOBILE HOME INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD15-00037 Received Date: 2/10/2015
SITE ADDRESS: 511 SCHWARTZ RD Issue Date: 3/18/2015
NORDLAND, 98358
APPLICANT: CHARLES HARTZELL
18304 26th DR SE
BOTHELL WA 98012
SUBDIVISION: Block: Lot:
PARCEL#: 021291037 Section: 29 Township: 30 N Range: 1E
CONTRACTOR/ OWNER/BUILDER PHONE:
DEALER
PROJECT DESCRIPTION: NEW BUILDING PERMIT FORA 1980 MANUFACTURED HOME
SEP14-00093
MAKE: PEERLESS YEAR: 1980 SIZE: 70X28
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 3/18/2016.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
Setbacks/Footin (CO TIN OUS FOOTING, SLAB or PADS USED):
Stormwater FINAL Approval:
Blocking/Plumbing: ZLd cKtvi
Propane Tank/Lines Ab c)rAks& ET/Z41`5
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval: AA /
Final/Skirting/Vents/Porches/Steps: Ok 4ar UC!`tk ANC`j g� ! /5 ms s
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
S i
To schedule inspections, call (360)379-4455 no later than 3:00 PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next day's inspections.
Office Hours 9:00 -4:30 MONDAY-THURSDAY
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
Septic System Finaled sep 14-00093
A final inspection will not be scheduled until all of the
following are completed and signed off by the applicable
Department:
• Building Permit Conditions are met
• Septic Permit Final/Complete for any building
containing plumbing
• Land Use Conditions met and signed off
• Public Works Permit Final(where applicable)
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
SPECIAL CONDITIONS APPLY - SEE REVERSE
• S
SPECIAL CONDITIONS CASE # BLD15-00037
1.) DWJ
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.) The site plan as submitted with the Building Permit application on February 10, 2015 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 March 6, 2015 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
4.) This approval is for a Building Permit for Manufactured Home only. Any future permits on
this site are subject to review for consistency with applicable codes and ordinances and
does not preclude review and conditions which may be placed on future permits.
5.) This building approval accounts for 240 GPD of septic system capacity, as designed and
approved SEP14-93 is sized for only one single family residence of no more than 2
bedrooms. It is not sized for an Accessory Dwelling Unit(ADU). The minimum daily design
flow per residence is 240 GPD.
\\tidemark\data\forms\F_BLD_Permit_Mobile.rpt 3/18/2015
• •
Jefferson County DCD Building Division , o0
Correction Notice
� ���
PERMIT NUMBER /5-00031
OWNER 1/AR1ZELl. _ �9� Nei
JOB LOCATION ,S/I LC+iIcJlr TZ f!z
Inspection of this structure has found the following violations:
fI L /5 OK -Far .Clr4r( bcr utoacii.7
—41-Pf..crr 6N 5r rE /F You, I1
CI�FtCE (No MDAr -t'tituw 'fir!` 7-airC.Uir)
AND NAME a .g GDED cPF TiJEf& .
You are hereby notified additional work shall not be done upon
these premises until the above violations are corrected, unless
otherwise noted.
When corrections have been made, call for inspection.
Date!` Inspector _ -, _.. ✓/
400P%
Building Division (360) 379-4450 Inspection Hotline (360) 379-4455
THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE.
• •
Jefferson County DCD Building Division
correction Notice
PERMIT NUMBER 1�`
OWNER C 2
JOB LOCATION _
Inspection of this structure has found the following violations:
-- t L�
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.
S
Date 1"`//1/ rr Inspector ' ,
BUILDING DIVISION (360)379-4450 INSPECTION HOTLINE(360)379-4455
THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE
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Point & Pay - Create Order Page 1 of 1
Thank you for your payment!
This service has been provided by Jefferson County Dept of Community Development, WA and
Point & Pay. We value your business. Please keep this receipt for future reference.
You have made a payment to Jefferson County Dept of Community Development, WA . Jefferson
County Department of Community Development thanks you for your payment. For questions about
your account, please call 360-379-4452
Name: charles c hartzell
Address: 18304 26th Dr SE, Bothell WA, US, 98012
Contact: 3604616459
Comments:
Payment ID: 19733726
Date: 08/24/15 04:55 PM
Subtotal: $78.00
Fee: $2.50
Total: $80.50
Method: Credit or Debit Card(************2783)
Item Purchased Transaction Description Account Amount
Invoice Payment Jefferson Co C D GOV dcdl5b1d15-00037 $78.00
Signature:, Date:
By signing this receipt you agree to the terms and conditions of this service.
You will see one line item on your credit or debit card statement indicating the amount you paid and will be
identified as Jefferson Co C D GOV. If you have any questions about the charges please call 1-888-891-6064.
Print Receipt Close Window
JEFFERSON COUNTY bM NO. 159703+
DATE �/Q-C. 1 7-
RECEIVED FROM J� `�� C �Z� I 1
BARS k AMOUNT
DC SC R'RTION
CURRENCY 10)1(1 �:5� 7/y{�� -�U
COIN ,r
fstalc„--No-31
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RECEIVED BY 11W . A W I ? TOTAL `fit a
. .......-.. ..._....,.,.,,.n-,..... ., .-.r.n ,rnriirnaxvll anoint rl n'lmathnrl—viaxxaPavmant R/'75/')(115
INVOICE Date: 8/24/2015
Invoice ID: DCD15BLD15-00037
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street] Port Townsend, WA 98368
360-379-4450 I email: dcd @co.jefferson.wa.us
www.co.jefferson wa.us/commdevelopment
Date Due:
BILLING ADDRESS:
9/23/2015
CHARLES HARTZELL
18304 26th DR SE
BOTHELL WA 98012
Permit 78.00
Total Amount Due: $78.00
RFMIT TO-
Jefferson County DCD
621 Sheridan St.
Port Townsend,WA 98368
Please return the above portion with your payment
Permit Number: BLD15-00037 Permit 78.00
Total Amount Due: $78.00
Payment is accepted by cash, check, debit or credit card (Visa, Mastercard, Discover, American
Express)
To pay by credit card, go to www.co.jefferson.wa.us/commdevelopment, and click on the "Online
Credit Card & echeck Payments" link on the left side of the page. (questions: call 360-379-4450)
Sally Ellis
From: Sally Ellis
Sent: Monday, August 24, 2015 8:27 AM
To: 'Hartzell, Charles C'
Subject: 511 Schwartz rd BLD15-00037
Attachments: f case invoice dcd all
Dear Charlie-
Attached is an invoice that you can pay online-for the Re-inspection fee.
You can pay this fee online- by going too- http://www.co.jefferson.wa.us/
You should then click on Departments-select Community Development
Then on the left hand side of the page- under DCD quick links- select online credit-card ore-check payment-
Then select pay invoice.
If you have any issues- please feel free to contact me. Once the payment has been received you may call for a re-
inspection.
Thank you O
Have a great day!
Sincerely
:,,,•e „.
i ,,,,
, ,_____,
44
(---)
Sally L Ellis
Jefferson County Community Development
Permit Technician
621 Sheridan St., Port Townsend,WA 98368
Mon-Thurs gam -4:30pm, closed from 12-1
Ph: 360-379-4452 Fax: 360-379-4451
sellis @c_o.jefferson.wa.us
http://www.co.jefferson.wa.us
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•
Sally Ellis
From: Hartzell, Charles C <Charles.C.Hartzell @boeing.com>
Sent: Monday, February 23, 2015 1:48 PM
To: Sally Ellis
Subject: amended floor plan 511 Schwrartz BLD15-00037
Attachments: 511 Schwartz.PDF
Hey Sally, so I made a small error on my floor plan that Susan Porta found, I forgot to change a bedroom to an office so it
appeared as if I was submitting for a 3 bdrm home and it's only going to be a 2 bdrm home, please fwd these revised
floor plans onto the concerned parties.
Charles (Charlie) Hartzell
777 AFT FUSELAGE
425.266.0651
1
ON CALL 41
�
' c0y JEFFERSON COUNTY HOURS
BEFORE
DEPARTMENT OF PUBLIC WORKS
YOU NO
CAD Jefferson County De parirnent of Community Development q
621 Sheridan Street Port Townsend,WA98368
114r1INCI C) (360)3794450 1.800.424.5555
ACCESS PERMIT
Case Number. RAP04-00288 Road#: 595709 Class:
Milepost: 0.50 Side of Road: LEFT
Applicant: KATHY SCHWARTZ
611 CEDAR AVE SPC 63
PORT HADLOCK WA 98339-9555
In accordance with all applicable Revised Code of Washington and amendments thereto, and subject to all the terms,
conditions and provisions written or printed below or on any part of this form, permission is hereby granted to:
1.) The applicant may install a private road approach to#511 Schwartz Rd. at mile post .50 left.
CONDITIONS:
1.) An approach culvert is not necessary at this location at this time; however, if drainage becomes a problem here in the
future the county reserves the right to require one.
2.) The applicant must place a minimum of 2 inches of crushed surfacing to the right- of-way line.
3.) The grade of the approach shall be such that no surface water shall be directed onto the county road.
4.) The Applicant must contact the Public Works Department at 360-385-9159 for a final inspection.
5.) This approval is for a road approach only and does not constitute approval of any other activities on this parcel or
within the right of way. Any future permits on this site are subject to review for consistency with applicable codes and
ordinances and does not preclude'review and conditions which may be placed on future permits.
6.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection
Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)
All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)
All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or
Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential
development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the
applicable requirements and standards of the Jefferson County Unified Development Code.
7.) The parcel is located within a High Risk SIPZ (seawater intrusion protection zone) according to the County GIS map.
There are mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22,
effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of
record.
A High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses
above 200 milligrams per liter(mg/L).
The applicant, by signing the permit application, has agreed to all of the conditions in the permit including the provisions
on the back of this form. This permit shall be void unless the work herein contemplated shall have been completed before
November 29, 2005. The Department of Public Works may revoke, amend or cancel this permit or any of the provisions
thereof at any time by giving written notice to the grantee. The grantee, upon notification, shall immediately remove all of
his equipment and facilities from the County right of way. Any equipment or facilities remaining upon the County right of
way 30 days after written notice of cancellation shall be removed by the County at the sole expense of the grantee.
In accepting this permit the grantee, his successors and assigns, agree that any damage or injury done to the property of
the grantee or any expense incurred by him through the operation of a contractor, working for the County or any County
employee shall be at the sole expense of the grantee, his successors and assigns.
For Jeffer a County P. P.te
sJp Front Parcel Review II-g t d 3
Parcel 021291037
Printed: March 6, 2015
CHARLES HARTZELL Site Address(es):
18304 26th DR SE 511 SCHWARTZ RD NORDLAND, WA 98358
BOTHELL, WA 98012
Parcel Number: 021291037 S-T-R: 29-30N-1E Total Acreage 2
Legal Description S29 T30 RIE TAX 39 Land Use: 9100
Flood District: Fire District: 1 Planning Area: 3
Flood Map(FIRM)Panel No: School District 49 Zoning: la-5--
COMP PLAN
DESIGNATION:
COMMUNITY PLAN: UGA: UGA Trans
[ t Plot plan states "property line"
Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[ 14- ..
j/)' Legal Access to Property 0 NO
[ vi Parcel Tags or Scanned Documents YES NO
[ 4 ESA's: Special Reports Nearby YES NO
[ % Designated Ag YES NO -Fiji)[ 1✓]' Shoreline Designation 0 �"/NO L _
[ Shoreline Slope Stability: YES NO
Stream Type:YES NO
FWHCA: YES NO
Wetlands: YES NO
Rare Plants:YES NO
Seismic: YES NO
Landslide: YES NO
Flood: YES NO
Erosion: YES NO
Aquifer Recharge Area:YES NO
SIPZ: none At Risk High Risk Coastal T ,6 C- /pAA"�iY
CMZ: none High Risk Mo.- • -. isconnected CMZ
Stormwater site plan sub ltted: YesNo
[V1 Forest Lands: YES JO
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[✓j Mineral Lands: YES (2
[ !X Agricultural Lands: FS�
[ t� chaeology: YES Cplpl
[ o Shooting Zone: YES 0 x
[ ,,,r- Stormwater: New Im•e '• face 73-0 6 Land Disturbing Activity 9/ '0 0 ESA's
Stormwater Rea' . in Req#2 Min eq#1 thru#5 Min Req#1 thru#101. Engineering
[ t� Notice Provisions atsclosure:Airport YES NO MRL YES NO Forest Lands YES NO
[ V Landscaping Required: Yes No
[ ty- Parking Spaces Re ' d NO ( 2/Other
I Building Height: 35' UBC Standard
[ Impervious Surface coveralapercentage:
Resource Lands&Public: 101. Rural Residential 5% Rural Indus: Per UDC Sec 6.7
Rural Commercial: 60% Area of Building -average:60%in Rural Industrial Lands only
[ v( Total Building (s) Size:
RVC:20,000 SF CC: 5, 0 SF NC:7,500 SF GC: 10, F All others:subject I ptic&water constraints/None specified
[ � Setbacks: Front: WC Left Side: Right Side: Rear:
Shoreline Setback:
LSHA Setback:
[ [Z.-- Road Classification:
Road Approach: Ex1sT NOT REQ'D RAP
[ t� SEPA Required: YES EXEMPT
[ 1/j�, Flood Certificate:
[ 117 Existing Case(s)&Condition(s):
Violations: Yes No
[ 14 Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ Lots/Require Declaration of Restrictive ovenant YE' 0 •ubmitted: YES NO
[ 1/]' UGA No Protest Agreement YE .' l -ubmitted: YES NO
[ V]' Site Visit conducted YES ��
[ 1,1- Require Final Zoning Approval ES
[ O'r-ADMIN: Setbacks entered in Permit Plan case 411001 YES
New Parcel Tags entered in Permit Plan ittle YES
Special Reports Scanned YES
No parcel tags found for parcel
Cases Associated with APN 021291037 Review
Cases Name Type Status Planner
BLD15-00037 HARTZELL I P David Wayne Johnson
Application Received: 2/10/2015 Permit Issued/Case closed: Case Finaled:
NEW BUILDING PERMI I FOK A 1980 MANUFACTURED HOME
SEP14-00093
BLD87-00011 LILLY F
Application Received: 4/23/1991 Permit Issued/Case closed: 5/22/1987 Case Finaled:
single family residence
BLD91-00773 LILLY F
Application Received: 10/25/1991 Permit Issued/Case closed: 10/25/1991 Case Finaled:
DETACHED GARAGE
CAM15-00020 HARTZELL NA M Colleen Zmolek
Application Received: 1/15/2015 Permit Issued/Case closed: 1/15/2015 Case Finaled.
Potential boundary line adjustment
OTH14-00001 HARTZELL CLS
Application Received: 1/10/2014 Permit Issued/Case closed: Case Finaled: 5/6/2014
Wet Season. filed to SEP14-00093
RAP04-00288 SCHWARTZ I F
Application Received: 11/10/2004 Permit Issued/Case closed: 11/29/2004 Case Finaled: 2/3/2015
ROAD APPROACH AND 911 - SCHWARTZ RD
SEP14-00093 HARTZELL I A Tim Woolett
Application Received: 7/9/2014 Permit Issued/Case closed: 9/19/2014 Case Finaled:
\\tidemarkldata\forms\R_Parcel_CRMLA.rpt 3/6/2015 Page 2 of 2