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HomeMy WebLinkAboutBLD2014-00437 BUILDING PERMIT APPLICilk IDN BLD14-00437 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00437 Received Date: 11/21/2014 SITE ADDRESS: 525 WHISPERING CEDAR LN CHIMACUM, 98325 OWNER: TONY DUNN PHONE: 602-579-1036 23169 N 79TH AVE PEORIA AZ 85383-1690 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901354010 Section: 35 Township: 29 N Range: 141 CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP DEMO PERMIT FOR UNPERMITTED SFR AND A CARPORT TO RESOLVE COMPLAINT# COM04-00081 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEM MAIN: VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $76.00 SRE 11/20/14 153903 APPROVED Total: $76.00 DEC 2 3 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 12/23/2014 • Address Database Compariso, III Page 1 of 2 Enter Street Name String: Or Enter Parcel Number: Go 1 PUBLIC WORKS DB ADVANTAGE DB ASSESSOR DB MASTER ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL ADDRESS PARCEL 240 WHISPERING 100 WHISPERING 69 WHISPERING No Addresses Found CEDARS LN CEDAR LN 901354016 CEDARS LN 50:.355003 240 WHISPERING 240 WHISPERING 100 WHISPERING CEDARS LN CEDAR LN 901354008 CEDARS LN 901354016 360 WHISPERING 360 WHISPERING 240 WHISPERING CEDARS LN CEDARS LN 901354003 CEDARS LN 901354008 360 WHISPERING 425 WHISPERING 360 WHISPERING CEDARS LN CEDARS LN 901354009 CEDARS LN 901354003 423 WHISPERING 511 WHISPERING 425 WHISPERING CEDARS LN CEDAR LN 901354010 CEDARS LN 901354009 423 WHISPERING 520 WHISPERING 511 WHISPERING CEDARS LN CEDAR LN 901354002 CEDARS LN 901356001 425 WHISPERING 523 WHISPERING 523 WHISPERING CEDARS LN CEDAR LN 901354010 CEDARS LN 901354010 425 WHISPERING 524 WHISPERING 524 WHISPERING 901354002 CEDARS LN CEDAR LN 901354002 CEDARS LN 511 WHISPERING 525 WHISPERING 526 WHISPERING CEDARS LN CEDAR LN 901354010 CEDARS LN 901354004 511 WHISPERING 526 WHISPERING 652 WHISPERING CEDARS LN CEDARS LN 901354004 CEDARS LN 401351004 523 WHISPERING 527 WHISPERING 654 WHISPERING CEDARS LN 901354010 CEDAR LN 901354010 CEDARS LN 901351005 523 WHISPERING901354010 652 WHISPERING 901351004 CEDARS LN CEDARS LN 524 WHISPERING 901354002 654 WHISPERING 901351005 CEDARS LN CEDARS LN 524 WHISPERING 90135400 69 WHISPERING 901354011 CEDARS LN CEDAR LN 525 WHISPERING 1901354010,) 69 WHISPERING 901355003 CEDARS LN CEDAR LN 525 WHISPERING 901354010 80 WHISPERING 901354017 CEDARS LN CEDARS LN 526 WHISPERING 901354004 80 WHISPERING 901354018 CEDARS LN CEDAR LN 526 WHISPERING 901354004 CEDARS LN 527 WHISPERING 901354010 CEDARS LN 527 WHISPERING 901354010 CEDARS LN 652 WHISPERING 901351004 CEDARS LN 652 WHISPERING 901351004 CEDARS LN 654 WHISPERING 901351005 CEDARS LN 654 WHISPERING 901351005 CEDARS LN 69 WHISPERING CEDARS LN 69 WHISPERING CEDARS LN 80 WHISPERING CEDARS LN 80 WHISPERING CEDARS LN 84 WHISPERING CEDARS LN 84 WHISPERING CEDARS LN http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=whispering+cedar&parcel= 12/23/2014 Address Database Compariso, • Page 2 of 2 For an address search, leave the parcel field blank.This is the signal that you want an address search. For a parcel search, enter the nine digit parcel number. During a parcel search it does not matter what you have in the address box. This tool uses a "fuzzy" search so if you enter"ZELATCHED"you will get all addresses that have that word in it. If you enter "ZELATCHED POINT RD"you will only get the addresses that have that exact sequence of characters in it. This should allow you to identify the source of many of the discrepancies between the data sources. For instance, searching for"AZALEA LN"gives only 5 addresses in the Advantage DB. Searching for just"AZALEA" adds another address because one was entered Incorrectly as "AVE". I purposely did not make a street picklist so you can have flexibility in your searches. The far right column is the final list of addresses that will be loaded into the AS400. Clicking on the address field will give you details about the address. On the details page you can click on links to get a map of the road or search for more addresses on the parcel. Addresses that have a parcel that is not on our parcel map will not show up on this list as a hyperlink. There are many "dummy" addresses in the Advantage DB. Most of these have been filtered out by checking for a blank street address number. The Assessor DB has been filtered by checking for null in the street address number field. Letme know if this tool is useful and/or how it can be made more useful. / http://www.co.jefferson.wa.us/idms/devtest/address.asp?street=whispering+cedar&parcel= 12/23/2014 9/Da11,4 5FDA-1 1àcr J_) r 15Q"3i � ) #S -) .LII( aqq 5s J; up I to " 1,-,r\ RD c+c) io G S 3 Cz'c\O+T 1*c�S U .1A,0_, ',(),)s on -4-\\A S'C , © r, CPck o w�i 4,i,. 4,1:_____,1 i_r-cinsi' ci (4 4'o Scc y3� ,pock ___\ +sa3 st, s +o 'floor cnrP f Aof 0-Twell hou . 4-5Q-1 _\ ? ,), A6 -6 P ho:,�.p 1 ibrct (\ 'Potts,- 5��/s+oret•,�1. SiGvY C� \c— :ct' 1 "►rtcszt p•t`t00, c', f' * t`O1,JaS4-Sit Rim Po ztuc4uAQ '/aal 4 c v.�\u nq CQ_Act.r-r r. J 4 5a `rte \\' \) r) auzo s a\330-e i\C (q 4- a ' "Lc\oon ? u -51c) -c.-8 \okA (,`e---‘0 ) blas soca Irc,�, P C 55vAu " (2.1,-A 41,4-\\,(\k_ -�" _Q vc3ir)A0u3 C�"� 04 0Q a 1,u1 , iii1 � � _ , 4, E: WHkC. , i ' �. � , '541/4 - 6TD Pet° ,L ,40N coe, DEPARII LENT OF COMMUNITY DEV•LOPMENT 4G - '�; 621 Sheridan Street,Poit Townsend,WA 98368 ti Tel:360.379.4450 I Fax:360.379.4451 Web: www.co.jefferson.wa.us/communitydevelopment O E-mail:dcd(c�co.iefferson.w'a.us SNI N O� DEMOLITION PERMIT APPLICATION Steps in the Permit Process: -Review required submittal items to ensure all information is completed prior to submitting application. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Receipt# I5 3& j3 Date: It/2 y t 4 cl leZ..F(p . Related Application #s: Payment# t. ('4.'4.O Demolition of any structure requires the applicant to receive approval from Olympic Regional Clean V Air Agency (http://www.orcaa.org/services/asbestos-and-demolition or 360-338-6419) prior to obtaining a permit from Jefferson County Dept. of Community Development. Required Submittal Items An approved Demolition permit from ORCAA. X.. X Complete Site plan - Please refer to the site plan checklist to ensure all items are on the site plan. If applicant is different from owner, written authorization from property owner to demolish structure. 4. Building Information Site Address: sa23 W /-/..1.P4 G /G'-1014,1-. Z._Ai re/y\ Assessor Tax Parcel Number(s): 0 / 3 5 5, 0 / 0 Present Zoning: ( Present Use of Property: (J ij OCC c'iaiil e-0 - i- Type of Structure to be demolished: 9Residence Garage )� Shed Commercial Other— What existing buildings will remain? /'j�l/�f3N o Ui/ /grJ�Z Is there any water on or adjacent to the property? NO YES Marine Creek Pond/Wetland Lake Other Sewer disposal method: —X Onsite septic Public Sewer- Provider Septic Case# Wastewater-Sewage Disposal `o 0 Is there an existing Septic System on the property? Yes X No FriWill you be reconnecting to the existing septic system? Yes _ No = Is there an existing well on the property? Yes No XC Do you plan on decommissioning the well? Yes • No ' Property Owner • • Name: Address: Phone #: E-mail Address: Please contact Authorized Agent/Representative with project info. Property Owner Signature: Date: Applicant/ Contractor: Authorized Agent/Representative Name: Phone #: E-mail Address: License#: Expiration 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signa Print Name: `/ Qu/t,G, Date: l/74 icf C �.G A final inspection must be scheduled once structure is removed to close out case OFFICE USE ONLY Building Permit Fees Demolition Permit Fee "44,7•oa Environmental Health Review $79.00 Project Scanning Fee $19.00 111-1":50 Total Fees* *Additional fees may apply • • („ON DEPARTMENT OF COMMUNITY DEVELOPMENT 621 SilcaxkiStreet,Poet lownecnd WA98368 AC Id 360 379.4450 Fax 301379.4451 Web www.cu tc ltcreon.w c us/community]evelopn-ent I',-snail,dcd66ct,.jefferion.wa.us Sk1 N GAO PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 901 j 354 Q to Site Address and/or Directions to Property: ,5.2 3 6&'1 , s r ; Ce<PGv S 4 Access(name of street(s)) from which access will be gained: s,.f,.n eer_Pc%es Present use of property: j2. .'� C Description of Work(include proposed uses): /� o f 14, c." 4.7-f" t 1A (D e i w� "+k s '74^ v c-'k' ' 4n vesolue cow,pip 1.,+ Comoy - SI Wastewater-Sewage Disposal This property is served by Port Townsend of Port Ludlow sewer system? YES _ NO -X If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: N/4. Community Septic Name of System: Case#: Are other residences connected to the septic system? 0 Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ Partial Has a reserve drainfield been designated? Yes _ _ No Date of Last Operations&Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: III • The authorized agent/representative is the primary contact for all project-related questions and correspondence. The County will mail/ e-mail requests and information about the application to the authorized agent/representative and will copy(cc) the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: 4`7-1,v-t..1 p , h PI Address: a 2 j Coc1• N '] ? -t-t- Uc fiec„M1Cc- b428S3f33 Phone#: tov'2 S 7g /U3 G E-mail Address: "7'J 1.4. *11,,1 ,ef3 G 3 '4 ao(.0©„yl Please contac .. Agent/Representative with project info. (select only one). Property Owner Signature Date: // l ii 1 IV Note: For projects with multiple owrtersarracn a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: Address: Phone 4: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor yC Consultant Name: KC- 4 EnJ US✓LU :.'» ,4)774c S/24 Os---c- Address: 10. 0 . Ao)< Z 2-z--) 5 c<164 C/- , G114 16'3&co Phone#: 2 fro e 3 e 50 -2--z. E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone 4: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone#: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: Address: Phone 4: E-mail Address: Attach additional pages if necessary Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are not licensed contractors and t 11 be assuming the responsibility of the General Contractor for the proposed project. Signature. L.J� Print Name: Tb 4. 0 v,,, i.i Date: / / J j a 1 iy n1 .11 "m1 • • `` cee,i.ti. PiA , 1I 3;1' 2940-f} I_irnited Lane NW } Olympia,WA 93302 'rl ��"®4AAA ‘,ORCAA I-1300-422-5623 • i 3601 Sig-761u Fax: (3601 497-6305 ORCAA Permit Application Status Permit Status 0 Approved ❑ Disapproved Notes 11/14/2014 Approve. Rec'd Survey no asbestos containing material. Please be advised that Jefferson County Department of Community Development requires a demolition permit as well. If you haven't already done so, please contact Sally Ellis at (360) 379-4452. 11/12/14 Hold Incomplete survey 11/12/2014 PFM Review Date Reviewed by 14DEM003935 11 /12/14 Permit Expiration Date Application Received Amount Due $35.00 ❑ Cash 11/11 /14 ❑ Check © Credit card Additional notes or permit conditions This permit is only for the two structures identified in the asbestos survey. Other structures would require an asbestos survey. This permit is for a single family dwelling and a detached carport. Olympic Region Clean Air Agency (ORO • 2940 Limited Lane NW Olympia,WA 98502 360-539-7610 I FAX 360-491-6308 Port Townsend Office 360-338-6491 Raymond Office 360-942-2137 www.orcaa.org DEMOLITION PERMIT APPLICATION Demolition and renovation projects within Clallam, Grays Harbor,Jefferson, Mason, Pacific and Thurston counties REQUIRE A PERMIT and require that the following permit conditions be met prior to demolition or renovation. Olympic Region Clean Air Agency(ORCAA) regulations define a demolition project as the wrecking, razing, leveling, dismantling or burning (by a fire department for training purposes)of a structure making the structure permanently uninhabitable or unusable. Renovations include the removing of load bearing structural members, but not to the extent to make the structure uninhabitable. The following information is merely a reference guide and not a substitute for agency regulations. 1.A good faith asbestos survey must be conducted by a certified Asbestos Hazardous Emergency Response Act(AHERA) building inspector. Qualified contractors and inspectors may be found in your local Yellow Pages,through the Washington State Department of Labor and Industries, or on ORCAA's website. 2.Asbestos samples must be sent to an NVLAP laboratory(National Voluntary Laboratory Accreditation Program)per 40 CFR 763.87. A list of labs can be found on ORCAA's website. 3. The start date on other structure demolition must be at least 10 working days from the submission date of the complete application and payment. 4. It is the responsibility of the property owner and/or demolition contractor to ensure there is no asbestos-containing material present in the structure to be demolished. 5.Any and all structures on the same parcel of property that are not proposed to be demolished must be identified as such. 6.A copy of the asbestos survey and approved Demolition Permit, as well as any subsequent amendments, must be kept on site and available for review by Agency inspection personnel. 7.The original demolition permit will expire on the Completion Date. Under no circumstances will a project be extended beyond 1 year from original start date. ADDITIONAL REQUIREMENTS In addition to Agency requirements, most building departments require a demolition permit(separate from ORCAA's Demolition Permit).The Washington State Department of Labor& Industries may also require notification for asbestos removal projects. "Owner Occupied Residential Dwelling" means any single family housing unit which is permanently or seasonally occupied by the owner of the unit.This term includes houses, mobile homes,trailers, houseboats, and houses with'mother-in-law apartment'or a'guest room.'This term does not include structures that are demolished or renovated as part of a commercial or public project; nor does this term include any mixed-use building, structure, or installation that contains a residential unit, or any building that is leased or use as a rental, or for commercial purposes. PROPERTY OWNER Name Mailing address Tony Dunn 23169 N 79th Ave City ZIP State Peoria 85383 Arizona Site address City ZIP 525 Whispering Cedars Ln Chimacum 98325 FAX Phone number Other contact number Email 623-334-1624 602-579-1036 Tdunn43634@aol.com DEMOLITION CONTRACTOR ® check the box if same as property owner information Business/Contractor Name On-site contact E-mail Mailing address City ZIP Phone number Other contact number DEMOLITION PROJECT INFORMATION Number of structures being demolished 2 Start date Completion date Is asbestos present? 12/01/14 01/31/15 No Attach your asbestos survey below img484.pdf Has all identified asbestos been removed Yes DEMOLITION PROJECT CATEGORY ® Complete demolition ❑ Training fire-(complete fields below) ❑ Renovation, alternation, remodeling, maintenance or other construction If training fire, provide fire protection agency name, point of contact and telephone number ® Owner occupied residential dwelling - Permit fee: $35.00-Prior Notice-Nonrefundable ❑ Other Structures-Permit fee: $60.00- 10 working day wait period- Nonrefundable ❑ Emergency Fee$50.00-must be accompanied by Government Ordered Declaration (other structures only) Attach declaration below PLEASE MAKE A NOTE OF YOUR FEE. • Applicant name Date Tony Dunn 11/11/14 I do certify that I am the owner, authorized agent of the owner, or authorized contractor for the property subject to this ORCAA application/permit. I authorize ORCAA staff to enter the property listed in this application at reasonable times for purposes of inspecting the work that is the subject of this application/permit and to ensure compliance with permit conditions, applicable laws and regulations. I understand that granting of this permit by ORCAA does not authorize anyone to violate federal, state,or local laws or regulation pertaining to activities associated with this permit. I have read and will abide by the conditions set forth in this permit and any addendum thereto. I do certify under penalty of perjury under the laws of the state of Washington that the information in this application and supplemental data is, to the best of my knowledge true, accurate and complete. ® I agree 'TZ 6(z 010164 ■■■i■i/gaL7a' iiiiiiiiiiliilI l■■■■■■■■\\■■■■■mi '- I1IIIi■■1116 i�l.�■IRR��l:14911 "11""1' .I■..IIII.■■■II�I.I.,■•Emmo - ■■I=MMEMO■ ■. ■■■■.. ■,■ .0■ ....0 -•■■■■■■ I T ■■ -�■111VMM■Niiii N '� vi, , ..m■■■■ J�- ■ ■ .pu■■■■ ■■■■C.N■■■■I■. .:Ir ramming ..i�C..■■■■■ ■■■ ■■N■II•■■■I■■■U—■I - ■�ma��■■■■■■ ■■.0■■I■/_ ■..■►I... ■ S■N.■..■■ ■■■ ■ ■EMaiii AOMMM-■■ ■■ ■■1■■■■■■■M •111111111111 11111 111I111►�1111111 ■■■ ■■■■■. ■ ■ ■ . li .■■ ■u■■m■■■■ ilii=■iii II..._ -_ WI._.l I ■.■..■■M :.■IE �__ m .` =:C::=ME =:: ■ peow 1 ■■■ a �- pig- _ 111�� II I I I ■■■■ ■•m mmimnom ■f�.■I•I=u�. . jo'�y�A►\..■■■■ ■■■■ 0 ,,r ■N■■■■■112 1 ■V■ / t! it ■■■�■■■F 6 v IIII uu■II IiftEmMI ■r■■'i►�■ I■■..■■.■ P' NU■ ■■ ► ■■.■■■ ■■ • I ;11.0 =mummm ■■hN■ ■ y .0a■■ ICwIn.■ .■■■ IIIIII .i ■■■I■ ■ ■■ ■■■■IU ■■■■ �I21 - 'IV■■■ ■■■ ■■■■. p •...■■■■■ . . .\O■I ■■■ ■■■■■■■...■■■. ..II. ■L■.IE■■ ■ ■■■■ ■■■■■■.a■i■■ ■■■N_ PR■■■.NftEi■■N.M.s■ ■■■■■■tis.■iiiiii■U■U■UNA■■■U■IM.■■■■■ y ■■■■■■■I■■io■iii■ ■ II ■■i...iCir\.liiri.'G:!.. ■■■■■■■I■■iN•.��i■■■■ ■■ ■■■■■■■IE.MEM■ '1, ■■.■.■•'■i i�f■■ _mom N■■■I■■■N■■■■■■■■o ■■''C•■� I '�� ' 11� 11�1111111��■••■••■ ■■■■ ■�ii01 )2+it3 4p .■■■MEIN v ■.■■ ■i...� ....■■ ■ II■■NE■ ■■■ = NI - ■■■■■■■■■�c,�M :.MO.■■ 1111111=111M2.111==== Ns 1111111711166111111111111111111111 1111 I IIPI?IIQI111IIIIIIIIIIIH ■■■■.■. n. ■i■.■...■ ■■■•■■■■■■■■■■■■■ IUUIIil■ii'Uie 'ii■I.0 UU•iliiiiiiiik ■IIIIII ■ ' ■' U. IIIIII I■IIIIIII�w 1 11 1 111111 /1111111 ■■1� ■N■� ■ mm N.■.■.■G■■.■...■ ■■ ■■■■I ■■■■■IN . ■■■■■■■■■■■■■■■■■ . IIIIII:.IIIIII: C :III:IIIIIIIIII - iiiiiieiiii■i•Cil■i■ U=UUUUUiiiiilliii ■■■■■■■■■■■I MEM II■ .■■■■■■■■■■■■■ f y "`f TAYLOR JEANIE FAY Page 1 of 1 C:10 Washington State Department of Labor & Industries TAYLOR JEANIE FAY Owner or tradesperson 6216 SEABECK HOLLY RD NW SEABECK, WA 98380-8877 WA UBI No. 602 287 509 Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Acsa`5s washingtoFtt"p 5) ga:af b13's 0', https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602287509&SAW= 11/20/2014 I TAYLOR JEANIE FAY Page 1 of 1 Washington State Department of ,..,,0 Labor & Industries TAYLOR JEANIE FAY Owner or tradesperson 6216 SEABECK HOLLY RD NW SEABECK, WA 98380-8877 WA UBi No. 602 287 509 Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. 0 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Access AIM Washington't https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602287509&SAW= 11/20/2014 Building Code Design Data and Criteria - IRC Table R301.2(1) Wind Speed- 3 Seismic Ice Shield Flood Frost Line Winter Design Air Freezing Roof snow load sec Gust Decay Design Weathering Termite Underlayment Index Hazard Depth Temp Req'd EAST/WEST Category 25 lbs 110 mph/ 130 Moderate/ (a)1980,(b) D2 Moderate 12" Slight to 26 F No 148 mph Severe 1980 Moderate • 2012 International Residential Code (IRC), WAC 51-51-003 • 2012 Washington State Energy Code (WSEC), WAC 51-11R • 2012 Uniform Plumbing Code (UPC), WAC 51-56 • 2012 International Mechanical Code (IMC)and 2012 International Fuel Gas Code (IFGC), WAC 51-52-003 Type of permits you are seeking for this project The corresponding supplemental application and submittal checklist must be submitted at time of application. Building Single Family(Stick built on site) Remodel/Addition/Repair Manufactured/Mobile Home (ex.Extend kitchen,den to bedroom,replace siding) Modular(Built off site) X Demolition Permit Garage/Shop/Carport Sign (Please Circle one: Attached/Detached) Deck/Porch Covered Additional Dwelling Unit(ADU) Retaining Wall Foundation Only Pool Change of Use Commercial * (ex. Retail to Industrial,residential to retail,etc.) Multi-family* Mechanical Other Permits, Please list permit#s Propane Tank Lines Address ADR Heat Pump Rd Approach RAP Hot Water Heater Septic SEP Solar Panel On Roof On Ground Land Use/Zoning Home Business Special Use (Essential Public Facilities) ** Cottage Industry Boundary Line Adjustment Stormwater Management Plat Vacation/Alteration ** Temporary Use Lot or Road Segregation Critical Areas Stewardship Plan** Boundary Line Adjustment Shoreline Management Variance Short Plat ** Shoreline Conditional Use Long Plat ** Site Plan Approval Advance Determination (SPAAD) * Change of Use Jefferson County Shoreline Master Program Amendment Conditional Use [C(a), C(d), or C] ** Shoreline Master Program Exemption/Permit Revisions ** Sign Shoreline Management Substantial Development ** Tree Vegetation Request Variance (Minor, Major or Reasonable Economic Use) Wireless Telecommunication * Discretionary"0" or Unnamed Use Classification Allowed "Yes" Use Consistency Analysis Planned Rural Residential Development(PRRD)/Amendments ** Comprehensive Plan/UDC/Land Use District Map Amendment Forest Practices Act/Relase of Six-Year Moratorium * May require a Pre-Application Conference. **Requires a Pre-Application Conference. Checklist- Building Application Submittal Checklist Page 2 h. ' 75 5<. :„FN JEFFERSON COUNTY fed, ,1 DEPARTMENT OF COMMUNITY DEVELOPMENT `",,,I NC-•15-> / Date: Time Received: ,�// am/c Mon. ue. Wed. Thur. Fri. Date: "7—? BLD: / i713 7 Contact Name: Owner: 2 JAfAJContact Number: 360 6O2 S 79/(9,5CAddress: 5;26" 1. 4iy ,1 c4 yf 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 • DEMOLITION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00437 Received Date 11/21/2014 SITE ADDRESS: 525 WHISPERING CEDAR LN Issue Date 12/23/2014 CHIMACUM, 98325 APPLICANT: TONY DUNN PHONE: 602-579-1036 23169 N 79TH AVE PEORIA AZ 85383-1690 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901354010 Section: 35 Township: 29N Range: 1W CONTRACTOR: OW NER/BUILDER PHONE: OWNER, TONY DUNN PHONE: 602-579-1036 if different: 23169 N 79TH AVE PEORIAAZ 85383-1690 PROJECT DESCRIPTION: DEMO PERMIT FOR UNPERMITTED SFR AND A CARPORT TO RESOLVE COMPLAINT#COM04-00081 Directions To Site: THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/23/2015. REQUIRED INSPECTION: FinalApproval: 'S101014 BUILDING INSPECTION HOT-LINE 379-4455. REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED. Office Hours 9:00 a.m. -4:30 p.m. Monday-Thursday SPECIAL CONDITIONS APPLY- SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY • I SPECIAL CONDITIONS FOR CASE # BLD14-00437: 1.) Approval by the Health Department for this demolition permit is based on the owners signed acknowledgement that they will be decommissioning the existing septic system prior to final of this building permit. No records could be located for the system and no evaluation has been completed. This approval for demolishing the residence does not ensure future building approval. Any future onsite sewage system shall meet code in effect at the time of application. 2.) H - Prior to finaling this building permit for demolition of the residence the septic tank must be pumped by a certified pumper and and properly decommissioned by a certified installer. Installer shall submit the Tank Abandonment Form to Environmental Health. A fee shall be charged by JC Environmental Health to verify the completion of the decommissioning. 3.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. \\tidemark\datalform s\F_BLD_Perm it_Propane.rpt 12/23/2014