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BLD2013-00124
1 illBUILDING PERMIT APPLO BLD13-00124Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00124 Received Date: 4/15/2013 SITE ADDRESS: 621 S POINT RD PORT LUDLOW, 98365 OWNER: STEVEN D MEACHAM PHONE: VIRGINIA L MEACHAM 645 MT OLYMPUS DR SW ISSAQUAH WA 980274000 9966 -SQUAMISH HARBOR BEACH SUBDIVISION: Block: Lot: PARCEL NUMBER: 996600026 Section: 4 Township: 27 N Range: 1E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: GEORGE WITTLER PHONE: (360) 779-6699 17791 FJORD DR NE, STE N-140 (360) 697-5400 POULSBO WA 98370 PROJECT DESCRIPTIOI+ CONSTRUCT GARAGE & STUDIO WITH BATHROOM - DECK Revision to carport- reduce size of carport from 720 to 561sq.ft. with changes to windows and design. TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 864 VALUATION 137,545.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 561 CONST TYPE: GARAGE: 1,080 SHORELINE: CONST TYPE: DECK: 866 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,206.55 ZAL 04/15/13 140243 Plan Check $784.26 ZAL 04/15/13 140243 State Building Code $4.50 ZAL 04/15/13 140243 Plan Check $76.00 SRE 08/14/14 151379 Plan Check $0.00 SRE 09/08/15 Total: $2,071.31 \\firlomor4\flntn\fnrmc\F RI rl 4nn Rlri rnt OM/7111R •BUILDING PERMIT APPLICJ BLD13-00123 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00124 Received Date: 4/15/2013 SITE ADDRESS: 621 S POINT RD PORT LUDLOW, 98365 OWNER: STEVEN D MEACHAM PHONE: VIRGINIA L MEACHAM 645 MT OLYMPUS DR SW ISSAQUAH WA 980274000 SQUAMISH HARBOR BCH SUBDIVISION: Block: Lot: PARCEL NUMBER: 996600026 Section: 4 Township: 27 N Range: 01 E CONTRACTOR: TBD PHONE: REPRESENTATIVE: GEORGE WITTLER PHONE: (360) 779-6699 17791 FJORD DR NE, STE N-140 (360) 697-5400 POULSBO WA 98370 PROJECT DESCRIPTION CONSTRUCT GARAGE & STUDIO WITH DECK - NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 864 VALUATION 137,545.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 720 CONST TYPE: GARAGE: 1,080 SHORELINE: CONST TYPE: DECK: 866 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: Prop: 0 Prop: Total: 0 Total: 0 Routing Date: y ___ . , I / / /..)g/t--L__ Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,206.55 ZAL 04/15/13 140243 Plan Check $784.26 ZAL 04/15/13 140243 APPROVED State Building Code $4.50 ZAL 04/15/13 140243 Total: $1,995.31 FEB 2 5 2015 Jefferson County DCD 11+irlcmorIArlo+olfn rrtek P1 n Ann PIA rn+ A/17/')(111 • • CONDITIONS for Building Permit# :BLD13-00124 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 15, 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 revised site plan dated September 15, 2015 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) Final approval of SEP14-00108 is required prior to final inspection of this building. Please check befor call for a C/O \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 10/9/2015 • Jefferson County Building Division Permit Number: BLD13-00124 Applicant: MEACHAM 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 4/23/2015 . L e Ci G I ._� c Erosion Control u� Post Holes 9/2/2015 L See a. Jed Post Holes Foundation Footing 4/23/2015 Interior Post Footings OK 4/23/2015.FH 4.8,14,eci Footing Drains Foundation Stem Wall 9/2/2015 Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing 7/24/2015 roof Set a Ltd Rough-in Plumbing 10/2/2015 E(3 see 0.-W Framing 10/2/2015 ry-le t atV4C s( Blocking Wallboard Nailing lieztiGliimnelf-etearaftee .16/oG /Pifet Stove- • Blower Airtight Test Smoke&CO2 ! recommended but not required Drywell/Alt DrainageIVA Address Posted -.,//L 5,, R 0 [0/16,7/5- (( 7 k ifrg787 A final inspection will not be scheduled until 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 • Jefferson County Building Division Permit Number: BLD13-00124 Applicant: MEACHAM 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 days inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks //2.3 Ji6 1/�3- Erosion Control Post Holes Foundation Footing / Ee,oc, Tom« ak y/2J/ts Footing Drains Foundation Stem Wall 47/;3/j,c U• nderground Plumbing S• traps(hold downs) E• xt. Shear Wall Nailing 112111 S- Rough-in Plumbing Framing J 2)1, L4 mac,3 Blocking '' Wallboard Nailing fey-C-fearance Woed/Pel4etStove Blower Airtight Test Smoke&CO2 yet ZIA, Drywell/Alt Drainage Address Posted /et, ,3117 A final inspection will not be scheduled until 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 7,74 J>�FINAL ICTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • cod JEFFERSON COUNTY kry ;. � 1-; DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 O 360/379-4450 • 360/379-4451 Fax`�4?NO� http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: V Y 1 1Cr 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 ©,'✓ T1 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 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'A acres or more of Construction site for structures 4o sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. A A sq/ft Circle: Yes o Well, utilities, etc. 1A sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft I Circle: Yes No Lawn, landscaping, etc. I�c sq/ft Other compacted surface, etc. A A sq/ft Indicate Total /Volumes of Proposed: Total Land Disturbance l ?jo sq/ft Cut / / Fill vA (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 • • 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 q� Structures (all roof area) — 110 sq/ft Structures (all roof area) �U'i''t sq/ft Sidewalks iVA sq/ft Sidewalks sq/ft •Patios • f ''• •• • rf sq/ft Patios sq/ft Solid Decks 150 sq/ft Solid Decks sq/ft (without infiltration below) �� (without infiltration below) ,w�^^ Driveway, parking, roads, etc C�.�./ sq/ft Driveway, parking, roads, etc 'WS LU sq/ft Other sq/ft Other sq/ft Q Total New 1 1r�0 _sq/ft Total Existing (� sq/ft TOTAL NEW+TOTAL EXISTING* 1 10+ 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: 24 % Does the site have 35%or more of existing impervious surface? Circle: Yes No 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 the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. Ottel-i•—)* /S/iS ANDO ER UTHORIZED REPRESENTATIVE SIGNATURE) (DATE FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 • ir.:3�N Cod, JEFFERS"COUNTY IA DEPARTMENT OF COMMUNITY DEVELOPMENT ''4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax <yS, Ndc$ www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): P.Onkti\OV Er E 'Tj N C'} Cd4PA 1= A&.l7 Civ\CT CCT t ' Ai1 Imo)I C4412.0‘p k-)5rtV� r 'k. Tax Parcel Number: Tr)CC31 ZCp Property Size: (acres/square feet) Site Address and/or Directions to Property: ( 'Z C UT f Pot/ T Ra4.0 �j1eT Lu QLOV`I 1 WAs �j8c p5 3 ' Property Owner(s)of Record: `J' - ✓e. ^KID 1 td2CA tJ 1,11% G R A Telephone: Fax: 1 email: Mailing Address: C /JT C� 'PUS DK " W' SS U f'r . A c:5 Z( Applicant/Agent(if different from owner): Telephone: 3( j—Tl—(0611 Fax: .cC)—be?7—Sion email: dte e , U5 Mailing Address: �J What kind of Permit?(Check each box that applies M3yilding 0 Critical Areas Stewardship Plan 1$.Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family 1 ,Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CI** ❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment O Address 0 Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration* D Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices AcURelease of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: I DESIGNATION OF AGENT I hereby designate j}�(�'. ,(,Q j to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE )C Date:X 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 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: The action or actions Applicant 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"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 you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G.\PermitCcnter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • • 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: T . ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: Li New X.Wood Existing: _ ______ i Sewer ❑ Addition ❑ Steel Proposed: Bank _1 Community System LI Alteration/Remodel ❑ Concrete Total: Height: Xlndividual System ❑ Repair 0 Masonry SEP Permit# 'Demolition ❑ Other: Bedrooms: , Water Supply: tt Existing: N A Setback: Private well ❑ Two Party Type of Heat: Proposed: I Public Total: Name of System: If this is a Commercial Project you must answer the following: `,11 Number of Parking Spaces: Current: 1.1 A Proposed: N Number of ADA Parking Spaces: (VA, Number of occupants includes owners,tenants,employees,etc) Current 14 A Proposed fJA _ IBC Occupancy: IBC Type of construction: Ye) 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 i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove I Woodstove i 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 EH Bld App Review: 7S2 ( 2° Floor Heated ; Consistency Review: U� Other Heated re F, Base fee: ()b, 57-5 Mezzanine Additional Section: Heated Basement Plan Check fee: 7P7. i Unheated Basement State Surcharge fee: C(� Other Unheated I �� J 1 Pot Water Review fee: Garage/Carport SUBTOTAL ...?,3 o /! 3 J Decks 911/Rd Approach fee: LL 1 n / Other p/juST� a TOTAL: $ 0(, 3 / Receipt Number: l Oat/3 Cash/Check Number: / / 01 ESTIMATED COST(REQUIRED) Date: J� •Fair market value of all labor and materials foundation to finish / /� Initials: • • G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Application S-29-08.doc • • J ^ I / / (I) II X I A m < , , , m r D m G) In o m z z n m , z z 0 Om a7J < z o - D mO OV02!1NIOd H1f1OS n —_ m m x D D --_ I -zi z m Z �J z \ I n \— � m m m m y I \ rti I 0 NOV813S,00 9 < ;//1/1r' I • , .•.•3.90.LO.SIS .9L•ZL ` /// // //' uu S j// ///// 27 1 _ _ .I T '/////// I I • a �*o0 / / / / Nor I w m / / / / H < m I R J m I D D I\ ' z . cX— z < Am 5a O ?_< GI AA ^ m �� *�i -I cy ai z _ z cn I -I .Z1 7c m i u<%y) ll' { 8 m =o NOV813S,o0•S ( k r -,A m { )I rare-6< n m ` \\. I I m -Im I 1. r _ RW E� 1 1 , S .3j C t6 T m\ I �, 1 0 I 2e v,: I i' ZL•LL / I / N 1 /52.9 _ ---- I _ ` L9'4S z m 73 o z 76 m Iv D>1 T C • y /' m�2 .••1 0 co m.r.9 Co I , No' F b m 1 - I / 1—� oz coly — 1 m D0 > > � mmm D3c) i/1r EN.-. m . m D O O I P m O 7] C) p �/ (n m • m m g ra.) _ cr N U7 O ---.1 -0 (J7 20' — — / / 0 m CO (IIoo / U) moo cn � . / / I 8 n (n w cn Cn (n (/) I // / TI TI 71 TI I / // mx x ' / ' rr CD /v m 73 M„5E,64.61NZO'£1 U) ---1 l/ '<� 0. 0 O 0 Z m 15 \ z o V *a r p m = Z 8 • TA 73 13 A O 0 • • o 0 0 1 • DESIGNER MEACHAM GARAGE GB•1N• A REVISIONS p.m 2442 REGISTERED APPROVED DATE DESCRIPTION nMeii T.J. �� ��"��, ®�0 621 S. POINT RD COW .n,1 REN90 6 /�• ```� ��'� PORT LUDLOW, WA °� /-� CHECKED GRIN. _` B- B.t TTLER !o. -PUNNING .ARCHITECTURE CONSTRUCTION MANAGEMENT f\\\ /1 DATEATE OF WASHINGTON I 06/09/2014 AZON 17 INTERNATIONAL O FJORD F PH.360-779-6699 SITE PLAN 8 PROJ.No. 7-30-15 SUITE N-140 FAX. 360-6975400 I - POULSBO,WA 96370 EMAIL Info®azon.u8 -. I.