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HomeMy WebLinkAboutBLD2016-00180 - 01 PERMIT APPLICATION BLD16-00180 1 ILDING PERMIT APPLICATIN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD16-00180 Received Date: 4/29/2016 SITE ADDRESS: 94 E CEDAR ST OWNER: MARYANN LUEDKE PHONE: KORTH E LUEDKE 16038 3rd PL S UNIT D BURIEN WA 98148 9834 - PARADISE BAY SUBDIVISION: Block: Lot: PARCEL NUMBER: 983400112 Section: 23 Township: 28 N Range: 1E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW GARAGE WITH ATTACHED REC ROOM SEP16-00065 TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 60,196.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 327 SHORELINE: CONST TYPE: DERAGE: 464 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 36705 BEDROOMS: BATHROOMS: Type Amount Paid By: Date: Receipt Exist: Exist: Permit $676.00 SRE 04/28/16 162928 Prop: Prop: 1 Plan Check $439.40 SRE 04/28/16 162928 Total: Total: 1 Consistency Review $255.00 SRE 04/28/16 162928 Approved/Date EH SEP/RES Rev $129.00 SRE 04/28/16 162928 ^ Potable Water Application $129.00 SRE 04/28/16 162928 APPROVED DCD Water Review $43.00 SRE 04/28/16 162928 Scanning Fee $21.00 SRE 04/28/16 162928 JUL 1 1 2016 State Building Code $4.50 SRE 04/28/16 162928 Jefferson County DCD Total: $1,696.90 \\firiomar4\rinfo\fnrmc\F RI fl Ann Rid rnf d/9Q/9/11R ide • • Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information LUEDKE GARAGE DWIGHT DOTY(OBJECTSPACE, LTD) CONSTRUCT NEW UNHEATED GARAGE 3445 CALIFORNIA AVE SW, STUDIO"t WITH ATTACHED HEATED REC ROOM SEATTLE,WA 98116 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition,based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. 01111.11116 Authorized Representative _ , - Date 3/28/2016 - All Climate Zones R-Valuea U-Factory Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 I n n/7 ' Glazed Fenestration SHGCb'e n/a n/a t I I \V� ,, Ceiling 491 0.026 ft , 11 I Wood Frame Wall9'k'l 21 int 0.056 Mass Wall R-Value' 21/21i 0.056 \ ��r-H ` �.0 �� is Floor 309 0.029 a � Below Grade Wall`' 10/15/21 int+TB 0.042 i ":1•:..',',:.' `•t Slabs R-Value&Depth 10,2 ft n/a i)+iii'``U VELOPME1 i `Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: [11.Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. 112.Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3.Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) la Efficient Building Envelope 1 a 0.5 El lb Efficient Building Envelope lb 1.0 111 lc Efficient Building Envelope lc 2.0 El 2a Air Leakage Control and Efficient Ventilation 2a 0.5 El 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ill 2c Air Leakage Control and Efficient Ventilation 2c 1.5 0 3a High Efficiency HVAC 3a 0.5 El 3b High Efficiency HVAC 3b 1.0 El 3c High Efficiency HVAC 3c 2.0 Ell 3d High Efficiency HVAC 3d 1.0 El 4 High Efficiency HVAC Distribution System 1.0 El 5a Efficient Water Heating 0.5 0 0.5 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 0.50 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energy.pdf Table R402.1.1 Footnotes For SI: 1 foot.=304.8 mm,ci .=continuous insulation, int.=intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception:Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. a R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. Int. (intermediate framing)denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. • • Glazing Schedule Project Information Contact Information LUEDKE GARAGE DWIGHT DOTY(OBJECTSPACE, LTD) CONSTRUCT NEW UNHEATED GARAGE WITH 3445 CALIFORNIA AVE SW, STUDIO 1 ATTACHED HEATED REC ROOM SEATTLE, WA 98116 R402.3.3 Excep ion (15 sq.ft. max.) +; li� I Vertical Glazing (Windows and glazed doors) �I Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA A VYL,ARGON-FILLED, LOW-Eb, DBL PAP WSEC 0.30 1 6 ° 5 ° 30.0 9.0,04-NT B VYL,ARGON-FILLED, LOW-Eb, DBL PAP WSEC 0.30 1 4 ° ''3 ° 12.0 3.60 C VYL,ARGON-FILLED, LOW-Eb, DBL PAP WSEC 0.30 2 2 6 3 ° 15.0 4.50 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Area and UA 57.0 17.10 Area Weighted U= UA/Area 0.30 r • • SON �� C o DEPA DEPARTMENT OF COMMUNITY D:EVEL P.MENT C� 4,, 621 Sheridan Street Port Townsend,\\%A 98368 ,-C Tel:36(1.3 y 4150 ( l'as:360.379.445i ( `— \\ch.�a W c o teff rson.rz r us'c:otnniuniterl vel) n�""i-- , _ ] n�aii:ded(n'c c�.t tr rs,ro tt ra.t;s i 1: 1 C� �J vp ........) Ili NG —7 PERMIT APPLICATION APR 2 8 2016 Steps in the Permit Process: JEFF.7 -Review application checklist to ensure all information is completed prior to submitt a'I { i aa�f ifP --- HENT -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: 983400112 Site Address and/or Directions to Property: NO CURRENT ADDRESS, LOT TO EAST ADDRESS IS: 100 EAST CEDAR STREET Access (name of street(s)) from which access will be gained: EAST CEDAR STREET VIA SHORE DRIVE Present use of property: VACANT _ Description of Work (include proposed uses): BUILD 2 STALL GARAGE WITH RECREATION ROOM Wastewater-Sewage Disposal This property is served by Port Townsend or 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: X Septic Septic Permit#: SEP95-0262 / SOAAg5 —0022. — Community Septic Name of System: PRESSURIZED DRAINFIELD Case#: Are other residences connected to the septic system? NO Additions or repairs to sewage system: NO Is it a complete or partial system installation: Complete X Partial Has a reserve drainfield been designated? Yes X No Date of Last Operations& Maintenance check: X Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: PARCEL 983400113 WILL USE THIS SYSTEM AND PROVIDE EASEMENT The authorized agent/representative is thOmary contact for all project-related questioned 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 w.th the application. It is the responsibility of the authorized agent/representative and owner a . s '.ox acne C unty email (i.e., County email is not blocked or sent to"junk mail"). i L-- ' Applicant/Property Owner Information Property Owner: Name: MARY & CORKY LiteDKE Z 8 ,-ui0 I,L Address: 16038 3rd PL S, #D, BURIEN, WA 98148 _JJ Phone#: E-mail Address: MARYLUDKE67@C,MA .COM X Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signatur-4 ,,..6, W� i ! l_ Date: �— �"-/& Note: For projects with multiple owners,a ach a separate sheet with each owner(s)information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: DWIGHT DOTY. Address: 3445 CALIFORNIA AVE SW, STUDIO 1, SEATTLE, WA 98116 Phone#: 206-937-5222 E-mail Address: DWIGHT@OBJECTANDSPACE.COM Professional: Is this an Authorized Agent/Representative for this project? NO YES X Engineer Architect X Surveyor Contractor Consultant Name: DWIGHT DOTY License# 7561 Address: 3445 CALIFORNIA AVE SW, STUDIO 1 , SEATTLE, WA 98116 Phone#: 206-937-5222 E-mail Address: DWIGHT@OBJECTANDSPACE.COM Professional: Is this an Authorized Agent/Representative for this project? NO X YES Engineer X Architect Surveyor Contractor Consultant Name: CAROL BUCKINGHAM License# Address: 4113 118TH AVE NE, KIRKLAND, WA 98033 Phone#: 425-576-0106 E-mail Address: STRDESIGNS@MSN.COM Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: ®t_IL)flJL f P&lclE, License# Address: Phone#: E-mail Address: 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 or her 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, repr-c-e ,rives or a ents for the sole purpose of application review and any required later inspections. Applicant may request notice fp UV's =A * 's in o enter upon the property for visits related to this application and subsequent permit issuance. DWIGHT DOTY Signature: Print Name: Date: . , 0 • s ON c DEPARTMENT OF COMMUNITV DEVELOPMENT .."' — 621 Sheridan Sureec Port Townsend,WA 98368 44, ir ',j•Ns 1-' Tel:360.3-9.4,151) I FIN:36(1.379.1'131 1-r.,\--)F (,( ;-; i C.7-- 11 v I--' _ . --• ''t..3,kilW,'' ,.;.• -< Web:wvw.c .jcffcrrron.wa.us/conirrrunitvdcvcloprirent , Email:dc-dqco.jefferstin.wa.us ori6 1 \ 41. *4t-e-111‘;:- ' • 2 8 , ,C) ,,......, HI NG SUPPLEMENTAL APPI.ACATION t*---- RESIDENTIAL OR. COMMERCIAL BLDG PERMIT . For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: MARY & CORKY LEMKE Assessor Tax Parcel #: 983400112 Type of Building New X Replacement Relocated Addition Repair Demolition * *A separate permit is required Select One: Single Family Residence Modular Other X -GARAG ist Proposed Building/Project Number of floors 1 il new bedrooms 0 existing 0 total bed 0 #new bathrooms 1 existing 0 total bath 1 Heat Source Select all that apply: ,‘ 1 Electric A Heating Oil Wood Propane X Enter the square footage(sdift)that apples in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuatior (Office Use) Residential/Commercial Main Floor Residential/Commercial Second Floor Additional Floors- heated/unheated Basement-unfinished Basement-finished space or habitable 327h ed Detached Garage - heated/unheated 0 495 unheated C—,..,....__ 2.:-. .‘•4- . (3(3 Attached Garage- heated/unheated Garage 2nd fl - unfinished storage Garage 2nd fl -finished space or habitable Carport-2 walls or less Deck- uncovered Covered porch (,4 Other (shed, barn, pole bldg,etc.) -- - Estimated Cost of Project(Required): $ 51„, coop — $ •'‘,.,12...1 k..., / . List existing buildings on property(i.e. house, garage, accessory dwelling unit, shed,barn, mobile home, other. .L.._..._., All Existing Buildings on Property Use 3r VACANT LOT-0 BUILDINGS 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 that they will be assuming the r-'onsibility of the General Contractor for the proposed project. Signatur- •i...I . '�/ i_,–,,i._1Iw__';,.; ' ame:',¢ Ke/Iy(til Date: '`-//8�(0 / A'o27?f u KK 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 or her 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. .--(; 6%Signature: jPrint Name: t'i7L / c Date: /////(," For Department Use Only Building Permit Fees Building Base (D(, ' -, Cja Plan Check Review LI 5.3.. 5.---s-- Land Land Use Review $255.00 Septic Review $129.00 Potable Water $172.00 Technology/Scan $21.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Total Fees Receipt # Date: Cash/Check/CC: • 4/11/2016 Shold Excavating Inc, PO Box 179 360-385-0480 Port Hadlock, WA 98339 PROPERTY INFORMATION �� cl �� -i' Location:100E CEDAR ST 8 ^n 16 APR2 Tax ID:983400113 j Mail To: BETTY SKEEL 100 E CEDAR ST Use: 11-4'71T PORT LUDLOW,WA 983658769 Owner:BETTY SKEEL ON ID:SOM95-00262 Fold ON-SITE WASTEWATER TREATMENT SYSTEM INSPECTION REPORT . Fold Here Here Inspected:07/21/2015 - Inspection Type:ROUTINE - Correction Status:All corrections made Company: Certification-Level 2 Work Performed By: Submitted 08/04/2015 by: Shold Excavating Inc. Martin Fugere Martin Fugere This report does not assure approvals by Jefferson County Public Health for ANY future building permits or development. COMMENTS&GENERAL INSPECTION NOTES Deficencies Were Noted:Corrections were made to resolve the deficiencies. Risers were installed on septic tank end sweeps were installed in drain field GENERAL SITE&SYSTEM CONDITIONS The General Site and System Conditions were: Fully Inspected All Components accessible for maintenance,secure and in good condition: NO-Corrected Surfacing effluent from any component(including mound seepage): NO Components appear to be watertight-no visual leaks: YES Improper encroachment(roads,buildings,etc.)onto component(s): NO Component settling problems observed: NO Abnormal ponding present for one or more of the disposal components: NO Subsurface components adequately covered YES Owner compliance issues noted NO Site maintenance required(e.g.Landscape maintenance)If yes,describe in comments: NO Occupant compliance problem(occupant not operating the system properly). If YES,describe in notes: NO If deficiencies were identified on last inspection were they corrected before or during this inspection? N/A (If NO,describe in notes,NA=no deficiencies on last report): OSS Components,structures and appurtenances located per as-built/record drawing(If NO,describe YES in notes). If no as-built exists or changes made,state NO and provide record to Health Dept: Alterations made to the OSS(valves adjusted,timer settings modified,ports installed,etc.)(If YES, YES describe in notes): The house/structure was vacant or used infrequently,assessment of the drainfield was not possible. NO Is the SEP case in a finaled/completed status?(if NO explain in comments) YES ONSITE SEWAGE SYSTEM INSPECTION DETAIL TANK:Septic Tank-2 Compartment This component was: Fully Inspected Component appears to be functioning as intended: YES Effluent level within operational limits(if NO explain in comments): YES All required baffles in place(N/A=No baffles required): YES Effluent Filter Cleaned(N/A=Not Present): N/A Compartment 1 Scum accumulation(Inches,if other specify): 1" Effluent filter/screen needed cleaning on arrival N/A Compartment 1 Sludge accumulation(Inches,if other specify): 1" Compartment 2 Scum accumulation(Inches,if other specify): o" Compartment 2 Sludge accumulation(Inches,if other specify): 1" Pumping needed: NO Approximate Gallons to be pumped(if needed)by Certified Pumper: ReportiD:454155 View inspection reports online at www.onlinerme.com Page 1 of 2 TANK:Pump Tank This component was: Fully Inspected Component appears to be functioning as intended: YES Compartment 1 Scum accumulation(Inches,if other specify): 0" Pump vault screen needed cleaning on arrival NO Compartment 1 Sludge accumulation(Inches,if other specify): 0" Pumping needed: NO Pump Vault Filter cleaned(N/A=not present): NO Approximate Gallons to be pumped(if needed)by Certified Pumper: 0 -anel:Control-1 Pump This component was: Fully Inspected Panel functioning(including alarm): YES Pump 1:on minutes(override in parentheses-if present): Demand Pump 1:off hours(override in parentheses-if present): Demand Pump 1:gallons per dose(override in parentheses-if present): so Pump 1:ETM hours(override in parentheses-if present): NA Pump 1:Cycle Count(override in parentheses-if present): 5298 -ump:Effluent Pump This component was: Fully Inspected Component appears to be functioning as intended: YES Controls functioning: YES Dose setting different than original(If YES,detail in comments) NO Dose setting adjusted to meet as-built/record drawing specifications(by the O&M Specialist) NO Tested gallons per minute flow: 20 rainfield:Pressure This component was: Fully Inspected Component appears to be functioning as intended: YES Lateral lines flushed: YES Average squirt height(if performed)(feet,if other specify): 4' Ponding present?If YES explain in comments: NO This report indicates certain characteristics of the onsite sewage system at the time of visit.In no way is this report a guarantee of operation or future performance. ReportID:454155 View inspection reports online at www.onlinerme.com Page 2 of 2 i • SONc0 DEPARTMENT OF COMMUNITY DEVELOPMENT 44, U Tel 360.379.4450621 Sheridan et,Port Townsend,� Fax 360.379.4 5 1WA 98368 f`\ i L l !I n I i �C Web:www.co.jefferson.wa.us/communitydevelopment 1 E-mail:dcdna,co.jefferson.wa.us �o� ii 1 ki NO SUPPLEMENTAL APPLICATION • _1 DETERMINATION OF ADEQUATE POTABLE WATER > -r''71`11- Owner 1`17 Owner Name: KA p-EGI� t�fiCQGQ �-Q co Parcel No. Q v3 c/©&//�4 Site Address: rD Water Source Existing Proposed Attach Copies of: 1) Well Logs Private well (if no log report on file,a 1 hr stabilization test may be substituted.) 2) Lab analysis tested within 3 years of application. -Total Coliform, Nitrate-N,Chloride 2-Party Well Items above AND recorded Operations&Maintenance agreement and recorded Easement. Alternative Provide justification and design per Jefferson County System: Environmental Health policy 97-01 www.jeffersoncou ntypubl ichealth.org/pdf/Policy_97-01_Ra inwater_Collection.pdf Valid Water Right Lab Analysis as required under private well above. Permit: Generally applies to springs, attach copy. Public Water: Name of Water Provider: -Submit Water Availability Notification form completed by your water purveyor. NOTE: If any of the above utilities need to be installed and disturbance will occur in a public maintained or unmaintained County road and/or Right-of-Way easement,then a Right-of-Way application will be needed. Resolution#99-90 requires building permit applications to provide evidence of an adequate potable water supply per the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings. 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 application 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. / VA/4 Signature ,,� .1iJ Print Name: P y /...0 dgeDate: V FOR OFFICE USE ONLY 1) Water Right Permit# 3)Individual Well 2)Public Water Supply WS ID# Meets Water Quality Standards? Yes No In Compliance Yes No WRIA 17 Subbasin SIPZ -Coastal/Moderate/High Yes No Based upon information provided by the applicant,it appears that the potable water supply: Meets Conditionally Meets Does not Meet Supplemental Potable Watt: • • Jefferson County Permit Center, 621 Sheridan St, Port Townsend WA 98368 WATER AVAILABILITY NOTIFICATION PUBLIC WATER SYSTEM TO: Jefferson County Environrhental Health Department FROM: Vigcte, (61 , 1,()A-7-Kip (Water System Name) System Operator o /,/j4 . ({ , I'M c',/ State ID Number _ Y Total connections for which system is approved g, Number of service connections existing (in use) Number of service connections committed `�0 / Date and results of most recent water bacteriological analysis The !�" r r r, a51 / water system is capable of and will supply potable water to the following location: Assessors Parcel ID# Legal Description Site Address Operator Signature ?� Date EXPIRATION DATE OF THIS SERVICE COMMITMENT / H:\home\ptncntr\infahlth\pubwater 8/95 • • ON eo DEPARTMENT OF COMMUNITY DEVti0-4 i -, 621 Sheridan Street,Port Townsend,WA 98368 W \\ Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment • dcdCco.jefferson.wa.us • .16'f/j N Cs,C0 i1PMENT PERMIT FEES WORKSHEET Name Mary&Corky Luedke Parcel# 983400112 Estimated Cost of Project $60,196.00 Permit# Rec Room&Garage Building Base Fees Building Base $676.00 Plan Check Review $439.40 Land Use Review $255.00 Septic Review $129.00 Potable Water $172.00 Technology/Scan $21.00 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning New Address Public Works Total Fees $1,696.90 Office Use Only Receipt Number: 11 240,010 (3LD° 61C Cash/Check/CC: J Date: • Simple Heating System Size:INItington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section,some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360) 956-2042 for assistance. Project Information Contact Information LUEDKE GARAGE r ' DWIGHT DOTY(OBIECTSPACE,LTD) CON�IYCTN .. EATEDG;RAGEWITHA RHEATE 3445 CALIFORNIA AVE SW,STUDIO . HEATED REROOM, SEATTLE,WA 98116 Heating System Type: O Forced Air Furnace 0 Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Design Temperature €rtiari� vorcrownsend �� - -- - ' Design Temperature Difference(AT) 45 AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area str;, t:tris Conditioned Floor Area(sq ft) 370', Average Ceiling Height Conditioned Volume ir{str°ac'3'ns Average Ceiling Height(ft) 10.5 3,885 Glazing and Doors U-Factor X Area = UA insttit4:tttls 0.30 ;, 100 "'•" 29.85 Insulation Attic U-Factor X Area = UA inStriiCi€r3rt5 - R-499 . 0.026 ',ill•', 8.61 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA =sP �••" " ,Select R Value No selection --- Above Grade Walls(see Figure 1) U-Factor X Area UA 115/ tions R-21 0.056 702 39.31 Floors U-Factor X Area UA R-30 0.029 327 9.48 Below Grade Walls(see Figure 1) U-Factor X Area UA 10str1 v,on" select R valve I. No selection Slab Below Grade(see Figure 1) F-Factor X Length UA select rondrt Doing . '.; No selection Slab on Grade(see Figure 1) F-Factor X Length UA +•�Select R-Value No selection --- Location of Ducts ( rvct,onsDuct Leakage Coefficient 1.00 Conditioned Space jr!l Sum of UA 87.25 Envelope Heat Load 3,926 Btu/Hour Figure 1. Sum of UA X AT Air Leakage Heat Load 1,888 Btu/Hour -<.-. VolumeX 0.6 X dT X.018 Above Grade' Building Design Heat Load 5,814 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 5,814 Btu/Hour Ducts in unconditioned space:Sum of Building Heat Loss X 1.10 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 8,140 Btu/Hour Building and Duct Heat Loss X 1.40 for Forced Air Furnace Building and Duct Heat Loss X 1.25 for Heat Pump (07/01/13)