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Home My WebLink AboutBLD2021-00602 - 01 Permit ApplicationPermit Application Page 1 of 2 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 Tel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.jefferson.wa.us/communitydevelopment E-mail: dcd@co.jefferson.wa.us 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: Site Address and/or Directions to Property: Access (name of street(s)) from which access will be gained: Present use of property: Description of Work (include proposed uses): Wastewater - Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES NO If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit #: Community Septic Name of System: Case #: Are other residences connected to the septic system? 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: Received by DCD 10/12/2021 937-200-301 corner of Old Railroad Grade Road, and East Rose St Old Railroad Grade Road, and East Rose St School district facility proposed bus barn facility, parking, and maintenance building 4 199157 No No 4 4 X Permit Application Page 2 of 2 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: Address: Phone #: E-mail Address: Please contact Authorized Agent/Representative with project info. (select only one). Property Owner Signature: Date: Note: For projects with multiple owners, attach a separate sheet with each owner(s) information and signatures. Applicant: Authorized Agent/Representative (If other than owner) Name: Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: License # Address: Phone #: E-mail Address: Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor Consultant Name: 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, 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. Signature: Print Name: Date: ______________ Received by DCD 10/12/2021 Quilcene School Ditrict #48 294715 US Highway 101 PO Box 40 Quilcene, WA 98376 4 09-21-2021 Brian Ho, TCF Architecture 902 N 2nd St, Tacoma, WA 98403 253-572-3993 brianh@tcfarchitecture.com 4 4 Zerah Florance 10421 Burnahm Drive NW #5, Gig Harbor, WA 98332 253-363-5322 zflorance@wapatriot.com 4 Steve Murakami 2200 First Avenue South, Suite 200, Seattle, WA 98134 206-225-4670 smurakami@oacsvcs.com 4 Jaime M Saez 26173 748 Winslow way E Bainbridge Island, WA 98110 206-842-4188 jaime@saezconsult.com Brian Ho 10/11/2021 Received by DCD 10/12/2021Received by DCD 10/12/2021 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us http://www.co.jefferson.wa.us/260/CommunityDevelopment January 28, 2022 Mr. Redmon Quilcene School District #48 294715 HIGHWAY 101 Quilcene, WA 98376 RE: Start Work on Foundation Prior to Permit BLD2021-00602 approval Dear Mr. Redmon: Your permit application has been reviewed and approval to proceed with foundation work has been granted, with the inspections to be done in the following order: Stake out all items on the attached site plan including the location of foundation. Setback Inspection must be called in for verification and signed off before any further work is done. Setback Verification Date & Sign off ___________________________ Footing & Uffer (If Used) Inspection must be called in and signed off before any further work is done. Footing Inspection Date & Sign off _____________________________ Uffer Inspection Date & Sign off _______________________________ Foundation Inspection must be called in and signed off. Foundation Inspection Date & Sign off ___________________________ NO FURTHER WORK TO BE DONE UNTIL PERMIT HAS BEEN ISSUED. Please note that moving forward on the foundation prior to issuance of the building permit is being done at your own risk. Jefferson County will not be liable for any issues (including septic) or costs that may arise out of conflict with the location of the foundation as attached. A copy of this letter will serve as the document to be posted at the job site and used for inspection sign offs. Upon issuance of the applied for permit, this document will move forward into the building permit file as part of the permanent record. Owner signature below indicates concurrence. ___________________________ ________________________ Property Owner Signature Date Sincerely, Jodi Adams Permit and Admin Manager JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment  BUILDING PERMIT REVISION Date Regarding: Building Permit Number Address Parcel Number Other Case Number/s Submitted by: Phone: Submittal Explanation (what’s being revised?): Please complete the following, if applicable: Permit Type & Square Footage PERMIT TYPE: APPROVED SQ/FT: CHANGE TO SQ/FT: TOTAL SQFT: Commercial Residential Garage/Shop Accessory Uncovered Porch Covered Porch Unfinished Basement Other (Specify) Estimated Fair Market value cost of changes: No change to square footage 0 Following water system approval by Department of Health and Jefferson County Environmental Health, revise plans to add back plumbing that was originally permitted, including 2 restrooms, sinks and hand/eye wash stations. Attached is an updated floor plan, sheet A2.02, showing the proposed plumbing fixtures. 4 Brian Ho, TCF Architecture 4/27/2022 937-200-301 4,851 0 corner of Old Railroad Grade Road, and East Rose St 253-720-6190 BLD2021-00602 4,851 Estimated Fair Market value cost of changes: If the revision involves structural and/or floor plan changes, the following is required: A narrative describing the changes and page number in set of plans where change occurs Two copies of only the revised building plans - clearly marked by a border/bubble Two copies of revised floor plan on no larger than 11x17 Minimum fees: Plan Check - $102.00 DCD010 Land Use - $102.00 DCD018 Administrative - $102.00 DCD010 Environmental Health - $148.00 EH038 Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved Technology Fee - 5% of total fees DCD003 If the revision involves changes to the site plan, the following is required: A narrative describing the changes on the site plan- if they were requested by a department please note who requested them Two copies of the revised site plan on no larger than 11x17 – revisions clearly marked by a border/bubble Minimum fees: Administrative - $103.00 DCD010 Land Use - $103.00 DCD018 Environmental Health - $148.00 EH038 Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved Technology Fee - 5% of total fees DCD003 Fees shall be collected at the time of re-submittal. Revisions that go beyond the minimum revision time during Plan Check, Land Use review, and Environmental Health review will be charged an additional hour. Any additional fees that are accrued during the revision process must be paid prior to the approval and issuance of the revised permit. All revisions to structural components or plans that previously included structural engineering will need to have the revision wet stamped and signed by a design professional (engineer, architect etc.) licensed in WA state. Please route copy to: EH: Planning: PW: Building: Office use only Please Check with DCD for total fees 0 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment  BUILDING PERMIT REVISION Date Regarding: Building Permit Number Address Parcel Number Other Case Number/s Submitted by: Phone: Submittal Explanation (what’s being revised?): Please complete the following, if applicable: Permit Type & Square Footage PERMIT TYPE: APPROVED SQ/FT: CHANGE TO SQ/FT: TOTAL SQFT: Commercial Residential Garage/Shop Accessory Uncovered Porch Covered Porch Unfinished Basement Other (Specify) Estimated Fair Market value cost of changes: No change to square footage RECEIVED BY DCD 4/1/22 3/31/2022 BLD2021-00602 corner of Old Railroad Grade Road, and East Rose St 937-200-301 Brian Ho, TCF Architecture 253-720-6190 Remove all plumbing from the building. Per IBC Chapter 29, 2902.2.3, the location of Toilet Facilities are allowed to be within a path of travel not exceeding 500 feet. We propose the use of Toilet Facilities in the Quilcene High School Administration Building per attached Exhibit A. Emergency shower and eye wash will be provided in the building via portable wash stations. Also attached is an updated floor plan, sheet A2.02, showing the elimination of plumbing fixtures. 4,851 0 4,851 0 4 Estimated Fair Market value cost of changes: If the revision involves structural and/or floor plan changes, the following is required: A narrative describing the changes and page number in set of plans where change occurs Two copies of only the revised building plans - clearly marked by a border/bubble Two copies of revised floor plan on no larger than 11x17 Minimum fees: Plan Check - $102.00 DCD010 Land Use - $102.00 DCD018 Administrative - $102.00 DCD010 Environmental Health - $148.00 EH038 Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved Technology Fee - 5% of total fees DCD003 If the revision involves changes to the site plan, the following is required: A narrative describing the changes on the site plan- if they were requested by a department please note who requested them Two copies of the revised site plan on no larger than 11x17 – revisions clearly marked by a border/bubble Minimum fees: Administrative - $103.00 DCD010 Land Use - $103.00 DCD018 Environmental Health - $148.00 EH038 Environmental Health - $75.00 EH041 - Review of resubmission before Building Permit is approved Technology Fee - 5% of total fees DCD003 Fees shall be collected at the time of re-submittal. Revisions that go beyond the minimum revision time during Plan Check, Land Use review, and Environmental Health review will be charged an additional hour. Any additional fees that are accrued during the revision process must be paid prior to the approval and issuance of the revised permit. All revisions to structural components or plans that previously included structural engineering will need to have the revision wet stamped and signed by a design professional (engineer, architect etc.) licensed in WA state. Please route copy to: EH: Planning: PW: Building: Office use only Please Check with DCD for total fees RECEIVED BY DCD 4/1/22 0 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment  BUILDING PERMIT REVISION Date Regarding: Building Permit Number Address Parcel Number Other Case Number/s Submitted by: Phone: Submittal Explanation (what’s being revised?): Please complete the following, if applicable: Permit Type & Square Footage PERMIT TYPE: APPROVED SQ/FT: CHANGE TO SQ/FT: TOTAL SQFT: Commercial Residential Garage/Shop Accessory Uncovered Porch Covered Porch Unfinished Basement Other (Specify) Estimated Fair Market value cost of changes: No change to square footage 0 Revised plumbing drawings showing trench drain exiting to a blind sump in lieu of connecting to the septic system. 4 Brian Ho 12/8/2021 937200301 East Rose Street 253-720-6190 BLD2021-00602 Estimated Fair Market value cost of changes: If the revision involves structural and/or floor plan changes, the following is required:  A narrative describing the changes and page number in set of plans where change occurs  Two copies of only the revised building plans - clearly marked by a border/bubble  Two copies of revised floor plan on no larger than 11x17  Minimum fees: Plan Check - $97.00 Land Use - $97.00 Administrative - $97.00 Environmental Health - $141.00 Environmental Health - $71.00 - Review of resubmission before Building Permit is approved Technology Fee - 5% of total fees If the revision involves changes to the site plan, the following is required:  A narrative describing the changes on the site plan- if they were requested by a department please note who requested them  Two copies of the revised site plan on no larger than 11x17 – revisions clearly marked by a border/bubble  Minimum fees: Administrative - $97.00 Land Use - $97.00 Environmental Health – will be invoiced by EH, if needed, after review Plan check fees may apply if a revision to the building plans is needed Technology Fee - 5% of total fees Fees shall be collected at the time of re-submittal. Revisions that go beyond the minimum revision time during Plan Check, Land Use review, and Environmental Health review will be charged an additional hour. Any additional fees that are accrued during the revision process must be paid prior to the approval and issuance of the revised permit. All revisions to structural components or plans that previously included structural engineering will need to have the revision wet stamped and signed by a design professional (engineer, architect etc.) licensed in WA state. Please route copy to: EH: Planning: PW: Building: Office use only Please Check with DCD for total fees 0