HomeMy WebLinkAboutBLD2005-00033 • •
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD05-00033
SITE ADDRESS: 2135 SHINE RD Issue Date: 04/11/2005
PORT LUDLOW, 98365 Final Date: 4/7/2008
APPLICANT: KENNETH A HAGERMAN PHONE: (360) 598-4343
DELORES M HAGERMAN
2135 SHINE RD
PORT LUDLOW WA 98365
SUBDIVISION: Block: Lot: TX 3
PARCEL NUMBER: 721022006 Section: 2 Township: 27 N Range: 01 E
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes �o)
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/7/2008
I:\F_BLD_Occupancy.rpt 10/29/19
BUILDING PERMIT APPLICAN MLA05-00027
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00033 Received Date: 1/18/2005
SITE ADDRESS: 2135 SHINE RD
PORT LUDLOW, 98365
OWNER: KENNETH A HAGERMAN PHONE: (360) 598-4343
DELORES M HAGERMAN
22340 MILLER BAY RD NE
POULSBO WA 98370-6725
SUBDIVISION: Block: Lot: T 3
PARCEL NUMBER: 721022006 Section: 2 Township: 27 N Range: 01 E
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR W/ ATTACHED GARAGE & DECK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,184
VALUATION 366,635.00 ADD'L: HEAT TYPE: OIL
CODE EDITION: 2003 HEAT BASE: 1,480 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 598 SHORELINE:
CONST TYPE: DECK: 320 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 3 Seismic Streams
Total: 2 Total: 3 Flood Way Floodplain
Routing Date: % F&W Landslide
02���. Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $2,488.95 BAC 01/18/05 68894 A P P R®"E D
Plan Check $1,617.82 BAC 01/18/05 68894 "J
State Building Code $4.50 BAC 01/18/05 68894 APR 1 1 2005
Potable Water Application $53.00 BAC 01/18/05 68894 Jefferson County Planning
Total: $4,164.27 wilding p ent Q
BUILDING PERMIT•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00033 Received Date 01/18/2005
SITE ADDRESS: 2135 SHINE RD Issue Date 04/11/2005
PORT LUDLOW, 98365
APPLICANT: KENNETH A HAGERMAN q31 _ $2.31 PHONE: (360) 598-4343
DELORES M HAGERMAN
22340 MILLER BAY RD NE
POULSBO WA 98370-6725
SUBDIVISION: Block: Lot: T 3
PARCEL NUMBER: 721022006 Section: 2 Township: 27 N Range: 01 E
CONTRACTOR:
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE & DECK
CALL IN FOR THE REQUIRED INSP CTION HAT APPLY TO YOUR PROJECT.
SETBACKS: dA .5/c/d,5
UFFER: /iisi-,4 S $/i5
.,
Footing: ' as41
Foundation: 6 ?0 D -8 � -P.*AiF jk 7//Sf 444b-1,7
Stormwater FINAL Approval: v
Underground Plumbing: OK 7/ � qs
IvASUnderground Insulation: t
Shear Wall : -, y 14LAP1vA1.41_60 R/iI/a
Sheathing:
Framing: 1X 8/z2/845✓
Plumbing: 4k 8 pi/foc W
Propane Tank/ Lines: ' 2 D
Insulation: �f.� �rle, �} G(.Q�ll� �'t f l / Gd24.4 fart ,-,---
Sheetrock: a/ ,�12/2q/6L .el,�,a"'I a ZL 4/00V
Septic Sytem Final A proval ( not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ,O -! r GA 06j81/
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
you'"s-5W-S 2‘ (A4N.G5 zo cA D -z L'°t FL,obke-
SPECIAL CONDITIONS FOR CA** BLD05-00033 •
1.) KRAZAN &ASSOCIATES SHALL VIEW THE EXCAVATED FOOTINGS FOR THE
PROPOSED RESIDENCE PRIOR TO THE PLACEMENT OF CONCRETE IN ORDER
D% TO VERIFY THE FOOTINGS ARE FOUNDED IN SUITABLE LOAD-BEARING SOIL.
vie DOCUMENTATION OF THIS INSPECTION SHALL BE SENT TO JEFFERSON
COUNTY, DEPT. OF COMMUNITY DEVELOPMENT, 621 SHERIDAN STREET, PORT
TOWNSEND, WA 98368, ATTN: BLD05-00033.
2.) The applicant shall follow all recommendations in the Limited Slope Assessment
completed by Krazan and Associates dated May 16, 2000 and in the subsequent letter
dated April 8, 2005.
3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
4.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
7.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If'public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
8.) 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.
O9.) A Stormwater Plan has been s mitted and approved by the Department of ommunity
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
10.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less
than one-half acre unless totally screened from view of neighboring dwellings and
rights-of-way. Such screening shall meet all applicable performance and development
standards specific to the district in which the storage is kept, and shall be in keeping with
the character of the area. Screening shall meet the requirements of Unified Development
Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC,
and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any
such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area
(ESA).
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Setback from Shine Road (C505409) right-of-way is 20 ft. Minimum East setback is 5 ft.
Minimum North setback (Hwy 104) is 50 ft. from the edge of right-of-way. If an
environmentally sensitive area (ESA) is present, then the more restrictive setback shall
apply.
16.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
17.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
18.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
19.) NO CARPORT ON WEST END OF RESIDENCE
•
•
I:\F_BLD_Perm it_B uild ng.rpt 10/29/19
.c,,5orr c,o • Jefferson Countepartm mt of Commm ity Development
�` 0 621 Sherban Street,Port Townsend WA 88388[3801370-4450
h rmt
_
4.. .* pe O 0 0
o V l cat(
ogt7 8 2oric
Building Type: Project Type: Frame Type:
' Single Family A New Ii<Wood
❑ Garage Attached/Detached ❑ Addition ❑ Steel
0 Modular ❑ Alteration/Remodel ❑ Concrete
❑ Commercial ❑ Repair ❑ Masonry
❑ Multi-family/#of Units ❑ Demolition ❑ Other:
❑ Industrial
❑ Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one: jib
Existing: Existing: ❑ Sewer ❑ Community System ❑ Electricity Oil
Proposed: \�- 3 Proposed: Z. Individual System 4' fj C
Total: 3 Total: y y CI Woodstove kl Propane
If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional 'I Alternative ❑ Other
Permit# SEP
Water Supply: ,
❑ Private well \ ❑ Two Party Well❑ Public:Name of water system:
Square Footage: Office Use For Office Use Only
Main Floor 2 l S'Lj 19 " 1�5( . Consistency Review - 19
2ND Floor Base fee 012( H , S
3rd Floor Plan Check fee I ( I , $ D-
Htd Basement / ti SO 132, (Q5A.40
� State Surcharge fee 'l k 5 0
tAialatik5 7 V 4/ l(e,S'13. Subtotal -1 1 0 0 • a�
Garag: Carport S 9 g t 1r-1 d 911,a fr Pot Water Review fee 8 7
Decks 2;0 • 911/Rd Approach fee L= kt S�`I r1
Commercial
/ 3(a�,(o�� � TOTAL z-va 4—I,XA
Industrial Receipt# C[8 -/
Other Cash/Check# !°Col,
Initials
Date ' (°/-Pcion
�y
Estimated Cost: /196, L2&
If within 200' of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft.Bank Height ft.
By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner 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 attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections.
Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours.
Signature: / > 71 ..,__.. Date: /2127/rs
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