HomeMy WebLinkAboutBLD2005-00092 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 #: C BLD05-00092
SITE ADDRESS: -635 SH2U Issue Date: 03/22/2005
PORT TOWNSEND, 98368 Final Date: 11/5/2007
APPLICANT: ROBERT G WALLACE PHONE: 360-385-7038
KRISTIN WOLFRAM
1930 CLAY ST
PORT TOWNSEND WA 98368
SUBDIVISION: NOVAK SHORT PLAT Block: Lot:
PARCEL NUMBER: 902243037 Section: 24 Township: 29 N Range: 02 W
PROJECT DESCRIPTION: NEW SFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes6_9
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/5/2007
I:\F_BLD_Occupancy.rpt 10/29/19
ItILDING PERMIT APPLICATS MLRAOe 00097
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00092 Received Date: 2/17/2005
SITE ADDRESS: 635 SR20
PORT TOWNSEND, 98368
OWNER: ROBERT G WALLACE PHONE: 360-385-7038
KRISTIN WOLFRAM
1930 CLAY ST
PORT TOWNSEND WA 98368
SUBDIVISION: NOVAK SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 902243037 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 702
VALUATION 98,626.00 ADD'L: 694 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 318
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: 1 F&W Landslide
Shoreline Aquifer
�\NC5-3---4-2)) Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: _ Approved/Date
Permit $986.75 BAC 02/17/05 71507 A P P R O V
Plan Check $641.39 BAC 02/17/05 71507
State Building Code $4.50 BAC 02/17/05 71507 MAR 2 2 2005
Potable Water Application $53.00 BAC 02/17/05 71507 Jefferson County Plats it%
Total: $1,685.64 &Building Department
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BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00092 Received Date 02/17/2005
SITE ADDRESS: 635 SR20 Issue Date 03/22/2005
PORT TOWNSEND, 98368
APPLICANT: ROBERT G WALLACE PHONE: 360-385-7038
KRISTIN WOLFRAM
1930 CLAY ST
PORT TOWNSEND WA 98368
SUBDIVISION: NOVAK SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 902243037 Section: 24 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW SFR
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: oK 5/2-1/oS '
UFFER: at! .5/2/ s
Footing: ZW 5/IO5W
Foundation:j k E,/L/DS/,
Stormwater FINAL Approval:; G .23-02
Underground Plumbing: 6-A,3-.9,s'
Underground Insulation: 1-5- i
Shear Wall : /STcGeac. 5 2 os �Aigi,eivAu.. lib ILiii4 4k /0/65,1i,
Sheathin
Framing: (Q— -{7(r,
Plumbing: (.p -0-D '
•
Propane T nk/ Lines:
Insulatio : A( ,S(. , 11(-l.d)11-(Q-C6-Oco �F$ 6-14-o4)
Sheetrock. (-TC 4-z2_-O6)
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ZQ/e -�ar 431na.( ii/5/07 f,
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIR '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
SPECIAL CONDITIONS FOR Cat # BLD05-00092 •
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
3.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
4.) All construction activities shall not encroach upon the buffer. This includes the storage or
preparation of materials.
5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
6.) The identified Fish and Wildlife Habitat Area 4, shall maintain a vegetative buffer setback
of 100 feet. The setback shall be measured horizontally from the Ordinary High Water
Mark (OHWM) to the proposed single-family residence.
7.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed single-family residence.
8.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
9.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall be in place prior to and
during construction activities. The signs shall contain the following statement: "Buffer- Do
Not Remove or Alter Existing Vegetation."
10.) 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.
11.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
13.) 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).
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) The building height is not to exceed 35 feet.
16.) Setback from SR 20 right-of-way is no less than 50 ft., side and rear setbacks are no less
than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive
setback shall apply.
•
17.) A minimum of two (2) on-site king spaces is required for the single-family residence.
18.) 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.
19.) 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.
20.) 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.
21.) 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. •
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
1
44�'Sonr cO JEFFERSON WUNTY T
' ,441
DEPARTMENT OF COMMUNITY DEVELOPMENT
` 621 Sheridan Street• Port Townsend •Washington 9836
360/379-4450 • 360/379-4451 Pax �- 4;
gS, N��i www.co.jefferson.wa.us/commdevelopment }
i F E B 1 `-j 2005 1
Master Permit Application pP MLA: 05-q q
Project Description(include separate sheets as necessary): ' '.
Yr'A1G-LE Y-f4/41/ii XP5--, E E/UC E
Tax Parcel //�� Property
Number: C)U 01. c 4.- 03 7 Size: a 7 ( square feet)
Site Address and/or Directions to Property: (c 3 5 /-f i G tr W/-1 y .2 U , Po(4 1 OW A/:C i)C)
Property Owner(s)of Record: eo be i-t Es. l,‘"A c,i.-A Cr - K e t ST t N co n t F rz n i'Yl
Telephone: 3t00 3 g'5'- 7 0,"$ Fax: email:Wl-r(i r (1).ilrslingi j.op in
Mailing Address: )l13C1 lid_AY STk'F_E T PdiT Took.;-EN/.C, WA ci V3 lee
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
X((Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
'Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
0 Propane 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 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 it's 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 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 its employees,representatives or agents for the sole purpose of application
review and any requir ins ctions ccess and right of entry to this property shall be requested and shall occur only during regular business
hours. ,
Signature: 4..t.3.-t;=-/i'" Li ee 9C..,_,' Date: 2-" / 7'"'o.-
i
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 a • compli ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer r G tly fcsf ad ering to complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: � ✓ ` L t.:?-L t/L L i if C.-tF I Ct./ �: 2 /7 QS
Cr Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• OWNER 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 ass ing e poi lity of the Hera/Contractor for the proposed project.
•/�� G
Signature: / m-- -Lul. C QI l tyi'►t.ate: ;-/ 7 -o
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New X. Wood Existing: '" ❑ Sewer 1,
❑ Addition ❑ Steel Proposed: a2 Bank ❑ Community System ISO
❑ Alteration/Remodel Cl Concrete Total: ..2- Height: %Individual System
❑ Repair ❑ Masonry SEP Permit# '/ /-2 Fri
❑ Demolition ❑ Other. Bedrooms: Water Supply:
Existing: — Setback: X Private well ❑ Two Party
Type of Heat: Proposed: �.. ❑ Public
GF c'% Total: - Name of System: 9%�l
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current:_ Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
❑ Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured I 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.
,.}1"-
Square Footage or Office Use0nly .' �,� �� ���, , r
Current Proposed Amount
Main Floor Consistency Review:
7u- 4 5 q.)11.bc: 44 no
2"u Floor Base fee:
3id Floor i Additional Section: ,� ,
Mezzanine: rl — _. - --.._. Plan Check fee: / 4 !t ..2 q
Heated Basement ' - m---- State Surcharge fee: (� f ;�
Unheated Basement iF E B 1 ` ( k005 'Pot Water Review fee:
)
Other Unheated 911/Rd Approach fee:
Garage/Carport
TOTAL: $ �• 11 os `(„L i
Decks 3/8 "f,I15.,!Y' Receipt,Number: 11 1
Other "1 Cash/Check Number: r L��
ESTIMATED COST(REQUIRED) at /4 D 6:
.Fair m et value of all labor and materials fo ation to fi/Tish �� ��
Cf 0 0 Q G Initials: C
G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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