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Home My WebLink AboutBLD2005-00263 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 #: BLD05-00263 SITE ADDRESS: 5523 SR 20 Issue Date: 07/5/2005 PORT TOWNSEND, 98368 Final Date: 6/6/2008 APPLICANT: JOHN ROWE PHONE: (360) 385-3818 NANCY ROWE 480 ADLEMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW SFR,960 sf(future ADU) w/ attached carport & A/G 250 GALL PROPANE TK SEPERATE ENTRY 1320 sf HTD WOODSHOP, 960 sf UNHTD BSMT 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- no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/6/2008 I:\F_BLD_Occupancy.rpt 10/29/19 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00263 Received Date 04/26/2005 SITE ADDRESS: 5523 SR 20 Issue Date 07/5/2005 PORT TOWNSEND, 98368 APPLICANT: JOHN ROWE PHONE: (360) 385-3818 NANCY ROWE 480 ADLEMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 7+ PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: BRUCE GLENN CONSTRUCTION PHONE: 360-385-5477 1044 WATER ST, SUITE 231 PORT TOWNSEND WA 98368 360-344-4386 Contractor's License: BRUCGC975P9 Expires: 10/29/2005 PROJECT DESCRIPTION: NEW SFR,960 sf(future ADU)w/attached carport & 250 GALL PROPANE TK L ;ram, SEPERATE ENTRY 1320 sf HTD WOODSHOP, 960 sf UNHTD BSMT CALL IN FOR THE EQUI�ED}NSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: /l?/22j'cY UFFER: ?/2 o ti Footing: / 111111/22�os' Foundation: 1f �g(= 8 S S. E Li ica-in L✓rk,(3),‘`t-ti'-as Stormwater FINAL Appr val: Underground Plumbing: ? la-obi Underground Insulation: g �Q -7 � Shear Wall : rr�S 1Sit is 3/4/o6 OK. V€51- GoB IC )2/zo/off Sheathing: Framing: . .. -.e .,.• ... , ., . _ D ��l�weie'n. 1L�'� `. 2 (2,-2,E. c1i Plumbing: (J /(__ e -O p Propane Tank/ Lines: 4,7;90vx Gi�).(4:�—g-�/yam Insulation:9✓ tL-t3 Sheetrock: 0I1-K 514,11 -I;15:-auuatt 1 L-LI-oi: 40 " I Septic Sytem Final Approval (If not oil sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: nil -cc- 96 6/ 8 Ak 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 SPECIAL CONDITIONS FOR CS A BLD05-00263 1.) No foundation drain can be closer that 30' downslope of the primary or reserve drainfield area. 2.) A vegetative buffer of 65-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. This buffer shall remain undisturbed except as specified in the December 10, 2004 Geotechnical completed for this proposal. 3.) A Geotechnical Report prepared by Geotech Consulting Inc. dated December 10, 2004 was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 65-feet shall be measured perpendicularly from the top of the shoreline bluff to the proposed deck. The foundation for the proposed structure shall be setback 80 feet from the top of the bluff. All development and land disturbing activity shall be done in compliance with the recommendations of the Geotechnical Report. 4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated, except as modifications may be made to the buffer as specified in the Geotechnical Report completed for the proposal. 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. 5.) 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." 6.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 7.) 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. 8.) 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. 9.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 10.) 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. 11.) VOLUNTARY MEASURES OFQOASTAL &AT RISK SIPZ: • 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 12.) 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. 13.) 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. 14.) A Medium Stormwater Plan has been submitted and approved by the Department of Community 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. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) There is a 50 foot front setback from the edge of the right-of-way of State Route 20 (east). A rear setback of 65-feet shall be measured perpendicularly from the top of the shoreline bluff to the proposed deck (west). The foundation for the proposed structure shall be setback 80 feet from the top of the bluff(west). There are 5 foot side setbacks from the north and south property boundaries. I:\F_BLD_Permit_Buildng.rpt 10/29/19 ILDING PERMIT APPLICATIt MLLA05 00254 Review ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00263 Received Date: 4/26/2005 SITE ADDRESS: 5523 SR 20 PORT TOWNSEND, 98368 OWNER: JOHN ROWE PHONE: (360)385-3818 NANCY ROWE 480 ADLEMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 7 PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W CONTRACTOR: BRUCE GLENN CONSTRUCTION PHONE: 360-385-5477 1044 WATER ST, SUITE 231 PORT TOWNSEND WA 98368 Contractor's License BRUCGC975P9 Expires 10/29/2005 REPRESENTATIVE: PHONE: • • PROJECT DESCRIPTIOr NEW SFR,960 sf(future ADU) w/ attached carport & A/G 250 GALL PROPANE TK • SEPERATE ENTRY 1320 sf HTD WOODSHOP, 960 sf UNHTD BSMT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 960 VALUATION 260,000.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: 960 #OF STORIES: CONST TYPE: 5-1HR OTHER: 1,320 SHORELINE: CONST TYPE: GARAGE: 585 SETBACK: DECK: 400 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: few/as Type Amount Paid By: Date: Receipt: /y RI \7 E D Permit $1,889.75 BAC 04/26/05 72963 j p� Plan Check $1,228.34 BAC 04/26/05 72963 State Building Code $4.50 BAC 04/26/05 72963 JUL - 5 2005 Potable Water Application $53.00 BAC 04/26/05 72963 Jefferson County Planning Total: $3,175.59 &Building Department Z UliR1333 3331133 J 6 € t15 sag o � s � � � � g if s s i o h rr j+ • y / ,r.,, rr 11 pAI 4. _/ , / Y / .014 1'1 6i I ^`� t I c ____, \ � -z d E3 /f I 1V I: I II z I e"t' 3 I Y ` 11 T ., .,I �� o I s ;'_ 0———---\Till, r. 1 - I I I s —..—.._—� a u 1 6 • fir- A „ 1'. r w I 1 aaQJ I I 4 J t • F � g ,u)a -� E. n n r/101•31 e- V as Y J ,o \ . \ O I \ - I� +1'y ., ,1• e----`�-I c o 7 '' T, 3 i ti • 1 �_! 7 .ui: ---_slo�g�; Q N., rx g r a : .R,2+ b l 1 ^r ..... .2 1t.11 is: v O e w o 0 �" I� ri SIR o-r - 2! ` W CI Li. I 1 • if t, I /C$ g 0 1 _ a X zl�s l\ l°I s ,1 a 3 \I \ * 1 i .er r. 5§ j LI I I j"'� I " � a g e z 1 1 s\ aj I] 1 � n / I .;t•.. � .z,o 9:�c e s S �I 4 ,1 11 ., / I 3 i "�oiv c w o\ JEFFERScOUNTY 'l� ' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 41 360/379-4450 • 360/379-4451 Fax �4 O� www.co.jefferson.wa.us/commdevelopment APR 2 6 2(; �IIN� .05 . .51- Master Permit Application MLA: f Project Description(include separa a she is as n essary): L4 r 31� Sam- -1A a u t k� dry use. e.,-16- s I de� 'c a- ip Tax Parcel O l �4 Property Q Number. Size: ( CGe. 5 (acres/square feet) Site Address and/or Directions to Property: �j S 23 5 i s TLc Fbu r 2cl ?•I �7M- 56 3 (o Property Owner(s)of Record: 6 ik 1 `i1 "�J Telephone: +�- M1 - 3� r _. - , e email: Mailing Address: 4a✓ �1+ ', ,. n • Applicant/Agent(if different from owner): . /�9 .1t Telephone: 36 Q - iSS-•. 7- -- 3- Fax: 5�47 4 —4 mail: Mailing Address: 10 44 - -reg.. ,i... p w ZS i 7.-'�-- t J4. email: 3 4,6, What kind of Permit?(Check each box that applies) If ding ❑Variance(Minor,Major or Reasonable Economic Use) ❑De i�olition Permit ❑ Conditional Use[C(a),C ,or B°'�ngle Familyd( ) C]** ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑Short Plat** 0 Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** u-Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions'`* C3"SStormwater Management ❑ Shoreline Management Substantial Development**❑ 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 1, t,. ({? 6 -f tJ,k) to act as my agent in matters relating to this applic tion for permit(s). OWNER SIGNATURE ( 0.1 _ � 2- _ Date: ( -1-- U By signing this applica" 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 attorneys 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 arrs•ss and right of entry to Jefferson County and its employees, review and any uir later inspections.Atrpcs andright of entryto this representatives or agents for the sole purpose of application hours. n � � property shall be requested and shall occur only during regular business Signature: \`I'�� _ Pile !T/ 2-( 6 t 1t-u- JS • Date: i The action or actions Applicant will undertake as a result of the issuance of this endangered species and could lead to a potential`take"of an endangered species may negativelyrar impact in the one or l law knthrown as e "Endangered SpeciesPecles as those terms are defined in federal law known as the ge 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' pliance with the Jefferson County development code.The Applicant acknowledges that he,she and non-transferabor it holds individual sibility fob adhering to arrc complying with th SA The Applicant has read this disclaimer and si s and d it below. Signature: ( i� � ,' Date: (��Z G:\Peru itenter\FO S\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 assuming the responsibility of the Genera}cContractor for the proposed project. Signature: ( i`T Date: 3 kN 2-6 2805 - GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: c2 F G C.EHH t 3 _r6 4-- (36a ) 3eS- 4-7 ( 3 . 3 44-4,e&-, MAILING ADDRESS: I D 44 et $, Coc+--c I EMAIL• CONTRACTOR'S LICENSE WAINS NUMBER: DA,r e (( qr}5P, NUMBER ARCHITECT/ENGINEER: ^L.1 EN e / PHONE (160 ) MAILING ADDRESS: 1401 1A' -j— '-I- . 7•A (i/310 Z, EMAIL Project Type: F9nie Type: Bathrooms: Shoreline: Type of Sewage Disposal: ll--New Id( Wood Existing: ❑ Sewer O Addition 0 Steel Proposed: Bank ❑ �mmunity System ❑ Alteration/Remodel ❑ Concrete Total: Height: Bindividual System CI Repair ❑ Masonry SEP Permit# sir -wet ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ �P ivate well ❑ Two Party Type of Heat: Proposed: N Public Tr?,,,Lar ,..q Total: A‘) Name of System: �--:0 t- I)Z> t3 t If this is a Commercial Project you must answer the following: i,�/ --- Number of Parking Spaces: Current: Proposed: • ,/ Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Curretit Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance installation permit,mark all items below that apply: _ ❑ Underground Tank y Above ground Tank Size of Propane Tank: Z5n q' - -30t l K Heat Stove IICook Stove CIWoodstove CIFireplace Insert ❑ Hot Water Tank ❑ Pellet Stove CIOther li iAe a-u- Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage 'For Office Us l y • fit"°` 4y''�- * v t'm' -t Current Proposed ; : < - Y F"`t Main Floor Av0 ;:' � ✓ '�' ". L �o�$' 2Nu Floor r .•. rb wr3• 11 3rd Floor / Atfdrttonal Section Mezzanine: (( Heated Basement hi/Pr su• n :, ,•':--K x Unheated Basement ,t dot 1RVla_ .. g r i -(1 i . : -' '' . �a ;.r' Other Unheated A T . aw ' iilk J�'c1 Garag- -rport 56 q . j 4 TG Decks -/_cy#*� r��i A •L V err Other_. (AV a l O GIs. C illJlty7 '' •( t 1 __—_ -14L:v 1340 I 3 t .. :a ,,, v 1 4�, 8 :7 COST( RED) tO- ads: s� ' `/7 ‘7TIMATED ir market value of all labor an tenets fou►rd an t�o n n 1}, 1. 1/26.-0, (zo G\Permi er\ \DRD FORMS\Master Permit Application 7-8-04.doc (-1--( _ , _.... - co z . 0 q 2 diz i '7 1..... .... i., ..s• § / -J e g Et 5 0 / / -t -c ."---------.-_, „,,,..... i c • / . ....... '...`,.,..,,,. / ,---____ ....._......... r r ...................................._ in.-: ----....... • / -------__ ie -..... .... 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