HomeMy WebLinkAboutBLD2005-00229 •
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
Al Scalf, Building Official
PERMIT #: BLD05-00229
SITE ADDRESS: 172 QUAIL RIDGE CT Issue Date: 05/19/2005
PORT TOWNSEND, 98368 Final Date: 5/17/2011
APPLICANT: EDWARD W WYMAN PHONE: 206-999-3238
SHARI L WYMAN
PO BOX 2068
PORT TOWNSEND WA 98368-0249
SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 34+
PARCEL NUMBER: 999900134 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR 960 sq ft W/ HTD OFFICE &UNHTD SHOP & DECK &
A/G160 GALLON OIL TANK
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 rno
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/17/2011
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 #: BLD05-00229 Received Date 04/14/2005
SITE ADDRESS: 172 QUAIL RIDGE CT Issue Date 05/19/2005
PORT TOWNSEND, 98368
APPLICANT: EDWARD W WYMAN PHONE: 206-999-3238
SHARI L WYMAN
2623 NW 63RD ST
SEATTLE WA 98127
SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 34+
PARCEL NUMBER: 999900134 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
360-683-6001
Contractor's License: BUILDBC011MG Expires: 7/8/2006
PROJECT DESCRIPTION: NEW SFR 960 sq ft W/HTD OFFICE &UNHTD SHOP & DECK&
A/G160 GALLON OIL TANK
CALL IN FOR THE REQUIR D I PECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: Z �3J
UFFER: // /
Footing: /Iv l 7 /1/6sJ� .._.
Foundation: ff !!!!!
Stormwater FINAL Approval:
Underground Plumbing:?2-43-249-oc
Underground I ulation:
Shear Wall : Vole I ' !Low 011._ 104105(9(
Sheathing:
Framing:Plumbing: AM oK 31fa7/i ii-/`26j& -3/406
Propane Tank/ Lines:
Insulation:a-4-0 b l� l
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval: 2 V�
Final/Occupancy Approval$ J ? / / (Vt frx W'4. j. , -l./- /' 0 -. G �(n ),Y 9(A),
�
HEALTH DEPARTMENT PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED -yr/
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
tUILDING PERMIT APPLICA4N MLA05-00225
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00229 Received Date: 4/14/2005
SITE ADDRESS: 172 QUAIL RIDGE CT
PORT TOWNSEND, 98368
OWNER: EDWARD W WYMAN PHONE: 206-999-3238
SHARI L WYMAN
2623 NW 63RD ST
SEATTLE WA 98127
SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 34+
PARCEL NUMBER: 999900134 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216
P 0 BOX 3831
SEQUIM WA 98382-5071
Contractor's License BUILDBC011 MG Expires 367i8/ofi 01
REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360) 683-6216
PO BOX 3831
SEQUIM WA 98382
PROJECT DESCRIPTIOP NEWSFR W/ OFFICE & SHOP & DECK &
A/G160 GALLON OIL TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,280
VALUATION 109,607.00 ADD'L: HEAT TYPE: OIL
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: tSf bid 2,024 # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist: 0
Prop: 1 Prop: 1
Total: 1 . Total: 1
Routing Date: ir/�
Type • Amount Paid By: Date: Receipt: roved/Date
Permit $1,049.75 BAC 04/14/05 71789 AP
I� �V
Plan Check $682.34 BAC 04/14/05 71789
State Building Code $4.50 BAC 04/14/05 71789 MAY 1 9 2005
Potable Water Application $53.00 BAC 04/14/05 71789 Jefferson County Planning
Total: $1,789.59 & it i partment
III
;i ON fat, JEFFER COUNTY
W DEPARTMENT OF COMMUNITY DEVELOPMENT
`' `'c ' 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
.tq www.co.jefferson.wa.us/commdevelopment
.."'' /
S�NG
Master Permit Application MLA: Q 5- - ca�
Project Description(include separate sheets as necessary):
gA'4 X l e` �S%AiGc�---i09/0/ty w 'Mt CA €€ 2. D
Tax Parcel Property
!'�;} � Q�
Number: 1��`1 -I 'J t Se (acres/square feet)
Site Address and/or Directions to Property: ( 4 c, OIL R I. ')6 ( C,T r
Property Owners of Record: n 0,--)E el) LO L 'o 1 1-{
N S e 1 1„ Lx1 1 �.#
Telephone: (ACk) �-- C{C(ci- 3 R Fax:3 O(e- '( -1 7.9E- email:
Mailing Address: f c� ) 6v rnCZ i;�D , I d ) Ce t in G •( tL Y Q 9; 1 C�-7- - J(f cO:
Applicant/Agent(if different from owner): Y V LS 11�- 0 i (�i E (2)Q.C)L:_(:_-2�- T
Telephone: ;5(0C (o �7 (to(cam, Fax: .'b 3 - (G�... 'CID-C.') email:
Mailing Address:'Q C+, (TO X . 1 t c);.)�C� i 4�y .53 Fi
What kind of Permit?(Check each box that applies)
X(Building 0 Variance(Minor,Major or Reasonable Economic Use)
/ i molition Permit 1 Conditional Use(C(a),C(d),or CI**
Single Fa 0 Discretionary"D"or Unnamed Use Classification
• 'arage Attache "(netached ❑ Special Use(Essential Public Facilities)**
Manufa n, 0 Boundary Line Adjustment
❑ Modular ❑ Short Plat**
Commercial* 0 Binding Site Plan**
ri Change of Use ❑ Long Plat**
0 Address I Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
! Propane ❑ Plat Vacation/Alteration**
1 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions'"'
C_. Stomrwater Management ❑ Shoreline Management Substantial Development'*
Li Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
C:1 Temporary Use ❑ Comprehensive Plan/UDC1Land Use District Map Amendment
Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
E 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:
ATION OF AGENT
�t I hereby designate I L i I`JC) U-*?r;j 7_f,_ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE (-"') Uv C—' ✓ ,'i i%ems. Date: i 2 1 S `L T
t.
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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. y 7
Signature: r` (t/V c r-G' �,•J V i ---"` Date: tZ `(S ` v
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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transffra`tilg responsibil" for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: •E 1 j ;C�-- Iivt\ LA I. '1.------ Date: 1 ? --( 'C74.
1
f::\Documents and Setting\mochil\Desktop\Master Permit Application 7-8-04.doc
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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 resporysSS`lity of the General Contractor for the proposed project. r
Signature: ( _{.AOti ' �j 1. '`L.e:•.- Date: I 2 -1. S"—CA
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
PJL;IU)i( ( , (/)2GL - (51 o) (A - :<<-If ir, ( ') (c ;;:�-(:,Q)c. I
MAILING ADDRESS: 17,c,'tf2)cX' 2 I EMAIL:
CONTRACTOR'S LICENSE 1 WAINS
NUMBER: Lki I L f) a (,(( 01( t NUMBER
ARCHITECT/ENGINEER: i S j c PHONE ((Doc) l{C(c -p9,-FAX:(Cc )q t-i c; _,: t,i i
MAILING ADDRESS: c 4 t A I 4 ei 41
A k"=,- (E k t �4 c -SI U0 EMAIL
Project Type: Fr me Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New Wood Existing: LI Sewer
Addition '❑ Steel Proposed: 6 Bank I: Community System
1: Alteration/Remodel E Concrete Total: i Height: individual System
L; Repair L.. Masonry S P Permit# -P t'+ - 1 15
ci Demolition L_ Other: Bedrooms: Water Supply:
Existing: _ Setback: Li Private well CH Two Party
Type of Heat: Proposed: _( _ 4,,Public
Total: j Name of System: (?0<i1
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 A••Hance Installation permit,mark all items below that apply: `` r CA-Underground Tank :•.• _ • . irs r1 Size of Prbpt a Tank: O 1 i_ -k V QN C S I to
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water T I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / o
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 Use Only
Current Pro•osed Amount Main Floor { • DV
OTT IC TT eo ads7g:' _�
fty's""Floor Base fee:0 N H-E-AT Ie 0 ao a 66 I•a l 1 9 o 9 , ` 22. 1C•
3`i Floor Additional d
Mezzanine: / G62. 3'71 14*S -
Heated
,I,50 �(o-qjo
Unheated Basement Pot Water Review fee. 0
0
Other Unheated 911/Rd Approach fee:
o3•a31 -----
Garage/Carport 9
ry�t TOTAL: $ /�'1a, 5/
Decks i I I ,�
`�� l�(J • Receipt Number: ••
Other Cash/Check Number:
4, ��- -i 9�- c 7g3
ESTIMATED COST(REQUIRED) . f gy[, /�
.Fair market value of all labor and materials foundation • l __�� _'t 1lf Y /V S
<::\l)ocumcnts and Settings\mochil\l) ktop\Master I'c ntit Ap...ttion 7-8-04, 131
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CJ0 $g03 G.
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SPECIAL CONDITIONS FOR CAt BLD05-00229 •
1.) 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.
2.) A Stormwater Site Plan Submittal Template and Stormwater Site Plan have 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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).
5.) Maximum impervious surface coverage is 25% of the parcel. Impervious surface is
defined as a surface area that creates a barrier to the entry of water into the soil in
comparison with natural conditions prior to development, or that causes water to run off
the surface in greater quantities or at an increased rate of flow in comparison with the flow
prior to development. Common impervious surfaces may include roofs, driveways, patios,
packed earth, and oiled surfaces.
6.) The building height is not to exceed 35 feet.
7.) Minimum setback from Ouail Ridge Ct right-of-way is 20 ft. Minimum side and rear
setbacks are 5 ft.
8.) 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.
9.) 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.
10.) A minimum of two (2) on-site parking spaces are required for the single family residence.
11.) The submitted stormwater plan identifies future work including construction of a retention
pond at a later date. The applicant shall contact the Department of Community
Development to determine any permitting requirements for said future work.
12.) The applicant has indicated an intention to locate a home business at a later date in the
proposed structure. The applicant shall contact the Department of Community
Development to determine permitting requirements for home businesses.
•
I:\F_B LD_Perm it_Build ng.rpt 10/29/19
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