HomeMy WebLinkAboutBLD2005-00300 •
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#: BLD05-00300
SITE ADDRESS: 104 TERRACE DR Issue Date: 06/21/2005
PORT TOWNSEND, 98368 Final Date: 12/23/2005
APPLICANT: KELLEY SHIELDS INC PHONE: 360-385-3115
260 KALA POINT DR
PORT TOWNSEND WA 983689530
SUBDIVISION: KALA TERRACE Block: Lot: 9
PARCEL NUMBER: 965900009 Section: 35 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE &
A/G 120 GALLON PROPANE 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 no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON
12/23/2005
73 " ccJ 6 t a a5
.., l!
/
Building Official Signature Date
I:\F_BLD_Occupancy.rpt 10/29/19c
litUILDING PERMIT APPLICAfON MLA05-00291
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00300 Received Date: 5/10/2005
SITE ADDRESS: 104 TERRACE DR
PORT TOWNSEND, 98368
OWNER: KELLEY SHIELDS INC PHONE: 360-385-3115k
260 KALA POINT DR
PORT TOWNSEND WA 983689530
KALA TERRACE
SUBDIVISION: Block: Lot: 9
PARCEL NUMBER: 965900009 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLES1150LF Expires 6/6/2005
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE &
A/G 120 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,668
VALUATION 257,204.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: 975 HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: -a # OF STORIES:
OCCUPANCY: OTH ER:I1hil, _W0t
CONST TYPE: 5N GARAGE: 598 SHORELINE:
CONST TYPE: DECK: 168 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM: KALA PT
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 3
Total: 2 Total: 3
Routing Date:. Q.11 05
1
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit • $1,878.55 BAC 05/10/05 72977 APPROVED
Plan Check $1,221.06 BAC 05/10/05 72977
State Building Code $4.50 BAC 05/10/05 72977
Potable Water Application $53.00 BAC 05/10/05 72977 JUN 2 2005
Total: $3,157.11 Jeff n unty Planning
i Department
re9 F A
• it
BUILDING PERMIT
•
• Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00300 Received Date 05/10/2005
SITE ADDRESS: 104 TERRACE DR Issue Date 06/21/2005
PORT TOWNSEND, 98368
APPLICANT: KELLEY SHIELDS INC PHONE: 360-385-3115
260 KALA POINT DR
PORT TOWNSEND WA 983689530
SUBDIVISION: KALA TERRACE Block: Lot: 9
PARCEL NUMBER: 965900009 Section: 35 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
360-385-3115
Contractor's License: KELLESI150LF Expires: 6/6/2007
PROJECTDESCRIPTION: NEW SFR W/ATTACHED GARAGE&
A/G 120 GALLON PROPANE TANK
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing: G-`k-i s—
Foundati6n: 6 � �� j s'
Stormwate FINAL Approval:
Underground Plumbin, : -7/7(i c
Underground Insulation
Shear Wall :
Sheathing.
Framing: q-7 -�_
Plumbin � - -°
Propane ank/ Lines:
Insulation:
Sheetrock ct-oZ3--vg
Septic S em Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 12 -�3-05'
HEALTH DEPARTMENT ND 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
4111 •
SPECIAL CONDITIONS FOR CASE t BLD05-00300
1.) A 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.
2.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
3.) 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).
4.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
5.) The.building height is not to exceed 35 feet.
6.) Minimum setback from the parcel boundary adjacent to Terrace Dr is 20 feet. Minimum
side and rear setbacks are 5 feet. Minimum setback from N Andrew Ave right-of-way is
20 feet.
7.) 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.
8.) 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.
9.) A minimum of two (2) on-site parking spaces are required for the single family residence.
•
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
soiv e
odd JEFFERSOUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT-
,
T
360/379-4450 • 360/379-4451 Fax
, O www.co.jeffetson.wa.us/commdevelopment MAY 10
Master Permit Application _ Mom' Qc591
Project Description(include separate sheets as necessary): .`_.._,-- _ '--—
-(.Ax
Tax Parcel Property
Number: -I b 70 a 0 Q ISize: I S Z j
t. —1 (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: V.G► Ctt "tj►t ez.40s I).,.)G..
Teleptwr2... a5- `7t _� :; ix 385-3( l L ;
emeil:d�ShIC'. dS arasssS, pd.Mailing Address: (v0 -fit Poi .: Z _
Applicant/Agent(if different from owner): Soirs.te��
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
[ Building 0 Variance(Minor,Major or Reasonable Economic Use)
0 D�molition Permit 0 Conditional Use[C(a),C(d),or C]**
Dingle Family 0 Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached 0 Special Use(Essential Public Faciliities)'*
0 Manufactured Home 0 Boundary Line Adjustment
O Modular 0 Short Plat**
❑ Commercial* 0 Binding Site Plan**
0 Change of Use 0 Long Plat**
0 Addr- 0 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
fo. 0 Plat Vacation/Alteration**
0 Allowed"Yes Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit tion/Pe
❑ ManagementStonnwaterp rTTllt Revisions**
SPAAD * 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination
( ) ❑ Shoreline Management Variance
0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 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 required later inspecti .Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
c-
Signature t ct' .{y ' ,�? r tc f .a
,,, o r: Date: c' Cf_ p .
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-tra�ble responsibi ity fo ,aclhejing to and complying with the ESA The Applicant has read this disclaimer and signs and dates it below.
Signature: 1.. ,.,P q;� t.�,. 7
•f.G. .� L/.} Date: S:9— Zzta
i4-x t 5 , A
G:\PemvtCenter\FORMS\DRD FO S\Master Prnnit Application 7-8-04.doc
OWNER BUILDER sTAT.E10.44t. . • ' • - .- • -- -, --- - ":..
TheSigher.oftfds statement does hereby certify-that., • . ••.,.‘,-'i.,..;.-.:1-...-vv .',-- . .1:...:L.:. . .' :-''-..1-1. ',.-----r*.7.2"4,v.--,,..
Signature:
-
11•11.11.1111111.1111111mpr- ----,___________ IfAY-1 0 2005 GENERAL CONTRACTOR OR!MANUFACTURED HOME INSTALLER:
PHONE:
-
lz-zt_Lc-` Si4i • i A..) c... ( ?(,20 )
MAILING ADDRESS: 38 .--l!'s,c,,i ., C%-c4),
.
__. (), , •
CONTRACTOR'S LICENSE
WAINS
•
NUMBER: eLLESL ISC.)4.. r NUMBER -
ARCHITECT/ENGINEER: is Sp/• ''' 4),,,,,,,?.$kje ,4„ E ( ) FAX( )
., IMA.I.UNG ADDRESS:
. . .. .
!3°.t.XYPe. '''''''''''''"''''''''~L'i'll'''' "''' '"-TPec•--'-'-- zaPiarocnns:•-4- , .. .. • ""." -Type of Sewage Disposal:
New r Wood Existing: 0
__ 0 Sewer
0 Addition 0 Steel Proposed: 1/ Bank IKO-mrnunity System
0 Alteration/Remodel - 0 Concrete Total: _2(i.: Height: 0 Individual yStern
0 Repair 0 Masonry
SEPPermit.#
o Demolition 0 other Bedrooms:
Water piwpiy:
, - ------ Existing: • Setb7 D Priv-ate well 01 TWO POttY
Type of Heat: .. _____________ Proposed. 7...
0...Public
Total: /
Name of System: '7
. ..
If this Is a'Commercial Pro ect u must answer the follO*in -
- .Nurnber OfP.afking SPaces: Cutrent: Pt0Posqd: Numberof ADA Parking Spaces:
Number of occupants.,(0cludes owners,tenants,employees etc) Current Proposed
I • Ifi1C.Occupancy, IBC Type of construction: Will you have Food Service? Yes / No
Itthisit liPrb' siie'tiiiksaiiii/or.ADpIianjflsthllaUonPermit,mark all Items below that a "1 .
EI.OW1'9011110300)5._- Above ground Tank. Site Ol.Propane Tank: ,Q..
' eat Stove„ Fl c.40530ea El YYNAIQYft ti fireplace Insert :0 I-194Water Tank ' 0 •P t Stove 0 Other
3i C
Is Is a...liance belnçj Installed In a.,-Manntactinred:-/Mobile Home? Yes i/...:,Isio'•
Wli,041-400,y111090.;4)Ormit to lasfallapiivane-tank you 4must also r..14vnIf a.slfeplan showing all of the buildings,,ollproperly
linesilankiloCationithd size,tliStanceslion,,thepropinelank to all property lines,buildings and septic-System coniptinerit,
Includin• the reserve area.
. ._ .,...._
S.Ware-Fc.O0.:,, :ka-7.....141)17.,,..1;-.'Curillilleallilt .-Pro.'-' •,'! •:tAV.- - :agaFt"7A4'r:.
Maitifboe - --- -- 4.,ip740 !1r01,,7--1,
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',..vp -::. .....ir,s.c•-; li.-4,k."W-• . , ,,,e,r1.te,,441,,.,.!. , .
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3'Floor
5V'ur-i.:. c.-••-t- .....-.1r-,.vrt -e-it.--t,-i..'•-*.- -'-
..,. ‘4'1$4:V••,,.'-,4-,,,!?1:1,,'•'',.-:-3.4-. :.9' ,-44" _IL,q --- XII. -
'4'ittt12 Fi:4F-'Z't.. ...i11\''.141,f:. `V.,''' --!--..;:e_:-,.!4'
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ESTIMATED COST(REQUIRED) ememoirlif Imre:7.=...,:, ,;:i•-..6.1V-trAttli.i i igi-,,
.Farmancet Value of all labor andvaterisis foundation to In ?.---" V
"115 .:464--.7,4Netz• --ir-t.tzt
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G:\PermitCenter\FORMS\DRD FORMS\Master Permit App 41i,.',.::, /-6. 4;mi--