HomeMy WebLinkAboutBLD2005-00275 • •
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 #: BLD05-00275
SITE ADDRESS: 522 TOTEM RIDGE RD Issue Date: 06/6/2005
PORT HADLOCK, 98339 Final Date: 3/8/2006
APPLICANT: GREGORY A HARE PHONE: 360-301-1460
ROSE HARE
77 RHODY CT
C HIMACUM WA 98339-9589
SUBDIVISION: BRUCE B SETON SHORT PLAT Block: Lot: 1+
PARCEL NUMBER: 901114028 Section: 11 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NEW SFR W/ CARPORT &
A/G 250 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 3/8/2006
(---7.0v0(,)-C- -C4-b-4Vc, _ ,3/ 01 / 6
Building Official Signature Date
I:\F_BLD_Occupancy.rpt 1 0/29/1 9c
•UILDING PERMIT APPLICA N M RA�Oe 002wpe64
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00275 Received Date: 5/3/2005
SITE ADDRESS: 522 TOTEM RIDGE RD
PORT HADLOCK, 98339
OWNER: GREGORY A HARE PHONE: 360-301-1460
ROSE HARE
77 RHODY CT
C HIMACUM WA 98339-9589 BRUCE B SETON SHORT PLAT
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 901114028 Section: • 11 Township: 29 N Range: 01 W
CONTRACTOR: MILLENNIUM ONE HOMES INC PHONE: (360)385-4837
309 V STREET
PORT TOWNSEND WA 98368
Contractor's License MILLEOH010MM Expires 7/13/2005
REPRESENTATIVE: ROSE HARE PHONE: 360-301-1460
77 RHODY DR
CHIMACUM WA 98325
PROJECT DESCRIPTIOI NEW SFR W/ CARPORT &
A/G 250 GALLON PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,555
VALUATION 320,704.00 ADD'L: 1,190 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: '• 4 SHORELINE:
• GARAGE:N(9a
CONST TYPE: DECK: 44 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: • Exist:
Prop: 4 Prop: 3
Total: 4 Total: 3
Routing Date: )3
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,231.35 BAC 05/03/05 72972 APPROVED
Plan Check $1,450.38 BAC 05/03/05 72972
State Building Code $4.50 BAC 05/03/05 72972 JUN -.7 2005
Potable Water Application $53.00 BAC 05/03/05 72972 fferson County Planning
Total: $3,739.23 &B • • artment
r — s
BUILDING PERMI
T
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00275 Received Date 05/3/2005
SITE ADDRESS: 522 TOTEM RIDGE RD Issue Date 06/6/2005
PORT HADLOCK, 98339
APPLICANT: GREGORY A HARE PHONE: 360-301-1460
ROSE HARE
77 RHODY CT
C HIMACUM WA 98339-9589
SUBDIVISION: BRUCE B SETON SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 901114028 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: MILLENNIUM ONE HOMES INC PHONE: (360)385-4837
309 V STREET
PORT TOWNSEND WA 98368
(360) 379-4040
Contractor's License: MILLEOH010MM Expires: 7/13/2005
PROJECT DESCRIPTION: NEW SFR W/CARPORT 8,
A/G 250 GALLON PROPANE TANK
CALL IN FOR THE QUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: g4-0$
UFFER:Footing: ,C, p C
'3-05 64005"6 rr, .r
tr ,Nc. 4 PPv(Me #Peer OK icsIIA/6%5 g
Foundatign s (I
-� Ti?Lc..rlc�P3 . GJ,�SNlyaf 6,J ,sw 1'NKrs�mac-�f lS--�I�lmelSlt;�
Stormwater FINAL Approval: U
Underground Plumbing:
Underground Insulation:
Shear Wall : 0K /0105 0
Sheathing: ��s /e6'
Framing: r.4/lC��v l/•.2--e7
Plumbin_//_Z-o��
Propane Tank/ Lines:
Insulation:A tR Sa.M_ Li ODoWS At oJL =nrrftie )1.- U-'7-03'
Sheetrock:
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:9-3,(yDb
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 CAIP BLD05-00275
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.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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):
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Setback from Totem Ridge Rd. right-of-way is no less than 20 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.
14.) 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.
15.) 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.
16.) A minimum of two (2) on-site par ing spaces is required for the single-family residence.
•
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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JEFFERSON CON
1-4
` DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax 7005
Qq O� www.co.jefferson.wa.us/commdevelopment
81N
Master Permit Application M�,A; 05- acv
Project Description(include separate sheets as necessary):
��i,>/c raniI h/ la— ''". G/e//C
Tax Parcel Property
Number: t//) / //L/ 0 d ' Size: j(), j 4 Gi e4--e.5 (acres/square feet)
Site Address and/or Directions to Property: . a 2 /e)fern R i`�,/(/- a` Roe, e h i41 e1 P.,//i-►-tom k a. le)5 5
Property Owner(s)of Record: (4 r ;,' k96,;p J--/ i ce.
Telephone:C.3�-7()? I_" l L{(I,C1 J i Fax (?i(�L r� .(� email: f CS€.h(1),rc ,'vuu, net
Mailing Address: / / ];bird (,11 i t- let e tu'►i/ V�t�•• GY32_
Applicant/Agent(if different frosin owner): i i t 1`17 1
Telephone: : `- "'/,�<37 Fax: email: J
Mailing Address: ,; ' '
WI}at kind of Permit?(Check each box that applies)
1veBuilding ❑Variance(Minor,Major or Reasonable Economic Use)
❑pemolition Permit 0 Conditional Use[C(a),C(d),or C]**
Single Family 0 Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached 0 Special Use(Essential Public Facilities)**
❑ Manufactured Home 0 Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
0 6rldress ❑ Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments**
ropane 0 Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater 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* 0 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 ` - ll r'S<' j re, to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �/ , / ►/2 S Date: ` 2---
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 I ter inspections.Ass and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: _ Date: �-)- 2"5
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-transfe responsibil Vfor ad -rig to and complying with the ESA. The Applicant has read this disclaimer and signs ant. Oates it below.
Signature: /" , ? . / Date: 5---2. —}
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 assuming the responsibility of the General Contractor for the proposed project
Signature: Date:
i'\A AY _ 3 70f 5
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: , .FAX: -
/ 'dd 65kb`) ( o )335.. 837 ( )
MAILING ADDRESS: i f EMAIL:
f /rr ylcr Strr,c � it
CONTRACTOR'S LICENSE WAINS
NUMBER: Mille y0_1_0 mmNUMBER
ARCHITECT/ENGINEER:n Q. /XIf�./ae/ - ffin eser) PHONE ( ) FAX:( )
MAILING ADDRESS: 330 � i1e, 2� G. [< ,07- /7J`�c� EMAIL
Project Type: LL Frame Type: �"� Bathrooms: Shoreline: Type of Sewage Disposal:
p New Wood Existing: ❑ Sewer
O Addition 0 Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: 2.9 Height: ❑ Individual System
O Repair 0 Masonry Nh SEP Permit# ,jI PO.)-- c-P
Bedrooms:
❑ Demolition 0 Other: Water Supply:
Existing: 1: Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: i,Public
� Va Iti„o _fat.Z) Total: , _ i Name of System: ?.?1,i 1), I)r-;j- i
I e/erf-ri6'"��ii(t /tealei,S
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: ,95O cw,e.
pik Heat Stove K Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured I Mobile Home? Yes /6
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, i
including the reserve area. -
Square Footage 1 For Officsl'Jse` ly. . 'ay '
Current Proposed 'Amount - ,1 y 1/4
y ��
44
Main Floor sisb9t y Review `I rty ' ` �r
ry.153 � ,
2rvu Floor ase' • ' F" rt�t
loth
3 Floor -Additional Section: - • _ . ;! ,
fM�
Mezzanine: Plan Check fee: ','.,":=,:..=,::4_,- . ak,.. ::. ' .
tr
Heated Basement Statefi it , ,. r; r �
W ` r
Unheated Basement . � �,-� � u k �t:' : - - -' - ' — i--;•• -.; - ...;_, ' .,:: :.:-.'::;).414::,o'T--.1t..:. $.,;•:;,,k.,.:4,t1 -i'74,--;..:•!:"
�•
''r ,�r'r`cI I W?fI 14i ( - �3 -
Garage arpo 4 ru air TOT k �e r; + :',
� �4
Decks / lict lrus.ber• • k, ,,� . s tt*,-,Ka
Other ''`0i Number' rESTIMATED COST(REQUIRED) ( $ ChOCk
' :pat¢ V e „
•Fair market value of all labor and materials foundation to finish a{ *.
initial*: u sen^ ..
1,i'76 ef—-0..°) 6d 4 ea'i4 Lk kit. ._ ifs
G:\PeanitCaucr\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc