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Home My WebLink AboutBLD2005-00337 • • 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 #: BLD05-00337 SITE ADDRESS: 5261 EAGLEMOUNT RD Issue Date: 06/30/2005 PORT TOWNSEND, 98368 Final Date: 6/29/2011 APPLICANT: ROY D GRIZZLE PHONE: ROY D GRIZZLE JTWROS 5261 EAGLEMOUNT RD CHIMACUM WA 98325-9720 SUBDIVISION: 46f3-Wo§tipRT PLAT Block: Lot: PARCEL NUMBER: 801033018 Section: 3 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NEW SFR & 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 6/29/2011 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 #: BLD05-00337 Received Date 05/26/2005 SITE ADDRESS: 5261 EAGLEMOUNT RD Issue Date 06/30/2005 CHIMACUM, 98325 APPLICANT: ROY D GRIZZLE PHONE: 360-732-0577 5261 EAGLEMOUNT RD CHIMACUM WA 98325 SUBDIVISION: J ARNDT SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 801033018 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR& A/G 120 GALLON PROPANE TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBAC KS: UFFER: Footingl iL 7- Foundation:01/ Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Y-} • ;c, Sheathing: 0/Di Framing: 44‹ Z4A>tldi�/d'JS /' 141-D _P 1i t LS d,C�2//o.eet Plumbing: Pi7ABLE�ilr DEC S• ,. I z g_. Ogir Propane Tank/ Lines: Insulation: Aje 5 0/4 Z jd i AL1-5 4` CEr�►,uG 6k /y 08 Sheetrock: Septic Sytem inal Approval(If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/ Occupancy Approval: F.O w-a urn -2't_(I 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 CM# BLD05-00337 • 1.) A level one wetland assessment was prepared by Olympic etland Resources, Inc, and a setback of 100-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland 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. 4.) 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. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Eaglemount Road right-of-way shall be 20 feet. Minimum west property boundary, per site plan, is 170 feet. Minimum east setback from edge of wetland shall be 100 feet. Minimum north setback shall be 5 feet. 11.) 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. 12.) 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 ItUILDING PERMIT APPLICAtON M RLA05 00322 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00337 Received Date: 5/26/2005 SITE ADDRESS: 5261 EAGLEMOUNT RD CHIMACUM, 98325 OWNER: ROY D GRIZZLE PHONE: 360-732-0577 5261 EAGLEMOUNT RD CHIMACUM WA 98325 J ARNDT SHORT PLAT SUBDIVISION: . Block: Lot: 2 PARCEL NUMBER: 801033018 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW SFR & A/G 120 GALLON PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 662 VALUATION 78,666.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 86 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date:4a 7/0 5 Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $846.75 BAC 05/26/05 73215 A p , Plan Check $550.39 BAC 05/26/05 73215 _ State Building Code $4.50 BAC 05/26/05 73215 Potable Water Application $53.00 BAC 05/26/05 73215 JUN LI 20U5 Total: $1,454.64 Jeff County Planning & epartment • eta_reeo ,��S ON Cod JEFFERSO OUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT ` ►C 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �qs O� � www.co�t .jefferson.wa.us/commdevelopment MAY 2 6 2005 $INS. Master Permit Application MLA: �5 -,J aa - Project Description(include separate sheets as necessary): - " _. 7INC4 cr'l1 i7lL,! APS i rf ifA Tax Parcel J Property Number: ;�a 103-3 �I O Size: 5 , (0 2_. (acres/square feet)_ Site Address and/or Directions to Property: V (ci, t 116 L.FT ill 0 4?N T 1�) ' Property Owner(s)of Record: R6 Li 17, C I R TZ.Z I.,c �C,k--) -DAL/i i' C)Z fe 2-L Telephone: 34 0 - 7 32". - Z!5 7 7 Fax: email: Mailing Address: ,'j„L / )C 6 az-t L/B cr/(i % )2 b, chli nificuM , 91 j L Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) k1 Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or Cj** N 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-14.1:1944-filrrte-cm-0 Planned Rural Residential Development(PRRDyAmendments** ❑ Propane ❑ 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* ❑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 ampss a right of e try to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir d la • 'ons. ss and right of entry to this property shall be requested and shall o ur onl 'during regular business hours. Signature: Date: , '2 sr. 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 issu will n viola the ESA. y individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re. . ce with the efferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer r i or a 'n to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ?2,,,,,..:,r� Date: Z 'O S _ :\Pennitanter\F S\DRL O kt\laster Permit Application 7-8-04doc • 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 assumi the responsi ility of the eneral Contractor for the proposed project. Signature: Date: ' 1 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: MgX:2 6 ( ) ( ) 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: kg, New ,t4 Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: l- Bank ❑ Community System 1 ❑ Alteration/Remodel ❑ Concrete Total: / Height: IX Individual System ❑ Repair ❑ Masonry SEP Permit# 749.17S- Bedrooms: Water Supply: ❑ Demolition ❑ Other: pp Y: Existing: Setback: ;i4 Private well ❑ Two Party Type of Heat: Proposed: / ❑ Public l LG,c`b ;k 7(;=C j R)c_ Total: / Name of System: If this is a Commercial Protect 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 g1 Above ground Tank Size of Propane Tank: 1 Z. ❑ Heat Stove yi Cook Stove :Woodstove ❑ Fireplace Insert fer, Hot Water Tank ❑ Pellet Stove ❑ Other 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 Use Only - ' ' r�4 1.51' Current Proposed Amount 4{.es Review: - -m Main Floor �,k 7r ��'�.3�,Consistency _ � � �� lr�� { mnY 2 Floor i L Base fee: , / `I S 3f 3 Floor Additional Section: 1\1 ,t, Mezzanine: \ Plan Check fee `;"an 4 f' ki '' rile hr to µ ,' 4 ;. Heated Basement State Surcharge fee: �� ' , �i 1 Unheated Basement Pot Water fee 1 �.,1 , eh a r -' m \ ra pe a a.: F sue. @ 'fit Other Unheated \ \ 911/Rd lfQe 6,,r � ; . '� aAls- Garage/Carport 1 c� °. r I\ TOTAL $ 1 cc 6/Trr'�cL� �,PC// of Q Receipt Number y y,,,, '. "540-,,_1, Other r�4C h/Chei 1Ut r: . ' ESTIMATEDPk \ \- rl-S,(vie SI Mate: COST(REQUIRED) , �p 4��" •Fair market value of all labor and materials founds L' p� ' Initials: a Ll 3 IL C`J • _ . .. G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc