HomeMy WebLinkAboutBLD2005-00635 ! •
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#: BLD05-00635
SITE ADDRESS: 110 CRESSEY LN Issue Date: 04/18/2006
PORT LUDLOW, 98365 Final Date: 12/21/2006
APPLICANT: TROY A KAUFMAN PHONE: 360-782-4355
JUANA L NELSON
2612 E 16TH ST
BREMERTON WA 98310
SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 38
PARCEL NUMBER: 990400138 Section: 9 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NEW SFR W. ATT. GARAGE
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUR-3__=
TYPE OF CONSTRUCTION: < 5N
SPRINKLER SYSTEM yesC no m
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON
12/21/2006
'Bail i 'a SI natur Date
I:\F_B LD_Occupancy.rpt 10/29/19
Review Ty�UILDING PERMIT APPLICA�JN ML Ty 591
pe:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00635 Received Date: 10/3/2005
SITE ADDRESS: CRESSEY LN
PORT LUDLOW, 98365
OWNER: TROY A KAUFMAN PHONE: 360-782-4355
JUANA L NELSON
2612 E 16TH ST
BREMERTON WA 98310 PORT LUDLOW NO 1
SUBDIVISION: Block: Lot: 38
PARCEL NUMBER: 990400138 Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: REALITY HOMES INC PHONE: (253)926-6330
1308 ALEXANDER AVE E
FIFE WA 98424
Contractor's License REALIH1984CN Expires 2/15/2006
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW SFR W. ATT. GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,024
VALUATION 120,000.00 ADD'L: 979 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES: 2
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 400 SHORELINE:
CONST TYPE: DECK: 48 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: 4 Exist: 2
Prop: 0 Prop: 0
Total: 4 Total: 2
Routing Date:/0 ///O5
Type Amount Paid By: Date: Receipt: roved/D,ate
Total: APR l8 2006
Jefferson County Planning
& Building Department
• •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD05-00635 Received Date 09/30/2005
SITE ADDRESS: 110 CRESSEY LN Issue Date 04/18/2006
PORT LUDLOW, 98365
APPLICANT: TROY A KAUFMAN
JUANA L NELSON PHONE: 360 782 4355
2612 E 16TH ST
BREMERTON WA 98310
SUBDIVISION: PORT LUDLOW NO 1
Block: Lot: 38
PARCEL NUMBER: 990400138
Section: 9 Township: 28 N Range: 01 E
CONTRACTOR: REALITY HOMES INC
1308 ALEXANDER AVE E PHONE: (253)926 6330
FIFE WA 98424
(23)
Contractor's License: REALIH1984CN Expires: 2 15/20086 8515
PROJECT DESCRIPTION: NEW SFR W. ATT. GARAGE
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: O 5,:bj)-/d 6
UFFER:
Footing:Di(' c- ppj
Foundation: pk 4 05/44 Al"
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation: 0/
Shear Wall : ()j( 7/3Pi/4 Eicr 4q' ps OK �/9i�4G+r
Sheathing: `
Framing: t/iC iiw. ne.. ..,adieu -7/j/e,A. w/o#ddhan 4/04y
Plumbing: 422 )2 SUPPLY SYSTA4 Ok. hfr„Az p S M).t/ e K 1//04
Propane Tank/ Lines:
Insulation: AR_ SeAL O . D
£O / ,tt / /
Of/0 / o» 1 7 01 ir7�ris dr(�i�) �iSrldrticv� (.�POWx �Sheetrock: ol�
Septic Sytem Final Approval MU T be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: ().---QD--t5U F,
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
______.....................m
SPECIAL CONDITIONS FOR CAE -
5* BLDO 00635 •
1.) The project shall adhere to the Best Management Practices
erosion and sediment during construction.
stabilize soil den during BMPs shall address perm) anent
a control measures tter,
and drainage control systems construction, and in the design and ermanent to
2.) An Engineered Site Plan prepared byoperation of stormwater
by the Department of Communitypar ADA Engineering
the applicant has been submitted and a
shall fully implement the provisions of the submittedplanapproved
Development. Once the subject permit has been issued
Jefferson County Department of Community Development
inspect the property for plan compliance. and contact the
inspilect
the De p A Certificate of Otcocupan arrange a schedule issuedto
occur thearom Department
veiterifies
llancompliance.
No clearing for tionroadways
em ora ties shall
sedimentation and erosion control measures have been completed.
3.) Outdoor residential storage shall be clearing necessary for the installation of temporary
fire, safety, healthresidential
lo sanitary maintained in an orderlyp d
4.) Not more than two (2) hazard. manner and shall create no
unlicensed or inoperable vehicles shall be stored on anylot
than one-half acre unless totally screened from view of neighboring
rights-of-way. less
Y Such screening shall meet all applicable c Inc dwellingsd and
standards specific to the district in which the storage is kept, and
the character of the area. performance and development
Code (UDC) Screeningshall be in keeping ant
Section 6. shallg meet the requirements of Unified Development
with
is Sein 6.e Out do r storahose ge
of districts wherespecified vehiclesyard junk prohibitedor salvage) ( ) or more automobileunlicensed inoperable
and such storage(or s shall )meetr the dr allowed
d as of UDCpciUed ins an Table 3-1 f wrecking
9 yard and allowed as a Permitted Use 3-1 of the UDC,
such unlicensed or inoperable vehiclesbe stored in an Environmentally
Section e case, shall any
5.) Maximum lot coverage is not to exceed 45%. Sensitive Area
impervious surface which includes roof tops, driveways,Lot coverage is defined as amount of
6.) The building height is not to exceed 35 feet. y concrete, etc.
7.) Exterior lighting for residential uses shall not exceed twenty
finished grade, excepting
Ground level lighting isn when such lighting is an integral part
a building') in height from the
8.) Lighting fixtures shall be designed and hooded to preventpart of a
directly visible from outside the boundaries of the or structure.
l lighting, the light eosrce from being
during construction and after project completion shall not adversely
use of surrounding properties or adjoining rights-of-way.property. The intensity or brightness of
9.) Minimum setback from Cressey Lane right-of-way affect the
rear yard setbacks shall be 5 feet. c Y shall be 20 feet.
10.) A minimum of two Minimum side and
residence. (2) on-site parking spaces shall be provided for the single family
11.) Per MPR Code Section 3.17, Accessory Dwelling ,
MPR-SF
zone. Units (ADU s
) shall not be allowed in the
1•1F_BLD_Permit_Buildng.rpt
10/29/1999
• OWNER BUILDER STATEMENT III
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:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
C 1 /"/o Alf 5 /4,c (Zs') ) 7..26- 633o ( )
MAILING ADDRESS: /~.l?Qg i G/ ,(Aki DER 9 t/ e EMAIL:
CONTRACTOR'S LICENSE �,.cF, (N- 4 .,e z-io'2 Z1 WAINS
NUMBER: /?E.ALZy2 `1 `fCN NUMBER
ARCHITECT/ENGINEER: �) O PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New Wood Existing: 1- 9(Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total- 'j- Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: 'y Water Supply:
Existing: "I Setback: [7 Private well [1 Two Party
Type of Heat: Proposed: /),('Public
,tL,.=Gii21 c- Total:
Name of System:
,Cv,t Ail C f
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:
[7 Underground Tank ❑ Above ground Tank Size of Propane Tank:
L] Heat Stove Li Cook Stove ❑ Woodstove [i Fireplace Insert [ ! Hot Water Tank 11 Pellet Stove [7 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,
includin the reserve area. _ ____ —
Square Footage For Office Use Only ,
Current Proposed Amount
Main Floor Consistency Review:
N� /6; 1 °I) ,/ SEP 3 0 2005 i C'�t
2N Floor 7 7 A ,o, �7 ri i Base fee: j r�
3 Floor Additional Section:
.. ,. F 1.1ENT 1
Mezzanine: Plan Check fee:
lOoG . 36
Heated Basement State Surcharge fee:
Unheated Basement Pot Water Review fee:
Other Unheated 911/Rd Approach fee:
Garage/Carport /r / a - `
'!0 l o% TOTAL: $ a 2(4 l-
Decks
Receipt Number: r l'7o 1 l
Other Cash/Check Number:
/o a c A 4r8' I l3 3� 31017
ESTIMATED COST(REQUIRED) te:
*Fair a et value of all labor and materials foundation to �� lit,1 30`O5
/ad c,GV •I Is:
G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
�4",¢ x so coc, JEFFERSON RUNTY •
440 j DEPARTMENT OF COMMUNITY DEVELOPMENT _ ___ -
621 Sheridan Street • Port Townsend •Washington 98368 r 1
360/379-4450 • 360/379-4451 Fax
4:/& 0p/ www.co.jefferson.wa.us/commdevelopment
HzNSEP 3 0 2005
Master Permit Application MLA: 05- 5° U
Project Description (include separate sheets as necessary): _�WENT
Tax Parcel Property /
Number: �'�OyOO/38 Size: /�Acg (acres/square feet)
Site Address and/or Directions to Property: (/ e r l--I // L i.)/-G r` , Le:)(e. - /l); -
Property Owner(s)of Record: / 7 i/E'/(./ / /- //1 ,! )l/�C�(. /C_e- f ifs/,56)J
Telephone:3th' 7,f'v7- 4/3 Fax: email: Jt'i?,7%?�'C/L.f 1 p k�
Mailing Address: t/;► a / (,2t . 1- i(we?r- /
i'/ ; L'Ji, c,' _
%/) a pc .<«r
Applicant/Agent(if different from owner): C'67ve` 7s7.%/S
Telephone: "25.3 -.23 2- 8215 Fax: email:
Mailing Address: Sa 9 £'ft/ c•,' .9v6 Ali L` act 42 /pv'/A-hi-u P• (NA. !$3 7 Z
What kind of Permit?(Check each box that applies)
Building [l Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
,Single Family I Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
❑ Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ' D. Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat*`
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ 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:
n DESIGNATION OF AGENT
I hereby designate (_//(; f�/�/� to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE C trf( t 1 ( / / / Date: J ( ()
By signing this applicatio 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any r 'ed later inspections.Access and right of en to this property shall be requested and shall occur only during regular business
hours. / ke Signature: ( ��//� / /- " -} Date: y /f '0.3
The action or ac s 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 yo are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfe le po ibi/li� r ad eeng to and complyin with the ESA. The Applicant has read this disc er and signs and dates it below.
ilSignature: / /G / / 12P7) Date: W.— I ( -0
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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VICINITY MAP
10 0 10 20 3p
Scale: ,- _ 10•
LEGEND
PROPERTY LINE
ADJOINING PROPERTY LINE
— - — - — - — - — CENTERLINE OF ROAD
— — — — RIGHT—OF—WAY
SEWER LINE
WATER LINE
— — — — — CONTOUR LINES
SB SB SD STORM LINE
CLEARING LIMIT
SOUTHERN STORM PIPE CONVEYANCE PROFILE
I SCALE i
' HOR. 1"-50'
VERT. 1"=10'
250
--- - s - -- -
I
250
I i
F06TING DRAIN TE� ;
STA 0+84.4f
2.9W
IE4�7
240
EXIS_
240
A 1�07.08
IE-232 28'-STORM
230
PIPE CONNECTING
`` PoNTGoIPRTOgpE DISCKARGE230
3' I
(IN).'(DPT)
8, 8"COR. HDPE 01.60
i
220
•
I
0+00
0+50 1+00 1+50 2+00 2+50
220
CB #1, TYPE 30
-E
OIL/WATER SEPARATOR
NOT TO SCALE
37
HDPE 90' BEND
NOTE:
FOR INVERTS AND TOP ELEVATIONS
SEE INVERT SCHEDULE
A.D.A. ENGINEERING
P.O. BOX 847
POULS, WA870
36633
PHONE ((3360) 779
B.L PHONE (206) 542-6123
FAX: (380) 779-7031
SD040.DWG
I S 84°41 00 " E 130.010,
C — — tx . �^ -
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� NI
NI
of
L? D_ZIVEWAY
a,
`DITCH
I PIPET CROSSING_,___�
---4 I
CB # 1, TYPE 30
RIM=235.03'
IE=233.70'(IN)
IE=233.37'(OUT)
W/BEE-HIVE GRATE &
FOSSIL FILTER INSERT &
OIL/WATER SEP
DESCRIPTION
ARATOR
-A 8 HOUSE
40'X24' >
QD
I I,I
GARAGE
> 20'X20'
' I
4"FOOTI�G DRAIN
MIN. 2�
COR OP 62.0'
4 , 4 FOOTING DRA 01. 41 p�
@ oIN. 2%
i
CDS 84°41 00 I E 105.0'
0
FOOTING DRAIN TEE-/
STA 0+84.46
IE=232.90'
5 STUB, 6 (MATERIAL TO
BE FURNISHED & INSTALLED
BY OWNER OF LOT 39) FOR
FUTURE CONNECTION TO HOUSE
WI ASSESSOR'S PARCEL NO.
990-400-138;
I" LOT 38 OF PORT LUDLOW N0. 1 ,
n
NlIo AREA 1 AS PER PLAT RECORDED IN
SIN VOLUME 5 OF PLATS.
0
z ON PAGE(S) 26 THROUGH 32,
� RECORDS OF JEFFERSON COUNTY.
NOTE:
SITE PLAN AND CONTOURS
PER OWNER.
0
n
i
�Z
DRIVEWAY SECTION
NOT TO SCALE
8"COR. HDPE
V SEPARATION
WATER LINE
L
36
,END Sta = 1 +47.41
CROSSING
NOT TO SCALE
REVISED SI PLAN
dated '/,' ,/
Has been APPROVED &u l&
427 8"COR. HDPE @ 2%
(TO BE INSTALLED BY OWNER
OF LOT 39 WHEN HIS STORM
SYSTEM IS INSTALLED)
TO BE INSTALLED TEMPORARILY
I NTIL STORM SYSTEM ON LOT
IS INSTALLED.
Fl>�'9� 3 APRp, 2008
35
REVISED 4/12/06 PER CONVERSATION WITH DICK REGAN 2/8/06.
TROY KAUFMAN
DRAINAGE PLAN
LOT 38
IN THE PLAT OF PORT LUDLOW NO.1, AREA1,
SITUATE IN THE SW 1/4
att;I IUN 9, IUWNSHIP 28 N., RANGE 1 E., W.M., JEFFERSON COUNTY, WA
adollc@earthlink.net
P.O. BOX 847
A.o.a POULSBO, WA 98370
PHONE: (360) 779-6633
A.D.A. ENGINEERING, LLC B.I. FAX: (360PHONE: ) 7 879-0317031 3
DRAWN: LDT
CHECKED: HAA
SCALE:
1.,=10'
jOB ND:05—E5335
DESIGN: LDT
DATE:JAN. 2006
SHEET
i OF 2
1 FILE NO.: 100.9