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Home My WebLink AboutBLD2005-00704 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 #: BLD05-00704 SITE ADDRESS: 212 OSPREY LN Issue Date: 12/19/2005 BRINNON, 98320 Final Date: 5/8/2007 APPLICANT: HEATHER L FRANKLIN PHONE: 206-324-5002 MARTINA M KOLLER JTWROS 127 31ST AVE SEATTLE WA 98122 SUBDIVISION: PULALI POINT PARTNERS LARGE LO Block: Lot: 3+ PARCEL NUMBER: 601185003 Section: 18 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ AIG 500 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/8/2007 al • Buildi g Official Signature 1 Date I:\F_BLD_Occupancy.rpt 10/29/19 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 9836$ PERMIT #: (360)379-4450 FAX (360)379-4451 SITE ADDRESS: BLD05-00704 212 OSPREY LN Received Date 11/10/2005 BRINNON, 98320 Issue Date 12/19/2005 APPLICANT: HEATHER L FRANKLIN MARTINA M KOLLER JTWROS PHONE: 127 31ST AVE 206-324-5002 SEATTLE WA 98122 SUBDIVISION: PULALI POINT PARTNERS LARGE LO PARCEL NUMBER: 601185003 Section: 18 Block: Lot: 3 Township: 26 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC PHONE: (360)765-3749 7425 THORNDYKE RD QUILCENE WA 98376 Contractor's License: SEAHOSI077KS Expires: 1160/17/ 007551 PROJECT DESCRIPTION: NSFR W/A/G 500 PROPANE TANK CALL IN FOR THE REQUIRE N INSPECTIONS T TAP• Y TO YOUR PROJECT. SETBACKS: /_ V UFFER: A d i' Footing: / 4ffo4 4 ; Foundation: ;, 1, • Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Walt' ., -r.� iv,� D Sheathing: - �- ! , Framing: z Plumbing: glralplargiiitriteor kit Propane Tank/Lines: p tTGµ Insulation: E. �( Sheetrock: s E'� .�1n� �_�S� Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL RE*UI I PRIOR TO FINAL THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RE EWEDSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SC Office Hours 9:00 a.m. - REDUCE INSPECTIONS. p.m. HOT LINE AVAILABLE 24 HOURS" A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE UILDING PERMIT APPLIC MLA05-00661 Jeffers *BAM�N Review T on County Department of Community Development ype I 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD05-00704 SITE ADDRESS: 212 OSPREY LN Received Date: 11/10/2005 BRINNON, 98320 OWNER: HEATHER L FRANKLIN MARTINA M KOLLER JTWROS PHONE: 206-324-5002 127 31ST AVE SEATTLE WA 98122 SUBDIVISION: PULALI POINT PARTNERS LARGE LO PARCEL NUMBER: 601185003 Block: Lot: 3 Section: 18 Township: 26 N Range: 01 W CONTRACTOR: SEAHOME SERVICES, INC 7425 THORNDYKE RD PHONE: (360)765-3749 QUILCENE WA 98376 Contractor's License SEAHOSI077KS Expires 11/17/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/A/G 500 PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 450,000.00 MAIN: 1278 ADD'L: 865 HEAT TYPE: PRO CODE EDITION: 2003 OCCUPANCY: HEAT BASE: R 3 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: 892 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: OTHER — BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: u (y 0s fp Type Amount Paid Bv: Date: Receipt: State Building Code $4.50 SLE 11/10/05 77408 A a/•j r a ie/ _ Potable Water Application $53.00 SLE `" 11/10/05 77408 Plan Check $1,919.94 SLE 11/10/05 77408 DEC 19 2005 Permit $2,953.75 SLE 11/10/05 77408 Jefferson County Planning Total: $4,931.19 C^�� & Building Department - .,,aC C1 � �.� • SPECIAL CONDITIONS FOR CASE t BLD05-0070 • 4 1.) 10'water and sewer line separation required 2.) The identified Fish and Wildlife Habitat Area (Type 1 Stream), shall maintain a vegetative buffer setback of 30 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the single family residence. 3.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed single family residence. 4.) The applicant shall fully adhere to all conditions and requirements of the WDFW approved eagle management plan and conditions approved March 17, 1993. This includes being 50 feet back from the OHWM (Shoreline Bluff) and 50 feet from large trees shown of the map prepared for the Eagle Management Plan. No Clearing is permitted within these 50 foot buffer areas. This is reflected on the site plan submitted on November 10, 2005 for the building permit for the residence. No vehicle access is permitted on the pedestrian easement located along the southern edge of the property. 5.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 7.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) 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. 9.) A Stormwater Plan has been submitted and approved b the Development. Once the subject permity Department• lllommunity he aplicant shall implement the provisions of the submitted plan and con ad t t 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. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) There is a 20 foot setback from the edge of the right-of-way for Osprey Lane. There are 5 foot side setbacks. The rear setback is 50 feet from the shoreline bluff per the approved eagle managment plan for the Plat. I:\F_BLD_Perm it_Buildng.rpt 10/29/1999 V . OWNER BUILDER STATEMENT The signer of this statement does herebycertifythey parcel -711V-- I t I ;, that are the Owners of the referenced herein,that they are not licensed con '` ' they will be assuming the responsibility of the General Contractor for the proposed project. and that Signature: ate: NOV� 0 2005 < i, .; , j , GENERAL.CONTRACTOR OR MANUFA TURED HOME INSTALLER: S -��dIYI JFC PHONE: ryr i 1 . FAX•. MAILING ADDRESS: -2,z1 (}) u ' CONTRACTOR'S LICENSEWAINS �'� 1�C� _ EMAIL: NUMBER: (c: :1I (�01) J3 NUMBER �p�, ��U J NUMBER ARCHITECT/ENGINEER: �i — /d�c-/NJ� �C� t PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: ,ArNew ood Existi Shoreline: Type of Sewage Disposal: ❑ Addition p Steel Pro used: ❑ Sewer Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: - Height: ❑ Repair El Masonry individual System ❑ Demolition 0 Other: Bedrooms: SEP Permit# Existing: Setback. Water Supply: T of Heat: Proposed: ❑ Private well ❑ Two Party o p Pr��- Total: 3 ublic Name of System: 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: 3Q 0 ❑ Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ 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 systemcom p nts including the reserve area. components, ISquare Footage For Office Use Only I Current Proposed Main Floor Amount I^7 C, ,� �+14=-Consistency Review: 2—Floor r'S tS 4c d Q 6.5_ T7521 AS'Base fee: 3`°Floor jaj _1'j'� Additional Section: Mezzanine: Plan Check fee: q Heated Basement ` q q4 State Surcharge fee: Unheated Basement ` Pot Water Review fee: Other Unheated S7• co 91 d Approach Garage/Carport �(-� 1t17 �- ' OTAL: $ t 4. 19 Decks S� 24 02*, Receipt Number: --r 7 4.°Other — ash/Check Number: ESTIMATED COST(REQUIRED) �INC �3 *Fair ma et v Date: matedals foundation to finish (l I l p �� `t50 00 c) Initials: G.\PerrnitCenter\F`UR1GTS�DRD FORMS\Master Permit Application 7-8-04.doc �¢goly co JEFFERScOUNTY • ' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT IV I e 2.6u 621 Sheridan Street• Port Townsend •Washington 98368, 360/379-4450 • 360/379-4451 Fax O www.co.jefferson.wa.us/commdevelopment /4x'ING` . MLA: Master Permit Application Project Description(include separate sheets as necessary): 40-c,t) , .y► d 0 Property Number: D Size: (acres/square feet) Tax Parcel � Site Address and/or Directions to Property: 9 I. OS (e-- 1.1600C- CIiIYWik) till ft' Owner(s)of Record: i-t cv c� i1'��'l(J l AtPhe N►� ��`/� Property 3a� _ <�� Fax: email. Telephone:Address: 3l ,s t l t G v c/ Mailing Address: a {� r� Applicant/AgentC�f 'l� 'flov.G.tr� (if differentf� owner): `1551 email: Fax: 36 e 7 b S'" Telephone:360 �7ts$ *rNcl • ./• �-f t�� r,✓ t.� Mailing Address: i:' What kind of Permit?(Check each box that applies) ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Building ❑ Conditional Use[C(a),C(d),or C]** ❑D molition Permit ❑ Discretionary"D"or Unnamed Use Classification �nrag Family ❑ Special Use(Essential Public Facilities)** ❑Garage Attached/Detached ❑ Boundary Line Adjustment ❑Manufactured Home ❑ Short Plat** ❑Modular ❑ Binding Site Plan** ❑ Commercial* CI Long Plat*'` ❑ChangeAddressof Use ❑ Road Approach___ ❑ Planned Rural Residential Development(PRRD)lAmendments** ❑ n _— ❑ Plat Vacation/Alteration** ❑Propane ❑ Shoreline Master Program Exemption/Permit Revisions** ❑Allowed ter Management Use stency Analysis ❑ Shoreline Management Substantial Development** ❑ Stormwater ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance Comprehensive Plan/UDC/Land Use District Map Amendment ❑Temporary Use ❑Jefferson County Shoreline Master Program Amendment ❑Wireless Telecommunication* ❑ Forest Practices Act/Release of Six-Year Moratorium **R-.uires a Pre-A •Ccattion Conference *Ma ��wire a Pre—• � �lication Conference Please identify any other local,state or federal permits required for this proposal,if known: •ESIGNATION OF AGENT for permit(s). G.O. R to act as my agent in matters relating to this application I hereby designate f Date: OWNER SIGNATURE : 4��4 By signing this application Any he owner/agent falsehood or sts omis ion of the material fact made by the ownerr/agenation provided herein,and in any �th respectents,is to this application packet e and correct to the best of his,her or it's knowledge. Any material falsehood or any may result in this permit being null and void. I further agree to save,indemnify and hod harmless erefferson o Countys againstga fl or in lities,judgments,consequenceof the grantingcosts,of reasonable attomey's fees and expenses which may in any way accrue against the sole shall be requested and shall occur for the soe during purposeer of applicationlics I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents review and any required later inspections.Access an. rig t of entry to this property / � /2 � hours. kar Date:Signature: nd action or actions Appl icant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or the makes no assurances to the applicant that the actions that will be undertaken because this endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as"Endaregarding your permit gas e " r"ESA."a Jeeherson County permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species rag 9 t dtes it below. a 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-transfer ble responsibi i for he g anding with the ESA. Date:_C' The Applicant has read this diisdai r and,sig s an Signature: ` �' ( ~� G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1s ORDINARY WATER MAF TOP OF B DEC 1/17 ,..p __ JEPPERSON CCL'Pd'Y 1 SIGN ATUP,Ii._—`. APPROVED 'ORMWATER PLAN EC 15 \I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT SIGNATURE: JUN 21 L Lvu-DPMENT MMIT # BID SCALE 1N FEET LEGEND: O SET REBAR AND CAP, PLS #24225 0 SET HUB AND TACK WITH LATH • FND REBAR AND CAP 5 f TE FLAN SCALE V • 30'-0" NORTH CASC-A JOIN 1401 5ixth E-tr at Bellingham, W, � ),3225 TEL 360.51 119 FAX 360.5 ,l i142 GG91 REci I I ARCI I egory R iJTON i W .A Al 1-- ij� c9D IN Revisions I. to Date: 10-1 -say Drawn: T5 Check: GR File: frank Site o�