HomeMy WebLinkAboutBLD2006-00531 •
B ILDING PERMIT APPLICATION BLD06-00531
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00531 Received Date: 9/14/2006
SITE ADDRESS: 5523 SR 20
PORT TOWNSEND, 98368
OWNER: NANCY L ROWE PHONE: 360-385-3818
480 ADELMA BEACH RD
PORT TOWNSEND WA 983689280
SUBDIVISION: Block: Lot: T 7+
PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: KNIGHT FIRE PROTECTION INC PHONE: 360-417-0505
2504 W 19TH ST
PORT ANGELES WA 98362
Contractor's License KNIGHFP044LK Expires 5/24/2008
REPRESENTATIVE: MARK DORY PHONE: 360-417-0505
2504 W 19TH ST
PORT ANGELES WA 98362
PROJECT DESCRIPTIOI NEW RESIDENTIAL FIRE SPRINKLER SYSTEM - NO MLA REQ'D
TYPE OF WORK NON SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 4,800.00 ADD'L: HEAT TYPE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
RouinigDalt
o
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $139.25 LYK 09/14/06 84910
Plan Check $90.51 LYK 09/14/06 84910
State Building Code $4.50 LYK 09/14/06 84910
Total: $234.26 0C1 5 2006
BUILDING PERMIT a
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00531 Received Date 09/14/2006
SITE ADDRESS: 5523 SR 20 Issue Date 10/5/2006
PORT TOWNSEND, 98368
APPLICANT: NANCY L ROWE PHONE: 360-385-3818
480 ADELMA BEACH RD
PORT TOWNSEND WA 983689280
SUBDIVISION: Block: Lot: T 7+
PARCEL NUMBER: 901051004 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: KNIGHT FIRE PROTECTION INC PHONE: 360-417-0505
2504 W 19TH ST
PORT ANGELES WA 98362
Contractor's License: KNIGHFP044LK Expires: 05/24/2008
PROJECT DESCRIPTION: NEW RESIDENTIAL FIRE SPRINKLER SYSTEM - NO MLA REQ'D
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS:
UFFER:
Footing: /
Foundation: Doe( � Ts( Q /0' (1 ` d(o
Stormwater FINAL Approval: /
Underground Plumbing: CA( C
iktf
Underground Insulation:
Shear Wall :
Sheathing:
Framing:
Plumbing:
Propane Tank/ Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: 6- -,- )
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
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
Thomas L. Aumock
Consulting Fire Code Official
2303 Hendricks Street, Port Townsend, WA 98368
Office : (360)385-3938 Email: taumock(a,co.jefferson.wa.us Cell : (360) 643-0272
MEMORANDUM
To: Plans Examiner, Jefferson County Department of Community Development
Dt: 29 September 2006
Re: BLD06-531, Single Family Residence Automatic Sprinkler System, Rowe, 5523 SR20, Port
Townsend
Cc: None
This office is in receipt of the set of plans for the above-referenced proposal from your office.
The above-reference proposal was reviewed by this department relative to the below noted
jurisdiction/sources:
• International Fire Code,2003 Edition, Chapter 9, Section 903.3.5.1
. Washington Administrative Code Chapter 246-290-490
. American Water Works Association Cross Connection Control Manual
• Jefferson County Coordinated Water System Plan
. NFPA 13R, et al
• International Plumbing Code, Section 608.3
The following constitutes this plan reviewer's findings and determinations based upon the plans of record
submitted.
Findings&Determinations:
1. Occupancy Class: The proposal was reviewed a as a Group R, Division 3 occupancy with an assumed
Type V-B construction classification; and,
2. An automatic fire suppression system (sprinklers) is a voluntary installation of the proponent
proposing a residential fire sprinkler system from domestic water supply, and ;
3. The total number of sprinkler heads shall be less than twenty [20] heads on any single connection,
and;
4. Valves shall not be installed between the domestic water riser control valve and the sprinklers, except
when an approved indicating valve supervised in the "open" position in accordance with International
Fire Code Section 903.4.
5. Structures or properties served by water supply from a public service main that are found to not have
back-flow prevention check-valve assemblies shall be retrofitted with the same if separate sprinkler
system service lines are installed. The installer shall assure that the new 2" domestic service line has
cross-connection control, and;
6. Any water system provided with a check valve, backflow prevention, or pressure-regulating device
which does not have a bypass feature at its source, shall be provided with an approved, listed, adequately
sized pressure relief valve or means to control expansion as required by the International Plumbing Code.
. •
7. Back-flow prevention for the automatic fire sprinkler system is found to be consistent with
Washington Administrative Code Chapter 246-290-490, and;
8. The double check-valve or other assemblies shall receive routine confidence test and recordation
along with the sprinkler system consistent with State health standards and the American Water Works
Association Cross Connection Control Manual recommendations, with a copy of the report provided to
the water system purveyor when applicable, and maintained by the building owner, and ;
9. The automatic fire sprinkler system is found to be designed, and certified by a licensed technician
(W.A.C. 212-80), and;
10. A complete set of as-built drawings of the system shall be maintained by the building owner on
premises, and;
11. All above-ground piping and appurtenances shall be in spaces where a minimum 40-degree ambient
temperature is maintained at all times.
Any other applicable or relevant sections of the noted Codes not covered herein shall nonetheless apply to
this proposal.
It is the administrative recommendation of this office that the proposal be approved subject to the
aforesaid requirements.
1.5 hours is to be logged as plan review for this proposal.
,sOSEND pi, QpRr b,..
_ y
ii � City of Port Townsend :- �
7S17771.1 �1- '�= Fire Department
rl & n Office of the Fire Code Official 9'`ckW"
1256 Lawrence Street, Port Townsend, WA 98368
(360)344-4607 Email:taumock@co.jefferson.wa.us Fax: (360)344-4604
Fire Sprinkler Systems From Domestic Water Supply
Document Date: April 19,2006
Jurisdiction/Sources
• International Fire Code, Chapter 9, Section 903.3.5.1
• International Plumbing Code, Section 608.3
• NFPA 13, et al
• Washington Administrative Code Chapter 246-201-200
• American Water Works Association Cross Connection Control Manual
Rules and Procedures
The following is the procedure for sprinkler applications in residences, and for occupancies where the
sprinkler supply is proposed from domestic water supply.
1. The total number of sprinkler heads shall be less than twenty [20] heads on any single connection.
2. The domestic service shall be capable of supplying the simultaneous domestic demand and sprinkler
demand, as required to be hydraulically calculated by NFPA 13, 13R, or 13D.
3. Valves shall not be installed between the domestic water riser control valve and the sprinklers, except
when an approved indicating valve supervised in the "open" position in accordance with International
Fire Code Section 903.4.
4. Back-flow prevention shall be accomplished with the following devices, unless determined otherwise
under the jurisdiction of the International Plumbing Code, and, in the order of City preference:
• Double check-valve assembly--DCVA
• Double check detector assembly—DCDA
• Residential single-check valves are not allowed.
5. The back-flow prevention device or other installed assemblies shall receive annual confidence test
and recordation in conjunction with the sprinkler system. A copy of the report shall be provided to the
City of Port Townsend Public Works Department.
6. Structures or properties served by water supply from a public service main that are found to not have
back-flow prevention check-valve assemblies shall be retrofitted with the same if separate sprinkler
system service lines are installed.
7. Any water system provided with a check valve, backflowprevention, or pressure-regulating device
P g g
which does not have a bypass feature at its source, shall be provided with an approved, listed, adequately
sized pressure relief valve or means to control expansion as required by the International Plumbing Code.
G:\FIRE CODE OFFICIAL-FILE CABINET\Fire Code Official-Policy Papers\Sprinklers\Sprinkler Systems With Domestic Water Supply
Rules-IFC.doc 10/20/2006
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23 1�W� L`� JEFFERSONCOUN111BCD
1
s •
,+ " % JEFFERSON COUNTY
\ 4 DEPARTMENT OF COMMUNITY DEVELOPMENT
''4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
4. www.co.jefferson.wa.us/commdevelopment .
�`rFIIN��
Master Permit Application MLA: no ntkA_
Z-,i
Pro'y�ct Description(incl a separate sheets as necessa ):
Tax Parcel Property
Number: C+ 0( (� (,,L' Size: (1-Z (acres/ quare feet)
Site Address and/or Directionsl to Property: --•.5 � 3 • I l tw c; Z 0 — b� 1 4
u.� N � l'� �< ..L�'l .li ��`I
Property Owner(s)of Record: 1`t L . /�;)"o b y C . I l�'L O Lt... P
Telephone: 3 ( . (i — 3'RV"—,n-/ Fax: j(;n••,7 ys" - 7 037 email:
Mailing Address: yfr0 tide imo L '(- L it RC(?- !'� `7-7bt.0 �Vn.1 ifd te,9 �y kJ(c.�''
Applicant/Agent(if different from owner): ? ' ` ' f
Telephone:C3100) 4'l--1-d t-ax.(3hQ!;yi '2- ;7sj email:
Mailing Address:
W>at kind oi Permit?(Check each box that applies)
Ot wilding v.)121744'01. '5)24 Syglowd4 ❑Variance(Minor, Major or Reasonable Economic Use)
d Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
d Single Family ❑Discretionary"D"or Unnamed Use Classification
Q Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
Q Manufactured Home °Boundary Line Adjustment
El Modular °Short Plat**
Q Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address i Road Approach liPlanned Rural Residential Development(PRRD)/Amendments**
R Propane OPlat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment
OForest 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:
/
{� L_cam DESIGNATION OF AGENT
I hereby designate� r )i"ii( ,� to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE )1-. -4/ e y ' • & 4J Date:J.3 S1lr1'1 Uo 6.7
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 attorney'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 inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the lication that he or. she ant nor notice.
11t.�Signature: ' 4.—e.c� AG�4."-t' Date: /3 S-,2-7 Jr: 2 CO
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 ferable response ili�ty for a ring to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: /. c?C r / Date: /3 -t.�f - 2 00 6
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
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:
GENERAL CONTRACTOR OR M NUFACTURED HOME INSTALLER: PHONE: FAX:
VA)/ T 'Rae s1# ) LL (3)0) 417-00 l s
' No)L1- zr7
MAILING ADDRESS: ' the S EMAIL: mi)&r/r f Q Ter,a 1/,�Li
CONTRACTOR'S LICENSE WAINS C�
NUMBER: ii NUMBER
ARCHITECT/ENGINEER: CT PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New 0 Wood Existing: ❑Sewer
❑ Addition ❑ Steel Proposed: Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: ❑Public
Total: Name of System:
0
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 0 Above ground Tank Size of Propane Tank:
O Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank In Pellet Stove p 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
2nd Floor Heated Consistency Review:
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee:
OIp .51
Unheated Basement State Surcharge fee: �(•
5)
Other Unheated Pot Water Review fee:
�-1
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee: �y
Other TOTAL: $ a3t .
Receipt Number: Ib
Cash/Check Number: C71
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish
C4- Initials:
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc