HomeMy WebLinkAboutBLD2007-00003 CERTIFICATE OF OCCUPANCY
Jefferson County Department cf Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD07-00003
SITE ADDRESS: 100 FLEET DR Issue Date: 04/25/2007
PORT LUDLOW, 98365 Final Date: 4/8/2008
APPLICANT: CHERYL A SHAW PHONE: 206-282-2435
MARY L GORDON JTWROS
1417 QUEEN ANNE AVE N STE 211
SEATTLE WA 98109-5750
SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 104
PARCEL NUMBER: 990603104 Section: 8 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/ GARAGE ATTACHED BY BREEZEWAY
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 4/8/2008
I:\F_BLD_Occupancy.rpt 10/29/19
!UILDING PERMIT APPLICAN MLA07-00009
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00003 Received Date: 1/9/2007
SITE ADDRESS: FLEET DR
PORT LUDLOW, 98365
OWNER: CHERYL A SHAW PHONE: 206-282-2435
MARY L GORDON JTWROS
1417 QUEEN ANNE AVE N
SEATTLE WA 981095750 PORT LUDLOW NO. 2 AREA 3 104
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 990603104 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: C.D. GALLUP PHONE: 800-888-8715
3726 PACIFIC HWY E
TACOMA WA 98424
PROJECT DESCRIPTION NSFR W/ GARAGE ATTACHIED BY BREEZEWAY
TYPE OF WORK RES SQUARE FOOTAGE: `—
TYPE OF IMP NEW VALUATION 21 MAIN: 1,133
0,000.00 ADD'L: 401 HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: R 3 UNHEATED: #OF STORIES:
OCCUPANCY: nc�
CONST TYPE: 5N OTHER: a SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: 509 BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,609.75 LYK 01/09/07 87154 APPROVED
Plan Check $1,046.34 LYK 01/09/07 87154
State Building Code $4.50 LYK 01/09/07 87154 APR '1 2007
Potable Water Application $58.00 LYK 01/09/07 87154
Jefferson County Planning
Total: $2,718.59 &Building Department
Jefferson County Building Division Permit Number: BLD07-00003
Applicant: AW
BUILDING PERMIT INSPECT O N APPROVALS applicable Code: 03 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks
✓ Onuses 0IC($2E/wkSLy 12.0VtEuEo gY WAX L-I_69
Erosion Control
APPRG+At iZEAmeED FO.P t U•7okL►•IscAJ
Foundation Footing 164
l�(tfil' \ — ( 'Vik4' /�'
/i /o7 { ( garsE b(� )ftEta SLI OPP Sir LJaoE 6-t-v7)
Footing Drains
Foundation Stem Wall
6/i67ill/ � Eokr
Underground Plumbing / ityA
Under Floor Framing
GAL. tg #;k54r O.
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
?Pi jot #11 1741Gro3
Rough-in Plumbing
Framing /0 4 VG 7 A
Blocking /0 1117 A/
Airseal i f 11/07
Insulation:Walls
2/27/oe ' Gem F!C/9T6"
Insulation: Floors n,�i
2/27/0i 09 CGe-TIFICAlie
Insulation: Ceiling
Ifr7/0ff Pt 6ekl[FICAtt
Int.Shear Wall Nailing
IJ/A
Wallboard Nailing
3/4/Di5 0
Gas Line: Interior ^
(.EGMAESIED to AS__C4LEC IC Fehm e ENE)G
Gas Line: Exterior
N/a
Propane Tank 3/4/D15
gi
Heat/Chimney Clearance 3 /�/of, g
Drywell/Alt Drainage / l
07/op
gii
Address Posted V27/0$ D4.,
FINAL INSPECTION 4/8/4B OK -clef- 0
FINAL INSPECTION MUSTl ____ BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD07-00003
1.) PROPONENT SHALL FOLLOW THE STORMWATER MANAGEMENT MANUAL FOR
WESTERN WASHINGTON 2005 VOLUME 3.1.3 PERFORATED STUB-OUT
CONNECTIONS (FOR TIGHTLINING TO COUNTY DITCH LINE (ATTACHED).
2.) All stormwater from patios and/or sidewalks shall be dispersed of on site. The driveway
shall be at such a grade as to allow the stormwater to enter into the county road ditch and
shall not be allowed to drain onto neighboring properties.
3.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas (ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
4.) The applicant is proposing to create or add 3330 square feet of impervious surface and
3593 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements #1 through #5
of the Department of Ecology Stormwater Management Manual for Western Washington.
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
5.) A Stormwater Site Plan for the medium project 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.
6.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i).
7.) The revised site plan as submitted on April 12, 2007 has been reviewed for consistency
under the UDC, and has been approved by Jefferson County Department of Community
Development. Any modifications, changes, and/or additions to the stamped, approved
site plan dated April 25, 2007 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
8.) This approval is for a single family residence with garage attached with breezeway only.
Any future permits on this site are subject to review for consistency with applicable codes
and ordinances and does not preclude review and conditions which may be placed on
future permits.
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 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
11.) Minimum setback from Fleet Drive right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
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.) 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.
14.) The building height is not to exceed 35 S411
15.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The parcel has been designated as MPR SF4:1 under the Jefferson County
Comprehensive Land Use Map effective August 28, 1998.
17.) The lot was created through the Port Ludlow No. 2 Area 3 Subdivision on May 19, 1969
under AFN 200294.
18.) An address of 100 Fleet Drive, Port Ludlow has been assigned to the lot. Fleet Drive is a
county local access road (C540509).
19.) A road approach permit(RAP07-00001) will be issued with the building permit.
20.) The lot is served by Port Ludlow water and sewer.
21.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
22.) Per MPR Code Section 3.17, Accessory dwelling units (ADU's) shall not be allowed in the
MPR-SF zone.
III 0 1' •-•,, ,14-( •,,F4 - A
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(NCI
�oe> JEFFERSON COUNTY
\1 a, DEPARTMENT OF COMMUNITY DEVELOPMENTJAN092007`4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-445 Fax'.13 www.co.jefferson.wa.us/commdevelopment [ l,() , 'j �+�a�� jt(i`
Master Permit Application MLA: 0'7'�X0 J(1i
Project Description(include separate sheets as necessary):
A(611.) S/-:7-E. ) /7 7Y 4TigC%716. ' C97.4iz!,eyy
r Tax Parcel Property
Number: Q qQ-- (, 7 — Mg Size: /2J 789. (acres/square feet)
Site Address and/or Directions to Property: >c< ' A-L c r- .Dit/d6 G c T /c4
• Property Owner(s)of Record:C h F..Ir't('I ,'S`'k Marl+ 1 Ql.Li ('Xirti c./k)
• • Telephone: Lib a 8 - .4 3S Fax: email:
• Mailing Address: %'7// "f �-i Veen _41-Ink . Ave. . H'I 424 I , Jea.ft Ie I WA qg/D/
Applicant/Agent(if different from owner): .., 47, -'f}G- -cJ'
Telephone: gbo -5gif—$7/ $ Fax: 253 'TZZ - 7351 email: 4 Acc vP a f64. c' ... co ,
Mailing Address: .r?0‘ PA 1 Fi c (-AA)(-AA),f 4• �C. A ctn . £ . qV f2 ZJ..
What kind of Permit?(Check each box that applies)
6C'Building ❑Variance(Minor,Major or Reasonable Economic Use)
El Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
IF'Single Famil °Discretionary"D"or Unnamed Use Classification
l Garage ttach Detached ❑Special Use(Essential Public Facilities)**
Q Manufacture Tome 0Boundary Line Adjustment
ID Commercr ialrcial* ciShort Plat**
Binding Site Plan**
Q Change of Use C ILong Plat**
Q Address l Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
Propane OPlat Vacation/Alteration**
DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
OStormwater 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:
c�i9��S �,DESIGNATION OF AGENT
I hereby designate fk.c.u/'to act as my agent in matters relating to this application for permit(s).
• OWNER SIGNATUR ( i 1/ /! 'l t"X, Date: 12-I'f Ok., /;,I Pilo oL
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 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 application Mt h r she wants p' r notice.
Signature: __. 1 #. _;.4 2, Date:
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-transferable respopsthility f dhe' to and complying with the ESA. The Applicant has read this disclaimer d signs and dates it below.
L
Signature: ,c• `r v 7 --'mil Date: / v/7
D:\PetmitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
ill •
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 tf e re onsibility of the neral Contractor for the proposed project. /p
Signature: Date: // 7A 7
GENERAL COlITRACTOR OR-M UFACTURED HOME INSTALLER: PHONE:/// FAX:
( ) ( )
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:
(a New Wood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: Z Bank 0 Community System •
❑ Alteration/Remodel 0 Concrete Total: 2 Height: 1;1 Individual System •
❑ Repair 0 Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Typ of Head; y Proposed: 3 �]Public
c1 rr CGC c'T) Total: 3 Name of System:
❑ or1,sic
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: 2 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:
E1 Underground Tank 0 Above ground Tank Size of Propane Tank:
d Heat Stove DCook Stove 0 Woodstove OFireplace Insert 0 Hot Water Tank CI 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 /733 'T34(o2,Z) EH Bld App Review:
2"°Floor Heated qc , 2, -f.2.5 Consistency Review: np •
Other Heated A Base fee:
a �rl 5,.f. aeg 25,g13' l l�q �15
Mezzanine Additional Section:
Heated Basement Plan Check fee: f[ 3
Unheated Basement State Surcharge fee: ,50
Other Unheated Pot Water Review fee: q3 w
Garage/Carport S 7 t 135-1v,2 SUBTOTAL
Decks $ ttRd Approach
Other /6; / .R''•11 TOTAL: $` J$,5)
// Receipt Number: 'r7' -
Cash/Check Number: Qr1`-1-
ESTIMATED OOST(REQUIRED) 1151 13 Date:
.Fair ma lue of all labor and materials foundation nish I lq 101
—<._. g - eZ__2,.._s_n___oo -- Initials: `��
r ‘rompl.---/.,---- ------- <
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JEFFERSON COUNTY
DEPT. OF COMMUNIT DEVELO$MENT
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