HomeMy WebLinkAboutBLD2007-00494 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 #: BLD07-00494
SITE ADDRESS: 1491 SHINE RD Issue Date: 10/24/2007
PORT LUDLOW, 98365 Final Date: 11/6/2008
APPLICANT: ANDREAS PATE PHONE: 360-271-9858
LESLEE PATE
PO BOX 352
POULSBO WA 98370
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821344022 Section: 34 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 150 GAL PROP TANK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes (no)
THE PROJECT PASSED ITS FINAL INSPECTIONAND RECEIVED FINAL SIGN OFF ON 11/6/2008
I:\F_BLD_Occupancy.rpt 10/29/19
'
09-17
:fferson County Building Givi Permit Num er:
sion BLD07-004� ,�
Applicant: PATE
SUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 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
Erosion Control ii/''/G; >4 111
Foundation Footing
/Nu7 0k arcER 4iuSTALLZD
Footing Drains r
Foundation Stem Wall CJ `i<
l!�$/0 7 �'I'
Underground Plumbing
I.;fa
Under Floor Framing ///27/q d
Straps(hold downs) `/y'/oe g/
Ext. Shear Wall Nailing //2"4/6t
Rough-in Plumbing 3/2-G/o£
Framing L
W/o/Oe
Blocking fe/ie—
Insulation:Airseal i Walls ,� 5/DQ GK
Insulation:Floors jb/(0/08
Insulation:Ceiling ef
Int. Shear Wall Nailing ,dam/De- Ox
Wallboard Nailing 77.1/OS D/L
L
Gas Line: Interior 1/3/ G/00 / GK
Gas Line: Exterior 111(0/o6
Propane Tank ii/4/b0
Heat/Chimney Clearance f// /o& / —
Drywell/Alt Drainage /,/</oS
Address Posted f1`4#8 gr'+
FINAL INSPECTION /1/4100
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•UILDING PERMIT APPLICA•N MRLA07N00pe514
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00494 Received Date: 9/5/2007
SITE ADDRESS: 1491 SHINE RD
PORT HADLOCK, 98339
OWNER: ANDREAS PATE PHONE: 360-271-9858
LESLEE PATE
PO BOX 352
POULSBO WA 98370 TAX 10
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 821344022 Section: 34 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 150 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 910
VALUATION 178,204.00 ADD'L: 861 HEAT TYPE: HTP
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 658 SHORELINE:
CONST TYPE: DECK: 168 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Total: 3
—
Routing Date: 7---
Type Amount Paid By: Date: Receipt: Al* ed/Late,
Permit $1,436.15 LYK 09/05/07 93043 /� -_
Plan Check $933.50 LYK 09/05/07 93043
State Building Code $4.50 LYK 09/05/07 93043 OCT 5 2007
Potable Water Application $58.00 LYK 09/05/07 93043 Jefferson County Planning
Total: $2,432.15 &Building Department
•
CONDITIONS for Building Permit# :BLD07-00494
1.) PRIOR TO OCCUPANCY& BUILDING FINAL - FINAL APPROVAL OF SEPTIC
SEP06-68 IS REQUIRED.
2.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE
SLEEVED/CASED OR EQUIVALENT.
3.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY
PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE.
PROTECTIVE BARRIERS ARE REQUIRED AROUND DRAINFIELD-MUST BE
INSPECTED BY HEALTH DEPARTMENT.
4.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD.
5.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
6.) The application was reviewed by the Jefferson County Department of Community
Development staff on September 10, 2007 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Susceptible Aquifer Recharge Area and Coastal Seawater Intrusion Protection Zone
(SIPZ).
7.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
8.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
9.) Marine shorelines and islands are susceptible to a condition that is known as seawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost. •
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
10.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
11.) 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.
12.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
13.) The applicant is proposing to crE or add 1940 square feet of impervious sure and
5160 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your
proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution
Prevention) of the Department of Ecology Stormwater Management Manual for Western
Washington 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.
14.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
15.) 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).
16.) The site plan as submitted with the building permit application on September 5, 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 October 24, 2007 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
17.) This approval is for a single family residence with attached garage 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.
18.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Land Use Map effective August 28, 1998.
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
20.) 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.
21.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
22.) The building height is not to exceed 35 feet.
23.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
24.) 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.
25.) 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.
26.) Minimum setbacks from the edge of Shine Rd right-of-way and Sherman Rd right of way
are 20 ft. Minimum side and rear setbacks are 5 ft.
27.) VOLUNTARY MEASURES OF •STAL&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.
28.) 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.
29.) 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 he 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.
30.) The Dept. of Public Works commented on the location of Shine Rd in a letter dated April
3, 2006 stating in part, "Previous research of Public Works records indicates that the
portion of road adjacent to the referenced parcel is considered usage. When the County
acquires right-of-way through usage, it claims the road surface plus the area of
maintenance (from the back side of one ditch to the back side of the other ditch; or, 12
feet on either side of the surface if ditches are not present).
According to the official Road Log, the road surface in that vicinity is 18 feet with 2-foot
gravel shoulders; or 22 feet of improved surface. There is not a ditch in that area, so add
12 feet, on either side, for the maintenance area for a total usage right-of-way of 46 feet.
31.) Shine Rd (C505409) is a county local access road. A road approach (RAP06-00044)was
approved on April 7, 2006 and an address of 1491 Shine Rd has been assigned to the
parcel.
32.) The development will be serviced by public water and a well will not be utilized. If a well is
required for potable water the applicant shall meet all of the Aquifer Recharge and SIPZ
conditions.
��gON c0G JEFFERSON COUNTY •
� ' � DEPARTMENT OF COMMUNITY DEVELOPMENT
'' '� .., `'4 621 Sheridan Streeti � Townsend 7 W shington 98368
360/379-4450 • 360/379-4451 Fax ` --1 J.IJ
-,. o www.co.jefferson.wa.us/commdevelopment
SEP 0 5 2007
Master Permit Application MLA: v� "J I`�
Project Description(include separatesheets as j (d�{��lJ'ped new construction of a two story single family dwelling with attached two car garage.
S1Q ti/ atr APd ✓ ao 1�.'1 / Y!/^tora.i8
Tax Parcel 821 344 022 Property
Number: Size: y 6 acre (acres/square feet)
Site Address and/or Directions to Property: 1491 Shine Rd., Port Ludlow,WA.98365(located at intersection of Shine Rd.and
Sherman Rd.about 3/4 mile from Hood Canal Bridge off Hwy 104.)
Property Owner(s)of Record: Andreas J.and Leslee R.Pate
Telephone:360-271-9858 Fax: email: andy@fjordbuilt.com
Mailing Address: Po Box 352,Poulsbo,WA.98370
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
IZIBuilding 0 Variance(Minor, Major or Reasonable Economic Use)
O Demolition Permit ❑Conditional Use[C(a), C(d),or Cj**
p Single Family la Garage ,attached/�etached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular C] Special Use(Essential Public Facilities)**
❑ Commercial* C] Boundary Line Adjustment
❑ Change of Use ❑ Short Plat**
❑ Address 1491 Shine Rd. 0 Road Approach RAP06-o0044 0 Binding Site Plan**
0 Home Business 0 Cottagelndustry 0 Long Plat**
m Propane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Sign C] Plat Vacation/Alteration**
0 Allowed"Yes" Use Consistency Analysis C] Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management C] Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* C] Shoreline Management Variance
❑Temporary Use C] Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* C]Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request
*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 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. ,Staff s access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application t tie or. -e)nipnts prior otice.
Signature: i7 !"<': Date: 7 ` 5'" (),2
The action or actions Applicant will undertake as a result of the issuance of his 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 'th the-d"eff9c on County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable re po.lityyfo adhe i6jJe and plying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: - Date: J -
C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
ID •
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 responsibiffy'of fhe General Contractor for the proposed project.
Signature:. .-! / ,i (N---",-y Date: �/
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( ) -& 11 b t ii,?.
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS LP.a it t'i i/j+ r,ill I V TV
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
• New 0 Wood Existing: Z Sewer
O Addition ❑ Steel Proposed: 2.5 Bank ❑ Community System
O Alteration/Remodel ❑ Concrete Total: 2.5 Height: ❑ Individual System
O Repair ❑ Masonry SEP Permit#06-00068
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: [i Private well 1 i Two Party
Type of Heat: Proposed: 3 Jf Public
Heat Pump Total: 3 Name of System:Jeff Co.PUD#1
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 0 Above ground Tank Size of Propane Tank: 150 gallon
❑Heat Stove m Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove m OtherGenerator
Is this appliance being installed in a Manufactured/Mobile Home? Yes / N.6
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 910 �' .: ,, EH Bid App Review: cc,
Floor Heated 861 Tim 443 Consistency Review: (�1�� ;,;
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: (
I 5.
Unheated Basement State Surcharge fee: ` ,
Other Unheated Pot Water Review fee: C i`.
Garage/Carport SUBTOTAL 658 1 ' CXc 2(a37 .15
Decks 168 'Cifj):1(0 911/Rd Approach fee:
srk is.n kliti
Other TOTAL: $26 . )5
Receipt Number: (1 -+5
910 �) l0 1 2c mash/Check Number: ._, ,t
L._�
ESTIMATED COST(REQUIRED) — Date: 9__,P--4C-7
.Fair marketyalue of all labor and materials foundation to finish 2/G;C2(�'h, e,C Initials: a�
C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
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