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HomeMy WebLinkAboutBLD2008-00138 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 Al Scalf, Building Official PERMIT #: BLD08-00138 SITE ADDRESS: 423 LORDS LAKE LOOP RD Issue Date: 09/16/2008 QUILCENE, 98376 Final Date: 11/3/2009 APPLICANT: BONNIE L FRITZ PHONE: (360) 385-2906 1005 SHERIDAN ST PORT TOWNSEND WA 98368-2958 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702024019 Section: 2 Township: 27 N Range: 02 W PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE ALSO A/G 5 GAL PROPANE 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 INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/3/2009 I:\F_BLD_Occupancy.rpt 10/29/19 tUILDING PERMIT APPLICA I�i Review T TyON ML y 166 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00138 Received Date: 4/7/2008 SITE ADDRESS: r .ice LORDS LAKE LOOP RD QUILCENE, 98376 OWNER: BONNIE L FRITZ PHONE: (360) 385-2906 1005 SHERIDAN ST PORT TOWNSEND WA 98368-2958 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 702024019 Section: 2 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: ERIK MART PHONE: (360) 765-0666 PO BOX 751 QUILCENE WA 98376 PROJECT DESCRIPTIOP REPLACE MFH ALREADY REMOVED W/A NEW CABIN ALSO A/G 5 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 485 VALUATION 50,000.00 CODE EDITION: 2006 ADD'L: 121 HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: 90 DECK: 95 BANK HEIGHT: 6 SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: •A kklos- Type Amount Paid By: Date: Receipt: Approved/Date Permit $643.75 KAS 04/07/08 97048 APpHOJED Plan Check $418.44 KAS 04/07/08 97048 State Building Code $4.50 KAS 04/07/08 97048 SEP Ib 2008 Potable Water Application $59.00 KAS 04/07/08 97048 Total: $1,125.69 Jefferson County Planning & Building Department i Jefferson County Building Division Permit Nu,: BLD08-00138 Applicant: FRITZ BUILDING PERMIT INSPECTION APPROVALS applicable 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 i! Foundation Footing !2// � �c UFFee Footing Drains , Foundation Stem Wall h . •G , I S Under Floor Framing 0( 4 8 t Straps(hold downs) t/ Ext. Shear Wall Nailing 17..len kiAtk ���s PD i S Rough-in Plumbing Framing 7 Co rrc. Airseal S- tiet Insulation Walls 9zt" Insulation: Floors s 110 Insulation: Ceiling 7 "7 Oct Int. Shear Wall Nailing Wallboard Nailing i Heat/Chimney Clearance (( Drywell/Alt Drainage 1427- a I—r _t��. • .� wv 24-', Address Posted G�Jt P /z/3/01 CilaU ' -- - = I ,` hita07 FI NAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR S CONDITIONS for Building Permit# :BLD08-00138 1 ) HEALTH APPROVED BASED ON THE EXISTING (second mobil home) BEING REMOVED PRIOR TO FINAL APPROVAL OF THE NEW CABIN, AS STATED ON PLANS. OK TO KEEP DURING CONSTRUCTION OF CABIN. ON-SITE SEWAGE,/" PERMIT ALLOWS ONLY ONE RESIDENCE ON THE PROPERTY, ADU NOT ALLOWED. 2.) 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. 3.) 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5 ) 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 automobile 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 requirements 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. 6 ) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 7.) Pre-existing legal lots of record less than one acre in size in rural residential districts are subject to the stormwater requirements in Chapter 18.30 JCC and must meet the "Area of Impervious Surface Coverage"to the maximum extent practicable as determined by the administrator. Lot coverage is defined as amount of impervious surface, which includes rooftops, driveways, concrete, etc. 8 ) Setback from Lord's Lake Loop Road right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 9.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 10.) Construction shall be in substantial compliance with the site plan submitted on April 7, 2008 as it exists now or is hereafter amended by Jefferson County and/or the Washington Department of Ecology. 1111111 4w , r� JEFFERSO�OUN1 • /,,, \� +�,.� DEPARTMENT OF COMMUNITY DEVELOPMENT "' `� 621 Sheridan Street • Port Townsend • Washington 98368 APR - 7 2008 360/379-4450 • 360/379-4451 Fax $INO 0 www.co. efferson.wa.us/commdevelo merit r,_`t7� c,C :,IS,I (, , nu Master Permit Application MLA: OS - ) 6o Project Description(include separate sheets as necessary): ' /, I. (4 43/i J/S -14 e z_ Ha s,: Tax Parcel Property Number: �J'✓ . J/ Sze: r (acres/square feet) Site Address and/or Directions to Property:/%x_pf,��/.G� /%'/I /i(/ih / 62C//4 CC.N6 ? /tQuiL-JJL.:- '-' '27 aiv /d -f / ro r4/. r( s_ o L — 02�s r/ Lh'/e. -"-(fit, j/ /u,t e= Property Owner(s)of Record: /-dri---,/ 2 - Telephone: • /s' s` ,./.it.;; Fax: email: MailingAddress: •:)<2 'c ' , t-, - - . Applicant/Agent(if different from owner): f,''-'lam' /iflX'_ Telephone: j" Fax: email: �f,:/�; 677 i ; Mailing Address: What kind of Permit? (Check each box that applies .,Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** X Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat** .35 Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management tJ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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 { i - .r'",r . Z? 9, to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE f'` ,.`;"}{r •1 4'k ' , 't i) 4.�1 2 - t� �J //-a i — Date: c[�z - 5 By signing this application form,the owner/agent attests that the in ormat7 ion 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 appligation that he orssihh/e wants p.-r noti l f ,/ Signature ;VT �'�:.I, C.- ' h , 1i.,t'' ( 3 Qe. &4 T-r-(C 1 \ ' VaUr/ t'X Date: The action or actions Applicant will undertake as a res'Gtt 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 Jeffe on County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility fo-a ring to d corr_:sbiing wit the ESA. Therppl`icant has ad this disclaimer and signs and dates it below. Signature: /.' ,1 Jl�t` (aC-tlt01ei-) Date: c,,,. -,44, (. ,SS' / G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.dac 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 illii they will be assuming the responsibility of the GJ era/Contractor for the proposed project. Signature: f,� i 14. V `...L Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: J� PHONE:l FAX: MAILING ADDRESS: -t. EMAIL: CONTRACTOR'S LICENSE �• WAINS NUMBER: /1/ " NUMBER ARCHITECT/ENGINEER: PHONE ( ') FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New . Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: / Heigh p )''Individual Syste91 , ❑ Repair ❑ Masonry ,^ SEP Permit# a�J ( O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 1.11 Private well 0 Two Party Type of Heat: Proposed: p 0 Public KLEC n2l cwt/u0D Total: ( 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: i Underground Tan. _•eve ground Sank Size of Propane Tank: Jr.:, I Heat Stove - Cook Stov- i A ••.stove i Fireplace Insert i Hot Water T/Innk i Pellet Stove I Other Is this appliance ••mq installed in a Manufactured I Mobile Home? Yes /i N� 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 r- EH BId App Review: N j ?i� Uq) 7C. C)O 2n°Floor Heated / I Consistency Review: Other Heated t ase fee: t15. I2 75 Mezzanine Additional S'L�t cc i ( F :.ttL Heated Basement 2008 Plan Check fee: `4 `'�`�� Unheated Basement APR - 7 State Surcharge fee: 0 Other Unheated Pot Water Review fee: �j t 5 C;O Garage/Carport SUBTOTALI 155 .69 I Decks Ai/� J t U�.(pc.1 911/Rd Approach fee: 5L Other rdi/e 'ed/c.J/ X- '0 LGGi. TOTAL: $ I "h.l.69 Receipt Number: C,7D4& Cash/Check Number: ESTIMATED COST(REQUIRED) ) Date: l)O • � •Fair marke ue of all a or and materials foundation to finish 1 9 J J ) Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc , R c3 ______----- , , , z , ,,, .--- (.,,, , tc CI cb c = - - m k ^h T- . /� > N- - OA a.. V, • Ib 1/9 - -- f / ,/- �;� / / / p,vo ` p U �, ,J 2 < I � I , \- _ 4 N N I/ i !w r'� i n' �_ .l fog _ . II — L I ! ` D -I% >. 1 - - '� I 7 tv a• L- I. W I` w ;0 9 I I KJ . I p o Io O W A 0A D 0.?k,�"�A :7,1x i,Z I I `:i_ A2n9 %A2- 11i1 Z1 X Z O �V� . 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