HomeMy WebLinkAboutBLD2008-00141 • •
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 #: BLD08-00141
SITE ADDRESS: 523 THORNDYKE RD Issue Date: 06/5/2008
PORT LUDLOW, 98365 Final Date: 1/6/2009
APPLICANT: PAUL E GRONWALL PHONE:
CAROL L GRONWALL
41 MAGAZINE ST
BEDFORD NH 031104810
SUBDIVISION: ADMIRAL'S ROW Block: Lot: 6
PARCEL NUMBER: 721095006 Section: 9 Township: 27 N Range: 01 E
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GAR / 120 GAL A/G 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 1/6/2009
I:\F_BLD_Occupa ncy.rpt 10/29/19
Jefferson County Building Didion Permit Num BLD08-00141
Applicant: GRONWALL
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
Erosion Control
Foundation Footing alifeV ,, Ok A TA
Footing Drains -0, (>Z_
Foundation Stem Wall 4/q/p8 Q1
Underground Plumbing ` )SJ�
Under Floor Framing (' t3/'8,
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing A//6/,6 ff
Framing 8// /8
Blocking g/) /g
Airseal irig f-P W
Insulation:Walls eVi/cam 36/
Insulation:Floors
Insulation:Ceiling
tiftia4t0 Wiale/VVL
Int. Shear Wall Nailing fig/o f
Wallboard Nailing q/B/oe �L
Gas Line: Interior �T
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance laidg
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION `
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
TUIC DCDAAIT IC %/AI in C/tD flkIC VCAD
• BUILDING PERMIT APPLIT Review T Ty 173
ION ML ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00141 Received Date: 4/8/2008
SITE ADDRESS: 5.2.3 THORNDYKE RD
' 00c - ' 4\o,' t
OWNER: PAUL E GRONWALL PHONE:
CAROL L GRONWALL
41 MAGAZINE ST
BEDFORD NH 031104810 ADMIRAL'S ROW
SUBDIVISION: Block: Lot
PARCEL NUMBER: 721095006 Section: 9 Township: 27 N Range: 01 E
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLESI150L= Expires 6/6/2009
REPRESENTATIVE: KELLY SHIELDS PHONE: 360-385-7156
260 KALA POINT DRIVE
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GAR / 120 GAL A/G PROPANE TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 686
VALUATION 195,512.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 670 SHORELINE:
CONST TYPE: DECK: 620 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 3
Total: 2 Total: 3
Routing Date: og 06:
Type Amount Paid Bv: Date: Receipt: A proved/Date •
Permit $1,531.35 CJZ 04/08/08 97211 APROVED
State Building Code $4.50 CJZ 04/08/08 97211
Potable Water Application $59.00 CJZ 04/08/08 9:7211 JUN 5 2008
Plan Check $995.38 CJZ 04/08/08 97211 Jefferson County Planning
Total: $2,590.23 & Building Department
• •
CONDITIONS for Building Permit# :BLD08-00141
1.) 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.
2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the Lanslide Hazard buffer. This
includes the storage or preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) The identified Fish and Wildlife Habitat Area (Type N (5) Stream), shall maintain a
vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the
Ordinary High Water Mark (OHWM) to any future development.
9.) An additional setback of five (5) feet is required from the edge of the buffer area to the
proposed single family residence.
10.) A permanent physical separation along the boundary of the buffer area shall be installed
and permanently maintained. Such separation can include installing logs, trees, a
hedgerow, or any other prominent physical marking approved by the UDC Administrator.
• •
11.) 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.
12.) A Medium Stormwater Plan 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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.
15.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
17.) Building height cannot exceed 35 feet.
18.) Building Setback from Thorndyke 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.
19.) The desilt fence shall be placed no closer than 30 feet from the top of the bluff.
111
� 06, JEFFERSON C JNTY
77i)!----,,,s0N---
1-� DEPARTMENT OF COMMUNITY DEVELOPMENT __ _
F' 621 Sheridan Street • Port Townsend •Washington 98368 i ' j a V �'
360/379-4450 • 360/379-4451 Fax I — —_- I '.
�qs0/ www.co.jefferson.wa.us/commdevelopment
jIN�
APR - 8 2008 Master Permit Application MLA: OR - 1 —13 _
Project Description(include separate sheets as necessary): .t "x:'�
N eLA.J I tr ,(..e. FiP1 Gvt t 1..t• Q. I 1)E/ L•E. : '_-_ .' i ,;____
Tax Parcel Property pp��•
Number: 7 2.1 0Y S Q()(P Size: ...Z. •le l P')12 (acres/square feet)
Site Address and/or Directions to Property:
dN MAo?N D`CY,L )� C/A_ 01I Le" S . of ' Mini er-• (2
Property Owner(s)of Record: PAu L. G1,4c1$ t,.w 4-LL--
Telephone:"3&.D —y5$5— i. t S(Q Fax: email:
Mailing Address: " O VP.C.44 f t-_ 142. Pt- 174G,p,s10.6/ W lA. 9p8 36$
Applicant/Agent(if different from owner): 14(EZ,L i Si-}n . p " /faC- .Telephone:IA=0— S 7t SS(' Fax: "585-3 I 5 email:etiSkleid S OI 1.,,you s. fig
Mailing Address: 2 0 VJ t 4 fir- D2.. Pr_ LA1-se',At t,v 4 g$s(g l
What kind of Permit?(Check each box that applies
,.uilding 0 Variance(Minor, Major or Reasonable Economic Use)
O Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
❑ 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
O Change of Use 0 Short Plat**
O Address 0 Road Approach 0 Binding Site Plan**
O Home Business 0 Cottagelndustry ❑ Long Plat**
propane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
O Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance
❑ Temporary Use 0 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 0 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 . -> Sl->!-/L- S to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATUR Date: C4.. C4 • 0 8
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 emp'oyees,representatives or agents for the sole purpose of application
review and any r-. i -. .ter inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap• .. e t h she dv rtts prior notice. f ,
Signature: !/k Date: 'D4, 68 —
The action or actions Applicant will undertake as a result of the i uance 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)ev u are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and no ransfe ble es s dhering to an mplying with the ESA. The Applicant has read this disclai er and signs and dates it below.
Signatur . /4..L c,./ Date: 2• a4,•C
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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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 ti+
they will be assuming the responsibility of the G a Contractor for the proposed project. i I ;F- ----
Signature: Date: :
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: a.R ` 8 2008
i 1-40-05 /uc_ (36o)38s-1'$ (14o) 311.5_.3_l..US
MAILING ADDRESS: 2420 ib-- ` " , p.--r_ EMAIL:A.4 etc[s Oi Y c „
CONTRACTORS LICENSE WAINS
NUMBER: V es..V. t GO LF NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
LNew tg...Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Z_ Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: 21 2.- Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit$ten 'cco4o9
Water Supply:
O Demolition ❑ Other: Bedrooms: PP Y:
Existing: Setback: ❑ Private well 0 Two Party
T pe of He Proposed: 2- ❑ Public
10 844.ep Total: 2.- Name of System:
*el 046110.764 WA kiL
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 Tank - bove ground TAD Size of Propane Tank: 120 6.
i -eat Stove Cook Sto - i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I 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.
p,,:yS�','. '�,�.n�!{„ .? ,-�1rNiw' r.Ipy'7 + a, w� ^+� . _ t ,�{ a ..
i' +c'. !+x*v`M1f S 3�,`"FF Sj' a t i ' .,f f2T n- }.'1' st
Square Footage Current Proposed 0r 5 F tie -S�O r{; rt ' �y„21 Y ., �' T �..� a ;:'x.? .
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Main Floor Heated -4 H Bld App Review: 10
lt�n(e3 f � ,.lk
2nd Floor Heated �5A,Zti Consistency
Review:t x
i S '
Other Heated — '. :� Base fee: ( 53\ 35
Mezzanine — } 13 , . , f Additional Section:
Heated Basement a -� _l, ° Plan Check fee: <�;q1 5 32
�
Unheated Basement 1. {'' State Surcharge fee: -I,
Other Unheated T r .'' K l ; Pot Water Review fee: (�
tl ' - 1 c
,�.>� fug: ti
Garage/Carport el SUBTOTAL
1-10 tt04.41N.. ?53. 3Decks ; 'W"t 911/Rd Approach fee:
Other Lt TOTAL: $ p(� a 3
I
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`' ec-ipt Number: C`l a '
3, ? " r ash/Check Number: n , 66t Q
ESTIMATED COST(REQUIRED) t4,2 2(0o Date: A( I
•Fair market value of all labor and materials foundation to finish 1 C�I�
Initials:
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