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HomeMy WebLinkAboutBLD2008-00312 • I 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 #: BLD08-00312 SITE ADDRESS: 654 CLAYBANKS RD Issue Date: 09/25/2008 QUILCENE, 98376 Final Date: 4/8/2010 APPLICANT: CHARLES J GIBILISCO PHONE: 360-956-2281 MARY ANN CARR PO BOX 2776 OLYMPIA WA 98507-2776 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702243006 Section: 24 Township: 27 N Range: 02 W PROJECT DESCRIPTION: NSFR W/ 500 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 INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/8/2010 1:1F_BLD_Occupancy.rpt 10/29/19 •iPIP BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00312 Received Date: 7/14/2008 SITE ADDRESS: 654 CLAYBANKS RD Issue Date 9/25/2008 QUILCENE, 98376 Expiration Date 9/25/2009 OWNER: CHARLES J GIBILISCO PHONE: 360-956-2281 MARY ANN CARR PO BOX 2776 OLYMPIA WA 985072776 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 702243006 Section: 24 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: 0Fp . T . 1 —��I�c `:_,:31 — 31LI PROJECT DESCRIPTION: NSFR W/ 500 GAL PROP TANK .3-2 ( -5 ?IA, ;Sim ' VL , aJA GA TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 257,400.00 MAIN: 1,022 CODE EDITION: 2006 ADD'L: 694 HEAT TYPE: EEE OCCUPANCY: R_3 HEAT BASE: 8 HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: DECK: 269 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,878.55 AMS 07/14/08 100532 Exist: 0 Exist: 0 Plan Check $1,221.06 AMS 07/14/08 100532 Prop: 2 Prop: 3 State Building Code $4.50 AMS 07/14/08 100532 Total: 2 Total: 3 Potable Water Application pp $59.00 AMS 07/14/08 100532 Refund - Permit -$100.89 RAR 07/18/08 TREAS 5886 Permit $100.89 LYK 07/14/08 100532 Total: $3,163.11 Directions to Site: SEE MAP AND DIRECTIONS IN FILE 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 SPECIAL CONDITIONS APPLY-SEE ATTATCHED 4 Jefferson County Building Division Permit Num. BLD08-00312 Applicant: GIBILISCO 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 g''S---°61 91-- Erosion Control Foundation Footing g _oc p� Footing Drains Foundation Stem Wall Fib Underground Plumbing Under Floor Framing Straps(hold downs) ( ,2)(6. (Rik Ext. Shear Wall Nailing 2.4 Rough-in Plumbing v -� 97. / �z��aet WIC Framing rrt_-So.) Airseal y.1'Z�/641 t� _ Insulation:Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior t(,,fr6et '144K IGas Line: Exterior f � Propane Tank Heat/Chimney Clearance Z Drywell/Alt Drainage ,[q.sof Address Posted FINAL INSPECTION L{I 1 �e — FINAL INSPECTION UST BE APPROVE D PRIOR TO BUILDING BEING OCCUPIED [- THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD08-00312 1.) PRIOR TO OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP07-138 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. DECOMMISSIONING OF EXISTING SEPTIC TANK TO BE DOCUMENTED ON SEPTIC AS-BUILT. 2.) The building height is not to exceed 35 feet. ) The South boundary setback is 20'. The North boundary setback is 5'. The East and West boundary setback is 5'. Ther Site Plan meets UDC setback requirements. .) Jeff Davis 5/8/07 - located within an establishd territory. Mature tree removal should be minimzed in order to reduce potential impacts to owls. 5.) 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. MA>f-22-2008 11:36 From:FOX DE 3603443694 103794451 P.2'3 U:rltxx/Uii iHU 11:00 FAX J 562330 OLYIrtPIC NP SO MRY-22-2009 10:35 FraanapOX DESIGN 3603443634 Io:36PJ956233p , QD002 e-".'1 11t,fi , JEFFERSOP4COUNTY , RUC p ,tTARTIMbIT.OF COMMUNITY DEVELIQPMFJrr 2008 www 821 Sitefsl to Siretat.pl Tpta qg�.Watthlr citon 9639a .,,.c. $ 35OhJY9-4460. 366/379-1451 F ��I bSn .eojeftenon.wa.usteemrndevelopmerit n UN cu rn t 1Y11LU Master Permtt Application MLA: ..)o ��y Dtlaft(rfarluda eepan sheets as raecesssry): - _�.J 1 NE-cJ •151- OM .M--xt STknt Tax t*aroel rz_ C.-.0 1-0�- 6 bur Site Address aniVur Ofroctiona to Properly, (eQ eelsquBry kat) 6* S-4 _GL,4 T fin.K-S' i�_� , QW�l,I.-•c-.M.-t V..` Pep ity Ownerts)of Record: e-f4 ALt4 a_j S 1 iS 14i S c-e9 s eMAti r� GAIN Telephone: �4 Co- 41570- z.i.-al :Fox ��._. � Malang Metros: Pp Ox 2.- 14 pL_`S Y.,✓I4 4irq `p 1-s-a ttrnail:afCvcKerrD "t4 Y Sgl E t{p-I►+�,L ,[aM Appihwitlmjowt(If different from t i , Telephone: 2�} -3 �,t� T°'` �O„� 4 r c F{cT a:- _Fax:_. al rF— T _ need:ol0F, ,C a FOX 4et.G Melling Address: Et 1-L 4«.4-5 ft ,1%4 ecru K_. T T� Ica N I T3 Cr, D w, W ind of PerMitp(Cheek�h bow that applies *—__.?_ P 4. Tx?N.f �a„ ,�- 4 S cog Ilding f t orition Permitf Variance(Minor,Major Pr Reasonable Economic Use) ie Family ❑GSM Attached I Detached 0 D Conditional Use(CO),C(a),or C1 r. 0 Manufactured Homo ❑ Modular 0 Special Use(Willman'pubs Fe an 'fiartior, 0 Comme:rciatl' 0 Boundary Line Artlistree 0 Change of Use ❑Short Pipl" rrt ❑ Addrotta 0 Flame Buse-non I❑.►Cnttegelnd Road APProteCt 116 11 N Plat stye Plea 0 SIgnsne ❑Rkxtrted Rural ❑Sign C Flat'Jsr�Rural Resident el Developmere(PRROWArnendmente o clawed-ram"Use Conal,t ncy An tysle U SmrtnwAier Marwgement r] horslina Mister Precise I=ar4ntRiloNPartrgt Re•iYeona 0 Site Plan Approval A+#vartr>$DetemrFnei oh pggD - 0 Shoreline Management Substantial Devolgernarir" Cl Temporpry Use ? Shoreline MAnatgtttreni Variance Wireless T 1mttr>dcetian• n Jeersertm yi4roNDCA_and Use District Mao Amendment 0 Forest Practices AOIIRCtobao of 8bx-Year Moratorium County ReqShoruest Mrisier pa n Arnendn+mr►1 _ "Mw roetutn.a Pa. . b T�Vegetation Request Please idept)fy any Q1h.r lopes,state a►federal permitsproposal. Crane. � �� rcquirod for t�rls p+anpalwl,If known; �' I hereby desiltnratc '1¢rvZ7/ r?i( f rA4St T --.—- to lot ay my agent In matters rotating to this application tar permtds), OMrceiiR Brow4TutMt= Y getting Udn appCraeigat icon,Mu BY her pi 1int kaowydy1e My.III.&ol lhlaotio i ttttv-sti thft the irdemution provided harain,one io any eUrahnga . Is true ar��` MT+�ti in this psaml beta hug and wca "m`amnion d a rtr.LsrVal titer Ilttr4e by ilia a*,carrsgene With respectcommunes;thq boo oe to ads application p6aket I funhor agree to Bare,indemnify arta hold harmless Jetieesor agonises whiQn aney h any way eccnie alaat ,County asaeQaira Ball a grantinga cants,f Via panni eetomeya rase err! � JIrCfArktn County as 0 mutt e,f Crr in consequence of the of Via p.rvnll I runner agree to parkin ate=and Vol d entry to ersoat Countyand its rc.iew an*any re ripen War impetuses. Metro right e assumed d unkee the ap rI agentf fern,� . eu mg ih fen Mast of the applirnrinn dial he or she want"7L sled ht or entry win be asaamad unt.as the eQpownl hfarmM tlra Cauetya Int„ XIcsliro Sionoluto: �-�rp. / star aotiprt 4alana Appilpq�e - Cato; Vt. oo 4 Vndrnak1 tta I result of the is lance nl ihiM panne navy o endanec,od and oouFd lied l4 a peterdial"take'of an andanp.rod apaaim.as these in in�one taw n Inetanperod Spador kr Pw"E$A'Mel.on County make,no 46swal lows to ins applicant treat the motions that YAP be undertaken bereft%this pare*has teen rrauad trip nor'k oa Ono ESA Any ertdivtta.4 group or e en agiorKe)even p you are In mrrat+sono:salt the Ammo G deft h a r visions t err belted of tr mud t r,she or�ee a ins a Your County arvNadbem rap.,•me �„ II$t tar, arvi4uat end teen-beat rabb Why for rap in aryl Ia'plyltra Mph lho ESi, The APipti sad he.read Ihls dleataimwr and alone and entire e Itboc sianuttuq, r�--7. f� — - Dairy. -? 21 Z e7d — --- owetour_ „t\ttlialamt mS.41011)}03 WRNS\rlac.l%mitAppu¢auee 12.1921111c4,>c MP'-22-2008 11:36 From:FOX DE• 3603443694 To11103794451 P.3/3 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. Signatur ..•e: --." . ��_ Datr3: Z Z{ o GENEWIL CONTRACTOR '—OR MANUFACTURED HOME INSTALLER: PHONE; FAX: MAILING ADDRESS: ( { ) CONTRACTOR'S LICENSE EMAIL: NUMEER: WAINS ARCHITECT/ENGINEER: NUMDER MAILING ADDRESS: PHONE ( ) FAX:( EMAIL Project Type: Frame Type: Bathrooms: t.i-ew it Wood Existing: Shorerine: Type of Sewage Disposal: Addition 1 Steel Proposed: 3rI Sewer I Alteration/Remodel i i Concrete Total: BankgI Comrdualty stemm i Repair i I Masonry -- Height: , divjuaf System I I Demolition •i Other: Bedrooms: SEP Wet Permit# c�'t .o o (18. Existing: Water Supply: Type of Heat: Proposed: Setback: t rivate well Two Party al�,Lar, �AQt,4r..r Total: 2 I Public Name of System: _ If this is a Com erclal Projectmust answer th — — Number of Parking Spaces: Current: Ilowln Number of occupants(includes owners,tenants,employees, Current Number of ADA Parking Spaces: IBC Occupancy: IBC Type of construction: — Proposed jf hi I s Is a P one Yank and/ r fiance Install on milt mark all' s below that � od Service? Yas / No I Unds�r round Tank I Above ground Tank �l loot Stove Size of Propane Tank: S.a O ook Stove I Woodstove I Fireplace Insert ' iot Water Tank I Pellet this a nee bolo Installed in a p Stove that 1 When applying fora ufactured I M Home? Yes / No 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 component Including the reserve area, S.uare Current P Foote e 'For Office Use Only � ro••:ed Main Floor Heated Amount. Revision 022, '`at©ao;O�EFi Bid App Review: ,� - 2 Floor Heated q Other Heated &R l •GI S f,5 ' � • Consistency Review: �—�- Base fee: � Mezzanine . SS Additional Section Heated Basement • . ��3c Plan Check fee: Unheated Basement I as I i ®� ' � , IS ^ State Surcharge fee: � Other Unheated ' Pot Water Review fee: Garage/Carport c5. . SUBTOTAL —s Decks 3(-[a .1 I t z f -1 - �"1 Cf..,--, '.v'? 91 1/Rd Approach fee: ram/ _ Other I TOTAL. g -Zt n - Receipt Number: -�O©c,� " (( �, _ ¶.:r 1 j }�I Cash/Check Number: l tAg° 19' �L�J` ESTIMATED COST(REQUIRED) ..J(, ~` I I e) �1 1 Daze.'Fair marker value of ell!aber and ate s oundation ish I A(..,:)Z5--/ itoca Initials: I'—1 L�-A(..,:) J 2 G.\Pcnuitc rnrrr\u// P(.1R btS#n#`tbkl)HAMS Pcrwit Applicaunn i)-to_3W Jl. 6,dn� (r F .iJ1 ;• , ,l�, ��. t�, I' V .1�I ��O iii 41\ .. Z O i0: S • ADP • I N _� 0m° D) At)m i . Oo Z N CI 0co ZM.d r/) I Z� 0r F N 0 i ,2 � - o x>4 o N.�ti_ D W Y 0 N i . I NoE' JII l m a 4))\d ‘41. � _' „ . 3 81 3 e Z �, • `1' ' K \ '� zio , fi a ,40N11 a=` F ��11,,/� N Q x Fr3 0 ?) '�. 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' t TI I \I LL r '4. i q T illr O �I a o 1 l (ID V6 I I a: Ww rn xp 4 m . u, ---r� o� 1�, ` z � i N N 4�� 11 �m N ,.E m F ,,,L ri,,---I � o i- 8- I • f M14ARMOLEUM X�OD q 0 a b2 el22 // II .§ - 1 § D. it,,.. g/ % m = tiEI T 74111- g< ‘i;*z ECO mO LI I - U �O 19 --- -- --4 • Om� I �rnm — — 'fio f a. -. t 4 7 6-44____ _ I II ' 1-. 1 - A �0 LI z7 S MS Oc Z 14'-0 rn 49 i:r � O iR . 4' ------ Ea" N� mi e I,, ... , J r A o . i — I -u ��IM Z 411 40 a ��,I o*ii I W41rI. 4 SLOPE jj. LJ*1I 17:1 SLOPE fY:1 I AION `N IAyOy i 81II ; N ti I■I A-803 A m o od-- V 17 I I J l I I A-50J r V - uN 1 ® ® ] 42. 2nd Floor & Roof Plans Gibilisco/Carr Residence 842 Washington St 05.29.08 Suite 103 C REVISIONS 03.21.09 654 Claybanks Rd Port Townsend WA N o Quilcene,WA98376 b foxarchitect.com Tax Parcel Number702243006 SUSTAINABI E MODERN DESIGN 4.34 360.344.369698368 ■FOX ARCHITECTS