HomeMy WebLinkAboutBLD2008-00368 0 •
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 #: BLD08-00368
SITE ADDRESS: 151 D ST Issue Date: 09/11/2008
PORT HADLOCK, 98339 Final Date: 7/21/2009
APPLICANT: PAMELA A CRONE-WENZLOFF PHONE: 360-379-6456
PO BOX 488
PORT HADLOCK WA 983390488
SUBDIVISION: SOUTH PORT TOWNSEND Block: 11 Lot: 11-13
PARCEL NUMBER: 996401102 Section: 2 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NSFR TO REPLACE EXISTING M/H
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 7/21/2009
1:1F_BLD_Occupa ncy.rpt 10/29/19
ILDING PERMIT APPLICA1N Review 00383
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00368 Received Date: 8/13/2008
SITE ADDRESS: 151 DST
PORT HADLOCK, 98339
OWNER: PAMELA A CRONE-WENZLOFF PHONE: 360-379-6456
PO BOX 488
PORT HADLOCK WA 983390488
SOUTH PORT TOWNSEND
SUBDIVISION: Block: 11 Lot: 11-13
PARCEL NUMBER: 996401102 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: HI-LINE HOMES PHONE: (360) 379-8600
11306 62ND AVE E
PUYALLUP WA 98373
Contractor's License HILINH"981 BT Expires 2/10/2010
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR TO REPLACE EXISTING M/H
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,716
VALUATION 119,897.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date: a '1 - I i ,-))i tOS-
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,105.75 AMS 08/13/08 100775
Plan Check $718.74 AMS 08/13/08 100775 APPROVED
State Building Code $4.50 AMS 08/13/08 100775
Total: $1,828.99 SEP II 2008
Jefferson County Planning
R Building Department
Jefferson County Building Vision Permit Nur: BLD08-00368
Applicant: CRONE-WENZLOFF
BUILDING 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 days 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 10/23/2008 //____
Erosion Control
Foundation Footing 10/23/2008 "6____Footing Drains
Foundation Stem Wall 10/23/2008 "a....„,,
Under Floor Framing 0l 7/ „, le/Eema/
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing J -//.o ff
Blocking
Airseal 'I _i i_c' 2 -
Insulation: g-7 Walls , /Z9/e 8 �
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing _ „q
Propane Tank
Drywell/Alt Drainage
Address Posted
Se& C:rf)11._4 3.7 f—ar 1-0 ---1.1sti
FINAL INSPECTION -Z-r(
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD08-00368
1 ) MANUFACTURED HOME TO BE REMOVED PRIOR TO FINAL
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.) 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.
4 ) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) Setback from D Street right-of-way shall be 20'.
Setbacks from North and South boundary lines shall be 5'.
Setback from East boundary line shall be 10' from the alley way per the variance granted
by the Administrator on 9/3/08..
Submitted Site Plan meets UDC requirements.
7 ) The building height is not to exceed 35 feet.
8 ) 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.
9.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND
EDGE OF DISPOSAL COMPONENT AND RESERVE AREA.
10.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE
SLEEVED/CASED OR EQUIVALENT.
11.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD.
12.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
cb& JEFFERSON 11111UNTY 410
JR 11 CEI "' p
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend • Washington 98368 AUG 1
360/379-4450 • 360/379-4451 Fax Z�Q�
www.co.jefferson.wa.us/commdevelopment A+rtf
ERSON pUbTV CD
Master Permit Application MLA:
Project D scri t" (i elude separate sheets as necessa ):
Tax Parcel Number: \C\ — - l L L Property p y Size: , X I ;!--) (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record:• eir
Telephone: 3( < 51 1—(04-1-c3 Cc Fax: �C,,ry4', _ email: Off\'' o\'1 t'irl
Mailing Address:V C: .P "� c. 955
Applicant/Agent(if different from owner): � ( C,{1 '^'•'
Telephone: Fax:
email:
Mailing Address:
Wfiat kind of Permit?(Check each box that applies
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑ Short Plat**
❑Home Business 0 Cottage Industry ❑ Binding Site Plan**
❑Propane 0 Long Plat**
❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis L] P:at'Vacatiori/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
"*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 its 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 toprovide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review any requir later inspections. Staffs a ss and right of t be assumed unless the applicant informs the County in writing at the
time of.th ppli on th t h shp‘wants prior notice.
Signatu : v , — 5
Date: O Z5
The action or actions Applicant will undertake as a result of the iss f this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endan red 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 issue ill not violate the ESA. Any individu ,group o gency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if yo re in compliance with the efferson C unty d, velop ent code.The Applicant acknowledges that he,she or it holds individual
and nop r sfer le respo bili for adhering to d com ying w e ESA. The Applicant has read this disclaimer and signs and dates it below.
Signat6re: c?
^�5vc �2.- Date: 2 --c� - ZS
G:\PemritCenter\###FORMS###\DRD FORMS\Master Permit Applicatio 5-29-08.doc
0
BUILD R STATEMENT
III
The signer-of this-tatement does hereby certify hat they are t - .wners of the parcel referenced herein,that they are not licensed contractors and that
they w)'be as ming the : ponsibility of the Ge -ral Con .• •r the proposed project.
.a S _ � � ��
Signa ,;�.ak _ - .. Date:
GENE; L CONTRACTOR OR MANUFACTURED HOME INSTAL• R: PHONE: FAX:
MAILING ADDRESS: 1 \ - (' � t `N' i EMAIL:
CONTRACTOR'S LICENSE 1� -Dj,
WAINS
NUMBER: AT. �-5- NUMBER
ARCHITECT/ENGINEER: b r\ p 0,ah Wort-Axe- PHONE Arai ( r C_a Ax:( )
MAILING ADDRESS: EMAIL 'xb c s V !kr�h1 rn , C.rri
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ' Wood Existing: ❑ Sewer ,,
❑ Addition 0 Steel Proposed: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: He Individual'System
❑ Repair ❑ Masonry \ EP Permit#`..i4.?Ct4--002_0 4
0 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well Cl Two Party
Type of eat: Proposed: &Public
Total: 3 G 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 Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove 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 prr. ar►e tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Propose For •'ice • • •nl Amountu� Revision
Main Floor Heated
( 1 I / `o 6 9 E BId App Review: _ 0
2nd Floor Heated I I (p - Consistency Review:
Other Heated Base fee:
11(0-5.-15
Mezzanine Additional Section: \�\`
Heated Basement Plan Check fee: n 1 Q ,�1 -t
1
Unheated Basement State Surcharge fee: 14
,1�J 0'
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
ao>> , g1
Decks 911/Rd Approach fee:
Other TOTAL: $ Q 0 55,crl
•
Receipt Number: 1,- -�-�'7
Cash/Check Number: �1 l���
ESTIMATED COST(REQUIRED) Date: ' l� lab
air market value of all labor and materials foundation to finish
40 ` O f DaO,O Initials: Ct-")
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