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BLD2009-00040
• a 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 #: BLD09-00040 SITE ADDRESS: 152 DOUGLAS WAY Issue Date: 04/6/2009 PORT TOWNSEND, 98368 Final Date: 5/9/2011 APPLICANT: TIMOTHY J MC GUIRE PHONE: (360) 379-6681 KIMBERLY R MC GUIRE 152 DOUGLAS PORT TOWNSEND WA 98368-9102 SUBDIVISION: HERON POND RANCH Block: Lot: TR 13 PARCEL NUMBER: 959000013 Section: 29 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW SFR 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 5/9/2011 I:\F_BLD_Occupancy.rpt 10/29/19 -00 09 0UILDING PERMIT APPLICI3N ML Review Ty033 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00040 Received Date: 2/12/2009 SITE ADDRESS: 152 DOUGLAS WAY PORT TOWNSEND, 98368 OWNER: TIMOTHY J MC GUIRE PHONE: (360) 379-6681 KIMBERLY R MC GUIRE 152 DOUGLAS PORT TOWNSEND WA 98368-9102 HERON POND RANCH SUBDIVISION: Block: Lot: TR 13 PARCEL NUMBER: 959000013 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 676 VALUATION 51,680.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 156 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: . . .... I. Type Amount Paid By: Date: Receipt: Approved/Date Permit $657.75 KAS 02/12/09 105416 Plan Check $427.54 KAS 02/12/09 105416 APPRVE[) State Building Code $4.50 KAS 02/12/09 105416 Potable Water Application $62.00 KAS 02/12/09 105416 APR ? 009 Total: $1,151.79 Jefferson County Plammot &Building Department II Jefferson County Building ision Permit NIL: BLD09-00040 Applicant: MC GUIRE 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 14I, i r F;7 Erosion Control (� Foundation Footing i)Lf I 0�x !�� l Footing Drains Foundation Stem Wall - /t2( Underground Plumbing Under Floor Framing �{ L-� Dct Straps(hold downs) Ext. Shear Wall Nailing 5-).2-) . 09 Rough-in Plumbing -220TR Framing g ITt 2 0 a� Airseal Insulation: Walls ect Insulation: Floors Insulation: Ceiling 1 l-0('�—r2 Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Wood/Pellet Stove Drywell/Alt Drainage Address Posted .'�'Ylll / I FINAL INSPECTION - FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00040 Received Date: 2/12/2009 SITE ADDRESS: 152 DOUGLAS WAY Issue Date 4/6/2009 PORT TOWNSEND, 98368 Expiration Date 4/6/2010 OWNER: TIMOTHY J MC GUIRE PHONE: (360) 379-6681 KIMBERLY R MC GUIRE 152 DOUGLAS PORT TOWNSEND WA 98368-9102 HERON POND RANCH SUBDIVISION: Block: Lot: TR 13 PARCEL NUMBER: 959000013 Section: 29 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 676 VALUATION 51,680.00 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: 156 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $657.75 KAS 02/12/09 105416 Exist: Exist: Plan Check $427.54 KAS 02/12/09 105416 Prop: 1 Prop: 1 State Building Code $4.50 KAS 02/12/09 105416 Total: 1 Total: 1 Potable Water Application $62.00 KAS 02/12/09 105416 Total: $1,151.79 Directions to Site: SEE MAP QUEST DIRECTIONS AND MAP 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 • • CONDITIONS for Building Permit# :BLD09-00040 1.) 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. 2.) 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. 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.) The installation of stormwater facilities may preclude the installation of an on-site sewage disposal system. Stormwater facilities must meet setbacks from on-site sewage systems as described in WAC 246-272 at the time of application for an on-site sewage system. Septic systems are required to be placed into native undisturbed soil. Removal of soil, disturbance or filling may limit placement of an on-site sewage system. Stormwater discharge cannot be directed to or across an on-site sewage system. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Building Setback from Douglas Way right-of-way is no less than 20 ft., left side yard setback is 20 feet, right yard and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. �44'SON C,OL ..JEFFERSON UNTY k ` j DEPARTMENT OF COMMUNITY DEVELOPMENT 'w 621 Sheridan Street • Port Townsend •Washington 98368 ...40p360/379-4450 • 360/379-4451 Fax �SHING�p� www.co.jefferson.wa.us/commdevelopment 2 Master Permit Application MLA: eq-3-5 Project Description(include separate sheets as necessary): 'i& 1t C-0...-. ;l,i ttje-<<v.Aiy Tax Parcel Number: q i)0 t, C) t 3 Property Size: q .(;2 `7 (acres/s uare feet) Site Address and/or Directions to Property: i5- ‘__AS U.)A '� ,"Q]A?scki) 1, LA) Property Owner(s)of ecoYd: tyl 'jj t. �,!v` me.� cr-& LA)A- ci Telephone:\36,6 '3741 l&g i Fax: email: Mailing Address: A. �c ��s/+s<<iFr.+�D Lam+ A- -3d.g Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that CRig-uilding ❑Critical Areas Stewardship Plan ❑ pemolition Permit El Variance(Minor, Major or Reasonable Economic Use) TV-Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** El Manufactured Home ❑ Modular El Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** 0 Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach El Short.Plat** ❑ Home Business ❑Cottage Industry El Binding Site Plan** El Propane El Long Plat** ❑ Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** El Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** El Temporary Use 0 Shoreline Management Variance El Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium El 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 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 ent ill be assumed unless the applicant informs the County in writing at the time of the app lic on that he or the wants prior tii . Signature: /� f�r'�iJ ��/A—"— Date: 4 7/0 P The action or actions Applicant will undertake as a result the is ance 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 re in ccoomplian a with the Jefferson County developm nt code.The Applicant acknowledges that he,she or it holds individual and non-transfer rest'/`bilit r adhering to an complyi eh SA. The Applicant has read this disclaimer a d signs and dates it below. • e Signature: -4(/ ,Cr--- Date: //7 e)P G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0 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 Ge eral Cont acto A•�e proposed project. Signature: (1/kA-/����V,;t 'r- ' Date: CS i [ 67 Id & GENERAL CONTRACTOR OR MANUFA URED HOM NSTALL -. PHONE: FAX: -)k.AIN Skr ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: �t X 9 s-,. NUMBER ARCHITECT/ EER:S I 't 5 Pr -5V pp., '-0,v,Nktcp, PHONE (34e) 5-S,cto FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ["Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: ! Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: I Height: C'individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: M' Private well ❑ Two Party Type.of Hea ; Proposed: 1 ❑ Public L.'. Total: 1 Name of S stem: � ^ . v Y 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? XeS'/ -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 I Heat Stove i Cook Stove I Woodstove i Fireplace Insert i Hot Water Tank 1 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated tiVI 41 1-1�C � H Bld App Review: '13'Da 2"0 Floor Heated �J Consistency Review: I tp Other Heated Base fee: (051 , 51 ` -1 ) Mezzanine Additional Section: _ Heated Basement Plan Check fee: y./► ai, 51-1h Unheated Basement State Surcharge fee: 4.Sc) Other Unheated Pot Water Review fee: L CO Garage/Carport SUBTOTAL Lia `� . 1 Decks ?arcAINr 911/Rd Approach fee: Other TOTAL: $ 1 i4 a1• lQ Receipt Number: l 0 5 1�o L Cash/Check Number: g �c/�O/1 ESTIMATED COST(REQUIRED) � I�(pW, ate ^ / fnp •Fair market valu of all and materials found . n to fini h /v i-i5 OO Initials: lir L i G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc i it -3 + + - - 1017.32 + + + + + + + ' 2 t + °)V 28.69 I .., 102.93RCV i - -4- '513.8/�- + + ++ + W + + + + + + + + +4/ 1 ` N +MAR 1-12 2Q139— + + + + + 0 + + • /7/ '-f- 13 1 ...r. i t1[_:74 [0E%;liNTY EP 4 TR C T , , .5 + + (kg? 4 + + \ ,.. + + — + S -7r ACC S►,- + �� + - �/ + + -� ' ; + APPROVED ' ` + o `�; , 3 + + SITE PL N j �J\I— + + (,.� �, �. � ' +MAR I-8 2009- + + + + -}- / ‘t` tz ;., 1,1 *. , 4_ ti j O 4~ j «. 1. 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Including structural failures, due to any deficiencies, omissions / �e ��/i' or errors in these plans. � ' PROJECTPLAN NO. 15502 Furthermore, should toil and weather conditions (i.e. hurricane. / earthquake, /MCC, etc...) cause loads other than those indicated In //��i Jthe Building Specifications, or For any other unusual conditions it , /✓ , , Is recommended that you consult with local buildingofficials and a 1, local architect or engineer prior to beginning construction. ///" /;. 4//%