HomeMy WebLinkAboutBLD2009-00039 CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT #: BLD10-00039
SITE ADDRESS: PARADISE BAY RD Issue Date: 06/24/2010
PORT LUDLOW, 98365 Final Date: 9/4/2013
APPLICANT: STATE OF WASHINGTON PARKS PHONE:
AND RECREATION
PO BOX 42668
OLYMPIA WA 98504-2668
SUBDIVISION: Block: Lot: 3+
PARCEL NUMBER: 821264001 Section: 26 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NEW VAULT TOILET at new overnight kayak campground.
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes `no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/4/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013
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LDING PERMIT APPLICATI MLA10-00050
Jefferson County Department of Community DevelopmentReview Type: I
621 Sheridan Street Port Townsend WA 98368
PERMIT #: BLD10-00039
SITE ADDRESS: PARADISE BAY RD Received Date: 2/8/2010
PORT LUDLOW, 98365
OWNER: STATE OF WASHINGTON PARKS
AND RECREATION PHONE:
PO BOX 42668
OLYMPIA WA 98504-2668
SUBDIVISION:
PARCEL NUMBER: 821264001 Block: Lot: 3+
Section: 26 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER
PHONE:
REPRESENTATIVE: DAN DICKINSON
PHONE: 360-790-6696
PROJECT DESCRIPTIOt NEW VAULT TOILET
TYPE OF WORK COM SQUARE FOOTAGE:
TYPE OF IMP NEW COMMERCIAL:
VALUATION 16,000.00 MAIN: INDUSTRIAL:
CODE EDITION: 2006 ADD'L:
OCCUPANCY: HEAT BASE: HEAT TYPE: UH
OCCUPANCY: UNHEATED: HEAT TYPE:
CONST TYPE: OTHER: # OF STORIES:
CONST TYPE: GARAGE: SHORELINE
DECK: SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: NUMBER OF EMPLOYEES:
BATHROOMS:
Exist: 0
Prop: 1
Total: 1
Routing Date: •
Type Amount Paid Bv: Date: Receipt: APIRVJEPPlan Check $172.41 LYK
State Building Code 02/08/10 113808
$4.50 LYK 02/08/10 113808 JUN.j1(4 2010
Total: $442.16
Jefferson County Planning
&Building Department
• •
CONDITIONS for Building Permit# :BLD10-00039
1.) The identified Fish and Wildlife Habitat Conservation Area (Type N Stream) shall maintain
a vegetative buffer of 50 feet and a building setback of 5 feet. The buffer shall be
measured horizontally from the Ordinary High Water Mark and the setback shall be
measure horizontally from the outer edge of the stream buffer.
2.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) The project proponent shall adhere to all recommendations in the archaeology report
prepared for this proposal. This includes, but is not limited to, having a qualified
archaeologist to monitor excavations at the time of installation of the trailhead signage and
the kayak rack and to document monitoring results.
4.) 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.
5.) This parcel is within a no shooting area per Chapter 8.50 JCC.
6.) No vegetation removal beyond that shown on the approved site plan received by Jefferson
County on May 19, 2010 is allowed. The project proponent shall minimize the extent of
vegetation removal or damage during construction. The existing trail from the kayak rack
to the vault toilet may be maintained, but not widened. Any vegetation removal beyond
that approved under this permit may trigger mitigation by Jefferson County.
7.) No use shall be made of equipment or material that produces unreasonable vibration,
noise, dust, smoke, odor, or electrical interference to the detriment of the quiet use and
enjoyment of nearby properties.
Jefferson County Building.vision Permit Niter: BLD10-00039
Applicant: STATE OF WASHINGTON PARKS
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
Rough-in Plumbing
Framing
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
01/2E/2010 12:03 36037944510 JEFF CO PERMITCENT PAGE 01/03
JAN-25-201.n 1.,P.:54 From:SW SI-OP 3E058655 r-
753r32 Page:1'E
JEFFERSON COUNTY )47°' D41,\\ I t f ��a (s
�t7 DE?ARTMENT OF COMMUNI DEVELOPMENT
$21 Sheridan Street•Port Towns
\\1t - ''S ,�y.. 3 •f3C)/379-4450•. 380/379-4451 Pax 'WtttShingttsrt S>33fi8
IN��"C� www.ce.jetf rson,w7,us/t ommdevelopment
Master Permit Appllkation
Project 17t+� I L) o `--k ;ill
j Description(inel do so rate sheds es nodessary): ,.
Tax Parcel e
Number: .4 Property
Size: 0 ca.e4C5 (ecrer..A_ flare Few
Site Address and/or Directions to Property l
`Sli.,45 W
Properly OWnArje of Record: r
T212ph4Re: Gr7 '�—�r�
Waring itma '�Fak: ,C.f ..9,tE'l31a email:
g Address. ` �-�!
Applicant/Agant(if dlfferont front owner):
TelephonA'attA�YT 99l!.4 6 Fax;3..4
Meiling Address: email:
What kind of Permit?(Check each nox that applies R
jttfaui!ding
❑ Demolition Permitrl Variance(Minor,Major or Reasonable Era/anomie Use)
❑Single Famil 0 Conditional I,Ipe 10(a),C(d),or CI**
y 11 Garage An;,died/ter tacned 0 Discretionary"D"or Unnamed Use Classification
❑ Manufrdturod lionte ❑ Modular 0Rprrfat Use(Essential Public Facilities)""
Cl Commercial
fl C;henge of Use 0 Boundary Lime Adjustment
0 rldcirr±ss ❑Road Approach El Short Plat" \
0 Home Business --- I�l Binding Sits Plan"" �s e..1 t S: '.
❑Cottagelndustry 0 Long Plot.. (`'� `� c''i-1 Propane
0 Sign 0 Planned Mural Rasldentlai Development(PRRO)/Arnpndments
❑Allowed"YAC"use Cons13tency Analysis 0 Plat Vacation/Alteration"*
t�Al "s M use onnt 0 Shoreline Master Program Exemption/Permit Revisions'
❑Site Plan Approval Advance Determination SPAAp " 0$horel Management Substantial Development
Cl Temporary USe { ) 0 Shbrelit Mans mCnt Variaance
❑Wireless Tetaootntnunlrattan* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
n t=anr�t Prao1inen Act/Relc ase of Six-Year Moratorium 0 TreeJeff+rsan County eq esln,a Master Program Amendment
`cola re titre a pe l:J Vec�etsion Request
- Q . prroarion Con/Orar we •"Raquires a
Please Identify any other local,stata or federal permits required for this proposal,If known:
I hereby designate DESIGNATION OF AGENT ,
—~--- _ to act as my agent in matters relating to this application for perrnit(s).
UWNFR tlirtNATURE
-_: Date: _
Oy nitririp than npprIcatfon roan,the owner/edam attests that the Information provkled heroin,and In any attachments,Is true atxt correct to the best of
Ns,her or it's knowledge Any material falsehood or any omtstfon of a material fact made by the owner/agent with respect to this application parknt
miry result in this pr,rmlt being null and void,
I further oars to cave,indmmnffy and hold hermit-so Jefferson County agiin.i alt IiebiH[ies,judgments,court coats,rrtanonnblo attorneys fees and
expenses which may In any way ncenie against Jefferson County es a result of or in canseguance of the granting of this permit.
i Rather agree to provide tweeds..d rig of entry to Jnfrr..rcon Gounty and its e11 ptuyr_es,representatives or agents for tiro sole purpose of application
review and any n.•ted later• ,olio Staff s access end right of entry will be assumed unless the applicant infannt the County in writing at the
tlma of the apy ,n that e: nts prior notice,
Date: yC,/
The notion or entinhn Applicant wilt undertake as 11 ra tilt Of the esuonce 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 aro defined in the federal law known as the
"Endangered Species Act"or'ESA.-Jelferton County makes no assurances to the applicant that the actions that will he undertaken because this
permit has been Issued will riol violate the ESA. Any individual,croup or agency can flue a lawsrtfi on banalf of an endangered speetex reg3rdlnp your
octants)even n,, are In C. •pi once ,Oh the Jefferson County development codo,The Applicant acknowledges that ho,she or It tinkle individual
and non-tra rob-reap nr,.thii y f0 .haring in and complying with rho SSA. The Applicant has road this d claimer and n
Signature: ,,, .I, . ! a dates It aetpw.
— ----- Date:
�•.., TT
t.,t)r.Cumrnt5.,,d;rfhnrcr\rnrRIV-6ca1='t(IIM'.'1'rmt},:.*ar.-Igmrurvl Fllrv,f_)l.,MP(,.\MW,.r I"rM1ll IIC:dlur,1.'' 21)Itri:t -
i'P ' .drK.
m.
01/26/2010 12:03 3603 4451 JEFF CO PERM ENTER PAGE 02/03
JRN-c"3-E019 12:55 From:SW II, 36A58E55e0 IMPF3,36037S44513753730 page:2/2
BUILDER STATtMENT
The)111Tit1r'all: ,atoms. d•.-h- =lly certify Mal they ara the Owners of Ilia parcel referenced herein,Ihal they fire!rtOl Iicerzed Contractors and that
they will be a, surd ig tt 'VS MI/ v',tie'?General(Ornr$I pr Inr TN:prvpused olecl.
Signature: < 1',, . , ./ , _At.` ____.____,,..�._.. Date: ,�., 4 R 0f4)
GicNERAL CONTR.ActoR OR MANUFACTURED HOME INSTALLER. PHONE: FAx
( ) ( )
MAn INr ADDRESS: EMAIL:
CONTt?ACTOR'S LICENaE VVAINS
NUMBER.. NUMetn
ARCNI'rcTIENGINEER: PHONE ( ) I=AX:( )
MAILING ADDRESS: EMAIL
Project Type: _..._.. Frame Type: Bathrooms; Shoreline: Type of Sewage Disposal:
C New Wood Existing: d Sewer
Addition ❑ steel Proposed Bank ! Commtmity System
• Alteration/Ften coca t.i Concrete Total; Height: ri Individual System
Repair O Masonry L ------ SEP Permit#
Demolition t_ Other:_ , Bodrooms; Water Supply: 1
Existing: Setback. t: Ptivate well :l Two Party
Typo of Pleat: Proposed: :.1 Public
.,,.,„_.., Total! Name of System
ILthi9 is,a commercival Praia t Vol yst:,ariewer the followlno:
Number of Pell-king Spaces: Current: Proposed: Number of UA Parking Spaces :. _•'
Number rtf occupants(Includes owners.tenants,employees,etc) Current Proposed
IBC O ci pency IBC Type of construction. ,. . Wrll you have Food Service? Yes / Ng
If this Is'a Nome Tank end/or Appliance Inctallatton permit,mark all de k einvr�t ah t_ataplyi
U Undorground Tank n Above ground Tank Size of Propane Tonic:
❑Heat Stove 0 Cook Stove 0 Woodstove El Fireplace Insert 0 Hot Water Tank 0 Pellet Stove ❑Otl1pc
Is this aeoliance-bntnq lnj ttlied in a klartufactuted I Mobile Home? Yes / No (I)Se. e ,
. VIM"applying fc r a permit to install a propane tank you must also submit a site p an showing all of the buildnt ,all property
Wits,tank location and S120,distances from the propane milk to all property linos,buildings and septic system components,
including the rosnnia Are.
Square Poote.ge Current Proposed For Office Liao Only Amount Revtelan-
Main Floor Heated EH old App Review: ItA40
2"Floor Heated - COnsistency Review: I
Other Heated Ease fee: r
CP CPS
Mcv,.nninev - ,�,
> �-� err
Heated Basitmerit Mori Check foe: ^—T L) 1
Unheated Basement State Surcharge fee
Other Unheated __ Pot Water Review fee: _ .
r.+aragelGarpon _ SUBTOTAL )f[4Q I/
Decks -- .... e ,: ..� _10 1.�-,...—
.
1'ML _
Other
Receipt Number:
cashrChock Number: 9 � r(7
ESTIMATED COST(REQUIRED) Date: ' t� ,_
Agatr r3}pr o vglr of to rube and rears roundAliart m rinisn —__ —
. 1��1' f/ Initials:
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