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HomeMy WebLinkAboutBLD2010-00061 • • 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 #: BLD10-00061 SITE ADDRESS: 341 VERNER AVE Issue Date: 12/13/2010 PORT LUDLOW, 98365 Final Date: 7/6/2011 APPLICANT: HEATHER A DOSCH PHONE: 360-385-0480 KEVIN M DOSCH 7841 NE 21ST ST MEDINA WA 980392313 SUBDIVISION: OLYMPUS BEACH Block: Lot 87+ PARCEL NUMBER: 978900093 Section: 4 Township: 28 N Range: 01 E PROJECT DESCRIPTION: RE-LOCATE EXISTING CRAFT SHACK -ADDITION & ADD BATHROOM 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 7/6/2011 I:\F_B LD_Occu pancy.rpt 10/29/19 Jefferson County Building Asion Permit Nu•r: BLD10-00061 Applicant: DOSCH 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 Footing Drains _ Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing Blocking Airseal Insulation:Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION �_% C 44) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • S UILDIN PERMIT APPLICASN MLA Type: Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00061 Received Date: 3/8/2010 SITE ADDRESS: 341 VERNER AVE PORT LUDLOW, 98365 OWNER: HEATHER A DOSCH PHONE: 360-385-0480 KEVIN M DOSCH 7841 NE 21ST ST MEDINA WA 980392313 OLYMPUS BEACH SUBDIVISION: Block: Lot: 87+ PARCEL NUMBER: 978900093 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: MARIE PETERSON PHONE: 360-437-8148 107 LUDLOW BAY RD PORT LUDLOW WA 98365 PROJECT DESCRIPTIOP RE-LOCATE EXISTING CRAFT SHACK -ADDITION & ADD BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 26,618.00 MAIN: 340 CODE EDITION: 2006 ADD'L: HEAT TYPE: WOD OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: DECK: 80 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 1 Prop: 0 Prop: 0 Total: 0 Total:- 1 Routing Date: ( Type Amount Paid By: Date: Receipt: Approved/Date Permit $411.45 LYK 03/08/10 113974 Plan Check $267.44 LYK 03/08/10 113974 APPROVED State Building Code $4.50 LYK 03/08/10 113974 Total: $683.39 DEC 13j 2010 'Jefferson County Planning Building Department CONDITIONS for Building Permit# :BLD10-00061 1.) The project shall adhere to the Best Management Practices (BMPs) erosion and sediment during construction. BMPs shall address permanent m eaures to stabilize soil exposed during construction, and in the desi n a to control stormwater, r and drainage control systems. 9 nd operation of stosmwate 2.) The project shall comply with Construction Stormwater Pollution Prevention Elements#1 through#12 of the Department of Ecology's Manual for Western Washington to control stormwater, erosion and sediment(Suring construction. BMPs shall address Stormwater Management po rmanent measures to stabilize soil exposedrduring construction, and in the design Aeration of stormwater and drainage control systems. 3.) To help prevent seawater from intruding landward into underground development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoffd aquifers, all new 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: °nsite. Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments maybe used pondsy lawns and gardens. Unless catchment water has been treated to meet er standards, there shall be no cross cone n the potableblesupply for watering impounded water. each property shall not nections allowed between drinking a ply and 3. Water withdrawn from wells on be used and/or gardens. for watering of lawns 4. Ground water withdrawn from each property shall be restricted to a rate gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucetsand three (3)r restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xerisca in shower p g, 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 measure 5.) VOLUNTARY MEASURES OF COASTAL s 1. Installation of a flow meter. &AT RISK SIPZ: 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 6.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building DOH-approved public water system if available.permit application, 2. If public water is unavailable, a applicant must utilize potable or individual viaila wella qualifying alternative system may following requirement: y be used as proof of potable water subject to the of a. Chloride concentration of a laboratory-certified well water sample submitted building permit application. 3. If public water is unavailable, a with potable water. qualifying alternative system may be used as proof of 7.) The property owner shall comp I by the UDC Administrator). y with Water Conservation Measures (per list maintained ll foN COS JEFFERSON COUNTY p� 4' DEPARTMENT OFCOMMUNITY DEVELOPMENT`� 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �q ~`_ O� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: � () Pro ct Description (include sepa ate sheets as necessary): 0:14AM Cra- t- S 2Ew j ire Tax Parcel Number: 9 7 69 OC)o'"1 Property Size: I .-] ! At E- (acres/square feet) Site Address and/or Directions to Property: 3(4I Ver,nex e. ' cNl LudloW WA- 9g3105 Property Owner(s)of Record: 4-4p c 'D Telephone.: LI 25 -'"U 1- 'SOOI Fax: email: Mailing Address: '2j1-11 V t�rn1Y Aver 1eLotj� Applicant/Agent(if different from owner):NW le_ G_-(X sow Telephone:31,00 431 I Fax: email:bp)cal( ,r " 0(Y� Mailing Address: - II " �--�' What kind of Permit?(Check each box that applies ❑Lot or Road Segregation flBuilding 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) 0 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 0 Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** 0 Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ' ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management ,D.Shoreline Master Program Exemption/Permit Revisions** ❑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 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: M��E .DESIGNATION OF AGENT I hereby designate rETEE1 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 entry will be assumed unless the applicant informs the County in writing at the time of th&a�Iication that he or she waor otice. Signature:. / y/L/(,1— Date: 3—e _26l6 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or ndangerecl species and could lead to a potential'take"of an endangered species as those terms are defined in the federal law known as the .ndangered 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 are in compliance wit Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tai f able responsibility for ad a in t and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:_.. 1 a • Date: 3_g -Zd l 6 ,, .. .i ._.__\11J4J1D/1D 1\K0111411\nonl 1,6111•lc\r._..._ 1Ni11,r _ \IS 1, , r- es, eses , 0 • BUILDER STATEMENT The signer of this statement does hereby cethat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that / they will be assuming the responsibility the ;41- ontractor for the proposed ro ect. ���t` .! Date: 7/ l / t Signature: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:( ( ) ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS , NUMBER: NUMBER . ' .. ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Type: Shpreline: . ,Type of Sewage Disposal: Frame Bathrooms: J -Wood . Existing: _ ` ❑ Sewer ' ❑ New 0 Steel Proposed: ; N - ` Bank {- Cl Community System ❑ Alter ❑ Additionation/Remodel o Concrete S Total: __ Height: Indibidual System ❑ Repair ❑ Masonry , . ermit#..h., 0 Other: Bedrooms: - Water Supply: ❑ DemolitionExisting:' .. '' f$etback:, ram' Private well 0 Two Party of Neat' ' Proposed: °''0-Public Type Toil:, .1 - Name of System: If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Proposed Number of occupants(includes owners,tenants,employees,etc) Current p IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank andlor 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 I Mobile Home? Yes I 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. Current Proposedor Office Use'Ol l Amount .Revision S9uare Footage _I F Bld A Review. Main Floor Heated LIO 2-t " � EH : 4 PP 2�Floor Heated Consistency Review: Other Heated Base fee: /i I ( . Mezzanine Additional Section: `"� _- Heated Basement Plan Check fee: a--j LI L[ Unheated Basement State Surcharge fee: 4 .3-) _______ Other Unheated Pot Water Review fee: K_o (] ortb Garage/Carport SUBTOTAL �"t (r/R.339 Decks 911/Rd Approach fee: ZCg i E_k-(S((Sri Other TOTAL: $ ( e), . Receipt Number: i f Cash/Check Number: , (�'/ -ESTIMATED COST(REQUIRED) Date: —��{�'((, - •Fair market value of all labor and materials foundation to finish Initials: --- \--- :: r.\po.. :rC,..,..Aittt#FOR MS###\DUI P lRMS\CnrrrntDRr)Farms\MacterPermit Annlicatinn 5-29-Oft.tinc W i } z o Ca O ..,41 ` O a 0' Ii 0 © E G tot Nil VI) Z ill u4 0s �. ►, 4 / .„ /Q ' 1'� -� ' moo- `` )t„` L e. 7- m i 1 I o I p1> iy�� �- Y. OL 4iV -\ / 1 i,2 cA E.1 1 o i , ._, A‹ _� ► .: \ ,fie D� • w V AO til \ I gal NI �:(P' S W i $96--141 L'D e A ' \;< _5 `' � 114-1 J b ' c4 •fir^ ) __1 A rA '',--k in<9- Ei . -\,- -I • .7 ' k ' ?- 4/' r: Q. vs-- ,Q .40' :2 tt.. .) r74.• g l' 4 a , L . 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