HomeMy WebLinkAboutBLD2010-00088 • i
CERTIFICATE OF OCCUPANCYelnt
Jefferson County Department of Community Development
opme
opme
621 Sheridan Street
Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 ( ) 831-2678
Al Scalf, Building Official
BLD10-00088 Issue Date: 06/17/2010
PERMIT #: 560 RHODODENDRON LN Final Date: 1
SITE ADDRESS:
BRINNON, 98320 PHONE:
APPLICANT: PAMELA K MYHR
40304 NW BROWN DR
WOODLAND WA 98674-2928 Lot: 61
SUBDIVISION: PLEASANT TIDES Block:
25 N Range: 02 W
PARCEL NUMBER: 988500060
Section: 15 Township:
PROJECT DESCRIPTION: New Sin le Famil Residence
THE PROJECT LIST
ED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2006 EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION:
5N
SPRINKLER SYSTEM yes 6....V
THE PROJECT PASSED
ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/30/2011
10/29/19
I:\F_BLD_Occu p ancy.rpt
Jefferson County Buildin ivision Permit Aker: BLD10-00088
Applicant: MYHR
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 1% -A— \V
Erosion Control
Foundation Footing ci _1 _ ,
Footing Drains
Foundation Stem Wall '
Underground Plumbing 7_772 J C
Under Floor Framing 7/
Straps(hold downs)
Ext. Shear Wall Nailing 1 j r-
Rough-in Plumbing 1 1 ._3C, ? �1'[3
Framing .. —.' d. (7�.s
Blocking
Airseal
Insulation:Walls
Insulation: Floors — ivy PoT i -10 C-4-rerck09—urni-4-- 2 154
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing Ili�(
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted / �cr- /1 /,(
FINAL INSPECTION e'•3c'- - / /
FINAL INSPECTION MUST BE APPROVED
PP OVED�PR FOR ONE
BUILDING BEING OCCUPIED
BIDING PERMIT APPLICATI MLA10-00118
Jefferson County Department of Community Development Review Type: I
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD10-00088
Received Date: 3/29/2010
SITE ADDRESS:
560 RHODODENDRON LN
BRINNON, 98320
OWNER: PAMELA K MYHR
40304 NW BROWN DR PHONE:
WOODLAND WA 986742928
SUBDIVISION: PLEASANT TIDES
Block: Lot: 61
PARCEL NUMBER: 988500060
Section: 15 Township: 25 N Range: 02 W
CONTRACTOR: OWNER/BUILDER
PHONE:
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTIOt NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 81,787.00 MAIN: 566
CODE EDITION: 2006 ADD'L: 475 HEAT TYPE: EEE
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: SHORELINE:
DECK: 256 SETBACK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
Type Amount Paid By: Date: Receipt: APPTICIVEP
Permit $867.75 LYK 03/29/10 117475
Plan Check .' $564.04 LYK 03/29/10 117475
State Building Code $4.50 LYK 03/29/10 117475 JUN 11 lU
Potable Water Application , $98.00 LYK 03/29/10 117475
Jefferson County Plannin
Total: $1,534.29 & Building Department
AMIN
CONDITIONS for Building Permit# :BLD10-00088
1.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan.
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.) 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
6.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
8.) The building height is not to exceed 35 feet.
9.) Rhododendron Lane right-of-way setback is 20 feet, rear and side yard setbacks are no
less than 5 feet.
4,,� Olv co�� JEFFERSON CATY
W ' DEPARTMENT OF COMMUNITY DEVELOPMENT
`4 ( 621 Sheridan Street • Port Townsend•Washington 98368
360/379-4450 • 360/379-4451 Fax
o www.co.jefferson.wa.us/commdevelopment
Z/110
IAaster Permit Application MLA: I L-[ I T
'roject Description(include separate sheets as necessary :
as-rn tc1 / i)G l r')
Tax Parcel - Property
Number: l .� ('O(j (Q Size: f/LSU& (acres/square feet)
Site Address and/or Directions to Property: 5 e���U'd ®'� '�R l Una WA
�f�ufu P1p/Jo�1 D� �Jt�c! to[ �aM, T/t� &rrs Si,�c. -/ - /p, �BIr)L d,JbrocaLo 2o, )(.Gmi)
Property Owner(s)of Record: J Al -
�� R Rr sr,t
Telephone: , () ' 1LS S Fax: 0..�.. D email: ti GU b•h m •
Mailing Address: 0 O ti) A
Applicant/Agent(if different from owner):
Telephone: Fax: — email: —
Mailing Address: —
What kind of Permit?(Check each box that applies
IXIBuilding 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a), C(d),or C]*"
Q.Single Family ❑Garage Attached/Detached El Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)"*
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use ❑Short Plat"
❑ Address 0 Road Approach ❑Binding Site Plan**
❑ Home Business ❑Cottagelndustry 0 Long Plat**
❑ Propane ❑Planned Rural Residential Development(PRRD)/Amendments'"`
❑Sign ❑Plat VacatioNAlteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
Q Stormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
LI Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
*May require a Pre—Application Conference **Requires a Pre-Application Conference
'lease identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
hereby designate to act as my agent in matters relating to this application for permit(s).
)WNER SIGNATURE Date:
3y 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
'is,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
nay result in this permit being null and void.
further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and
.xpenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
view and any required er inspections. Staffs acces and right of entry will be assumed unless the applicant informs the County in writing at the
me of the applicatio t,7 e or s I- wf nts ri r notice '
Signature: ( ' lk1 '/�
)\k.) Date: 3 2. ---7 Applicant will undertake /j 6
fhe action or actions as a result f�e issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"o 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
rermit 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
iction(s)even if you are' compliance with the Jefferson ounty development code.The Applicant acknowledges that he,she or it holds individual
ii
Ind non-transferabl: re •nsibili or adherin. to and c' '•lying 'th the ESA. The Applicant has read this disclaimer nd si s and dates it below.
ignature: r. ..... % A / A A, Date:
I
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0 BUILDER STATEMENT •
The signer of this st ment does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass . g e res onsibili f the e:r.ral Cpntractor for the proposed project. /�
Signature: e(� I {l�1��t // Date: a 1U
GENERAL CONTRACTOR OR MANUFACTURED H. E INSTALLER: J/ PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
)6, New X Wood Existing: Ai/ [-1 Sewer
n Addition a Steel Proposed: 2— Bank / CI Community System
`i Alteration/Remodel ❑ Concrete Total: Height: i.i Individual Syst m
I I Repair [ii Masonry SEP Permit# 01- 000 If
Demolition CI Other: Bedrooms: Water Supply:
Existing: Setback: r i Private well l.i Two Party
Type of Heat: Proposed: 2 X1 Public
L2 UJR t t {{F,R�$/1P Total: 1‘ me of System: �L, R SAn
/MEs w rx-2, P2- op
If this is a Commercial Proiect you must answer the following: A"
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
aces:
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: N/4_
❑Underground Tank In Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove El Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 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 EH Bld App Review.
s64 �9( u 3
,`°Floor Heated Consistency Review:
1f7s3 vI3 —
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: ,
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL I
Decks 911/Rd Approach fee:
Other P6`Lt/ /I) ,2zi' t J . 031) TOTAL: $ ,U
Receipt Number: \ 1.—/L1-13
Cash/Check Number:
ESTIMATED COST(REQUIRED) Dater
to
.Fair market value of all labor and materials foundation to finish of 1 y �_
gO) 4�U Initials: �_:,.``
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