HomeMy WebLinkAboutBLD2010-00175 • •
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#: BLD10-00175
SITE ADDRESS: 234 MASONIC HALL RD Issue Date: 08/12/2010
PORT HADLOCK, 98339 Final Date: 7/30/2012
APPLICANT: WESLEY 0 REED TRUSTEE PHONE: 360-379-9001
WO & GR REED TRUST
PO BOX 8
PORT HADLOCK WA 98339-0008
SUBDIVISION: Block: Lot: T 177
PARCEL NUMBER: 901024115 Section: 2 Township: 29 N Range: 01 W
PROJECT DESCRIPTION:ADDITION TO EXISTING SHOP - UNHTD, NO PLMB
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 7/30/2012
\\tidemark\data\forms\F_BLD_Occu pancy.rpt 8/9/2012
410
Jefferson County Building Division Permit Null": BLD10-00175
Applicant: REED TRUSTEE
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 c1S 21_I4-
C-rosion- ukol
Footincg kai[,�
Ext. Shear Wall Nailing w._(9/n
Framing
.Blocking-
Qr�well/Alt.arainage
Address Posted
- �., . ,4 2Z
FINAL INSPECTION 7 30_1 2 1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA1 0-00205
UILDING PERMIT APPLICION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00175 Received Date: 5/25/2010
SITE ADDRESS: 234 MASONIC HALL RD
PORT HADLOCK, 98339
OWNER: WESLEY 0 REED TRUSTEE PHONE: 360-379-9001
WO & GR REED TRUST
PO BOX 8
PORT HADLOCK WA 98339-0008
SUBDIVISION: Block: Lot: T 177
PARCEL NUMBER: 901024115 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr ADDITION TO EXISTING SHOP - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 20,840.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: 800 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: -------_ _
Type Amount Paid Bv: Date: Receipt: /\1PTT t\V,E
D
Permit $333.25 LYK 05/25/10 117759
Plan Check $217.91 LYK 05/25/10 117759 AUG 11 2010
State Building Code $4.50 LYK 05/25/10 117759
Total: $555.66 Jefferson County Planning
& Building Department
•
CONDITIONS for Building Permit# :BLD10-00175
1.) 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.
2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, 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 measures.
3.) 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.
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.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
• •
9.) The building height is not to exceed 35 feet.
10.) Setback from Masonic Hall Rd. right-of-way is no less than 20 ft., side and rear setbacks
are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
oK c411
, JEFFERSON COUNTY
�
' DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
� 360/379-4450 • 360/379-4451 Fax
87N� w ww.co.jefferson.wa.us/commdevelopment
Master Permit Application
MLA: t O )
Project Description(include separate sheets as necessary):
Ode- _Taex o4 800 1-Pr j" T- .sT.T Lit 1 h 1 c - L) O ( ( k-i`L�
Tax Parcel Number: 9 p/0 y Property Size: 38, 7t R (acresks ware fee
Site Address and/or Directions to r-1`P/roperty: r
.Z 3 y vv o.s�v cr tA41_( f c. a(T/-7,ell o
Property Owner(s)of Record: e'c r/y Kee.c/
Telephone: 360 -- 372- goo I Fax: email:
Mailing Address: f-C- c P-H. L(A4- 4£3 39
Applicant/Agent(if different from owner): R o N IZt_P�
Telephone: 3�,p 30/ C.33 3 Fax: email: &7206°5 Cab le_sraveiC 4i
Mailing Address: PO Z"� vv p833�
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
VIBuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family Garage Attached/`etachefi_,,)0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home t Jlodular • 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑ Home Business ❑ Cottage Industry 0 Binding Site Plan**
0 Propane ❑Long Plat**
❑Sign - 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program Exerflpdmn/iekmit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* 0 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 0 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 .k 0 Rio cY to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE y 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 the appl tion that he ors she wants prior notice.
Signature: Date: 1 O
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
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 are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans able responsibi•fgcacfhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Date: 5 "/ e" `�
• • __,
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 res nsibility of the General Co actor for the proposed project.
Signature:X ie"ty _- - Date: C' ( ' ( 3
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: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New VI. Wood Existing: ❑ Sewer
$ Addition ❑ Steel Proposed: Bank ii Community System
❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual Sys }
❑ Repair 0 Masonry SEP Permit# )_ I
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Hea • Proposed: 0 ❑ Public
U it NCI Total: a m: •
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 l 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 propane tank to all property lines,buildings and septic system components,
including the reserve area.
a -,;,
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Square Footage Current Proposed FT;-Office Use-Only `u1,; 2, Revision
Main Floor Heated EH Bid App Review: , rc_5,—
—
2` Floor Heated Consistency Review: ++
I�
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: I (}
Unheated Basement State Surcharge fee: A.Q/ C )I
Other Unheated Pot Water Review fee: nD
PI n
Garage/Carport ( C(:)
XLIO SUBTOTAL (f
Decks 911/Rd Approach fee: ,<,-rit3f
-: .
Other TOTAL: $ k.i 3.v
Receipt Number: l (-1-1"
Cash/Check Number: 1 Poi
I
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish .T `Q-15-
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DRAFTING PLAN 'loon plan / Foundation plan 2
CLIENT teed
by Dan ADDRESS 52 i is hall Foad
. PARCEL NO: 901024115 JOB:
101 Kiwi Lane DIVISION: - LOT:-
Sequim, WA. 98382 ,Sec. Twnsp. Range : -
(360) 301-1779 DRAWN BY: pan ftikene555 DATE:5/I /2010
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