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HomeMy WebLinkAboutBLD2010-00184 • • 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 #: BLD10-00184 SITE ADDRESS: 998 FOUR CORNERS RD Issue Date: 08/11/2010 PORT TOWNSEND, 98368 Final Date: 12/13/2010 APPLICANT: JEFFERY S MICHELSON PHONE: 360-901-6576 MARY A MICHELSON 11504 NE 92ND ST VANCOUVER WA 986622302 SUBDIVISION: MICRAELUND SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 001334039 Section: 33 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 12/13/2010 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Dion Permit Nun: BLD10-00184 Applicant: MICHELSON 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 ,_n Erosion Control Foundation Footing (:-.( _a_?e) 91, Footing Drains (B_12-_i1D Foundation Stem Wall (4 _ )9 Underground Plumbing Under Floor Framing -ZI-ru Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing i -ice ,1 0 (� - Framing n �—",' j J`— 1 L.- tO Blocking Airseal /0 _12% 0 Pf- Insulation: Walls t'7 - ; '10 / l Insulation: Floors � - Insulation: Ceiling /C,- ?/-/C' f74-1' Int. Shear Wall Nailing I I-; _ o Wallboard Nailing ; - ` _ (c7 `Gas Line: Interior / Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage /0_12_,, I 5b---- Address Posted 7o--rz )a 1 (25L Ov-na4.5 " Lti_ in -'2 k.4 FINAL INSPECTION it„_117-iii FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ICILDING PERMIT APPLICATION MRev e0 lyp12 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00184 Received Date: 6/1/2010 SITE ADDRESS: 998 FOUR CORNERS RD PORT TOWNSEND, 98368 OWNER: JEFFERY S MICHELSON PHONE: 360-901-6576 MARY A MICHELSON 11504 NE 92ND ST VANCOUVER WA 986622302 MICRAELUND SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001334039 Section: 33 Township: 30 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981 BT Expires 2/10/2012 REPRESENTATIVE: TIM GIBBS PHONE: 253-606-5210 94 KALA SQ PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,248 VALUATION 111,500.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 440 CONST TYPE: DECK: 96 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: it J I Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,060.95 LYK 06/01/10 117775 APPROVED Plan Check $689.62 LYK 06/01/10 117775 State Building Code $4.50 LYK 06/01/10 117775 AUG f \ 1010 Potable Water Application $98.00 LYK 06/01/10 117775 Total: $1,853.07 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD10-00184 1.) See BLD10-00153 for conditions that apply to this property and may apply to this project. 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.) Any portion of the water line must maintain 10' min. setback from all portions of SEP95-220 5.) PRIOR TO FINAL AN INSPECTION OF THE TRANSPORT LINE THAT HAS BEEN MOVED IS REQUIRED BY THE HEALTH DEPARTMENT AND A REVISED ASBUILT/RECORD DRAWING SHALL BE SUBMITTED BY THE DESIGNER. HOURLY INSPECTION FEE OF $65.00 IS DUE. 6.) A 10' separation is required between the water line and all onsite sewage system components including tanks, transport line and drainfield. ,0N c, • AV0c JEFFERSON COUNTY r 'V DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ���, p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ((0 1 ,) Project Des,c iption(include se arate sheets es necsary): Ni _ /-) t I C f\t-� Tax Parcel Number: t2/3�723 Property Size: (acres/square feet) Site Address and/or Directions to Property: f 9 r f:e#,4 ("0"4.- 5 /r. , ir _7-.i 1.-"1/5"-e.i<,V L.., f Property Owner(s)of Record: Telephone: �/�q//- AO- Fax: email: Mailing Address: Applicant/Agent(if different �� l/from owner): G Z2 Telephone: r7^�QO/ Jr2 � ' � �� �� � / ' Fax: h7 37,—!�/ / email: Mailing Address: 92 J 1 , '7 TQw�, y� Wi1at kind of Permit?(Check each box that applies `p(Building D Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or ReaplFinh'ble-E?onbdllie Use) )'Single Family F1 Garag=a'""-1 Detached 0 Conditional Use[C(a),C(d),ort]]** ❑ Manufactured Home 0 Modul. 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑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 Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use ❑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 federalde permits required for this proposal, if known: �/ /�./4 3 DESIGNATION OF AGENT I hereby designate � �Q t j,7,e S / to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ��f"/ ( y(f2 `;%X.,(i%e,Z2-(- < ) Date: 0//UG/l70 By signing this application form,the downer/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 attomey'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 h or e wants prjpr'noticev f -� "7 Signature: � L� /✓1 //� --�il �" �,c� Date: © /J �'�/, 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 bl sponsibility for adhering to and con)pfying"withmhe ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur • Date: 4/—/,2 40 G:\PemritCentcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • 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 responsibil" of the G eral Contractor for the proposed project. Signature: Th � Date: f/.2 ' 4; GENERAL CONTRACTOR ORS PHONE: FAX: t,/ /ifr>� ifrk�.' n 31 3�- e, ( /-)3; 7/ MAILING ADDRESS: 9 2 k,91� Sg r EMAIL: �'jBBS,g Z,e;. ems-414 CONTRACTORS LICENSE vvf} WAINS NUMBER: ,1/l/,47 i7:11/ -' NUMBEfj ARCHITECT/ENGINEER: //J�C/'/�/4,1"�1�j-G"s' PHONE ( ) FAX:( ) MAILING ADDRESS: l T� EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: �' New ,R�lVood Existing: r I Sewer ❑ Addition ❑ Steel Proposed: 1- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Heigh individual System ❑ Repair ❑ Masonry SEP Permit# C1 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: Private well ❑ Two Party Type of Heat: Proposed: 2 ❑ Public Total: 2 Name of System: 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove i Woodstove I Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying fora 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 '. „x , . Amount ., � k(-sion n. ;.r Main Floor Heated / '' :: , EH Bid App Review. / 7' rf' ea Floor Heated !� .' r Consistency Review: ' k 3 Other Heated `.r' k,• Base fee: jjCKi Mezzanine #: . ° ." Additional Section: — Heated Basement . Plan Check fee: (O Cq I°211� - .' Unheated Basement s State Surcharge fee: . - tL,C F i* Other Unheated Pot Water Review fee: Garage/Carport `�°� r � �'` . SUBTOTAL Jr�r'/D C )Tf.(J7 Decks fir ? ' r, 911/Rd Approach fee: Other -; ? TOTAL: $,I 0-7 pip Receipt Number: t (—I1-n :-, = Cash/Check Number: .STIMATED COST(REQUIR 0 Date: .Fairmarlcet value of all labor: d =teriafs foy.p6afidfio feish _ -1L% Initials: C G:\PembtCenter\###PORMS###\DRD FORMS\Master Permit Application 5-29-08.doc // :-..\ 42'-0" 8'-0" 12'-0" 10'-0" 12'-0"/ / / / / • 60 50 HS \ \ \ ) I \ \ ASS _ . co co C� -I; °� �,<A, 0 � N� o • I- w o < \ ffi\cj L Z cji I D C D H b' -< oo z Nip /.�� PI m 7J \ > Dm \ cn �` V 0D mz0 � cn 02I _ N\ \ z 0 "' c / 5'-9„ 2'32,. 3' 112„ N rn c'p Z 4-0" , f00 -I g N°' 1' 1 _ S CI \ \ G 10'4" �� 4' 11" 7" 6'-112" 4' " .-Q. 20 NIA i �- ` NI-, a.? 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'. ....C,: ..S1 rn 0 o D "AS—BUILT" WASTEWATER PLAN c o c z m TAX PARCEL # 001--334-039 SOILS APPLICATION, INC. m 2 0 u �' 863 CARLSBORG ROAD, SUITE A, co o :� o PRESSURIZED DEEP TRENCH SYSTEM FOR SEQUIM, WA 98382 JEFFREY & MARY MICHELSON PH (360) 683-6300 FAX (360) 683-5652 I