HomeMy WebLinkAboutBLD2010-00202 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 #: BLD10-00202
SITE ADDRESS: 321 MUMBY RD Issue Date: 10/13/2010
NORDLAND, 98358 Final Date: 4/17/2013
APPLICANT: DAVID A FITZPATRICK PHONE: 205-954-3210
MARSHA K FITZPATRICK
23730 NE 170TH ST
WOODINVILLE WA 98077-7315
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 021202002 Section: 20 Township: 30 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/ATT ADU/GARAGE & BREEZEWAY
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 4/17/2013
\\tidemark\data\forms\F__BLDOccupancy.rpt 5/21/2013
Jefferson County Building ision Permit Nu, ?r: BLD10-00202
Applicant: FITZPATRICK
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 6_2_,11 9,- t4.0,.4. 0t:7;1(....z,_ .s-- _,./_/.2_ gi-A
Erosion Control (,�-21_I1 (Aai,sL //i1 ,�l,s s d yi -St 41
Foundation Footing 64I"�A -'t t( — 3 P(� z
_(-2-v o ,: : 0,-r, N�, t=�K 04 ,s ,v
Footing Drains
c
Foundation Stem Wall 7' :: -I\ p--fh i4c,s,�� ILcItri3r`i use- Q Fi
Underground Plumbing �v iuo , e ., �i*tp�'SLw �r Its 0
Under Floor Framing c' M`i94 3)LY/I Z
3\4\17. 9....— APO r.-:‘+0.4.LAmt.4". imcv.z /A.,r atAl.e0.141,-S :,'irso(4'igdi,4tA..
Straps(hold downs)
Ext. Shear Wall Nailing
7 2. Nh, (1r,41s� Atka-4
Rough-in Plumbing /- I S/-R_ 5 • 6 / Z l61-0
Framing /g--;„`f"(Z JC- I3 0At / 4 ,�- P (�� /
Airseal
z�— ic —; e Le-, /Lc` 2- 3
Insulation:Walls /L .- � � �D � � / /�
--1 (2 O OL C 'ct.. b -3-(2-
Insulation: Floors � � t
pe ,i ' all `V� ,4 / ,. to- -3--% z,.
Insulation: Ceiling C
Int. Shear Wall Nailing
Wallboard Nailing
62.u3 b /.0-\( c 1-,u-/ 4,c. /P -(z -(2--)1/4--
Gas Line: Interior ? . ,. 5, %Z 5, 6 Z j
5-5
Gas Line:Exterior
Propane Tank l —t3`i
Heat/Chimney Clearance l
Drywell/Alt Drainage p \ Os
Address Posted
Miscellaneous ~��`�� ` PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT
�` SHALL SUBMIT A WRITTEN LETTER FROM DAVID HANNA
��� �"�S 1z WITH NTI ENGINEERING STATING THAT THE STORM WATER
45)44 ,t, t. `C (2 FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH
THE REQUIREMENTS OF THE STORM WATER PLAN DATE
`I,iwJ-C, (J wt,< I*2111 73 ,_, MAY 24,2010.
FINAL INSPECTION --t 7 lC'V`,
FINAL INSPECTION-MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING PERMIT APPLION MRLA1evi0 00 Type
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00202 Received Date: 6/7/2010
SITE ADDRESS: 321.MUMBY RD
NORDLAND, 98358
OWNER: DAVID A FITZPATRICK PHONE: 205-954-3210
MARSHA K FITZPATRICK
23730 NE 170TH ST
WOODINVILLE WA 980777315
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 021202002 Section: 20 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE: c
-\
1`(C\,/t �_.30o `J 6Cov — 3
(V.k,4N-
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR W/ATT ADU/GARAGE & BREEZEWAY
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,168
VALUATION 951,000.00 ADD'L: 1,744 HEAT TYPE: EEE
CODE EDITION: 2006 HEAT BASE: 0 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 894 SHORELINE:
CONST TYPE: GARAGE: 1,598 SETBACK:
DECK: 1,589 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 4 Prop: 5
Total: 4
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
APPRVEL;
Permit $5,376.00 LYK 06/07/10 117804
Plan Check $3,494.40 LYK 06/07/10 117804
State Building Code $4.50 LYK 06/07/10 117804 OCT 13 2L){J
Potable Water Application $98.00 LYK 06/07/10 117804 Jefferson County Pianninr
Total: $8,972.90 & Building De►►artment
• •
:ONDITIONS for Building Permit# :BLD10-00202
.) NO WATER SEWER CROSSING ARE ALLOWED ON THIS PROJECT
:.) See SPAAD ZON05-00046 for conditions that apply to this property and project and are
hereby adopted under BLD10-00202 &203.
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.
.) An Engineered Stormwater Plan has been prepared by NTI Engineering dated May 24,
2010 and submitted for BLD10-00202 &203 and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
r.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN
LETTER FROM DAVID HANNA WITH NTI ENGINEERING STATING THAT THE
STORMWATER FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH THE
REQUIREMENTS OF THE STORMWATER PLAN DATE MAY 24, 2010.
i.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
'.) 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.
A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
1.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
0.) The building height is not to exceed 35 feet.
1.) Building setaback from Mumby Road is no less than 20 feet. Side setbacks are no less
than 5 feet. Shoreline setback is 67 feet from top of bank.
2.) 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.
Ill IIP
�1SONcry.
A JEFFERSON COUNTY
W 1 \� DEPARTMENT OF COMMUNITY DEVELOPMENT +� 7 •�-J"J
'' `N , '4 621 Sheridan Street• Port Townsend •Washington 98368 `��
''PINO 360/379-4450 • 360/379-4451 Fax
�Sp� www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: /6 'Z2 3
Project Description(include separate sheets as necessary):
SiNGtLE. FANSIL1/-hL N C f PLR)
Tax Parcel 02 (20n 002_ Property
Number: ` Size: '(QZ.q 32. 6a Fr (acres/square feet)
Site Address and/or Directions to Property:
321 MUM6Y ROAD NORDLMD WA. g835e.
Property Owner(s)of Record: DAV(D AND MARSt4A fl TZPATRI GK
Telephone:y25.76erscab Fax:HZ5•768-8,{83 email: GA0.Vma..rc1+Z. elmca$+.
Mailing Address: 23730 NE 170 ST. WQDDINW(LLE INA geA7 7 ►' '
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
Ptiuilding ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
r3Single Family jgGarage Attached j iv;hal ❑ Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ,� ❑Special Use(Essential Public Facilities)**
❑ Commercial* ki' 14 ❑ Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address ❑Road Approach ❑Binding Site Plan**
❑Home Business ❑Cottagelndustry El Long Plat**
El Propane ❑Planned Rural Residential Development(PRRD)/Amendments**
El Sign El Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis El Shoreline Master Program Exemption/Permit Revisions**
El Stormwater Management El Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance
❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium El Tree Vegetaion Request
*May require a Pre—Application Conference **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 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 it's 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 har)less Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accr - again- Jefferson County as a result of or in consequence of the granting of this permit.
I further agree t. . o ide access and ,ght of.n ry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and a requi -d later inspect,ns. ',ta .access and right of entry will be assumed unless the applicant infor s the County in)riting at the
time of the .pplicatio t a, o she;ant 'nor .tice. _ •
Signature: C ��_ �,, a.. �o' Date: 4-7 �- ( C)
The action or acti. s Applicant will und- ake as - e ult of the issuance of this permit may negatively impact upon one or more threatened or
endangered spe.11-s and could lead to potentia 'ta e"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA." fferson f ou y makes no assurances to the applicant that the actions that will be undertaken because this
permit has.--n i-.ued will not violat the ES,. A individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s •ven if yo ar- in complia with e Jeff•rson County development code.The Applicant acknowledges that he,she or it holds individual
and n. tra sfera - ra'pon ibility o adhe ing to- d o ,.ying 'th the ESA. The Applicant has read this disc) ' era signs and d sitVlow
Signa. e: �'J Date: (/ 'AS
C:\Documents a :Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc
0 0
BUILDER STATEMENT
The signer of ti statement does ereby • , at they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will b: .ssu ing the respo bility of • eral Contractor for the proposed project. 1
Signature: Date: ' h �i
� /0
Pr , -Mr-'
�— --
GENERAL CO RACTOR OR MAN FACT 'ED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: 1111408ER64 k StA ITU
Nall Ta3-5 PHONE ( l q52._( (( FAX:( )Lj5Z-701,Lj
MAILING ADDRESS: 519 00' paw DYsr pogrAge,ELEs,WA EMAIL LINDEE20eoi..YPEI4.torn
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New le Wood Existing: ` ❑ Sewer
❑ Addition ❑ Steel Proposed: 7 Bank ❑ Community System
17 Alteration/Remodel ❑ Concrete Total: -cap . Height+ yr Individual System
❑ Repair ❑ Masonry SEP Permit# O-OOIlo9
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ~"SPA ND X.Public
Total: �So-12O Name of System:
QU IMI:ER
If this is a Commercial Project you must answer the following: 1
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:
❑Underground Tank 0Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove ❑ 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 y
Main Floor Heated 2 f�� ``\z-,,r EH Bid App Review: 6°
2n°Floor Heated 141-1 1y`'��- Consistency Consistency Review: 2 0 D
Other Heated k� ///1
(,
Mezzanine -7edlaa.dae-871F.;..e
2 53
7 00
Heated Basement Plan Check fee: 3 u,
y. lib
Unheated Basement State Surcharge fee: 7 �(/C
Other Unheated , Pot Water Review fee: 6� /\
60
4 ig
Garage/Carport ��V SUBTOTAL
_ ,
1 :a
Decks 91/I�NJ""prr�h f�a /`O 66 cJ�
Other44 3`�3•YL ` (� e6 f\
Ul.`40-C : -_D 15 `f 1 TOTAL: $9zc 9. 7 •
\ o ""1 Receipt Number:/7 o v �'�
Cash/Check Number: 9
ESTIMATED COST(RE Date: �
.Fair market value of abo and at Is foundation to finish �V`t
I 1
6110
Initials: , 7—76
l
C:\Documents and Settings ca nternet Files\OLK86\'Master Permit Application 12-19-2006.doc
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