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Home My WebLink AboutBLD2010-00203 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 #: BLD10-00203 SITE ADDRESS: 321 MUMBY RD Issue Date: 10/13/2010 NORDLAND, 98358 Final Date: 9/19/2013 APPLICANT: DAVID A FITZPATRICK PHONE: MARSHA K FITZPATRICK PO BOX 134 NORDLAND WA 98358 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 021202002 Section: 20 Township: 30 N Range: 01 E PROJECT DESCRIPTION: NEW BOATHOUSE(NOT IN SHORELINE JURISDICTION)/SHOP/GARAGE 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 9/19/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/8/2013 Jefferson County Building Dion Permit Num. BLD10-00203 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 Erosion Control ✓,� , L� ✓`vu Foundation Footing L v� Footing Drains Foundation Stem Wall it 0.,4 ?L‘r-vrkz-)7,—G Underground Plumbing CQ-IS-►I Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing 7 011 p_. �j'L,Rough-in Plumbing ,//, l' P r% Rough-in Plumbing Framing i0-(2- II96-- alRsEkt, I pSp ted Priog-ro ‘ fJS c-) Blocking Wallboard Nailing Pressure Test Drywell/Alt Drainage Address Posted Miscellaneous PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM DAVID HANNA Cq re S-eo / .2 -)- / -- gl'rP WITH NTI ENGINEERING STATING THAT THE STORMWATER �� J ot�-Z�� FACILITY HAS BEEN CONSTRUCTED IN ACCORDANCE WITH L-]Z�7� THE REQUIREMENTS OF THE STORM WATER PLAN DATE b L, MAY 24,2010. hi^( )-7)--trA ir§ FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR MLA10-00223 BUILDING PERMIT APPLICOION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00203 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: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW BOATHOUSE/SHOP/GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 169,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 1,696 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 1 Ro tinq Date: Type Amou id Bv: Date: Receipt: PPFtbeiPermit $1,380.15 LYK 06/07/10 117804E Plan Check $897.10 LYK 06/07/10 117804 Iz ZU10 State Building Code $4.50 LYK 06/07/10 117804 QC J Total: $2,281.75 Jefferson County Planning & Building Department • • :ONDIT1ONS for Building Permit# :BLD10-00203 .) NO WATER SEWER CROSSINGS ALLOWED .) See BLD10-000202 for conditions that apply to this property and project and are hereby adopted under BLD10-00203. ,.) 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. ,.) 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. • • , , `SON cow JEFFERSON COUNTY tiDEPARTMENT OF COMMUNITY DEVELOPMENT ``s 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax <yS, NG�O www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: /6 - 2 2-- 3 Project Description(include separate sheets as necessary): S1.1oP/�o�T UA Tax Parcel l/t' C�(Jr'C 2 2.bz,o pZ Property Number: Size: I i Z 32. (acres/square feet) Site Address and/or Directions to Property: 2...( MUk4EY RD NoRDLAKID WA . 0/636B Property Owner(s)of Record: DAVID ' MAR94A FtrZPATRto< Telephone: 425-78B-6023 Fax:426-7gg-v4'3 email:d&Vma.Cl ff 0I mCas{-• Mailing Address: Z3730 N E 170 $T WOODNVILLE 1 VIA g8077 net Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: k What kind of Permit?(Check each box that applies `Building ❑Variance(Minor,Major or Reasonable Economic Use) .0 Demolition Permit 0 Single Family 0 Conditional Use[C(a), C(d),or C]** Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home Ern Modular 0 Special Use(Essential Public Facilities)** 0 Commercial* ❑Boundary Line Adjustment 0 Change of Use ❑Short Plat** ii 0 Address ❑Road Approach ❑Binding Site Plan** ❑ Home Business ❑Cottagelndustry 0 Long Plat** El Propane 0 Planned Rural Residential Development(PRRD)/Amendments** El Sign El Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 Shoreline Master Program Exemption/Permit Revisions** ,❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance El Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium ❑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: Bysigning 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 m ay 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 accrue aga' st Jefferson County as a result of or in consequence of the granting of this permit. I further agr provide access a d righ • entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review a any r purred later insp ctio• .taffs access and right of entry will be assumed unless the applicant informs the County in�,vriting at the time of e aRplic 'o t or e . 'n or n tice. Signature: I ` .� ` ,\, /)0 Date: `(/1"�l The action or a ions Applicant wi I and• . as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered s cies and could lead to p.t-' tial"take"of an endangered species as those terms are defined in the federal law known as the •E ndangered pecies Act"or"ESA.".,ffe .o County makes no assurances to the applicant that the actions that will be undertaken because this pe unit has been issued will not viol ':the ''. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your au-tion(s)eve . y• are in compl':nc•wi h t e Jefferson County development code.The Applicant acknowledges th he,she or it holds ipdividual an d non-tra fe rab� r .onsib' ty fo a. en g to an 'ng with the ESA. The Applicant has read this disci . e nd signsr and atds it below. Signature: I t (( I ` gr Date: / C'Uocuments and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • . BUILDER STATEMENT The signer of ' statement does reby c ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ssu . g the respons. lity of General Contractor for the proposed project. ( Signature: 1 V - Date: } GENERAL CO RACTOR OR MAN FACTURED Ho NSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: LIIJP eR6'.SMITU l►RC.4 ITECTS PHONE (3bO)452.. WI1_ FAX:( )452..'rob.) MAILING ADDRESS: 3(� SOun4 PE�r t1ODI'v`a�s� T 1 ut+ EMAIL IA i,(p O `t l w 8F� � OLYPEIJ.COM Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ) New X Wood Existing: ❑ Sewer ❑ Addition E Steel Proposed: 1 Bank n Community System ❑ Alteration/Remodel ❑ Concrete Total: I Heigh , )'Individual System ❑ Repair ❑ Masonry �� SEP Permit# OQ-MQIIA ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: E Private well ❑ Two Party Type of Heat: Proposed: 'Public Total: 0 Name of System: QV'MpEg 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: 0 Underground Tank []Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove ❑ 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 Main Floor Heated EH Bld App Review: 73 od 2"d Floor Heated Consistency Review: 243• 00 Other Heated Base fee: Q�'1 Mezzanine ��vv ' /s Additional Section: Heated Basement Plan Check fee: g q //n, Unheated Basement State Surcharge fee: /Y I 5 U Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL _G•-).1 S Decks 911/Rd Approach fee: Al ` Other Glop/.04T &P fZ�6 C- l ( ` I I AA) TOTAL: $ I `P - Receipt Number: // 7 7J C/ Cash/Check Number: / % y ESTIMATED CO (REQ RED) \ Date: .Fair market value f all labor'and terialsrf ation to fir ish (.0 —7—�1�d I ) 'y Initials: J Il .. 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