HomeMy WebLinkAboutBLD2010-00216 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 #: BLD10-00216
SITE ADDRESS: 1015 GRIFFITH POINT RD Issue Date: 08/9/2010
NORDLAND, 98358 Final Date: 8/4/2011
APPLICANT: JOHN DAVID HUGHES TRUSTEE PHONE: 425-308-2600
MARY LOU HUGHES TRUSTEE
2825 SW 110TH PL
SEATTLE WA 98146-1976
SUBDIVISION: Block: Lot: TX 36
PARCEL NUMBER: 021321012 Section: 32 Township: 30 N Range: 01 E
PROJECT DESCRIPTION: FOUNDATION ONLY
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON8/4/2011
I:\F_BLD_Occupancy.rpt 10/29/19
Jefferson County Building Dion Permit Null: BLD10-00216
Applicant: HUGHES 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
Foundation Footing UQ-06
Footing Drains
Foundation Stem Wall � _o --&) (1 'A.'
Straps(hold downs)
Framing f23(/
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING PERMIT APPLICION MLA10-00240
Jefferson County Department of Community Development Review Type; I
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD10-00216 Received Date: 6/16/2010
SITE ADDRESS: 1015 GRIFFITH POINT RD
NORDLAND, 98358
OWNER: JOHN DAVID HUGHES TRUSTEE PHONE: 425-308-2600
MARY LOU HUGHES TRUSTEE
2825 SW 110TH PL
SEATTLE WA 98146-1976
SUBDIVISION:
PARCEL NUMBER: 021321012 Section: 32 Township: 30 Btock:N Range: 01 E Lot: TX 36
CONTRACTOR: ELDRIDGE CONSTRUCTION INC
PO BOX 311 PHONE: (360) 732-4651
CHIMACUM WA 98325
Contractor's License ELDRICI943LZ Expires 6/9/2010
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTIOI FOUNDATION ONLY
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP REP
VALUATION 19,734.00 MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER:
CONST TYPE: GARAGE: SHORELINE:
DECK: SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total: _.
Routing Date: C
Type Amount Paid By: Date: Receipt: APPROVED
Permit $321.25 LYK 06/16/10 117859
Plan Check $208.81 LYK 06/16/10 117859 AUG 201U
State Building Code $4.50 LYK 06/16/10 117859 9
Potable Water Application $98.00 LYK 06/16/10 117859 Jefferson County Planning
Total: $632.56 &Building Department
• •
CONDITIONS for Building Permit# :BLD10-00216
1.) HEALTH DEPARTMENT APPROVAL BASED ON REPLACEMENT OF FOUNDATION
WITHIN EXISTING BUILDING FOOTPRINT, NO APPROVAL FOR EXPANSION OF
FOUNDATION UNDER DECKS OR OTHER APPURTANCES.
2.) THE DRYWELL SHALL BE LOCATED ON THE SOUTH SIDE OF THE EXISITNG
RESIDENCE A MINIMUM OF 30' FROM THE DRAINFIELD AS DEPICTED ON THE
SITE PLAN.
3.) THE WATER LINE MUST BE LOCATED A MINIMUM OF 10' FROM ALL SEPTIC
SYSTEM COMPONENTS-TRANSPORT LINES, TANKS AND DRAINFIELD.
4.) 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.
5.) 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.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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.
9.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
• i
11.) The building height is not to exceed 35 feet.
12.) Building setback from Griffiths Point Road is no less than 20 feet. Side setbacks are no
less than 5 feet. Shoreline setback from OHWM is 30 feet.
• .
,��z�O, copes JEFFERSON COUNTY
W ' `>,g pa DEPARTMENT OF COMMUNITY DEVELOPMENT
ti . *C 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
. •f*t >0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application `
MLA: �U '"act°
Project Description(include separate sheets as necessary):
Re i:'s :;9 e c.= ,maxi:z r: l,G'.-:: - ¢''/- t&tz r-'c_>s.r n..-r •i i, rot C c'ity c - t cj IV I.?.
Tax Parcel Number: ./;2 ,v ( 3 2/f; / Z- Property Size: (acres/square feet)
Site Address and/or Directions to Property:
/C''J ii t:.;-i ��t f l-( 5 r-jc.'i_& cc7v, l.rY'rr... D ,9.�,) L✓i/ `l:F%:..36 P
Property Owner(s)of Record: ca q /L(, ("trct Era r : +L-i C-',itie> Tx -i 1"
Telephone: 4 0✓— 3C'f;._06 Oe., Fax: 4'26T.. 73 f - 1.5g 3 email:
Mailing Address: 0,' 2f '-, j c-V t iv PL-_ "} %/7" c`c-6. PKY 9;77 4 6
•-Applicant/Agent(if different from owner): /104 2Y,i ., 1\4 l c.-L.c-,a
Telephone: -3 6.(-)•- .2 t -• ' 7 3 Fax:.,3GG'- .3 ?:i . 4f7 3 r 2 d email:i3/.,G 4-'2./5 c.(Z i‘. �t'Q. c..-•;-r
Mailing Address: Pr' iL,t'u tf,A,:i c( ., fe-j /C'G..",r.• i G" q d(.'. ei .�4 --t ,S
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or Cl**
❑ Manufactured Home-. .0 Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ 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 ❑Binding Site Plan**
❑ Propane ❑Long Plat**
❑Sign 0 Planned Rurai Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 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 federal permits required for this proposal, if known:
, , �? DESIGNATION OF AGENT
I hereby designate : i 4-t/2..v7t1; - / c c.._C._c=jai 2- to act as my agent in matters relating to this application for permit(s).
g.OWNER SIGNATURE : _ I k ,i '. Date: 6,//ei t0
Bysigning this application fo ,the owner/a ent attests that .
9 the information pro-iced 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 applicatio that he orshe wants or no'ce.
Signature: Date: & tU lv
The action or actions Applicant ill undertake as a result of the is ance 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 tederal 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-transferable responsibi• f•r adheri iiiii—nd comp i,g w'h the ESA. The Applicant has read this discla er nd signs and dates it below.
�+ Signature: u41. L�,l-ewt� :4 , .; Date: (' it, /(}
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• •
BUILDER STATEMENT
The signer of this tement does her y certify th t they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be ass the respo i • o e I Contractor for the proposed proje .
Signature: ,� / Jr-‘ 4 (u7 Date: r dS 40
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:• FAX:
t-Z /.. _/ ) C. lon-> .S.7 ( +D) ? 3 2 - j,,s( ( _._);._
MAILING ADDRESS: /-w /'.?O K 3// airy y.ruvt,EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: LLD e 7 G q '(j 2_ 2 NUMBER
ARCHITECT/ENGINEER: filll 142.✓/,ti /"lr 1(C. c c iL PHONE (36d j g s$q,)?,FAX:( .* c- ;1�� '
MAILING ADDRESS: D gcx ( F.3 / l2 r EMAIL 4.3 G Cie-4 07>C("2 C Qi co 0-
Project Type: Frame Type: / Bathrooms: Shoreline: Type of Sewage Disposal:
O New X Wood Existing: _ 0 Sewer
O Addition ❑ Steel Proposed: e ' Bank 0 Community System
O Alteration/Remodel 0 Concrete Total: / Height: ❑ Individual System
tX Repair /=pci►o T)9 MO❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: I Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: 0 o"Public
Total: j 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 1 Above ground Tank Size o pane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert.---1-Hot Water Tank 1 Pellet Stove 1 Other
Is this appliance being installed in a Manufactured I 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 tije propane tank to all property lines,buildings and septic system components,
including the reserve area. ! ?� p
' " ti h:,bf ..dire „k' >
S•uare Foote'e Current Pro••sed I 'L�c r►r, ..�lY.;lt���;�.��. . ��f : t„�. E{ x� ,� -�,_� e��.,... ,,. -
Main Floor Heated S � 40 �`%-tire t EH Bld App Review 17 --
2"0 loor Heated �� Consistency Review:
Other Heed N _ Base fee:
Mezzanine r;, r.ti?).
Heated Basement
,, Plan Check fee: ten
L
Unheated BasementFmt:TiltState Surcharge fee:
Other Unheated l ,, +�, ,, Pot Water Review fee:
Garage/Carport. v` 4 a �. '. SUBTOTAL
Decks A '7 tLVA,,..` ? J1 911/Rd Approach fee: c1�.4c 1 c
4T T
Other TOTAL: $ l q
, -•` : Receipt Number I L
fi f• '. Cash/Check Number: g
ESTIMATED COST(REQUIRED) Date: / -
•Fair market value of all labor and m erials foundation to ti ish l0 (Q_.
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PO /50 Z 183q PORT TOWMSENl.), WA 98368
360 - 355- 6473 O/-c_ 360 - 301- 2041ceLL