Loading...
HomeMy WebLinkAboutBLD2010-00245 • 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 #: BLD10-00245 SITE ADDRESS: 483 BYWATER WAY Issue Date: 08/9/2010 PORT LUDLOW, 98365 Final Date: 5/31/2011 APPLICANT: CHARLES R SANDINE PHONE 360-437-0190 CYNTHIA A SANDINE 483 BYWATER WAY PORT LUDLOW WA 983659201 SUBDIVISION: OLYMPIC RIDGE ESTATES Block: Lot: T 19+ PARCEL NUMBER: 821355037 Section: 35 Township: 28 N Range: 01 E PROJECT DESCRIPTION; NEW ADDITION TO EXISTING SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 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 5/31/2011 I.\F_BLD_Occupancy.rpt 10/29/19 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00245 Received Date: 7/8/2010 SITE ADDRESS: 483 BYWATER WAY Issue Date 8/9/2010 PORT LUDLOW, 98365 Expiration Date 8/9/2011 OWNER: CHARLES R SANDINE PHONE: 360-437-0190 CYNTHIA A SANDINE 483 BYWATER WAY PORT LUDLOW WA 983659201 OLYMPIC RIDGE ESTATES SUBDIVISION: Block: Lot: T 19+ PARCEL NUMBER: 821355037 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: JEREMY VANCE INC PHONE: 360-385-2560 46 VILLAGE WAY PMB 162 PORT LUDLOW WA 98365 Contractor's License JEREMVI001C4 Expires 10/28/2011 PROJECT DESCRIPTION: NEW ADITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 30,872.00 MAIN: 156 CODE EDITION: 2009 ADD'L: 156 HEAT TYPE: PRO OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $451.85 LYK 07/08/10 117958 Exist: 3 Exist: 3 Plan Check $293.70 LYK 07/08/10 117958 Prop: 0 Prop: 0 State Building Code $4.50 LYK 07/08/10 117958 Total: 3 Total: 3 Total: $750.05 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE ATTATCHED • Jefferson County Building Division Permit Niter: BLD10-00245 Applicant: SANDINE 3UILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2009 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 �-2c-- t c; � Erosion Control Foundation Footing Footing Drains rt 2 - (0 Foundation Stem Wall G v Under Floor Framing -Z7-iU Straps(hold downs) 10 - (01 (14 ii-uord< frit-47'5 Ext. Shear Wall Nailing ao-S—f b Framing lO IY- /a ✓' 3 Blocking �\ Airseal LU /G _`C/ iZ1) Insulation: Walls 1 ( /GD Li-tc) Insulation: Floors Insulation: Ceiling /O.Z(-/0 Int. Shear Wall Nailing Wallboard Nailing (� (C, Drywell/Alt Drainage Address Posted FINAL INSPECTION 3/1) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR •UILDING PERMIT APPLICASbN MLA 68 Jefferson County Department of Community Development Review ew Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00245 Received Date: 7/8/2010 SITE ADDRESS: 483 BYWATER WAY PORT LUDLOW, 98365 OWNER: CHARLES R SANDINE PHONE: 360-437-0190 CYNTHIA A SANDINE 483 BYWATER WAY PORT LUDLOW WA 983659201 SUBDIVISION: OLYMPIC RIDGE ESTATES Block: Lot: T 19+ PARCEL NUMBER: 821355037 Section: 35 Township: 28 N Range: 01 E CONTRACTOR: JEREMY VANCE INC 46 VILLAGE WAY PHONE: 360-385-2560 PMB 162 PORT LUDLOW WA 98365 Contractor's License JEREMVI001C4 Expires 10/28/2011 REPRESENTATIVE: PHONE PROJECT DESCRIPTIOl NEW ADITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION 30,872.00 MAIN: 156 CODE EDITION: 2009 ADD'L: 156 HEAT TYPE: PRO HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: CONST TYPE: GARAGE: SHORELINE DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Promo n Total: 3 /� -rotal: - 5 Routing Date: Type Amount Paid By: Date: Receipt:Permit $451.85 LYK 07/08/10 117958 AFOrridefteVED Plan Check $293.70 LYK 07/08/10 117958 State Building Code $4.50 LYK 07/08/10 117958 ALJ6 q 2010 Total: $750.05 Jefferson County Planning &Building Department • • CONDITIONS for Building Permit# :BLD10-00245 1.) See BLD04-00678 for conditions that apply to this property and 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. I ff. cQ� JEFFERSON c,OUNTY ril v ' DEPARTMENT OF COMMUNITY DEVELOPMENT 1-3 `� 621 Sheridan Street• Port Townsend •Washington 98368 lop. 360/379-4450 • 360/379-4451 Fax gS,�N� pP. www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: (0 3(ob Project Description(include seprate sheets as necessary): Tax Parcel Number: &Z( -) ,�' Property Size: Cc c (acres/square feet) Site Address and/or Directionsf'' to Property: /I C5 &luj �c( Property Owne (s)of Record: C•hc r\.r, c- C,, � r.L Telephone: 36 0 `2!3 7 D\ tO Fax: email: Mailing Address: c{L'- I. r,,,o...- r (Oa„ 4 r�--- Lvr9A6P (J c(�.36 Applicant/Agent(if different from owner): sec,-7 Vcu-'. j 1.-r1c:/. Telephone: 3 b 0 3 s"."S Fax: Mailing Address: 6 U r. `�-- W cs) email: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building A II f I n©/,--) 0 Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) 0 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ 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 0 Address 0 Road Approach ❑Short Plat** J U L - 8 2010 0 Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit 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 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 -N t�/y VGA _ to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: -/i_ / ID /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 attorneys 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 application tha a or she w its prior notice. Signature: Date: 6 t)--�/i o The action or on . pplicant will undertake as a result of the issuance of this may negatively g ativ ely 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-transferable responsibility for adhelja�xto and complying with the ESA. The Applicant has read this disclaim rand si ns and dates it below. /Signature: / Date: t� & //0 l_.\no.....:,ro.,.o.\titittA(ipmciitfii\TIRII FrIR MC\r,,..P.,.FIR TI r,,«.,c\1\f,,,..o.no....:.A....1:,- ,-:,..,C in na,7,.,. • • 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 responsibility of the General Contractor for the proposed project. Signature: Date: 4.GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: S cM. JC, \(_.,'e J c ._ (3O 3 ..)s.60 ( ) MAILING ADDRESS:/ C{G �( k (.0 a ., ��a {b ZC EMAIL: CONTRACTORS LICENSE 1 0 4 L- '� �,-i , (."'.)/..._ ck 8.S ( J WAINS NUMBER: J (<p-I-eck tf=o2 �-CM NUMBER 1 ,. / , (l f ry PHONE (Zi0) "iSZGt\LFAX:(360) cis, - 70EtfARCHITECT/ENGINEER: (� r'CX /�MAILING ADDRESS: 3 ,, 5, �.f• pl-T cJv, ��.36.1EMAIL �rProject Type: Frame Tycc, Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: 0 Sewer n 0 Steel Proposed: Bank ❑ Community System jAde 0 Concrete Total: Height: kIndividual Syst ���� ❑ Repair ❑ Masonry ❑ Alteration/Remodel "SL•Permit# S y ❑ Other: Bedrooms: Water Supply: ❑ Demolition Existing: 7 Setback: ❑ Private well ❑ Two Party Proposed: Public Ty of Heat:01426 re, Total: �) Name of System: esrux C If this is a Commercial Project you must answer the following: ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of Proposed Number of occupants(includes owners,tenants,employees,etc) Current p Type Occupancy: IBC T e 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 i 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: ki(4,5 I J(a I`.5_t ,-2v . r73 - 2nd Floor Heated _ Consistency Review: t361, I.`J(,; i5 t &•, JI ,, Other Heated Base fee: ,I I c' • Mezzanine Additional Section: Heated Basement Plan Check fee: lie Unheated Basement State Surcharge fee: .1 c ) Other Unheated Pot Water Review fee: E)C ISM►, j Garage/Carport SUBTOTAL 41-40 30 10 I0 ;, .05 Decks 911/Rd Approach fee: _--_.__. Other TOTAL: $ IO2•I3 Receipt Number: I 1`1( Cash/Check Number: I S • ESTIMATED COST(REQUIRED) Date: - = •Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc ) 0 42'-2" / t c / -1'-0" 11'-2" / 16'-0" 8'-0" / / 21> 7 ?)) 1- ____. . __ ! 10 PO 11i ,!,„ - E z i 12'-O" ), 6'-0" / ' Ill N. ADDITION deck uiiç t O - 4 WW '1 1 14 10 MT ..., —( . cll I 1 0 LJ • , < 1 d LI G 0M ---1, Z. Z ...-a 0 T.: ] rl Er' K2 3 tg I>. G 396E 8 U r- 1 I 4'kr 9 kl• a1 I u G-4t, ig . L 1e Z A _ ,„,- z a , 4,, \u‘w.° 4 t rrt 1-- p______, \ _Li , til, Vs re • ,.. 0 21> �f J N t0 :I>, z . U AO , ,u ii O _, I>. „ 0, 0 1 • 43'-18° V / u u i u u -O / /11i-2 16 -O 9 -6 / :I> / 0 / jij n to C. \ \ 7-- I' A co Urn I r 12'-O" y rn AIADDITION ill < U \ O O co. m 13) - 3 4 I n 4, Y@ A 1 7 /U m v2616 2646 2646 k Vtt� 111 - _ ^ 1 ' r- U T N I 1 (.1) Ill U uT-3 Ai � g 0 __... ) ,-- U < rn . m i> 1_ 133 \S":4\, - ).( S G n � Z Ix. 1- ‘ I. cJ1— U - w 2646u 2N6u 2646 'Q rria c O �9._ 0 1 7.3rill . (A *t. , ill r- :I> Ai o :1%4 Z 11 11 70 -10 Co 1 1 , I O I II A CriD \ 1LL'- - _ It -I 1 i, i_ - 0 \ . 21'-6" z / / / / / ,/ LP TTIflth / 1 . --...4 t* 1 . I 1 I i p 1 Uv 1 r .� !f , , /1-1 I ! 1 I t I a 1 , I3- i (* gi' I ir._ N1 w / tl � T m -{ 4 I i 1 I / 1 1 r / 0 t‘ 11 ' 1 f fill A-1-- I i i 91 - r , 1)- Ii , g I I I / I Z 6' fi I• '1,-- . a/ 11N . . • __,, iV \ '' , i . 1 4 ,‘ • t e ,,,z L44 1 '' 1F--1 . lik. , „.... i to e il_. 01E. lq,.,______o_.__„.,. 4 I 245 1 11 1 t ...... __------e , . , • , ,,„ , , ii i I 1 , Im I 1 OI -- -- -- — -- ———1 , .1.4tAL 3l1.1.128dOW _y es rC r I k z 4 a C