HomeMy WebLinkAboutBLD2010-00300 ! •
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 #: BLD10-00300
SITE ADDRESS: 72 SOUTH WHITE FIR WAY Issue Date: 11/2/2010
PORT HADLOCK, 98339 Final Date: 5/16/2012
APPLICANT: JOSHUA J WHITE PHONE: 360-381-0040
72 S WHITE FIR WAY
PORT HADLOCK WA 98339-8726
SUBDIVISION: IRONDALE AC TRACTS Block: Lot: TR 16
PARCEL NUMBER: 962700020 Section: 12 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 500 GAL PROP TANK
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 6 .�
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON5/16/2012
I:\F_BLD_Occupancy.rpt 10/29/19
Jefferson County Building DivisionPermit Nurll�r: BLD10 00300
Applicant: WHITE
BUILDING PERMIT INSPECTION APPROVALS applicable 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 il. (C)_ I G' inT3CA 5 �'s
Erosion Control
Foundation Footing )f s/c,_ lC. l-7 Z
G, t
Footing Drains
Foundation Stem Wall /?
Underground Plumbing
Under Floor Framing tc,
Straps(hold downs)Ext. Shear Wall Nailing
Rough-in Plumbing
Framing 17-0. a
Airseal
Insulation:Walls 66
12 c�
Insulation: Floors 110//z
Insulation: Ceiling
Int. Shear Wall Nailing v
Wallboard Nailing ; _
Gas Line: Interior
Gas Line: Exterior
Propane Tank -�'� / 7--
Heat/Chimney Clearance
Drywell/Alt Drainage _.— L Z
Address Posted
—
FINAL INSPECTION 51 I(al 12_
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
TUILDING PERMIT APPLICA N MLA Review Type:
15
I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00300 Received Date: 8/19/2010
SITE ADDRESS: 72 SOUTH WHITE FIR WAY
PORT HADLOCK, 98339
OWNER: JOSHUAJ WHITE PHONE: 360-381-0040
72 S WHITE FIR WAY
PORT HADLOCK WA 98339-8726
IRONDALE AC TRACTS
SUBDIVISION: Block: Lot: TR 16
PARCEL NUMBER: 962700020 Section: 12 Township: 29 N Range: 01 W
CONTRACTOR: SOUND CONSTRUCTION PHONE: 360-437-9970
80 EVANS LANE
PORT LUDLOW WA 98365
Contractor's License SOUNDC*1410Q Expires 9/10/2011
REPRESENTATIVE: JIM WHITE PHONE: 360-302-0483
81 EVANS LN
PORT LUDLOW WA 98365
PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 500 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,125
VALUATION 98,607.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: EEE
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: 561 SHORELINE:
CONST TYPE: DECK: 108 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date: C
—23-10 •
Type mount Paid Bv: Date: Receipt: Approved/Date
Permit $986.75 RAC 08/19/10 119963 APPROVED
Plan Check $641.39 RAC 08/19/10 119963
State Building Code $4.50 RAC 08/19/10 119963 NOV a 2010
Potable Water Application $98.00 RAC 08/19/10 119963
Total: $1,730.64 Jefferson County Planning
& Building Department
• •
CONDITIONS for Building Permit# :BLD10-00300
1.) 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.
2.) A Stormwater Plan has been submitted 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
6.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
7.) The building height is not to exceed 35 feet.
8.) Building setback from South White Fir Way shall be no less than 20 feet. Side and rear
setbacks shall be no less than 5 feet.
1
�w4's°11 c06. JEFFERSON•UNTY
"S.
' \� A DEPARTMENT OF COMMUNITY DEVELOPMENT
`' v ' `- 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
' .0 www.co.jefferson.wa.us/commdevelopment
•
�`S�YIN��Master Permit Application MLA: 1,0 5 15
Project Description (include separate sheets as necessary):
t\\.,sFI Lo/AT-7- E. AA .0 c C7L RØd9ict• Li
Tax Parcel n0 /.) Property Lit
Number: ' o � 0 < Size: t`t" .,,Vr.6 Gres/square feet)
Site Address and/or Directions to Property: l
D, So -'C�\ \1'.J 'v'�,C i✓ 0.� c1 Cg 3 C\c„.X\,c L-),,.
Property Owner(s)of Record: �(') ti\.\\i\ON, : \)v V\\y.,Z
Telephone (--,0 '` 1-"OC340 Fax: email:
Mailing Address:2 1 :�L)`\Y\C 1- ,/\•Q ov'3C' 1,,.,\A\C l.,1:1 �;}c,A, ` V.?,rf.s
Applicant/Agent(if different from owner):��-,� � \k c'a.:
Tele hone '.- C) Cf� Fax: email: •
Mailing Address: E���+\V o\V'& �� 1A.J t! .
What kind of Permit? (Check each box that applies
❑Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
Vir Single Family Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
lUi Manufactured Home Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach ❑ Binding Site Plan**
❑ Home Business Cl Cottagelndustry ❑ Long Plat**
ige..,ropane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Si n ❑ Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
El 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 Q� to act as my agent in matters relating to this application/for permit(s).
OWNER SIGNATURE i Date: /J (jam/ d
By signing this applica ion form,the caner/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 harmless Jefferson County against all liabilities,judgments,court costs,reasonable atto,rrRey'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 permits t-\J iJ
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 ccess and right of entry will be assumed unless the applicant informs the County in writing at the
:a0t:
applicay n tha he or a wants Lice. l
C �. Date: g�7 4 0
The action or tions Applic t 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 Jeff rson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf le re ponsibilit for adVir)ipora d complying with the ESA. The Applicant has read this disc and sig d dates it below.
Signature: p'....- kl--1 fi Date: of f 6 / 1)
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• BUILDER STATEMENT •
The signer of this statement does hereby certi that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the res onsibility eneral Contractor for the proposed project. /
Signature: / • Date: /{
GENERAL , TRACTOR R MANUFACTURED HOME INSTALLER: PHONE: FAX:
Sc�/‘c C �s�cVA.A c, eV\ (3(..>O) SC a--()I.(U ( )
MAILING ADDRESS: t Vic cLW S L„\ W1-4- ha\crJ E177t : � 9 CY?6
CONTRACTOR'S LICENSE WAINS p }
NUMBER: v( '\\ C;• \LA ` Q (- ) NUMBER —
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
41 New i Wood Existing: 1 i Sewer
❑ Addition ❑ Steel Proposed: Bank [I Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: 6. Individual System
❑ Repair ❑ Masonry SEP Permit# () —'o)
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: I I Private well ❑ Two Party
T e of Heat: Proposed: $ Public
VrbPane Total: ' Name of System: ' ,
z-
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: �Q
i Underground Tan -hove ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove 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 q t -49 �� ' ' :1) EH Bld App Review: ,���
. l
2nd Floor Heated Consistency Review: '3,—
Other Heated Base fee: OlVoTO
Mezzanine Additional Section: ..----
Heated Basement Basement Plan Check fee: (40 l
Unheated Basement State Surcharge fee: J� •
Other Unheated Pot Water Review fee:
Garage/Carport f Iq(pl4,� SUBTOTAL ^� , I r o
I CJ!V�-1•�O
Decks 10 r�pi3 I
`f0 911/Rd Approach fee: Cx'S���
il, .
Other of 0 TOTAL: $.
Receipt Number: 1 19 q1 ,.3
n , Cash/Check Number: ,
ESTIMATED COST(REQUIRED) `� Date: • .
'Fair market alue of all labor and materials foundation to finish
( !i G• as Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
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O ` °' A ., . 863 CARLSBORG OAD, SUITE A,
'' i o 0 o PRESSURIZED MOUND SYSTEM FOR SEQUIM, WA 98382
JOSHUA WHITE
• PH (360) 683-6300 FAX (360) 683-5652