HomeMy WebLinkAboutBLD2011-00038 S
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 #: BLD11-00038
SITE ADDRESS: 165 W HORTON ST Issue Date: 03/23/2011
PORT HADLOCK, 98339 Final Date: 7/26/2011
APPLICANT: TIMOTHY R BURKE PHONE: 360-821-1667
165 W HORTON ST
PORT HADLOCK WA 98339-9650
SUBDIVISION: IRONDALE Block: 64 Lot: 7-8
PARCEL NUMBER: 961806403 Section: 34 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NSFR
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 ON7/26/2011
I:\F_BLD_Occupancy.rpt 10/29/19
Jefferson County Building Division Permit Number: BLD11-00038
Applicant: BURKE
BUILDING 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 S` -9, JI rif CtS ve c -Erosion Control ( j
Foundation Footing S_, cl, 7 ( /?r
Footing Drains t /l// h�)
Foundation Stem Wall
Underground Plumbing ,��y �� �f'� _
Under Floor Framing CJ`� `► L %
Straps(hold downs)
Ext. Shear Wall Nailing (0-03 1i( 4
Rough-in Plumbing
Framing 6-� �,,/,
Blocking
Airseal - ( '
Insulation:Walls / � , / /
Insulatren Floors. lJ / !
Insulation: Ceiling n r l
Iri't Shea ll Nailin
Wallboard Nailing 6 t 2
Gas Line-fa LtQriz l
Gas tire;-Exterior
Pr-parre-Tank--
F�eat/CFilittreyt'tsraraaee
Drywell/Alt Drainage 7 //
/3"-
Address Posted �
fir, 'C
): Ste (J j 412 Pftçi,1( 5
FINAL INSPECTION H
FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
M LA11-00032
OJILDING PERMIT APPLICA 1 N Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00038 Received Date: 2/15/2011
SITE ADDRESS: 165 W HORTON ST
PORT HADLOCK, 98339
OWNER: TIMOTHY R BURKE PHONE: 360-821-1667
165 W HORTON ST
PORT HADLOCK WA 98339-9650
IRONDALE
SUBDIVISION: Block: 64 Lot: 7-8
PARCEL NUMBER: 961806403 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 34,653.00 MAIN: 360
CODE EDITION: 2009 ADD'L: HEAT TYPE: -e, 1-6(
OCCUPANCY: R-3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: 216 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 9 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 T6tal: 1 ----'1
Routing Date: _
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $492.25 LYK 02/15/11 123214A PPR
O\ [-Plan Check $319.96 LYK 02/15/11 123214
State Building Code $4.50 LYK 02/15/11 123214 MAR 2,3 2W1
Potable Water Application $62.00 LYK 02/15/11 123214
Jefferson County Planning
Total: $878.71 & Building Department
•
CONDITIONS for Building Permit# :BLD11-00038
1.) This building approval accounts for 240 GPD of septic system capacity, as designed and
approved SEP07-194 is also sized for 240gpd or only one single family residence. It is not
sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence
is 240 GPD.
2.) The existing residence must be removed prior to final approval of this building permit.
Only one residential structure allowed on this property.
3.) 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.
4.) 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.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
• •
11.) Building setback from West Horton Street is no less than 20 feet. Side and rear setbacks
are no less than 5 feet.
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Tim Burke Cabin
Owner / Builder 360 821-1667
SCALE:I/q.II^ 1 retrr APPROVED BY: DRAWN BY f
DATE: REVISED �/
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DRAWING NUMBER
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ON CO L, JEFFERSON COUNTY
• •
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w '• T' DEPARTMENT OF COMMUNITY DEVELOPMENT
'-2 621 Sheridan Street• Port Townsend ••Washington 98368
360/379-4450 • 360/379-4451 Fax
-. ,,0"* www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: - 5-2—
Project Description(include separate sheets as necessary):
S/NGLE FAM/Lt- /144e / ,Be-D g0044) / 84771 f X/TCNEet/at/ L'v .eei& SGA$
Tax Parcel Number: CJ(o/ let '/03 Property Size:5Q'j(//Of= 55O9 ( eci/square feet)
Site Address and/or Directions to Property:
i ro5 VI 5T I4oRToN 51: PoIZT 1-tAD4-xcK/ WA 9g-339
Property Owner(s)of Record: T I MOTN y R. kit)Rice.,
Telephone: J6o 52/— 7 467 Fax: email:
Mailing Address: 165 W. 1-/OZTOO ST, pole.'f 1-4i M Loci< WA qg 33q
Applicant/Agent(if different from owner):
Telephone: Fax: email: •
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
VBuilding 0 Critical Areas Stewardship Plan
❑pemolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
Single Family 0 Garage Attached/Detached ❑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 ❑Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑ Home Business ❑ Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑Sign -. 0 Planned Rural Residential Development(PRRD)/Amendments** .
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑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:
I.xi S1ING s&w.�-r2 peg/An- L SE-P 0"7 - rqL)- 'A T=�r� al 'I
DESIGNATION OFENT Ji_i
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE r C B 1 5 infl
By signing this application form,the owner/agent attests that the information provided herein,and in any uat tttachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fa ma rv�.e,oe aatgent with respect to this application packet
�'
may result in this permit being null and void. I j cna`; 4 i c t 11l CD
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 f entry will be assumed unless the applicant informs the County in writing at the
time of the application tRat�he,r sh wa s prio ticef� i r`
Signature: - Date: ? /' � /er
The action or actions Applicant will underta e 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 n compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable resp 'bility for adhe ing to and..Gomply ith a ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: CJLg� Date: ! / //
• •
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 aster ing the resoonsibilityof the nerd Contractor for the proposed project.
► `
Signature: Date: 2/ I Iii
.--=A����
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
V New Wood Existing: f. ❑ Sewer
❑ Addition 0 Steel Proposed: 1 Bank ❑ Community System
O Alteration/Remodel 0 Concrete Total: / Height: i Individual System
❑ Repair ❑ Masonry SEP Permit# 07-17
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 0 Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: ___L— 11/Public
WOOD Total: ) Name of System: rV P
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:
i Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook StoveNoodstove l Fireplace Insert i Hot Water Tank i Pellet Stove t Other
Is this appliance being insta led in a Manufactured/Mobil's:: Home? Yes I 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.
• i,n vF u'F` 3. r.+'-"t`> Fr' .�r .,�tny,"Y ' 4:"�^�r y"hr( ri s
y'!�3'Y s. �• �� rrs �*"t����l."�'t��^ �mt 'S ,��{ �t� i
Square Footage Current Proposed � ki . r r g.s- s.r,`4',20‘rr":. ; 4 ..-: e�, ,`tj s ,t 4..r
` . EH Bld App Review:
Main Floor Heated 3�0 �r� (
22 Floor Heated O ':: Consistency Review: 15
Other Heated 0 Base fee: �r/7( ,015
t`• °: Additional Section: 1. _ ----
LLMezzanine O
`''`` ' Plan Check fee:
Heated Basement 0 3 q .q t�
State Surcharge fee: f
Unheated Basement
41 �`.Pot Water Review fee: r� ---
Other Unheated" ATTIC 2-)to 1?)' ` (w
Garage/Carport , 1 SUBTOTAL
44, y'• 911/Rd Approach fee:
Decks 9
-TWO r. - l ,
Other U TOTAL: $ I ob, .7 I
•x i
h, Receipt Number: a -
�$33 Cash/Check Number: c - p z),b
ESTIMATED COST(REQUIRED) Date: lJ r' ,"
lJ -•,..
.Fair market value of all labor and materials foundation to finish - Initials: --"
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