HomeMy WebLinkAboutBLD2011-00049 • •
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#: BLD11-00049
SITE ADDRESS: 32 GIEN DR Issue Date: 06/2/2011
QUILCENE, 98376 Final Date: 7/5/2012
APPLICANT: DOUGLAS FLEMING PHONE:
CLOANTHA COPASS
9300 NORTHTOWN DR
BAINBRIDGE ISLAND WA 981103528
SUBDIVISION: MARYATT SHORT PLAT Block: Lot: 4
PARCEL NUMBER: 501032034 Section: 3 Township: 25 N Range: 01 W
PROJECT DESCRIPTION: NEW MODULAR HOME
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes now
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/5/2012
\\tidemark\data\forms\F_BLD_Occupancy.rpt 7/30/2012
ILDING PERMIT APPLICATIN MLA 06
Review T Typype:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00049 Received Date: 3/7/2011
SITE ADDRESS: 32 GIEN DR
QUILCENE, 98376
OWNER: DOUGLAS FLEMING PHONE:
CLOANTHA COPASS
9300 NORTHTOWN DR
BAINBRIDGE ISLAND WA 981103528 MARYATT SHORT PLAT
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 501032034 Section: 3 Township: 25 N Range: 01 W
CONTRACTOR: METHOD CONTRACTING LLC PHONE: 206-789-5553
31803 SE 48TH ST
FALL CITY WA 98024
Contractor's License METHOCL910MS Expires 7/10/2011
REPRESENTATIVE: METHOD HOMES PHONE: 206-240-2798
MAX BAKER
3123 FAIRVIEW AVE E STE A2
PROJECT DESCRIPTIOr NEW MODULAR HOME
TYPE OF WORK MOD SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 620
VALUATION 24,577.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 232 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 07178
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 -Total: 1
Routing Date:
Type A aid Bv: Date: Receipt: Approved/Date
Permit $492.25 LYK 03/07/11 123261 APPROVED
Plan Check $319.96 LYK 03/07/11 123261
State Building Code $4.50 LYK 03/07/11 123261 JUN 05 1L1
Potable Water Application $62.00 LYK 03/07/11 123261 Jefferson County Planning
Total: $878.71 &Building Department
Jefferson County Building Dilion Permit Num. BLD11-00049
Applicant: FLEMING
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 9
Erosion Control
Foundation Footing ��(e_�_ i� 0c �_g_r
Footing Drains ``
—N1
Foundation Stem Wall
(o 43'i
am
Smoke&CO2 '� � Z /41i
Drywell/Alt Drainage Zt_t I SEE CONDITIONS I,2,&3
Address Posted *�S` / 7--/-5/
FINAL INSPECTION - Z /47
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD11-00049
1.) THE WATER LINE AND THE SEWER LINE MUST MAINTAIN A 10 FOOT
SEPARATION. NO CROSSING IS ALLOWED I I I
CROSSING WILL REQUIRE A WAIVER, AND FEE SUBMITTED BY A LICENSED
SEPTIC SYSTEM DESIGNER AND WILL DELAY FINAL SIGN OFF.
2.) IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2005 DEPARTMENT OF
ECOLOGY STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON,
THE PROJECT PROPONENT SHALL ADHERE TO THE FOLLOWING
REQUIREMENTS:
A. STABILIZE CONSTRUCTION ENTRANCES WHEREVER TRAFFIC WILL BE
LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER
PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
B. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED
SUBGRADE.
C. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED TO PREVENT SEDIMENTS
FROM BEING TRACKED ONTO THE PAVEMENT.
D. ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ONSITE.
E. ANY QUARRY SPALLS (OR HOG FUEL) THAT ARE LOOSENED, WHICH END UP
ON THE ROADWAY, SHALL BE REMOVED IMMEDIATELY.
3.) THE PROJECT PROPONENT SHALL ADHERE TO THE DRYWELL DESIGN
CRITERIA, AS SPECIFIED IN THE 2005 DEPARTMENT OF ECOLOGY STORMWATER
MANAGEMENT MANUAL FOR WESTERN WASHINGTON, INCLUDING:
A. ALL INFILTRATION SYSTEMS SHALL BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
B. FOR SITE SPECIFIC SYSTEMS, INFILTRATION SYSTEMS SHALL BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
C. THE BOTTOM OF THE DRYWELL MUST BE A MINIMUM OF 1 FOOT ABOVE
SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
D. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
E. DRYWELLS ARE 48 INCHES (MINIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET
OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL).
F. SPACING BETWEEN DRYWELLS SHALL BE A MINIMUM OF 4 FEET.
G. FILTER FABRIC (GEOTEXTILE) SHALL BE PLACED ON TOP OF THE DRAIN
ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
4.) PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES OR
CONSTRUCTION, THE PROJECT PROPONENT SHALL CLEARLY MARK THE
CLEARING LIMITS.
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.) 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 vehic5hall be stored on any lot unless totally seed
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.) This parcel is within a no shooting area per JCC 8.50.
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.
11.) The building height is not to exceed 35 feet.
12.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
13.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
14.) The road setback for Dietz Drive and Gien Drive is 20 feet and the setback from adjacent
residential parcels is 5 feet.
6 JEFFERSON CONTY •
�7, DEPARTMENT OF—COMMUNITY DEVELOPMENT
`4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax 9
1' Ak0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 11"0
Project Description(include separate sheets as necessary):
Tax Parcel Number: SO[Q Q3!7/ Property Size:
•3.8atIrS SLZ,cp(acres/square feet)
Site Address and/or Directions to Property:
.32, fr,evl .Dr:uc , a.(c,'/cer7t WA X 76
Property Owner(s)of Record: G(4 •oerri s. (peas .14
Telephone: Fax: V "email: G/04 frtho.Aerga eon—)
Mailing Address: /(. )O Aiort j„tor,,,,,n r. IS4 it br,4C e. zs/d E(, L44 Quo
Applicant/Agent(if different from owner): ine+trod Roo? S— fl.,, gaLJ'
Telephone:1f •Zfb, Z7f4 Fax: 20 . lert;$ Z r' email: . AKerrlerl eft leT
Mailing Address:,3/Z Fri*ve, j , E. .scnkre. AZ Searle_ Wft getOZ.
Whit-kind of Permit?(Check each box that applies
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
12tIngle Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CJ'j�`b
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Us la datidhi j 'Y 1 `{,❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑Home Business 0 Cottage Industry ❑Binding Site Plan** MAR 2011
❑ Propane 0 Long Plat**
❑Sign ❑Planned Rural Residential Devel o t
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ainU
❑Stormwater Management 0 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 ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
Il DESIGNATION OF AGENT
I hereby designate ¢fit He ►es to act as my agent in matters relating to this application for permit(s).
LY
OWNER SIGNATURE Date: 41 i!1
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 attomey'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 application that he or she wants prior notice.
Signature: �' �7 �/
Date:
The action or actions Applicant 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 arding
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or ldsiisindividual
your
and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this dl91m r and signs and dates it below.
Signature: !/
Date: / /1
G:\PerrnitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
S.
..-----I ,_— ' • BUILDER STATEMENT •
le 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.
Slnature: 7y7� ✓-1.---- Date: 3 ///
G:NERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
OILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
raj 0M8ER: NUMBER
MCHITECT/ENGINEER: ,ischi l�.CJess�„44.R.►5 PHONE (j).3Z.7_•.111T FAX:(7406)SaZ,Oyg•
WVILING ADDRESS: 80 War. 4er: Sm. WI •Semed6,W4 gtuEMAIL (eeture, W.1G«,lip in
project Type: Frame Type: Bathrooms: ci Shoreline: Type of Sewage Disposal:
/New [ Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 1. Bank ❑ Community System
❑ Atteration/Remodel ❑ Concrete Total: 2 Height: Individual System
O Repair 0 Masonry 1‘)/it SEP Permit#SEp/I'
❑ Demolition 0 Other: Bedrooms: r,{ Water Supply:
Existing: S0 Setback: I+f Private well ❑ Two Party
Type of Heat: Proposed: AA ❑ Public
• Total: "1 Q 17 N
_ rec._ Name of System:
C7'enP io At
If this is a Commercial Protect 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 /,Q _
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 of Propane Tank:
I 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/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.
S•ware Footage Current Pr...,ed ,� i i �°��,�s �� `-,a r=F . .,.: ' aS
Main Floor Heated EH Bid App Review:
s ll
.• , ' Consistency Review:
ii Q
Other / • //E
'" Base fee: `" f . aJ
Additional Section:
Heated Basementt -.. Plan Check fee: C GI
ce "r Y? C . , i
Unheated Basement
'•, .=. State Surcharge fee:
e -�r Ilya Pot Water Review fee: •
Garage/Carport ..----.. I, � SUBTOTAL
' Z3 Z.., � Y 6 �1 -• Approach emu.
.„ .mnr ,sa va ..
Other
4 -, INa1 1 1
• s
h,". .„rFk, fjCiC
ESTIMATED COST(REQUIRED) ,
,Fair,narlket value of an Iahnr and metariak foundation to finish r'
JO ' - l!Z
G:\PenmtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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