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HomeMy WebLinkAboutBLD2011-00062 • • 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 #: BLD11-00062 SITE ADDRESS: 20 BELLEVUE DR Issue Date: 05/16/2011 PORT TOWNSEND, 98368 Final Date: 2/21/2012 APPLICANT: SANDRA D OFFUTT PHONE: 360-379-9270 BRADLEY E OFFUTT 20 BELLEVUE DR PORT TOWNSEND WA 98368-9670 SUBDIVISION: Block: Lot: TX 5 PARCEL NUMBER: 001193006 Section: 19 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW 2 STORY ADDITION -ADD BEDROOM & STORAGE - REVISION 9/26/11 - ENCLOSE EXISTING COVERED DECK 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 C "- THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON2/21/2012 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Dilion Permit Nu,. BLD11-00062 Applicant: OFFUTT DUILDING 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 -;27 /1/ /I'll'lS C:> , , Erosion Control Foundation Footing / /( /e71- /60,ct .-. /0-- ( / i`7 Footing Drains 141 ( Foundation Stem Wall , U ndergraanc-Wumbing / Under Floor Framing Straps(hold downs) e ,'�✓ ( ` ;'� Ext. Shear Wall Nailing e()_ C(1 Rough-in Plumbing Framing �r 'l5 / (1Svr4z - � D�y� �ti;' 12-Z3-rt Blocking 6-7s- / C Airseal >_ l S . ` Insulation:Walls L.-lvtf•S I -ft• iZ Insulation: Floors Insulation: Ceiling 1 l� - LZ— 1 ` l, Ia30N 1- gi0 1Z Int. Shear Wall Nailing r _�Z ,(( It7 Wallboard Nailing r. - l % " (y i n I. Gas Line: Interior L Gantrre`Exterior • PropanST rTk Heat/Chimney Clearance DrywefttAtt Drainage Address Posted FINAL INSPECTION I i_`1_ I) —1 6c. St-TA urn ` ting FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR !WILDING PERMIT APPLICATIO MLA Review Type: 53 I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00062 Received Date: 3/21/2011 SITE ADDRESS: 20 BELLEVUE DR PORT TOWNSEND, 98368 OWNER: SANDRA D OFFUTT PHONE: 360-379-9270 BRADLEY E OFFUTT 20 BELLEVUE DR PORT TOWNSEND WA 98368-9670 SUBDIVISION: Block: Lot: TX 5 PARCEL NUMBER: 001193006 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: INTEGRITY HOMES & REMODELING PHONE: (360) 316-9472 124 SWANSON AVE PORT TOWNSEND WA 98368 Contractor's License INTEGHR953PD Expires 11/10/2009 REPRESENTATIVE: INTEGRITY HOMES PHONE: 360-316-9472 DONNIE CHARLTON 124 SWANSON AVE PROJECT DESCRIPTION NEW 2 STORY ADDITION -ADD BEDROOM & STORAGE -&flcloSE EX►Sr C .ei Ckek. -- tS►on q -z -11 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 224"3-71 VALUATION 40,000.60ck ADD'L: 112 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: Exist: 3 Prop: se Prop: 0 Total: 3 Total: 3 Routing Date: (. :---- - ------ Type amount Paid By: Date: Receipt: Approved/Date Permit $542.75 LYK 03/21/11 123310 Plan Check $352.79 LYK 03/21/11 123310 APPROVED State Building Code $4.50 LYK 03/21/11 123310 MAY 10 1031 Total: $900.04 Jefferson County Planning & Building Department • ! CONDITIONS for Building Permit# :BLD11-00062 1.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the Landslide buffer. This includes the storage or preparation of materials. 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Building Setback from Bellevue Drive is no less than 20 feet. Rear and side setbacks are no less that 5 feet. Critical Areas may increase setbacks. .SON c • ��w '* JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT _ '� 621 Sheridan Street • Port Townsend •Washington 98368 4A jo .ji",y 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment IF c Master Permit Application MLA: 1 i I D3 Project^Description(include separate sheets as necessary): Of it btelroon. Qra crkr-ac� e_ cJc o i —Fawn 2. S-)or Tax Parcel Number: 00 I( 3 Oct C Property Size: S cv•eS (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ,50uAci-e. ctij Bract tul E O(h.. Telephone: 36 C) 3`? — a 270 Fax: 3G0 - -9 276 email: b oFE1{}0 I a Pic`-14,1I„`,cic,Ne_ Mailing Address: 20 (3i(e tii•t.)2... U iv P,--f" 7 i,,,,se.,co lit t, t 136 8" Applicant/Agent(if different from owner): Do Wad C61-( � ' r-- Telephone: 360. 316 -9't'72 FAx 7°7-go Y3 email:i i i5 ha ter al t. *ce".4. Mailing Address: i1- Swrwsc,v' flu I— / Art TWr.spi rt n{�r u/A �l3.3c b hat kind of Permit?(Check each box that applies 0 Lot or Road Segregation (� r uildin 1L ii , 1 v l 9 ❑Critical Areas Stewardship Plan r ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached O Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .0 Modular - El Discretionary"D"or Unnamed Use Cla4i $tiii�1 2,y, ❑ Commercial* El Special Use(Essential Public Facilities) ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** -rI �, ,, 1: ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** IrF-i-i' i° �,lilli i l� U o ❑ Propane 0 Long Plat** ❑ Sign -.. 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** 0 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: II DESIGNATION OF AGENT n — I hereby designate �ov`a w'd Char-, ov\I Tr , to act as my agent in matters relating to this application for permit(s). WNER SIGNATURE [)uc, Q �y�-0 ���� Date: / , `C'2 2O-, i(9 l�6 t 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 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 that he or she wants prior notice. ,i6ignature: S £ © vv Date: I p i C .r_ 1 0 i a // 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 detined 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 riot 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 adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ,Signature: C-1 Date: "Mnotck, le)i, 01 • G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 1111 • i 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. j'Signature: Date: /GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: O0;.".1Jdn, .-t10Yy DBA ri14tr-+ 140a.4.5 r-R. o (. ()4, MAILING ADDRESS: ) 3iG-q ?o (34::) 371-O$3 5' EMAIL: (�� Sw<.�se Ave--R , �er� ©ta+itrex�l Ir rik saes Q �'fa€' . cc evt CONTRACTORS LICENSE WAINS c f31c N 1 j. L i$' 37 2-0C, NUMBER: TA Q r 153PD NUMBER Pc(4C.+ t=l I SG . ro ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New (Wood Existing: 3 ❑ Sewer 64,Addition ❑ Steel Proposed: .,.-- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: X Individual System )7 ❑ Repair ❑ Masonry SEP Permit# q 3 - 060441t ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _3_ Setback: ❑ Private well 0 Two Party —Type of Heat: Proposed: Public T(gc i C aZ i Total: 3 Name of System: PLA.r3 1 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: 1 Heat Stove i Cook Stove t Woodstove i Fireplace Insert i 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. k i1`;tavt . ‘ S•uare Foota•e Current Pro•o ed �" 'W .. U � '.,.'iii, .. x .,, .Tt,, 4. .. e' t - , .r-i Main Floor Heated f�.� Bb EH Bld App Review: t 3 9 9 2-I ' " Oic,, . 12AN 2 ' Floor Heated Consistency Review: Other Heated �,,; t` Base fee: 783.75 . 5� 75t.1 I . Mezzanine � R,, - Additional Section: :rF . :' Heated Basement Plan Check feet-151 t Unheated Basement , �{ State Surcharge fee: Other Unheated ,,�• Pot Water Review fee: EXIST) \/ al Garage/Carport k SUBTOTAL Decks /' 44 911/Rd Approach fee: E1 1-1 Other 54,4$ TOTAL: $ I I go , �.�. p I 5e Iz81f 3�� � � Receipt Number: f : �.. ' Cash/Check Number: `'1 ESTIAE D COST(REQUIRED).__ Date: �I_ ' /,, .Fair ma slue-o1 alPlator and material ation to finis —L v2 �" _44 000 •OCR Initials: r G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc i ._-...-- .---,._____.....„.„.=„...,....=..____.„........ 1. _ri (-_) H G - , \ . :,. . a '1-4 1 1 ' F. , , p____:: , g.F-..,fr l 4 P c N.I x; 3 5 0 tA v a rCr d 0 s , ,v i \'''''\ -EL L;-' /7. J •. ' v r \ 0 /71 J L.St ti— ...,—J ' f) ----- a Q CD ' 4-. < : I el' P B : i. i .... '7, , ';al 'i T i _ Q ' -' >\)13 ' • ,D N C --.) . 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