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Home My WebLink AboutBLD2011-00069 • 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#: BLD11-00069 SITE ADDRESS: 2011 OLD GARDINER RD Issue Date: 05/12/2011 SEQUIM, 98382 Final Date: 10/8/2012 APPLICANT: PHILLIP M CECERE PHONE: 360-477-1122 2011 OLD GARDINER RD SEQUIM WA 98382-8750 SUBDIVISION: Block: Lot: T 56+ PARCEL NUMBER: 002341035 Section: 34 Township: 30 N Range: 02 W PROJECT DESCRIPTION: ADDITION TO EXISTING SFR -ADD 1 BATHROOM & 1 BEDROOM REVISED 10/8/12 - REMOVED 1 BDRM TO DEN 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/8/2012 \\tidemark\data\forms\F_BLD_Occupa ncy.rpt 10/18/2012 • Jefferson County Building Div Sion Permit Number: BLD11-00069 Applicant: CECERE 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 Erosion Control Foundation Footing Zt—i'1 Footing Drains Foundation Stem Wall • fl -21-i l Underground Plumbing Under Floor Framing ( ft li Straps(hold downs) Ext. Shear Wall Nailing 1 —R_ Rough-in Plumbing O , (z_ /-47-7 Framing OCL q Blocking ✓�/I/ /C / Airseal -IS-‘ Insulation: Walls Insulation: Floors 9 / ./ ' 1-9 Insulation: Ceiling 1777) Int. Shear Wall Nailing `z_ Wallboard Nailing �j` 6 7 L y —7 Gas Line: Interior l� b Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION iv FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR •UILDING PERMIT APPLICAIN ML Ty 059 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00069 Received Date: 3/23/2011 SITE ADDRESS: 2011 OLD GARDINER RD SEQUIM, 98382 OWNER: PHILLIP M CECERE PHONE: 360-477-1122 2011 OLD GARDINER RD SEQUIM WA 98382-8750 SUBDIVISION: Block: Lot: T 56+ PARCEL NUMBER: 002341035 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ADDITION TO EXISTING SFR - ADD 1 BATHROOM & 2 BEDROOMS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 1,080 VALUATION 113,272.00 ADD'L: HEAT TYPE EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 120 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 2 Prop: 1 Total: 3 Total:.-- Routing Date: 3 &3--i Type Amount Paid ,By:----Date: Receipt: Approved/Date Permit $1,072.15 LYK 03/23/11 123326 /\ PPRc r Plan Check $696.90 LYK 03/23/11 123326 /`!® E State Building Code $4.50 LYK 03/23/11 123326 MAY 12-2011 Total: $1,773.55 Jefferson County Planning & Building Department s • CONDITIONS for Building Permit# :BLD11-00069 1.) 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. 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 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 Old Gardiner Road is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 4 °N c. S c�, �, JEFFERSONRUNTY rzi ' DEPARTMENT OF COMMUNITY DEVELOPMENT PI ;4 621 Sheridan Street • Port Townsend • Washington 98368 °4&' 360/379-4450 • 360/379-4451 Fax .p0. www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: l ( _cD- q Project Description(include separate sheets as necessary): At1 — r I ( hi-h4- Tax Parcel Number: 0o22 Y /0.3 S Property Size: . q`T cre quare feet) Site Address and/or Directions to Propert : D ® I I 6 (� 6 r — fed. Property Owne s)of Record: OA i 11 t' CI' _. L.,T I v _Q(e.g Telephone: d LI)7 1(� Fax: 0Ii l� Ws e-- email: Mailing Address: 0 (Oj ��r 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 ►'r:uilding 0 Critical Areas Stewardship Plan Ir Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) › Single Family Q 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)** 0 Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan'`* ❑ Propane ❑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 0 Shoreline Management Variance j )r , ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land trict Map Amendme, f" ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment 1f *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Confr'r e 3 �(+.' Please identify any other local,state or federal permits required for this proposal, if known: �j00 DESIGNATION OF AGENT � 1 j!5~ 1jj , I hereby designate to act as my agent in matters relating to thi`applicalti >� t'd rrNi j. OWNER SIGNATURE Date: , 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 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 require• . er inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the ::: applica �e J she a is ' notice, l�� Date: ( /26 // / s' 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 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-transferabl- -sponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer a d signs a d dates it below. Signature: J , e..... 67ZDate: ( 0 J/ I IP"Pr rAPermitf:enr ###FORMS#•= \DRD FOR MS\C,,r vnrTlRTI Rn«..cNaa,.me-Ae.-..:. a....,:__.:.._c.1.na�__ • • 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 assu ' t e responsiblity of the General Contractor for the proposed project./ / 1,1/4s % 11`Signature: Date: GENE CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: MBER ARCHITECT/ENGINEER: PHONE ( ) ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New )(r Wood Existing: ❑ Sewer X Addition ❑ Steel Proposed: �- Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 0' Height: ,Individual Sys�m ❑ Repair ❑ Masonry SEP Permit# ) ❑ Other: Bedrooms: Water Supply: ❑ Demolition Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 01 Public Total: ' Na e of Sxatem: f If this is a Commercial Project you st answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,a ees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food'Service? Yes / No If this is a Propane Tank and/or A liance Installation permit, is aII items below that apply: 1 Underground Tank 1 Above ground Size of Propane Tank: 1 Heat Stove 1 Cook Stove I Woodstove 1 Fir Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mo le 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. r; L;xt. ' tgf r7, .r f:' - ,-,� om, 'e af to O C - : Current Proposed cyt9 : i r�, s 3^. ; , .tt . `Kf .Aw Square Footage Main Floor Heated Q / 1 O O . i Cj EH Bid App Review: r� F> (D f. `4`-� Consistency Review: y 2 Floor Heated , `,,ev , ' � ':' Base fee: • I Other Heated V'I f - 10—g cam{ Mezzanine - -trIAP Additional Section: Plan Check fee: J � • 0 Heated Basement 1 ,.' `1 ,5,.�, -- u- State Surcharge fee: 9 Unheated Basement � _ � r k Other Unheated • <` Pot Water Review fee: - ix SUBTOTAL - GaragelCalport 4 r J* cb� Decks 3 1 ( 1 ZD • jj 911/Rd Approach fee: (S T 114 Other .... " TOTAL: $ ( .5 ti { „ Receipt Number _IQ 3 (.4) �'' j Cash/Check Number: EATED COST(REQUIRED Date: 3_ I • ir..Lnarket value_of_all!°• atenals foundation to finish t� -- / f ocrTh Initials: I .-.‘De :,r'....tP.\fttk#FfRMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • • 0 �— I I f - COimi ! x rN• r i 1 co X co 1 r O - z H a. a o °o �' co 1 fD 5 ' 1 R-g p b Ia - W 11 I � ."- -D m -o 1 a , K a m ct) 0 .3) �, (:)coa Q. Q. a � a. m•a � y O O Ix . T cn ;0 . U i\O 0 � r -- CD s c. c-- w AZ Co f w 1 .,-- �Ig 10. o T i, ; c) X N • , W 1 4 v ,` ,-7cS, U- c,l 1 o lJ` eAU' Pic• �� • �` ,0,-(J. , A ' ` z or ? . f -5 . R \tit/ , . ,, ,t i p.3°- .,„..e.., IL i C2-6 T 1 ' , � L �//,\eta-- I Y �T \l jel 0 bi o Ste. A ® i i V;ki/5 )4, I c-j�7.�r fci L� i - (.7‘, r 1 i 3(0 , ',': ,'' ':. e..- Igo _ `lo 1,' AP `VED w.. g 'o` SI w PLAN .- . ° :-; ,. y f , C IO MAY 122011 isr - `pat° �tli' :f, .� ,. U , sty, Jit