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BLD2011-00076
• • 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 #: BLD11-00076 SITE ADDRESS: 1311 WEST VALLEY RD Issue Date: 05/16/2011 CHIMACUM, 98325 Final Date: 4/19/2012 APPLICANT: CHARLES D BOGGS PHONE: 360-732-4335 JULIE M BOGGS 1311 W VALLEY RD CHIMACUM WA 98325-9744 SUBDIVISION: Block: Lot: TX 8 PARCEL NUMBER: 901221008 Section: 22 Township: 29 N Range: 01 W PROJECT DESCRIPTION:ADDITION (UNPERMITTED) TO EXISTING SFR 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 ON4/19/2012 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building DiIkon Permit Num. BLD11-00076 Applicant: BOGGS 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 Wallboard Nailing ;J_f [�,• Mechanical Systems if 2_ f f r) 5, f �� n� 1„1 J u Smoke&CO2 I l' / i / �� �� 1Z a ; �� ; ,,—t r s , ,�p Lae, I ,,4 S c,S S Ito ci�. o ' o,S' -- 4 a obi is I1 r,a ►� c✓ )16 FINAL INSPECTION t� h, /L /74/3 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR MLA11-00064 IRUILDING PERMIT APPLICA N Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00076 Received Date: 3/31/2011 SITE ADDRESS: 1311 WEST VALLEY RD CHIMACUM, 98325 OWNER: CHARLES D BOGGS PHONE: 360-732-4335 JULIE M BOGGS 1311 W VALLEY RD CHIMACUM WA 98325-9744 SUBDIVISION: Block: Lot: TX 8 PARCEL NUMBER: 901221008 Section: 22 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION ADDITION (UNPERMITTED) TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 676 VALUATION 84,934.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: 328 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 328 SHORELINE: CONST TYPE: DECK: 72 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: 0 Prop: 1 Total: 2 o al: 2 Routing Date: 7 1 _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $888.75 LYK 03/31/11 123354 APPROVED Plan Check $577.69 LYK 03/31/11 123354 State Building Code $4.50 LYK 03/31/11 123354 MAY I(0 2011 Total: $1,470.94 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD11-00076 1.) All construction activities shall not encroach upon the Stream buffer. This includes the storage or preparation of materials. 2.) The identified Fish and Wildlife Habitat Area (Type N Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Single Family Residential Addition. 3.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Single Family Residential Addition. 4.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. 9.) Maximum lot coverage is not to exceed 10%. 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 Valley Road is no less than 20 feet. Side and rear setbacks are no less than 5 feet. • • 4�:ox °off JEFFERSON COUNTY W `' ` DEPARTMENT OF COMMUNITY DEVELOPMENT 1-2 621 Sheridan Street• Port Townsend•Washington 98368 � 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment BIND Master Permit Application MLA: 1 '-1Q Pro' ct Description(ind a separate sheets as n ssary): (Sr SPe_ Tax Parcel Number: of 0( Z Z l Oc) Property Size: S.G CAR_S (acres/square feet)_ Site Address and/or Directions to Property: t 31 I GVesr U ( 4 Property Owner(s)of R ord: le - Telephone:3(oJ -232 cif 335-- Fax: 5‘..44..-e email:C./Lur-LC-tJ Co -k) ti,PtcA(•ee- Mailing Address: i31( ll'fsr- L/ (Le.i)._ G.0- , WA- 4113zs' Applicant/Agent(if different from owner): /.4- Telephone: Fax: email: Mailing Address: Mat kind of Permit?(Check each box that applies ❑Lot or Road Segregation uilding 0 Critical Areas Stewardship Plan 0 Demolition Permit ❑Variance(Minor,Major or Reasorlable;Economic Use) 0 Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CLe; ' A; 0 Manufactured Home, .El modular . - ❑Discretionary"D"or Unnamed Use Classification ' , 'J _ ❑ Commercial* 0 Special Use(Essential Public Facilities)** 0 Change of Use 0 Boundary Line Adjustment ` �'"" ❑ Address 0 Road Approach ❑Short Plat** ' ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** , 0 Propane 0 Long Plat** t r, ❑Sign - ❑Planned Rural Residential Devektpirf r*A00(idrhiehts** . ❑Allowed"Yes"Use Consistency Analysis� 0 Plat Vacation/Alteration** ` '" , !t ,i,! ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑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 - onference 0 Tree Vegetation Request **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 to act as my agent in matters relating to this application for permit(s). 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 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. Sta• s access and right of entry will be assumed unless the applicant informs the County in writing at the . time of the applicatio e r she nts p •r Signature: J/ mL Date: S 3 1—2 0/ / 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 Ad"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-transf ble respon ' ili r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 7 -3 1-2-b/ 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 ass e lresp sibility ee neral Contractor for the proposed project. Signature: "�`A `�J �\'f/- Date: 3-3 ("IP GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) Y MAILING ADDRESS: EMAIL: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: ❑ New tr Wood Existing: ❑ Sewer Addition ❑ Steel Proposed: ( Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: 2. Height: Lielndividual System ❑ Repair 0 Masonry SEP Permit# 0 Other: Bedrooms: 2 Water Supply: ❑ DemolitionExisting: Setback: tg Private well 0 Two Party Proposed: ❑ Public Type ('He, ,, Total: Z Name of System: • • 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 Pro ne Tank and/or A liance Installation rmit,mark all items below that apply: 1 Underground Ta bove ground Tank Size of Propane Tank: 1 OD 1 Heat Stove Cook Stove 1 Woodstove 1 fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other is this appliance beif q 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. ,t x;4 Current Proposed * • °3..¢ `' , zr 5,, w '�i�' � 'a�,, Square Footage p ��� '`'� -� Main Floor Heated t ZOO 06, EH Bid App Review: r 2 Floor Heated ;x 0" Consistency Review:• Other Heated k z . , Base fee. liV IJ • e,. A C` Mezzanine t.,. ; Additional Section: >, Plan Check fee: Heated Basement Unheated Basement ' .:ems '` 4 • State Surcharge fee: Pot Water Review fee: Other Unheated. .. L___r4, lsn/J67 °� t SUBTOTAL 1�7 4 Garage/Carport 3 2� _ L 15 psl l Decks 911/Rd Approach fee: at s Other � ti TOTAL: $ `--�� 0 ,. , r Receipt Number: 'a, 4 Cash/Check Number: n ESTIMATED COST(REQUIRED) Date: ��!t •Fair market value of all labor and materials foundation to finish 000 Initials: �s t— I C. 1 x . t F X ,-,;, - v., c �, t cit ' 3 1. ry , ± \\}} oI il ! 6..' ''' '''. t ` w to I i (%'1 ,J '1--1 x W _ _ -j t = Q f Fr_ ,- c.,, _...0_, a 1 i o i 9 4•A fr, s1 s ti 3 . i LiW .p S O' x _ 1 G ii- N F TT d -r FçIIIIF- ----- I r ---. P‘i -\ , . r r r ° �� .. U xcN - - tea w o- n �N (14 di is r it*.c .: 't a ACT T� , f‘j '—- - r '� O r 01�6� � .�; a a� - ti: if\ RN Z r '. r.J N V l7 p� J .j; { i Zi•— in 0 CD a i 3 �` > h V n ..0, i V-A r, -II ,r. 4 Ar_,I 'Cr< A' 1., (` ,t). 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