HomeMy WebLinkAboutBLD2011-00078 • S
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#: BLD11-00078
SITE ADDRESS: 2020 GARDINER BEACH RD Issue Date: 05/16/2011
SEQUIM, 98382 Final Date: 1/31/2013
APPLICANT: DENNIS R HECKARD PHONE: 717-926-6914
BARBARA S HECKARD
971 N MILL ST
LEBANON PA 17046-9335
SUBDIVISION: Block: Lot: TX 4+
PARCEL NUMBER: 002283004 Section: 28 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE
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 1/31/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 2/11/2013
Jefferson County Building Division Permit Num. BLD11-00078
Applicant: HECKARD
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 42 t/1 I .
Erosion Control 111
Foundation Footing 241 1
,tJ J- .C9 1<,
Footing Drains _/ / J 4N g—J
Foundation Stem Wall 5-1_, I k
Underground Plumbing l/
6
/ r rzY it., J D C
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing g'Z3-I 9.77—___,
NA-t( 0cis BLcx-t4.t w„s.. SASRough in Plumbing ( 11 _I,LFraming (i/-/Zl JA Ctipp K-5 r-'el kr i uDeo-o/P.ilmo✓e-sc./' -Alc spray), pp.ree I�u
l e„4:1- 1QA.1--6it�s /4-J% 5� (sr t.-ooK.
Blocking +.0 >aoovs 4.11:krve. `I-t 01.6"t69- .s-r-.UGe✓
Airseal
Insulation: Walls 6'(S '(L I
Insulation: Floors ,'l. it
` /2_ , / ' 5( . 4 /Y�
Insulation: Ceiling d' (1�,1 1 cro (/
Int. Shear Wall Nailing /� s.1: ./ ��"(�1���
Wallboard Nailing I t 0�-1 -1,2-1 AGO
Gas Line: Interior �_ I t \.� --
Line: Exterior (p-1 t -4 Z (9.."
Propane Tank �!
Heat/Chimney Clearance
Blower Airtight Test
Smoke&CO2
Drywell/Alt Drainage
Address Posted 1 -2ei_)3
FINAL INSPECTION (_Zq -13
t?--
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA11-00073
OJILDING PERMIT APPLICA N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00078 Received Date: 4/11/2011
SITE ADDRESS: 2020 GARDINER BEACH RD
SEQUIM, 98382
OWNER: DENNIS R HECKARD PHONE: 717-926-6914
BARBARA S HECKARD
971 N MILL ST
LEBANON PA 170469335
SUBDIVISION: Block: Lot: TX 4+
PARCEL NUMBER: 002283004 Section: 28 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 247
VALUATION 118,539.00 ADD'L: 968 HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,053 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 07877
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 2
Total: 1 Total-
R ting Date: _o1- I (- ( I
Type Amount-iv: Date: Receipt: Approved/Date
Permit $1,100.15 LYK 04/11/11 122377 APPROVE'
Plan Check $715.10 LYK 04/11/11 122377
State Building Code $4.50 LYK 04/11/11 122377 MAY )(p
Potable Water Application $62.00 LYK 04/11/11 122377
Jefferson County Planning
Total: $1,881.75 & Building Department
• •
CONDITIONS for Building Permit# :BLD11-00078
1.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
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.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
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.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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 Gardiner Beach Road is no less than 20 feet. Side and rear
setbacks are no less than 5 feet.
�,OON co •
a JEFFERSON COUNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT nNik
621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
q p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: l- lr�3
Project Description(include separate sheets as necessary):'De vejal to 2!4 b lrce.( -lbA ai n25(e-
�A1Ynllli Yt�'.StUu�i- i.AI hale_ ,5i•e.• / r
Tax Parcel Number: oc 4,7,,z p a 0,4 Property Size: to quare feet)
Site Address and/or Directions to Property: /T,t�hway IC.)l c.'e3 - +o Jl l; nionc4 tea rOf 0 et,
•
s-F- h Gal-vier tr( �rAk-e Intl,- BeAcGt Ra2ei ,�th 5uh5kIn� jrly�
Property Owner(s)of Record: 1DGviyt 13 R. whd B 1t�7t -.2 5. t1 COCA _ L
Telephone 7,7 q h-G 9 L Fax: email: d o h Ay� 2„ ( t o M CAS f•nei
Mailing Address: '3'LI V*, Mill 5 1ri2Gi" r LcbAheski r Pelvis 'illVll..t /7A4(0
Applicant/Agent(if different from owner): 51-e v - Ra s d, k—
Telephone to Cr - 4 Fax:L31. 4083—4.6 96 email:
Mailing Address: .'Z7 L.}]5t-1 t 1tt.sAt.( I O l rlt j m , WA- ''3 E30
What kind of Permit?(Check each box that applies
*Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major ef Reasonable Ecoric4 )
Single Family >6arage Attached(tached) 0 Conditional Use[C(a);�C id),:or Cl**
❑ Manufactured Home 0 Modular // 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial" ❑Special Use(Essential Public Facilities)**
❑ 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'"` rq;
❑Sign 0 Planned Rural Residential Develot(PRRD)lAttiendments**
❑Allowed'Yes'Use Consistency Analysis 0 Plat Vacation/Alteration"*
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 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:
CIP35 Cnvtilion rore�- Wi�G�l'iGL4-itDESIGNATION OF AGE(,TDrVew.li/Mde-eS3
I hereby designate '4-eAr e np �� 5 G�a.`e, to a y agent in matters rebating 7hi5 ap ication for permit(s).
5 .20l1
y vLd�
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is rue 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 s employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staffs acce and right of t 'II be assumed unless the applicant informs the County in writing at the
time of the ,.pplication that he or s wantsesA-`s prior no /
0
Signature: 1iYt4'Lvl [� • !/�t� ct- Date: /,5 26 1
/(
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 wilt 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-t ferable responn bility f r adhering to and plying wi h SA. The Applicant has read this discla" era7mI)I
signs and dates it below.
Signatur �iYLv1b0 GPi�2 A.A.G[1 �..4.4.49. _ Date: //'o I
G:\PennitCentcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-O8.doc
• .
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 reesspon bility of the General Cont r for e proposed project.
Signature: A,n'n 4 K• GC�1�rnt� (JGG��tiG lw mate: /116/ )u/
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: ir0i/7A EMAIL•
CONTRACTOR'S LICENSE r ( WAINS
NUM@0,: Z,«}c•.i,l__. 41• kSSC=G1P.Tc
NUMBER
ARCHrTECT/ENGINEER: \ qc_ (15c iOG€ PHONE MO 4/ 7-c L.,c / F (7 RiToi7"- ,4
ti
MAILING ADDRESS:. '/6 6,tii c f f6K7 AA/6-i_&._5 Gs_%',', fig%:�4,z EMAIL-f r�-c y 67 C it.,vi C=,A_,,,7`
Project Type: Fra a Type: Bathrooms: SHoreline: Typp of Sewage Disposal:
—
4t'New Wood Existing: £1-Sewer
O Addition 0 Steel Proposed: Z Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: z- Height: ❑ Individual System !�
❑ Repair ❑ Masonry 1I- SEP Permit# 10 0I
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Proposed: _I iPublic
Type of Heat: c- Total: /Vi ' Name of System:e'Sc1'-Q t'r �,
If this is a Commercial Projectyou 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 Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile 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 t G:a u. K .'sl'-111 L " r
J�"
a
a
Square Footage Current Proposed ate ..- K . ., § w a . -iY.
Main Floor Heated 741ill W; • EH BId App Review: I
2"°Floor Heated rv�//,� -0 * " Consistency Review: 61
Other Heated ,. ,r .:-; Base fee: ( I Ic
Mezzanine t" '` .xLL; ' Additional Section: J'
Plan Check fet'; 7115.
Heated Basement rr ' ;, IC
Unheated Basement 515',70 - ,State Surcharge fee: , 50
Other Unheated .iw w " Pot Water Review fee: 1 en
Garage/Carport
' x .: SUBTOTAL _.
c
Decks s : ?`iq.., •11/Rd Approach fee:
r P10.-- g
�
Other r r 1.. y TOTAL $ �j .
' •y i p - '' Receipt Number: 1(9;5377
'fn , Cash/Check Number: -21
ESTIMATED COST(REQUIRED) Date: t t
.Fair market value of all labor and materials foundation to finish
cr
Initials: •
•
G:\PermitC,enter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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