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Home My WebLink AboutBLD2011-00098 • 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#: BLD11-00098 SITE ADDRESS: 116 MASONIC HALL RD Issue Date: 07/18/2011 PORT HADLOCK, 98339 Final Date: 8/17/2012 APPLICANT: CLAUDIA HOLLADAY PHONE: 360-379-5573 116 MASONIC HALL RD PORT HADLOCK WA 98339-9538 SUBDIVISION: OLSON LONG SUB-DIVISION Block: Lot: 3 PARCEL NUMBER: 977600003 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: ADU -Accessory Dwelling Unit 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/17/2012 \\tidemark\data\forms\F_BLD_Occupancy.rpt 8/21/2012 • • it Jefferson County Building Division Permit Number: BLD11-00098 Applicant: HOLLADAY 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 713 S p/%(.9?,-, c1 Erosion Control Foundation Footing Footing Drains Foundation Stem Wall c .3� `l Underground Plumbing put3 Under Floor Framing 7 C , 2_ / ( ( --1.13 Straps(hold downs) Ext. Shear Wall Nailing `t ,5_ i i Rough-in Plumbing 21_1) i?) Framing 5� /L ��/,rti Blocking ��f Airseal I'y `t Z Insulation:Walls Insulation: Floors Insulation: Ceiling �-- Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior Gas Line:Exterior (0 Wf Propane Tank ?19°?-12 Heat/Chimney Clearance Duct Test Cert Blower Airtight Test Smoke&CO2 Drywell/Alt Drainage Address Posted g-t M F FINAL INSPECTION 8146,e ra FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED TIaIC IDFPMIT IC WA! Itl pno nikm VCAD Sj ILDING PERMIT APPLICATION MLA 85 Review T Typype:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00098 Received Date: 4/25/2011 SITE ADDRESS: 116 MASONIC HALL RD PORT HADLOCK, 98339 OWNER: CLAUDIA HOLLADAY PHONE: 360-379-5573 116 MASONIC HALL RD PORT HADLOCK WA 98339-9538 OLSON LONG SUB-DIVISION SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 977600003 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP ADU TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 720 VALUATION 64,000.00 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: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1rop: 1 Total: 1 Total: 1 --- Routing Date: Type _---- Amount Paid—B e: Receipt: Approved/Date Permit $741.75 LYK 04/25/11 123430 A ' VEr Plan Check $482.14 LYK 04/25/11 123430 State Building Code $4.50 LYK 04/25/11 123430 JUL J! 2011 Potable Water Application $62.00 LYK 04/25/11 123430 Jefferson County Planning Total: $1,290.39 & Building Department • CONDITIONS for Building Permit# :BLD11-00098 1.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES - Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is upgradient(above) or on the same contour MUST be setback a minimum of 10' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is downgradient or lower MUST be setback a minimum of 30' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Surface drainage, roof run-off, splash blocks, etc. must be directed away from ALL septic components. 2.) 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. 3.) 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. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) 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. 7.) This parcel is within a no shooting area per JCC 8.50. • 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) The building height is not to exceed 35 feet. 10.) Building setback from Masonic Hall Road is no less than 20 feet. Side and rear yard setbacks are no less than 5 feet. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. ' - -r--'- - -- �� .n r'cl C c'1%.'d . :(::,-.:2,) ti , > r x „ a �� 1 fir✓ ,. .._�... ,--_L — ,._._._ j 1 1. - 1 � s ii/j' _ ___, R, 4 I m - - 4--- - ' ,4V, -4--... __ ___ _-___- ___ _ ._. i. } TH f f , Ni A __ f I ,_ -_. �_ I.._._._, .a.-_.._ ._ .__L_ _..__..__.. �_. J_. I ._ . 1_ l I i rn. m. es",___41111133 t -, ' ; t 1/4 ,_ -------v-- , t , , .-_ . CD J i 1 raf� ;.._ I, ,,,,:, ,... i , i , , ..< _ , ..... , , , .... . , p. �� I i ! r a a_...:. it.±fLcT4pt$ ; $ t . r 13 : s...:0- r Tr y' IIoJvc • /0-°--al 0� JEFFERSON COUNTY ' �+�; DEPARTMENT OF COMMUNITY DEVELOPMENT i ` "' 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax � w spy ww.co.jefferson.wa.us/commdevelopment C Master Permit Application MLA: a I — , Pro ect Description(include separate sheets as necessary): Tax Parcel Number: . 7`7 (00,0 003 Property Size:gL,.'�-3/X /'T0<(o-j1 (acres/square feet) Site Address and/or Directions to Property: l(4 MA 500(C jAkLl- ,; PI", i411 DL 0c-SL. Property Owner(s)of Record: CI—NOD I R 1A0‘..-1—lip Al F2 J•VriJ Telephone(-3&;)31' -6 / Fax: email:roc- r eSifr €m4m(i) Mailing Address:11c) AAA501.1 tC {-'ALA- RD PT.(.4 A�`-c C 53 CAbie . com. Applicant/Agent(if different from owner): GE- — Telephone:- 4 Fax: email: Mailing Address: What kind of Permit?(Check each box that applies El Lot or Road Segregation 'Building 0 Critical Areas Stewardsh'.V-n� ADemolition Permit ❑Variance(Minor,Major o "-:..<<:,. --' f)e Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C'e 6 ]** ❑ Manufactured Home. .❑ Modular - 0 Discretionary"D"or Unn. . se Classification ❑ Commercial* ❑Special Use(Essential • Tli u "acili **2 5 2011 ❑ Change of Use ❑Boundary Line Adjustm- ❑ Address 0 Road Approach 0 Short Plat'`" ❑ Home Business 0 Cottage Industry ❑Binding Site Plan** JEFFERSON COUNTY ❑ Propane 0 Long Plat*" DEPT.OF COM U I J. • El Sign , Sign - ❑Planned Rural Residential Deve opm- -- , , ' El Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions'* ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* El 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 ❑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 requir d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati tt t he ors a wants p' lice, q� ,Signature: Y Date: l) 2-0 - /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 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-trans able responsibility for ad rin to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. --signature: -41.zi Date: 2' 2 ) — I 0 • 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 a ell ing the responsibili of the General Contractor for the proposed project. Signature: Date: b - —1 P ir GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL P oject Type: Frame Type: Bathrooms: 1v Shoreline: Type of Sewage Disposal: New X wood Existing: ❑ Sewer 0 Addition ❑ Steel Proposed: Bank ❑ Community System Total: Height: Individual Sy0gm O Repairtion/Ftemodel 0 MasonryConcrete P Permit# '1cp O ❑ Masonry 0 Other. Bedrooms: Water Supply: ❑ DemolitionExisting: Setback: 0 Private well ❑ Two Party Proposed: ublic Type of Heat: Total: • PCID r r o f ; 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•a 9.Tan and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tan Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I OtherOh-l `ce-ANd Is this appliance being installed in a Manufactured/Mobile Home? Yes No E.!w Ina.a�4... 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, includingthe reserve area. r r ,� t r z "�fi _ r r "t.v's $ x fry �'i,t _`A. r c.T: S uare Footage Current Pro••sed z 6 ' " : " :.1. k e; P r,�,.i .g- a �o ': j'S i'-0. :: Main Floor Heated Mil. EH Bld App Review: �2 K J - 2 ' Floor Heated -. ' Consistency Review: i 'N Base fee: 5 Other Heated r ��1 .15 . c Additional Section: Mezzanine � n , " Plan Check fee: Heated Basement -�82 1 Unheated Basement 4 . o State Surcharge fee: MEM Other Unheated" ; Pot Water Review fee: i ed a` t co 1r SUBTOTAL Garage/Carport ,: t ��.�, 5q Decks ,, r r• 911/Rd Approach fee: i Alt t' `„ t„ TOTAL $ 3 Other "' � % � ...v Receipt Number: 1eq34 r ' '' Cash/Check Number: 3 1 ESTIMATED COST RE D Date: h. ,.,rftena foundation to finishkir_ l oba Initials: /,� _.---�� L_ _---- --____. __----.,-____ -_-) (._ ..,.. •.r . ,.uatxnV,DLSC444\YID Ts1:l1DAfa\/`..........TIDTNR,.......\AI De.....:• A....1 «....C'mno.4,..-