HomeMy WebLinkAboutBLD2011-00124 • •
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 #: BLD11-00124
SITE ADDRESS: 5683 CAPE GEORGE RD Issue Date: 06/20/2011
PORT TOWNSEND, 98368 Final Date: 8/25/2011
APPLICANT: CONSTANCE ATWOOD PHONE: 360-385-6081
5683 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9042
SUBDIVISION: DISCOVERY RIDGE DIV II Block: Lot: 4
PARCEL NUMBER: 001195004 Section: 19 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: LIVING ROOM ADDITION TO 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 ON8/25/2011
I:\F_BLD_Occupancy.rpt 10/29/19
Jefferson County Building Dillon Permit Number: BLD11-00124
Applicant: ATWOOD
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 ) G' _ ( (
Erosion Control
Foundation Footing , G'- I( 7tl>
Footing Drains .7 b
Foundation Stem Wall - /
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing [`; - t
Rough-in Plumbing
Framing
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Z8 ( (
Insulation:Ceiling
00111
Int. Shear Wall Nailing
Wallboard Nailing , 12 t
Gas Line: Interior
Gas Line:Exterior
Propane Tank
Heat/Chimney Clearance ,
Drywell/Alt Drainage 9 --2 L 1-1 1 ,
Address Posted
FINAL INSPECTION L_-1 .I I }..
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD11-00124
1.) 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.
2.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) The building height is not to exceed 35 feet.
7.) Builiding setback from Cape George Road is no less than 20 feet. Side and rear setbacks
are no less than 5 feet.
IJILDING PERMIT APPLICATIPN MLA11-00082
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00124 Received Date: 5/17/2011
SITE ADDRESS: 5683 CAPE GEORGE RD
PORT TOWNSEND, 98368
OWNER: CONSTANCE ATWOOD PHONE: 360-385-6081
5683 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9042
DISCOVERY RIDGE DIV II
SUBDIVISION: Block: Lot: 4
PARCEL NUMBER: 001195004 Section: 19 Township: 30 N Range: 01 W
CONTRACTOR: BRAHDY & BRANDY CUSTOM LLC PHONE: 360-385-5956
3213 HASTINGS AVE W
PORT TOWNSEND WA 98368
Contractor's License BRAHDBC928MS Expires 7/10/2012
REPRESENTATIVE: BRAHDY & BRAHDY CUSTOM LLC PHONE: 360-385-5956
3213 HASTINGS AVE W
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOt LIVING ROOM ADDITION TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 520
VALUATION 53,869.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 32 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2 __
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $671.75 LYK 05/17/11 123509 APPROVED
Plan Check $436.64 LYK 05/17/11 123509 State Building Code $4.50 LYK 05/17/11 123509
Total: $1,112.89 JUN 2011
Jefferson County Planninc
& Building Department
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:- c0L JEFFERSON JNTY l `, DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
4 �� 360/379-4450 • 360/379-4451 Fax
.4.4 www.co.jefferson.wa.us/commdevelopment
Master Permit Application • - • MLA: 1,,.I Z2 . ,
Project Description(include separate sheets as necessary): .
40rx ZGp� AD171o,kJ 7D 4_1 vt vc,. tt2ot>i►i 6//i/a11.4. S714R-Q
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Tax Parcel Number: PO) 19 So C) -/ Property Size: 15 AcR (acres/square feet)
Site Address and/or Directions to Property:
56$3 C'1P�= 6E0 crz4E. 12JJ. f�bRT 7 sC iz' WA
•
Property Owner(s)of Record: e:740.A.W/lr A TwOOJD
Telephone:3 D 313S ec,ofii Fax: email:
Mailing Address:66.63 _e i 'i 4E024g t?.0.
Applicant/Agent(if different from owner): Ba i,riD9 e ...Dr, ev.,...a t.L.L
Telephone:34.0 383 6154. Fax:34O 33 S9'S6 email: &11' J It ? 1 mciti .(,iA
Mailing Address:30C //AST/NGS $V.C, AAEST 7Dwoo5 T wA .
What kind of Permit?(Check each box that applies 0 Lot or Road Segregati rff 2 0 v
>fuilding 0 Critical Areas Steward i Plan
❑ Demolition Permit 0 Variance(Minor, Major'' r asonable Economic Use
❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), f or C]**
❑ Manufactured Home . 0 Modular . - - 0 Discretionary"D"or Ur��r ed l 11\rla4siticanti
❑ Commercial* 0 Special Use(Essential)p c Facilities)**
❑ Change of Use 0 Boundary Line Adjus,
❑ Address 0 Road Approach 0 Short Plat** JEFFERSON COUNTY
0 Home Business 0 Cottage Industry 0 Binding Site Plan** DEPT OF COMMUNITY DEVELOPMENT
O Propane 0 Long Plat**
0 Sign - 0 Planned Rural Residential Development(PRRD)/Amendments**
❑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**
❑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:
DESIGNATION OF AGENT
I hereby designate 81?"IyhtD`/ 4• sieefr*)/i to act as my agent in matters relating to this application for permit(s).
(NER SIGNATURE 26 ..14-"f lt r��. �H.--1 Date: cS/ /d// f
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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
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time of the application that he or she wants prior notice.
Signature: Date:
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 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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:
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• •
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.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx:
aZ.ItviDY I/ a cOsTairi U,C, (314) 343S 51“, (. ) ass sgts‘
MAILING ADDRESS: Z/5 �� (,..if ' EMAIL:
CONTRACTOR'S LICENSEv �J 4/2 ,y/ WAINS
NUMBER: 2R.J DBC 8n1 NUMBER.. ,
ARCHITECT/ENGINEER: PHONE ( • )• FAx:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: -Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New X..Wood Existing: , 2 0 Sewer
X.Addition 0 Steel Proposed: Bank . Community System
❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual Sysm, ,i�
❑ Repair 0 Masonry SEP Permit# ,
O Demolition 0 Other: --Bedrooms: • '' `Water Supply:
• Existing; . ,. Setback: 0 Private well 0 Two Party
T pe of.Heat: • Proposed:' ❑ Public
1C Total: 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 Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert 1 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.
Square Footage Current) Proposed . ice p, f .,�.r,. .r: "^..-.,. ' . :At. .,,43evisr Y ,:, .x..,,:::
Main Floor Heated EH BId App Review:
2"tl Floor Heated , f , Consistency Review: l
Other Heated Base fee: / pr(r ��
Mezzanine Additional Section: �--I
Heated Basement �:;" Plan Check fee: '. '' 1 f /'1
Unheated Basement State Surctiarge fee:
' Other Unheated ; , Pot Water Review fee:
'.'„,:!,.',..,,,: ;.r- ,'. ' ex tST7
Garage/Carport SUBTOTAL �'/�`['7,
h 1 LV l6(
-l' Decks •
$ ` 911/Rd Approach fee:
t ,
Other R,r.l,� Y •µ ' TOTAL: $ fffic
p ,y Receipt Number:
Y Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: C,
•Fair m rk t alue of all labor and materials foundation to finish J
J f ,t� Initials:
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