HomeMy WebLinkAboutBLD2011-00141 41.
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 #: BLD11-00141
SITE ADDRESS: 82 HONEYMOON LN Issue Date: 08/8/2011
PORT TOWNSEND, 98368 Final Date: 3/28/2012
APPLICANT: LISA W WERNER PHONE: 360-385-5788
2023 E SIMS WAY#248
PORT TOWNSEND WA 98368-6905
SUBDIVISION: DISCOVERY BAY VILLAGE Block: Lot: 75
PARCEL NUMBER: 947400075 Section: 13 Township: 29 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/ UNHTD BASEMENT STORAGE AREA
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 ON3/28/2012
I:\F_BLD_Occu pancy.rpt 10/29/19
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Jefferson County Building Division Permit Number: BLD11-00141
Applicant: WERNER
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 � �(t 11 a.) �.
Erosion Control
Foundation Footing r. ( / l /�
Footing Drains 0 l t
Foundation Stem Wall
Underground Plumbing 1 '
Under Floor Framing
Straps(hold downs) /U ,s"-. 3/'Th
Ext. Shear Wall Nailing 10, . /f7,��Y��
Rough-in Plumbing /0 i/ 45
Framing ("I
(I. 7i 1. ` �fl(�i;�f1- iJ ���� kOs> il)oi�(y� �j�0- /ci
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage /6M
Address Posted • e1/ , /4137
FINAL INSPECTION Z,
FINAL INSPECTION MUST BE(APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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WILDING PERMIT APPLICATIN MReiew00119
Type:l
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00141 Received Date: 6/8/2011
SITE ADDRESS: - HONEYMOON LN
PORT TOWNSEND, 98368
OWNER: LISA W WERNER PHONE: 360-385-5788
2023 E SIMS WAY#248
PORT TOWNSEND WA 98368-6905
DISCOVERY BAY VILLAGE
SUBDIVISION: Block: Lot: 75
PARCEL NUMBER: 947400075 Section: 13 Township: 29 N Range: 02 W
CONTRACTOR: GREENPOD BUILDERS LLC PHONE: 360-774-1481
7425 THORNDYKE RD
QUILCENE WA 98376
Contractor's License GREENBL891CR Expires 2/14/2013
REPRESENTATIVE: ANN RAAB PHONE: 360-385-5614
606 ROOSEVELT
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOr NSFR W/ UNHTD BASEMENT STORAGE AREA
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 672
VALUATION 67,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: 210 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 210 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 19430
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 1
Routing Date:
Type Amount Paid By: Date: Receipt: cproed/Date
APIRI/ED
Permit $762.75 LYK 06/08/11 123568
Plan Check $495.79 LYK 06/08/11 123568
State Building Code $4.50 LYK 06/08/11 123568 AUG 5S 2011
Potable Water Application $62.00 LYK 06/08/11 123568 Jefferson County Planning
Total: $1,325.04 &Building Department
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CONDITIONS for Building Permit# :BLD11-00141
1.) This building approval accounts for 240gpd of septic system capacity. The approved
septic system is sized for 240gpd OR one single family residence. It is not sized for an
Accessory Dwelling Unit(ADU). The minimum daily design flow per residence is 240
GPD.
2.) A Geotechnical Report(dated October 8, 2008) and Addendum Letter(March 2, 2009)
were submitted in conjunction with this application. The report addressed the stability of
the geologic hazard area. A setback of 15 feet shall be measured perpendicularly from
the top or toe of the geologic hazard, unless as noted in the Addendum Letter.
3.) A vegetative buffer of 15-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area (toe of the steep slope). All buffers shall be measured
perpendicularly from the top of the Landslide Hazard Area.
4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
5.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
6.) All construction activities shall not encroach upon the Geohazard buffer. This includes the
storage or preparation of materials.
7.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
8.) 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.
9.) 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.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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.
11) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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13.) The road approach permit(RAP11-00028) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
14.) The building height is not to exceed 35 feet.
15.) Building setback from Honeymoon Lane is no less than 20 feet. Side and rear setbacks
are no less than 5 feet.
16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
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JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
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JEFFERSON•UNTY
' DEPARTMENT OF COMMUNITY DEVELOPMENT
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621 Sheridan Street• Port Townsend •Washington 98368
--'1 360/379-4450 • 360/379-4451 Fax
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www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: I I - 1 1 Ci
Project Description(include separate sheets as necessary):
Tax Parcel Number: 7`i Op6 7 5- 1P �_i.QI� _e 1 (acre square feet)
Site Address and/or Directions to Property:
A o t,1 e.Y i--(DON. 4-.6..t i`L -- t7 ic--0\/t.2Y B -t ,`} j tik-64,.61211
Property Owner(s)of Record: L. t•A iy.e.i?ti .3.
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Telephone: 3(p.O 35'. _ 7 68 Fax: I JEFFERSO TY "t vJ0.r?t O``�
IV crt«, icelvl
Mailing Address: Z. 2 3 re - �-i Li 5 w.4-\Y b' 24 8 DEPT.OF COMMUNITY DEVELOPMENT
Applicant/Agent(if different from owner): /4' N MAA..,p, - Cr,ratzF—t iPo—
Telephone: 3io(1 3O 5 - 5(0 ({I Fax: ''>Ei•5- Z5 3ro email:anAcv(Are ery pod:), ()v.)
Mailing Address: isO(o. Roo e.=vcy p_i cif, ,6 f�
Whit kind of Permit?(Check each box that applies 0 Lot or Road Segregation
l uilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]
❑ Manufactured Home .0 Modular . .. • - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑ Road Approach ❑Short Plat**
❑ Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane ❑Long Plat**
❑Sign -- 0 Planned Rural Residential Development(PRRD)/Amendments** '
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑ Stomiwater Management 0 Shoreline Master Program Exemption/Permit Revisions *
❑Site Plan Approval Advance Determination(SPAAD)* ❑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 ❑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:
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f, -> DESIGNATION OF AGENT
I hereby designate /.\N� - -.�ARj to act as my agent in matters relating to this application for permit(s).
OWNER SIGNAT RE 1 `-✓i l/ 1',� __.. - Date: S 2 3/,1= //
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
time of the application,that he or she wa)r is prior notice.
Signature: Cl . C., e i1 Date: 6-' G' 7/ e c4 j/
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 lake"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-transferable.responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
' Signature: '' i.-- f-4'G) Date: 6//C 7 //z U'//
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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:
6-7RI µ'FY,b gviLD 'S . ( . ) 3e1 '�5.55 ( )
MAILING ADDRESS: 7'41 z 7 I t o (Z i pY lie fZ i> EMAIL:
CONTRACTORS LICENSE Q +t- L?tire-.,1-)f'`' ,-16"--1T b WAINS
NUMBER: 6tS�F. {..1 Pji_C31 ; C e NUMBER
ARCHITECT/ENGINEER: sty N 1-uNA..3 PHONE ( i) 30i qe,g(, FAX:( )
MAILING ADDRESS: (006 r•R 0 6,6�,_,Y ,_:T PT: 834 3 EMAIL ayt,,,cc) g,-te,-,pDc,/S.Orej
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New F( Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: i Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: Height: ❑ Individual System
❑ Repair 0 Masonry SEP Permit# 07 -323
❑ Demolition 0 Other: 51J".5 Bedrooms: Water Supply:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heal:
Proposed: ❑ Public
r r rL( Total: / p' 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:
T Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove i Cook Stove 1 Woodstove t Fireplace Insert I Hot Water Tank i Pellet Stove I 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.
e Proposed
� . � �; rs om, ,+. ' V
Square Footage Pro osed � : iceUses .. . �34. N t �t t�i�l. . !
Main
Floor Heated .2 .. , 1EH Bld App Review: _
Floor Heated O ' Consistency Review: 3
L
Other Heated ' : Base fee:
Mezzanine -Y ' -s Additional Section: --
Heated Basement ' .. Plan Check fee:
Unheated Basement Z.,,D .4 t4 State Surcharge fee: L �—
Other Unheated t,..,, Pot Water Review fee:
Garage/Carport
'' SUBTOTAL
h t
Decks Y ,: . ..f•. ' ( (egg D4
11/Rd Approach feet
Other �v TOTAL: $
.x • Receipt Number: (G` g
,3 Cash/Check Number:
ESTIMATED COST(REQUIRED) (;7 eao Date: '
*Fair market value of all labor and material foulsdation to finish .-� rO l
Initials:
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