HomeMy WebLinkAboutBLD2011-00150 • •
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 #: BLD11-00150
SITE ADDRESS: 2904 WILDWOOD RD Issue Date: 07/18/2011
QUILCENE, 98376 Final Date: 1/25/2012
APPLICANT: RYAN B MERLE PHONE: 360-379-6565
RACHELLE B MERLE
PO BOX 1464
PORT TOWNSEND WA 98368-0035
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702103003 Section: 10 Township: 27 N Range: 02 W
PROJECT DESCRIPTION: NSFR
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 ON1/25/2012
I:\F_BLD_Occupancy.rpt 10/29/19
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Jefferson County Building Division Permit Number: BLD11-00150
Applicant: MERLE
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 7/13/2011
Erosion Control
Foundation Footing 7/13/2011q.,1I I I
Footing Drains 4'—1 h` l�
Foundation Stem Wall
-II
Underground Underground Plumbing
Under Floor Framing 4//// r3
Straps(hold downs)
Ext.Shear Wall Nailing q_U,-I
Rough-in Plumbing -
F�1 "a
Framing /CP L '(1
Blocking t . S,�i 1 la
Airseal !U ) l(_�jl. ,
Insulation:Walls (i '_�.r t I j
ter Meter Inspection 7/6/2011 added to inspection activities
Insulation: Floors i_2.3 —1 .Z
Insulation: Ceiling 1 I-f'S_ 11
Int. Shear Wall Nailing ecll_t6
Wallboard Nailing )/, y
-Gas Lino:►nierror
Heat/Chimney Clearance
Smoke&CO2 I - 23 -1.z
Drywell/Alt Drainage
Address Posted
—Z5 L_
Miscellaneous Water Meter Inspection
I - i i
D
FINAL INSPECTION 23,`Z `.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
P ILDING PERMIT APPLICATJ MRA11 00124
Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00150 Received Date: 6/14/2011
SITE ADDRESS: WILDWOOD RD
QUILCENE, 98376
OWNER: RYAN B MERLE PHONE: 360-379-6565
RACHELLE B MERLE
PO BOX 1464
PORT TOWNSEND WA 98368-0035
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 702103003 Section: 10 Township: 27 N Range: 02 W
CONTRACTOR: QED BUILDERS LLC PHONE: (360)385-5743
630 CASS STREET
PORT TOWNSEND WA 98368
Contractor's License QEDBUL*043D1 Expires 9/14/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,196
VALUATION 140,000.00 ADD'L: 199 HEAT TYPE: WOD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 127 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 1
Total: 2 --``dotal:
Routing Date:--
0-1 3 I
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,217.75 LYK 06/14/11 123591 APPROVED
Plan Check $791.54 LYK 06/14/11 123591
State Building Code $4.50 LYK 06/14/11 123591 JUL IS 2011
Potable Water Application $62.00 LYK 06/14/11 123591 Jefferson County Planning
Total: $2,075.79 & Building Department
• •
CONDITIONS for Building Permit# :BLD11-00150
1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology In Stream Flow Rule for that region. The parcel is located within
the Big Quil sub-basin in a designated Reserve Management Area; as such, conservation
standards per state regulations require the following:
1. A permit-exempt well serving an individual user shall not exceed a maximum of 500
gallons per day (gpd) or an annual average more than 350 gpd, for all permit-exempt uses
authorized under RCW 90.44.050. (WAC 173-517-120(1)(b))
2. A well serving a group domestic system shall not exceed a maximum use of 500
gallons per day (gpd) or an annual average more than 350 gpd, for each residence, and
shall not exceed a total use of 5,000 gpd for the group. The design and construction of
group domestic systems must be consistent with applicable state department of health
requirements and applicable Jefferson County or Clallam County requirements. (WAC
173-517-120(1)(c))
3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact
Ecology at 360-407-6300.
2.) A setback of 60-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
3.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or
every one hundred (100) feet, whichever is less. Signs shall contain the following
statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation."
4.) A permanent physical separation along the upland boundary of the wetland 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.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. The project will meet BMP T5.30 Full Dispersion. 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.
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.
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9.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
10.) The building height is not to exceed 35 feet.
11.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) Builidng setbacks are no less than 100 feet from property lines due to adjacent forest
zoned land. Setbacks may be reduced under JCC 18.15.150(3)
13.) 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.
4;.i) �N ck� JEFFERSON !UNTY
ti ' } DEPARTMENT OF COMMUNITY DEVELOPMENT
'4 621 Sheridan Street • Port Townsend • Washington 98368
l�, • 360/379-4450 • 360/379-4451 Fax
.qs N��0 www.co.jefferson.wa.us/commdevelopment III
Master Permit Application MLA: 1 (— );`i
Project Description(include separate sheets as necessary): , �--_
by,' Id ;n r • (- h0L) 5 E lK t--- _
Tax Parcel Number: —7 Q n I 0 i 00 3 Property Size: ) `, S 2, acre square feet)
Site Address and/or Directions to Property:
I S2-0 L; 'i r,1 tII`0(t i_ , )(d' r. 1,J(--) Ci e "�7 Z
Property Owner(s)of Record: Pa t: h N I t e 6.el zl ''--ey,n (A '(- t C�
Telephone: `3 60 1' 7_,5-6 5 Fax: 00 n P email: C>,L,n b G." 1 8 : c.
Mailing Address: Po 2,„ i,i lvW i 2, + v v✓r'1 seev I, v✓A �t 73 C, , hv(�•cc
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
I ❑uilding 0 Critical Areas Stewardship Plan
Demolition Permit 0 Variance(Minor,Major i
j�Single Family 0 Garage Attached/Detached 0 Conditional Use(C� , rd _ r�
❑ Manufactured Home_ . .0 Modular - - 0 Discretionary"D";pr
❑ Commercial* 0 Special Use(E Segf Public Facilities)**
❑ Change of Use 0 Boundary Line Adju t ent
❑ Address 0 Road Approach ❑Short Plat** I I • ! J U N 1 4 2011
❑ Home Business 0 Cottage Industry ❑ Binding Site Plth **` I /'
❑ Propane 0 Long Plat** - �' IL?)
❑ Sign -. 0 Planned Rural lesidential OeVept (iyRRD)/Amen ments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteratiprfm*OF CO 4MIINITY DEVELOPMFNT
❑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 ❑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 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 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 an ter inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the plicationi he or she wants prior
Signature: ------� Date: 6 - 0 L i
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 bee ed will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s) n if you re in compliance with J erson County development code.The Applicant acknowledges that he,she or it holds individual
and no rans arable responsibility for adh in o nd c pl • g with the ESA. The A
r Signatue: /f Applicant has read this disaimer d signs and dates it below.
6 ✓� � Date:_1C) ` t) .. I l/
• •
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:
_ aE D '3I); I,-(er ( LiC ((3E(�v) 366-5?'-t3 ( )
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MAILING ADDRESS: is-.- /) CA-A.5,c ii(�4 j j I v-.�- 7J�A/✓4e,ISCMl IL: w� 4 �IA3
CONTRACTORS LICENSE �� WA1iIS
NUMBER: OF )' R U L i4 D - 3 a NUMBER ,.
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New pWood Existing: 0 N/ 0 Sewer
Steel Proposed: t Bank ❑ Community System
❑ Addition Total: 1 Height: g Individual System
❑ Alteration/Remodel 0 Concrete SEP Permit#
❑ Repair 0 Masonry
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: 0 Setback: X Private well ❑ Two Party
Proposed: rt 0 Public
Type of Heat: Total: 'Z-
Name of System:
If this is a Commercial Project you must answer the following: ry 5 >142."^-T'
Number of Parking Spaces: Current: / Proposed: _3 Number of ADA Parking Spaces: O
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:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 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. �Tr �,,y„�� f�u, T ,r, ,, r} rF
?a��J4 r e'19' ^•7y".l. `5 7Yaf1�k`i.it,y,t'�",,,s . itl W:•-<i t7 i �yt+1 t-a
Square Footage Current Proposed � ,d �g j1q�.�� . Ma
Main Floor Heated i 4..1._ EH BId App Review:
2`-Floor Heated � �' "' Consistency Review:
Other Heated Lep P 1 , , Base fee: oi-7.--5
Mezzanine �� ; xi,,,- - - .-> Additional Section:
''Y Plan Check fee:
Heated Basement .. ..,J.,,;;.i. r � ' ,✓`1
. .
Unheated Basement , State Surcharge fee:
' Other Unheated ,, z Pot Water Review fee: 1
Garage/Carport .,:, SUBTOTAL 1Ci
7r 911/Rd Approach fee:
Decks t 2.i - ( • j i
Other �`f TOTAL: $ap
(a 79
, Receipt Number: 1 I
Cash/Check Number:
1 ( ( g
ESTIMATED COST(REQUIRED) Date: I
.Fair market value of all labor and materials foundation to finish Initials: _.
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