HomeMy WebLinkAboutBLD2011-00151 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#: BLD11-00151
SITE ADDRESS: 6220 CAPE GEORGE RD Issue Date: 07/28/2011
PORT TOWNSEND, 98368 Final Date: 7/12/2013
APPLICANT: BRADLEY A BRINGGOLD PHONE: 360-379-1275
ROXY A BRINGGOLD
6220 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9040
SUBDIVISION: ARBUTUS FIRST ADDITION Block: Lot: 1
PARCEL NUMBER: 930500001 Section: 30 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW DETACHED HTD WOODSHOP
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/12/2013
\\tidemark\data\forms\F_BLD_Occupa ncy.rpt 7/12/2013
•
:efferson County Building Division Permit Number: BLD11-00151
Applicant: BRINGGOLD
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 1 1 11 L...-
Erosion Control
Erosion Control
Foundation Footing -I 1� ` r---. 6A-Ce,-)c./ 0 i:--(4Z--2-.7%-- - '7
Footing Drains , -_,$-)11
1
Underground Plumbing 1 Zt II ' ___y__,
Straps(hold downs)
Ext. Shear Wall Nailing
Rough in Plumbing 'I"3-11
91,
Framing
1 "3— ( 9.-- -------11'' ,Q -5 6-10- 1-0 Po, AV-1 7 z 1.-//--/P't/
Blocking
Insulation:Walls j(-2-61,_)1 �9
Insulation: Ceiling
1I -24,1-'I► )...--
Wallboard Nailing
Ga t e: Interior
Gas Line: Exterior
Propane Tank
Drywell/Alt Drainage
Address Posted -7-I—l
FINAL INSPECTION .-i L_l ) ��n
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
WILDING PERMIT APPLICATION ML v
Reviewiew T Ty 125
ype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00151 Received Date: 6/15/2011
SITE ADDRESS: 6220 CAPE GEORGE RD
PORT TOWNSEND, 98368
OWNER: BRADLEY A BRINGGOLD PHONE: 360-379-1275
ROXY A BRINGGOLD
6220 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9040 ARBUTUS FIRST ADDITION
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 930500001 Section: 30 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW DETACHED HTD WOODSHOP
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 960
VALUATION ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 1
Total: 0 Total: 1
Routing Date: 7
Type Amount Paid Date: Receipt: od/Date
Permit $797 75 LYK 06/15/11 123593 APIrJ%fEp
�
Plan Check $518.54 LYK 06/15/11 123593
State Building Code $4.50 LYK 06/15/11 123593 JUL (96 2011
Total: $1,320.79 Jefferson County PIWnir
& Building Departaie.
• •
CONDITIONS for Building Permit# :BLD11-00151
1.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT
FACILITIES -
Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any
other source of water that is upgradient(above) or on the same contour MUST be setback
a minimum of 10' from any septic system dispersal area (drainfield) and 5' from any septic
tanks.
Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any
other source of water that is downgradient or lower MUST be setback a minimum of 30'
from any septic system dispersal area (drainfield) and 5' from any septic tanks.
Surface drainage, roof run-off, splash blocks, etc. must be directed away from ALL septic
components.
2.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
3.) The building height is not to exceed 35 feet.
4.) Minimum setback from Cape George Rd or any ingress/egress easement rights-of-ways
shall be 20 feet. Minimum side & rear yard setbacks shall be 5 feet minimum.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
N � �� sr __._ .
O � \ > .
CO o m O n
o �
H c r a 0
m Q p o o \ ! / .
hN a$ O M o `Jr /
O ` o . o
c a
C > z o eog" N M
o G o I.
0 `qvI - D o Gape 0 o _
X 0 U O M = E °
O N O (B 22 0 1 o O
CnQ CD 0 ZQ o) o I Y ma\pa/6e a / I
I
�ha5 °r 1mo m // •
`...'._•.'_--r-1)_-----.. i‘ii\i.,0,, k1/4j9,C°C' -- r \ al o
rnci cb �3 `‘S a>i E( AI
--------- - o d
�V I ii
�R' ff nay. `/ \ ' fi
\
_ ------ Hx o \ ------- \ 4
►� W c
. aC' yy /
a
0o v o /r S?c,
N - co \ �''
/� _ �t o 2
r
/ CJ pp
ch
E , , A '
/a
DI �� /
o x
/ r} CO
O / CO
—�
L_--- ' - a co� / o &
o N '�
N • /' ��`
W O) � � o Ur
�- -•= <o 0 0 0
_ H
O (A a) a
/ /'iV \\Q :tP fl
aio o (0.1)
r NC C NO .- N
O • p
>W� N N(D / M i a
W w,C C caa4,,m N / p Z
L-1 p N C_� NO C
C-� 0(A Ind �M -=i - /
�...__
N
o
, _ _ 1 T ,
o — g
‘ _.1 -11
X D us
Z oo
__g
0
[ YE
(;),:-
t O 1 r x�
p
i Cr-
7 1
O
C) 1 `O
C)
c of 1 '
U
Ur
d v
_d
1 0
C, N C-
1 -711,g 1 ,
T
' d r
c, `m —
5 T 1� 76
7.
(r '
C:'CDp
C'
uy ct) T- 01 n
"IP ><- cv = ni tA.
O 3 „i, b
o. N 1
4 .�ON �,
odd JEFFERSON' UNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT
h 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
7q„ p . www.co.jefferson.wa.us/commdevelopment
III
81N ff
Master Permit Application MLA: I 1 125
Project Description(include separate sheets as necessary):
Tax Parcel Number: 73 C,jv)0/ Property Size: , - .) (acres/square feet)
Site Address and/or Directions to Property:
Ua o Gc86 GEo� GE X 6 . ?oQT To(Ai As.s EMIo
Property Owner(s)of Record: 3'DLEy t RDx1 SR I/'IC cL r)
Telephone: 344• "1l• 121-5- Fax: email: bbri ng5aWO)J.-i-,,,�;;/.co:,ti
Mailing Address: (p L)-O C.APe GEO.GC R.D. pe 1' [ouw jr.ni n,cJ A qS.6 Y J
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
0 Single Family )Garage Attach Detach 0 Conditional Use[C(a), C(d),or CI**
❑ Manufactured Home . .0 Modular - 0 Discretionary"D"or Unnamed Use Classification
0 Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address 0 Road Approach ❑Short Plat**
❑Home Business ❑Cottage Industry 0 Binding Site Plan**
0 Propane ❑Long Plat**
❑Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** .
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program ExemptioNPermit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
0 Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive PIaNUDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 JeffeisurSs u• ram Amendment
*May require a Pre—Application Conference ❑Tra‘r 9 t di f `/
* on onffe n)ce
Please identify any other local,state or federal permits requi rj‘
or this proposal, if knownF
JUN 1 5 2011
•
DESIGNATION Or. G NT J
I hereby designate to act as ny agent.in.matters.re s appication for permit(s).
OWNER SIGNATURE JEFFERSON COUNT
DEPT.OF COMMIS, ;DE1 ELOPMENT
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 t provide acces d right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and a 'ed late nspec s. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the plication t or she w nor tice.
'Signatur Date: to7 (co
The action or actions Applicant wi ertak s a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and Could lead to ential"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 violat- the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)evep4if`you . e in corn! '.nce the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tr rfsferable re.pon;ility for adh- ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
-Signatur . N' . .1 ,���
�- • ,I / Date: , 7 • r�.0 (I
OD a
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 as • the res onsibility of the ener Contractor for the proposed project.
Signature: b/ ii) Date: C 7 ' od f
'GENERAL CONTRACTOR OR FACTURED HOME INS LLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FM:( )
MAILING ADDRESS: EMAIL
Project Type: — F me.Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New 011 Woodi' Existing: fti'� 0 Sewer
❑ Addition 1 ijji steel Proposed: / Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: I _ Height: Individual System,
❑ Repair 0 Masonry P 1 __
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: c Setback: Private well 0 Two Party
Proposed: 0 I�/� 0 Publid
— Type f Heat: Total: d / "t''
_, it f System: 1
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:
1 Heat Stove I Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank I 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 q. ice Usi'o E;�d r _ . " .,� ; °p,t. �` .{ -tsIo '''.. •
"' ` EH Bld App Review: �Z
—Main Floor Heated J
;, n
Y` Consistency Review:
2"tl Floor Heated t � '3 -
Other Heated Base fee: ° f C17 ��
Lek$�r
"° ', Additional Section:
Mezzanine �'�' �� '
f ' k
Heated Basement k '. Plan Check fee: 1 3t.1,
U
Unheated Basement .., ` State Surcharge fee:
::-•, Pot Water Review fee: ,_ _
Other Unheated «T7
---Garage/Carport ' SUBTOTAL
-; � ', 911/Rd Approach fee:
Decks eX1Si i I ?OW feJ S
Other .' ,, TOTAL: $I (� ,-7 q
i '
�; Receipt Number: l
"'> Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and materials foundation to finish �--. — —�
j 0 00 D Initials: ,- �
{