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Home My WebLink AboutBLD2011-00153 • 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 #: BLD11-00153 SITE ADDRESS: 341 VERNER AVE Issue Date: 09/21/2011 PORT LUDLOW, 98365 Final Date: 3/28/2012 APPLICANT: HEATHER A DOSCH PHONE: 360-385-0480 KEVIN M DOSCH 7841 NE 21ST ST MEDINA WA 980392313 SUBDIVISION: OLYMPUS BEACH Block: Lot: 87+ PARCEL NUMBER: 978900093 Section: 4 Township: 28 N Range: 01 E PROJECT DESCRIPTION: ADDITION & REMODEL TO EXISTING 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 ON3/28/2012 I:\F_BLD_Occu pancy.rpt 10/29/19 • • Jefferson County Building Division Permit Number: BLD11-00153 Applicant: DOSCH 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 /� .- . ( / At2 ) b"-,/ Gt f � Erosion Control Ir .� h4S� i.Z-/-///0I3 Foundation Footing IC/ S ( (?. -13 ) - b 2 a it Footing Drains Foundation Stem Wall i 1 rt , /.�-/-// /"-j 5- Underground Plumbing Under Floor Framing Straps(hold downs) 1 Ext. Shear Wall Nailing (#& l/-r,5-f( L3 rr4 P t4 2- (o Rough-in Plumbing )( l e', / r Pr t, Framing ( ./ w'` l► -2T-A P� con-, ''Od W c 4;1• Blocking � q ,L r;�$p 1/ 1 -f/ l l� l2 Airseal ( (-/L /&„ �� Insulation:Walls /A ; '', t -11.- J 'l�'� Insulation: Floors 1 Insulation: Ceiling 2�,L . 3L_ Int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior / 1. (e 01) Gas Line: Exterior Propane Tank Heat/Chimney Clearance argyo- / 1 ./ - // ��.,5 Drywell/Alt Drainage /� Address Posted —1 FINAL INSPECTION 21'-I( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SILDING PERMIT APPLICAT. MReevew001pe28 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00153 Received Date: 6/16/2011 SITE ADDRESS: 341 VERNER AVE PORT LUDLOW, 98365 OWNER: HEATHER A DOSCH PHONE: 360-385-0480 KEVIN M DOSCH 7841 NE 21ST ST MEDINA WA 980392313 OLYMPUS BEACH SUBDIVISION: Block: Lot: 87+ PARCEL NUMBER: 978900093 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: MARIE PETERSON PHONE: 360-437-8148 107 LUDLOW BAY RD PORT LUDLOW WA 98365 PROJECT DESCRIPTIOI ADDITION & REMODEL TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 1,137 VALUATION 156,912.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 160 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 1 Prop: 1 Total: 3 Total: 3 Routing Date: Type Amount e: Receipt: Approved/Date Permit $1,083.85 LYK 06/16/11 123601 Plan Check $704.50 LYK 06/16/11 123601 APPR \JE1 State Building Code $4.50 LYK 06/16/11 123601 Total: $1,792.85 SEPa I Jefferson County Plannin1 & Building Department 41) • CONDITIONS for Building Permit# :BLD11-00153 1.) This building approval accounts for 360 GPD of septic system capacity, as designed and approved SEP09-143. A restrictive covenant has been recorded under AFN 562018. The septic system is sized for only 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.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 3.) 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.) 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. 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.) 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. 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 vehicshall be stored on any lot unless totally seed 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. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Builiding setback from Verner Ave right-of-way is no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is no less than 30 feet from OHWM. _ .. 1 • Ili - 4(orp‘iis'sc14 c'oe4 JEFFERSON COUNTY .. DEPARTMENT OF COMMUNITY DEVELOPMENT I ,s .,.. N%-4, 4,_ 360/37674•450Str;e0t1-37 :4,Townsend•Washington 98368 on.wa.us/commdevelopMent ..14kIN . . r --•-• • . — • •• Master Permit Application • MLA: . 1_1 --.1 &-C. -- Project Description(inaide seciarad shets at neces -re ary): , . • , l [ e6,aci3.rg,1.0.ocii MA471-e/ o I _.461:(kion)U 17rtlyAdet, - Tax Parcel Number.q7g9 OD C 3 Property.Size: I,5( c.,-y,,r-e6 (acres/square feet) Site Address and/or Directions to Property • . - . . . z.) . 314 i 1/exact' Ave,:. Port Lucti6 "a W l).3A- 9% (.05. Property Owner(s)of Recor th d: z ,_ _,_________.__ .r . 7 Telephone: nia. . Fax n/A. email: VI/A• : Mailing Address:,341 Ve(-ntx Avt.) Rri- 1....eDvo M k Applicant/Agent(ifOifferent from owner): Aral C.,A. e-t GO 661) . - . : • . . Telephone:(S ))143.77-1e 1 14$ • . Fax: nfa ..,,. . email:;or I an Plea,r : Mailing Address: Lii,. Vi)1456.lA/ak( --.-PAA13 11 i • .Pesrt. Lucl)DIA.1:.W.A CK3:34425 : . L What kind of Permit?(checicOaCh,b4.that applies . 0 Lot or Road Segregation building . . .. • .••0 Critic;a1AreaS Stewardship Plan. :•* :•. . O Demolition Permit • -•• .... . , 0 Variance(Minor, Major or Reasonable Ecohoni .- . 0 Single Family • : • L.,Garage..Attachei :Detached 0 Conditional Use[r .,...I.,74, „.._ ,,, O Manufactured Home 0., :FModular. . - • - . • Cl Discretionary"V , pa\ 2.,:L..._.„I.,3,:i-Ontbiidtl.-ii O Commercial* •• . • .• . -. • -. ... . .. - . . 0 Special Use(Eis. '14 '•7. ,. -. . ., 0 Change of Use . • 0 Boundary Line Ad n , -- t. . . O Address . 0 Road Approach • • :-. iis Short Plat** JUN 1 6 2011 0 Home Business .'• * 0 Cottage Industry • Cl Binding Site Plan 0 Propane . . .. • .. . .,' . 0 Long Plat** • • • • . . ., 0 Sign . ' --..- '' • ' . . • • •,•• • : 0 Planned Rural Re• 'en - •!,, .•,-0 ‘PI-14-41 T . -ndm nts" • I • • 0 Allowed"Yes'Use Consistency Analysis' : - ' 0 Plat VaCation/Aite tion**•• • . ‘. t 1 IA_ IP ENT 0 StorinwEiter Management • . • • 0 Shoreline Master '14 r Or- l'"ie. 't't- '"C — :' , S- . Cl site.plan.Aporovat Advance Determination(SPAAD)* Q Shoreline Management'Substantial Development • • LI Temporary Use . - • • • ..• .. . • . :.-0 Shoreline Managetnent•V.adante- .• • • - • 0Witeless Telecommunication& : • •• * . • • •0 Comprehensive Plan/UDC/Larid tise•DistriCt Map Arnendment• 0 Forest Practices Act/Release of Six-Year'moratorium . :0 Jefferson County Shoreline Master Program Amendment •' "May require a Pie-Application Conference - : .0 Tree Vegetation:Request. .. ••• : • "Reottlie ,aPtvAPplkaliOn•Confeiehte Please Identify any other local,state or federal permits required for this proposal, If known: •: • . . . . . . . . . • • .. - • • • •. .. . . . . . . •----.,L • . • DESIGNATION OF AGENT • • : . • : • . . - ••I\A4Lr tz.: \---/o- Ay-c- .e-\ I hereby designate — :-• 47-1..-- ..,b, J . • : to act as my agent In matters relating to this application fOrPentiii(s). , • OWNER SIGNATIAE(14--ea-t . ' . Date, Lin(21. I " ....4c)I I .4 . By signing this application form,the owner/agent attests tne information provided herein,.and in any attachments,Is true and correct to the best • 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,judgrrienta,cauitcoste,reasonable attorneys fees and • • expenses which may In any way accrue.againstJeffersonCounty 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 applicati - :review and any requited-later inapections. :Staffs access and right of entry will be assumed unless the applicant Informs the County in writing at the • : time of .tf--w•afine that.ha:or she . ' *• . . Signature: thet_ryi • . Datun • . . • • ' e.• 0.61 1 . . . 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 • endangeredspec,ies and Could lead to a-potential.4kee.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 permithas been Issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding yot 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-bens We responsibility t9t i..,, . And complying with the ESA. The Applicant has read this disclaimer and.signt and dates it below Signature: aLa,,,I 6 . . Dateile._ I D.- .) 1 ) • ID II- 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 theesponsjbility of)the general Contractor for the proposed roject. Signature: C1.LG �-4:G�1-L<i Date: 1/ / 9,0 r GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: '4 �-�+w\J { 1)e�5Vi n �j 1IA PHONE ( :t)11 7 ii FAX:( ) MAILING ADDRESS: .L 'V'Ft�attl e. W p►n ,1 r Y f �t t ) EMAIL br),e n rrie r t(C( 4, Co cn i Project Type: Frame Tyyde: Bathrooms: Shoreline: Typebf Sewage Disposal: ❑ New sg Wood Existing: _ 0 Sewer 'X Addition 0 Steel Proposed: I Bank 0 Community System Heiei0f t: *Individual S ste 'g Alteration/Remodel 0 Concrete Total: -3 y ❑ Repair 0 Masonry SEP Permit# -t O Demolition 0 Other: . Bedrooms: Water Supply: Existing: oZ Setback: - Private well 0 Two Party Type of Ne Proposed:at: . I 0 Public L'I e_c-1 1 Total: ' Name of System: If this is a Commercial Proiect 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 - jf this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply I Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove- I'Cook Stove I Woodstove . 1.Fireplace Insert I Hot Water Tank l Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No Nrh'en'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. ,p fy. FFx 59 'M r id'i y r i-++ ,4 fii ,, ',f�', Lam • tmt•L 7 yir•N> d. �';�'p" Square Footage Current Proposed .�' 7,,,i 4 i .- `a 47 a ,.,�,'. ,.`. 1?V ,a..1.4�Ki z `? Main Floor Heated 1 s ty Q 1/3 g-j k j'•'= ,°: EH Bld App Review: , U Floor Heated v e i.�' Consistency Review: 1 Other Heated 0ka Base fee.x a �' ° fir ` `Mezzanine ir•' - tx 4Y:'' Plan Check fee: Heated Basement �• 1 � � ,ljrD\J �s State Surcharge fee: 4`1-� Unheated Basement i...,„ ,< A. ., ' Other Unheated 4 d' 'i ' ;�t 1 Pot Water Review fee: Garage/Carport /7 `_8 1 x. t�ti s SUBTOTAL t rYy ;„t DecksVP:, , 3 M 911/Rd Approach fee: / / nd /Cu m= =, .5 ' Other ,. ;4r1,1 t,' � TOTAL...•$ �'7J•.0 aT.A' 0j� t `�� Receipt Number 1. C� s ,': ",-k Cash/CheckNumber: \, ESTIMATED COST(REQUIRED) Date: .Fair maikeaflue of all labor and materials foundation to finish - -1_ 0 v/ on 0Initials: _. 2;/5_Li;IS 4 ales- '�1I51L.oi I • • o �� • H ZIS „ 1. C, ��i I. 2°2° 2 2. Z°2 I o q e ° ° r� o .� t—I r— f f--f 1 • r Crl 1 • o / - 2x12DFKRFrER/b" d:d, -� WIZ'8�oLR2 fill. I NI)lo m -1E5l J \ x j� J y f. c .7-7-: • ,- .. _ ,„1, ° ___t i% )c --X . ,., '''---__.--, li (-\ 11 k5 71 \ /2868 n fx. 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