HomeMy WebLinkAboutBLD2011-00161 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 #: BLD11-00161
SITE ADDRESS: 83 HAZEL POINT CT Issue Date: 08/15/2011
QUILCENE, 98376 Final Date: 3/11/2013
APPLICANT: NORMAN F JOHNSON PHONE: 206-842-5485
SOL CHUA JOHNSON
8563 NE DAY RD
BAINBRIDGE ISLAND WA 98110-1395
SUBDIVISION: HAZEL POINT LARGE LOT Block: Lot: 8
PARCEL NUMBER: 501025008 Section: 2 Township: 25 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 250 GAL PROP TANK
ADU SEE BLD09-270
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 no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/11/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013
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Jefferson County Building Division Permit Number•: BLD11-00161
Applicant: JOHNSON
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 - 14:/
Erosion Control
Foundation Footing (
%.1 l/2 i
Footing Drains
Foundation Stem Wall ,— , ( h� e �i I
1�;� Uk /�oW / el` —
rD
Underground Plumbing ti / n ) Q
Under Floor Framing 7 l� /_ t(413. `t
Straps(hold downs) 7 14 ../2
Ext. Shear Wall Nailing .3 (z. •74 7/l
Rough-in Plumbing (*—
Framing / �' ./ L
Blocking L
Airseal
Insulation:Walls e_
Insulation: Floors
8 - lb-IZ /2 (a s4,6 / _z• % F.' )
Insulation: Ceiling
Int. Shear Wall Nailing 7 ld ,L /C
Wallboard Nailing
Gas Line: Interior 7,�G L /415
Gas Line: Exterior % / 1'
Propane Tank
7)031
Heat/Chimney Clearance 7- ? G_/ L (41)
Drywell/Alt Drainage
Address Posted ' t/4/5
D/5( im 4 Pt.t -it-r -(�
FINAL INSPECTION 3 I5 13 r`
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BRDING PERMIT APPLICATION MLA11 00134
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00161 Received Date: 6/21/2011
SITE ADDRESS: 83 HAZEL POINT CT
QUILCENE, 98376
OWNER: NORMAN F JOHNSON PHONE: 206-842-5485
SOL CHUA JOHNSON
8563 NE DAY RD
BAINBRIDGE ISLAND WA 981101395 HAZEL POINT LARGE LOT
SUBDIVISION: Block: Lot: 8
PARCEL NUMBER: 501025008 Section: 2 Township: 25 N Range: 01 W
CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)434-0717
P. O. BOX 846
QUILCENE WA 98376-0846
Contractor's License NIEMACC018MZ Expires 8/15/2012
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR W/ATT GARAGE &A/G 250 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,136
VALUATION 292,962.00 ADD'L: 738 HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: 709 #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 427 SETBACK:
DECK: 682 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 4
Total: 2 T,o al- — —_
Routing Date: _-----�-�,
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,074.55 LYK 06/21/11 123621 APPROVED
Plan Check $1,348.46 LYK 06/21/11 123621
State Building Code $4.50 LYK 06/21/11 123621 AUG 5 1011
Potable Water Application $62.00 LYK 06/21/11 123621 Jefferson County Planning
Total: $3,489.51 &Building Department
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CONDITIONS for Building Permit# :BLD11-00161
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.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
3.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
4.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan. A letter prepared by Kenneth Gilbertson, Consulting Forester dated
May 11, 2011 was submitted with the building permit application. The letter indicates the
proposed clearing of 11 mature trees is outside the 660 foot bald eagle management
distance.
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 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.
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.) Setback from Hazel Point Ct. (P444) right-of-way is no less than 20 ft., side and rear
setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then
the more restrictive setback shall apply.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) All development on the subject parcel shall comply with the Supplemental Report of
Jurisdictional Land Areas and Site Plan Information for Parcel 501025008 prepared by
Loggy Soil and Wetland Consulting dated September 29, 2008. A copy of the report can
be found in MLA07-00526 filed at the Jefferson County Department of Community
Development.
• •
�0.-- N °o�� JEFFERSON COUNTY
` DEPARTMENT OF COMMUNITY DEVELOPMENT
KI 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
$q�,�N�, p$ www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 1 _13L.1
Project Description(include separate sheets as necessary):
r(4.1 / e F4L.r,' I y R es,d ei-r�_e_
Tax Parcel Number 5 O I d,z Lj 003 Property Size: Sin 40-,,5(acres/square feet)
Site Addressl and/or Directions to Property: i / 41 3 j�/'
AI)ti CciAvez�S . g3 N45e i Pe„t l 't', Qvi Icetie , I.c)ft
Property Owner(s)of Record: No l i�,'i k L-6 L1 1$G>r t `L►' 5,„/ CIq c eft•c c>•a
Telephone: CO `3 I' - 5-`F. 5 Fax: email: J c' n SC im `t 3 5 4(2% iifSil.
Mailing Address: S 5(.73 N t t)`� R��,� /3/,,y b ;d J c .L,l'r ti�/ lti,fA `t'fl//0 Cc+
Applicant/Agent(if different from owner): ,
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
❑Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit D Variance(Minor,Maj r Reac_�onab_I Economic Use)
X Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a) . , e](
❑ Manufactured Home 0 Modular ❑Discretionary"D"or U •--- A�iW
❑ Commercial* 0 Special Use(Essenti9I Pull'i acI Ies
❑ Change of Use ❑Boundary Line Adjust ,t
❑ Address 0 Road Approach 0 Short Plat** i l kr
11 2��� I
i
❑Home Business 0 Cottage Industry 0 Binding Site Plan** J
❑Propane 0 Long Plat**
❑Sign 0 Planned Rural Resid ntial is**
❑Allowed"Yes'Use Consistency Analysis 0 Plat Vacation/Atterati n** EFFERSON COUNTY
❑Stormwater Management ❑Shoreline Master PratmiT"'
❑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 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 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 applicati that he or she w is p'or notice.
Signature: Date: / /"`C r
The action or actions Applicant will u ertake 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 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 re onsibility for adheripg toopnd complying with the ESA. The Applicant has read this disclaimer a opsign and dates it below.
Signature: r�-� Date: CO�D 2 e''I/
G:\PermitCentcr\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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BUILDER STATEMENT
The signer of thiss 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�,L C'ng the responsibif of theGeneral Contractor for the proposed project.
Signature: / � � "``�x��— Date: _ (D/S/A0 j i
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
N /e Im >- ('e, tr ;rt- „3"1e,il (ka 17C,.5`- 1/77( )
MAILING ADDRESS: C S 114€1 Lit L `/ EMAIL: -r () t ` 1
I� y , "� r�C'�tC_ ��CKI�i+�CL�tt i^i,..-1-i.:,,.., i�(� l j•to/t:CG> 1
CONTRACTOR'S LICENSE of CS 3 74, WAINS
NUMBER: ki F HA CC O I Q((,,��M Z- NUMBER
ARCHITECT/ENGINEER: C t' L e i i yt e' I3 Ct 11 Y Y PHONE (3 to) `tS..2.'' `f i/ FAX:(3 .i) 5 Z 1 ``t F'
MAILING ADDRESS:ry r i 717 S. /J,_, 1.._i ST. Pt•Akt, I
ee+S' EMAIL t�tv C J 1 7-1 1-Li, (CAL:,
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X New X Wood Existing: C Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel LI Concrete Total: Height: • /1t r� -j
X Individual Systepl
Repair Masonry r' SEP Permit# -�3
C Demolition C Other: Bedrooms: Water Supply:
Existing: — Setback: X Private well ❑ Two Party
Type of Heat Proposed: �2 '
(Iva/ess )1�•t P✓ S µ•r Total: a, 3(�01 ❑ Public
�° Nam_e_af SystPm• _
If this is a Commercial Protect you must answer the following: )
Number of Parking Spaces: Current: Proposed: Number of ADA-P4ing Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current osfsd 1(I U 2 1 20-1,1
IBC Occupancy: IBC Type of construction: _ Will you have Fool S tvice?`Yes / No ��
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply (l i ._J
1 Underground Tank Above ground Tank Size of Propane Tank: 'W u 1FFFERSON COUNTY
1 Heat Stove I Cook S ove i Woodstove 1 Fireplace Insert 1 Hot Water Tank I Pellet Stc 1DOda@F COMMUNITY DEVELOPMENT
cv
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. y +-
Square Footage Current Proposed > r4,rt =s E n _ ' .-
Main Floor Heated '13 co - , if EH Bid App Review:
2nd Floor Heated _;
•'73g" a'''-''-.45 ' ,q (3--
rr Consistency Review-
: _,.__ ...: ,..,:,
Other Heated v F,fn Base fee:
Mezzanine A- , Aciditicn S-e
C
Heated Basement f ? G
7o et Plan Check fee: I E31 U L ,
Unheated Basement State Surcharge fee:
Other Unheated ; Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks 911/Rd Approach fee: 7 Alai
Other - .
• TOTAL: $
` Receipt Number: I ,3tilt 1
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: ^• , J
.Fair market value of all labor and materials foundation to finish -.} -1�1 2
v2 5 U,O000 Initials:
G:\Perri itCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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