HomeMy WebLinkAboutBLD2011-00178 • a
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#: BLD11-00178
SITE ADDRESS: 2613 OAK BAY RD Issue Date: 08/15/2011
PORT HADLOCK, 98339 Final Date: 8/27/2012
APPLICANT: KENNETH BACH TRUSTEE PHONE: 925-829-5018
DEISY BACH TRUSTEE
26 INVERNESS CT
SAN RAMON CA 94583-3513
SUBDIVISION: Block: Lot: T 20+
PARCEL NUMBER: 921183018 Section: 18 Township: 29 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/AG 120 GAL PROP TANK
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 o
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/27/2012
\\tidemark\data\forms\F_BLD_Occupa ncy.rpt 9/6/2012
,!efferson County Building Division Permit Num• BLD11-00178
Applicant: BACH TRUSTEE
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 (U // f 4 j (f rt
Erosion Control �0 ec /.0 j r2` � ( 00;,)- o; , ��`ly`l/ (
Foundation Footing 9` / L t , � G
I l I /OT 5c-4llo9-10-w% t t)PPS i'UFe"12 tp-I.:-t
Footing Drains
Foundation Stem Wall 41_,7 / (,lecf v/S 4 e e_ 10-13 _1 / f,t1)
Underground Plumbing _
12-bi-..-6,141 // 01(-- 1-06V/7 /riv
Under Floor Framing lP , Z7 /(
Straps(hold downs) /) 2_ / ( /
Ext. Shear Wall Nailing /�a,7 // //� /�
Rough-in Plumbing _J 4 / r/,,.3
Framing 3 �� /� �"� VjJ
Blocking '1
Airseal -3 - -i"Z
Insulation: Walls 3 )'_l Z /2
Insulation: Floors 3y-a Z
Insulation: Ceiling r_ /Z r<I'D VG k//
Int. Shear Wall Nailing 11)17..,
Wallboard Nailing Ibliz- 93✓
Gas Line: Interior 3 ` 17115
Gas Line: Exterior
Propane Tank (- ) > j'z:., P�.....,,
Heat/Chimney Clearance J , 77.173
"1
Duct Test Cert
Blower Airtight Test 7/21/2011
Smoke&CO2 7/21/2011
Drywell/Alt Drainage e
Address Posted ?-a>-/Z J"?_-,,,I
FINAL INSPECTION ,? 'Ql 2. /z /c
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCI
THIS PERMIT IS VALID FOR ONE YEAR
Review Type:
53
PILDING PERMIT APPLICATION MLAype:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00178 Received Date: 7/7/2011
SITE ADDRESS: 2613 OAK BAY RD
PORT HADLOCK, 98339
OWNER: KENNETH BACH TRUSTEE PHONE: 925-829-5018
DEISY BACH TRUSTEE
26 INVERNESS CT
SAN RAMON CA 945833513
SUBDIVISION: Block: Lot: T 20+
PARCEL NUMBER: 921183018 Section: 18 Township: 29 N Range: 01 E
CONTRACTOR: CAMPBELL CONSTRUCTION LLC PHONE: 385-1655
120 CURTISS ST
PORT HADLOCK WA 98339
Contractor's License CAMPBCL960JN Expires 4/15/2012
REPRESENTATIVE: CAMPBELL CONSTRUCTION LLC PHONE: 360-385-1655
120 CURTIS ST
PORT HADLOCK WA 98339
PROJECT DESCRIPTION NSFR W/AG 120 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,576
VALUATION 248,497.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: 756 HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: 196 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 209 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 otal: 3
Routing Date: "----__
1
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,828.15 LYK 07/07/11 123685 APPROVED
Plan Check $1,188.30 LYK 07/07/11 123685
State Building Code $4.50 LYK 07/07/11 123685 AUG2011
Potable Water Application $62.00 LYK 07/07/11 123685
Total: $3,082.95 Jefferson County Planning
Building Department
• •
CONDITIONS for Building Permit# :BLD11-00178
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 drainage along the north property boundary must be culverted with non perforated
pipe above the drainfield, adjacent to and anywhere withiin 100' downgradient of the
drainfield and reserve areas. No ponds shall be located within 100' downgradient of the
septic system.
3.) The onsite sewage system shall be tested to assure proper operation of the pump and
components prior to final inspection of the building.
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.) A vegetative buffer of 50-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
6.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area. A setback of 50-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
Single Family Residence.
7.) 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.
8.) Prior to and during approved constion activities, the perimeter of the landslillazard
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."
9.) 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.
10.) 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.
11.) A Stromwater Plan has been submitted and approved by the Department of Community
Development. 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.
12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
13.) 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.
14.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
15.) The building height is not to exceed 35 feet.
16.) Building setbacks from Oak Bay Road right-of-way is no less than 20 feet. Side setbacks
are no less than 5 feet. Shoreline setback is no less than 50 feet from top of bank.
17.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
• •
�4, oN oo� JEFFERSON COUNTY
4, DEPARTMENT OF COMMUNITY DEVELOPMENT
'wrillk
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�q �p'ti www.co.jefferson.wa.us/commdevelopment
BIND
Master Permit Application MLA: f 1 -- 15-3
Project Description(include separate sheets as necessary):
9. 1 /S'3 0/ ' _ ih << , 3.es I - r its
Tax Parcel Number: 9X/ in 0/F Property Size: z " y acre/square feet)
Site Address and/or Directions to Property:
. 0/3 - o r' �i'A/ kit Pa ? NAAO.Zo cX GSA 9 g'3 3 y
Property Owner(s)of Record: /111=N 8=iO/S-j 4464
Telephone: q) - '' <S Q/r Fax: email: inFAl e `' rr2,17C• ( Jib
Mailing Address: 2 6. - Z"il/ERA✓fSS c-' SAit/ 'c'.v '4) CA q YSYg
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address: .
Wh t kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building 0 Critical Areas Stewardship Plan
❑pemolition Permit ❑Variance(Minor, Major or a •
Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C( )„ a ( I] ' fl
❑ Manufactured Home • -0 Modular , - - 0 Discretionary"D"or Unna d -,
❑ Commercial* 0 Special Use(Essential P till acilities)**
❑ Change of Use 0 Boundary Line Adjustme I r- 1
❑ Address 0 Road Approach 0 Short Plat** II i1 , J U L 7 201
❑ Home Business 0 Cottage Industry ❑Binding Site Plan** Lj i, JJ
❑ Propane ❑Long Plat**
❑Sign -. 0 Planned Rural Residenti I Developmefhl;RMIthe,gndments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration DEPT.OF COMMUNITY DEVELOPMENT
❑ Stormwater Management 0 Shoreline Master Program Exemption ern evislons
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑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 J G CAd Aer . to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE
�'— Date: 1-/ ` 'i
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 he or she wants pr' otice.
Signature: ��_
Date: 'I`/ —�-Gi/
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 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 dher' g to'end complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: Date: 1 ` /"���'/
• . 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 assuming the responsibility neral Contractor for the proposed project.
'' /-.24ii
Signature: �� Date: r
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
C f4'1 P,142 4 C or✓S/7 v v 7 ch./41._C (36e) 3 71"46.51 (3oD) 7y--ikSO _
MAILING ADDRESS: C AMP 13C-1—g(D.JN' EMAIL:
CONTRACTORS LICENSE 1 2,0 CIA)r.41 s % WAINS
NUMBER: p.1 , F tallick 1W I 4:1$339 NUMBER
ARCHITECT/ENGINEER: 4,q;,•f /t- , 1"",/1Zr PHONE 5'(p)ass-M4-Z. FAX:( )
MAILING ADDRESS: EMAIL
Proj ct Type: Frajne Type: Bathrooms: Shoreline: Type of Sewage Disposal:
s-Igew Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: 3 Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 3 Height: fVIndividual System
❑ Repair 0 Masonry 5-0 SEP Permit#Sir'0-;A 97
Bedrooms: Supply:
❑ Demolition 0 Other: � Water Su I
Existing: - Setback: p frivate well ❑ Two Party
Type of Heat: Proposed: J �`3d i ublic
WA"Cr.s&-ewitic Total: 3 Name of System: •
If this is a Corn ercial 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 ply:
I Underground Tank Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove VFireplace 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.
Square Footage Current Proposed ;For Office Use-O 1�r. _, ._ y OMDP . evisiG t, _. _ ,
Main Floor Heated , _w)C _ EH Bld App Review:
•
2"°Floor Heated 0 Consistency Review: 01tJ 2
Other Heated Base fee: I
Mezzanine O Additional Section: .__,_,_
Heated Basement 1S-6 ` j Plan Check fee: 1 1?Q
Unheated Basement /96 State Surcharge fee:
Other Unheated. a Pot Water Review fee: l ro
Garage/Carport /IJ^�'f SUBTOTAL ll�J
Decks rt Pc /1 209 ,y-� 911/Rd Approach fee.
/ (5Ti
Other TOTAL: $' ''�I�11_J!o 9
� _
Receipt Number: 1 g � )
2-18.1(97c Cash/Check Number: �1g312
rf ESTIMATED COST(REQUIRED) Date: ``''�( _-7�J(
Weir market value o ll labor and materials foundation to finish I
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