HomeMy WebLinkAboutBLD2011-00209 0 •
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 #: BLD11-00209
SITE ADDRESS: 1596 A SHINE RD Issue Date: 09/12/2011
PORT LUDLOW, 98365 Final Date: 5/11/2012
APPLICANT: M SHOWALTER & S AOS PHONE: 360-259-1700
2601 CAPITOL WAY S
OLYMPIA WA 985013326
SUBDIVISION: Block: Lot: TX 14
PARCEL NUMBER: 721031014 Section: 3 Township: 27 N Range: 01 E
PROJECT DESCRIPTION: NEW ADU W/ATT GARAGE, BREEZEWAY & 2ND GARAGE
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 cno
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON5/11/2012
I:\F_BLD_Occupancy.rpt 10/29/19
1
Jefferson County Building Division Permit Number: BLD11-00209
Applicant: M SHOWALTER
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 20 9Inntern 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 30, (( 6r) > 1-P-' -h c
Erosion Control hi-I 0 -
Foundation Footing
3d -IL Ori?
Footing Drains
Foundation Stem Wall to
Underground Plumbing
Under Floor Framing 7
13 -lZ
4
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing / !3 / Z
BlockBlocking f /
iAirseal _ / 1�
/ 3- lz
Insulation:Walls
Insulation: Floors
Insulation: Ceiling 1 ,3 0_(2
Int. Shear Wall Nailing l (✓ 13-3�-► Z
Wallboard Nailing
'2. Li rz.— .
Gas-Liae: Interior
Gaetbrtc-Exterior
PropMe Ta1TR
Heat/Chimney Clearance
Duct Test Cert �_'`✓ �/ ,1
Blower Airtight Test 16f `� ���✓
Smoke&CO2 5-1 —t2
Drywell/Alt Drainage
Address Posted -12—
FINAL INSPECTION 1�
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
UILVMLA11-00172
DING PERMIT APPLICATION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00209 Received Date: 7/28/2011
SITE ADDRESS: 1b SHINE RD
PORT LUDLOW, 98365
OWNER: M SHOWALTER & S AOS PHONE: 360-259-1700
2601 CAPITOL WAY S
OLYMPIA WA 985013326
SUBDIVISION: Block: Lot: TX 14
PARCEL NUMBER: 721031014 Section: 3 Township: 27 N Range: 01 E
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/16/2013
REPRESENTATIVE: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
PROJECT DESCRIPTION NEW ADU W/ATT GARAGE, BREEZEWAY & 2ND GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU
VALUATION 185,000.00 MAIN: 816
CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
GARAGE: 1,090 SHORELINE:
CONST TYPE: DECK: 288 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 02043
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date:
Type Amount Paid By: Date: Receipt:Permit $1,469.75 LYK 07/28/11 127956 Af5ReOi E D
Plan Check $955.34 LYK 07/28/11 127956
State Building Code $4.50 LYK 07/28/11 127956 SEP 12 2011
Potable Water Application $62.00 LYK 07/28/11 127956 Jefferson County Planning
Total: $2,491.59 & Building Department
• •
CONDITIONS for Building Permit# :BLD11-00209
1.) Existing abandoned well on site was drilled under USR97-81. Based on e-mail in the file
from owner, this well will be used in the near future for a back up in emergencies. If the
well remains abandoned and is not intended for use, or becomes not usable, it must be
decommissioned in accordance with WAC 173-160. Contact Jefferson County
Environmental Health if questions.
2.) This building approval accounts for 240 GPD of septic system capacity, as designed and
approved SEP11-40 is sized for 480GPD. The minimum daily design flow per residence
is 240 GPD.
3.) 10' minimum separation required between the water line and any onsite sewage system
components including sewage transport lines.
4.) 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.
5.) dug well on parcel as shown on site plan SEP11-40, has apparently be filled. No record of
this has been found. Any future development on the parcel that shows contamination
sources within 100' of that well will require further investigation and may require compliant
decommissioining.
6.) MANDATORY MEASURES OF HIGH 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.
7.) MANDATORY MEASURES FOS3H RISK SIPZ: •
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
tb. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
8.) A vegetative buffer of 80-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area (top of bluff). All buffers shall be measured perpendicularly from
the top or toe of the Landslide Hazard Area.
9.) A Geotechnical Report prepared by Stratum Group dated March 4, 2011 was submitted in
conjunction with this application. The report addressed the stability of the geologic hazard
area. A setback of 80-feet shall be measured perpendicularly from the top or toe of the
geologic hazard to the proposed (indicate type of development).
10.) 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.
11.) Prior to and during approved construction activities, the perimeter of the landslide hazard
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."
12.) All construction activities shall not encroach upon the landslide/geohazard buffer. This
includes the storage or preparation of materials.
13.) 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.
14.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat
management plan.
15.) 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.
16.) An Engineered Stormwater 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.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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.
19.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
20.) 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.
21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
22.) The building height is not to exceed 35 feet.
23.) Building setbacks from Shine Road right of way are no less than 20 feet. Side setbacks
are no less than 5 feet. Shoreline setback is 100 feet from the top of the shoreline bluff.
I . ,...
•
06 JEFFERSO OUNTY
el) , 14 DEPARTMENT OF COMMUNITY DEVELOPMENT
`d 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
� $ www.co.jefferson.wa.us/commdevelopment
<QS,�NG�O
Master Permit Application MLA: ( , I
Project Description (include separate sheets as necessary): t'
tcbI M2/ t\ICI't ATTIC IrIvIN& 5p/ t i;v -- - qs tc.o (t
Tax Parcel Number: �2-1 031 D( �� � ����I�
Property Size: . 9--2 t(Zfzp (acres/square feet)
Site Address and/or Directions to Property:
NF-- MCP — it—' A-D.o -f°t VIGINtT`I' M
Property Owner(s)of Record: M•qtkr(Ir $ s 4-1),g /Lb s S pw�I-F� g�
Telephone: ( �o) 2 - 1700 f�NN2�N l t7 _
Fax: email: rrytillyn,c,h 0 Rial fck-C
Mailing Address: Z4'0 I G ( j L. Imt'Or 0t-rii nil- \N,-
Applicant/Agent(if different from owner): -2,1 �L� - {��'�1' rna I�'(0�1 1
Telephone: ��(QD,7�j2- `f0�0 Fax: / �L��G�N `��V I Lr`�� . I,, l,,
Mailing Address: J - V/ / 1YDcI email: -h� & jl jh r/I/i'lGt)
�- / 0,11��}1f1'W M/ IA/4 �2� co sin
What kind of Permit?(Check each box that applies
Building 0 Critical Areas Stewardshi Plan
Demolition Permit
> Sin le Famil ❑V ria Min M jor-o abl E omic Use)
g y Garage ttache /Detached ❑C r1 1' r j g0( , y
El
Manufactured Home Modular Di C e i nary*U or r1?fam2tt-t7 s
❑ Commercial* 0 S lion
❑ Change of Use ' Use(Essential Public Facil'rtil ) 1
fAddress 0 B rid Lin us ent II
Road Approach 0 S Ori plat** v v- -,
❑ ome Business `
❑Cottage Industry 0 Bi 4dn !Site Plan**0 Propane
❑Sign ❑L ngPate** j1
❑Allowed"Yes"Use Consistency Analysis 0 PI nned Rural ResiileiitialDeVelopment(P RD)/Amendments**
0 Allow water Management 0 PI t Va6ation7AttetatitinTrDETT-LOPMENT
0 Shoreline Master Program xemptio ermit 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
❑Tree Vegetation Request
** tion Conference
ires
Please identify any other local,state or federal permits required forUth s proposa /al,if known:
I hereby designate�[7i7P DESIGNATION OF AGENT
to act as my agent in matters relating g to this application for permit(s).
(/
OWNER SIGNATURE Date: /. Z-g. (—O I)
By signing this application fo ,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 attorneys 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 inspec • . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the a;
Date: 07•piication t� , .....
e or ants prior notice.
Signature: ,, l g. 2d/
The action or acti. s •pplicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered spe 'es and could lead to a potential lake"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 respo i 'ity for a ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature:
Date: 0 ?• -), 8', 2d I 1
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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:
T bONiiIi,hffe ( 0) 72- fb o o ( )
MAILING ADDRESS: l 1 t .���, ry� EMAIL:
CONTRACTORS LICENSE V �� l ��l"`a�m � C��� f UIiQfSGY��UII�G,`Ci. G/71y�
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE (266) .1- - gt FAX:(Z(6.) Gi gl-33
MAILING ADDRESS: I f 0 y�I • � � ,, I
11 i 1 10O EMAIL'tan'0 'J6wors`141liot.Ct
Project Type: Frame Type: Bathrooms: � � o• l:
New f Wood Shoreline: Type of Sewage Disposal:
/ \ Existing: a Sewer
Addition Steel Proposed: ----T— Bank
i Alteration/Remodel D Concrete Total: CommunityS stemm
Repair Height: Individual System
Masonry P Permit# I(
Demolition ❑ Other: Bedrooms: /
Existing: � Water Supply:
Setback: Private well C Two Party
Type of Heat: Proposed: �—
A7 / - CAW'C) Total: i Public
Name of System:
ttliV
If this is a Commercial Project you must answer the following: Grn
Number of Parking Spaces: Current: Proposed: Nu__nr .ber of ADA Park ng.S_. _Number of occupants(includes owners,tenants,employees,etc) Current -__ `
IBC Occupancy: 1 ��ro . \V/ r
IBC Type of construction: `` v I l
Wil ybt�lh�e=Food tce Yes /�Nd
If this is a Propane Tank and/or Appliance Installation permit,mark all items b Iowitihat apply:
i Underground Tank I Above ground Tank Size of Propane Tan •i ;` ' '? 2
I Heat Stove i Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank 'l Pellet Stove 1 0
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No j Other
When applying for a permit to install a propane tank you must also submit a sit plan showing all'bf'tth'e*Ili s, all'property
lines, tank location and size,distances from the propane tank to all property lin s,buildings
including the reserve area. and septic 5)ys>� omp�nents,
Square Footage I Current Proposed _ 3..,
m F�`?
•
P Po �,;t ��� ,s jjl� �r:'rf� � x
Main Floor Heated y` } _gam; EH Bid App Review: •�'buntFsfot� _ r .-
ea Floor Heated 4, )
g � '' l `AvA ',,41 Consistency Review:
Other Heated 4 •: Base fee: �.
4,y r T
Mezzanine — :.,_.;- Additional Section:
Heated Basement _ Plan Check fee:
Unheated Basement _ : State Surcharge fee: X
Other Unheated '
1 Pot Water Review fee:
Garage/Carport I: k` :'` 1 l 0
I i G 1 G qF 40 SUBTOTAL (� `. rI
Decks J _
911/Rd Approach fee:
ft:
Othervi- ��rr�� . � ��
� cif" 7C ; TOTAL: $ ��� ��7
. Receipt Number: M1
Cash/Check Number:
ESTIMATED COST(REQUIRED) )/R(('
: ve�
Falrmarket te of all labor and materials foundation to finish Date:
1,
1 (c.7 /000 Initials:
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I i / AUG 29 2011
N 88°�0'28"W }EFFERSON COUNTY
I 327.55: \
• y I DEPT.Of COMMUNITY DEVELOPMENT,�,I
SETBACK \ ,79 ......N I
I \(N)CULVERT PER CIVIL I
P/ ROPOSED GRAVEL DRIVEWAY 1\ � o I i (E)WELL
FROM PROPERTY LINE TO GARAGE \ z • ou (NOT USED)
(CONTRUCTION ACCESS) \ o '�
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(N)CULVERT PER CIVIL I �o \\ 3? I I F'
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\ \ (N)DRAINAGE DITCH PER CIVIL I _ —
,'` \ \ PROPOSED GRADE BREAK PER CIVIL
No% o \ �� �� (N)CATCH BASIN PER CIVIL
.- \, 0 3 (N)CULVERT PER CIVIL
` i9 \ \ 3 " (E)WATER LINE TO METER `�
\ S/�TFF \ . . , , \ \`:. :, � ' \ \ \
\ (E)WATER METER
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cF a\: � (N)WATER LINE TO PROPOSED STRUCTL12ES N 1.
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\ \ • • • O `��.: :.. 11 1'CONTOUR ZONE (10'CONTOURS
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` ' `.`.'•S/Z J F N SHOWN ELSEWHERE FOR CLARITY)
416. ' •IUAL SETBACK • •-`• .••••`. • . •• f NC,F . �— 7- , '' \•: „6' '7
-' ' R TO WEST PROPERTY LIN1.E)
I1*' '...1.*
\ \ ',�... . � \ I
_ E) DISTANCE FROM BURIED PROPANE
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,IATURAL DRAINAGE FLOW -ram H.:
1 `. -:•• �` �!ll• �'' �rn .: '::,� ),I'10� TANK TO PROPERTY LINE
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• . •`•`I.` (N)SEDIMENT TRAP PER CIVIL.—1 . • . � � '. .':�:• z
,RCEL#721031014 •: .`: • . I. : . . , ....�:.. 3 I o w
PER CIVIL. ' ,, 0i ' NI GRAVEL ..s�;�. I c� Q
(N)INFILTRATION TRENCHi : ��( ) o� II (N)500 GALLON BURIED o
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JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENj,
ACCESS EASEMENT
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PARCEL#721031029
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