HomeMy WebLinkAboutBLD2011-00229 •
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 #: BLD11-00229
SITE ADDRESS: 295 FOXFIELD DR Issue Date: 09/7/2011
PORT TOWNSEND, 98368 Final Date: 4/3/2012
APPLICANT: THOMAS A BIAZZO PHONE:
PATRICIA A BIAZZO
374 OAK SPRINGS DR
LAWRENCEVILLE GA 30043-3539
SUBDIVISION: KALA POINT#4 Block: Lot: 116
PARCEL NUMBER: 965000110 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 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 no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON4/3/2012
I:\F_BLD_Occupancy.rpt 10/29/19
UILDING PERMIT APPLICA MLA11-00182
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: Received Date: 8/15/2011
SITE ADDRESS: 2j3LD11OO229
1jFOXFIELD DR
PORT TOWNSEND, 98368
OWNER: THOMAS A BIAZZO PHONE:
PATRICIA A BIAZZO
374 OAK SPRINGS DR
LAWRENCEVILLE GA 30043-3539 KALA POINT#4
SUBDIVISION: Block: Lot: 116
PARCEL NUMBER: 965000110 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156
260 KALA POINT DR
PORT TOWNSEND WA 98368
Contractor's License KELLESI150LF Expires 6/6/2012
REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156
DENNIS KELLEY (360) 385-3115
260 KALA POINT DR
PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 120 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,393
VALUATION 265,361.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 710 SHORELINE:
CONST TYPE: DECK: 90 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 37500
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: . 2 - _
Routing Date:
L51I
Type Amount Paid By: Date: Receipt: A ppEidnpnincgo,idnetpyPermit $1,923.35 LYK 08/15/11 128019
Plan Check $1,250.18 LYK 08/15/11 128019 ��"'
State Building Code $4.50 LYK 08/15/11 128019 S �Itll
Potable Water Application $62.00 LYK 08/15/11 128019 Jefferso plTotal: $3,240.03
&Baiartment
Jefferson County Building sion Permit Nu - : BLD11-00229
Applicant: BIAZZO
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 /� 27_C(
�fe# 1
Foundation Footing 9-iz_ c( ce-A
Footing Drains l
/D-3-1/ Pe —
Foundation Stem Wall 1)74C `t 6
Under r
Under Floor Framing 10 40_ (I
Straps(hold downs) /2 - t(
Ext. Shear Wall Nailing /0 �
Rough-in Plumbing 0._q_11 ( ;2--
Shower Pan —'nSP)
Framing /z-c_/
Blesk+ft
Airseal )1--
Insulation:Walls
Insulation: Floors 4''3„ sD 40 „_„_� f
Insulation: Ceiling `2 1 ' p.e&Int. Shear Wall Nailingr"
Wallboard Nailing _ _ // 43
Gas Line: Interior /
Gas Line: Exterior 4_3 _`,Z _17
Propane Tank 4 -c-cv
p
Heat/Chimney Clearance �p ~J'�
FrcTo ctattding'STO '� cierti
'eCt"---4"
Du t Test ert 44^I , Fh
Blower Airtight Test ,;3., VQ
Smoke&CO2 43 _ ,2— ' 17
Drywell/Alt Drainage j-L ly It
9=a---
Address Posted
FINAL INSPECTION 4:5_1'Z
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD11-00229
1.) 10' minimum separation required between the water line and any onsite sewage system
components including sewage transport lines.
2.) 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.
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 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.
5.) A 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) This parcel is within a no shooting area per JCC 8.50.
9.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
•
11.) The building height is not to exceed 35 feet.
12.) Building setback from Foxfeild Drive is no less than 20 feet. Side and rear setbacks are
no less than 5 feet.
r'
III
°O - JEFFERSOIOOUNTY
rillivvi DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
;• 4, 360/379-4450 • 360/379-4451 Fax
www.colefferson.wa.us/commdevelopment
Master Permit Application MLA: I I - 12j2
Project Description(indude separate sheets as necessary):
N Ew eb 1✓4 Farr'-/l."t 1 Dc , 0 l Zo �'Ac.... Pry -f'r t
Tax Parcel Number Cj't' 000 1 1 0 Property Size: .'.•le/WO -4 F (acres/square feet)
Site Address and/or Directions to Property:
' l I. -1 Yr • *-4- - nx r 1 PL
Property Owner(s)of Record: TQV/. c.. 1 pr Z.2.0
Telephone: "")bp - '3 S S'111(o Fax 17(4) - 3 g s"'"7j i 1 's email:
Mailing Address: 2.4137 a . SPkNh 12.t) • LL/ ,v I-0 N, 0H 41.; 4 i Z _
Appllcant/Agent(If different from owner): 1.4 4-1-E`( c N-/b"425 /Y—�� ((�
-ram-'
Telephone: '1 8 3 11 i to Fax: '' •_S8 S' ,l 1'7 Lam, yi pi, , 'MP"S. 0 i:.
Mailing Address: Z b 0 V-fittA t T• yQ - Prr.1.4)4f q 9 it
What kind of Permit?(Check each box that applies ` AUG 1 5 2011 j
❑Building ❑Critical Areas S' ip Plan
❑ Demolition Permit ❑Variance(Minor Ma or Reasonable Economi
0/Single Family rage-Attached/Detached 0 Conditional U [C(a
❑ Manufactured Home b Modt �---- RF N COUNTY
0 Discretionary. .or u��1g� ' l�jP_�SIQdFNT
❑ Commercial* ❑Special Use(E flubhcr�[reb7*'�'
❑ Change of Use ❑Boundary Line Adjustment
Cl/Address ❑Road Approach ❑Short Plat"*
O Home Business 0 Cottage Industry ❑Binding Site Plan**
CI'Propane 0 Long Plat**
❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments"*
❑Allowed`Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions*"
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*"
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑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 ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal,if known:
I herebydesignate 1 el._L S�+ 4/� ', DESIGNATION oactOF AGENT
9 � J 1 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE .�-"\-- �-4-\A
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 application that he or she y prior notice.
Signature: '1 1,E,.,_ 4, _ \._-0 ....... ., Date: c A - k
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 adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 7.ti,{ -..'''-o-. Z-7 .11..._ tom;---+�' Date: 'i') ` A` i)
G:\PermitCentcr\###FORMS###\DRD FORMS\Master Patent Application 5-29-08.doc
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BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners .the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
V&%1-1--C`1 s H./6.142 5 /,v4, -. �r ( 3 t) ;9 51-7151. ,�] (3 60)�3/&&,,5-'11 S L.
MAILING ADDRESS: 2.to 0 lL.�t,iy. r l - p/'t e.-3 1(� D EMAIL: pi�/!i g/e/5 Li (�r,! optic c. ✓I get
CONTRACTOR'S LICENSE WAINS
NUMBER: i[.E.LLe5.t I S d L F/ NUMBER
ARCHITECT/ENGINEER: Ktu sel S'r}1 ii•�i G/w a„te ,�,,4l r PHONE ('164) y 8 S-7114,FAX:(ajb,) is '-1 r a
MAILING ADDRESS: 2 o VLp_{, --. P7 t Pr, ?,L g EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
V. New Wood Existing: Li Sewer
❑ Addition n Steel Proposed: - Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: - Height: p Individual System
❑ Repair 0 Masonry SEP Permit# II -000 5
❑ Demolition 0 Other. Bedrooms: Water Supply:
Existing: ate well 0 Two Party
Type of Heat: Proposed: Ili— C = U �"1 1:11 PubM'c
Total: - Name Cif System: l` T P
If this is a Commercial Protect you must answer the following: 1,I n
1 5
Number of Parking Spaces: Current Proposed: Number of ADA Parkmgpeces:
Number of occupants(includes owners,tenants,employees,etc) Curren P r
IBC Occupancy: IBC Type of construction: Will) FOP . ,OSer i e? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,ma NT
I Underground Tank I•_"-ve ground Tank` Size of Propane Tank: I 7-0
I Heat Stove t Cook Stov I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes /
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. _
.' £` ,iy`:kx 4:'-Ff .i>l i-'r+.s'l,F ¢ .3 ifs - :.-ti s &� - r
r 1- ,;v A s .>-.§yak 3 a e - f i,.. ..
Square Footage Current Proposed wi�'.r.:',{: _ < 1.0 1 r•:. .. t
Main Floor Heated gyp,t; E"D�iri,- EH Bld App Review:
2"a Floor Heated Consistency Review: 2 t 3
Other Heated J L Base fee: l I 5r��j
Af"f. &1
Mezzanine Y- Additional Section:
r Heated Basement . ,;, { Plan Check fee: ,
Unheated Basement } E 4 _State Surcharge fee: c
Other Unheated ['LZ -s'i Pot Water Review fee: i
Garage/Carport r X ' SUBTOTAL
11 . , ,.1 .3%4.Q3
Decks rP�1 7?11ad Approach fee: s� I -
Other _-- J (� C(
CO��L a '1 C1 / `' "-`* -1 TOTAL: $•-r.03
0A3'' f, :4, Receipt Number. 'LOO )
Ja0.4. Cash/Check Number. 2t��G !
l <:--
ESTIMATED COST(REQUIRED) - `',,= -7 Date:
.Fair market value of all labor and materials foundation to finish 3-15-I
Initials: ' / ..� _,
GAPermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc --__"--
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APPROVED
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AUG 3 1 2011
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