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Home My WebLink AboutBLD2011-00258 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#: BLD11-00258 SITE ADDRESS: 574 E MIDDLEPOINT RD Issue Date: 11/16/2011 PORT TOWNSEND, 98368 Final Date: 7/3/2013 APPLICANT: ROBERT M HAINES PHONE: 360-385-6678 MICHELLE M HAINES 574 E MIDDLEPOINT RD PORT TOWNSEND WA 98368-9248 SUBDIVISION: Block: Lot: TX 41 PARCEL NUMBER: 001052040 Section: 5 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW SAUNA& SWIM SPA W/ COVERED SHELTER THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes a THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/3/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/12/2013 Jefferson County Build.i:g Diction Permit NunI: BLD11-00258 Applicant: HAINES 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 lllSignature Notes Setbacks / L -.,C9 /l /(i l i a. i piV___Te Erosion Control Post Holes l ). • t Lr/_ 5 Foundation Footing ` ,Lot, k l ' Foundation Ste+ -Wall._ N/A �f 401 Framing 7 -f/2 Blocking Insulation:Walls -7-.LS" / p_._� Insulation: Floors ('�(/� Insulation: Ceiling )--S—‘_C /20J Wallboard Nailing `"j J Wallboard Nailing Mechanical Systems Dr40.464mtrDfirnage Address Posted ')-3 Miscellaneous sauna Miscellaneous _ t pool FINAL INSPECTION F.6 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • MLA11-00197 BUILDING PERMIT APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00258 Received Date: 9/20/2011 SITE ADDRESS: 574 E MIDDLEPOINT RD PORT TOWNSEND, 98368 OWNER: ROBERT M HAINES PHONE: 360-385-6678 MICHELLE M HAINES 574 E MIDDLEPOINT RD PORT TOWNSEND WA 98368-9248 SUBDIVISION: Block: Lot: TX 41 PARCEL NUMBER: 001052040 Section: 5 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SAUNA & SWIM SPA W/ COVERED SHELTER TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 138 VALUATION 50,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: 536 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: --0 Total: 0 Total: 0 Routing Date: \ 1 Type Amount Paid By: Date: Receipt: AIpdOt ,EPermit $643.74 LYK 09/20/11 128148 Plan Check $418.44 LYK 09/20/11 128148 State Building Code $4.50 LYK 09/20/11 128148 NOV ((7 2U11 Total: $1,066.68 Jefferson County Planning &Building Department • • CONDITIONS for Building Permit# :BLD11-00258 1.) 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. 2.) 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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. 5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Building setback from Middlepoint Road right of way is no less than 20 feet. Side and rear setbacks are no less than 5 feet. A )CRAFT .• JALITY WOODWORKING TC ..S • SUPPLIES • ADVICETM ding You Make Wood Work' ,LI1 1 I Li 1111.1.11thi 111.11111111112ditdill [ft hill (1 IIII1[11111[1111111_51±111 LI[II II 11 11611111 I. I I I 11111h {I{ 111111141 Date: 14eiti:pt kral.6)C-c-A • Project: Lac - ?LAN SALON f, t,iivivi seA '//, f,— • . . • . . • . i 1 , 1•44 F-71. k . t• I I ."4 'I : . t _._.._. . ,._, ". • ..--- 1c71 E 1 i C . CC) • • -,-1 ,fF . _• _ . ..."-. : -3-(J) : t". • ' . , , I '`-- a '.. :". • 71 x. .1.. ... ... . .:..4 ... . .. ... .' CI •—) • ..,z_. i F. 1 -2. _,.. -,---,--- . i E. .. , ,., . .. ... n7-7.— .- 1: . , . , , .... :' " r•-." , 1 --. i -\----, V a_ f\-- a, i,-• .. ... -.-9• .,... . :.1 . ___ _ .. . . .. . . . 4... ... ... ... .. , _ __ _. ..„II % _ , • - L.--i . a3 -3 -,-- .. x.' -,4-1 .• - • a is.. , .-I 1 -1:::, . k ,; . . . . . .. . .. • . .. . . . ,• . . , . _ . , - - • •, , , , , , . ,. . . .., . & _ . . .t. ,. :...,--: . 1 1.---\. • N ' 1 • u-)).. ; '—. . ... . . . ; ..�•SON cO JEFFERSO OUNTY �� DEPARTMENT OF COMMUNITY DEVELOPMENT ` 621 Sheridan Street • Port Townsend • Washington 98368 II 360/379-4450 • 360/379-4451 Fax �q0� www.co.jefferson.wa.us/commdevelopment Master Permit Application i --1 CI 1 MLA: i Project Description (include separate sheets as necessary): S0.U.t�A 4 SW1M Si -', Tax Parcel Number: ( 1 D 5 �� q(� Property Size: ' - _ (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: - Telephone: :, Fax: email: Mailing Address: „' • Applicant/Agent(if different from owner): Telephone: + `` Fax , - ( email (_,. .` 1'� , Mailing Address: - 1ii What kind of Permit? (Check each box that applies ❑ Lot or Road Segregation I j: Building 0 Critical Areas Stewardship Plan !I /,3c❑ Demolition Permit ❑Variance(Minor Ma'or or ReasonableEcohomic Use) ❑ Single Familya--_.,_.__J.._... 9 ❑ Garage Attached/Detached 0 Conditional Use,(C(a),C�d);orr j'"t i ❑ Manufactured Home . ❑ Modular 0 Discretionary " or UI named,Use Classification ❑ Commercial* "D❑ Special Use(Essential Public Facilities)❑ Change of Use ❑ Boundary Line Adjustment 0 Address ❑ Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ .--;iyn ❑ Planned liurai 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)* 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 ❑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: e LL L`t`L Y:"t t�- �bk E!4c? ;e,, it; r 4 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 application that he or she wants prior notice. Signature: 'akJ- 144 .4 Date: 9-rs--I I 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: .�! , f14 A_ , Date: c 1`1S`— t i G\PermirCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Anolicatinn 5-29-OR.doe . • 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.i (� T� 14r "^'e� Date: •' -1—PHONE: Fes' Signature: Tga — GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: ( ) ( ) EMAIL: MAILING ADDRESS: WAILS CONTRACTOR'S LICENSE NUMBER NUMBER: PHONE ( ) FAX:( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS:Project of Sewage Disposal: Frame Type: Bathrooms: Shoreline: Type9 p ? ( New Type Wood Existing: �r t Sewer Steel Proposed: ;;., Bank Community System E Addition Total: IJ_ Height: g Individual System Alteration/Remodel E MaCosonry _ SEP Permit# _Slti Q 9 J - OL _. �� Repair L Masonry Water Supply: p 11 Other: Bedrooms: G Demolition Existing: " Setback: .=,, Private well n Two Party Type of Heat: Proposed: "` 1 Public Total: Name of System: • If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: 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 andlor Appliance Installation permit,mark all items below that apply: i Underground Tank 1 Above ground Tank Size of Propane Tank: - i Heat Stove I Cook Stove i Woodstove i Fireplace Insert 1 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 nd size distanlcesinstal a�omatheropne tank you must also submit a site propane tank to all property lines,)an showing all of the buildings, all buildings and septic system components, lines, tank location a , including the reserve area. Square Footage Current Proposed For Office Use Only Amount . Revision Main Floor Heated EH Bid App Review: TT I3 22 Floor Heated Consistency Review: 13 J Other Heated ._ ;`;� Base fee: J (4 Mezzanine Additional Section: ,__ _.---- • Heated Basement _ - Plan Check fee: j I 1 $ A Unheated Basement - State Surcharge fee: j _ Other Unheated _ _ Pot Water Review fee: __ SUBTOTAL Ie (c9 Garage/Carport 1111 Decks 1Uzi5`-1'1,8911/Rd Approach fee: 1.. Other in',-);(J.:. IL•33°4 TOTAL: $ 052. (cc; Receipt Number: 121\1-kg Cash/Check Number: �; j/ `y ESTIMATED COST(REQUIRED) Date: t , r ' .Fair market value of all labor and materials foundation to finish --_� `l, Initials: __ _-� r-,\n.,,,,:,1-,,,,,.,\iiiittl7nR\4C###\TIRTI F(112MC\rnrrrnr fRD Fnrmc\NIncter Prrmrt Annlirarinn S-29-OR_dnc 0 .-5, rn C) > o -0 S in�Am _ tU `F 1)4 Ins rU i_____----------7/_____________7/ o -I m ...- ED v i 9 co , r fJ - .; t^ J" ter �� L S _1) o + r c l - sZ _ 0 as -71 Jsid 1 CO I0 rn trn r 1 Im \ l''jz )r 7 7<rn y 9. tor' 1 Ci 0 N D ` I _ tr- v hi xi o o / I: El Jo -D.z 'rm CO ilk ay Z c -b z. / CJ � vs S D co �� z ( / v. c1 ,:. , -,,,---, ehip,,,_ .., :?:;.,_. kA map Ii : ' �t 37. ) r a I o �_�� Mv r' �,> r iii � C!, 14 IT_ !4 0 (1) , -.-' 1 ),"; , II ta C) Ilk Ot. I- 1 II -rc) k.„.1 LA CI Lis � \'kl �• CDM \� 'mac.. '(+rc .--" /I E. Yr'l `�'• cry, ru� 0 �L ,44 L....____________ i • / ,f, V 1 s