HomeMy WebLinkAboutBLD2011-00265 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 #: BLD11-00265
SITE ADDRESS: 123 MARILYN CT Issue Date: 11/21/2011
PORT TOWNSEND, 98368 Final Date: 5/14/2013
APPLICANT: GEORGE B WILLIAMS PHONE: 360-385-2019
SHIRLEY L WILLIAMS
62 WINDSOR LN
PORT TOWNSEND WA 983689591
SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot: 35
PARCEL NUMBER: 001275027 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & GREENHOUSE &A/G 125 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 6.3)
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/14/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 5/16/2013
Jefferson County Building DIP, Permit Num, BLD11-00265
Applicant: WILLIAMS
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 / —ld� /) Pr13
, _0 Sp l�S2 -�,
Erosion Control /'
Foundation Footing Lr j1. AO'
�T /�
Footing Drains 1`�''
Foundation Stem Wall t / , ' 7
}/11/Z— `,^ API) L�'i'nrl' 6,;1<' AT 16'i/C/t / /�PPi) %/ S,17 /"&- t L4i
Underground Plumbing v "/
Under Floor Framing
- i3 - (2 j
Straps(hold downs) e,...;(412.....4:14,
Ext. Shear Wall Nailing g.i6..12,
Rough-in Plumbing 2
I(' -l.L i
---4..�,;r AAA; )--.... 4tV-TTUI'li/S ''}' lO -1?' 'Z-
Shower Pan l `
Framing
I(--,'.: Or'2 c,v-t...�s�i�.i y
Blocking
Airseal
Insulation:Walls
IZ--w —,-Z
Insulation: Floors `/ r
Insulation: Ceiling _ �y
Int. Shear Wall Nailing
!! ^'
Wallboard Nailing
12- i 1\ 1`2---- o
Gas Line: Interior L
Gas Line: Exterior
Propane Tank i J
Heat/Chimney Clearance
Duct Test Cert
Blower Airtight Test
Smoke&CO2 - j;: ; •
Drywell/Alt Drainage
Address Posted I, •i
FINAL INSPECTION - 1 1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA11-00207
1PUILDING PERMIT APPLICATIN Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00265 Received Date: 9/27/2011
SITE ADDRESS: 123 MARILYN CT
PORT TOWNSEND, 98368
OWNER: GEORGE B WILLIAMS PHONE: 360-385-2019
SHIRLEY L WILLIAMS
62 WINDSOR LN
PORT TOWNSEND WA 983689591 WOODLAND HILLS NO 1
SUBDIVISION: Block: Lot: 35
PARCEL NUMBER: 001275027 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)379-5222
PO BOX 127
PORT TOWNSEND WA 98368
Contractor's License LDRICC*066L0 Expires 5/29/2013
REPRESENTATIVE: LD RICHERT PHONE: 360-301-0543
PO BOX 127
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI NSFR W/ ATT GARAGE & GREENHOUSE & A/G 125 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,226
VALUATION 460,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 128 SHORELINE:
CONST TYPE: GARAGE: 908 SETBACK:
DECK: 256 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop:
Total: 3 __Total -?
Itingle:
Type Amount Paid By: Date: Receipt: QpoY �t�, i 'E�.
Permit $3,009.75 LYK 09/27/11 128176 ��-+ IV►J V .
Plan Check $1,956.34 LYK 09/27/11 128176 NOV 20"
State Building Code $4.50 LYK 09/27/11 128176
Potable Water Application $62.00 LYK 09/27/11 128176 Jefferson County Planning
Total: $5,032.59 & Building Department
• •
CONDITIONS for Building Permit# :BLD11-00265
1.) 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.
2.) 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.
3.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. The applicant is proposing Full Dispersion utilitzing Drywells. 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
6.) This parcel is within a no shooting area per JCC 8.50.
7.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Building Setback from Marilyn Ct. is no less than 20 feet. Side and rear setbacks are no
less than 5 feet.
��4?S-°N cps
• •
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
'w ` '� 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
,�� p� www.co.jefferson.wa.us/commdevelopment
HIND
Master Permit Application MLA: 1 - a(D 7
Project Description (include separate sheets as necessary):
(\te'u,.) St m tvc.G Pr-rw.11 L 41 ie 0Erk.t
Tax Parcel Number: 00 r • 2 3.5• 0 2.'' Property Size: 4•q AC- (acres/square feet)
Site Address and/or Directions to Property:
t 23 Maelc.• -4 Cr
Property Owner(s)of Record: 0'co 0-lo C 4 S14I e-Le-r W 1 (-Li AM S
Telephone: f r �44 Fax: ,7 pA email:
Mailing Address: � VJtzD 7o LP t'r /Z•�3t'og
Applicant/Agent(if different from owner): L t) Rl CIa E-T
Telephone: 3 � 222
? a Fax: 5km. email: Idc'1 c her+e TVA K,lo to
Mailing Address: i �0 • X l21- Pr 9 e2::N$
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
wilding 0 Critical Areas Stewardshi Plan
Demolition Permit 0 Variance(Min aj• ordgtea
,mingle Family 0 Garage Attached/Detached 0 Conditional U etEr,- r t - 1 -
❑ Manufactured Home .0 Modular - - 0 Discretionary 101 ori nnamed Use Classificati
❑ Commercial* 0 Special Use( 4 ntial Public Facilities)**
❑ Change of Use 0 Boundary Lin Ard stmerStEp 2 7 2011
❑ Address 0 Road Approach_ ❑ Short Plat** ,,
❑ Home Business 0 Cottage Industry 0 Binding Site P aie
❑ Propane 0 Long Plat** 1-FFER ON COUNTY .
Sign 0 Planned Rural Residwti4Doy IFIRKIVAme dments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/ ration
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit 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 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference 0 Tree Vegetation Request
**RP�uirpS a Pre-An atipn Confere Ce
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 toto this application for permit(s).
OWNER SIGNATURE )0i1.I-• C- ����t`- Date: t - 2".7• 2O((
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 provid- access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any requir;• later in pecti s a Rd ht-of entry will be assumed unless the applicant informs the County in writing at the
time of the ap,licatio, r•: o e ants pri notice.
,- �i • 2c� • 2011
Signature: .; Date:
The action or actions A•plican 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 yo in compliance ' e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tra -f- •1 •-poi -lay fo adh ' complying with the ESA. The Applicant has read this disclaimer and*sig•n dates it below.
Signatur `,A- Date: `� u
• •
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:
GD 10+(e or ( )s'igi • �22Z ( ) - '
MAILING ADDRESS: ?o . &k '2+ EMAIL: or,c hertai*loft 1 `. coo,
CONTRACTOR'S LICENSE ^ WAINS
NUMBER: LD IZ I C C_-O(,'�V L-U NUMBER
ARCHITECT/ENGINEER: Cw A Co c. ftA JJ t 0' PHONE (3(� I • •)435Ax:( ) O // 3
MAILING ADDRESS: 7b"'1 5 C CPt 1.116%,Al ?7 I) IC> L
Pro! ct Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
lew ,�%1-ood Existing: 3 "'Sewer
❑ Addition 0 Steel Proposed: Bank ./ 0 Community System
❑ Alteration/Remodel 0 Concrete Total: 3 _ Height: / 0 Individual System
O Repair 0 Masonry — SEP Permit# (t)-1 17
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: q Setback: 0 Private well 0 Two Party
Type of Heat:, Proposed: ❑ Public
O/ZLT A�.T Total: ?j Name of System:
If this is a Commercial Project you must answer the followinq:
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 ad/orx�pceistallation permit,mark all items below that aptly:
I Underground Ta ground Tank Size of Propane Tank: /2S `
I Heat Stove - Cook Sto stove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance e 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 or Office Use Only. Amount :Revision
Main Floor Heated EH Bld App Review:
2f6 Floor Heated Consistency Review: I ii 22
J
Other Heated /-- Base fee:
Mezzanine f • Additional Section: 4....�---
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: 4-90
Other Unheated ad ` 34301 Pot Water Review fee: (Cr) •
Garage/Carport C2) q,0,./ 6 431A b,t`t SUBTOTAL
Decks <iJ� 911/Rd Approach fee: `�
eov. �v tod 1 3 2- VP Pio -,
Other L 4 az 5Q-(�7 ,. TOTAL: $�5
0/4414 �('` Receipt Number: ' aS.` -TIP
Cash/Check Number: or�
ESTIMATED COST Date:
•Fair market of all labor and materials fo dation to finish -1 1-
o e5eP
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