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Home My WebLink AboutBLD2011-00302 • • ... 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#: BLD11-00302 SITE ADDRESS: 4900 CENTER RD Issue Date: 12/22/2011 CHIMACUM, 98325 Final Date: 10/18/2012 APPLICANT: FLORA C MACE PHONE: 206-545-2838 JOANN KIRKPATRICK JTWROS 4725 37TH AVE NE SEATTLE WA 981053014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801033001 Section: 3 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NEW 432SF HTD ADDITION TO EXISTING HTD SHOP/ART STUDIO - NO PLMB THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/18/2012 \\tidemark\data\forms\F_BLD_Occu pancy.rpt 10/26/2012 BUILDING PERMIT APPLICATS M ReviewT0226 Type. Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00302 Received Date: 11/1/2011 SITE ADDRESS: 4900 CENTER RD CHIMACUM, 98325 OWNER: FLORA C MACE PHONE: 206-545-2838 JOANN KIRKPATRICK JTWROS 4725 37TH AVE NE SEATTLE WA 981053014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801033001 Section: 3 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW 432SF HTD ADDITION TO EXISTING HTD SHOP/ART STUDIO - NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 432 VALUATION 32,422.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: II " Routing Date: ::' Type Amount Paid By: Date: Receipt: Approved/Date Permit $472.05 LYK 11/01/11 128295 APPROVEr Plan Check $308.83 LYK 11/01/11 128295 State Building Code $4.50 LYK 11/01/11 128295 DEC as Total: $785.38 Jefferson County Plannin,. & Building Department Jefferson County Building Dion Permit Num BLD11-00302 Applicant: MACE 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 Foundation Footing Straps(hold downs) Ext. Shear Wall Nailing j �a� l Framing ` l Z < L Airseal S - -/ /-3 Insulation: Walls ai(l (Ul l Z Insulation: Ceiling i (6.4 j , FINAL INSPECTION )( I(, / Z_ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00302 1.) Construction activities shall not encroach upon the buffers for geologically hazardous areas, fish and wildlife habitat conservation areas, or wetlands. This includes the storage or preparation of materials. 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 7.) The building height is not to exceed 35 feet. 8.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 9.) The setback from Center Road is 30 feet and the setback from adjacent parcels is 5 feet. 10.) Plumbing shall not be installed as part of the current proposal. 11.) Should archaeological materials (e.g. bones, shell, stone tools, beads, ceramics, old bottles, hearths, etc.) be observed during project activities, all work in the immediate vicinity should stop and the State Department of Archaeology and Historic Preservation (360-586-3065), the County planning office, and the affected Tribe(s) should be contacted immediately. If any human remains are observed, all work should cease and the immediate area secured. Local law enforcement, the county coroner(360) 385-9180), State Physical Anthropologist, Department of Archaeology and Historic Preservation (360-586-3534), the County planning office, and the affected Tribe(s) should be contacted immediately. Compliance with all applicable laws pertaining to archaeological resources (RCW 27.53, 27.44 and WAC 25-48) and human remains (RCW 68.50) is required. Failure to comply with this requirement could constitute a Class C Felony. I III ��,SON cow JEFFERSON�UNTY al 3 DEPARTMENT OF COMMUNITY DEVELOPMENT• - ` '� 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax Is., Master www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 1—c' Project Description(include separate sheets as necessary): _ . 06,..0 a„I k"1011 c IS n rJC 3 )/As ' DID �ip ---..- Tax Parcel Number: go ( 033 cni Property Size: ya Acr.ej (acres/square feet) Site Address and/or Directions to Property: 99 C.e ev t2c\ -,v,oxcvM W y CV6baS. Property Owner(s)of Record: FLor4A C. MO..Ce. — tnelliNrl K.LP <Uc Telephone:aOCo yg9''?103 Fax: QC)(o 645 - R 8 email: MACE. -2]-1--Feeit,CirA4,A, Mailing Address: y7Q,`.— ,3 NE. Seeakke, W 9ak0`J Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Mat kind of Permit?(Check ea box that applies El Lot or Road Segregation iuilding Mrxao ? .cc 0 Critical Areas Stewardship Plan (Dv11 olition rcrmit 0 Variance(Minor, Major or Reasonable Economic Use) U Single Family �Q�Garage ikttached/Detached U Conditional Use'C( ** ❑ Manufactured Home ? Modular - ❑ Discretionary"D' or i am I ftBaft ___) ❑ Commercial* 0 Special Use(Es'opt I ' % l� ❑ Change of Use 0 Boundary Line djU trbent ll ❑ Address ❑ Road Approach ❑Short Plat** (",,' I ❑ Home Business El Cottage Industry 0 Binding Site Pla !**i! ‘ I , 1 ❑ Propane 0 Long Plat** U 4, I ❑Sign ❑Planned I-kural esidekitiaU2evelopment(PRRD)� n ments** El Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/ teration** JEFFERSON COUNTY ❑Stormwater Management 0 Shoreline Mast r-P.4 "rn9FERetliptipp� err iljl vision ** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Sub�l:re—Mbpare El Temporary Use El Shoreline Management Variance 0 Wireless Telecommunication* El 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 _`"" Pfiease=identify�a iy o=ff to trGc-d ;state=451 fade ofperm reya c for gi ropusal,if known. • DESIGNATION OEAOENZ____.___-___--- -__ ---.--_____-_ -_ --- _ I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 'K I , ,X)t\ By signing this application form,the ner/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 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 e w nts pri notice.Signature: Date: 1000 1 t o c��,�I) The act' ions Applicant I 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 res " ''for adh in o d complying with the ESA. The Applicant has read this disc aimer and signs and dates it below. Signature: Date: 0 l �1� l C:.\P,...,-„,c,.,,,.\iiiiiiMRMCtftftt\TIRTI R(Pmc\r,,,-,..,,TIRTI R...—\T f,,ere,ne.....:.e....1:,..,«:,..,c em n4 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 of the General Contractor for the proposed project. Signature: OU n Date: �r- Th 1 a011 FAX:GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Wood Existing: ❑ Sewer ❑ New Addition ❑ Steel Propo d: Bank ❑ Community System Total: Height: ❑ Individual System ❑ Alteration/Remodel ❑ Concrete SEP Permit# ❑ Repair ❑ Masonry Bedrooms: Water Supply: Demolition ❑ Other: Existing: Setback: 0 Private well 0 Two Party Proposed: ❑ Public T pe of H Cea otai: Name of System: If this is ommercial 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 Type Occupancy: IBC T e of construction: Will you have Food Service? Yes I No If this is a Propane Tank andlor Appliance Installation permit,mark all items below that apply: Propane Tank: I Underground Tank I Above ground Tank Size of Pro P I Heat Stove I Cook StoveVoodstove I Fireplace 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 I Current Proposed For Office Use Only. Amount Revision Main Floor Heated EH Bld App Review: 9'3 - 2nd Floor Heated Consistency Review: 13. Other Healed- Base tee: ._._ Mezzanine Additional Section: � _____ Heated Basement Plan Check fee: -Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: -----_ G rage/Carport SUBTOTAL 4t r 2 ti )( r (132 1 Lli. Decks 911/Rd Approach fee: �_. Other TOTAL: $ 1C;ri , 3B Receipt Number: fl 9s Cash/Check Number: a3 I ESTIMATED COST(REQUIRED) Date: L___ , .Fair market value of all labor and materials foundation to finish Initials: ,—,.,-.,,,,,,cu44+4\nun inu nrc\(,,rrenr DAD Forms\Master Permit Application 5-29-08.doc 4 , Or 0. , 1 1i , . I.t. „. --0Q.N. 1,, . ____.,_..........._..........„.___..........., ,.....,. . . . .. rv_ s • e . ' • . .v. . R Vi, . W. co. --7:0 .1 • f. - ' 1 . "It. . - • wo9 .d _.: al iii.s. s I '... [ -c- --...V 1 ,,--- -6_ ---------------.-.'""----) 'i\\NN ,.,, N.j _ • ..---/r t _.... _. Z 'Ai 1:! ,:7,, _ • 2_,........_:.:—.-..:, . . -9,1k ,,,,,,,;;e. to„, ,, y- • /may �, ; � ' o -i • r� i � 1 13yI,34� • . 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