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HomeMy WebLinkAboutBLD2011-00315 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 #: BLD11-00315 SITE ADDRESS: 82 LONGMIRE LN Issue Date: 12/27/2011 PORT LUDLOW, 98365 Final Date: 12/5/2013 APPLICANT: ROBERT HENDERSON PHONE: 360-620-1115 VALLYN HENDERSON 73 LONGMIRE LN PORT LUDLOW WA 98365-8245 SUBDIVISION: Block: Lot: TX 11 PARCEL NUMBER: 721031010 Section: 3 Township: 27 N Range: 01 E 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 ON 12/5/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 12/17/2013 Jefferson County Building DiI, ion Permit Num.. BLD11-00315 Applicant: HENDERSON 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 . 7- ct_ t Z I v Erosion Control Foundation Footing -7-n-e L FE Footing Drains __ .• / Z /r7? Foundation Stem Wall .-J I1`.i 1,2Under Floor Framing Straps(hold downs) li.- _1 - /L, l/ Ext. Shear Wall Nailing t a ) • (L ��l Rough-in Plumbing 40-22-1-2.- ).-- Framing Blocking- Airseal ). ---- Insulation: Walls I ; Let- IZ .1,, A ,,J ^ +.7PPee- O,ti Insulation: Floors 4,c-dj _L-7 Insulation: Ceiling -. 2.q— 1 `I� /Z `I ?.L 2 Int. Shear Wall Nailing I Wallboard Nailing Gas Line: Interior a Gas Line: Exterior I �'vi � - ,- Propane Tank ��L i� \"(L- Heat/Chimney Clearance ." _ . ' Drywell/Alt Drainage f� I J Address Posted °1 15 c (y I FINAL INSPECTION (-)--(Tikr - c i FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR tILDING PERMIT APPLICATION Review 00241 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00315 Received Date: 11/21/2011 SITE ADDRESS: 82 LONGMIRE LN PORT LUDLOW, 98365 OWNER: ROBERT HENDERSON PHONE: 360-437-=97e- (cZ0-111S VALLYN HENDERSON 73 LONGMIRE LN PORT LUDLOW WA 983658245 SUBDIVISION: Block: Lot: TX 11 PARCEL NUMBER: 721031010 Section: 3 Township: 27 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,280 VALUATION 280,000.00 ADD'L: 950 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: 240 SHORELINE: CONST TYPE: GARAGE: 624 SETBACK: DECK: 326 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 02043 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: � 1 gl — 1 Type Amount Paid By: Date: Receipt; Approved/Date Permit $2,001.75 LYK 11/21/11 128341 Plan Check $1,301.14 LYK 11/21/11 128341 APPROVED State Building Code $4.50 LYK 11/21/11 128341 L. Potable Water Application $62.00 LYK 11/21/11 128341 DEC on 1011 Total: $3,369.39 Jefferson County Planning & Building Department • 41111 CONDITIONS for Building Permit# :BLD11-00315 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 Drainage Plan has been prepared by NTI Engineering dated November 17, 2011, 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. 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 7.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Building setbacks from Longmire lane shall be no less than 20 feet. Side and rear setbacks shall be no less than 5 feet. 44eily c0L, JEFFERSOIDOUNTY Ww ' '1� DEPARTMENT OF COMMUNITY DEVELOPMENT '' ` 04 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �,qs ,,p'~ www.co.jefferson.wa.us/commdevelopment HIN 41 Master Permit Application MLA: , ) -3 LI 1 Project Description(include separate sheets as necessa ): I > e>� I�at,se. /l L�Cts ,� ant Tax Parcel Number: '1 ( �; J ic 1 a Property Size: / y// ikr-e, (acres/square feet) Site Address and/or Directions to Property 2 Lbi1 Gti1 - ( t q?3(95 Property OwneI(s)of Record: 1 0 ).-+ ct v ci c:i 1( • ?L _ i 1 Telephone: 3(6 jl (.,it i( 15 Fax: email: J/ //yi 5 `9 a/Y)__-- re,, Mailing Address: • 7,3 l c"7v, :� v�F I�c f tab l'fi Ll(4�( lt��Cr qg.3 Lc� ✓ 'le r Applicant/Agent(if different from owithr): Telephone( O L.?U I I (5 Fax: email: l//L1i1 5 Y Orie7'?P�, i z1- Mailing Address: c/ What kind of Permit? (Check each box that applies ❑ Lot or Road Segregation [building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Ni Single Family C;g-Garage ttached/Detached CI Conditional Use[C a 1- mar ❑ Manufactured Home .0 Modular 0 Discretionary"D"of Ur tark4jfijo 'Th\ ❑ Commercial* 0 Special Use(Essential dtltic Facili ❑ Change of Use 0 Boundary Line Adj4f erlt VI.Address 2"2-_. ❑Road Approach_ 0 Short Plat** i •',,: r n\, 1 o Home Business 0 Cottage Industry 0 Binding Site Plan** i ! ' ` ❑ Propane ❑Long Plat** Li II .� ❑ Sign - • 0 Planned Rural Residenti endm nts** CIAllowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alterra�tion*' RSON COUNTY ❑ Stormwater Management 0 Shoreline Master F�rogra`� " t I ** ❑ 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 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please-identify any othersocat;state f , Gt-/ -ev)Corn , DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE / iG/'1ll-e'G�Q t7/7 Date: a / 2- d-e)6// 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 app is ttion that he or she wants prior notice. Signature: wrcl '‘_ (77----• Date: /0— /`/— c..;2-e)// 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-transfer ble responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ,' d-Z /7, - 474:.i-L4-6-)- — Date: /O J') - U// n-\P,' ,tCPnrrA###FIRMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc iBUILDER STATEMENT e 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 ������ Signature: G'll�t! "---1r=(7�r /!vy44 �-- Date: /0 — - j-E='/ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS 3�071CU NUMBER: c NUMBER ARCHITECT/ENGINEER . �(4, ( .uc5-'-t frt 4 /s //_ .. / PHONE ( ) Fax:( ) MAILING ADDRESS: �C EMAIL 1 Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: v New as Wood Existing: ❑ Sewer O Addition 0 Steel Proposed: 3 Bank 0 Community System O Alteration/Remodel 0 Concrete Total: 3 _ Height: '(Individual Sys em ❑ Repair 0 Masonry SEP Permit# , . E , 013 J O Demolition ❑ Other: Bedrooms: Water Supply: Existing: `0 Setback: 0 Private well 0 Two Party Type of Heat: Proposed: L. iif,Public Total: C3 Name of System: a 4 o IV I If this is a Commercial Project you must answer the following: • 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 and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank Y.Above ground Tank Size of Propane Tank: /;40 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated 0 EH Bld App Review: 2nd Floor Heated 9Gi !k -y' to Consistency Review: 3� R Other Heated U Base tee: �� I ' 7 5 Mezzanine 0Additional Section: Heated Basement /1 Plan Check fee: Unheated Basemeent . State Surcharge fee: 4. -b Other Unheated Pot Water Review fee: I 00 Garage/Carport 6, a`� ( q (GLtc SUBTOTAL 3Gq 5ei Decks3 D 911/Rd Approach fee: Other TOTAL: $ (pq 3q • • Receipt Number: laS 3' I Cash/Check Number: O.Oc:� 1003a V) r ESTIMATED COST(REQUIRED ) Date: %Fair market value of all l, a�materiars foundation to finish -L1. -V4-t `� / Initials: U� G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc z�•o• ere' r •Milt hf to I1IIHPiIjI!IH • lea Ell 11.11g4 1 ; oat I a v 1 r I g 4111 to k-IIIIIIN II 1 114 r li 1-) , , . lisLaagi PFral I pupil. Par, k Or111:1- ITV. I ri `IJI iIIIL!01i: Id1II! 1! ro 14'SCIO6OR MUMS•W 00.- k i �I„ C m V ii '�ye c b. Fai■KwPg 4 �6r;cI a i _ �c9`og7i yy4 w p��17� • I 1%. r. 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REVISION DATE BY CHECKED m NORTHWESTERN TERRITORIES.INC.2011 CALE: AS N01EO I DATE: 11/9/2011 ESIGNED BY: H.CORNACH/ONC SITE PLAN/DRAINAGE & TEMPORARY EROSION CONTROL PLAN NORTHWESTERN TERRITORIES, INC. RAWN BY, C. BArL`Y PARCEL #721031010 — NEW DEVELOPMENT Lnyir�ens--rune,.`en wavra-GUWuyixln NECKED: J. NYLSON Conslruclim Inspection -.AYolesior:;Wing EVIEW: (NCR. . CONST. FOR: VALL YN AND ROBERT HENDERSON 3(co-(o2C-1 15 - 1 N TI TIT SOBIH PEABCDY Poo MGM,wASWE1W19B)41(JAB)41-9191 HUT I Or I I I