HomeMy WebLinkAboutBLD2011-00322 •
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 #: BLD11-00322
SITE ADDRESS: 234 NEVERGIVEUP RD Issue Date: 01/12/2012
BRINNON, 98320 Final Date: 8/16/2012
APPLICANT: R THOMAS COYNER PHONE: 425-391-3611
PRISCILLAA COYNER
14917 256TH AVE SE
ISSAQUAH WA 98027-8333
SUBDIVISION: BRINNON BEACH ESTATES Block: Lot: D
PARCEL NUMBER: 936100104 Section: 23 Township: 26 N Range: 02 W
PROJECT DESCRIPTION: NEW ADDITION TO SFR & DECK ADDITION
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
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/16/2012
\\tidemark\data\forms\F_BLD_Occupancy.rpt 8/17/2012
Jefferson County Building Dion Permit Nu BLD11-00322
Applicant: COYNER
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 , g) ,z
Erosion Control
` "7,cc_1( F-Ey.— Z �Foundation Footing i811Z
Footing Drains L 3L � � C � Ai/ t 6 /
4 -')_C- 14--"prh Foundation Stem Wall - t , 1 1_
Under Floor Framing _c/ l L- FIB
Straps(hold downs)
Ext. Shear Wall Nailing ,3 ,,I Z
Rough-in Plumbing
Framing "7 1 (U r 1 Z ILcIiv iJ
Airseal Li 10
Insulation:Walls W 1 L
Insulation: Floors —I/t. 1 2—
Insulation:Ceiling _b` I z-- 9--
Int. Shear Wall Nailing 12 T-07
Wallboard Nailing -A-l2-
Drywell/Alt Drainage 6_4,,fa, n
Address Posted / 4 I2_
FINAL INSPECTION fryk—a_.--__t_13.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•UILDING PERMIT APPLICAI•N IVIL e Type: 6
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00322 Received Date: 11/30/2011
SITE ADDRESS: 234 NEVERGIVEUP RD
BRINNON, 98320
OWNER: R THOMAS COYNER PHONE: 425-391-3611
PRISCILLA A COYNER
14917 256TH AVE SE
ISSAQUAH WA 98027-8333 BRINNON BEACH ESTATES
SUBDIVISION: Block: Lot: D
PARCEL NUMBER: 936100104 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/16/2013
REPRESENTATIVE: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
TODD HULBERT
PO BOX 100
PROJECT DESCRIPTIOI` NEW ADDITION TO SFR & DECK ADDITION
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 450
VALUATION 120,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 196 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 25326
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 2
Prop: 0 Prop: 0
Total: 2 Total:._...__.2_---
Routing Date:
Type Amount Paid Bv: Date: Receipt: A as D1 �
Permit $1,105.75 LYK 11/30/11 128362 1 :. •
Plan Check $718.74 LYK 11/30/11 128362
State Building Code $4.50 LYK 11/30/11 128362JA N
Total: $1,828.99 Jefferson County Planning
& Building Department
•
•
CONDITIONS for Building Permit# :BLD11-00322
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.) 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.
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.) Maximum lot coverage is not to exceed 25%. 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.) Building setback from NeverGiveUp Road is no less than 20 feet. Side and rear setbacks
are no less than 5 feet.
��' ON cad
JEFFERSON UNTY
S. ' DEPARTMENT OF COMMUNITY DEVELOPMENT
'� �
621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
G
Master Permit Application MLA: l C - (3440
Project Description(include separate sheets as necessary):
HIV`p) 0 M dL ►can '4n -e.. `-. do a d,d_d hin
Tax Parcel Number: '.?6/O0/0 L' Property Size: 0, 3 acres/ quare feet)
Site Address and/or Directions to Property:
asV it) y C;t) ni.) X,
Property Owner(s)of Record: 7/Lf g ' ViV Y YAV —
Telephone: 4/22.5--39/-36// Fax: email: T. 7e .uIle e_054169S7-Ale=
Mailing Address: 1 9/7 :?S6 f4 U C se- /55 9 QU,9,4 /,,0, i 9/6 7
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address: .
hat kind of Permit?(Check each box that applies ❑Lot or Road Segregation
ilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached ❑Conditi 1 a **
O Manufactured Home_- .0 Modular . - 0 Discreti ha- " `-o e i io
0 Commercial* 0 Special jljse], ser► iti
❑ Change of Use 0 Bound rylLtne Adjustment
O Address ❑ Road Approach 0 Short Pat*" ,,n
❑ Home Business 0 Cottage Industry 0 Bindin Site'Plan`*'', ., u ' ' 1
0 Propane 0 Long Pull*fi k.
❑ Sign • - .. • ❑Planntid Rur ' Develo men )/Amendments** '
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteratf6EiRSt)N COUNTY
❑ Stormwater Management 0 Shoreline-Mrasie ttrarrtiEggr Mpg efrmit evisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Subs an la ent**
❑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:
DESIGNATION OF AGENT
I hereby designate - to act as my agent in matters relating
/to/this
application
1for permit(s).
OWNER SIGNATURE- L Date: /J/e9/ O//
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 tight of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspe,ions. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application t at'fib or a ants prior notice. p
Signature: , Date: /�//��/,
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."J,fferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not viola e,'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 compli ee with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer 1 r tso/,nsibili//tt for adhering to and complying with the ESA. The Applicant has read this disclaiim and igns and dates it below.
Signature: ' �(//t '7 Date: / r2G7/
0 •
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:
4 GENERAL CONTRACTORp OR MANUFACTURED_ 1 HOME INSTALLER: /PHONE: 2 ^ a. i FAX: 2
_ p l (C-f---Sice/•- V v ` l(S-‹.err ,.c o L. (J60) Ji r_P 9-41 ( ) 73.a G/ v (
MAILING ADDRESS: eP 0 to O (u c j C. .1A-1 cz C u EMAIL:
CONTRACTORS LICENSE 1 `7j S)_G WAINS
NUMBER: 'r,� i I -e_VJ I 41 7 7 J `1 NUMBER .
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New Wood Existing: el ❑ Sewer
IpLAddition 0 Steel Proposed: 0 Bank Community System
❑ Alteration/Remodel 0 Concrete Total: .. Height: ..Individual SyApm
❑ Repair 0 Masonry SEP Permit# "iP-8.(io
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: ❑ Public
'11 C Total: 7 Name of System:
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:
i Underground Tank I Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove i Fireplace Insert I Hot Water Tank 1 Pellet Stove ► 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 -f� c .J.0 U k-,0r fi9 y+" . , 4, 'a;. .y i_ I fct ` ' ( 3 40
Main Floor Heated //'' c - EH Bld App Review:
2m Floor Heated ` u,i4'" Consistency Review: ^ 13-
Other Heated Base fee: 05 15
E
Mezzanine =` 1� , , Additional Section:
Heated Basement i � Plan Check fee:
Unheated Basement State Surcharge fee:
r• a�-,
Other Unheated .:�s Pot Water Review fee:
r
Garage/Carport V 4 SUBTOTAL
Decks 7a �n� M9 911/Rd Approach fee: �k-ts�
-. fr a> > ciq
Other TOTAL: $
Y� Receipt Number: 1,a (p i
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
'Fair market value of all labor and materials foundation to finish I
-- --------------------- II, 1 Z',r 0 Uv Initials: —Th
r.\no....:.-C.,..rpAlfifffpnRivNit##\r)Rn PC112MC\r,,..P.,,IIAn p. A XA" n :. e__t:__:__c 'n no A__
4
9
C ppIN 1 c+D
pQ
.!1 liA gli
Z I
DI, IL
, ; ,
101
WI
j [
7----
111/
!/
g
a
§ U
0
_ 1
�' I
TAz
I-'',
T — I 1 1
y�y
Z 12 0 3/4'
B
,a/3 li r,,
P v
ra• y
>1. 1
lq2t_______,, _
] , g.'
laa 1/2
M
� � 1Pqiil i :il ii ii 111 i � i li iai l i 1I8 1I III l°3. t ill' li li O 1113_l IIIxW611114518ti-1 WA a
l 1 $f1,€ 1 ii. i 1 ill 11 d1 1e1SY Ira ii : t ! H
1M 'U' I
6 I Ii !ii 111 i !ii ii[ '
10 _ I I $1 ZeeII/0 t i lu� c= 1 fi $ 6 : 1a
% 1g �� ,�
o rn i i ;110 IIa III ill !E}I m n ( 1, 11 1 1,i !al : to,
, g
r ii e am z g Z* > 8; I ,- ,-,
g.. �� i Zm z z a.III; :II 1e
T lil
. .. k -Q p Z N
O
N
T
ffi
it 4 Cam,
---I, , , 4
I
13
aD
Z 1
:_l , . , i '---c5 pp L -1
i9'-71/4•19'-1 3/4' I_. q-
•
t
1 - -
Fi
i11
I
68
J 2 12'-0 Il4
i
�/ht pFr2 •
.1§- K--) t
IF
p .1 wili,,
1
. _
4
,,t
x y ^
on KII. ■`
g _ fir_ ,, III 1111 al 1 A II a ; I ITV
• as -VA
1,
› -,1 ;- ....... . .. ._ __, lal 4;
L_ e 4'-P x 3,6'
r IN IMF OF cA
^1 1.211i
�a 1h T-71(Y 1,
41 <}I T
gTx I " • f 5'-IP3 I2-6' IU'-3. a
YltyyM' c I9'd3 22'-9'
•
Q g , s
CykE a x
,(4 -7- i
1t
1 *
i Ia
u
Z 1 J II
J L
- re
I 1 of ` f. -
•
-.2 �`Seri
r�� rl y rr r A I v
IS
, yi )to, `C r --..__--12-6----- r Ia-T r
0: _ R r
I-'-1 r rid,
-1 �. r 22'-7 r
b \§
o
�
VF� . m C
1i1I1
� - -..-
_- g
� GNQ
� ✓
it
_ _ . _�...1 1 -
Allill 'ill:114111
I �� 1
I I
mlpN 04, .73DW g;E3: )NJ N3:7" 1 ' 1
F.-t' m' mZ _,.1C0 -1 D
-i -o -0p =SrZ °Z
x-00 ODD DDr ZZ2-Nlr K -�r
.13 AD r�-< O'1r vr.70r D lE Zm 0
000 0 2,, n0 m� �/�
�m �1� co_ �0 V/
m X1Z Op �<� D.D▪ {Ap--+ 7 _O
O V1D� Z mD0VS-0ZA mZp 0
0MW Cy D0z Wop0m Z0Z Z
C OD O7-{ m 0 -{ Fl-i O D n 0 /-�
U) air cm� ()N ��pZ �07C� fpTI ZIZ \ J
n0� ;30 XA Zcff**001;; 2D� O
- G)D Z Z O or
O \ S'CCtm 0D KO N �nr
I-
D G)i'�N �� m DZDm mmm ZIP
O I CA Oar D0 fz> �mmm� Z (f)
ADr wO (j C n C /V
e �' M� W�O7 VIA • :U ZW�Vl-i r --iirrice
• xi
1 1�..,i DWA Dm -Cco mmxi 0 xx
U I - n-�O m 02 mZDwm mn
-w, p OJ D -1 p
.r J� �u^O �mm m� -i rr-- WO m0 NCr Z
'1 • IV l y N a frT1 2 m W O S Z W O
9O II i� O O-; �m Nu, Z 0 A, Z N O M
�[ ' O OnN2 D II)
CA 7 - V/ m
O om� �m Sn >moo = oC
- 0 _
St Skr KN �O vm_I0_ G1 -I0
0 2
mZz oZ Zmo
Z D
Km--1 00 > IV z
m00 m r Z o o
(.0 D:Vm r -< 0 0
O %m 0 • u'
mAN
co N d
00
Az
1111
/ ��
/ N.3 ---.''' ,..•7 --
0` , �. V
(id
0 i [)
0 c)m�
/ m A(o 0cn•• 1+
go
/ m0N O• m
° ° �\ 'T1 1411, ....
•`° Z O 00 _-
// m _ 97t
e
°' •• ° •., '•• o Z In '',�46.0 00
0
(77-----7°°
xX ♦. m
L7cr)
N. . •• '4144:111: • --„, ----...- ----
is----• 41;..,,z‘N`•,..„..N, --•••-- .„...JA-,... •,* i ----..A /
, * ....,- --,..
ci- /(�,I)< O` Y /
\ •
/ N G.?,
//
r
Z -<m x
jX
0 i
?,�• 00>0 /8, / gym /W
I I 0prA 0 k j., /H
• ^� j
1.-I-
I • • Z
• I
I • • I C7
• \
, •
\
I
54,
------j
X X X xi X x X X
Ti
U) 7 7 m 0 (n 0 (/7 U)
-i
Z z z -_'I 0 Z 0 Z Z 'I I�
0 0 0 O m c) m c) 0 T IJ�_'J
0 o m 0 0 0 0 m D
> 0 - 0m 0 00 0 ro 0
rr�* 0 n m Om r Z Z m Nil
0 m -< 0D — Z OD 0 A \ ll IJ 17 0 N m Z W _I
N Z m -��- C=
D Ar
r z V
0 N
0 nn
S0
J u L
l
�, o m o 0 TITLE: SITE PLAN FOR TOM COYN , OA, WA PN- 936-100-104
0 m O6 S CO F > > _ ._....__
-- 'Y st4 ,,,, p � 7.' SITE PLAN
F s
D ) * K co II
r rn ,., a v rev c„
c^�F 0 CLIENT: 301 EAST 6TH ST. SUITE 1
Z O 2 r�* ENOVIC &TOM COMER PORT AN S WA 98362
c��'F NO' 0\\-- V 4197 256TH AVE. SE PHONE: (360) 417-0501
FR Z ASSOCIATES FAX: (360) 417-0514
ISSAOUAH,WA 98027-8333
INCORPORATED EMAIL: ZENOVICOZENOVIC.NET