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HomeMy WebLinkAboutBLD2011-00327 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#: BLD11-00327 SITE ADDRESS: 6490 A COYLE RD Issue Date: 01/26/2012 QUILCENE, 98376 Final Date: 9/9/2013 APPLICANT: DIANAA RUDOLPH PHONE: 360-765-0961 6490 COYLE RD QUILCENE WA 983768648 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 701271001 Section: 27 Township: 27 N Range: 01 W PROJECT DESCRIPTION: SATELLITE BDRM - REVISION 6/13/12 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 9/9/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 • Je�ferson County Building Division Permit Numb BLD11-00327 Applicant: RUDOLPH 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 4/10/2012 Erosion Control 4/10/2012 Foundation Footing 4/10/2012 Footing Drains 5/30/2012 footing drain pass 5-30-12 RTB Foundation Stem Wall 4/24/2012 stem wall pass 4-24-12 RTB Foundation Stem Wall 6/6/2012 ret.wall, sono tube Underground Plumbing Under Floor Framing Straps(hold downs) . //"> Ext. Shear Wall Nailing 8/21/2012 ext shear pass 8-21-12 RTB Rough-in Plumbing c z_ gr-D Framing 8/15/2012 .gyp., j Z roof framing Blocking - -1G _ 12 rell) Airseal C _ % C 1(71 Insulation:Walls / Z � Insulation: Floors - Insulation: Ceiling 8/21/2012 ceiling ins pass 8-21-12 RTB Wallboard Nailing 4 -'1 7, 2 Heat/Chimney Clearance 'e "2? ( 3 f Wood/Pellet Stove lt •:)24 h ? Drywell/Alt Drainage Address Posted ,{ I FP FINAL INSPECTION Ib - t3 92, L.A.ro co,rir.. 4-3 'P6 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 GILDING PERMIT APPLICA N Review Type: I Review I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00327 Received Date: 12/7/2011 SITE ADDRESS: 6490ACOYLE RD QUILCENE, 98376 OWNER: DIANA A RUDOLPH PHONE: 360-765-0961 6490 COYLE RD QUILCENE WA 983768648 SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 701271001 Section: 27 Township: 27 N Range: 01 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: BOSWORTH-HOEDEMAKER PHONE: (206) 545-8434 TORI MASTERSON (206) 545-8433 1408 N 45TH ST PROJECT DESCRIPTIOr NEW ADU TE2U — ion C9I I \ 12_ TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 713 VALUATION 300,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: Rye' OCCUPANCY: UNHEATED: 210 #OF STORIES: CONST TYPE: OTHER:GARAG SHORELINE: CONST TYPE: DECKLE 297 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1SURFACE BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: _i---- • --- Routing Dat6: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,113.75 LYK 12/07/11 128381 APPROVEP Plan Check $1,373.94 LYK 12/07/11 128381 State Building Code $4.50 LYK 12/07/11 128381 JAN Potable Water Application $62.00 LYK 12/07/11 128381 Total: $3,554.19 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD11-00327 1.) USE OF THIS STRUCTURE FOR RESIDENTIAL PURPOSES IS A VIOLATION OF WAC 246-272A UNLESS THERE ARE PERMITTED CHANGES TO THE SEPTIC SYSTEM. 2.) Unless expressly approved by permit for SEP11-113, 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 3.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 5.) 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. 6.) The identified Fish and Wildlife Habitat Area (Type "N" Stream), shall maintain a vegetative buffer and building setback of 55 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the ADU. 7.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 9.) 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. 10.) The project shall comply with CorOction Stormwater Pollution Prevention (SO) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Building setback to eastern front property line is no less 125 feet per JCC 18.15.150(3)(a) (i); side setbacks are no less than 5 feet; rear shoreine setback is no less than 100 feet. 17.) THIS CONDITION IS NO LONGER APPLICABLE This building approval accounts for 240 GPD of septic system capacity. The minimum daily design flow per residence/ADU is 240 GPD. \\tidemark\data\forms\F RI n Permit Rlrin rnt 9/fi/9(119 '' Zc( —34- 411, �gON co JEFFERSON CC...4TY DEPARTMENT OF COMMUNITY DEVELOPMENT `•4 621 Sheridan Street RQrtTT wn enc •Wa 41ing:o 98368 360/379-4450 • }360/i3X944 , - J L <gS, NG�p www.co.jeffersori. �s/commdevelopment �l I r� • Master Permit Application ! I I ,� MLA: __ \_ Project Description (include separate sheets as necessary)' Gt1e b< room /r?hv 196r-khk-c F our ki-rth L T. F .It. Tax Parcel Number: 7d 127 1 G i Property Size: 2I.7 A � (acres/square feet) Site Address and/or Directions to Property: ) Go y1 - roc ' , (uCJ( VA- 1• 3?� Property Owners of Record: vi/N A V PC (.'I+ Telephone: (�D�� ?j VI 02Co Fax: email: /.f 16thzt ptid oll rh C IVI rWP21": Mailing Address: CO4'O D Applicant/A ent(if different from owner): ( Orl M/41- TYR*9)1\1 6 1No j. -t N 11,44- .— Telephone: 12-0(0) 5'1 2- _ 21 "" Fax: C2M) el email: --f-Orr e bos wa r+h hocc#argt(cl-' Mailing Address: 140 ' N. �GJ ' �} ��,Gt { (-{per WA- '[o (D 3 car, What kind of Permit?(Check each box that applies `i Building tcl7l� 0 Critical Areas Stewardship Plan ''``p❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑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 ❑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: `` II DESIGNATION OF AGENT I hereby designate ; Fl M ' /'G'D N to act as my agent in matters relating to this application for permit(s). ,- WNER SIGNATURE ♦f i/ Date: 0 of. /it 2,01/ 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 applicatio t t he or she wants prior notice. „Signature: Date: /2 •P7' Z 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-transferabbi_rrrees onsibility for adhering and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ,,Signature: 5 �1 Date: 12-07- ZO f I G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc fr 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: -ropy -1-u t-i mT 1 -r O Ford v u l t42 s ( P) 1- 7 - MAILING ADDRESS: I l /� VAN -I'{Q , J{�it ' b n EMAIL: -j-o� ) -1i(I- ' p r )1 Id,. �� CONTRACTOR'S LICENSE l I' �' Iv (� WAINS NUMBER: -1-0 1-1- P(-I 1 / A' .1 NUMBER ARCHITECT/ENGINEER: lD-, w0g .f- „{-a,�,r�-,�rnn/ e._ PHONE CV) Gj—g1- 1-FAX:( ) _g1 MAILING ADDRESS: 1L V it N. "I 4.. 5A I G�01 p 92EMAIL for i e 1onw-or-('!�l viD� (or' Project Type: Frame Type: Bathrooms: ! Shoreline: Type of Sewage Disposal: New ` Wood Existing: — Sewer ❑ Addition Steel Proposed: 1 Bank : Community System 1 Alteration/Remodel ❑ Concrete Total: _1___ Hei ht: Individual System Repair C Masonry () SEP Permit# 1 1—1 1 3 C Demolition E Other: Bedrooms: Water Supply: Existing: — Setback: U Private well C Two Party Type of Heat: Proposed: ___L— 0 Public 'FOKGM7 /C/r, Total: 1 1.12-1• Name of System: If this is a Commercial Prolect 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 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 Current Proposed Forpffice`U'se,only Amount Rwlsion, µ -- Main Floor Heated 1 3 EH Bld App Review: G 2m Floor Heated :M Consistency Review: Other Heated ` Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: 1 94 Unheated Basement 21 D x± State Surcharge fee: / . Other Unheated i Pot Water Review fee: CYO Garage/Carport SUBTOTAL �Q Decks ,L q_7 911/Rd Approach fee: 2 '� i 0 Other I TOTAL: $3C1C 1 to • 19 :. '(. § 4i; Receipt Number: 1 Cash/Check Number: ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to finish \,3- 1�7 -' it 0 / 000 Initials: /' �` -.-�� G:\PcrmitCcntcr\###FOIiAtS###\llltll FORMS\Master Permit Application 5-29-08.doc - _.__.----- S - • 1> r - Z -4 o 0 \ 0 s -. �. F:.. . .0 • 111/ i i% g ' I] >< • WOW togs I— — — ' ' i.... \ \- - --O • b 9 _� ® . - \ 4it u ® # /rates/ 11 b \ 11 \ o -I TIT- - u ©' :• fi Ng 4 O e - as a 1 ll It it4 0 0 4D 1 rn 73 N Yll 11 axT _, r y/M "-- WI H ice-. m 0 A z fir_ y ! I Vo M ,.6, t Eet 1 V 11; Ti RUDOLPH MASTER CABIN649 - •�����; O € M g 10E COYLE INGTII 11 DUILCENE, WASHINGTON 1408 North Washington98 Settle,Washington 98103 i 206 545 8434 f. 206 545 8433 L . • 1 . r 4 „..' a g,:, ... r- z. ® ® co all U ...4 glis 0 IC -;it' Lr. ® ...t.' 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