HomeMy WebLinkAboutBLD2011-00342 • •
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 #: BLD11-00342
SITE ADDRESS: 581 WERNER RD Issue Date: 02/21/2012
PORT LUDLOW, 98365 Final Date: 8/31/2012
APPLICANT: SHIRLEY J CALKINS PHONE: 360-437-2508
500 JEFFERSON AVE
PORT LUDLOW WA 983659657
SUBDIVISION: Block: Lot: TX 29
PARCEL NUMBER: 821084011 Section: 8 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: NSFR
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 8/31/2012
\\tidemark\data\forms\F_BLD_Occupancy.rpt 9/6/2012
Jefferson County Building Division Permit Num BLD11-00342
Applicant: CALKINS
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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 r� Minimm setback from Werner Road right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall be 5 feet.
Erosion Control SEE CONDITION 3
Foundation Footing J ')iz 3 .
Footing Drains S — . /Z FIT
r
Foundation Stem Wall
Under Floor Framing
Straps(hold downs) — /, j
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing J-9_/Z l
Blocking
5 -9- lZ _'y
Airseal
Insulation:Walls V/2— lr-D�-17//J Insulation: Floors F 3�_ z f• C-Q/' 1
Insulation: Ceiling _)/_ / l' v S. I / /,
Int. Shear Wall Nailing 4412_,, 0.2,
Wallboard Nailing
Drywell/Alt Drainage • �/ l SEE CONDITIONS 1 &2
Address Posted / `��
Water Meter Inspection r.3; l Z_ /4-7)
FINAL INSPECTION Q 3- /Z_
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA11-00260
OJILDING PERMIT APPLICATION Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00342 Received Date: 12/22/2011
SITE ADDRESS: 581 WERNER RD
PORT LUDLOW, 98365
OWNER: SHIRLEY J CALKINS PHONE: 360-437-2508
500 JEFFERSON AVE
PORT LUDLOW WA 983659657
SUBDIVISION: Block: Lot: TX 29
PARCEL NUMBER: 821084011 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: MCCLANE CONSTRUCTION INC PHONE: 360-379-8245
PO BOX 7
PORT HADLOCK WA 98339
Contractor's License MCCLACI931 KJ Expires 9/10/2011
REPRESENTATIVE: MCCLANE CONSTRUCTION INC PHONE: 360-379-8245
JOHN MCCLANE
PO BOX 7
PROJECT DESCRIPTIOI NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,152
VALUATION 130,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
GARAGE:
CONST TYPE: DECK: 160 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 �� 2—Routing Date.
Type Amount Paid By: Date: Receipt: a to
Permit $1,161.75 LYK 12/22/11 131315 APPROV Er
Plan Check $755.14 LYK 12/22/11 131315 State Building Code $4.50 LYK 12/22/11 131315 FEE'
Potable Water Application $62.00 LYK 12/22/11 131315 Jefferson County Plannin&
Total: $1,983.39 & Building Department
• .
CONDITIONS for Building Permit# :BLD11-00342
1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
2.) DESIGN CRITERIA FOR SPLASHBLOCKS:
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH
SPLASHBLOCK.
A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE
DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS.
3.) CONSTRUCTION ENTRANCES•LL BE STABILIZED WHEREVER TRAF•WILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON "TIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
4.) The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology In Stream Flow Rule for that region. The parcel is located within
the Ludlow sub-basin in a designated Reserve Management Area; as such, conservation
standards per state regulations require the following:
1. A permit-exempt well serving an individual user shall not exceed a maximum of 500
gallons per day (gpd) or an annual average more than 350 gpd, for all permit-exempt uses
authorized under RCW 90.44.050. (WAC 173-517-120(1)(b))
2. A well serving a group domestic system shall not exceed a maximum use of 500
gallons per day (gpd) or an annual average more than 350 gpd, for each residence, and
shall not exceed a total use of 5,000 gpd for the group. The design and construction of
group domestic systems must be consistent with applicable state department of health
requirements and applicable Jefferson County or Clallam County requirements. (WAC
173-517-120(1)(c))
3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact
Ecology at 360-407-6300.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
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.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
11.) 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.
12.) Minimm setback from Werner Road right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
• •
lisON c04, JEFFERSON COUNTY
• } DEPARTMENT OF COMMUNITY DEVELOPMENT
h - ` `'4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
kq S O� www.co.jefferson.wa.us/commdevelopment
NOBS
Master Permit Application MLA: I (,` ;(d)
Project Description(include separate sheets as necessary):
Tax Parcel Number: •Z I 0 C)( ' Property Size: I r ik ►4 S (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s) of Record: 5' I4-t2Ley 0.-i4c-K/J5
Telephone: 44 331 — -OS. Fax: email:
yelling Address: S'UO r-f6K..s`Oti 1l f. rah, LtJDLv cJ
Applicant/Agent(if different from owner): (�,(-[!_....4 O � .77t.1/C-77' '-
Telephone: 31'' e2S 1 : email: Ra-K 'DS DC_Vbd,CO
Mailing Address: A 7 tar -Ceoc.. ?Y335
%Slat kind of Permit?(Check each box that applies 0 Lot or Road Segregation
uilding 0 Critical Areas Stewardship Plan __
❑ Demolition Permit 0 Variance(Mirpor, Major or R*.p_p4{pl cQrt7ip k st)
Single Family 0 Garage Attached/Detached ❑ Conditional Use[C(a� CKd)c;ot c't1 V I.-" I 1,
❑ Manufactured Home .0 Modular • - El Discretionaryi"D"bi ttnTrarned Use Classificatkin
❑ Commercial* ❑Special Use( ssential Public Facilities)**
❑ Change of Use El Boundary Line Adjustment
❑ Address 0 Road Approach_ 0 Short Plat** ; . J
❑Home Business 0 Cottage Industry 0 Binding Site Ian t i
❑ Propane ❑ Long Plat** ���f ��N COtll�{`(
❑Sign ❑ Planned •Rura Resident• r q n ,(PRRD)/Amehdments**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation ( "°' ''
❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use El 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
**Requires a Pre-Application Conference
----•Please-identify-any-other-local; state or federal permits-required for this proposal;if'known:"'"* —' *-"—`" -
DESIGNATION OF AGENT
4I hereby designate M8e1_4JL C",v6 . , to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ! r57.
��e/, Date: /c 2 -c26 -
By signing this application form,the ow er/agent attests that the information provided herein,and in any y 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 applicati n t at he•or she wants priorprior n ,e.
'Signature: y• cC _G/ .---- Date: /� —c'7-L
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-transfera e risponnssibility for herig nd co plying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
(Signature: _/L �—rc� Date: / r 7/
r%
• •
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::
MAILING ADDRESS: Po?, 1 / r E �` �� . EMAIL. !tDS O(YPt�►,Z 04
CONTRACTOR'S LICENSE WAINS
NUMBER: MLA 1cl-51 1(T NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
ANew Wood Existing: 0 G Sewer
❑ Addition C Steel Proposed: 2_ Bank ❑ Community System
❑ Alteration/Remodel C Concrete Total: -7-- Height: 0 Individual System
❑ Repair C Masonry SEP Permit# t 1-al _
C Demolition ❑ Other: Bedrooms: W ter Supply:
Existing: Setback: V Private well 0 Two Party
Type pf Heat: Proposed: _-- ❑ Public
`e Cam( Total: Z 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 FoodService? Yes / No '
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 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 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 [urrent Proposed For Office Use Only Amount . Revision
Main Floor Heated , 5 Z EH Bld App Review: 1--(�
2"tl Floor Heated Consistency Review: 13
___._.Ottser'HeatOd"`-.—...______.. _.._._ —.___.___..r __—..,.,.,.._—.....-Base fee:-_�___._-._.� 1 (0/ .15
Mezzanine Additional Section: t t
Heated Basement Plan Check fee: 4
Unheated Basement State Surcharge fee: j4.60
Other Unheated. Pot Water Review fee: /�
IW
Garage/Carport SUBTOTAL .D30 ^
Decks -��� 911/Rd Approach fee: Eta PI
Other n Fie W� IA) 0�
fioTOTAL: $-3 ,33
Receipt Number: ' 313t5
Cash/Check Number:
ESTIMATED COST(REQUIR DE y Date: �hh (
•Fair market value of all labor and materials foundation to finish 1Q-.;0.-(
/3o Oae Initials:
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