HomeMy WebLinkAboutBLD2011-00343 • •
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#: BLD11-00343
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: NEW DETACHED GARAGE - UNHTD, 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 8/31/2012
\\tidemark\data\forms\F_BLD_Occu pa ncy.rpt 9/6/2012
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Jefferson County Building Division Permit Num BLD11-00343
Applicant: CALKINS
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 / ) 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 --2,/
Footing Drains
Foundation Stem Wall
Straps(hold downs)
Ext. Shear Wall Nailing
Framing _l, /2
Blocking
Wallboard Nailing -7134 t 2
Drywell/Alt Drainage s- 7/73 SEE CONDITIONS I &2
Drywell/Alt Drainage
Address Posted
`r Sert ( -7 -1 Z— /4-0
U/0 / ► 15 -CAA— pp
FINAL INSPECTION S- ?/-7? 7Z/1)
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA11-00260
•UILDING PERMIT APPLICA•N Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00343 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 MCCLACI931KJ Expires 9/10/2011
REPRESENTATIVE: MCCLANE CONSTRUCTION INC PHONE: 360-379-8245
JOHN MCCLANE
PO BOX 7
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 20,000.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exi
Prop: 0 (ProP: 0
Total: 0 Total: 0
Routing Date:
13t-a0--t
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $321.25 LYK 12/22/11 131315
Plan Check $208.81 LYK 12/22/11 131315 APPROVE
State Building Code $4.50 LYK 12/22/11 131315
Total: $534.56 FEB° 1
Jefferson County Planning
& Building Department
• •
CONDITIONS for Building Permit# :BLD11-00343
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 SPLASH BLOCKS:
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•ALL BE STABILIZED WHEREVER TRAFI*NILL
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 STIE.
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.) 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.) 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.
9.) 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.
10.) Minimm setback from Werner Road right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
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JEFFERSON COUNTY k.co I , ,,
DFPT.OF COMMUNITY DEVELOPMENT- .-- 90
GA 44 * ': ( repo,
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�w-%°N Q JEFFERSOIPOUNTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
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"" `� 621 Sheridan Street Port Townsend • Washington 98368
360/379-4450 S.
360/379-4451 Fax
kq p� www.co.jefferson.wa.us/commdevelopment
.timcl
Master Permit Application MLA: I t✓O V
Project Descrip'on (include separate sj ets as necessary):
Nerd ltdio cL ( - u n h+d , r n P im
Tax Parcel Number: n 2/ egg 00 Property Size: / `f 7 (acres/ quare feet)
Site Address and/or Directions to Property:
5f5 1 tiL) _ laiJ6_,c_ (7_6Q.
Property Owner(s) of Record: S/1-ii Kw
/ 0 4- /
e
Telephone: / 31 "Z3D1 Fax: email:
Mailing Address: $ZtQ.Q fie/=/=E4L OAJ *tl f- . /• L (,/PL.d (- )
,,.-Applicant/Agent(if different from owner): tAe.(o_r_AN E et): et-)STi
'telephone: 31 S 7S Fax: email:12.7k SCR cysi.PeiJICC)'-4
Mailing Address: 1°0 3 7 1O L ) -0 6cx_/c /fj 3`7
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building 0 Critical Areas Stewardship Plan
Demolition Permit 0 Variance(M inor,ivtajr __ I _ m_i9 Use)
❑ Single Family ,)1 Garage Attache• /Detaches 0 Conditional`Use (1�(a , Ii* L_ ' 1 i ` ,t I
❑ Manufactured Home .0 ModularD, 1.- 0 Discretionaiy" ""car - assi 1 t or' 1
❑ Commercial* 0 Special USE (Esddntial Public Facilities)**
❑ Change of Use 0 Boundary L ne Adjustment L. L
❑ Address 0 Road Approach 0 Short Plat*
❑ Home Business 0 Cottage Industry 0 Binding Site Plant** J
❑ Propane 0 Long Plat** i— —
•
❑Sign • 0 Planned Ru•ai Residentll'L5evelb 'rt�Oit(PD)/A endments**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacatio)/AIteittrolt"�"`": ----
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use 0 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 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
I hereby designate Het(--OWE CO#ST ittJLTi rat to act as my agent in matters relating to this application for permit(s).
/ OWNER SIGNATURE •satUL26-, Q . LZ/ - t- Date: / , _a p - / /
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 applicati t t he o she wantf prior no,e.
Signature: !.• ��� Date: / -62e9 -/ /
2-� 1��C !/ U
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-transferabl respon lbility for herig t .nd com lying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 1 .^. 62 ---iii> Date: /v2 _( 2& //
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• •
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:
/10-6-C—A—zJ i_ ti S 7 /2J)c r,o'YL. ( %J 3 2,t ( )
MAILING ADDRESS: f3ej 7 P . ,fL_t)�c EMAIL: ,2r JS(p ll/L/L_^ ,1 cCAA
CONTRACTOR'S LICENSE r7�� WAINS C/�-7I�/�
NUMBER: / G'4c 1 ct3I K,-1 NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX:( )
MAILING ADDRESS: EMAIL
,,Project Type: Fame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
\ Newi Wood Existing: "S' I] Sewer
❑,Addition U Steel Proposed: Bank ❑ Community System
Alteration/Remodel ❑ Concrete Total: £2- Height: ❑ Individual System
0 Repair 0 Masonry SEP Permit# I I-al _
Bedrooms: Supply:
❑ Demolition ❑ Other: Water
Existing: Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: ❑ Public
l,l.nhi-c - Total:
Name of System:f1D'P14Y1,e,
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 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 Current Proposed For Office Use Only`- Amount Revision
Main Floor Heated EH Bld App Review: .
(Li 2._
2"3 Floor Heated Consistency Review: M
_'___Otha'f`Hsated -.__— • w '� 1='?. .r.
-Base fee--------- - _ _ ___.___........ ...,..�
• a� a5
Mezzanine Additional Section:
Heated Basement Plan Check fee: c2C G
Unheated Basement State Surcharge fee: O
Other Unheated' Pot Water Review fee: Po rna
Garage/Carport / Id
SUBTOTAL
Decks 911/Rd Approach fee:
ef4P-'
Other TOTAL: $ 534,
Receipt Number: I-315i 5
- Cash/Check Number:
ESTIMATED COST(REQUIRED) Date:
•Fair market value of all labor and aterials foundation to finish I,Z ZZ-1
dOG) Initials: _ —
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