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Home My WebLink AboutBLD2012-00037 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#: BLD12-00037 SITE ADDRESS: 21 FOXFIELD DR Issue Date: 03/19/2012 PORT TOWNSEND, 98368 Final Date: 3/20/2013 APPLICANT: JOSEPH W NUTSFORD PHONE: 360-385-0521 JOEEN M NUTSFORD 21 FOXFIELD DR PORT TOWNSEND WA 983689524 SUBDIVISION: KALA POINT#1 Block: Lot: 1 PARCEL NUMBER: 964700001 Section: 34 Township: 30 N Range: 01 W PROJECT DESCRIPTION: UNHTD GARAGE ADDITION & 2ND FLOOR ADDITION & REMODEL TO EXISTING BATHROOM - BOTH ADDITIONS ON EXISTING COVERED PATIO SLABS 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 3/20/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 Jet.Serson County Building Milton Permit Num BLD12-00037 Applicant: NUTSFORD 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 r 14 It Erosion Control Foundation Footing L'-11)41) Footing Drains Foundation Stem Wall Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing ✓� - Framing — Blocking Wallboard Nailing y' -ZS- - /L r:r2 Drywell/Alt Drainage Address Posted (2_-itv3 ta.'7° /I ) vL �()a� i s,&)1`v;/rLL 5/1-3I C_ , FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR BLD12-00037 OUILDING PERMIT APPLICAON Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00037 Received Date: 2/9/2012 SITE ADDRESS: 21 FOXFIELD DR PORT TOWNSEND, 98368 OWNER: JOSEPH W NUTSFORD PHONE: 360-385-0521 JOEEN M NUTSFORD 21 FOXFIELD DR PORT TOWNSEND WA 983689524 KALA POINT#1 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 964700001 Section: 34 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2013 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTIOP UNHTD GARAGE ADDITION & 2ND FLOOR ADDITION & REMODEL TO EXISTING BATHROOM - BOTH ADDITIONS ON EXISTING COVERED PATIO SLABS TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 45,030.00 ADD'L: 163 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 256 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 37500 BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 — Total: 2 Total: 2 Routing Date: - Type Amount P By: Date: Receipt: Approved/Date Permit $603.35 LYK 02/09/12 131439 /\ P P R c\�//E r Plan Check $392.18 LYK 02/09/12 131439 �j State Building Code $4.50 LYK 02/09/12 131439 MAR lq 2012 Total: $1,000.03 Jefferson County Planning & Building Department 1:3 ' JEFFERSONItUNTY • ` DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax {49/3Ie,Sp www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA►: I Q Mgr 9 i l� Project Description(include separate sheets as necessary): rkr-ram,L: e. (zoo i.r- n-b u I n 1•J'4-10re Tax Parcel Number. q(p 4 '7 00 OO I Property Size: 2 2-1000 T. (acres/square feet) Site Address and/or Directions to Property: Z 1 t"u tat 4 Pr _ jo w � W( 49'36 P' Property Owner(s)of Record: JoE et JO E CN N LT` J20 Telephone: -216l) -- ��S'S — 0 S Fax: emai: Mailing Address: 2\ Fa3( 1-1EL() D21 v ' lbw NSE1, > (.t) A- 9 3 Applicant/Agent(if different from owner): .l✓Cd-Ef smell)S I/UG- t 7� Telephone: 1-if-C . -1 I S b Fax 3R S — 311 S email:r�5�1 !ehJ S O/ S . Nc{ Mailing Address: (ZQ_ • la ru L s— What kind of Permit?(Check each box that applies �8uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ❑Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CI"" ❑ Manufactured Home 0 Modular ❑Discretionary"D"or Unnamed Use Classification- O Commercial* 0 Special Use(Essential PubliGF ) '' - ❑ Change of Use ❑Boundary Line Adjustment L� v r ❑ Address 0 Road Approach ❑Short Plat"* i r ❑Home Business 0 Cottage Industry ❑Binding Site Plan** a Propane t-ANA.% kfrellat, 0 Long Plat" -r• ❑Sign 0 Planned Rural Residential Development(PRRD)/ ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration " ❑Stormwater Management 0 Shoreline Master Program Exem ' ❑Site Plan Approval Advance Determination(SPAAD)" ❑Shoreline Management Substantial,r , opment mFMT ❑Temporary Use 0 Shoreline Management Variance --------- ❑Wireless Telecommunication" ❑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 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 L. Z. S1il C:'t-f) /NG to act as my agent in matters relating to this application for permit(s). Nif9.avieL OWNER SIGNATURE Date: 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 theliicatign that he or she wants prior notice. Signature: tt \ Y 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 Stake"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-transferable responsibj for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Ilrf Signature: 3 J Date: G:\PamitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc . • BUILDER STATEMENT • The signer of this statement does hereby certify that they are theQlwners vftfie pa lroereferenced 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: k�utter S►+Ic ,' S I>✓G " :�bo) 355f�-11 >L., (�sb��) '3k5 -�t1j `ZJ� MAILING ADDRESS: Q t=1kA Pr - l2(2, pT.'T'JW 7� t Y Svn EMAIL: ci J// c.,/�t s , O ly 1 rr.&S, it e-f- CONTRACTOR'S LICENSE WAINS NUMBER: Y-t-LL`S l Go LF NUMBER ARCHITECT/ENGINEER: ,/,�-LC...4 SA-LC 1N CA PHONE ( ) FAX:( ) MAILING ADDRESS: �!"1.414) e- _ PI'-/I� pt _ "EW 1,Str ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New id Wood Existing: 'Z I Sewer 0 Addition i I Steel Proposed: v Bank r_7 Community System ❑ Alteration/Remodel u Concrete Total: '2— Height: &Individual System ❑ Repair ❑ Masonry SEP Permit# i t 4 7 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z- Setback: ❑ Private well ❑ Two Party Type of•Heat: Proposed: — ❑ Public C Total: ?� Name of System: e-/+c..rr J .3.2Tai. If this is a Commercial Protect 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: 12 s- L-X V '•/pdcf t Heat Stove 1 Cook Stove I Woodstove I Fireplace Insert of Water an k 1 Pellet Stove I Other Is this appliance being installed in a Manufactured I Mobile Home 'JCL: • 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. S•uare Foota• : Current ' • ••-: _ - Main Floor Heated `� s, EH Bid App Review 1 - i 2"°Floor Heated ,3 5 l b3 Consistency Review: q-0 I u n V I M Other Heated Base fee: �Vf L 7 Mezzanine Additional Section: -; F E B — 9 20' Heated Basement P• lan Check fee: 36y I$ I—J/ Unheated Basement -:4:, S• tate Surcharge fee: 1EI tE iSUN I:UUINIf I .1) COM Al r'!TY DEVELOPMENT Other Unheated - Pot Water Review fee: n Garage/Carport 4 ( I,`, 2�^�r' SUBTOTAL laq , Decks 911/Rd Approach fee: EX-usi-) Other ems; TOTAL: $ 1 ,g . 03 �� Receipt Number t3 ►439 vt, Cash/Check Number. ESTIMATED COST(REQUIRED) ; ;- Date: .Fair market value of all labor and m . to finish c -_- 1Stp'50 r Initials: i GApennaCenter\###FORMS###\DRD FORMS\Master Pemut Application 5-29-08.doc ,, . , • - NI, Newa--1 .4 P wt.,/ov s - plat) .u GTU R-e.S /44 ZS U ¢,gON coOJT S.,� JEFFERSON COUNTY • W ,a DEPARTMENT OF COMMUNITY DEVELOPMENT ti - ►C „ , 621 Sheridan Street • Port Townsend • Washington 98368 $s ,SO 360/379-4450 • 360/379-4451 Fax 87NG` http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# 0 PROJECT/APPLICANT NAME: i (cA DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormww�ter Site Plan is_required in conjunction with a stand-alone stormwater management permit application, building permit application, or dther.land'4eAti +,.• ICI f(r _t�ia. involves stormwater review. The basic information will also be helpful for completing a Stormwater Sitd at ifr,_�,;r&tl.v i'-, , I PARCEL SIZE(I.E.,SITE) . . Size of parcel q'� acres An acre contains 43,560 square feet. Multiply the acreage by this figure. --J) Size of parcel in square feet "ZZ o 0o s /ft • ( l' ( ;JTY Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry,salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2 1/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. � sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance C`�' . sq/ft Cut L Fill 0 (cu/yd) [over] • • • ti Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 0/0 Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater'Site Plan:' Yes No Stormwater talc worksheet—REV.11/3/2008 2 • • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE NEW EXISTING sq/ft Structures(all roof area) sq/ft Structures (all roof area) �Clc��c(� q Zi�� q Sidewalks `ten c-1 sq/ft Sidewalks I sq/ft Patios PP� sq/ft Patios 1 $l7 sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc 600 sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing 3.3o n 4 sq/ft TOTAL NEW+TOTAL EXISTING* 3� 5C)U sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 1.J$ Does the site have 35%or more of existing impervious surface? Circle: Yes Oslo FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the constrµction.phase_of the jPci P the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices BMPs,,Pa__ b t ' m' projects—those that must meet only Minimum Requirements #1 through #5—and for "large" `lir Jth a€"rdt5sst t all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template oil t water Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and f, u ittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. ., APPLICANT SIGNATURE` L=J By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that"the information'OitiViiiacl.hfirein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected propert . r---- .,141-'1''. 0 r 0 P.--12'C:).- -- lil (LANDOWNER OR AUTHORIZE REPRESENTATIVE SIGNATURE) (DATE) s !.4'^6 § . I� 3 ✓ E�� a ro � - aA �y��wti.� .' ){` ,1 ' � + X xw" ar4 Z��•. 7 _ r: i ;fl —,, , i.tN 4 . 5A s - + rS ' . i GE- C,tREDEVELOPMENTs_StormwatepSitePa e -> N o: - _„ , . FRO 11j17- L )1 FFE3 — 9 201? .11 LJ \utsforo Garage Mc ition JEFFERSON COUNTY /4" 1 DEPT OF COMMUNITY DEVELOPMENT 1 - ' 299 9 New Area 21' • • • • • • Veuse existing door • (,Lnh4-ct Kew Garace remove existing slab • 9 . • • xa • • • • 3-4 • • • leave existing wall • • • New GI-P • • /M./ /7/ iz ./7/// Remove existirq wAl F X i 5t-ing Garage I rk-:El\-- I11�1 FFB - 9 2012 JEFFERSON COUNTY HEFT.OF COMMUNITY DEV'EI OPMENT I -, I 1/4" - 1' I 163 5F New Area 131-7" t . 3/0- /0 Plc(475/temp) .... ...•e...♦_._._.♦,.........♦.....c..-........................ bl,do t17)1 P••• . ♦♦. dres,ice P E 6' dryIn �Cutd -in to exlstArq wall Ojetted tub 1-ttdf ,o: ♦• construct rev wA * 3 .. ♦. loss Had — .4.w :: the badr • /-—'7 -0 ', 6'-6" �/ a;: ♦ N N p�. tale shower S Extkw , ICut Asa in to nntarti wdi I I I 1 1 • 0 ?LA \or 'i EOffIELP F IVY I I I 20' 0 80' . pmperki�, Lob #I, Kala point 2iv, 441 Parcel #964700001 21 Foxfield 2rive N Port 1awnsend, WA 9868 Owner Joe and Joeen Nutsford 21 roxfield 2rive Port Townsend, WA 9868 `� � 360-385-0521 5W •Bathroom Addition 28'-0" Existinq Three BV House O —RI' O"— xistinq Garage Septic Tart: p fFB - 9 2012 0 (j Garage Add r 10'-9" • JEFFERSON COUNTY PT.OF COMM(iNITY DEVF I OPMFNT Existing 125 G.Prop TnkO 10'-9" Existing Tool Shed — 21' our Coventional 17rainfleld Lines 5' x 50' x 24" deep 25'-8' 0 • II)'