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HomeMy WebLinkAboutBLD2012-00090 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 #: BLD12-00090 SITE ADDRESS: 2070 DABOB POST OFC RD Issue Date: 07/11/2012 QUILCENE, 98376 Final Date: 5/14/2013 APPLICANT: JESSICA GOSSETTE PHONE: 360-765-3319 JEROME J GOSSETTE 2070 DABOB POST OFFICE RD QUILCENE WA 98376-9718 SUBDIVISION: Block: Lot: TX 8+ PARCEL NUMBER: 701091002 Section: 9 Township: 27 N Range: 01 W PROJECT DESCRIPTION: 2ND STORY DECK & REAR PORCH REPLACEMENT W/O PERMITS - THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes t THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/14/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 5/16/2013 tILDING PERMIT APPLICA1N Review 00058 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00090 Received Date: 3/20/2012 SITE ADDRESS: 2070 DABOB POST OFC RD __,-- QUILCENE, 98376 OWNER: JESSICA GOSSETTE PHONE: 360-765-3319 JEROME J GOSSETTE 2070 DABOB POST OFFICE RD QUILCENE WA 98376-9718 SUBDIVISION: Block: Lot: TX 8+ PARCEL NUMBER: 701091002 Section: 9 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr 2ND STORY DECK & REAR PORCH REPLACEMENT W/O PERMITS - SEE COM11-126 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 12,981.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 478 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: 3-20-12 Type Amount Paid By: Date:- Receipt: Approved/Date Permit $223.25 LYK 03/20/12 131558 APPROVED Plan Check $145.11 LYK 03/20/12 131558 State Building Code $4.50 LYK 03/20/12 131558 JUL ( 2012 Total: $372.86 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD12-00090 1.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehiciOshall be stored on any lot unless totally sted from view of neighboring dwellings and rights-of-way. Such screening shall mee 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. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) 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. 13.) 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. 14.) Minimum setback from Dabob Post Office Road right-of-way shall be 20 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum setback from shoreline Ordinary High Water Mark shall be 155 feet(site plan shows 420 foot setback). 15.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. \\tiriemark\riata\fnrmc\F RI fl Parmit Rlrin rnt 7/11/9f117 • -fferson County Building Division Permit Nur, BLD12-00090 Applicant: GOSSETTE 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 Minimum setback from Dabob Post Office Road right-of-way shall be 20 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum setback from shoreline Ordinary High Water Mark shall be 155 feet(site plan shows 420 foot setback). Foundation Footing Framing FINAL INSPECTION Il�il� n,� 0�r ���� .1 \ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR c & JEFFERSOAUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT S- nilik"- " '1"N ` r4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax k� p'v www.co.jefferson.wa.us/commdevelopment RING Master Permit Application MLA: l () --5p Project Description(include separate sheets as necessary): Tax Parcel Number: -7 0 I O I (00 s-- Property Size: /fi n 5/ (acres/square feet) Site Address nd/or Directions to Property: ^� r cO-IO ( PoST C co- Property Owner(s)of Record: .J t RC'► i E 4- -5 F S S I c' GOS S e_77 _ Telephone: 3(4-7CoS-331`1 Fax: email:c .c ciN3t.,11-7k6P y;9ikc.cerr Mailing Address: 62C7C Dft'a P.O. ,2,06/ 6oLcen)C Wfi `/$37ec Applicant/Agent(if different from owner): Telephone: Fax: m r -�Mailing Address: ` 1- " What kind of Permit? (Check each box that applies 0 Lot or Road Seg egation I �f Building ❑Critical Areas Stewardship PIafl 2 r, Demolition Permit 0 Variance(Minor, Major or Reasonable Economic s) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Usel[O(4,1C(d),or CI** ❑ Manufactured Home .0 Modular - 0 Discretionary" or Unnam tiur� ❑ Commercial* 0 Special Use(E senti lrP-�u�l a tI J r,,rl op ,ENT ❑ Change of Use 0 Boundary Line JJAAAdjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** O Propane ❑Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ 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* 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 arty-otherlocat;state-orfederat-permits regaired-forthis-proposal, if krruwn: A2)49_, DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). 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 the application that he or she wants prior notice. ,yi r_.. ,7�,.� I Signature: .( vi..�- L",��1. Date: �� 7- . The action or actions Applicant will undertake as a res t 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-transferable responsibility for a herig to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: N� v4 Date: • • 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 th responsibility of the General ontractor for the proposed project. Signature: tc t,4Ct- r ...`t / '!_t. Date: l 7 - GENERAL CONTRA OR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL.: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: LNew X Wood Existing: ❑ Sewer 0 Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Height: )If Individual System O Repair 0 Masonry SEP Permit#`): k' /E t,till O Demolition 0 Other: Bedrooms: Water Supply: Existing: ____54_ Setback: 0 Private well ❑ Two Party Type of Heat: Proposed: 0 Public Total: 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 Seniice? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 Bid App Review: // __ } �w 2nd Floor Heated Consistency Review: 22,2. Other Heated' base tee: -2 23 - Mezzanine Additional Section: Heated Basement Plan Check fee: 4/5T / • Unheated Basement State Surcharge fee: Other Unheated. Pot Water Review fee: Garage/Carport SUBTOTAL G7d •g Decks \ Ut�` [ii ) ��� 911/Rd Approach fee: — Other TOTAL: $ j o70 .00 • Receipt Number: Il55' /"` Cash/Check Number: $ a7------------- ESTIMATED COST( ER QUIRED) Date: �:_,.-- --3�C�.� •Fair market value of a I labor and materials foundation to ish ' 9 - ' - 00 Initials: ",- .,-_ uuucnn,,Rc4 4444\nDn w°\t6�.(c\('... nnn R.....,A NI Do....,:.A....I:,-,,.:,...c_i0_ng-r.,,- k 7 0 tft uj m ; . fin ! -!- ' �Z A 3 1-4 ▪ -o > n m - ` a r) � . -ram fil \4.--1 �—` ®o c-, m T.. I I ill 00 C1,) \ m 0 H 11 � :a( ,, i 7 _ m „m -0 o Era 1/ _ z O • n oQ to Lr\ ---,I' g� t� o ass 30� f- ti j - - �'� 0 1, �' ...4 7 w in ., 1 1 1 C\ er ti o c' 'i / a i 1� m r- (.7.m r Tri 1. -C. :� ,� ij r.N0 ril o U I gip ` �' I �� , �_ c�co1 IT 0 70 1 N..) / ...Z. 7; .--i:: \ fr! --.7 i 00 / 1 k" t3= m I 'Z. -------- 7-----------.........,7 )\.; (CD© / coI0. Z T -if 'n o GSI-ll i rn 1 C... ! 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