HomeMy WebLinkAboutBLD2012-00108 • •
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 #: BLD12-00108
SITE ADDRESS: 223 RAINSHADOW DR Issue Date: 05/14/2012
PORT TOWNSEND, 98368 Final Date: 10/29/2012
APPLICANT: MICHAEL J AKERS PHONE: 360-379-2550
CAROL LAKERS
3333 ALLEN PKWY UNIT 1505
HOUSTON TX 77019-1843
SUBDIVISION: Block: Lot: T11
PARCEL NUMBER: 101324010 Section: 32 Township: 31 N Range: 01 W
PROJECT DESCRIPTION: NEW 2ND STORY ADDITION OVER EXISTING GARAGE
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 10/29/2012
\\tidemark\data\forms\F_BLD_Occu pancy.rpt 10/30/2012
• BLD12-00108
BUILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00108 Received Date: 4/3/2012
SITE ADDRESS: 223 RAINSHADOW DR
PORT TOWNSEND, 98368
OWNER: MICHAEL J AKERS PHONE:
CAROL L AKERS
3333 ALLEN PKWY UNIT 1505
HOUSTON TX 770191843
SUBDIVISION: Block: Lot: T11
PARCEL NUMBER: 101324010 Section: 32 Township: 31 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 DESCRIPTIOr NEW 2ND STORY ADDITION OVER EXISTING GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 1,418
VALUATION 150,000.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 69000
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 4
Prop: 1 Prop: 1
Total: 4 Total: 5
Routing Date:
Type mown aid Bv: Date: Receipt: APPROVEDPermit $1,273.75 LYK 04/03/12 131604
Plan Check $827.94 LYK 04/03/12 131604 MAY 14 2012
State Building Code $4.50 LYK 04/03/12 131604
Total: $2,106.19 Jefferson County Planning
& Building Department
Jefferson County Building Digion Permit Num BLD12-00108
Applicant: AKERS
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 L
Under Floor Framing SAG'I (110� ._ �`� o� - ~Z 4 —•
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
il"1 I
Airseal '117 I L.-
Insulation: Walls -2:3 I Z
Insulation: Floors
23 17,
Insulation: Ceiling 'j I) 3I 1 Z V 4
Wallboard Nailing 2-.L 7-7 z_ 17-�3
Smoke&CO2 `'\
rg it re?
FINAL INSPECTION I Q ��j Z
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00108
1.) The proposal was reviewed for consistency with the Shoreline Management Master
Program Section (JCC 18.25.090 (5)) and found to be consistent. The proposal is a
second story addition to an existing single-family residence. The entire addition is within
the existing footprint and no additional impervious surface will be created. The addition is
outside of the Fish and Wildlife Habitat Conservation Area Buffer.
a
(44 NVC JEFFERSON' OUNTY
`�1 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend•Washington 98368
R >>. . 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
'S'BINC
Master Permit Application MLA: Nb m LA
Project Description(include separate sheets as necessary):
Oct\LC C-2,tDR0pl+n 11N+'i"}‘ j'A Up Lii p4.1 )V ea C X I S7/ 4A(l ''i
Tax Parcel Number. 10 1 3 2.4 01 D Property Size: 4 1 (acres/square feet)
Site Address and/or Directions to Property:
Z 2?) Pia►NSI 61,J 14a. , t r . 'OrA-15 .Y--b` 1/44 cia3(a$
Property Owner(s)of Record: G ARPL 4 w►t L H74'EL Rio iir2S
Telephone: "Moll ll • 3 '1 - 2 SIP Fat email:
Mailing Address: 22:7 it24/iJ SA&IPOW 1,4. . Pr. TDvd)-•S1cr-to 'A ` 0 34
Applicant/Agent(If different from~sr): kL LL.E`t Shil elD C /N d-
Telephone: 'CaO ' 34k5- 115 L Fax email:cJ 44i1►Gil dS e obiimp v
Mailing Address: 2(-/0 Y-efr-A Pr DA , -roko,-,Se-!),.._ivA 9 9 3lagr
What kind of Permit?(Check each box that applies
[]Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit El Variance(Minor,Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),_or CJ'*_._.__ —.
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unna � :_ l� r'
❑ Commercial* 0 Special Use(Essential Public L' V
❑ Change of Use ❑Boundary Line Adjustment 1
O Address ❑Road Approach ❑Short Plat" ` r
❑Home Business 0 Cottage Industry ❑Binding Site Plan** n I I A-
❑Propane ❑Long Plat , ,
❑Sign 0 Planned Rural Residential Devretoprnent(PRRDY
❑Allowed`Yes"Use Consistency Analysis ❑Plat Vacation/Alteration*" I _ ---
❑Stormwater Management 0 Shoreline Master Program Ex evisfl s*'
❑Site Plan Approval Advance Determination(SPAAD)' ❑Shoreline Management Substantial O'eiejopinent""!ELOPMENT •
❑Temporary Use ❑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 ❑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 /-LLei /;l 0-01 /l'C . to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE i i , may 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 appf "on that h she/ nts prior notice.
Signature: Date: 4 - -- t 7--
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-transfer�ple ibility forhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 1,.�� Date: ' - Z- i 7—
G:\PematCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
III III
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:
12--e t cvl-t I t✓p S )N C., ( ) 3 5-1 I ( ibU) 2,4s 5 - 31 I S
MAILING ADDRESS: 26 /> (4) Pi V i,; 19t _ =i -36g EMAIL d s i i el d S e O l Y rn`Ov5• Ne
CONTRACTOR'S LICENSE WAINS
NUMBER: KtLLt.S.T- I S)L.c3 NUMBER
ARCHITECT/ENGINEER: veLL.01 ^Hi 64.,0C f NL. PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: 11 Shoreline: Type of Sewage Disposal:
U New Wood Existing: 31 Z l Sewer
Id Addition � Steel Proposed: I Bank 1-1 t' Li Community System
-i Alteration/Remodel ❑ Concrete Total: 1- -z.. Height: 0'Individual System
11 Repair ❑ Masonry SEP Permit# 0(p-60 2 74-
Bedrooms:Demolition ❑ Other: Water Supply:Existing: 3 Setback: a Private well 0 Two Party
Type of Heat Proposed: _1/— ij Public
Total: Name of System: FL)P
Y1-1- C[fi
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parting Spaces:
Number of occupants(indudes owners,tenants,employees,etc) Current l
IBC Occupancy: IBC Type of construction: Will you have F k
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that appj
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 Slow'! I Other J
Is this appliance being installed in a Manufactured!Mobile Home? Yes / No I I,-! L
_J
When applying for a permit to install a propane tank you must also submit a site plan showing air of I-property
lines,tank location and size,distances from the propane tank to all property lines,buildings a ppoortnents,
including the reserve area.
PI.OF IUNITYDEVELDPMENT j
S•uare Foota•e Current P •.•-- . _z _ �,d _
Main Floor Heated EH BId App Review:
2m Floor Heated 5' d „l Consistency Review: 1
9 2-0 etl a
Other Heated _ Base fee: I a`73 -I5
Mezzanine Additional Section:
Heated Basement Plan Check fee: Q a� Cl
Unheated Basement State Surcharge fee: `1
Other Unheated Pot Water Review fee:
Ext s 1 1061
Garage/Carport SUBTOTAL
Decks A
4- -' 911/Rd Approach fee:
Extsltxl
Other 9tt'S TOTAL: $ ' a0 I -I
Receipt Number. ( 3) Lo Ol1
,, Cash/Check Number. O O
ESTIMATED COST(REQUIRED) 4, 50 oco Date: _� L2
'Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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,�w °N i JEFFERSON COUNTY
`�11 DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368 1, I U V
1 [19
'4Na�ti' 360/379-4450 • 360/379-4451 Fax L/
http://www.co.jefferson.wa.us/commdevelopment/ 1
1 ?
� APR — 3 2012
bii 1
Stormwater Calculation Worksheet JEFFERSON COUNTY
niPT OF C(^WUNITY DFVFLOPMEGT
MLA# PROJECT/APPLICANT NAME: t 14-e 1ZS /4-DD ill D'v
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 Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel 4+ acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
cs
Size of parcel in square feet I-70/ O Oo sq/ft
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%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 / sq/ft Cut ` Fill (cu/yd)
[over]
stormwater calc worksheet—REV.2/20/2008 1
• •
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. C� F n n r-
STORMWATER CALULATIONS—IMPERVIOUS S, #CE
NEW EXISTING I I I APR - 3 2012
Structures(all roof area) a sq/ft Structures(all roof area)_, >
JEFFERS COUNTY
Sidewalks i sq/ft Sidewalks (_ DFPT.0
Patios r 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 i sq/ft Other sq/ft
Total New 0 sq/ft Total Existing d4rdr) sq/ft
TOTAL NEW+TOTAL EXISTING* 4rtE10 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: 3 %
Does the site have 35%or more of existing impervious surface? Circle: Yes ( )
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
pets f the affected pro
! ..A,06.03,
vp rrr ‘41 z 1Z_.
(LANDOWNER OR AUTHO ED ATIVE SIGNATURE) (DATE)
i
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stormwater calk worksheet—REV.2202008 2
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