HomeMy WebLinkAboutBLD2012-00144 akUILDING PERMIT APPLICA•N ReA 0 Type:ew 099
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00144 Received Date: 5/7/2012
SITE ADDRESS: 60 PINTO LN
BRINNON, 98320
OWNER: MICHAEL S SNEDDON PHONE: 360-796-4560
PO BOX 327
BRINNON WA 98320-0327
LAZY C RANCH DIV 1
SUBDIVISION: Block: Lot: 84
PARCEL NUMBER: 966900077 Section: 34 Township: 26 N Range: 02 W
CONTRACTOR: TK DESIGN BUILD PHONE: 425-785-1246
PO BOX 3385
BELLEVUE WA 98009
Contractor's License TKDESSB915N8 Expires 8/28/2013
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,006
VALUATION 218,262.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 808 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 02676
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 l Ts�tal---2
RouUtnq Dat r --_
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,660.15 LYK 05/07/12 131699 APPROVFr
Plan Check $1,079.10 LYK 05/07/12 131699
State Building Code $4.50 LYK 05/07/12 131699 JULZ3I�
Total: $2,743.75 Jefferson County Planni4
& Building Department
Jefferson County Building Division Permit Number: BLD12-00144
Applicant: SNEDDON
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
Erosion Control
Foundation Footing
Footing Drains
Foundation Stem Wall
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Shower Pan
Framing
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Duct Test Cert
Blower Airtight Test
Smoke&CO2
Drywell/Alt Drainage
Address Posted niry ,n „r(��
• •
antil PIA_ 10 ft:1'Z
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00144
1.) Need final approval of SEP12-00048 befor final of this BLD
2.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor
and submitted with the application. The Certificate identified the base flood elevation of
66.5 feet. The lowest floor of the structure is required to be elevated at least one (1) foot
above base flood elevation or 67.5 feet. PRIOR TO FINAL BUILDING INSPECTION,
PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED"
CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY
A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO
CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON.
3.) Flood hazard reduction measures are to be used as required by the Jefferson County
Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15).
4.) Construction Materials and Methods of Construction to Reduce Flood Hazard
(i) All new construction and substantial improvements shall be constructed with materials
and utility equipment resistant to flood damage.
(ii)All new construction and substantial improvements shall be constructed using methods
and practices that minimize flood damage.
(iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other
service facilities shall be designed and/or otherwise elevated or located so as to prevent
water from entering or accumulating within the components during conditions of flooding.
Locating such equipment below the base flood elevation may cause annual flood
insurance premiums to be increased.
5.) New construction and substantial improvement of any residential structure shall have the
lowest floor, including basement, elevated one foot or more above the base flood
elevation (BFE).
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 adhere to the Best Management Practices (BMPs) 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.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) Not more than 2 unlicensed vehiclihall be stored on any lot unless totally scribed
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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Builiding setback from Pinto Lane is no less than 20 feet. Side and rear setbacks are no
less than 5 feet.
13.) The building height is not to exceed 35 feet.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
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c06, JEFFERSG COUNTY
W DEPARTMENT OF COMMUNITY DEVELOPMENT
• F4 621 Sheridan Street• Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
�`SkINCs�S
Master Permit Application MLA: I c
CC1
Project Description(include separate sheets as necessary):
Nowt
Tax Parcel , Property
Number. (p Svc, .
U 1 r 96,61 U(} Size: %() 3 (acres/square feet)
Site Address and/or Directions to Property:
jjo 1 i,Jry ue 2i„i,tio ,.f K.)/{A 83rZn
Property Owner(s)of Record: Y /C1-// rL .S <5 N0-1)D 0Aj
Telephone: ?v 796a yj 6 0 Fax: email: jF-12.j&rrt'l K `1!AcH sc'
Mailing Address: Pe f:=K 5,2 7 lie/i..1.'V O J `A Z) 7e 3.2 cT
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies
uilding ❑Variance(Minor, Major or Reasonable Economic Use)
Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
,li(Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)**
O Commercial* ❑Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
O Address ❑Road Approach ❑Binding Site Plan**
❑Home Business ❑Cottagelndustry ❑Long Plat**
❑ Propane ❑Planned Ru(al-Fs.seaitemor}t/( D -nendments**
❑Sign ❑Plat Vacatioti/ [J V
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline MaSte -gram Exemption/Permit Revi ens**
0 Stormwater Management 0 Shoreline Management Substantial Development
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Marha erpen4F��a� riance 7 ;I�;j
❑Temporary Use 0 Comprehensive t lan/UDC/Land lise'DiStrict MEtp endment
0 Wireless Telecommunication* ❑Jefferson Ccujtylporeline Master Program Ai ment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegeta on Request
*May require a Pre—Application Conference **Requires a Pre- p KAVWJnce
Please identify any other local,state or federal permits required for this 1 " 1 I',' 'I ' D:'ELOPMENT
DESIGNATION OF AGENT
I hereby designate 1 rtelf 4L14C 7- to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE t Date: 2 (),"f 1�)
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 it's 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 attomey'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 wan prior no• 11
Signature: —7 Date: 3 el
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-transferable responsibility for dhe to and complyi g 'h the ESA. The Applicant has read this disclaimer� and signs and dates it below.
Signature: "� Date: 3C/ �./
C:\llocuments and Settings\caral\Local Settings\'I'empontry Internet Files\OLKI46\Master Permit Application 12-19-2006.doc
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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 responsi 'ity of the eral project ctor for the proposed
Signature: ,rev/ Date: V Z
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
TX D E5)6i ) ( k..)1I—p H151 BI8O95'f ( )
MAILING ADDRESS: y ,&f Rs`R t r ph r�/�r/ /54.t N,uc v .c.4 EMAIL: - t<D'S i u,v r4V i L o 0.3 6.1 yvi A-i L, Wmm
CONTRACTOR'S LICENSE `i 9;3 2li WAINS..
—
NUMBER: "'�" <:De�?0SOI. 15 /\'8 NUMBER fj I S l 00 {) —v -.
ARCHITECT/ENGINEER: 1"1�\� r ,..)�,� t 21 N PHONE (1-01 .0 7)C 335- AAx:( )
MAILING ADDRESS: Ft) f i�K ...1U I M �,N...) /A c7 �� EMAIL H o,,,,,� J U �J h „ t r t1& fT
Project Type: s Frame Type: Bathrooms:C [, Shoreline: Type of Sewage Disposal:
New Wood Existing: Sewer
ddition Steel Proposed: d Bank Community System
-: Alteration/Remodel Concrete Total: a) Height: ' jndividual System
Repair Masonry SEP Permit#
Demolition Other: Bedrooms: Water Supply:
Existing: -' Setback: ii Private well _ Two Party
Tye of Heat: Proposed: „ Public
F s.A, E-Le-L Total: Name of System: 5'C
HE'T iPti+n'‘p l.AZy
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 Fo Se Y�
If this is a Propane Tank andlor Appliance Installation permit,mark all items below that ap0l `� u v I--_
❑Underground Tank In Above ground Tank Size of Propane Tank: ' I I
❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove ❑Outer
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,al ' arty
lines,tank location and size,distances from the propane tank to all property lines,bu(Iding �rstem-eomf onents,
F'
including the reserve area. I lE Ef;SO CCUNTY
1 DLI.Ut CUMMUN IY DLI'LLOPNMENT
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated c�EH Bld App Review.
2nd Floor Heated Consistency Review
,ca
Other Heated _ Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated ✓, Pot Water Review fee: P 1"" ti p� Dt7
Garage/Carport SUBTOTAL A
3 u LI I
Decks 911/Rd Approach fee:
S i 3(0 6 D .T.I
Other fac“Itp
5 30S • U qia TOTAL: $ (4,1 ,73
Receipt Number: (D) 1 (Ogg
Cash/Check Number: (O�
ZtS2A
ESTIMATED COST(REQUIRED) Date: -1
Fair market value of all labor and materials foundation to finish --C�
CS� Initials: --ir�� —"
/
C:\Documents and Settings\caral\Local Settings\'Temporary Internet Files\OI,K86\Master Permit Application I2-19-2006.doc
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SNEDDON BLD12-144
60 PINTO LN MLA12-99
Approvals Req'd Prior
to Final Inspection
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