HomeMy WebLinkAboutBLD2012-00153 •
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 #: BLD12-00153
SITE ADDRESS: 1165 WOODLAND DR Issue Date: 07/3/2012
PORT TOWNSEND, 98368 Final Date: 12/17/2012
APPLICANT: FRANCIS P CAVALLERO PHONE: 360-385-0444
VICTORIA S CAVALLERO
1165 WOODLAND DR
PORT TOWNSEND WA 98368-2521
SUBDIVISION: WOODLAND HILLS NO 1 Block: Lot: 38
PARCEL NUMBER: 001275030 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: REC ROOM ADDITION TO EXISTING SFR
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 12/17/2012
\\tidemark\data\forms\F_BLD_Occupancy.rpt 12/17/2012
. efferson County Building Digion Permit Num. BLD12-00153
Applicant: CAVALLERO
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 11 Mtn
Erosion Control
Foundation Footing I,�„n •�{ thickened edge slab
Footing Drains `'Ur r F�
UndergroarPtarrttiFik
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing fly
Blocking
4,101-77— fri5
Airseal g- l�-
Insulation:Walls 3/, 10 L f
Insulation: Floors 1'-1 S2_I Z 1
Insulation: Ceiling - r�
114
Int. Shear Wall Nailing 1 1
Wallboard Nailing lJ - 2 ()-. 6,13
Heat/Chimney Clearance
Drywell/Alt Drainage u3k).)e (ZA Coy tit. 4 u c £ ,1
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
M
Review PERMIT APPLICAIN R 00105
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00153 Received Date: 5/9/2012
SITE ADDRESS: 1165 WOODLAND DR
PORT TOWNSEND, 98368
OWNER: FRANCIS P CAVALLERO PHONE: 360-385-0444
VICTORIA S CAVALLERO
1165 WOODLAND DR
PORT TOWNSEND WA 98368-2521 WOODLAND HILLS NO 1
SUBDIVISION: Block: Lot: 38
PARCEL NUMBER: 001275030 Section: 27 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 KELLESI150LF Expires 6/6/2013
REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156
DENNIS KELLEY (360) 385-3115
260 KALA POINT DR
PROJECT DESCRIPTIOF REC ROOM ADDITION TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 1,211
VALUATION 128,000.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 37500
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 4
Prop: 0 Prop: 0
Total: 3 Total: 4
Routing Date:
rt
lY
Type Amount Paid By: Date: Receipt:
Permit $1,150.55 LYK 05/09/12 131718
Plan Check $747.86 LYK 05/09/12 131718 J(�+L 3 2012
State Building Code $4.50 LYK 05/09/12 131718
Total: $1,902.91 Jefferson County Planning
& Building Department
• •
CONDITIONS for Building Permit# :BLD12-00153
1.) Final approval of SEP12-00055 is required prior to final approval of this building permit.
2.) 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.
3.) 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.
4.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
5.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS.
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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet (30') in
height from the finished grade. 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.
•
10.) 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.
11.) The building height is not to exceed 35 feet.
12.) Woodland Drive setback is 20 ft, rear setback is 5 ft, side setbacks should be no less than
5 ft.
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44 ' 0 JJEFFERS OUNTY
DEPARTMEN F COMMUNITY DEVELOPMENT
` 621 Srlend reet• Port Townsend •Washin ton 98368
9
360/379-:�4�4 E) 69/ .7 Fie
�IS�N���$ www.co!jeffa..T.i y( s/c�divelpiP nt
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MLA: l �
Master Permit Applic C;I`D
Project Description(include se crate sheets as necessary): I;
C da on i-c, xt - I_
Tax Parcel Number. 0 01---2 75.L0a0"11iU;IIY DEV!1.OPMENT Property Size: Five Acres (acres/square feet)
Site Address and/or Directions to Property:
1165 Woodland Drive, Port Townsend, 98368
Property Owner(s)of Record: Francis P Cavallero, Victoria S . Cavallero
Telephone: 3 6 0-3 8 5-0 4 4 4 Fax: 3 6 0-3 7 9-0 3 2 7 email: f o r ip t @me . c om
Mailing Address: 1165 Woodland Drive, Port Townsend, WA 98368
Applicant/Agent(if different from owner): ]CLeL,Le1 St//11s5 /A,C • L +Telephone: �f5— 1.1 5(e Fax: email: J51r1/e,)/.g d`// •
ttAttfoss MG Mailing Address: T.(o0 )411144 00 .-, pA, Ilar, —mow f,taw o 5g-a 6i
What kind of Permit?(Check each box that applies
❑Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address ❑Road Approach 0 Short Plat**
❑Home Business 0 Cottage Industry 0 Binding Site Plan**
❑Propane 0 Long Plat'"'
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed`Yes"Use Consistency Analysis ❑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 any other local, state or federal permits required for this proposal, if known:
1C4. L 1 '44/ 5 1 tic .
DESIGNATION OF AGENT
I hereby designate �� / to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE-2 -�,r,/ ! ,- _, CI`r-le // ,7„2_ ,7,4,7, 4'4__G Date: 04/2 7/2 012
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 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 hey or she wants prior notice. L 1 ,p
Signature '":c3�r,, .;�/ :2 nc-( ,.T' i�Gr.� 4/ice-.5-(/i�,i-�-C.e 0 Date: 04/2 7/2 012
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 respon ibil for adhering to and co plying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature•(-=.-c'-ri.r_,. /"��:,--� C' (.L>t‹, /7,.i/i_-_.___ •S`_ (i,/-dam c Date: 0 4/2 7/2 012
O\PerninCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners ofthhee 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:
14eu.es1 t50 LF (3br));SS-,i s(. ( )
MAILING ADDRESS: 1190 (4rei)- pr• 9.e. r(( IL Q EMAIL: d 341 ,iS @ (3/ v
CONTRACTOR'S LICENSE T^ � s' K
G,� WAINS
NUMBER:
-�l-C..ES I ° L F NUMBER
ARCHITECT/ENGINEER: I(-c_Lt et 'lifeuor I a)G. PHONE (360 )3S-.-_1 i FAX:('1&u ) 3 8-S`-•2,(I S
ProjectMA
Ty
pe:ADDRESS: 24.00 V t,A i-. Ow f t-. , EMAIL d SA 1 e/QS c!/�j N''p,.. . K L C
❑ New Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
iicWood Existing: 41./-_-- l Sewer
$ .Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: '3 yz Height* 5e Individual System
❑ Repair 0 Masonry SEP Permit# 475 -2 3 ,
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: 'S Set ck:
Type of Heap Proposed: ok-❑ Private well ❑ Two Party
N�nT v Tota�:I� !� I � Public
L�� V I r- . a of System: P U fl
I
li If this is a Commercial Prolect you must answer the following: i I 1
Number of Parking Spaces: Current Proposed: j I r'' I M,4'Number of ADA Pa i Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current,L f Propos
IBC Occupancy: IBC Type of construction: I • "I Will fou.have.l ood_Selrvice? Yes / No _ .
If this is a Propane Tank and/or Appliance Installation permit.mark all i n s t f I iy:
Underground Tank I Above ground Tank Size of1Propane ink.
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.
-Ira
Square Footage Current Proposed F�:F/�,I, >< _ ?d �" f t ,
Main Floor Heated :.,,1 ,, :,,��,�, •- �' • � f `-`.;Amount � Klslo� �'�.. 4 ,�
/'� x , EH Bid App Review:
CP,SDZ It/� 1\ t ' ��jx k G--r. r
2rc Floor Heated C� 1 h� IL
Consistency Review:
Other Heated : >r 4-JA Base fee:
4.t .-:x 1 l SO •
•
Mezzanine L `;'t,,j} Additional Section:
ro Aa V r.�'T _
Heated Basement �- ...- Plan Check fee:
Unheated Basement °,t ' ,� �o~
\ -..;., i�,: State Surcharge fee:
Other Unheated _ Pot Water Review fee:
Ek_tST/
Garage/Carport .-r: SUBTOTAL
„Al , "
Decks v 911/Rd Approach fee:
�C.lST1
Other °j TOTAL:
Receipt Number: I 1 l
4 `
ESTIMATED COST Cash/Check Number: O
(REQUIRED) a l t I
�f 28 P D,0 Date:•Fair market value of all labor and materials foundation to finish —.'"- '_
Initials: ' '
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