HomeMy WebLinkAboutBLD2012-00160 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 #: BLD12-00160
SITE ADDRESS: 271 GUSTAVSEN RD Issue Date: 07/23/2012
QUILCENE, 98376 Final Date:
APPLICANT: BINDSCHADLER TRUSTEE ELIZABETH PHONE: 240-568-3085
E K BINDSCHADLER TRUST
271 GUSTAVSON RD
QUILCENE WA 98376
SUBDIVISION: GUSTAVSON(RED BLUFF)SHORT PLAT Block: Lot: 3
PARCEL NUMBER: 601061014 Section: 6 Township: 26 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 250 GAL PROP TANK
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 03
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Jefferson County Building Di/ton Permit Num BLD12-00160
licant:
BUILDING PERMIT INSPECTION APPROVALS Applicab epCode: 2009 International Bui di g 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 Z.• ,1Z? , J�
Erosion Control
Foundation Footing CO/ 2_ -le- 11t'R_lC - evrn,e l ac
Footing Drains 1-7
Foundation Stem Wall tot),bp Fi‘
Underground Plumbing
Under Floor Framing
Straps(hold downs)
h)
Ext. Shear Wall Nailing •1.���111‘61.
Rough-in Plumbing ek_n p
Shower Pan �l
Framing
S-22 -1 t-f3
Blocking
Airseal l0(•r /i (/
Insulation:Walls
Insulation:Floors .: - 1- —C -t u
Insulation: Ceiling ofc a
Int. Shear Wall Nailing & [ �
Wallboard Nailing l
Gas Line: InteriorQ
Gas Line: Exterior
Propane Tank V
( -3 C-• •
'uuct lesT(;ert
Smoke&CO2 --�
Drywell/Alt Drainage 2�(?j Fls
Address Posted 9-1):--[27 "r)
Water Meter Inspection
• •
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00160
1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology In-Stream Flow Rule for that region. The parcel is located within
the Bolton sub-basin in a designated Coastal Management Area; as such, state
regulations require the following:
1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology
at 360-407-6300.
2.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area. A setback of 50-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
Single Family Residence.
3.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
4.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
5.) All construction activities shall not encroach upon the landslide buffer. This includes the
storage or preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) 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.
9.) 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.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
!---
B LDING PERMIT APPLICATION Review Type: I
Jefferson County Department of Community Development MLA12-00111
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00160 Received Date: 5/22/2012
SITE ADDRESS: 271 GUSTAVSEN RD
QUILCENE, 98376
OWNER: BINDSCHADLER TRUSTEE ELIZABETH PHONE: 240-568-3085
E K BINDSCHADLER TRUST
12212 APACHE TEARS CIR
LAUREL MD 20708-2849 GUSTAVSON(RED BLUFF)SHORT PLAT
SUBDIVISION: Block: Lot: 3
PARCEL NUMBER: 601061014 Section: 6 Township: 26 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: TOM SCHUCH PHONE: 253-839-4077
27044 12TH AVE S
DE MOINES WA 98198
PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 250 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,294
VALUATION 550,000.00 ADD'L: 687 HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: 793 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: 400 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 837
CONST TYPE: SETBACK:
DECK: 307
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
-----------------_-
Prop: 2 Prep: 3
Total: 2 - Total: 3 _—
Routing Date: '-,�
' 1- )-:
Type Amount PaidB Date: Receipt: Approved/Date
Permit $3,471.25 LYK 05/22/12 131746
Plan Check $2,256.31 LYK 05/22/12 131746 1\P P R O V E
State Building Code $4.50 LYK 05/22/12 131746
Potable Water Application $64.00 LYK 05/22/12 131746 JUL 252012
Total: $5,796.06 Jefferson County Planning
& Building Department
11.) Not more than 2 unlicensed vehic5hall be stored on any lot unless totally scilled
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.
12.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
13.) Building setbacks from Gustaysen Road are no less than 20 feet. Side setbacks are no
less than 5 feet. Rear setback is no less than 50 feet from the top of the bluff.
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.
15.) The building height is not to exceed 35 feet.
16.) The road approach permit(RAP07-00102) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
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4w`�' off. JEFFERSOWUNTY
•
e "�7 DEPARTMENTF COMMUNITY DEVELOPMENT
le - ` '4 621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
gsp� www.co.jefferson.wa.us/commdevelopment
HIN
Master Permit Application MLA: , i
Project Description (include separate sheets as necessary):
Nc' t-4-' t' ` c1 vt S c t c "T c c' vt
Tax Parcel Number: (,U/ - Q 6, l - 0/ II Property Size: /r o .� 4cre l quare feet)
Site Address and/or Directions to Property:
a 7/ G C.t 5-t tJ frz Rd -
Property Owner(s)of Record: E it Z c,, b e-1-G, B t LA °I cc h J /e 7—r r.-r 5 f
Telephone: VC —5 6 Z—3 a F , Fax: 3 C0/ -4,/"/- 5-6 I,. 6 email: idc 11 b r v, d s c (n 4 d/.r g
Mailing Address: / /,2 A p c..c li T. c.c.5 C.+ r c /e L G,u r�' ( 11( D a67OE '3 ✓�c-r 1 • c c bvi
Applicant/Agent(if different from owner): 7-c) w, S r- In u c
Telephone: x 5 1 - 8 3 9- 41077 Fax: email: flo,Kc:s, 5 c CI U<H e ya 40 5 cc
Mailing Address: z 70 c/y f 2 A vc�; S i L.e 5 M c d c2 E S , (Ai A c.3S/y
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
JSBuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),(d - -
❑ Manufactured Home • .0 Modular - 0 Discretionary"D"or Unnamed Ills;0 iea f LE
❑ Commercial* 0 Special Use(Essential Publid Faetlrt' . `'
❑ Change of Use 0 Boundary Line Adjustment 7
❑ Address 0 Road Approach ❑Short Plat** I, ,
❑ Home Business 0 Cottage Industry 0 Binding Site Plan*" ',%+i ' Z. 2012
❑ Propane 0 Long Plat** ; i L,
El Sign 0 Planned kurai Residential Dayalopmeit cPRRDI/Amenq is**
0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** JEFFERSON COUNTY
❑Stormwater Management ❑Shoreline Master Program Efzetrfjtii ilPdli1ltittRfwiPip1PN' *
❑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 ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Ptedb-e it! e-or-federal petrnila required forthi , ' ;
•
DESIGNATION OF AGENT
I hereby designate I e., v-t, /c c L I LA c in to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE . ",),1 /�lI.11,0t 4 Date: 3/a.1 a-Jl�
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.
Signature: 1-,2,,:rZ i-c/ k c-L Date: S/1'/)-(/-'
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 adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: r i tl"Llt1 ,Cvt. Z-4-+l(iv Date: S/1/)-0/2--
G:\PerrnitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• 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: !o y--tY‘- - ^- 4'-.14 Date: S/L d-rY/L
GENERAL CONTRACTOR 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:
X New Wood Existing: ❑ Sewer
O Addition ❑ Steel Proposed: 2 r/. Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: oR (72 Height: Individual System
❑ Repair 0 Masonry , .`.(65 SEP Permit# 07 -33�3
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: X. Private well 0 Two Party
Type of Heat: Proposed:Total: ;Z_5- 0 Public
:c,d t c:.,,'-t Ff - r 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 FoodService? Yes / No '
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
1 Underground Tank -Above ground Tank Size of Propane Tank: ,�, 1,'
1 Heat Stove 1 Cook Stove 1 Woodstove I Fireplace Insert 1 Hot Water Tank i Pellet Stove 1 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / lob
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 g y EH Bld App Review:/
r-1
2f3 Floor Heated _: Consistency-Review:
t er eafed :f ' 8-use tee:
3L1-- I . D
Mezzanine Additional Section:
Heated Basement - Plan Check fee:
Unheated Basement ii �-
U State Surcharge fee:
Other Unheated Pot Water Review fee: ,,\\
V
Garage/Carport 7 SUBTOTAL / �j ti c,
C'
Decks 911/Rd Approach fee:
3 0'7 c v c:Ti i�6-
Other TOTAL 1,,� j �4 ,
Receipt Number: r/' !
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: _
.Fair market value of all labor and materials foundation to finish ',---- _ Lzzll
9s-5 e �-0.75— Initials:
-.
G:\PemritCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
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