HomeMy WebLinkAboutBLD2012-00166 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 #: BLD12-00166
SITE ADDRESS: 577 COOK AVE Issue Date: 07/30/2012
PORT TOWNSEND, 98368 Final Date: 8/23/2013
APPLICANT: PETER GOLL PHONE: 907-766-3717
SHERRIE GOLL
PO BOX 261
HAI N ES AK 99827-0261
SUBDIVISION: TIBBALS LAKE PARK Block: Lot: T16+
PARCEL NUMBER: 999000308 Section: 33 Township: 31 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ ATTACHED CARPORT & A/G 120 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 8/23/2013
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Jefferson County Building Division Permit Null BLD12-00166
Applicant: GOLL
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 Cook Ave. Ext. or any private ingress/egress
easement shall be 20 feet. Minimum side and rear yard setbacks shall
be 5 feet.
Erosion Control SEE CONDITION 3
Foundation Footing
t61-13 Foo-rInq p".J UcE.t� No r t Ns y1,t�
Footing Drains - —� —��
Foundation Stem Wall
I _��
Underground Plumbing A
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing � ,
Rough-in Plumbing 3-17- t3 i" ' -
Framing '� rts
Airseal
Insulation:Walls -'(tk
Insulation: Floors l
`' 1,(1(-�J sc=r�fr3 t Ns�;l.. - 11"'(to._1"L
Insulation: Ceiling L ti�
Int. Shear Wall Nailing
Wallboard Nailing51
'3
Gas Line: Interior Rig/ 'g/
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance_.
Wood/Pellet StovegfrOC3
Mechanical Systems
Duct Test Cert
Blower Airtight Test gl icy/13 Q(
Smoke&CO2 0 61/13
63/
Drywell/Alt Drainage SEE CONDITIONS 1 &2
Address Posted
• •
FINAL INSPECTION q,12_12, JF(4).1z 001- y j
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•JILDING PERMIT APPLICATS MLA12-00119
Jefferson County Department of Community Development Review Type: I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00166
SITE ADDRESS: 577 COOK AVE Received Date: 5/31/2012
OWNER: PETER GOLL
SHERRIE GOLL PHONE: 907 766 3717
PO BOX 261
HAINES AK 99827-0261
SUBDIVISION: TIBBALS LAKE PARK
Block: Lot: T16+
PARCEL NUMBER: 999000308
Section: 33 Township: 31 N Range: 01 W
CONTRACTOR: OWNER/BUILDER
PHONE:
REPRESENTATIVE: GUY HUPY
211 TAYLOR ST#31A PHONE: 360 385 6052
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOP NSFR W/ATTACHED CARPORT & A/G 120 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE
TYPE OF IMP NEW
VALUATION 309,000.00 MAIN: 2,044
CODE EDITION: 2009 ADD'L: HEAT TYPE: RAD
HEAT BASE: HEAT TYPE:
OCCUPANCY: R_3
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 320 SHORELINE:
DECK: 20 SETBACK:
SEWAGE DISPOSAL: ALT BANK HEIGHT:
WATER SYSTEM: 69000
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Vital: 2
Routing Date:
I2_
Type Permit
Plan Check
State Building Code
Amount Paid By: Date: Receipt:
Approved/Date
$2,164.15 LYK 05/31/12 131765
$1,406.70 LYK 05/31/12 131765
$4.50 LYK 05/31/12 �FI OV l �
131765 JUL
Potable Water Application $64.00 LYK 05/31/12 131765 30 C
Total: $3,639.35 Jefferson County Plannn,iy
& Building Department
3.) CONSTRUCTION ENTRANCES •LL BE STABILIZED WHEREVER TRAFFONILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
7.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
8.) 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.
9.) 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.) Minimum setback from Cook Ave. Ext. or any private ingress/egress easement shall be 20
feet. Minimum side and rear yard setbacks shall be 5 feet.
11.) The building height is not to exceed 35 feet.
12.) 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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• •
CONDITIONS for Building Permit# :BLD12-00166
1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY 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.
2.) DESIGN CRITERIA FOR SPLASH BLOCKS:
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH
SPLASH BLOCK.
A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE
DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS.
1 R •
•
4epok
�,SON °Q JEFFERSON COUNTY
W • � DEPARTMENT OF COMMUNITY DEVELOPMENT
in 4\ 14 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
� p'$ www.co.jefferson.wa.us/commdevelopmenl
81N
Master Permit Application MLA: (c. 119
Project Description (include separate sheets as necessary):
31 L— .
Tax Parcel Number: 9 9 / 0 O'O 3 0$ Property Size: , ' 7 A--t IZE (acres/square feet)
Site Address and/or Directions to Property:
�77 look /As
Property Owner(s)of Record: PETER and SSHc221E G w
Telephone: C{'81 -'l(o(P- 3717 Fax: email: p5 Ay I lValbo&23!
Mailing Address: P.0 i ?y3 &co( t-kA(NES / At_A<A (AK) ga8a7
A.fikpplicant/Agent(if different from owner): 6 f/Y' i.thvloY
Telephone: 3 g:f- 6 0 Z- Fax: email:
Mailing Address: Z/r 7pi Y L'z 57. 4'- i l-t- P. -7.
What kind of Permit? (Check each box that applies 0 Lot or Road Segregation
building 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, M... . :--sonable Economi
gSingle Family 0 Garage Attached/Detached 0 Conditional Use[CI:)-C(dX=:gr.]-s** L ' I `;,
❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Urrtari e0 bis± Olasslfrc.; t(
O Commercial* 0 Special Use(Esse ial Public Facilities)**
O Change of Use 0 Boundary Line Adj .trnent t
❑ Address _ 0 Road Approach_ 0 Short Plat** Iri I ( . J i2
❑ Home Business ❑ Cottage Industry 0 Binding Site Plan** _f
Propane 0 Long Plat** �' -J
❑ .,iyn 0 Planned Rural Resi•ential`6evelopment(PRRt?)/Amendme is**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alter-tion", r . TLOPMEM
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Kevisrons
❑ 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:
•
DESIGNATION OF AGENT
I hereby designate Go y IA upy to act as my agent in matters relating to this application for permit(s).�
ScrOWNER SIGNATURE �J•(IQAiuIQ, Date: MAW\ ? \ t a00—
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
'me of the application that he or he wants prior notice.
(4.ignature: liyt1.0-- �o�-- Date: aOt�
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 responsibilitit for adhering and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
' ignature: Nf4))A Date: N.0.4..6 3( / 610(p--.—
•
•
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' . rk Date: Milli 31 ?.aG 1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FM:
( ) ( )
MAILING ADDRESS: EMAIL.:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: 6 (.1 y I d-u P id 'J / G N PHONE ( )385 6 C SZFAx•( )
MAILING ADDRESS: /1 1 Thy 4,,,o,2 S-r _iz . 31 14 EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
A New Wood Existing: C Sewer
C Addition C Steel Proposed: Bank C Community System
C Alteration/Remodel ❑ Concrete Total: 2 _ Height: ji Individual System
❑ Repair ❑ Masonry SEP Permit# l Z••002.E
C Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well C Two Party
Type of Heat: Proposed:
$' Public
Rai n-N-r . Total: z 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 Service? Yes / No
If this is a Propane ank and/or Appliance Installation permit,mark all items below th t a I
1 Underground Tank bove ground Tank Size of Propane Tank: I 04ri
IP
i Heat Stove Kook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank i Pellet St. 1 Other
Is this appliance being installed in a Manufactured 1 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 Z°/q EH Bld App Review: ��r
2.124t 2
2"°Floor Heated Consistency Review: --
Other Heated Base fee:
Mezzanine Additional Section:
Heated Basement Plan Check fee: 14 0(0 .riO
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: ——
r OS
-Geroge/Carport
3za sq,,� SUBTOTAL 1
3GtIco,3s
n
Decks 2 0 541.40 911/Rd Approach fee:
ere-1, 1-?fvetttees
Other TOTAL: $ 3O( L
Receipt Number: I317(6
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: —`�7
•Fair arket a or and matena s and ion to finish �j%3 1-i
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