HomeMy WebLinkAboutBLD2012-00190 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 #: BLD12-00190
SITE ADDRESS: 2110 EAGLEMOUNT RD Issue Date: 08/16/2012
PORT TOWNSEND, 98368 Final Date: 4/9/2013
APPLICANT: JERRY W HOLMES PHONE: 425-518-9352
ELIZABETH FIELDS
408 INDEX PL NE
RENTON WA 98056-4025
SUBDIVISION: Block: Lot: TX 5
PARCEL NUMBER: 901322009 Section: 32 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NSFR
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 12o
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/9/2013
\\tidemark\data\forms\F_B LD_Occupancy.rpt 5/21/2013
Jefferson County Building Dlion Permit Num. BLD12-00190
Applicant: HOLMES
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 )—y—/? /r't r G S
Erosion Control
slat It4a,,-- . l ./z.
Foundation Footing ` de k n 1 t c� �(J _lz
Footing Drains
Foundation Stem Wall (� ,� . � ,� // q �� / c /5
Underground Plumbing CS`/3 j, _ l / I��li
Under Floor Framing / / /'
Straps(hold downs)
Ext. Shear Wall Nailing l k2cfr 1 Z L k () $ G tc, to(I c(t,Y
Rough in Plumbing l I Z.b—I Z ��¢
Framing 12 0,-tt
Airseal 'n 12
n
Insulation:Walls ilk4/3 -��•1-�` oo r 1212-4 IZ
Insulation: Floors q/3//3 S/cv / l ,C 7 9 - l - `q-73
Insulation: Ceiling it( /7 r t 24112
Int. Shear Wall Nailing J/ ii
Wallboard Nailing -13 ?s--
Gas Line: Interior
Gas Line: Exterior
Propane Tank ---`
Heat/Chimney Clearance
Mechanical Systems
Duct Test Cert
Blower Airtight Test V/OXI �l
Smoke&CO2 1/q/3
Drywell/Alt Drainage
Address Posted � I flo"
Water Meter Inspection /�/ 7
• •
FINAL INSPECTION �(,1,3 t
/
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
3
tkILDING PERMIT APPLICAAN Revie 0 p1e: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00190 Received Date: 6/21/2012
SITE ADDRESS: 2110 EAGLEMOUNT RD
PORT TOWNSEND, 98368
OWNER: JERRY W HOLMES PHONE: 425-518-9352
ELIZABETH FIELDS
408 INDEX PL NE
RENTON WA 98056-4025
SUBDIVISION: Block: Lot: TX 5
PARCEL NUMBER: 901322009 Section: 32 Township: 29 N Range: 01 W
CONTRACTOR: STEWART BUILDERS PHONE: 530-391-2858
1604 UMATILLA
PORT TOWNSEND WA 98368
Contractor's License STEWAB*928DF Expires 3/6/2014
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,450
VALUATION 351,035.00 ADD'L: HEAT TYPE: HTP
CODE EDITION: 2009 HEAT BASE: 1,050 HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: 400 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 420
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 3
Total: 3 Total: 3
Routing Date:
a a �x
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,404.95 LYK 06/21/12 134929 ����o`Vr
Plan Check $1,563.22 LYK 06/21/12 134929
Er
State Building Code $4.50 LYK 06/21/12 134929 AUG 1� 2012
Potable Water Application $64.00 LYK 06/21/12 134929
Total: $4,036.67 Jefferson County Planning
& Building Department
CONDITIONS for Building Permit# :BLD12-00190
1.) 10' minimum separation required between the water line and any onsite sewage system
components including sewage transport lines.
2.) 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 Chimacum sub-basin; however, the applicant submitted documentation satisfactory to
Ecology that will permit continued irrigation activities on the property which were
commenced prior to the rule. Therefore:
1) Existing irrigation is exempted from the requirements of the rule.
2) The new residence on the parcel must be debited from the reserve in the Chimacum
sub-basin.
3) 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.
3.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
4.) County GIS mapping identifes a Type N stream located at the southwestern portion of the
parcel. Type N stream buffers are 75 feet plus an additional 5 foot building setback. The
proposed SFR is greater than 300 feet from the closest point of the mapped stream. The
proposal exceeds the required minimum wetland and stream buffer requirements.
5.) 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.
6.) 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.
7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
8.) 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.
9.) Minimum setback from Eaglemount Road right-of-way shall be 20 feet. Minimum side
yard setbacks shall be 5 feet. Minimum setback from wetland as a waiver is 275 feet.
The SFR is approximately 276 feet east of the mapped wetland.
• •
10.) The building height is not to exceed 35 feet.
11.) 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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•
�"� DEPARTMENT OF COMMUNITY DEVELOPMENT
''4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
0. www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 1a - /
Project Description(include separate sheets as necessary): •
rr.4Ccc-rr FA -Ii L L 12-EZt'DCN[E - NEy/ ce-A.;TT?_1cc rions
Tax Parcel Number: . C.)13 Z7_00y Property Size: 5 Ac_.2ES (acres/square feet)
Site Address and/or Directions to Property:
Property Owner(s)of Record: .n- ( AnL4-re3 -ice ►..-z..sr-fle"-n-r r=;;e:Lps
Telephone: 42-5 ,510 3 5-2-- Fax: email: Ray l-fc-t-IEs j-40e_-oac.is T.Ncr
Mailing Address: 4-c'8 TMoex Pi.-,4-c, NE Roo rer.4 WA ;,QSr '
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building ❑ Critical Areas Stewardship Plan
b3--Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
N]'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 0 Road Approach_ 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
O Propane ❑ Long Plat**
❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Us 0 Shoreline Management Variance
❑Wireless Telec ri i4 rSf I] M 0 Comprehensive Plan/UDC/Land Use District Map Amendment
O Forest Practice !ic 'ar-M i 0 Jefferson County Shoreline Master Program Amendment
*May require Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or-fed a rmits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate, _ ••` to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 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 app jcation that he or she wants prior notice. —�-
y'Signature: -7 '''�� Date: 20 L A'6—'ZL
The action oL ons Applicant will undertake as a result of tRe 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 le responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
;4-Signature: Date:
zm .vC 2 cu-2--
• 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:cc� S3O9f zERS FAx
�—nc�,�:m� 8-I..:1 f'LI (34o) 379 9072_ ( )
j-•1-E
MAILING ADDRESS: ;3 14-1 nt4 izi C►L �5 S 7TLc't_-t- EMAIL.: . KysrE i'it-r 0 t+o'1-tAll._ ,Coa-t
CONTRACTORS LICENSE WAINS
NUMBER: :5TEWA6k 92 F, DF NUMBER
ARCHITECT/ENGINEER: EVAms AikL41:rC-c 7-1.112E PHONE (3e,-0) 2,77 5552_ FAX:( )
MAILING ADDRESS: ie:41,3CT57z`.N4 `,,14 EMAIL s7 -C-CS%se.,ANET• CCW I
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New Wood Existing: L. Sewer
E Addition 'I Steel Proposed: 2.5 Bank Community System
E Alteration/Remodel O Concrete Total: _ Height: ❑ Individual System
E Repair El Masonry SEP Permit# _
C Demolition El Other: Bedrooms: Water Supply:
Existing: Setback: •"Private well E Two Party
Type of Heat: Proposed: 5 E Public
14-eAr r uMP Total: Name of System:
mi-Con srevE 6n-e-K car ..
If this is a Commercial Project you must answer the following: r1 _E I V ,
Number of Parking Spaces: Current: Proposed: Numbef 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�i ' •
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank i Above ground Tank Size of Propane Tank: I
Jai (.SON COUNTY
i Heat Stove i Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pelletp tpvpl, ,i it t
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.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH BId App Review:
2`4 Floor Heated Consistency Review: ,-,
Other Heated Base fee: 2, t v 'Ci^,
Mezzanine Additional Section: ----
Heated Basement 19 t t t9 C70 Plan Check fee: 22
050 I. (.0 3
Unheated Basement State Surcharge fee: 5,0
Other Unheated Pot Water Review fee: t O
Garage/Carport SUBTOTAL
-13`T3 .07
Decks 911/Rd Approach fee:
42c t.L-%%UO a(51-1
Other TOTAL: $L-3C7 (p
Receipt Number: ! 3/ 1 qcc-
Cash/Check Number: o"1D
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish -L__1�
?i5-l1 03 S,x Initials: _" —==
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