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HomeMy WebLinkAboutBLD2012-00226 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 #: BLD12-00226 SITE ADDRESS: 40 HEMLOCK CT Issue Date: 08/29/2012 PORT TOWNSEND, 98368 Final Date: 2/25/2013 APPLICANT: DENNIS RA ROBERTS PHONE: 253-951-1615 PATRICIA KAY ROBERTS 39616 226TH AVE SE ENUMCLAW WA 98022-8924 SUBDIVISION: KALA POINT#10 Block: Lot: 305 PARCEL NUMBER: 965000352 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: ADDITIONS & REMODEL 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 6i) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/25/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 2/27/2013 :fferson County Building DDsion Permit Num�r: BLD12-00226 Applicant: ROBERTS 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 IQ—.-- rt, c_ Erosion Control Foundation Footing 0-cc- 1 L 9,, Footing Drains Foundation Stem Wall Under Floor Framing 10 (16 IZ Straps(hold downs) Ext. Shear Wall Nailing Framing L2 Airseal 2 _5 ,i 2 TSb Insulation:Walls Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing 449L2-t`_(� Vir Gas Line: Interior E�v3 Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR M Review PERMIT APPLICATI I R 00160 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00226 Received Date: 7/24/2012 SITE ADDRESS: 40 HEMLOCK CT PORT TOWNSEND, 98368 OWNER: DENNIS RA ROBERTS PHONE: 253-951-1615 PATRICIA KAY ROBERTS 39616 226TH AVE SE ENUMCLAW WA 98022-8924 KALA POINT#10 SUBDIVISION: Block: Lot: 305 PARCEL NUMBER: 965000352 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 KELLES1150LF Expires 6/6/2013 REPRESENTATIVE: KELLEY SHIELDS INC PHONE: (360) 385-7156 DENNIS KELLEY (360) 385-3115 260 KALA POINT DR PROJECT DESCRIPTION ADDITIONS & REMODEL TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 566 VALUATION 72,380.00 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: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 37500 BEDROOMS: BATHROOMS: Exist: 2 Exist: 2 Prop: 0 Prop: 0 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $804.75 LYK 07/24/12 135023 AP P O, /r Plan Check $523.09 LYK 07/24/12 135023 ,/ C State Building Code $4.50 LYK 07/24/12 135023 AUG 294 2012 Total: $1,332.34 Jefferson County Planning & Building Department \\firlcmor4\rlofn\fnrmc\t= RI n 4nn PIA rn+ 7/7F/')(111 • • CONDITIONS for Building Permit# :BLD12-00226 1.) 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. 2.) 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. 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 6.) Building setback from Hemlock Ct. is no less than 20 feet. Side and rear setback is no less than 5 feet. 7.) The building height is not to exceed 35 feet. 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. \\tiriemark\rlata\fnrmc\F RI fl Permit Rhin rnt R/7Q/7f112 gSON c, • „ o JEFFERSON COUNTY 4,, ` DEPARTMENT OF COMMUNITY D �:'y, („y 621 Sheridan Street•• Port Towns ncf• ni F.�,'',�.�. - L �.� ��1 360/379-4450 • 360/379-4451 Fax gS, N�sp www.co.jefferson.wa.us/commde velopment JUL232012 ,1 Master Permit Application 1 ; .M A: J'j' 4-4--p Project Description(include separate sheets as necess ) JEFFERSON COUNTY I t l� t t !\l� ( 't > ti Tax Parcel Number: q(j S DO 0 3 5 Z Property Size: it? 000 15 P. (acres/square feet) Site Address and/or Directions to Property: �-o q- ar- PT T. l o to PJS i-1- n I (,tom- C)8-3,C Property Owner(s)of Record: Q PA-IT't Fe /302-7—s Telephone: Z S 3 — 951 - I G Fax: email: Mailing Address:'(al 22(- t-a ITV 4; S(:------ t'/•.r t/ )1t C4-11-1 1 CA-A 5 Fo Z?- Applicant/Agent(if different from owner): )LL=LL&( i' i Ly>S /NC- t Telephone:'S(1© •-343 3- 11 '5 L, Fax: email: • ed U /1'5 act Mailing Address: U lam- �- Q —Pt 1 CJ &)M cj ice, What kind of Permit?(Check each box that applies f lBuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑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 ❑ 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** 0 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*" 0 Temporary Use ❑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 16LZL iv' �I In S �PG , to act �as� /my agent in matters relating to/this �application for permit(s). OWNER SIGNATURE J ./NZL/J /e,�,C.� C.(1L.lLf e V Date: '7/(eiit L 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 sh�yuap r' r noti Signature: 'n-r3-c-.?. 1--\ it- e/ u`#:Ve f v Date: 7/i f Z 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 responsi)y for h 'p�nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:P`'ivl -1 N 6 (,�(A,ie I(--i .ct. Date: 7 l!1 /l L G:\PermitCenter\###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 of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibilit of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ki. 7L'=%c 5taid-!'5 l-c-- (3( 'ig 3-1j 5(' /( ) )BS5 '311S MAILING ADDRESS: v4 _ , 0 , or �oW ff ,,EMAIL:d`-1, )d., 0 ©`�f km�/J(ji, /f C,'-(_ CONTRACTOR'S LICENSE WAINS L NUMBER: V--.ELLL .1 I SO L r NUMBER ARCHITECT/ENGINEER: :1 Lc-ri Si3,LZoc-" /x - PHONE ( )38 j 71 5l,, FAX:( ) MAILING ADDRESS: j( P-r _ D2 PT- Tot,6r,- EMAIL d ski el4S L °/'7141141l S. U e---L- Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New Wood Existing: 2 ❑ Sewer Addition ❑ Steel Proposed: Ci Bank ❑ Community System O Alteration/Remodel 0 Concrete Total: v Height: vOndividual System Repair 0 Masonry SEP Permit# q1: -2- -7 O Demolition 0 Other: Bedrooms: Water Supply: Existing: 2— Setback: ❑ Private well 0 Two Party T e of Heat: Proposed: © 0 Public .( Total: ?i Name of System: K 6' UTt Li rl \VOA 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 cludes owners,tenants,employees,etc) Current Proposed IBC Occupancy: i IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: C X►Sj7,..7 4 12 5 1 Heat Stove 1 Cook Stove 1 Woodstove 1(rireplace Inserter 1 Hot Water Tank 1 Pellet Stove 1 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. Square Footage �rent) Proposed For Office Use Only . Amount.. ..: B0vtsiors 1 . Main Floor Heated `�;� �b ,. ,,, EH Bld App Review: - =_ r 2"4 Floor Heated Consistency Review: Other Heated ik,g'' ''' Base fee: �( �j r Mezzanine _ Additional Section: __--- Heated Basement : Plan Check fee: Unheated Basement r r yj -' State Surcharge fee: -14 jv Other Unheated Pot Water Review fee: Garage/Carport ° .A. SUBTOTAL Decks i f , 911/Rd Approach fee: — rWISi1l3C f ti Other TOTAL: $1(!)/( �„ 3"r � v , Receipt Number: T �` Cash/Check Number: 25 ESTIMATED COST(REQUI D 1 Z 3g0 . Date: •Fair market value of all labor and . Is foOndati oh .-' Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc � ,, Ile .-F w Sr tkititif, 41:-. .• . . 12 . cc R� APPROVED NSIT 7 .. E PLA AUG 27 2012 \� N. viI/;.r111; r IN' %d t ` CYh1F, • i %.,/ P 1 .p„.. ree>tita,7 A / =:.• \ * , , tb,, ' `4' .4,41 4,,,,,,, , ti,...4%,..,...„.: \ s cnls yi /ham ANr4!P \ . t k6) wwd. Legend ��L � Contour Lines ----- c , s Ct owR u n . 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