HomeMy WebLinkAboutBLD2012-00235 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#: BLD12-00235
SITE ADDRESS: 42 DRIFTWOOD CT Issue Date: 08/29/2012
PORT LUDLOW, 98365 Final Date: 11/5/2013
APPLICANT: JOHN P WELCH PHONE: 360-437-7553
JUDY WELCH
46 VILLAGE WAY PMB 108
PORT LUDLOW WA 98365-9762
SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: 9
PARCEL NUMBER: 969800009 Section: 17 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: GARAGE ADDITION - UNHTD, NO PLMB
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/5/2013
\\tidemark\data\forms\F_B LD_Occupancy.rpt 11/18/2013
Jr '"^rson County Building Di ion Permit Num. BLD12-00235
Applicant: WELCH
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 Signature Notes
Setbacks (_,�^t5 Q_
Erosion Control Jam
Foundation Footing thickened edge slab
Footing Drains "..,...._App:oval
Ext. Shear Wall Nailing 7LZc)i3
Framing
Insulation. Walls i ivtt, if
k _ Z- �/� JQ �nf /�G[,a�s�l,{,q Et.'uwiKn4. ,ryaYy G 1�r.,o�l,
Insulation: Floors /� (�
Insulation: Ceiling
q dd 1 r -- 3d
Wallboard Nailing I� ,,y
Drywell/Alt Drainage i t_u_t 3
Address Posted 1(, .-% ' p
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00235
1.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
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.) This parcel is within a no shooting area per JCC 8.50.
5.) Building Setback from Driftwood Ct. is no less than 20 feet. Side setbacks are no less
than 5 feet. Shoreline setback is 30 feet until new SMP is adopted.
6.) The building height is not to exceed 35 feet.
7.) Maximum lot coverage is not to exceed 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
\\tidemark\rlata\fnrmc\F RI r) Permit Ririn rnt R/99/9(119
UILDING PERMIT APPLICATION N 00171
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00235 Received Date: 8/2/2012
SITE ADDRESS: 42 DRIFTWOOD CT
PORT LUDLOW, 98365
OWNER: JOHN P WELCH PHONE: 360-437-7553
JUDY WELCH
46 VILLAGE WAY PMB 108
PORT LUDLOW WA 98365-9762 LUDLOW POINT VILLAGE DIV 4
SUBDIVISION: Block: Lot: 9
PARCEL NUMBER: 969800009 Section: 17 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr GARAGE ADDITION - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 8,868.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 324 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: 68700
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 rop: 0
Total: 0 Total: 0
Routing Date:
I
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $167.25 LYK 08/02/12 135061 APPROVED
Plan Check $108.71 LYK 08/02/12 135061
State Building Code $4.50 LYK 08/02/12 135061 AU62 ( 2012
Total: $280.46
Jefferson County Planning
& Building Department
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f . A •
, .Cod JEFFERSOI OUNTY
` ( DEPARTMENT COY VE
621 Sheridan StreetOF • PortMMUNIT Townsend
E.
LOPMENTWashington 98368
360/379-4450 • 360/379-4451 Fax
�QS,$ ,�0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: \ 7- )7 I
Project Description(include separate sheets as necessary):
C,1\�1-,c-_,L i�t7\l. . `\r. hl
Tax Parcel Number ` '.,< F,c_.f, (-"> c-`, Property Size:
.� w 70_ (acres/ quare fee
Site Address and/or Directions to Property: '"
Property Owner(s)of Record: ,,'‘-k.- ' --� \ -s:1' . \..J f=`�v,
Telephone: - -, ;�.4��\<� ' "
p ,3c, G ti- ,7 , SS•?3 Fax: email:
MailingAddress: 1 ��''�
4^� ; . . i�.z:,=- Vid'.i ‘G1. �carit:c. L. \,:(i-\. `. S?-3G.
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies
)11Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family $,Garage Attached/Detached 0 Conditional Use[C( ,
❑ Manufactured Home 0 Modular 0 Discretionary"D"or;10n$ fi1�t❑ Commercial* ❑Special Use(Essent al p❑ Change of Use ""
0 Boundary Line Adjustmje 1
❑ Address ❑Road Approach ❑Short Plat**
❑Home Business ❑Cottage Industry ❑Binding Site Plan'"' ! 1 j1 1 AUG - 2 2012
❑Propane 0 Long Plat** I
❑Sign 0 Planned Rural Resia1l elo
❑Allowed`Yes'Use Consistency Analysis pment NPRRD)y. . nt *"
❑Stormwater Management ❑Plat Vacation/Attera on** j[[FE ON CpU TY, .
0 Shoreline Master P ram-Ex **
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management-Satss aiitici uevefupn ent�❑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 ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
7;..:_
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 attorneys 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 i spections. Staffs access a d right of entry will be assumed unless the applicant informs the County in writing at the
:of
the application that he r sh�a prior notice.
ature „
r�/ Date: ;; 7 c. /‘"._
The actiprf actions Applicant will undertake as a of the issuance of this
endanger species and could lead to a potential take"of an endangered permit may negatively impact upon one or l law knthrown
as t e
"Endangered Species9e species as those terms are defined in the federal law known as the
9 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-transfe �respon bill Bring to a lying withe E The Applicant has read this disclaimer and signs and dates it below.
Signature: '!> A
Date: a v
G:\PemtitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
y • •
BUILDER STATEMENT
The signer of this statnt does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
: rfbzvrthe
ill be a re sii• General proposed project.
Date: r.\, ,,�y g',��-Z
GENERA CONTRACTOR OR MANUFA TURED 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:
❑ New IA- Wood Existing: :3-37- ❑ Sewer
›: Addition ❑ Steel Proposed: — Bank •K ommunity System
O Alteration/Remodel ❑ Concrete Total: T -- Height: 0 Individual System
❑ Repair ❑ Masonry SEP Permit#
O Demolition ❑ Other: Bedrooms: Water Supply:
Existing: 3 Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: — '74 Public
Total:
� Name of System:
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Curren ._
IBC Occupancy: IBC Typef > ; L
p cy: of construction: � �1 ,��� y�F�•� ''•Ee s / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that aDptr—-- 7
I Underground Tank I Above ground Tank Size of Propane Tank: ' ,'
I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank A 1IPel et to I 0 r
Y e�12 Is this appliance being installed in a Manufactured/Mobile Home? Yeas[ll No ,
l;
When applying for a permit to install a propane tank you must also submit si>>Q showin all of
lines, tank location and size,distances from the propane tank to all property lindG.,Fb ibli0 s. septi b ildings,all property
c system components,
including the reserve area. fir PT OF rOMMlir r .. . ..,.1
Square Footage Current Proposed ;l.f e ,.' °� w.;:Atttoun rs . 3 rf'`Y va la
Main Floor Heated * EH Bld App Review:�3 G On
-7 4 `
2"°Floor Heated zr . L s Y Consistency Review: CS Oa i
Other Heated `0 `4, 4.1...•T
pf,.,,r , Base fee: 'CDq 25
Mezzanine Additional Section:
Heated Basement Plan Check fee: OQ I
Unheated Basement 1-‘;,,Pier l State Surcharge fee: •
Other Unheated 4,L'u-,5- Pot Water Review fee:
Garage/Carport w SUBTOTAL
76ZS 32.4 1 2. 4tt°
Decks '''' `}' •'1 911/Rd Approach fee: ``—
fK , �^`/). 4k
Other ,` TOTAL:
t..,:; Receipt Number: 1 '-'1-C(f) I
• Cash/Check Number: ni-/ ,
ESTIMATED COST(REQUIRED) Date:
.Fair market value of all labor and materials foundation to finish
8 a o� Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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