Loading...
HomeMy WebLinkAboutBLD2012-00245 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 #: BLD12-00245 SITE ADDRESS: 1123 DABOB RD Issue Date: 09/24/2012 QUILCENE, 98376 Final Date: 10/18/2013 APPLICANT: ROBERT A WINN PHONE: 360-531-0109 COLLEEN M WINN 1123 DABOB RD QUILCENE WA 98376-9728 SUBDIVISION: Block: Lot: TX 8 PARCEL NUMBER: 801212006 Section: 21 Township: 28 N Range: 01 W PROJECT DESCRIPTION: ADDITION TO EXISTING M/H 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 10/18/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2013 Jefferson County Building Dion Permit Num.: BLD12-00245 Applicant: WINN 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 1g ,�z 141> as ,i9e. £4 4� Erosion Control /A r �1 Foundation Footing /3- /Z for) Footing Drains Foundation Stem Wall /0 -(S--- l ? !� Underground Plumbing / /(A< Under Floor Framing #th Straps(hold downs) Ext. Shear Wall Nailing tfith/z 94_, Rough-in Plumbing )3/4 Framing 9//v�/59...- NA-I DA‘� SO4,c , ,«iTE Blocking l 10, Airseal 4//8//3 n� Insulation:Walls r/iy/3 L Insulation: Floors etf/OP3 gi Insulation: Ceiling IV i 9/1 3 //g/13 Of Int. Shear Wall Nailing ijfr /Z5/13 Wallboard Nailing `,/� 9-2. /3 Gas Line: Interior AV Gas Line: Exterior IJ/A Propane Tank /3/A Heat/Chimney Clearance 101a Drywell/Alt Drainage / N/A Address Posted G�/Z4 I5 ("t, FINAL INSPECTION raj/ +/r�3 C FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR WILDING PERMIT APPLICATION MLA12-00175 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00245 Received Date: 8/9/2012 SITE ADDRESS: 1123 DABOB RD QUILCENE, 98376 OWNER: ROBERT A WINN PHONE: 360-531-0109 COLLEEN M WINN 1123 DABOB RD QUILCENE WA 98376-9728 SUBDIVISION: Block: Lot: TX 8 PARCEL NUMBER: 801212006 Section: 21 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII ADDITION TO EXISTING M/H TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 864 VALUATION 89,795.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: 0 Prop: 0 `--- Total (.3..„ Total: 2 Routing Date: -------- �'"9 - 2- Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $916.75 LYK 08/09/12 135084 ��P�®� Plan Check $595.89 LYK 08/09/12 135084 State Building Code $4.50 LYK 08/09/12 135084 Total: $1,517.14 SEP�� �2 Jefferson County Planninr, & Building Department \\firic nark\rInfn\f,rn.e\G RI fl Ann PIA rnf 5:1/0M/119 s •- CONDITIONS for Building Permit# :BLD12-00245 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) 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. 3.) 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. 4.) 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. 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 8.) The building height is not to exceed 35 feet. 9.) Dabob Road is classified as a Minor Collector and thus requires a 20-foot front yard setback. The sides shall maintain a minimum 5-foot setback. The eastern lot line abuts designated Commercial Forestland. The applicant has requested a reduction from the standard 250-foot setback, down to 30-feet. The lot size cannot accomodate the entire 250-foot setback, therefore the 30-foot setback proposal is approved. \\tiriamark\rlata\fr rmc\F RI rl Permit Ririri mt P/94/9(19 i.,,s-.0,7 cod JEFFERSOOUN jDEPARTMENT N C OFCOMMUNITY DEVELOPMENT 1-3 ` '' 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �gsp�p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 10-- � 1" Pro Ict Description(include separate sheets as necessary Aj �JC(ST1 l4 Tax Parcel Number: C5C.) ZI 1. O LO Property Size: feet (acres/square ) Site Address and/or Directions to Property: I I a3 Do-bob rd, , Q t,u I ceoe , Go-P- 9 S37(o Property Owner(s)of Record: fRO ber-I- 4-ecal I eerl Lo i tor--) Telephone: 3 OQ -63i-Oj 09 Fax: 3(0©•?)S,5-70CtS email: rc,o ntIll fern rr c ii c Mailing Address: 1 j a.? D a bob Cc/ au(i 1 c e-ne LC q�?-)7 Go Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Wh at kind of Permit?(Check each box that applies 0 Lot or Road Segregation wilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major orf aeai ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d)i--'Ii n�7 ❑ Manufactured Home .0 Mcdulai 0 Discretionary"D"or Unn me V EEO ❑ Commercial* 0 Special Use(Essential P tali cilities)** ❑ Change of Use 0 Boundary Line Adjustme t rTh ❑ Address 0 Road Approach_ 0 Short Plat** i I I AUG 9 2012 ❑Home Business 0 Cottage Industry 0 Binding Site Plan** i j ❑ Propane ❑ Long Plat** ❑Sign 0 Planned Rural Resident I DeveloproefptK nen ents* 0 Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration DEPT.OF COMMUNITY DEV LOPME ❑Stormwater Management 0 Shoreline Master Program Exemption ermi ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance 0 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 ❑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 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 requ' d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli on that he or she wants prior notice. ignature: ,,e,2 ` Date:_J2_0/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-transferab responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. f gnature: ��'~` / Date: 7 ZV f • • 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 assum- the responsibility of the General Contractor for the proposed project. /• / )ignature: �i Date: '/ 4/ 6/2^ 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: r_ir� New IX, Wood Existing: C Sewer Addition C Steel Proposed: Bank C Community System Alteration/Remodel 0 Concrete Total: _ Height: 0 Individual System ❑ Repair 0 Masonry — SEP Permit# O I- (3 C Demolition C Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well C Two Party T of Heat: Proposed: C Public �� l� Total: 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 Tank and/or Appliance Installation permit,mark all items below that apply: 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 I Pellet Stove i 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 Current Proposed For Office Use Only Amount .Revision Main Floor Heated (?�� �,1 EH Bld App Review: TO 2nd Floor Heated Consistency Review: aa )i Other Heated Base fee: /�, ' Mezzanine Additional Section: "� Heated Basement Plan Check fee: 5 9 P ,S 9 Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: c,/ Garage/Carport SUBTOTAL ,s. Decks 911/Rd Approach fee: ey I�IQ Other TOTAL: $ 1 t�, 14 Receipt Number: 1 350SO Cash/Check Number: ESTIMATED COST(REQUIRED) Date: —g.-- , •Fair market value of all labor and materials foundation to finish , Initials: \ ' ..._,,.......,.i.e_f_fi (..,(3 I(,).,,,, .. *Ii;L-12---r, bcb u._,_l c'C S31;-o1oq so 121 Zeo6 /6.5-' t f -' WCL4 174014 Sit I _ S\-Drnthooki - , tTs' ,______--------- . ._ 46-0, s ,. s5 y 2-') i � o� SPA \ . 40,1 is . ____________, g8"lo It --io Rol voq - ,___ _ , , 3� :,�, //� -. N AD__6Ino r JSITE 'LAN PRVED , c SEP 2 1 20121 .5C - - yi :•N •UNrY . ,1 SIGNA •is �f� AUG 9 2012 Jj ' Or 3i� [ : JEFFERSC'N COUNTY DFPT,OF COMMUNITY DEVELOPMENT •.. E'r.5+//ti7 . ] 11/ ;�'f� i • BRUNING 40-5000 - _ ii ii r=-E 1 00b 1. H ,, , J S tl 1 'N—y F o CC q 3 11 4 I P r 1 III,1 t i' I� Z I i rD i I o 2 d '1 I �1 1 I r, it - ,I Re,M,='--oaue: 111 < i, f 7 • (Z y , 1c' L ItE W • Ic & pi 1 _ i '. / ,, I I r74 C / a I � o7,= mi o z ii; O x I z • 3 _IK,v •-I \ 2 ,g ., oz ' , L '' 1 -� t" , 6' I 1 ���xvl ._. _ _ _ _ ". F.I ,j; x I \ i - �I \ a L PI j\Wtc NEATER- "k I p ✓/ O - ic \ , \ K' n \ io % fi .. � Cn \1 70 rn }- I' A - !.o 14' r 0 ;p . m, i ., y 1 \ i E n— n ' I ' , F1 F _L 1__ 1 1 4 I _ --- --- - - - - - - - - - - -- 1 tzar. A. I 27' y+, �y�„ (Ex+STi,✓G STRUCTU E R r (ADD 17-i ON) .3 -F Cr.W V d ze, O ' ems C:._:_.. -° �T 1 • 2 o T C G7 • a o F.aIiI L� CD ww � � CD—o gS N 2. w�. u +ll G--> oo