HomeMy WebLinkAboutBLD2012-00256 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#: BLD12-00256
SITE ADDRESS: 23 N GARY AVE Issue Date: 09/24/2012
PORT TOWNSEND, 98368 Final Date: 4/16/2013
APPLICANT: CHRISTOPHER FRENCH PHONE: 802-585-9824
MOLLY FRENCH
221 E MOORE ST
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE#5 Block: 126 Lot: 19
PARCEL NUMBER: 962112608 Section: 34 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE
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 4/16/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 5/22/2013
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Jefferson County Building Division Permit Numb)'. BLD12-00256
Applicant: FRENCH
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 /c, -4 a L.
Erosion Control
Foundation Footing
Footing Drains
Foundation Stem Wall 0.,, _, Z ,
Underground Plumbing
Under Floor Framing i 2 _IL_ 93
'' i41)D it7nK ha:5
Straps(hold downs)
Ext. Shear Wall Nailing
Rough-in Plumbing i,.23_i3 9--
Framing I _ Z 1-1'3 n /
Blocking T`
Airseal y
t-z3- Ij
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing aC'),-7—l l_`) -,-,
v
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance �______-----'
Mechanical Systems
Duct Test Cert ' il 14 1 3 -
ki_r____.
/
Blower Airtight Test
Smoke&CO2
_ -4.4f1-1., /Ill; ,?,:..1.. '
Drywell/Alt Drainage
Address Posted Lii1 i1 3
• •
FINAL INSPECTION qi jI 3
1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
3
IUILDING PERMIT APPLICATION Review Type: I
Review I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00256 Received Date: 8/21/2012
SITE ADDRESS: 23 N GARY AVE
PORT TOWNSEND, 98368
OWNER: CHRISTOPHER FRENCH PHONE: 802-585-9824
MOLLY FRENCH
221 E MOORE ST
PORT HADLOCK WA 98339 IRONDALE#5
SUBDIVISION: Block: 126 Lot: 19
PARCEL NUMBER: 962112608 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR: LEXAR HOMES PHONE: (360) 379-8600
94 KALA SQUARE PLACE
PORT TOWNSEND WA 98368
Contractor's License HILINH*981BT Expires 2/10/2013
REPRESENTATIVE: LEXAR HOMES PHONE: 253-606-5210
TIM GIBBS
94 KALA SQUARE DR
PROJECT DESCRIPTIOF NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,248
VALUATION 112,000.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 440 SETBACK:
DECK: 96 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 _Prop: 2
Total: 2 ( Total: 2
Routing Date:
g-2c-2_
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $1,060.95 LYK 08/21/12 135123 ,DIDF®\Er.
Plan Check $689.62 LYK 08/21/12 135123 9
State Building Code $4.50 LYK 08/21/12 135123 � s
Total: $1,755.07 Jefferson
SE�Count'jy Plannint
& Building Department
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• •
CONDITIONS for Building Permit# :BLD12-00256
1.) Keep water line along property line to minimize reserve area encroachment
2.) 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.
3.) 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.
4.) 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.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) This parcel is within a no shooting area per JCC 8.50.
• •
10.) The road approach permit(RAP09-00043) must be inspected and finaled by the Jefferson
County Department of Public Works prior to the final inspection/certificate of occupancy of
this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the
final road approach inspection.
11.) Building setbacks from Prospect Ave and Gary Ave are no less than 20 feet. Side and
rear setbacks are no less than 5 feet.
12.) The building height is not to exceed 35 feet.
13.) 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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•<LSONQ
JEFFERSO�COUNTY
, 1env,
` ,A DEPARTMENT OF COMMUNITY DEVELOPMENT
'4 621 Sheridan Street • Port Townsend •Washington 98368
A ,0*:!; , . 360/379-4450 • 360/379-4451 Fax
sO www.co.jefferson.wa.us/commdevelopment
YQS,�NG,
Master Permit Application MLA: I a -- is7)
-
Project Description(include separate sheets as necessary): /,f[(,`I H CI-i{_ CC/`15-1 ,7 C C T fC,A J
Tax Parcel Number: q/2 //2 6C>g Property Size: (acres/square feet)
Site Address and/or Directions to Property:
2 3 6 PiRY' lik uIer , PCP - c,1A-,tis�:N: 0 Lk a 9 g3 L
Property Owner(s)of Record: C l-i i2 t S Tz'P(-j L P' s•0 tA-'t kJ" R t IOC t•-/ mn i 1 9 f=renr`-1
Telephone: 'C Z S$S- ' 2_z/ Fax: email:
Mailing Address: 221 E. /\-1.vvXC Si. ('Cg r H 4 c'LK 1,)4 9 g.33cy
Applicant/Agent(if different from owner): —A/1-t (Sj�j) - L6 XI1 K 1-iOM.E S
Telephone: 25 3- C 6;- 5 2i O Fax: 3 - 3 7 9 -y 17/ email: i 6 hSCD/e ' 11 ,hiiS,C
Mailing Address: cfq /<(a-L f- 56_1ter-,2� Pam}-CC' Pc i opuN5E-l'i3 pxf q g3 6 ..
What kind of Permit?(Check each box that applies
Adding 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
, -Single Family 1ZLGarage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑ Road Approach ❑Short Plat**
❑Home Business ❑Cottage Industry ❑Binding Site Plan**
❑Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Dgv PRIEGigil‘a4I'Rn I
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program a tion/Permit Revisions** II
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Sub�stan ial D , elo merit 2012 i
❑Temporary Use 0 Shoreline Management Variance �'�' p` ** I�� 1�
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/tail Use District Map Amendme t !
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master r dot ,
*May require a Pre-Application Conference ❑Tree Vegetation Request pr, " ON COyrg y
**Requires a Pre-AppiTa ro ortferance n_,TY(OF!VFLfPr c'
Please identify any other local,state or federal permits required for this proposal, if known:
ESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
s.
~OWNER SIGNATU V1 - Date: ifc' '')9 V2
By By signing is-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 thplicatt6Tt'tha a or she wants prior notice. l
Signature: r Date: �— 2- ��/ '
L
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-transf onsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature.
Date: 4,0<1....�.f^�
r_
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
• •
BUILDER STATEMENT
The signer of this st tement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will suming e responsibility of the General Contractor for the proposed project.Signa ur • ��� -„r�)� Date: - 2 c
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
-6XPI ►2 I—t M 5 (3t�)371•-/7i9 (7f O 37c1 11 I
MAILING ADDRESS: L7 L( 1 ALA,�1 Sc10 ag/pL, n-�--� 0 EMAIL: -t-cj\(04�:j c:� l XCLi kU4�V\0_-�- cc 'y\
CONTRACTOR'S LICENSE �1 r J' �J WAINS J
NUMBER: L/)Clc/2 H A-y(Y- (_. '7— �'/ NUMBER
ARCHITECT/ENGINEER: -,A LI Air Opp FI t t /�v! c e PHONE (36c) 9 St-(M5 FAX:(3(0)C1_56-C
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
Plew Wood Existing: (Sewer
❑ Addition ❑ Steel Proposed: 2 Bank 0 Community System
0 Alteration/Remodel ❑ Concrete Total: L Height: 0 Individual Syst
❑ Repair ❑ Masonry SEP Permit# -1-113
❑ Demolition ❑ Other: Bedrooms: Water Supply:
PP Y:
Existing: Setback: ❑ Private well 0 Two Party
Type of Heat: Proposed: 2 Public
E-G 7-g-1 C Total: '2- Name of System: PL? U
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) 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:
1 Underground Tank 1 Above ground Tank Size of Propane Ta •
1 Heat Stove 1 Cook Stove I Woodstove I Fireplace Insert 1 Hot Water Tank �e� I
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No 1• L� IV-
When
applying for a permit to install a propane tank you must also submit a slte-plan showing all oft e i ,all property
lines,tank location and size,distances from the propane tank to all property'lines,buildings and septic syste omponents,
including the reserve area. i + li
.�I is '6!•? t r, 1�� r. '*4''''dI t' ,i ' -"..�&
Square Footage Current Proposed #-o :tc•'0-i= nl ,;; `,�,, -,�., �',. • 1 '' `p n 3 "Mkt
Main Floor Heated EH Bld App Review: JEF CQlJNrY ---1
2"0 Floor Heated I Z D?OF`� rJ,-• in:, •�
Consistency Review: 2��, ` 1F J
t
Other Heated -t §< Base fee: G,
r //1 .* l v(a6 q
Mezzanine r
'�� tr Additional Section: _
Heated Basement �;/� tir x�c�;e t: Plan Check fee: 0 1
Unheated Basement �, i ,_ ' �� "(
+ Iry , State Surcharge fee: c�
// I !V
Other Unheated ,, � Pot Water Review fee:
Garage/Carport _ SUBTOTAL
�J ',,r. 2��.°rr
Decks -1 v f �Y�, ,� t
PO kCI f f"'. . „ 911/Rd Approach fee:
Other ,, a . i a
TOTAL: $2_05.3.Orr
_ g,i , Receipt Number:
13 .)t23
Cash/Check Number:
.. a Cro
ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to finish 8-2-I—I-2--
Initials: '
77
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc
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rn i °oz- o a Sheet Contents: I Project Title: LEXAR
MAINOWEN FRENCH
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J N CT co o PLAN PORT TOWNSEND, WA. 98368
92 & 94 KALA SQ. PL., PORT TOWNSEND, WA. 98368
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RESERVE AREA DESIGNATION
TAX PARCEL #962-112-608 SOILS APPLICATION, LLC.
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o 863 CARLSBORG ROAD, SUITE A,
RESERVE AREA DESIGNATION SEQUIM, WA 98382
FRENCH/LEXAR p„ „�,,, �R;_��r„� rAY /TA RRT_ri.r.7
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