HomeMy WebLinkAboutBLD2012-00287 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 #: BLD12-00287
SITE ADDRESS: 472 DAISY KING RD Issue Date: 10/9/2012
SEQUIM, 98382 Final Date: 11/7/2013
APPLICANT: MICHAEL R HASTINGS PHONE: 360-681-0608
718 N 5TH AVE
SEQUIM WA 98382-3080
SUBDIVISION: CARLISI SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 002273037 Section: 27 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 500 GAL PROP TANK
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 11/7/2013
\\tidemark\data\forms\F_B LD_Occupancy.rpt 11/18/2013
Jefferson County Building Division Permit Num BLD12-00287
Applicant: HASTINGS
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 f0'3o—i P/71-
Erosion Control /l��
Foundation Footing tO )-0 ,�Z
Footing Drains ? r C2-tt r A- P1itdS
Foundation Stem Wall
tU—S-IL- Qv AOD itDs AT ?olc1.t/+
Underground Plumbing U
Under Floor Framing I 2_
Straps(hold downs)
Ext. Shear Wall Nailing f <"1� ? (�7 .13
Rough-in Plumbing Lo� ` L `t (�
Shower Pan ,44b n1
-. j Framing 4 `.��/
Blocking 371
Airseal 6.1rt 3 F6
Insulation:Walls 6 -5-13
Insulation: Floors 1'_i,t 5
Insulation: Ceiling 13
Int. Shear Wall Nailing
�o''Zd-9
Wallboard Nailing
Gas Line: Interior 11 ,1,1'] 1'16
Gas Line: Exterior 13
Propane Tank ) 1_-,
Heat/Chimney Clearance 13
Mechanical Systems 5-.2y! FA/lx
Duct Test Cert 11
_,�_t 3 SL
Blower Airtight Test t) - -)_1-
Smoke&CO2
Drywell/Alt Drainage 1 (-7—13
Address Posted i I ' � _15 n /
Water Meter Inspection py�
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FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
eviewBUILDING PERMIT APPLICATION R 00204
Review MType: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00287 Received Date: 9/18/2012
SITE ADDRESS: 472 DAISY KING RD
SEQUIM, 98382
OWNER: MICHAEL R HASTINGS PHONE: 360-681-0608
718 N 5TH AVE
SEQUIM WA 98382-3080
CARLISI SHORT PLAT
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 002273037 Section: 27 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NSFR W/ATT GARAGE &A/G 500 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 319,500.00 MAIN: 2,556
CODE EDITION: 2009 ADD'L: HEAT TYPE: HTP
OCCUPANCY: R_3 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: 241 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Proms___3_ __
Total: 2 --Taal: 3 `''��
R tinq Date: r
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $2,225.75 LYK 09/18/12 135209
Plan Check $1,446.74 LYK 09/18/12 135209
State Building Code $4.50 LYK 09/18/12 135209 P P c /E D
Potable Water Application $64.00 LYK 09/18/12 135209 �/
Total: $3,740.99 OCT Ct 2012
'nfferson County Planning
Building De,artment
\\+irlcmer4\rInfn\forme\C PI fl Ann PIA rnf 0/12/91119
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CONDITIONS for Building Permit# :BLD12-00287
1.) 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_Miller sub-basin in a designated Coastal Management Area; as such, state
regulations require the following:
1. 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.
2.) Future building permits on this property will require a Bedroom Restrictive Covenant to be
recorded to the property title due to the number of room in this home, as per
JCC8.15.090.
3.) 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.
4.) 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.
5.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
6.) All construction activities shall not encroach upon the landslide buffer. This includes the
storage or preparation of materials.
7.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
8.) 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.
9.) A Stormwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) Not more than 2 unlicensed vehicipshall be stored on any lot unless totally scened
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.
12.) The road approach permit(RAP07-00181) 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.
13.) Building setbacks from Daisy King Road are no less than 20 feet. Side setbacks are no
less than 5 feet. Shoreline setback is no less than 100 feet from the top of the bluff.
14.) The building height is not to exceed 35 feet.
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
\\tiriamark\data\fnrmc\F RI r) Parmit Rhin rnt 1n/q/7f)19
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.�c. '¢SON cop. JEFFERScOUNTY
w'cc ' •- } DEPARTMENT OF COMMUNITY DEVELOPMENT
1-' ..` '4 621 Sheridan Street • Port Townsend • Washington 98368
$ 360/379-4450 • 360/379-4451 Fax
le,HIlvW`iep www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: _ ya Tc Q`-
Project Description(include separate sheets as necessary):
Single Family Residence ,,L hCb
ITT /APSE✓ �G r�E'
Tax Parcel 002273037 Property
Number: Size: 135,782 s.f.
(acres/square feet)
Site Address and/or Directions to Property: 472 Daisy King Road, Gardni,a
sCEdVEProperty Owner(s)of Record: Michael R.Hastings I
1
Telephone:360-681-0608 ' I L
Fax: Li '( email: hastingsatty@oly t
Mailing Address: 718 N.Fifth Ave,Sequim,Wa. 98382 I t.. . ;
Applicant/Agent(if different from owner): Ilia
Li
Telephone: Fax: �' emaQil:
Mailing Address: JDFERSON17171y
What kind of Permit?(Check each box that applies frfT Or Cf1MsnD°'ITY DEUELOPhAENT
✓ 1Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a), C(d), or C]**
VI Single Family m Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
0 Commercial* ❑Boundary Line Adjustment
❑ Change of Use ❑Short Plat**
❑ Address ❑Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat*"'
l Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes" Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
I Stormwater Management ❑Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request
*May require a Pre—Application Conference **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 n/a 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 it's 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, Ind:' nify and hold armless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in a , way accrue a',ainst Jefferson County as a result of or in consequence of the granting of this permit. 1
I further agree to provid:':ccess all / of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any requires: ter inspall:. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatio .t hzaijkarlis prior no"?Ce.
SignaturePl . _ Date: (/
The action or actions
Ap., .nt will und- a - .s a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species a • ould lead to ,,liot,ntial"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Specie• • t"or"ES•." :r an County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been iss es will not v. .to th I SA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if yo a,- in corm . ce "t the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transf-a' e r-spbnsibi ��. • o a . o a dying with the ESA. The Applicant has read this disc) • r signs and dates it below.
Signatur- J , �� Date: �S//2/
C.\Documents and Settings\caral\Local Sethi . 'Temporary Internet Files\OLK8G\i\laster Permit Application 12-19-2006.doc
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BUILDER STATEMENT
The signer of this itement•.. reby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assu n! th- re.? .ib lity of the General Contractor for the proposed proje .
Signature: �r Date: �g/�GENERAL CONTRACTOR OR ,•'N FACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: Designer,George B.Grant PHONE (360 ) 683-9009 FAX:( )
MAILING ADDRESS: 198 Lost Mountain Rd.,Sequim,Wa.98382 EMAIL grantdz@olypen.com
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
ze-New x Wood Existing: 3 _= Sewer
Addition Steel Proposed: Bank i Community System
Alteration/Remodel Concrete Total: Height: V. Individual System
Repair Masonry 12 SEP Permit# (` rr Q
I. Demolition I Other: Bedrooms: apply:
Existing: 2 [Mewl
Type of Heat: Proposed: t E l Two Party
Heat pump-wood stove Total: ^ 1 1
Name of S ste •
( Hastings
If this is a Commercial Project you must answer the following: C i" V k`i iZ
Number of Parking Spaces: Current: Proposed: ` L t'nber of ADA Parking Spa
Number of occupants(includes owners,tenants,employees,etc) Current `` _
IBC Occupancy: IBC Type of construction: II yo �P WI N# No
If this is a Propane Tank and/or Appliance Installation ermit mark all itemstbel
0 Underground Tank m Above ground Tank Size of Propane Tank: 500 gal.
❑Heat Stove 0 Cook Stove m Woodstove ❑ Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / N6
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 Ic EH Bld App Review. ��
2556 sf
2na Floor Heated Consistency Review. ^ 2�
Other Heated Base fee: (9 aaa•t
Mezzanine W ��z /
Heated Basement Plan Check fee: ' 4 lto 714
Unheated Basement State Surcharge fee: e J°
Other Unheated Pot Water Review fee:
IDS
Garage/Carport '����Z SUBTOTAL /' �(1
576 sf /f c.(}c� q
Decks 911/Rd Approach fee: �I
E.yi ,T1JJ6� &Po7- lB1
Other TOTAL: $
covered porch 241 sf (o 5 11 Receipt Number: 1 2
2556 sf Cash/Check Number: "'1376
sul
ESTIMATED COST(REQUIRED) Date:
Fair market value of all labor and materials foundation to finish 5 (
—� —
`?�/Cr` Do Initials: l _I f
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