HomeMy WebLinkAboutBLD2012-00344 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 #: BLD12-00344
SITE ADDRESS: 941 SHINE RD Issue Date: 04/3/2013
PORT LUDLOW, 98365 Final Date: 12/11/2013
APPLICANT: JOHN B SIMPSON PHONE: 360-437-8202
KATHERINE SIMPSON
941 SHINE RD
PORT LUDLOW WA 98365-9286
SUBDIVISION: HOUSE SHORT PLAT Block: Lot: 1
PARCEL NUMBER: 821343026 Section: 34 Township: 28 N Range: 01 E
PROJECT DESCRIPTION: OFFICE ADDITION TO EXISTING B&B
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 12/11/2013
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Jefferson County Building Division Permit Number: BLD12-00344
Applicant: SIMPSON
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next 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 I :F- Minimum setback from Shine Road right-of-way shall be 20 feet.
Minimum north, east and west setbacks shall be 5 feet.
Erosion Control SEE CONDITION 2
Foundation Footing ,;...;),:(,_,2) 't�
Footing Drains
Foundation Stem Wall
Straps(hold downs) /
Ext. Shear Wall Nailing }-17 f 1 �
Framing
Airseal
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing . _
Smoke&CO2
Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCKS
Address Posted
FINAL INSPECTION ; ._:.r,;
i
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
MLA1
eview R
!UILDJNG PERMIT APPLICATION 00237
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00344 Received Date: 10/24/2012
SITE ADDRESS: 941 SHINE RD
PORT LUDLOW, 98365
OWNER: JOHN B SIMPSON PHONE: 360-437-8202
KATHERINE SIMPSON
941 SHINE RD
PORT LUDLOW WA 98365-9286 HOUSE SHORT PLAT
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 821343026 Section: 34 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION OFFICE ADDITION TO EXISTING B&B
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 447
VALUATION 47,351.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 6 Exist: 4
Prop: 0 Pro y.-------�
Total: 6 otal: 4 ``____.._.__
Ro1atinq Date:
0- -9(-1- .-- _.- __--->
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $623.55 LYK 10/24/12 135343 APPROVED
Plan Check $405.31 LYK 10/24/12 135343
State Building Code $4.50 LYK 10/24/12 135343 APR 0 3 2013
Total: $1,033.36
Jefferson County DCD
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CONDITIONS for Building Permit# :BLD12-00344
1.) DESIGN CRITERIA FOR SPLASHBLOCKS:
A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED
BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE,
STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH
SPLASHBLOCK.
A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT.
FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE
DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS.
2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
3.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
4.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
5.) 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.
6.) 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.
• •
7.) The site plan as submitted with the building permit application on October 24, 2012 has
been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated April 3, 2013 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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.
10.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
11.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
12.) Minimum setback from Shine Road right-of-way shall be 20 feet. Minimum north, east
and west setbacks shall be 5 feet.
13.) The building height is not to exceed 35 feet.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
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•
•SON CO •
�� JEFFERSOFUNTY
,.:3 DEPARTMENT OF COMMUNITY DEVELOPMENT
ti ' ` ''4 621 Sheridan Street • Port Townsend • Washington 98368
K,,....._______
360/379-4450 • 360/379-4451 Fax
,.0 www.co.jefferson.wa.us/commdevelopment
$7Nj
Master Permit Application MLA: to c -_'l
Project Description in llu e separat sheets as necessary):
Rai in : ri5t, �r
•
Tax Parcel Number: $2!•m•t.2 B2!"343 •627 Property Size: (acres/square feet)
Site Address and/or Directions to Property:
94/ crAi� . tali 53,1
Property Owner(s)of Record: 0 1' / SOn
Telephone: O - • Fax• email: 8 e'•
Mailing Address: 9 cr fl IQ • hW,u//¢ 83
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
t 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 or Reasonable Economic Use)
❑ Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a), C(d),or C]**
❑ Manufactured-Home .❑ Modular • •— ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach_ 0 Short Plat**
0 Home Business ❑Cottage Industry 0 Binding Site Plan**
❑ Propane 0 Long Plat**
❑ Sign r 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑ 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 0 Tree Vegetation Request.
. ' . frebde3
I.
Please identify any other local, state or federal permits required for t is propoulitit It(iiia &
\_,-,\_, [.1 1 .
DESIGNATION OF AGENT ., '
I hereby designate to act as my agent i . :rs relating to this aHlicat4otd-far ermit(s).
1 I,
OWNER SIGNATURE [Date: ,-- _--- '
By signing this application form,the owner/agent attests that the information provided herein, . . try s fiRptcect ko the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by •- - -- ••- " 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 appriiii tion thaie or wapts prioo nnotic�e.
Signature: �AY #i ‘ !�" �'-� Date: /0 ` 22 -"/2- .
The action �Ti' tions 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
nd non-tr rable rr spon ' ity f r adhering o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
ignatur . i le Date: /0—22 /2--••
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• •
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 as ming the respons ility of the General Contractor for the proposed project.
~Signature: •e q Date: _/o 22- /2_
'GENERA NTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL.:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE
( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
C New Wood ' Existing: 33�1. . C Sewer
"(Addition . ', 0 Steel Proposed: hi Bank i ❑ Community System
C Alteration/Remodel 0 Concrete Total: Hei ht:
9 Individual System
0 Repair ❑ Masonry SEP Permit# _
1- Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: E. Private well C Two Party
Type of Heat: L Proposed: —(Z— / 'Public
ropti)e-/Q��j/f j Total: _( Name of System:
iny^
If this is a Commercial Project you must answer the following: N4
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
--Number-of-occupants-(includes-owners;-tenants,employees7etc)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: kil,
i Underground Tank)(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 N/4
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 t EH Bld App Review:
2r4 Floor Heated r2f23L/7 - Consistency Review:
Other Heated `7
Base fee: �2S ' JJ
Mezzanine (I) 0
D D Additional Section:
Heated Basement Plan Check fee:
m D A05-51
Unheated Basement
D U, State Surcharge fee: C
�� - � . JCS
Other Unheated'
Pot Water Review fee:
Garage/Carport SUBTOTAL
76 (55C
Decks 911/Rd Approach fee:
70i Ex(S r1:,C.
Other J _LD S/ TOTAL: $1'35) 3(0 ,
Receipt Number: \t ; 3.
Cash/Check Number: `7
ESTIMATED COST(REQUIR�_—) Date: ;r
t.Fair market value of all labor Sl materials foundation to finish `t
--_ See Initials:
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