HomeMy WebLinkAboutBLD2012-00361 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#: BLD12-00361
SITE ADDRESS: 714 PARKRIDGE DR Issue Date: 12/13/2012
PORT TOWNSEND, 98368 Final Date: 8/28/2013
APPLICANT: BRIAN ROE PHONE: 360-379-4875
LINDAABBOT ROE
714 PARKRIDGE DR
PORT TOWNSEND WA 98368-2801
SUBDIVISION: WOODLAND HILLS#2 PHASE 2 Block: Lot: 41
PARCEL NUMBER: 999900141 Section: 28 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: ENCLOSE EXISTING DECK TO ENLARGE DINING & LIVING ROOMS
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 8/28/2013
\\tidemark\data\forms\F_B LD_Occupa ncy.rpt 9/12/2013
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Jefferson County Building Division Permit Number: BLD12-00361
Applicant: ROE
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
Erosion Control
Foundation Footing N 4
Footing Drains
Foundation Stem Wall 3 CIN,
Underground Plumbing
Under Floor Framing -Z /,
Straps(hold downs)
Ext. Shear Wall Nailing rt .e.t
Rough-in Plumbing 7 'tom
Framing 7)%-3/1 3 9t-
Blocking
Airseal
2,4
Insulation:Walls
1 211113
Insulation: Floors
Insulation: Ceiling % LL.. i3 f
Int. Shear Wall Nailing
Wallboard Nailing n
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
BLD12-00361
•ILDING PERMIT APPLICATI 'J Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00361 Received Date: 11/7/2012
SITE ADDRESS: 714 PARKRIDGE DR
PORT TOWNSEND, 98368
OWNER: BRIAN ROE PHONE: 360-379-4875
LINDAABBOT ROE
714 PARKRIDGE DR
PORT TOWNSEND WA 98368-2801 WOODLAND HILLS#2 PHASE 2
SUBDIVISION: Block: Lot: 41
PARCEL NUMBER: 999900141 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ENCLOSE EXISTING DECK TO ENLARGE DINING & LIVING ROOMS
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 336
VALUATION 40,000.00 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: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2
Routing Da :
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $542.75 LYK 11/07/12 135385 APPROVED
Plan Check $352.79 LYK 11/07/12 135385
State Building Code $4.50 LYK 11/07/12 135385 JAN 13 2012
Total: $900.04
Jefferson County DCD
firIcmorWrlofo\fnrmc\f= RI fl Ann RIA rnf 11/7/1(110
• •
CONDITIONS for Building Permit# :BLD12-00361
1.) This parcel is within a no shooting area per JCC 8.50.
�5ONc •
;�4� 06. JEFFERSON CO TY
°\ rj DEPARTMENT OF COMMUNITY DEVELOPMENT
04 f 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
vq O� www.co.jefferson.wa.us/commdevelopment
NG
aster Permit Application MLA: 1Q0 rncit
)ject Description(include eparate sheets as necessary):
/170 a S e _/7 riot t fio n
Tax Parcel Number: 9 9 9 - 'Q 0- /4'/ Property Size: -,, b r` , 1 (acres/square feet)
e Address and/or Directions to Property:Thal
-"a-vil Cal S f j-I A/4✓/9
operty Owner(s)of Record: L,n ri A- a7` . o e Tel es /1)c
lephone: !CO 3 79 9 8 75- Fax: email: / I, toe E-'PISA.eowi
ailing Address: 7/// /'ay /I ri r/9 e p,- .r o r 7` 7-0 ry e.e' ,-( Kea . 9 0-6-6
iplicant/Agent(if different from owner):
lephone: Fax: email:
ailing Address:
hat kind of Permit?(Check each box that applies 0 Lot or Road Segregation
,uilding ❑ Critical Areas Stewardship Pip__-----
❑ Demolition Permit ❑Variance(Nlino , � `l e�o 'c Use)
❑ Single Family ❑ Garage Attached/Detached ❑ Conditional - a
❑ Manufactured Home . 0 Modular 0 Discretionary 1med Use Classifi' ti
❑ Commercial* 0 Special Use(Easslential Public Facilities)** '
O Change of Use 0 Boundary LineAdjustment ^;�-
❑ Address ❑ Road Approach 0 Short Plat**
] Home Business 0 Cottage Industry 0 Binding Site Plan** ---_1
] Propane 0 Long Plat** '--
7 3iyn 0 Planned Rural Residents `F RSO COUNTY srafga0 FA_ endments** '
J Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alter i'` C'`'`"�
] Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
7 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
7 Temporary Use 0 Shoreline Management Variance
7 Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
7 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
**Requires a Pre-Application Conference
lease identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
iereby designate to act as my agent in matters relating to this application for permit(s).
WNER SIGNATURE Date:
y 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
s,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
ay result in this permit being null and void.
'urther agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and
cpenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
`urther agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
:view and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
re of the application thatt3e or she wants,prior notice.
ignature: j_--, ''
� ' � r- I -__ Date: //,/,:.% ?/,i 2.
he action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
ndangered 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
ermit 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
ction(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-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
signature:
-L .,r -z-r- Date: �' ; ,. ,7 �,'_
_ _. ........aala�..�,�.,,-..-�„�•o�i-..__.__nfln r._�_\x c n_w:, e_...1:,..,.:,,..C 2n na a..,.
•
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 assuming the responsibility of the General Contractor for the proposed project.
__ Date:
Signature:
FAX:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( )
( )
EMAIL.:
MAILING ADDRESS:
CONTRACTOR WAINSS LICENSE NUMBER
NUMBER: PHONE ( ) FAX'( )
ARCHITECT/ENGINEER:
EMAIL
MAILING ADDRESS: of Sewage Disposal:
Frame Type: Bathrooms: Shoreline: Type9 P
Project Type: L/Wood Existing: Sewer
New Steel Proposed: Bank 1: Community System
C�Addition r Total: Height: � Individual System
r Alteration/Remodel ❑ Concrete _ SEPn Permit#El _
Repairmo 1 Masonryther: Bedrooms: Water Supply:
Demolition Other: Existing: _ Setback: Private well ❑ Two Party
Proposed: 1 Public
Type of Heat:�L Total: 3 Name of System: •If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces:
Number of Parking Spaces: Current: Proposed:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
• 13C 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 Tank:
i Heat Stove 1 Cook Stove i Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 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 EH Bid App Review: r1/
//2ci I(p
2`d Floor Heated Consistency Review:
/ 2�>
Other Heated Base fee: C L'2 0 5
Mezzanine
Additional Section:
Heated Basement Plan Check fee: 352 7q
Unheated Basement
State Surcharge fee: 0
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL "("
� .
I l 911/Rd Approach fee:
Decks / ���
Other I ci TOTAL: $ '—n‘,
Receipt Number: I
Cash/Check Number: 1:75-77
ESTIMATED COST(REQUIRED) Date: _ — IZ
•Fair market ue of all labor and materials foundation to finish Initials:
/Q6G6
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