HomeMy WebLinkAboutBLD2011-00002 •UILDING PERMIT APPLICA•N MRReviewy 2
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD11-00002 Received Date: 1/3/2011
SITE ADDRESS: 243 RAPTOR WAY
SEQUIM, 98382
OWNER: STEPHEN R WIGGINS PHONE:253-884-9494
1214 E HERRON BLVD KP N
LAKEBAY WA 983498147
SUBDIVISION: Block: Lot: TX 27
PARCEL NUMBER: 002333010 Section: 33 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NSFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,254
VALUATION 94,917.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: SETBACK:
DECK: 170
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 1 PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 1
Total: 3 Total: 1
Routing Date:
13-( 1 - --_ _- -
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $958.75 LYK 01/03/11 120379 APPROVEr
Plan Check $623.19 LYK 01/03/11 120379
State Building Code $4.50 LYK 01/03/11 120379 FEB Q u1
Potable Water Application $62.00 LYK 01/03/11 120379
Total: $1,648.44 Jefferson County Planning
&Building Department
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#: BLD11-00002
APPLICANT: STEPHEN R WIGGINS PHONE: 253-884-9494
KERSTIN WIGGINS
70 ALPINE LOOP
SEQUIM WA 98382-4743
SITE ADDRESS: 243 RAPTOR WAY Issue Date: 02/9/2011
SEQUIM, 98382 Final Date: 5/22/2014
SUBDIVISION: Block: Lot: TX 27
PARCEL NUMBER: 002333010 Section: 33 Township: 30 N Range: 02 W
PROJECT DESCRIPTION: NSFR
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 5/22/2014
\\tidemark\data\forms\F_BLD Occupancy.rpt 5/22/2014
oc •
II
o JEFFERSON COUNTY
I ' DEPARTMENT OF COMMUNITY DEVELOPMENT
PI 'N o_ 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450• 360/379-4451 Fax
4 N'(` www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: I l 2. . .
Project Description(include separate sheets as necessary):
Tax Parcel Number:. •ai_ di no Property Size: (acres/square feet)
Site Address and/or Directions to Property:
�h�ck>oN
,, q 3 a-►hr IL)4 '/ A.,. r, . 3 ' /0/ 4 Q/4 ni 4 el pi) die c.-bopia 1(de ,
Property Owner(s)of Record: - •h H w/G Cs t fri
Telephone:a 53 "elf 47 fig. Fax: email:(a pia 11/41/59 MS lig®4 ,(417
Mailing Address: /al f q F 14Prrvh Oivi K P/) API-Re bay MY/F q?3{
Applicant/Agent(if different from owner):
Telephoner Fax email:
Mailing Address:
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
tifBuilding ❑Critical Areas Stewardship Plan
A Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
Vic Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a a 4-t el `k -. r -s 1 ))
❑ Manufactured Home . 0 Modular . • - 0 Discretionary"D"or -fq . Use`` lassificabon
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat** :,-eaii ,, , 1 -
❑Home Business ❑Cottage Industry ❑Binding Site Plan*"
❑Propane 0 Long Plat**
❑Sign -- ❑Planned Rural Reside o F-6,i, 4° , dments*"
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alterati
o Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
0 Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre-Application Conference ❑Tree Vegetation Request
**R-•uires a Pre=•,,•licatfon 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 Dater
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 required later inspections. Staff's 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 r she wrtl priori notige. r
Signature: �/.l Date: '�=�. — /1
The action or actions Applicant will undertake as a r k 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 Ad'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. My.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 Je -rsoa,County development code.The Applicant acknowledges that he she or it holds individual
and non-transfe= ' / ->n/ility fore; P>rive to :nd complging with the ESA. The Applicant has read this disclaimer.and signs nd dates it below:
ignature: ...�../ 'if ` w Date: 3 -- 3 - i /
t
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 assu in the res nsibi'�y. f the iJGeneral.Contractor forthe proposed project. `
Signature: fl�iv l Date: / — J' I I
GENERAL CONTRACTOR OR MANUFACTURED OME 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:
)18( New tg Wood Existing: 0 Sewer
❑ Addition Steel Proposed: I Bank ❑Community System
❑ Alteration/Remodel 0 Concrete Total: I Height: kindividual SystprA n 5
0 Repair ❑ Masonry S Permit# U ^`'(`
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: Private well 0 Two Party
• of eat: Proposed: 'q Public
r 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
• !Be 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:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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.
S uare Current Pro..sect ° �,E ' ' t. �F €,_ r .
Main floor Heated 1 , `r. EH Bid App Review:
2 ' Floor Heated . - Consistency Review:
Other Heated .F °Base:fee:
Mezzanine , Additional Section:
Heated Basement ,'- Plan Check fee: •
,i, „ Cot I
Unheated Basement l e'71 State Surcharge fee: NE=
• rte -_.,�
Other Unheated '�
���4 , � Pot Water Review fee:
Garage/Carport SUBTOTAL Ai
Decks *:., , ; 911/Rd Approach fee:
Other TOTAL: $ O q 72 •y
,
a-/ Receipt Number: 1 ?o
t Cash/Check Number:.
ESTIMATED COST(REQUIRED) L''''.k4' ' ' '
REQUIRED) ' Date:
•Fair market value of all labor and materials foundation to finish —
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r g ,ON--SITE WASTEWATER PLANS
i T „ ' # SOILS APPLICATION, INC.
g L S 9" n TAX F ARC L 002-3 3-01 G .
$ n „; .:. o $ 863 CARLS801 ROAD, SUITE A,
PRESSURIZED SYSTEM F'OR SEQUIM, WA 98382
-''-______ IIIGGINS
,
— Y PH (360) 683.6300 FAX (360) 683-5652
•
Jefferson County Building Divisi•
on Permit Num BLD11-00002
Applicant: WIGGINS
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 `1I Z�°/Iz_ c2—' SILL CP ref c hip 4
Erosion Control
Foundation Footing 14 lib
Footing Drains /
Foundation Stem Wall 1.40 '�
Under Floor Framing i,8.-13 p,
Straps(hold downs) «/1/3 j
Ext.Shear Wall Nailing
Rough-in Plumbing %r
Framing
Airseal
Insulation:Walls Z f
Insulation: Floors I
Insulation:Ceiling 21 l'
Int.Shear Wall Nailing
Wallboard Nailing ° E 1/ r
fts•Liae:F_xtsFier
lie an
Drywell/Alt Drainage
Address Posted
51-2..t1
(Yl(5 I Lt)ctler YY1er ct des / ►Q.
FINAL INSPECTION 5TLA 1`4 9"`-/
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• .
CONDITIONS for Building Permit# :BLD11-00002
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 Peninsula 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.) 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.
3.) 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.
4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
5.) 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.
6.) A minimum of two (2)on-site parking spaces shall be provided for the single family
residence.
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.) Building setback from Raptor Way right-of-way is no less than 20 feet. Side and rear
setbacks are no less than 5 feet.