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HomeMy WebLinkAboutBLD2008-00345 a ,s ON c DEPARTMENT OF COMMUNITY DEVELOPMENT `Z` e- w .,3 621 Sheridan Street,Port Townsend,WA 98368 < Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment r }f iecci E-mail:dcd(a),co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD08-00345 APPLICANT: RALPH J SIMS PHONE: 360-661-5499 PO BOX 304 PORT HADLOCK WA 98339-0304 SITE ADDRESS: 590 W EGG & I RD Issue Date: 10/2/2008 CHIMACUM, 98325 Final Date: 10/14/2014 SUBDIVISION: Block: Lot: T17 PARCEL NUMBER: 801041018 Section: 4 Township: 28 N Range: 1W PROJECT DESCRIPTION: New SFR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS F SPECTION AND RECEIVED FINAL SIGN OFF ON 10/14/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/14/2014 qi ff-) -,c ,;,II - „ 1 V 4 in 0 in. itli , I 1 4 i.00N + JEFFERSON CITY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 JUL 3 1 2008 360/379-4450 • 360/379-4451 Fax 'o www.Co.jefferson.wa.us/commdevelopment JIr EERSON COUNTY HO Master Permit Application MLA: - 3-1 ) Project Description(include separa a sheets as necessary: Ate, itce4-771: ile4 Atp e trEftzfizSErJ A,S' — Tax Parcel Number: qg 0 1 -i t�.I 0 1 ij�/ Property Size: (acres/square feet) Site Address and/or Directions to Property: _ siok ECG JLRd Property Owner(s)of Record: ('A Lehi e! S'N6 4 . Telephone:3 (0 0 -' (0 ‘ I- 5,45'1 F : email: Mailing Address: Si 0 4'I X t'&�.L t� Applicant/Agent(if different from owner): net t'N rrill? t cirNPA krnt?iC1V\ Telephone:CM,0 COO-'CO aa' Fax: , . - email: Mailing Address: O O • 4.Ai AA e. ' Z .- What kind of Permit?(Check each box that applies *Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑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* ❑Special Use(Essential Public facilities)" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan"' ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments*" Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions'"""` Site Plan Approval Advance Determination(SPAAD) ❑Shoreline Management Substantial Development** ❑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 **Requires a Pre-Application Conference Please identify.any other local,state or federal permits required for this proposal,if known: It t� SIG to act as AGENT I hereby designate E r �h � to act as my agent in matters relating to this application forQpermit(s). OWNER SIGNATURE a Date: 1/ evict, ' 0�Oa�✓ 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 or she wants prior notice. J Signature:' " Date: / P� ca " 4 _� 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 wilt-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-transferable r ponsrbi for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: . a��C.�1CA Date: '/`�E acct 8 G:\permitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT i 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. Signature: Date: GEE�/R�•ALL COONNTR/AACTOR OR`MANUFACTURED HOME INSTALLER: PHONE: Fax: 77 MAILING ADDRESS: R� yR �l� � � —�Q" L �C) 4Q :3-?1 i 4 v B oN_C. p �-�L S G EMAIL: CONTRACTOR'S LICENSE _ '2'$'3 WAINS NUMBER: N 7v Z NUMBER ARCHITECT/ENGINEER: ET 5 v PHONE ((65 4?Z't 9 2OFAx:go•) /try, /�it MAILING ADDRESS: EMAIL ", ?0 ! L Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 4 New 0 Wood Existing: 0 ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: . i Height: Er Individual System ❑ Repair ❑ Masonry SEP Permit# — y ry ❑ Demolition ❑ Other: Bedrooms: Water Supply:CCD Existing: (Q Setback: At Private well ❑ Two Pa Type of Heat: Proposed: Party /f ❑ Public k/co Total: Name of System: _0 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(indudes 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: I Underground Tank I Above ground Tank Size of Propane Tank: ' I Heat Stove I Cook Stove ?(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 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 Foota a Current Pro osed , Main Floor Heated ._ t . . , , mss���� 5 7i, .,...,:-.'.,4-,. H Bld App Review: -10 i q�i ' 2na Floor Heated 1� "" Consistency Review: Other Heated Base fee: Q Mezzanine ' 'fib - Additional Section: Heated Basement ■ Plan Check fee: 9 t y Z t, ' Unheated Basement ' State Surcharge fee: ,r-�tsi. Other Unheated Pot Water Review fee: ,-; ho SI 1 ran Garage/Carport � , SUBTOTAL ' _ 1 I�31© Decks `" i 911/Rd Approach fee: /n. Other lc 1_, ., TOTAL: $ 1 1 14-3:10 1 °� > Receipt Number: 10015 1��� Cash/Check Number: ESTIMATED COST(REQUIRED) Date: z •Fair market value of all labor and materials foundation to finish ( D l �'.� 33c02 (?)f v Initials: .. n III�C t G:\PemutCenter\###FORMS###\ORD FORMS\Master Permit Application 5-29-08.doc ...... Pl. iNorth *330' *... 5 .. C- tti --r-1 --r-s • . r-- C7 n C.., C. tri C t....,, c 0.4 .. N3 . . .... „... _ c=, .._,..,..._... cc, „ ,.. ..... CI II1 N. m le . o g E s a .11 / ,..4) ,-,2 1 . . ,, , / 7.... ',.... ...4. / / • . ,,,,,1 yh cz, .:. . 1 . .,,I .J1' (. .4,..: VT) I40.-- T--',.. .......\s\ I, WI se :1144iN..„vr_ 5 .... . ,F,41, , . Stilif I a #0,0 ••••• - a) g M H Egg&I Road ....i. 'Z, 4. 1r co Z c..o. i oth 330' ■- ••■• OOP 101...1.3 5 ■ ... -■ r kirjr;• — • . I - aZIIIIP ■Is.- , 4. ›Z 4t2, rnNtL-881- 73 RD rff2§''8§ a co = 41 • O CA St tr 7=1 m to CO 1••••1 aparZ 0 0...tat') IV (.4 0 .. . tri ....-. .. . - M Pi tigg ' 0 00V = 0 1r C2 ami, Ill CD . . • . . ......1— •■ 5 nit l'' 2 0 IIIG• tisi „...., 0. .....0. . , . • . ,. rn F1-0•;'..%^ I tilt: ' ~sot ., . a 5' a'''-.,:•,:'' . M 1\.) 0 - QUILDING PERMIT APPLICA N MReirewT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00345 Received Date: 7/31/2008 SITE ADDRESS: 590 W EGG & I RD CHIMACUM, 98325 OWNER: RALPH J SIMS PHONE: 360-661-5499 PO BOX 304 PORT HADLOCK WA 98339-0304 SUBDIVISION: Block: Lot: T17 PARCEL NUMBER: 801041018 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: TIMBER IRON ERECTORS PHONE: 360-670-6227 Tiered DAVID RICHARDSON PO BOX 516 CARLSBORG WA 98324 Contractor's License TIMBEI952QC Expires 12/3/2010 REPRESENTATIVE: DAVID RICHARDSON PHONE: 360-670-6227 TIMBER IRON ERECTORS PO BOX 516 PROJECT DESCRIPTION SFR - REVISION 9/2/10 TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP -NEW CCU MAIN: 576 VALUATION 40,245.00 ADD'L: HEAT TYPE: WOD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Ro tingg,,Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $552.85 AMS 07/31/08 100758 Plan Check $359.35 AMS 07/31/08 100758 State Building Code $4.50 AMS 07/31/08 100758 Renewal $213.00 RAC 10/06/09 110962 Permit $426.00 LYK 09/02/10 120024 Plan Check $142.00 LYK 09/02/10 120024 Potable Water Prpliration $98 00 LYK 09/02/10 120024 Total: $1,795.70 ,A—.Z£ „o—,7 .cI i „6 -,01.. 0 e9 oc;!"' ..6—.01 «9—.01 ,... ... -` , , i ..,,,,,,--(1 kJ.\ �\ ( D4 \ F (, , 1 \ ../.. ....i t IN IX 1 - /! ) Ov z io i\ i� 40 0 �i 4030 `/ DOOR 1 DOOR �._ N_ _� U) 0 co O c� _0(fx i I\ \O F= O i , .IN p p / (�vi x q ' O'er. 000 is n O 51 O ill J ✓ 1- O f ! ' c° (.,4 ..-„,-.1 ® 1 0 � o L / v-. I / � � 0 O `'- I` O 1" � � � N 000 0 a r 1— o a o3 O / i did +� ���\ 4030 ��� , ►�� � d,.� .--�/ 4„0—,� 1 I dJ: jiz n / • • , , ,* ,„„__ _, „o ,zc , .-----,,,I.J-80- „6—A L .9—,01 .6—•01 ri j I I I I I I I I i i 1 . . I I 1 �I° I I I i I I I I I I I i I, i1 g,N j I I i ►� I I I 1 I I L 1 I I � 0 ...►.1� .. —,�� i 1 1 i �1d 1 1 1 1 1 1 N1d II ' , , , ' 010 , 1 1 to � N 1 I i 1 I 1 1<_ �,N . I gl°' I I 1 I I I I I I I 01.- • I 1 � � � � � o'er j j I j �j7 j j I I I 11 I i il i i I � I I I �I® 1 i I 1 I I I J L I _ I 1 . .0 i 1 1 _I I I I I� I I i 1 II 1 r i i I I I 1 1 I I I I _ I I 1 1 1 1 , 1 1 N �I, N � 1 i � I 1 i �Id 1 1 f� � I, � N 1 off, SPECI.ONDITIONS APPLY-SEE ATTATCHE• Jefferson County Building Division Permit Number: BLD08-00345 Applicant: SIMS BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 10/6/2008 Minimum setback from West Egg and I Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control 10/6/2008 SEE CONDITION 2 FOR CONST.ENT. STABILIZATION Post Holes 10/6/2008 deck deleted Foundation Footing Footing Drains Underground Plumbing Under Floor Framing 10/15/2008 Straps(hold downs) Ext.Shear Wall Nailing 10/15/2008 Rough-in Plumbing 9/16/2009 Framing 9/8/2009 OK to insulalate. Keep clear of interior plumbing to be inspected Blocking Airseal 9/16/2009 Insulation:Walls 9/16/2009 Insulation: Floors 9/16/2009 Insulation:Ceiling 9/16/2009 Wallboard Nailing 9/29/2009 Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 1 FOR SPLASHBLOCK CRITERIA Address Posted ,J,q At' 016c 'Wi'i # Nuct., (woke c ns mss. FINAL INSPECTION /©/6 /2/ 19 & FINAL INS E 1st. - CTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i • CONDITIONS for Building Permit# :BLD08-00345 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.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) 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. 5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 6.) Not more than 2 unlicensed vehii shall be stored on any lot unless totally sSned 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. 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.) Minimum setback from West Egg and I Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 10.) 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. 11.) 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. 12.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED WITHIN THE CHIMACUM SUB-BASIN; AS SUCH, THE FOLLOWS IS REQUIRED: 1. WATER USE SHALL BE LIMITED TO DOMESTIC USE ONLY, AND SUCH USE SHALL NOT INCLUDE OUTDOOR IRRIGATION. "DOMESTIC USE" MEANS USE OF WATER ASSOCIATED WITH HUMAN HEALTH AND WELFARE REQUIREMENTS, INCLUDING WATER USED FOR DRINKING, BATHING, SANITARY REQUIREMENTS, COOKING, LAUNDERING AND OTHER INCIDENTAL HOUSEHOLD USES, INCLUDING POTABLE DOMESTIC WATER REQUIREMENTS ASSOCIATED WITH COMMERCIAL AND INDUSTRIAL PURPOSES. (WAC 173-517-150(8)) 2. 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 OR CONTACT ECOLOGY AT 360-407-6300.