HomeMy WebLinkAboutBLD2012-00278 - 01 PERMIT APPLICATION r be DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Port Townsend,WA 98368
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Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
7-`FI( Cs c7 E-mail:dcdaco.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD12-00278
APPLICANT: SHAWN M TYSON PHONE: 360-271-1169
PO BOX 1288
KINGSTON WA 983461288
SITE ADDRESS: 72 FERN GULLY Issue Date: 10/19/2012
PORT LUDLOW, 98365 Final Date: 11/5/2014
SUBDIVISION: Block: Lot: 12
PARCEL NUMBER: 821355048 Section: 35 Township: 28 N Range: 1 E
PROJECT DESCRIPTION:ADDITION TO EXISTING SFR
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 11/5/2014
\\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2014
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Jefferson County,Building Division
Permit Numb BLD12-00278
Applicant: TYSON
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 1/z3 G Minimum setback from Fern Gully Road right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall be feet.
Erosion Control tifiglii i SEE CONDITION 2
Foundation Footing 7/
7/z
Footing Drains
Foundation Stem Wall Ii &l it , j I I Ai l I I "� Jo i thl
Underground Plumbing tl
8,/27/r3 Pe,,* raEaS ., 3
Under Floor Framing ID/1D/l3 Ai
Straps(hold downs) fib/03 0
Ext.Shear Wall Nailing I0 rft 1
Rough-in Plumbing
'i Shower Pan 1 1' y'
Framing f g /A2
EApr rizr dIC 3A /if
Airseal -548 i4 i
/
Insulation:Walls
Insulation: Floors 2 p i/ VA R k p SL 04- q--3-13
Insulation:Ceiling witr --.° Iti.'ht flair 3/2.4/14
■ •
Int.Shear Wall Nailing 44 7//41 ,.. f
Wallboard Nailing i'v--9_,-(11, frk
Gas Line: Interior D/A
Gas Line: Exterior
VA
Propane Tank NA
Heat/Chimney Clearance 1 I to I C
Mechanical Systems 1)/q/i
Duct Test Cert roJ /i4
Blower Airtight Test 1014
/1'l
Smoke&CO2 ��/9//4
Drywell/Alt Drainage i SEE CONDITION 1 FOR SPLASHBLOCK ���io(
._ ll�S�i� � �i�a1� lu�r��"�'�'"
Address Posted h,/r/J t 7 / I
•
FINAL INSPECTION 11/5/,y ok Vo.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00278
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.) The septic system that serves this residence is sized for 600gpd or up to 5 bedrooms.
Use of the additional rooms in this 3 bedroom residence as guest rooms bedrooms, etc.
will requires a building permit. A bedroom restrictive covenant recorded to the property
title may be required for future building permits for any other heated living space permits.
4.) 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.
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 vehicehall be stored on any lot unless totally Ailed
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.) 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.
8.) 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.
9.) Minimum setback from Fern Gully Road right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be feet.
10.) The building height is not to exceed 35 feet.
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
\\tirlamark\rlafa\fnrmc\F RI r1 Permit RIrIn rnf 1 f h19/7f 17
akUILDIN MLA12-00202
G PERMIT APPLICAON Review Type: l
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00278 Received Date: 9/6/2012
SITE ADDRESS: 72 FERN GULLY
PORT LUDLOW, 98365
OWNER: SHAWN M TYSON PHONE: 360-271-1169
PO BOX 1288
KINGSTON WA 983461288
OLYMPIC RIDGE ESTATES
SUBDIVISION: Block: Lot: 12
PARCEL NUMBER: 821355048 Section: 35 Township: 28 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION ADDITION TO EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 1,962
VALUATION 323,234.00 ADD'L: HEAT TYPE EEE
CODE EDITION: 2009 HEAT BASE: 1,091 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: 218 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 02043
BEDROOMS: BATHROOMS:
Exist: 1 Exist: 1
Prop: 2 Prop: 3
Total: 3 _-Total --4----- _
ting Date:
L144 —42_
Type Amount Paid By: Date: Receipt: • ..roved/Date
Permit $2,248.15 LYK 09/06/12 135177
P
" PROVEr
lan Check $1,461.30 LYK 09/06/12 135177
State Building Code $4.50 LYK 09/06/12 135177 OCT n 2012
Total: $3,713.95 Jefferson County Planning
& Building Department
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,1r- �� ,sorr cod JEFFERSON COUNTY
411 I
DEPARTMENT OF COMMUNITY DEVELOPMENT
P '4' 621 Sheridan Street• Port Townsend •Washington 98368
.,.:
360/379-4450 • 360/379-4451 Fax
*� ,,pr www.co.jefferson.wa.us/commdevelopment
Master Permit Application
MLA: (Z-202.
■roject Description(include separate sheets as necess ry): 3/ I5 41 X 4 3, co°
Tax Parcel Number:
ai 5 r
'3 5Q 4 Property Size: . /3"150S ,815 (acres/square feet)
2 v1 ) Y M tG 2-ici ' -
Site Address and/or Directions to Property: ��jZN C `��! P s , Q� l
S I-44w N M • •T)'S^0"/ Tr/1 T J
Property Owner(s)of Record: email: s�l't WVCb t��03 �'�mll•CD
Telephone: 3(o O 2Z x 2'6 `$x IAT Ntt� WA- . 9 6344-G
Mailing Address:
Po Dux croN,
Applicant/Agent(if different from owner): email:
Telephone:
Fax:
Mailing Address:
What kind of Permit? (Check each box that applies ❑Lot or Road Segregation
Critical Areas Stewardship Plan
Building ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit
!a'Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or Cj**
❑ Manufactured Home .❑ Modular - - ❑ Discretionary"D"or Unnamed Use Classification
I ❑ Commercial* ❑Special Use(
1,..t.
❑ Change of Use ❑Boundary Lin;
❑ Address ❑ Road Approach_ ❑Short Plat** TO-.---C EIN E
❑Cotta a Industry ❑Binding Site •I
❑Home Business g ❑Long Plat*"
❑Propane ❑Planned Rur.i ":.-i[ & v& 1 '1 'i ndments**
❑Sign � ❑Plat Vacatio /;t� -tion*"
❑Allowed"Yes"Use Consistency Analysis ❑Plat V ca lo 1,t i• -��Exemption/Permit" sl ns*"
❑Stormwater Management � = e�-�• _-
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline M;nagement ., �.
❑Shoreline M: •'ESC-®�.a 1 1'iril aiogol
❑Temporary Use ' ' � °" I III
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC an. • - ■
❑Forest Practices Act/Release of Six-Year Moratorium ❑0 Tree Jefferson County
Request a Master Program Amendment
*May require afro-Application Conference **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal,ifkQn
DESIGNATION OF AGENT
I hereby designate ��� '� U�17 to act as my agent in matters relating to this application for permit(s).
Date: 0 - Z 4- /.2.--
OWNER SIGNATURE
By signing her or its knowledge.owledge. form,material falsehood or any that
omission of a material fact made by the owner/agent attachments,
with respect to this application packet of
his,her or its knowledge y
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 r provide access and right of
Staffs access I:
d right of entry will be employees,
as assumed unless the applicant agents
nforms the County purpose of
writing at application
review and any require ter inspect
time of the application it e o she wants prjor noti - g-- 2 y-��
vv), Date:
Signature: At' .1 or
The action or actions and could lead undertake as a to a potential"take!of n endangered fspec es as those terms are defined in the federal law known as the
he
endangered species a applicant that the actions that will be undertaken because this
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the app'
permit has been issu
you a in compliance with the individual,group or agency can file a
development code.The Applicant acknowledges that he, he species
r it holds individual your
action(s)even if y
and non transferabl e onsibilit for adhering to and co ing with the ESA. The Applicant has read this disclaer and dates it below.
i/ Date:
Signature: /�-
•
BUILDER STATEMENT
The signer of this state ent 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 esponsibility of the Ge al Contractor for the proposed project. G�
Signature: --1 /1/i - Date:GENERAL CONTRACTOR CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
aw cnQ.r (% )271-f(0`�' { ( )
MAILING ADDRESS: j� C EMAIL: S(r& 0 n� 4 J d�l~1 _L� ct,1A
CONTRACTOR'S LICENSE • WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: J Q 11 Pok Yro`t-+ PHONE ( )110.-43a FAX:( )
MAILING ADDRESS: A-V �t ��%n ee yi � Etat,�t� �co (09 l3 +(
Project Type: Frame Type: Bathrooms: Shoreline: CJ Type of Sewage Disposal:
G New Wood Existing; 0 Sewer
.2-Addition 0 Steel Proposed: Bank 0 Community System
0 Alteration/Remodel 0 Concrete Total: Height: dividual Syst m
0 Repair 0 Masonry SEP Permit# 284
0 Demolition 0 Other: Bedrooms' Water Supply:
Existing: I Setback: ❑ Private well 0 Two Party
Type Df Heat: Proposed: - -Public
� i`C, Total: Name of System:
If this is a Commercial Project you must answer the following: f,3O
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes 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 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
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 B ®' a Use Only- , oun Xt can
Main"Fldor°He tetl = (' . ..
C e 50 I '142- 2 0 3 u 4 EH Bid App Review: - (
2"1 Floor Heated 11✓ 72 Consistency Review:
222
Other Heated Base fee:
22c12, Is
Mezzanine Additional Section:
Heated Basement " Plan Check fee: 1
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
Decks j 911/Rd Approach fee: rr-
Other
TOTAL: $,,4011 (15
Receipt Number: '-3 I-Z-T
14,12 Cash/Check Number: 11
ESTIMATED COST(REQUIRED) Fate:
*Fair market value of all labor and materials foundation to fins
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1 JEFFERSON COUNTY
___ DEPT. OF COMMUNITY DEVEFOPMFNT
SPAN REBAR 51IRRUPO
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INTEL REINFORCING SCHEDULE
SEE ATACHED STIRRUP DETAIL SHEET PS -01,04
STIRRUPS NOT REQ ID OPENINGS LESS THAN 4'-0'
---� SEE ATACHED REINF. DETAIL SHEET PS -01,01
TYPICAL LINTEL
4' DRAIN
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SEE EACH WALL LEVEL FOR
HORZ. t VERT. STEEL SPEC'S
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JEFFERSON COUNTY
DFCT. OF COiVMUNP DEVELOPMENT
BRACED WALL PANELS
Q4P MINIMUM PLYWOOD SHEAR. WALL PANEL AT I A 2 STORY BUILDINGS PLACED WITHIN
B-0' OF CORNERS AND EVERY 2f -r Or. AT THE FIRST FLOOR OF TWO STORY
BUILDINGS SHEAR WALL PANELS IN EACH WALL LINE SHALL TOTAL 25% OF THE BUILDING
LENGTH AT THAT WALL LINE. 1f2' CDX PLYWOOD ONE SIDE (block ID panel adpa)
NAILED WITH Rd NAILS 0 4. OC. TO STUDS 0 PANEL EDGES, 4' Or. INTO SOLE
PLATES, 4' O.C. INTO TOP PLATE AND I2' O.C. INTERMEDIATE STUDS. HDU4 SDI 2S
HOLDOWNI RBQUIRED@ BA. END. MAXIMUM WALL HEIGHT 1810'-'.
30' MINIMUM PLYWOOD SHBAB WALL PANEL AT 1 STORY BUILDINGS TO REPLACE
PANEL K 112' CDX PLYWOOD ONE SIDE (block all plywood panel edge#) NAMED
WITH 84 NAILS AT 4' OC. TO STUDS AT PANEL EDGES, 4' O.C. INTO SOLE PLATES,
COC. INTO TOP PLATE AND 12'OC.IITERMEDIATE STUDS. PROVIDE MIN. TWO
ANCHOR BOLTS AT BACK PANEL PLACED AT PANEL ENDS AND HDU4 SDI 4D
KOLDOWN AT r CONCRETE WALLS (=1x.180016 uplift) INSTALLED PER MANUFACTURERS
SPECIFICATIONS AT EACH END OF PANEL. PROYIDE CONTINUOUS FOUNDATION WITH
MINIMUM OF 1. 84 BRIAR TOP AND BOTTOM FOR FULL LENGTH OF WALL LINE (do eat
Aop fooHnp at ~ door opeaiap} MAXIMUM WALL HEIGHT It NP4P.
32' MINIMUM PLYWOOD SHEAR WALL PANEL AT FIRST FLOOR OF TWO STORY BUILDINGS
TO REPLACE PANEL IL 1/2' CDX PLYWOOD EACH SIDE ( block all plywood panel
edged) NAMED WITH Si NAILS 0 4' OC. TO SPUDS AT PANEL EDGES, 4' OC.INTO
SOLE PLATES, 4'0,C. INTO TOP PLATB AND 12'09.INTRBMBDIATE STUDS. PROVIDE
MINIMUM 2 ANCHOR BOLTS AT BACH PANEL PLACED AT PANEL ENDS AND HDU4 SDS 23
HOLDOWN WITH 8811120 ANCHOR BOLT AT P CONCRETE WALLS (nie.30001k uplift)
INSTALLED PER THE MANUFACTURERS SPECIFICATIONS AT RACE END OF PANEL, PROVIDE
CONTINUOUS FOUNDATION WITH MU41MUM OF 1.84 REBAR TOP AND BOTTOM FOR PULL
LENGTH OF WALL LINE (do act atop foodAp at gasp doff apeeiep? MAXIMUM
WALL HEIGHT 1810'-0'.
8P MINIMUM GWB INTERIOR SHEAR WALL PANEL AT I A 2 STORY BUILDINGS IN WALL
®LINES NAILED WITH 5d COOLER OR WALLBOARD SCREWS AT T Of- TO ALL
STUDS AND BLOCKING, T' Or. INTO SOLE PLATES, T OC. INTO TOP PLATE. NO
HOLDOWNS REQUIRED. MAXIMUM WALL HEIGHT U IW-V.
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