HomeMy WebLinkAboutBLD2013-00019 •
,BUILDING PERMIT APPLI ION MLA13-00013
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00019 Received Date: 1/17/2013
SITE ADDRESS: 83 ELDERBERRY LN
CHIMACUM, 98325
OWNER: LAWRENCE J MC CONNELL PHONE: 360-732-7540
JENNIFER L MC CONNELL
PO BOX 482
CHIMACUM WA 98325-0482 IRONDALE ORCHARD TRACTS BLOCK
SUBDIVISION: Block: 6 Lot: 9
PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOII ADDITION TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 680
VALUATION 73,000.00 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: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0
Total: 3 Total: 3
Routing Date:�7
I l - 13
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $804.75 LYK 01/17/13 139910 APPROVED
�®®"C
Plan Check $532.09 LYK 01/17/13 139910 A R V G
State Building Code $4.50 LYK 01/17/13 139910
Total: $1,341.34 MAR 1202
Jefferson County DCD
\\4irlcmnr4\rh4e\fnrmc\F 121 fl Ann R lrl n+ 1/17/9(194
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#: BLD13-00019
SITE ADDRESS: 83 ELDERBERRY LN Issue Date: 03/12/2013
CHIMACUM, 98325 Final Date: 10/14/2013
APPLICANT: LAWRENCE J MC CONNELL PHONE: 360-732-7540
JENNIFER L MC CONNELL
PO BOX 482
CHIMACUM WA 98325-0482
SUBDIVISION: IRONDALE ORCHARD TRACTS BLOCK Block: 6 Lot: 9
PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W
PROJECT DESCRIPTION:ADDITION TO 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 10/14/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2013
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Site ID/Address: *it#
2009 WSEC Residential Additions Worksheet
Purpose:This worksheet demonstrates compliance for a proposed,addition where heat loss improvements in the existing home
receive credit toward compliance. Perform a Chapter 5 Component Performance calculation only on the addition before using this
form.
Note:This worksheet is only applicable for additions under 750 ft2;all other additions must show full WSEC compliance as a stand
alone project.
MAIN WORKSHEET
1 PROPOSED UA VALUE (from Chapter 5: Component Performance Worksheet)
2 TARGET UA VALUE (from Chapter 5: Component Performance Worksheet)
3 Addition heat loss deficit (box 1 minus box 2) 0
4 'Existing home improvement credit (compute total credits below) 0
ADDITION COMPLIES IF BOX 4 IS GREATER THAN BOX 3
Existing Dwelling Improvement Credit Calculations
Existing home
Change Area(Ft2) U-factor UA improvement
credit
Existing glazlcn
0
0
0
Replacement I inq
0
0
0
0
Existing insulation
Floor .._/ 0
0
Ceiling Q 0
0
Wall P., •
0
New insulation 0
Floor
0
Ceiling 4'46. 0
0
Wall P- 2 1 0
0
Total Credits 0
Existing Home U-Factors (Refer to the 2009 WSEC,Chapter 1 -
Building Envelope Values: Exist rid IEjid ulgl
1
Ceilings wino insulation U=0.30 Single Pane •< i U .2
Floors wino insulation U=0.134 Double Pane(metal,frame), JAN 1 / 20 13 U; .9
Walls w/no insulation U=0.31 Double Pane w/vinyl or wood sash U
Glass Blocks U=0.51 Revised 01/24/2011 Washington State University Edenton Energy pr�pmm A,ur.1997.ciao pV698
Plan Review(For official use only)
The selected Option is appropriate for this dwelling design: YES ❑ NO CI nP DT.OF COMMUNITY DEVELOPMENT
NOTES:
Approved By: Date:
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1 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.
Signature: 1.' C__�- Date: _//, ',//0 o 1 3
GENERAL CONTRACTOR OR MANUFACTURED HOME 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:
❑ New he-Wood Existing: 2- ❑ Sewer
Addition ❑ Steel Proposed: / Bank 0 Community System
❑ Alteration/Remodel ❑ Concrete Total: _2____ Heig . Individual System
❑ Repair D Masonry SEP Permit# -2(4C.)
❑ Demolition 0 Other: Bedrooms: 3 Water Supply:
I
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: .1 .Public .'
- C Total: 3 — ,
t..xi � F, — F. O M E
If this is a Commercial Project you must answer the following: I l ' !
Number of Parking Spaces: Current: Proposed; Nun-hket i f A_P_arking_Spaces:____
Number of occupants(includes owners,tenants,employees,etc) Current road I III
• IBC Occupancy: IBC Type of construction: Will you tiveJood Service? Yes / No l
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that aiply• 1
I Underground Tank I Above gro nk Size of Propane Tank: JEFFERSON COUNTY
I Heat Stove, I Cook Stove ondstov I Fireplace Insert I Hot Water Tank I 'elle�t EVELOPMENT _
Is this appliance being installed in a Manufactured I 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 O.ff.[ce Use ly Amount ftxtsio
Main Floor Heated /,70 &Set EH Bld App Review: rrE3 --
2`"'Floor Heated Consistency Review: 2- r
Other Heated Base fee:
Mezzanine -
Additional Section:
Heated Basement Plan Check fee:
_552.09
Unheated Basement State Surcharge fee:
c
Other Unheated Pot Water Review fee:
Garage/Carport L.&/J SUBTOTAL
Decks 911/Rd Approach fee:
Other GI cS'il'-'�'t
TOTAL: $ I ,t4 (•3
Receipt Number: '. 2 q a)O
Cash/Check Number: J t
ESTIMATED COST(REQUIRE ) Date:
*air market valueofalllaborand :terialsfoundation to finish 1 y11—t3 _
zo, O 0 p ° Initials: ---------
GAPermiicenter\###FORMS#ttAnri n poRMC\C,,rr n fRrl F.,«...\r.r.,...e.A.........A--1:—.---c ')n no J__
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.w , +1 JEFFERS COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
in V 621 Sheridan Street • Port Townsend •Washington 98368
-°"` 360/379-4450 . 360/379-4451 Fax
p www.co.jefferson.wa.us/commdevelopment
'ZINC
Master Permit Application MLA: `-(3
Pr jeect Description(in�cllude separate sheets as paceGary).
cfcLhcwi
Tax Parcel Number: 76,3 l Property Size: y 3�, �3 (acres/square feet)
Site Address and/or Directions to Property:
83 e(d UJ G r1 � �-. �5 A �jt32s� ofd Oil 44 1 LL Ct.
Property Owner(s) e-4 eR r Juti) h t ten%,_ 1 I
Telephone: 73 a-7S-Y0 1 3°r- s---19 7 Fax: email:
Mailing Address: I,b. QoX (-/6-2- Ch ".\ti '. `',.‘ CJ.., 98.J r •
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
at kind of Permit?(Check each box that applies ❑Lot or Road Segregation
$uilding ❑ Critical Areas Stews r• - p(�
❑ Demolition Permit ❑Variance(Minor, Maj Rea Rv t
10.Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a (• or
❑ Manufactured Home .❑ Modular - - ❑ Discretionary"D"or Oiled Use Classification
❑ Commercial* ❑Special Use(Essenti: " lic F 'itief)7" 2013
❑ Change of Use ❑Boundary Line Adjt:s ant
❑ Address ❑Road Approach_ ❑ Short Plat** Li U
❑Home Business ❑Cottage Industry ❑ Binding Site Plan*- JEFFERSON COUNTY
❑Propane ❑ Long Plat** .DFP, IF 1. u•,, A N1 "• ** .
❑Sign -.. ❑Planned Rural Rest.- . . - •: 1 i J+t`�t•'•u nts
❑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:
DESIGNATION OF AGENT
I hereby designate 7�i., to act as my agent in matters relating to this application for permit(s).
'�WNER SIGNATURE / �� Date: // 9"12 013
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
ttii e of the application that he or she wants prior notice.
- -.ignature: c�-- G Date: i J, / L o/
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 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
d non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclime and signs and dates it below.
tgnature: f/ // - . :a' Date: / 3 °13
Jefferson County Buildingivision Permit•ber: BLD13-00019
Applicant: MC CONNELL
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� Minimum setback from Elderberry Lane right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall be 5 feet.
Erosion Control -313 SEE CONDITION 2
Foundation Footing .13-.
Footing Drains
Foundation Stem Wall
Underground Plumbing 1i((1,1,3
Under Floor Framing I
Straps(hold downs)
Ext.Shear Wall Nailing if/
Rough-in Plumbing
S 213
Framing
512_115 551.._-
Blocking
Airseal
"Ai 3 -
Insulation:Walls 4'117 Insulation: Floors 7i /O
Insulation:Ceiling 5-1 1 13
Int.Shear Wall Nailing
Wallboard Nailing 01°)
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Heat/Chimney Clearance
Wood/Pellet Stove
to .-1t-`3
Smoke&CO2
Drywell/Alt Drainage 1 p _k3 SEE CONDITION 1 FOR SPLASHBLOCKS
Address Posted 10 13
Fil"" 10'1( 3
BUILDING PERMIT
•
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD13-00019 Received Date: 1/17/2013
SITE ADDRESS: 83 ELDERBERRY LN Issue Date 3/12/2013
CHIMACUM, 98325 Expiration Date 3/12/2014
OWNER: LAWRENCE J MC CONNELL PHONE: 360-732-7540
JENNIFER L MC CONNELL
PO BOX 482
CHIMACUM WA 98325-0482 IRONDALE ORCHARD TRACTS BLOCK
SUBDIVISION: Block: 6 Lot: 9
PARCEL NUMBER: 963000609 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: ADDITION TO SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN: 680
VALUATION 73,000.00 ADD1: 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: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $804.75 LYK 01/17/13 139910
Exist: 3 Exist: 2 Plan Check $532.09 LYK 01/17/13 139910
Prop: 0 Prop: 1 State Building Code $4.50 LYK 01/17/13 139910
Total: 3 Total: 3 Total: $1,341.34
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY- THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
•
CONDITIONS for Building Permit# :BLD13-00019
1.) DESIGN CRITERIA FOR SPLASHBLOCKS:
AVEGETATED 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.) 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.
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.) The site plan as submitted with the building permjt application on January 17, 2013 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 March 12, 2013 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
• •
7.) 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.
8.) 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.
9.) 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.
10.) Minimum setback from Elderberry Lane right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet.
11.) The building height is not to exceed 35 feet.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
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To be Located 41, enhsteepivuo room RvAoRtsiote
iw the VLoLvuity of the bedrooms. fwteroovweoted
:L:to volt with battery bnVeRp. c>o, each story
av"Ot kl2bkubLe attic.
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TrRss AsLov. arC(MvOS SkOLL be provided
With SktPmcvt of trusses CIAJ Must be ow
site for frRmiwo tv.SPe010V,.
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whole FfoLtse
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ST-R_'I NCI LINES TO V61;_>IFY SET_FAaK_S.
IF
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