HomeMy WebLinkAboutBLD2010-00147 •UILDING PERMIT APPLICASJN MRLA e0 00175 Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00147 Received Date: 5/6/2010
SITE ADDRESS: 380 SOUTHPORT LN
PORT TOWNSEND, 98368
OWNER: KELLY P WORRELL PHONE: 206-722-0195
ADELA B WORRELL
4753 36TH AVE S
SEATTLE WA 981181705
SUBDIVISION: Block: Lot: TX3• H
PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NSFR W/ ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE
THRU & U/G 500 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,367
VALUATION 514,424.00 ADD'L: 1,882 HEAT TYPE: HTP
CODE EDITION. 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: 1,184
CONST TYPE: 5N SHORELINE:
GARAGE: 1,127
CONST TYPE: SETBACK:
DECK: 1,775
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 4
Total: 3
Routing Date: CT-
Type
Type unt Paid Bv: Date: Receipt: Approved/Date
Permit ''"- $3,300.25 LYK 05/06/10 117657 1DIDR \fE I Plan Check $2,145.16 LYK 05/06/10 117657
State Building Code $4.50 LYK 05/06/10 117657 JU(,,,S 2010
Potable Water Application $98.00 LYK 05/06/10 117657
Total: $5,547.91 Jefferson County Planning
&Buhr r -*mor t
,. -""` (;---">\ DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street,Port Townsend,WA 98368
— ' Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
�.1 �� L E-mail:dcd(a)co.jefferson.wa.us
5//1 Ni_k
CERTIFICATE OF OCCUPANCY
PERMIT #: BLD10-00147
APPLICANT: KELLY P WORRELL PHONE: 360-382-7224
ADELA B WORRELL
380 SOUTH POINT LN
PORT TOWNSEND WA 98368
SITE ADDRESS: 380 SOUTHPORT LN Issue Date: 07/8/2010
PORT TOWNSEND, 98368 Final Date: 4/7/2015
SUBDIVISION: Block: Lot: TX31 i
PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 1W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE
THRU &
U/G 500 GAL PR A, .A.49 .L,,,(,_ c---s ooec- —
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 FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/7/2015
\\tidemark\data\forms\F BLDOccupancy.rpt 4/7/2015
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, 6 JEFFERSON COUNTY
' 44 DEPARTMENT OF COMMUNITY DEVELOPMENT
■ 4 621 Sheridan Street• Port Townsend •Washington 98368
A 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: r)-1-7 )
Project Description(include separate sheets as necessary):
_A 4-/gy/L 0Gv z-/.
Tax Parcel Number 91,2/08/0,2L, Property.Size: 1, , 4c. • (acres/square feet)
Site Address and/or Directions to Property:.
Property Owner(s)of Record: /€-. GZy
Telephone: .ZD 6- 3-(/OB 206-72 Z-0/95 email: •6d Llvo-RA co 42 • !t/E'
Mailing Address: 17 3 , 7,4YE ot77i' ,Se-4-,7 , /{/A 'e /J
Applicant/Agent(if different from owner):
Telephone:___ Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
(SlBuilding ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use)
6a'Single Family AGarage tliDetached ❑Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home ❑ Modular - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑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**
o 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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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, Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatio- a or sheeww nts • r notice.
Signature: //.l Date:
The action or action Ap nt will dertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species a 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 .mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer-• -•onsi•;'ty f• -diering to and complying with the ESA. The Applicant has read this disclaimer 90 signsfin dates it below.
Signature: i _ Date: V •r ._
Irdo-
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Jefferson County Building øision Permit Nuer: BLD10-00147
Applicant: WORRELL
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.
q Y p
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
T he electrical permit must st be signed off by the State Inspector prior to the County's Framing Inspection ection
Inspection Item Date Approval Signature Notes
Setbacks 1-q2-tv•
Erosion Control
3/34/5
Foundation Footing 1.,),Z)10�1� ctirb
Footing Drains �,Z V i 1V
Foundation Stem Wall
Underground Plumbing _10
Under Floor Framing
Straps(hold downs) /011_/U_/e Off/
Ext. Shear Wall Nailing 7 y P
Rough-in Plumbing 1,,51//: (�
Framing ✓ (74.6
Blocking %j. C1, ' ( !
t (t't(13
A irseal G. 1( 1 ( 5
Insulation:Walls t(9-(1)- t(
Insulation: Floors (A) _
Insulation: Ceiling 2
Int. Shear Wall Nailing I I 4-27
Wallboard Nailing 1-
Gas Line: Interior
ge 15' LAO P, ' v - fa/5 is rc) Jets.,
Gas Line: Exterior P/A f J t / 14-1- Paw' 3730-5
Propane Tank i-V-
Heat/Chimney Clearance 5/3.dis
Drywell/Alt Drainage 3/4 /��:
Address Posted 3A///3
t 135 . VES Qf
FINAL INSPECTION 006- ,f/y/-7
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
0 BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD10-00147 Received Date: 5/6/2010
SITE ADDRESS: 380 SOUTHPORT LN Issue Date 7/8/2010
PORT TOWNSEND, 98368 Expiration Date 7/8/2011
OWNER: KELLY P WORRELL PHONE: 206-722-0195
ADELA B WORRELL
4753 36TH AVE S
SEATTLE WA 981181705
SUBDIVISION: Block: Lot: TX31H
PARCEL NUMBER: 901081026 Section: 8 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NSFR W/ATT GARAGE, CARPORT, BREEZEWAY & COVERED DRIVE
THRU &
U/G 500 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,367
VALUATION 514,424.00 ADD'L: 1,882 HEAT TYPE: HTP
CODE EDITION. 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY. R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER: 1,184
CONST TYPE: 5N SHORELINE:
GARAGE: 1,127
CONST TYPE: SETBACK:
DECK: 1,775
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $3,300.25 LYK 05/06/10 117657
Exist: 0 Exist: 0 Plan Check $2,145.16 LYK 05/06/10 117657
Prop: 3 Prop: 4 State Building Code $4.50 LYK 05/06/10 117657
Total: 3 Total: 4 Potable Water Application $98.00 LYK 05/06/10 117657
Total: $5,547.91
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 7 am the day 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# :BLD10-00147
1.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF
ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED
WITHIN THE QUIMPER SUBBASIN IN A DESIGNATED COASTAL MANAGEMENT
AREA; AS SUCH, THE FOLLOW IS REQUIRED:
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.
2.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
3.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area (top of steep slope -western 1/3 of parcel). All buffers shall be
measured perpendicularly from the top of the Landslide Hazard Area.
4.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC) Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
5.) All construction activities shall not encroach upon the landslide hazard buffer. This
includes the storage or preparation of materials.
6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
7.) 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.
8.) A Stromwater Plan has been submitted and approved by the Department of Community
Development. Once the subject permit has been issued the applicant shall fully
implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
9.) Outdoor residential storage shat a maintained in an orderly manner and sha reate no
fire, safety, health or sanitary hazard.
10.) 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.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
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.
13.) The building height is not to exceed 35 feet.
14.) Building setback from private driveway accessed of Southport Lane is no less than 20
feet. Side and rear setbacks are no less than 5 feet.