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Home My WebLink AboutBLD2012-00255 •UILDING PERMIT APPLICA•N MLA12-00181 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00255 Received Date: 8/20/2012 SITE ADDRESS: 406 CENTER RD CHIMACUM, 98325 OWNER: KARYN L WILLIAMS PHONE: 360-732-0223 PO BOX 402 CHIMACUM WA 98325-0402 SUBDIVISION: Block: Lot: TX 91 PARCEL NUMBER: 901142001 Section: 14 Township: 29 N Range: 01 W CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199 211 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License STAPFCI91CK Expires 2/12/2013 REPRESENTATIVE: RICH STAPF JR PHONE: (360) 301-6184 211 SOUTH JACOB MILLER RD (360) 385-6722 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NSFR W/A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,419 VALUATION 156,090.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 213 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Tot Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,312.95 LYK 08/20/12 135119 Al— r-aluVE1 Plan Check $853.42 LYK 08/20/12 135119 State Building Code $4.50 LYK 08/20/12 135119 OCT 2, 2012 Potable Water Application $64.00 LYK 08/20/12 135119 Jefferson County Plannn Total: $2,234.87 &Building Departmen 1 \\firlcmnrL\A nfn\fnrmc\F PI fl Ann PIA rn+ 5:W71/7n19 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#: BLD12-00255 SITE ADDRESS: 406 CENTER RD Issue Date: 10/2/2012 CHIMACUM, 98325 Final Date: 12/16/2013 APPLICANT: KARYN L WILLIAMS PHONE: 360-732-0223 PO BOX 402 CHIMACUM WA 98325-0402 SUBDIVISION: Block: Lot: TX 91 PARCEL NUMBER: 901142001 Section: 14 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/A/G 120 GAL PROP TANK 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 12/16/2013 \\tidemark\data\forms\F_BLD_Occu pancy.rpt 12/16/2013 LA • • 1.4. r . tt m _ --0 ----__ •FiX( .I r-a Cr T'o 454k, • -- -. 11P;.1 co ck NJ d \0 �� ' �t✓'it A ;-_� ! ,.<tV `� ,/ r° �iX(SS-(I�t Cr' '`S C O' // \f! f .r' 1 t art o AA. Gtt 6�bc , � \ .,-,5 U.- P,R r� I I ��R x/ \,... %// \a \\` •„ .,SO,� �\ \ / ' its , ____ d '1,( LDCr r \ k' t iii >,b / Povl,.jx, ID w -._..- -____•Y, 01'06W R--cS(De.PiCe- . U,j,'(-C.A1,177 0 s HuasGr ! __ �� Q 1 I�i SRC (cT'>`.'S� l OOR. 1+fpA ��(�tJt) ('Z y' �0.8G r i a l o' I�(7l, �.,o o T✓ ,F. Ft v B 5g-1 'l l 'S 120,51' 1- S* (,.t t S 14 E-L•o o tZ A (Z 123.5' et, .,../. All 1-4 1 •04 I 176--•0 C/6 o-p_. K A,1-2.--0,i VI t (,,IA ib,.Ai\e; u t■ e.-- 2-0 -..1-- 6a)-({t (ear-„,,-,:„.., . -4 8.6 3 �� &>z r -ri,.3Ci- B ,-S C r i.1 � I�,a, 3{' e, / ap S . Z�_ i Ik .' 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JEFFERSON COUNTY [ DEPT.OF COMMUNITY DEVELOPMENT . U. F,a)4. -- r'2-» . 7 1 1 .1., 1 A ,.1 a , , 1., /f.. GT )-• -) I:-': /1 .tr•e,,•9 SON o 0 44' o& JEFFERSON COUNTY IA DEPARTMENT OF COMMUNITY DEVELOPMENT '� ` '4 621 Sheridan Street • Port Townsend •Washington 98368 li 360/379-4450 • 360/379-4451 Fax �� p� www.co.jefferson.wa.us/commdevelopment �IIN Master Permit Application MLA: i - i g i Project Description(include separate sheets as necessary): i 14E.4 11N6L.E arc RESto�c.E. W/ ,� 2C ` , i i Tax Parcel Number: q 0 I 11-12. OD( Property Size: Z-' acres/ quare feet) Site Address and/or Directions to Property: Nob C.rE- RD • Property Owner(s)of Record: KAR.'? (A)1Lk..UAs,MS Telephone: OW) 731- 021.3 Fax: email: KA -'w 4? Pep boC7-6.-art.ar,- Mailing Address: L(0(9 CEO PD CI-1 t mike-awl , Gto, . ct 6525- Applicant/Agent(if different from owner): Ric-4- 5TAPr - STAPF Coa sirgt t oa ToM I Ne-- Telephone: (360) 301— 6184 Fax: ' email: 5-rPPCoN sr and P Mailing Address: lit 5 . JAGag MILL—RA— 00 Po I4- - ''is wok- 13368 citzLes PrzAa).Co+*, What kind of Permit?(Check each box that applies ❑Lot or Road Segregation iiriuilding ❑Critical Areas Stewardship Plan Demolition Permit ❑Variance(Min. v • Reasonable Economic Use) pkSingle Family ❑Garage Attached/Detached ❑ Conditional Upe�+it* : 1 - • • . ** ❑ Manufactured Home .❑ Mcdular - ❑ Discretiona 1D'f •r• C•.r._. ( e s t«. '•. ❑ Commercial* 0 Use�(Es a tial Put' --, 'P iE ❑ Change of Use ❑ Boundary Lfn`eAbjustment ❑ Address ❑ Road Approach_ ❑Short Plat 7 i` A p ❑ Home Business ❑Cottage Industry ❑ Binding Site:Pli�** AI 2 0 2072 ❑ Propane ❑Long Plat/** ❑Sian ❑ Planned/kurai Resid9• .r - ". elopment(-�•-r /`mendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/M6 6i a, SONCOUN ❑ Stormwater Management ❑ Shoreline Master ` ...+:, ° _ •n/Permit R: isions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substance- .44'Mbpm- t** ❑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 QIC1 1 APB to act as my agent in matters relating to th's application for permit(s). OWNER SIGNATURE ■ _ _ �� Date: I S��f -z-- By signing this appli - ion : ,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 . crue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide a z s and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required I. -r inspe ions. It.. s access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application t : .- - e wa n• ice. Signature: it .4,-„.- Date: 4 L> 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"o•" •."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued w: not vi•ate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you ar- n come .-(Ice ,'h e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable sp.- i•ility for. ing and complying with the ESA. The Applicant has read this disclaim a signs and dates it below. Signature: - • Date: 4 i33`T.- 0 • 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: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 3.0 I — ro t 5,/ FAX: STAPF ex)NSre c.,ztotJ tr�C . (3L0) 34"35- 3Ig9 ( ) MAILING ADDRESS: Zit 5. .7)l '(6 i?, n'tl Llra- 24) - EMAIL: rj- PFt O N crime C (As pr•Il*Q .cN< CONTRACTOR'S LICENSE WAINS NUMBER: STA P F C S 9 14 C K NUMBER ARCHITECT/ENGINEER: LAUkIE tJ .44.0 /K,Rje_ 60 tpE. PHONE (3 j) 5'— tlt(Z___ FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: y New X Wood Existing: C Sewer ❑ Addition Steel Proposed: 2- Bank C Community System O Alteration/Remodel ❑ Concrete Total: 2- Height: ❑ Individual System C Repair ❑ Masonry SEP Permit# 07— 00325 Bedrooms:C Demolition 0 Other: Be Water Supply: Existing: Setback: o Private well 0 Two Party Type of Heat: Proposed: 2- Public EL—EC—lit c.- Total: Z - Name of System: P.u.125,40 QulMPEP- v'JM S‘tS . 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 IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Pro•ane Tank al• • A..liance Installation •ermit mark all items below that a.•I : i Underground Tank t 0 bove ground Tank Size of Propane Tank: t 2.0 &!lL I Heat Stove i Cook Stove Woo•stove 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 For Office Use Only Amount .:Revision Main Floor Heated 'L`t q `015 ` -QO 1 EH Bid App Review: �o— . 2`d Floor Heated 1 V tConsistency Review: Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Q 142 Unheated Basement State Surcharge fee: (�4 Other Unheated Pot Water Review fee: ' O Garage/Carport SUBTOTAL QC 7t ,p Decks 911/Rd Approach fee: J O Z l3 jSZ��dI eXIST1 Q Other TOTAL: $a5r/( . at Receipt Number: 1351 t Q Cash/Check Number: lvcc9 ESTIMATED COST(REQUIRED) Date: 20_a •Fair market value of all labor and materials foundation to finish 4 156 ow . 00 Initials: ...-I__ „.....__ _ i ________--------) . , . , . . , • • : .. . .. , . , ' I , • . . , . L_. • _ .. ... . . ._ . ....._. . .. ...._.__,_ . . I •: . • . . . , .T4-ha I ' . • • •1I ' ' !.. .... . I. ' : • I. , . .. 1 I i . • -- i . i 6=0" .. . Ze'-o". • , , , 1• •,. i . . • 1• i • •• . I . . . I -.a" ' , ..5-,=•42". /A=0." • , . . . - f• -- .. 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' . , • . . . • . .s. r c r \ z 1 . • .• • . . . . • • ■ .,efferson County Building Division Permit Number: BLD12-00255 Applicant: WILLIAMS 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/s/i 3 �`{� Erosion Control Foundation Footing 7j,Jf .3 (54)1^ Footing Drains Foundation Stem Wall jib U 511 nderground Plumbing Under Floor Framing -7123' 13 Straps(hold downs) e_vi 13 Ext. Shear Wall Nailing . Rough-in Plumbing 16- 1f)? i0 Framing O ,, �p -14) Blocking f D Airseal C} ,l t -1; Insulation:Walls Insulation: Floors 1-25--13 Insulation:Ceiling 4 Int. Shear Wall Nailing Wallboard Nailing -z's-c3 Gas Line: Interior 13 Gas Line: Exterior ti Propane Tank �t _ - Heat/Chimney Clearance Heat/Chimney Clearance Wood/Pellet Stove 1Z 1 to_ 13 Mechanical Systems Duct Test Cert 14 - i3 9-- Blower Airtight Test 12-1 b-t� Smoke&CO2 l 1b-i3 9-- Drywell/Alt Drainage Address Posted L--IL,-13 '� 1 • FINAL INSPECTION 12.46- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD12-00255 1.) All construction activities shall not encroach upon the Wetland & Stream buffers. This includes the storage or preparation of materials. 2.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 3.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 4.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 5.) The identified Fish and Wildlife Habitat Area (Type F Stream), shall maintain a vegetative buffer setback of 150 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the Single Family Residence. 6.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed Single Family Residence. 7.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 8.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 9.) 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. 10.) A Stormwater 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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. • 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Building setbacks are no less than 20 feet from Center Road. Side and rear setbacks are no less than 5 feet. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tiriamark\data\fnrmc\F RI r) Parmit Rlrin rnt 1n/7/9n17