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HomeMy WebLinkAboutBLD2012-00378 SJILDING PERMIT APPLICA!N MLA12-00258 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00378 Received Date: 11/21/2012 SITE ADDRESS: 9066 FLAGLER RD NORDLAND, 98358 OWNER: ROBERT W RODDICK PHONE: 360-698-0432 RUTH E RODDICK 746 FIRGLADE CT NW BREMERTON WA 98311-8992 OTTERNESS SHORT PLAT SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 021204020 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: FOX HOMES LLC PHONE: (253) 858-2614 915 26TH AVE NW, STE C-2 GIG HARBOR WA 98335 Contractor's License FOXHOL*015PL Expires 9/20/2007 REPRESENTATIVE: FOX HOMES LLC PHONE: 253-858-2614 915 26TH AVE NW STE C2 PROJECT DESCRIPTIOP NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,507 VALUATION 290,528.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: DECRKAGE. 222 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 Routing Dater: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,063.35 LYK 11/21/12 139769 APPROVED Plan Check $1,341.18 LYK 11/21/12 139769 r r State Building Code $4.50 LYK 11/21/12 139769 JAN _ 2 2012 Potable Water Application $64.00 LYK 11/21/12 139769 Total: $3,473.03 Jefferson County DCD \\tirlomnrLlrh+MKnrmc\F RI fl Ann RI,I rn1 11/91/9f11., 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#: BLD12-00378 SITE ADDRESS: 9066 FLAGLER RD Issue Date: 01/2/2013 NORDLAND, 98358 Final Date: 1/16/2014 APPLICANT: ROBERT W RODDICK PHONE: 360-698-0432 RUTH E RODDICK 746 FIRGLADE CT NW BREMERTON WA 98311-8992 SUBDIVISION: OTTERNESS SHORT PLAT Block: Lot: 2+ PARCEL NUMBER: 021204020 Section: 20 Township: 30 N Range: 01 E PROJECT DESCRIPTION: NSFR W/ATT GARAGE 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 1/16/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 1/23/2014 • • tJEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT N 621 Sheridan Street•Port Townsend•Washington 98368 44,920--zt, 3601379 4450. 360/379 1451 Fax www.co.Jefferson.wa.usltxxnrndenrelopment Master Permit Application MLA: la -o�g Project Description(include separate sheets as necessary): cnvsrevcTionV DF 4 New SFR (3& ) Tax Parcel Number: 12212'7+0 20 Property Size: 2. 615f 6;1/Square feet) Site Address and/or Directions to Property. 90661 FLAG( RPM NORDIAA/D 9?99 Property Owner(s)of Record: IPA&ElZT 4 R U rrf ROOd/G rt Telephare:360 'fog- 0 f 3 2- Fax emai: Mailing Address: ?Si 6. Rft 4nLkFPE a: NW BRE14ER7b IQ WA 483(/ -8 . ApflAfdltlerent front owner) net GUSTnfd HOHES /AZ.. igiA CA� Telephone: 2S"3 -49S 81 2 6 It Fatc_2S3— — 2 2/ em ; Mailig Address: SmfS 26Th' Ave- MA/ STE C-2 , (Ct HARBOR tvh Q€ 33S- What kind of Permit?(Check each box that applies 1 -;:-2 r l�trn�°•N ❑Critical l ❑ Demolition Permit // ❑Varies oe ,Major or Reasonable Economic t� e):j� t tingle Family ISCarage the I Detached ❑Conditional j�(m),C(d).or CI I ❑ Manufactured Home ❑ Modular ❑ 'O" it Urrmat*drthr�d li 1 on I I * dtbiiibb"FF ❑ Commercial ❑Special Use P aciNbes) ;d ❑ Change of Use ❑ Act usment ,=/ ❑ Address ❑Road Approach ❑Shod Boundary* ■ ❑_ ��otrme Business ❑Cottage Industry ❑Binding Site Plan" .i-7:-EQ`r h- .lY ( Propane ❑Long Plat". ' r r P,': ,r' .,r .kl; :.: LQ°P;1ENT ❑Sign ❑Planned Rural .- . YAnandnts ❑Allowed'Yee Use Consistency Analysis ❑Plat Vacation/Alteration"" Wittomevater Management ❑Shoreline Master Program ExemptorVPemrt Revisions•" ❑Site Plan Approval Advance Determination(SPAAD)• ❑Shore/lie 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 Ccr*rsnce ❑Tree Vegetation Request "Requires a Pre•Aae/eaeon Conference Please Identify any other local,state or federal permits required for this proposal,If known: AG ENT OF DESIGNATION IGN S A I hereby designate fD)f LOST?f1 HM ES S to act as my agent in matters relating to this application for pemdt(s). OWNER SIGNATURE ► s - 2._ Date: //72'OI t— By slpnkg 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 matedai fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I Hinder agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys 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 end its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and fight of entry will be assumed unless the applicant informs the County In writing at the time of the that he or she wants prior notice. Signature:�yiC. _— Date: /// lA((2_ The action or actions Applicant we 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 Ad'or'ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this pennit has been issued will not violate the ESA Any I dividud,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 adcnowledges that he,she or it holds individual and non-transferable responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G:\permkcn ter\###FORMS###\DRD FORMS-Waster Permit Application 5-29-05 doc r i 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 pro)sct t' --0201,---------0201,---------Signatue r Date: l// /('-- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FM: f0X ctaoH HOHES INC . (33)8Sk'-a6oft. (233)8S8'-.SazI MAILING ADDRESS: yrs 2kPi Alter N ) Sre c z EMAL.: masako sg-foxeosTtlrtik ho fuel .com CoNnmacroR's LICENSE cite" 11A ROO R WA It 33s- wAINS NUMBER: FOX we r1 T8 i H 0. NUMBER ARCHITECT/ENGINEER: rg pjay N&rrGeS pE• PHONE(6-3) 8.5S-9/ff FAX"( ) MA SS: 7999 12,0 sr. Nut (4t4 t1hkBotz. ' EMJL -terry ne-llle6@eiviineer•cor>1 ProJW. Type: Fr�aap�ee Type: Bathrooms: Shoreline: Type of Sewage Disposal: VNew e'Wood Existing:. ❑Sewer O Addition ❑ Steel Proposed: g Bank ❑Community System ❑ AtterationlRemodel ❑ Concrete Total: ?•S Height NrrndMdual System te�-,2 ❑ Repair ❑ Masonry SEP Permit* ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing:Proposed: ? Private wet ❑ Two Party Type 1• Total: 3 N N this b a Cornmaroiai Faded you rmat answer the foIIo 4r : Number of Parking Spaces: Current Proposed: Number_of NM Parking Spaces: Number of occupants(indudes owners,tenants,employees,etc) Current IBC Occupancy: IBC Type of oonsWdion: WI you have '•,keencrs32 [T" I 1 •.L: _ alb'_-1.. '�L -_t; a•.'. ::._L"- iL.L i_1t•.l >;II L ..J.S I L_.11� iii:., lLU [.1 1! 1 Underground Tank 1 Above ground Turk Size of Propane Tank: i. ,. ! ; , 1 Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove 1 ppn$r 7 0 2012 ��;.. .� t.^ L1 .L:._. .1 i ...,..-et.ir... .:�:.: . ......._ ,.•.0 Yes / NO 1 When applying for apennlf to lnstae a propane tank you must also submita site plan shb all oldie buildings,all lines,tank location end size,distances from the propane tank to all property lines, , ,1 err sq). r►ponents, including the reserve area p.. . .- Crussnt Main Floor Heated 2 -07 EH Bid App Review t-r(40- 2"'Floor Heated Consistency Review: it .� • Other Heated Base fee: c r(p3 Mezzanine Additional Section: --- Heated Basement Plan Check fee: 1_ ki ` I • 12' Unheated Basement State Surcharge fee: #.4JC) Other Unheated . Pot Water Review fee: Garage/Carport SUBTOTAL 6 0 _ ale-03 Decks 9111Rd Approach fee: eve s-/ Other DODit l� 2 Z Z. re.-..... ., ' TOTAL: S �1 .O "''�! , Receipt Number. 1 9Ci71Pq .. CashfCheck Number. ("Ogg ESTIMATED COST(REQUIRED) Date: •Fak marhel wdus of al l and materials foundation to rhish 1 - I-1 - . • E" :E ? '6, Initials: ' • G:\PeanitCenter\###FORMS###\DRD FORMS\Master Pcmle Application 5-29-O84oe . ee$,T Rky�perp° N 9 ft�rtSZ°'�C6 � Lkl,, §1; ' 41 r 4 8 I _ J ° III 1 = ma d E --k - '� -x Z A 'd 4 7 A [ 5 >- tJ Eg U ,;'.1 � o r D D �0 cx o L OG L N x£ r s xA3 z t m ` t1 i nx i 0n J N - 'm i L� 8 6 a# z. 3 m� h o ? 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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 av tc(-c Erosion Control Foundation Footing )„.r c`_13 02 v f Footing Drains Foundation Stem Wall {fin Underground Plumbing Under Floor Framing yI b Straps(hold downs) Ext. Shear Wall Nailing �3-(3 Rough-in Plumbing YZ4//7 Framing `�J 1/z13 / Blocking Airseal / Insulation:Walls ^(, 13 Insulation:Floors 1 —(r 4 (61-1 Insulation:Ceiling _f-13 IC Int.Shear Wall Nailing 3J23/(3 45f3 /UT SHEAF? .04( ��/IS I Wallboard Nailing 0/23/i3 j7� Gas Line: Interior Gas Line:Exterior I—R., Propane Tank Heat/Chimney Clearance 7/zl03 W I/�,/ Drywell/Alt Drainage i5 Address Posted I _ t ,�j� FINAL INSPECTION f.„ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD12-00378 1.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 2.) The site plan shows an on site well. This well is not considered approved for potable water for this project. Potable water is to be supplied by the Quimper Water System. If the well on site is not being used or inteded to be used it must be decommissioned in accordance with WAC 173-160-381. Contact Environmental Health for more information at 385-9444. 3.) 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. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) 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. 6.) 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. 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed ves shall be stored on any lot unless totalleened 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. 10.) A minimum of two(2) on-site parking spaces shall be provided for the single family residence. 11.) Building setback from road easement is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 12.) The building height is not to exceed 35 feet. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. lltidemarklrlatalfnrme\F RI 11 Permit Rldn rnf 1!7/7073