HomeMy WebLinkAboutBLD2008-00407 esON cob DEPARTMENTShidStreet TownsenOF COMMUNITYd 98368 DEVELOPMENT
621 eran ,Port ,WA
Tel:360.379.4450 I Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
4-
isif f N V.cO E-mail:dcd@co.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD08-00407
APPLICANT: NOAH MIDDLETON PHONE:
41 DENNIS BLVD
PORT TOWNSEND WA 98368-9479
SITE ADDRESS: 41 DENNIS BLVD Issue Date: 03/30/2009
PORT TOWNSEND, 98368 Final Date: 6/23/2016
SUBDIVISION: 9408- CAPE GEORGE VILLAGE#4 Block: Lot:
PARCEL NUMBER: 940800061 Section: 13 Township: 30 N Range: 2W
PROJECT DESCRIPTION: CONSTRUCT STRUCTURE TO COVER EXISTING MFH - UNHEATED & NO
PLUMBING
ALSO ADDING A/G 250 GAL PROPANE TANK
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5-1 HR
SPRINKLER SYSTEM No
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/23/2016
Interim Building Official,
David Goldsmith
\\tidemark\data\forms\F_BLD_Occupancy.rpt 6/28/2016
Jefferson County Building L'1!lision Permit Nut: BLD08-00407
Applicant: WILLIAMSON TSTE
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Code
To schedule inspections, call (360)379-4455
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 t'-)-c-(A Fts Minimum setback from Dennis Boulevard and Alder Drive
rights of ways shalfb e 20 feet. Min4rnum side yard setbacks shall be 5
feet.
Erosion Control
Foundation Footing f ,2C'D�� VT' �e2Z--Oe\ V
Footing Drains b
Foundation Stem Wall r'
'Z.2 1c• VtiLi �'ota- std 6-vA.
-- erground Plurnb_ ing /V/A
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing 3,It to pi --)
Rough-in Plumbing
Framing 67//0 �11 { -c --Le5y it-i# Ltl 'Vee( —i//L► dr
Airseal
Insulation:Walls (/23/
Insulation: Floors 3-(,Er-tl Ir
Insulation: Ceiling /2 //Ly
Int. Shear Wall Nailing N/A
Wallboard Nailing 4/73/4
Gas Line: Interior ,/,(4 Is-- ex,
Gas Line: Exterior 10 111
I S
y
Propane Tank ,,i3/iJ, 19/
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted ,/2,//L,, g/
FINAL INSPECTION 11/434.
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
1
111 UILDING PERMIT APPLICA•N MRA08 OOp 32
Jefferson County Department of Community Development
eview Ty :
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00407 Received Date: 10/7/2008
SITE ADDRESS: 41 DENNIS BLVD
PORT TOWNSEND, 98368
OWNER: MICHAEL K WILLIAMSON TSTE PHONE: (360) 531-0063
SUCCESSFUL FINANCE INC TR
PO BOX 676
PORT TOWNSEND WA 98368 CAPE GEORGE VILLAGE DIV 4
SUBDIVISION: Block: Lot: 65
PARCEL NUMBER: 940800061 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: NOAH MIDDLETON PHONE: (360) 531-0063
PO BOX 676
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION CONSTRUCT STRUCTURE TO COVER EXISTING MFH - UNHEATED &
NO PLUMBING
ALSO ADDING A/G 250 GAL PROPANE TANK
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 39(oMAIN: II'_,
CODE EDITION: 2006 ADD L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: SHORELINE:
GARAGE: 1,250
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date: ID I c/o
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $461.95 KAS 10/07/08 102740 APPROVED
��
Plan Check $300.27 KAS 10/07/08 102740 R c �//E D
State Building Code $4.50 KAS 10/07/08 102740
Propane Tanks/Stoves $105.00 KAS 10/07/08 102740 MAR3tD 2009
Total: $871.72 Jefferson County Planning
& Building Department
CONDITIONS for Building Permit# :BLD08-00407
1.) 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.
2.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) The building height is not to exceed 35 feet.
7.) Minimum setback from Dennis Boulevard and Alder Drive rights-of-ways shallb e 20 feet.
Minimum side yard setbacks shall be 5 feet.
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.) 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.
10.) NO ADDITIONAL LIVING SPACE HAS BEEN REVIEWED OR APPROVED FOR THIS
PROJECT BY JEFFERSON COUNTY PUBLIC HEALTH. ADDITIONAL
REQUIREMENTS MAY APPLY IF LIVING SPACE IS PROPOSED.
11.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC
TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS,
STATE AND LOCAL CODE.
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� .¢,gON cod, JEFFERSON CATY 1
ti 'V DEPARTMENT OF COMMUNITI;�E;VELOPMEN7r i , )
ritilik
621 Sheridan Street • Port Townsend •Washington` 6368
360/379-4450 • 360/379-4451 Fax
Isztrnie0 www.co Jefferson.wa.us/commdevelq rlteat 8 2Goc. :-
Master Permit Application r MLA: OS _ a,
Project Description(include separate sheets as necessary):
� ' 4(:�U�tl(� Li�(J
'l dry)' p
Tax Parcel Property
Number: T`f7 S?e2-90 6/ Size: 12 76c)' (acres/square feet)
Site Address and/or Directions to Property:
1/ 12e,iii,S 4-€? Pam. 1 c
Property Owner(s)of Record:i,.!!/ferrso,, 14-.,t.-7-7i,;,•�. S`<c,fsr<./ fi.. ,.,, <_ 17`. it c?c
Telephone: 360.3"'3 i O t 6 3 Fax: email:
MailingAddress: P 9 /?,,>t C 7L' t'�.-� ien, ., ;Iv-Jo F."
Applicant/Agent(if different from owner): Pr9ex./ /'7'2,Y
Telephone: 3‘e, g .Y/ 0o63 Fax:
email:
Mailing Address: P U iYv t 6 76 Pe,
e, / 1,- ✓rf 5',-:r<i i- r g 3 C;
What kind of Permit?(Check each box that applies
®Building 0 Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]**
❑ Single Family Garage Attached/ etached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular - 0 Special Use(Essential Public Facilities)**
❑ Commercial*
0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
❑ Home Business 0 Cottagelndustry 0 Long Plat**
re Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
0 Sign 0 Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Storrnwater Management 0 Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetation Request
*Marequire a Pre— //cation Conference **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
p Q/ ,I DESIGNATION OF AGENT
I hereby designate ;dcrf -b'a, to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ?' — 1 . l v / Date: ��/7/C..7 '
By signing this application form, o gent sts that the intormaaon provided herein,ana in any attachments,is true and correct to the best of I
his,her or its knowledge.Any material fa hood 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 decline to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey'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 decline 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 ins ctions. Staffs access and right of entry will not be assumed unless the applicant informs the County in writing at
the time of the a lication�tha or she wants no prior notice.
)Signature: - i :4s A� 'r _ Date: 0—7-01
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 two 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 comp lance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfgrp ,le replopt for adherin to and complying with the ESA.The Applicant has read this disclaimer and signs anff dates it below.
Signature: AW, J",F� A ter�� Date: i '-7 -o$
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• 0 1
BUILDER STATEMENT
The signer of this statement oes hereby cert9fy that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the onsib' t eneral Contractor for the proposed project.l/ ,i
Signature: /7�t'_- Date: 10/ /C>9
GENERAL CONTRACTOR OR MANUFACT ED HOME INSTALLER: «!PHONE: Fax:
'`, P1. 1 v•1 c1,-, = rv.3 cellr") 7 5-6 ,E/7( ( )
MAILING ADDRESS: f,) �X (',Pi /�eq 4 he iiv q it ? 7927 EMAIL:
CONTRACTOR'S LICENSE y""`z, WAINS
NUMBER: C z f5--'/-___-___ NUMBER
ARCHITECT/ENGINEER: Av1,1__ _61 6 fa,f, PHONE (56p ) j•3/ �_?V- FAX:( )
MAILING ADDRESS: It/ pe n„r ;S '(y�l,,,,Qf f..i Ta,✓a 9P. 1,,,/4 9j MAIL _
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
❑ New g Wood Existing: 2- 0 Sewer
o Addition ❑ Steel Proposed: & Bank 0 Community System
Alteration/Remodel bR Concrete Total: 2 Height: W. Individual System i
❑ Repair ❑ Masonry NA SEP Permit#
Demolition 0 Other: Bedrooms: Water Supply:
Existing: 2i Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: •D % Public
�, 5 ., Total: 3 Name of System:A/o 4,' ijt
I—
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
I 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:
1 Underground Tank Above ground Tank Size of Propane Tank: 2 �5 , 4,'
1 Heat Stove nCook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? � 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 3f r C y.: .. otant - .Ravi'sc ' �b
Main Floor Heated — t sx; EH Bld App Review: 'in
Pi FloorHeated ( f�, ' Consistency Review: l 5-7'
CO
Other Heated Base fee:5.5z t L 01 c C 90.9) q ail
Mezzanine OCT - 2008 twif �@ /05.oG
kid
Heated Basement Plan Check fee:
CZ(udiY DCD 3o0.a'q Unheated Baseme4fFFBSt1N
State Surcharge fee:
Other Unheated Pot Water Review fee: _____ _._____
LIGara_g.,e/)arport ih- 'r`r+3a-s SUBTOTAL
Decks Osi 911/Rd Approach fee:
3 •L-�
Other ' TOTAL: $ I 0 g�.'1j, i Lici-��
1-' 11 31
� Receipt Number:
r Cash/Check Number:
1.2
ESTIMATED COST(REQUIRED) Date: G-
.Fair market value of all labor and materials foundation nish 1
r` Oef, , oar Initials:
----------3
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2000.doc
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