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HomeMy WebLinkAboutBLD2011-00017 • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD11-00017 SITE ADDRESS: 150 HALL MOUNTAIN RD Issue Date: 05/19/2011 QUILCENE, 98376 Final Date: 5/2/2012 APPLICANT: DAVID J RUGH PHONE: 360-765-3807 17416 95TH AVE NE BOTHELL WA 98011-3613 SUBDIVISION: Block: Lot: T 23+ PARCEL NUMBER: 801324003 Section: 32 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NEW 2 STORY ADDITION TO EXISTING 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 ON5/2/2012 I:\F_BLD_Occupancy.rpt 10/29/19 • Jefferson County Building Division Permit Num.: BLD11-00017 Applicant: RUGH 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 Lt-.(( Erosion Control -1`1^t , Foundation Footing Footing Drains Foundation Stem Wall Underground Plumbing Under Floor Framing Straps(hold downs) -1y-11 L R ai- sTIZa/)/ ov-G-14- ' Ext. Shear Wall Nailing l_t Rough-in Plumbing Framing - / -10 Blocking Airseal Insulation: Walls Insulation: Floors ` ; Z /JA s 3 Ro F Lwot Insulation: Ceiling _1,Z Int. Shear Wall Nailing 5To►G-tt 4 SN-oP Wallboard Nailing -42 y2 Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 60 04,(/ Address Posted 1. 1 i ( /z C FINAL INSPECTION 5 -� 4 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD11-00017 Received Date: 1/26/2011 SITE ADDRESS: 150 HALL MOUNTAIN RD Issue Date 5/19/2011 QUILCENE, 98376 Expiration Date 5/19/2012 OWNER: DAVID J RUGH PHONE: 360-765-3807 17416 95TH AVE NE BOTHELL WA 98011-3613 SUBDIVISION: Block: Lot: T 23+ PARCEL NUMBER: 801324003 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW 2 STORY ADDITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 71,000.00 ADD'L: 210 HEAT TYPE: PRO CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 OCCUPANCY: UNHEATED: 226 #OF STORIES: THER: CONST TYPE: 5N OARAGE: 210 SHORELINE: CONST TYPE: DECK: 16 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $790.75 LYK 01/26/11 120403 Exist: 3 Exist: 3 Plan Check $513.99 LYK 01/26/11 120403 Prop: 0 Prop: 0 State Building Code $4.50 LYK 01/26/11 120403 Total: 3 Total: 3 Total: $1,309.24 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# :BLD11-00017 1.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. 2.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 3.) 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. 4.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 5.) All construction activities shall not encroach upon the stream buffer and landslide 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 identified Fish and Wildlife Habitat Area (Type Np Stream), shall maintain a vegetative buffer setback of 75 feet. The setback shall be measured horizontally from the Ordinary High Water Mark(OHWM) to the proposed addition. 8.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed addition. 9.) 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. 10.) 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." 11.) 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. 12.) 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) Not more than 2 unlicensed vehiclpshall be stored on any lot unless totally sed 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. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) 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. 18.) 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. 19.) Setback from Hall Mountain Rd. right-of-way is no less than 20 ft., Dabob Rd. right-of-way is no less than 20 ft.side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 0 • • • 24=0" 11'-472" TO 70 -tt0. 5°36 \ 6 X rn w d BEDROOM2 W E. Z \ Is O -0119:10, ,'..b11 , wo q _\ - • o O ��/ y, o m ul U 00 ° S o S 3 • r I,0m D < z c-/-3 -11/83' . 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HI I.!- t •NL • { R 11V J.___ . 1.____-_... . . ,o....,1- ':: t • „ i ,,,,„ ....„.._„..„,„.__„:. .......... ,_ _, ..,.. , . ....,,,,, ___ ..„ _ ii e CX1 ‘ _____. 1 1--, 1 -b....9 1 ----k _ y ,- ^tka I _ .. , -, I • ^� — — �3 .....ram... iy�. �� o rn 11 7 I 1 - -- it .-t., • :' En IC --- — log T a , b- def N � • _ m 11 . 0 n w C ii , , I�....------. �. fT 1 I -1 4. ® ;?.o«.Z.- -R I. �' L J _ m t__ ,__. )0l. - -- — ., — v` -. r.-. m ��1rIc (.0\(re.•/\4. it butt. 2 ki .3 , W .141ey ..,.... all UILDING PERMIT APPLICAIN MReAII 00018 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00017 Received Date: 1/26/2011 SITE ADDRESS: 150 HALL MOUNTAIN RD QUILCENE, 98376 OWNER: DAVID J RUGH PHONE: 360-765-3807 17416 95TH AVE NE BOTHELL WA 98011-3613 SUBDIVISION: Block: Lot: T 23+ PARCEL NUMBER: 801324003 Section: 32 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW 3 STORY ADDITION TO EXISTING SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 71,000.00 ADD'L: 210 HEAT TYPE: PRO CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: 226 #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: 210 SHORELINE: GARA CONST TYPE: DECKLE 16 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 3 Exist: 3 Prop: 0 Prop: 0 Total: 3 Total: 3 Routin Date: ` Type Amount Paid By: Date: Receipt: Approved/Date Permit $790.75 LYK 01/26/11 120403 /� P P R c v E L Plan Check $513.99 LYK 01/26/11 120403 �", State Building Code $4.50 LYK 01/26/11 120403 MAY I I Zu I�, l Total: $1,309.24 Jefferson County Planning & Building Department 4, coJEFFERSoOUNTY S "' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 ". : 360/379-4450. 360/379-4451 Fax www.cojefferson.wa.us/commdevelopment us/commdevelopment Master Permit Application MLA: i 1` \ c Project Description(include separate sheets as necessary): !t1rPe- 5tc�;y dc( iicat fo ((Ae�uslift1 Roll pt Tax Parcel Number: 8 01 3 zki 003 Property Size: 20,2.aLre i/8'J8,173 (acres/square feet) Site Address and/or Directions to Property: L j1,0 (fails A n iota(, (,'ui(Ce Property Owner(s)of Record: Clvi-e( b 1ZU-li1/44 V lh Telephone: 16o '76s 3Rc7 or- fax '/ZG yR57786 email: r-tt.skerAic�j.urc:`""' Mailing Address: i 74/( - `i5'rk (+ve Nt~ Betk.el( Gig q,go/( -36(3 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies �,n'��Ell�' 6rtuilding 0 Critical Areas Stewardship P ll v ❑ Demolition Permit CI Variance(Minor,Major or R Economic Use) [ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary*D"or Unnamed Use 2011 ❑ Commercial* 0 Special Use(Essential Public Facd" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat"" ❑Horne Business ❑Cottage Industry 0e 0 Binding Lo Site Plan"* i t tC �1� 71( �,�� ❑Sign ❑Planned Rural Residential Development(PRRndments"" ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Afteration"" ❑Stornwater Management ❑Shoreline Master Program Exemption/Permit ns*' ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'" 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 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 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 and its employees,representatives or agents for the sole purpose of application review and any uired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a ti that he or is prior monk,,- a � Signature: - t t5 d,- ' 1 et4 `,, " , (,'Lizei -t-- /S/2-6 Date: f( The action or actions Applicant I undertake as a result of the Issuance of thle--fruit 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 appicant that the actions that will be undertaken because this permd 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 and non trio ra�mle respe sibi' fot�dhe' to oral t . Th nt has read this disda' er and signs and dates if below. Signature: ►i rc.7k. . .L..— Date: i8f2-6/i G:\PennitCenter\###FORMS###\DRD FORMS\Muter Pennit Application 5- 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 assu responsibility of the General Contractor for the proposed project. Signature: ' i J C.) )12C.C.It. Date: l/t S7ei t k 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 K Wood Existing: 3 u Sewer [e' Addition ❑ Steel Proposed: 0 Bank ❑Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: rib Individual System ❑ Repair ❑ Masonry NI SEP Permit# ,T-C-AZZ- ❑ Demolition 0 Other. Bedrooms: Water Supply: Existing: 3 Setback: g Private well ❑ Two Party Type of Heat: Proposed: 0 0 Public tfr.opci.r`e o- i„oocl Total: ;SIA Name of System: 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 �,•, ?j� IBC Occupancy: IBC Type of construction: Will you have F•t•e, •-lu> /,�_,,Y[-, _ If this Is a Propane Tank and/or Appliance Installation permit,mark all Items below that apply: 1 Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove f Mgr t C 2011 Is this appliance being installed In a Manufactured/Mobile Home? Yes I 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, Includin• the reserve area. S•uare Foote g e Current P ••••ed ' a?.,°_s. > . s,.j:,z'� .., }�:A,12:-. r." _...i Main Floor Heated I ,i,., 0 EH Bld App Review: r 2"0 Floor Heated ?OS -f-z(0 _i Consistency Review: 7 Other Heated 0 U Base fee: r-7(,l0 5 Mezzanine U 3 - Additional Section: rr�`_.'! . Heated Basement 0 ( 1 a v t,,7 Plan Check fee: Unheated Basement t. i r ` a State Surcharge fee: 5D., 44 Other Unheated r- '*x "�` Pot Water Review fee: bi'�.�r. Garage/Carport � ��jPa;��s SUBTOTAL Decks ) , ,f�',7 911/Rd Approach fee: ��o 7? feMoVed /!4 2 IL o , m (y45Tl Other W.fa'`'w�,, 4 1 u r4ry.. ,4',, TOTAL $ t -r" ;31.:t, Receipt Number. (?C it `� : '• r ' •F' Cash/Check Number. xsf"- ESTIMATED COST(REQUIRED) 1,7l,o o o Date: .Fair market value of alt labor and materials foundation"to knish 1- ----- -7--c1L.:_____-L-- Initials: GAPerntitCenter\###FORMS###\DRD FOAMS\Master Permit Application 5 29-08.doc AIM' ....... ------\\,....--- "Pa rce..t. 1* 80/...3.z.g ...2/ „,3,........---,...-----. ___.. -,_.,------- . ,....,, , 7c.z i'Ce.i e.)Li/ .„,7 4,7!7 0 ,.•...e.It•••••••)A(...,.0 L, - ... - ,.----. ..., • -.:. :--) U.) -I • 6.5 6- ul • .........0 . It 20/ (Iti ...„. , Part of" West borcerp- i......• i (77- 4--:. , ..‘ ..... , ..,.. •,....) • t .... . .--.., -1 - .-- ,._,/ ? _V . ... , . ,, • --1 "0„.. .- • , , -1 r-4 1 "....,.. .. . /'/ .1 \ ...., .,) .+) 3/0' r -.... s., r., ‘.., ,- o N.) p ci.. ,,.....t,...:.„ ift -,.., \,_ a ,.....„---1 - -\ - -Z ity L.: ___. , i - _:. 0 1 // /10 IA7-i 1/ ,. . 1 E_ tzl -A. 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