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HomeMy WebLinkAboutBLD2008-00302 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 #: BLD08-00302 SITE ADDRESS: 902 WOODLAND DR Issue Date: 08/18/2008 PORT TOWNSEND, 98368 Final Date: 7/18/2011 APPLICANT: ALLEN B POULSEN PHONE: 973-896-8548 PO BOX 426 PORT TOWNSEND WA 98368-0426 SUBDIVISION: WALTHEW'S ACRE TRACTS Block: Lot: 11 PARCEL NUMBER: 930400019 Section: 27 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE, RAMPS, STAIRS, DECKS &A/G 120 GAL PROP TANK 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 -rte THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/18/2011 I:1F_B LD_Occupa ncy.rpt 10/29/19 Jefferson County Building Division Permit Num. BLD08-00302 Applicant: POULSEN 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. 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 I. 3-6Y Erosion Control Foundation Footing Footing Drains Foundation Stem Wall 4 _j ,__1�� Underground Plumbing c. _Z Sys Under Floor Framing Straps(hold downs) ills L Do Ext. Shear Wall Nailing 06 i Rough in Plumbing 2..; I0`fL s'rfou('tg � p _(L_ocr Framing 51,10c, 9 _- Airseal ✓(.4Oc 9 Insulation:Walls —7 ect 5<— Insulation: Floors 5 7 01 94-, Insulation: Ceiling II Oct )4-- . Int. Shear Wall Nailing 1 l V Wallboard Nailing oG CDJl. - - ---- Gass Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage , j / cj C Address Posted 7 I*, F. FINAL INSPECTION .Z 1 e 1 ti FINAL IN PECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ilt UILDING PERMIT APPLICAAN MLLA0800329 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00302 Received Date: 7/7/2008 SITE ADDRESS: 902 WOODLAND DR PORT TOWNSEND, 98368 OWNER: ALLEN B POULSEN PHONE: 973-896-8548 902 WOODLAND DR PORT TOWNSEND WA 98368 WALTHEW'S ACRE TRACTS SUBDIVISION: Block: Lot: 11 PARCEL NUMBER: 930400019 Section: 27 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE, RAMPS, STAIRS, DECKS & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 935 VALUATION 225,000.00 ADD'L: 945 HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 786 SETBACK: DECK: 445 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: _.._...__. Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,693.75 LYK 07/07/08 100485 APPROVED Plan Check $1,100.94 LYK 07/07/08 100485 State Building Code $4.50 LYK 07/07/08 100485 AUG IS 2008 Potable Water Application $59.00 LYK 07/07/08 100485 Jefferson County Planning Total: $2,858.19 & Building Department CONDITIONS for Building Permit# :BLD08-00302 1 ) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) North boundary line setback is 20' - Site Plan indicates 20'. South boundary line setback is 5 ' - Site Plan indicates 68.18 ' West boundary line setback is 5 ' - Site Plan indicates 138.48'. The East setback from drainfield is 10' - Site Plan indicates 70'. 3.) The building height is not to exceed 35 feet. ,¢,gON C k,�,i rskQo JEFFERSOODUNTY . ti y DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 A )1,, ,\ 360/379-4450 • 360/379-4451 Fax N p" www.co.jefferson.wa.us/commdevelopment .l 11 !,': ' U t s i � Master Permit Application 1_,,! , -- ' 1 MLA: O'_32CR Project Description(include separate sheets as necessary): a i S t ice pa.,,,,,, 1 2,es td�:v t , JU L — 7 2008 } 1 Y l ,, 1 Tax Parcel Number: 9 30'1 00017 _Property�.i ze: 36,3a o sq Pi- (acres/square feet) G, ;. , Y C Site Address and/or Directions to Property: 'y [�,_r ,v ;ir:vwtu, fil a © .a. Wooala.k. i DTI Ve , P v+ - Vat); cic63dV Property Owner(s)of Record: t i (( e k Po �5 e h Telephone: CC 3 3-%9 6- 4 5 i Sc Fax: 0.email: D o LU-I e tit Q cowtcc S-fo e Mailing Address: aq E Sactct.,iavn l P2:4 Thu NucCi C.rO 4 c`ic3(A Applicant/Agent(if different from owner): P/4 Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies 2$uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Single Family Z Garage( ttachPDetached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑Home Business 0 Cottage Industry 0 Binding Site Plan** ❑Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 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 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 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 application that he o she w is prior notice. Signature: L�� "5L}(�. Date: *-t/o ' 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 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 compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable esponsi ility for dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. e Signature: c ti.e.„.". Date: /L/42 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 1 • BUILDER STATEMENT I 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 res onsibilit of the General Contractor for the proposed project. Signature: _&,. . 7tL. Date: Y-/t("G r1 v GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) 1( MAILING ADDRESS: / EMAIL: CONTRACTOR'S LICENSE T WAINS NUMBER: NUMBER -/ ARCHITECT/ENGINEER: Fit,o p,l f i_I/ ` /(���1 �1-t:- PHONE NA," ;"'19 52 ( )cAl.,A MAILING ADDRESS: 14:340 �kt.., „71.-- P.T. WA 95 EMAIL j J . 4 Q,(6{_00,CpM Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: p'New cam'Wood Existing: N/4 ❑ Sewer ❑ Addition 0 Steel Proposed: /• 5 Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: ' 5 Height: X'Individual System O Repair 0 Masonry /�� SEP Permit# p3-000II O Demolition 0 Other: Bedrooms: , Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 7- 1 Public littleAY`O��I Total: �- i Name of System:P LAD I Nils is a Commercial Project you must answer the following: Ail/A. Number of Harking Spaces: C ent: _ Proposed: Number of ADA Parking Spaces: Number of occupants(includes owne tenants,emp�l yees;etc ent _Proposed IBC Occupancy: IBC Type of construction: WiI u ave Food-SgiVice. / No _� If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:!�/d ' I Underground Tank 'Above ground Tank Size of Propane Tank: /a O 5 a �l 1 Heat Stove Cook Stove I Woodstove XFireplace Insert i Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No ft ll 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 1.F r Off c eU�se ,i`ht4114 7:410,Y1,s16100E4MAA Main Floor Heated ]EH Bld App Review: 2`d Floor Heated D . 41 - ' onsistency Review: i � 1 Other Heated I t k'i Y Base fee: Gq 15 Mezzanine ;, fhi Additional Section: 1a � . Heated Basement §, V `"F Plan Check fee: n)�_ Unheated Basement -Nisi . ; "` ; State Surcharge fee: .-- Other Unheated , , :. r Pot Water Review fee: Garage/Carport . k t SUBTOTAL Decks 911/Rd Approach fee: ` s •OtherN E , 9'! '`� , - a TOTAL: $ 31 Zl� sdrs .4 }, } Y Receipt Number: I UUz1 gr� Cash/Check Number: I1 ESTIMATED COS -- Date: �� ;� •Fair market valu CREW labor and materials foundation 1oiini h ---+' t Z 2 000 Initials: _____-----) L G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 0I Oa 8 CO TI ♦ r Z ♦�♦♦♦♦♦♦♦♦♦♦♦♦ D ♦♦♦ \ 7 1 Z "q 1,� ra vY� rCO I — — — � O) q4 111 I 0 v \ • , I I 4 J /--1-- I 4 1 .. I -- 9 0 4 L 1 l I = I g 4a $ 'vv s v — I i 4 v II �I I I V '.I 4 L 4,1 III I --r 4 4 Ir. 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