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Home My WebLink AboutBLD2018-00077 - 01 PERMIT APPLICATIONDEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 'lel: 360.379.4450 | Fax: 360.379.4451 Web: www.co.iefferson.wa.us /communiwdevelooment E-mail: dcd@co.iefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: APPLICANT: SITE ADDRESS BLD18-00077 JOSHUA E FOUNTAIN JENIFFER FOUNTAIN 462 KEVIN LANE CHIMACUM WA 98325 462 KEVIN LN CHIMACUM,98325 901 355008 PHONE: 360-643-1603 lssue Date: Final Date: 03t28t2018 4t20t2019 Lot:Block: Section. 35 Township: 29 N Range: 1W PROJECT DESCRIPTION: NSFR with attached garage THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2015 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM No THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4I2OI2O1q Acting Building Official, Patty Charnas \\tidema rk\data\forms\F_BLD_Occupancy. rpt 5t6t2019 SUBDIVISION: PARCEL NUMBER: I JEFFERS.N couNrY e DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street lPortTownsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us wrvw. co.jefferson.wa. us/co m md evelopment BUILDING PERMIT PERMIT #: SITE ADDRESS OWNER: SUBDIVISION: PARCEL NUMBER BLD18-00077 462 KEVIN LN cHrMACUM,98325 JOSHUA E FOUNTAIN JENIFFER FOUNTAIN 462 KEVIN LANE CHIMACUM WA 98325 901 355008 Received Date: 212212018 lssue Date 312812018 Expiration Date 312812019 PHONE: 360-643-1603 Section: 35 Township: 29 N Ranqe: 1\ CONTRACTOR OWNER/BUILDER PROJECT DESCRIPTION: NSFR with attached garage TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: RES NEW 300,000.00 2015 R-3 u-1 5N SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: 2,564 HEAT TYPE: HEAT TYPE: # OF STORIES SHORELINE: SETBACK: BANK HEIGHT: EEE WOD 1 750 603 Amount Paid By: Date: Receipt: Permit Plan Check Consistency Review State Building Code Scanning Fee EH SEP/RES Rev Potable Water Application $2,742.00 JLA $1,782.30 JLA $276.00 JLA $4.50 JLA $23.00 JLA $134.00 JLA $134.00 JLA 02122118 02t22t18 02t22118 02t22118 02122118 02122118 02t22t18 175076 175076 175076 175076 175076 175076 175076 $5,095.80Total: R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180 days after its issuance, or if the work authorized by such permff is suspended or abandoned for a period of 180 days after the time the work is commenced. SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: Exist: Prop: 3 Total: 3 ALT l PWELL BATHROOMS Exist:Prop: 3 Total: 3 HEALTH DEPARTMENT AND PUBLIC WORKS L REAURED 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 3pm the day before the inspection is needed. Final lnspections require 24 hour notice. Office Hours 9:00 am - 4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY. SEE ATTATCHED Jefferson County Building on Permit BLDI B-00077 Applicant: FOUNTAIN BUILDING PERMIT INSPECTION APPROVALS Appticabte Code: 20l5lnternational Buildins codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor & lndustries. The electrical permit must be signed off by the State lnspector prior to the County's Framing lnspection lnspection ltem Date Approval Signature Notes Setbacks Foundation Footing (I Footing Drains ,!1 Foundation Stem Wall Under Floor Framing Straps (hold downs) Ext. Shear Wall Nailing Rough-in Plumbing I Framing Airseal lnsulation: Walls lnsulation: Floors lnsulation: Ceiling tlp,r i(b Wallboard Nailing i HeaVChimney Clearance iacal 2-tlv Wood/Pellet Stove Blower Airtight Test Smoke & CO Address Posted Water Meter lnspection final inspection will not be scheduled until the following are completed and signed off by the applicable Department; o Building Permit Conditions dre met . Septic Permit Finol/Complete for ony building contoining plumbing o Lond Use Conditions met and oll o Public Works Permit Final (where opplicable) FINAL INSPECTION ? FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR I I CONDITIONS for Building Permit #8-00077 1.) Alldistrubed areas shall be re-planted to re-establish vegetation and promote soil stability. 2.) DWJ 3.) 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. The site plan as submitted with the Building Permit application on February 22,2018 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated February 23,2018 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for a Single Family Residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 6.) 10'minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 7.) Approval of this permit does not provide any assurance of future approvals for onsite sewage disposal on the property or use of any existing septic systems. Actions taken to date and proposed as part of this project may limit or prevent future development of an onsite sewage system. Future proposals must meet current code at the time of application. 8.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology ln Stream Flow Rule for that region. The parcel is located within the Chimacum sub-basin; as such, state regulations require the following: 1. Water use shall be limited to domestic use only, and such use shall not include outdoor irrigation. "Domestic use" means use of water associated with human health and welfare requirements, including water used for drinking, bathing, sanitary requirements, cooking, laundering and other incidental household uses, including potable domestic water requirements associated with commercial and industrial purposes. (WAC 173-517-150(8)) 2. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180) BROCHURES W|TH SPECTFTCATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more information, see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 9.) Prior to final confirmation-documentation from septic designer that sewer line under driveway is adequately beded or cased to prevent crushing. Contact your licensed designer to submit with record drawing. \\tidemark\data\forms\F_BLD_Permit_Bldg. rpt 3t2812018 L Sasl-.. Fo"n -L,H t 1 JEFTERSON COTI\]TY COMMUNITY DE!:ELOPMENT 621 Sheridaa $t., port Touusend lliA 9g36gPLUMBIIIG CER?IFICATION PRESSURE TEST BUILDRTG ADDRES.S PLLR{tsII\G -i CtOUlfO 'etCIRl( D11''1,', .Etne FER},'IT # DATE OF E.ICENSE # l>4oL-GH-rN pt-LrrvrBnic *i rnqllr TER SERITCE O?D Head ats Ivlfututes Time -t Air PSI W,orking Pressure \..r lr.{inutes NorE: TE'srrNG REQLTREIHE-\TS (sEcrror stE lJ.rirroRll pLtr*rBrmc coDE) l.rrNllrt_ittrs:S,rater Test- 10'Head - 15 I{inuter ?ert at fi,rorting FressweAir Te$ - 5# PSI - 15 \,Ifuute$ {G# pSI _ l_i lr,IinuteE I hereby certry the iafoonatioo prorided abore is the re$rlt of the Plurabiag $lsterr pre$$we test corducted h'theundmsignedatthe iadicated address arxd date-I$isrrepreseffation ofthis certificatioa is E Ercss nrisdeareaaor uuderRCW .9A.13.040 subjecttoaIIST'AL SYSIE}.I INSPE CTIO]I IS EEQTITRED BEFORE CO\Tn- I ID IS DeuruDrNG PERMTT npplrcltoru Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 BLD18-00077 Review Type: 3 3 PERM!T #: SITE ADDRESS: OWNER: SUBDIVISION: PARCEL NUMBER: BLD18-00077 462 KEVIN LN CHIMACUM,98325 JOSHUA E FOUNTAIN JENIFFER FOUNTAIN 462 KEVIN LANE CHIMACUM WA 98325 901 355008 Received Date: 212212018 PHONE: 360-643-1603 Block: Section: 35 Township: 29 N Range: 'l\ Lot CONTRACTOR OWNER/BUILDER REPRESENTATIVE: PHONE: PHONE: PROJECT DESCRIPTION: NSFR with attached garage TYPE OF WORK TYPE OF IMP VALUATION CODE EDITION: OCCUPANCY: OCCUPANCY: CONST TYPE: CONST TYPE: BEDROOMS: Exist:Prop: 3 Total: 3 RES NEW 300,000.00 2015 R-3 SQUARE FOOTAGE: MAIN: ADD'L: HEAT BASE: UNHEATED: OTHER: GARAGE: DECK: Type 2,564 HEAT TYPE: HEAT TYPE: # OF STORIES: EEE WOD 1 750 603 SHORELINE: SETBACK: BANK HEIGHT: Amount Paid Bv: Date: Receipt SEWAGE DISPOSAL WATER SYSTEM: : OSS l PWELL BATHROOMS: Exist: Prop: Total: Approved/Date APPFTOVED ilAR 2 E 208 Jefferson County DCD 3 3 Permit Plan Check Consistency Review State Building Code Scanning Fee EH SEP/RES Rev Potable Water Application Total: $2,742.00 JLA $1,782.30 JLA $276.00 JLA $4.50 JLA $23.00 JLA $134.00 JLA $134.00 JLA $5,095.80 02122118 02122118 02t22118 02122118 02122118 02122118 02122118 175076 175076 175076 175076 175076 175076 175076 \\fidamark\riata\fnrmc\E Fll l-l Ann Ftld rnt 2l)rlrilA a o DEPARTMENT OF COMMUNITY DEYELOPMENT 621 Sheridan Street, Port Townsend, WA 98368 T el 360.37 9.4450 | Fax 360.379.4451 Web: \ywq/.co.iefferson.wa.us /commuflitydevelopment E-mail: dcd@ro. jefferson.wa.us PERMIT APPLICATION FEB 2 2 Z0B '",r1 i'I |UiSteps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. For Department Use Only Related Application #s: Building Permit # MLA# IT Site lnformation AssessorTax Parce! Number: 1Ol ' 355 - OOB Site Address and/or Directions to Property: 1%325 LILL l&td4 l,-ar,r.<- Clairna.crtrar-. WA Access (name of street(s)) from which access will be gained: Kcrf.; La.-..e- Description of Work (include proposed uses): Present use of property r Wastewater - Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? lf not served by sewer identified above, identify type of septic system below: YES No t/ L- I Are other residences connected to the septic system? Additions or repairs to sewage system: ls it a complete or partial system installation: Has a reserve drainfield been designated? Date of Last Operations & Maintenance check: Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: Ep t-7 -O tz& Case #: Type of Sewage System Serving Property: lno Attach last report to application Septic Septic Permit #: Community Septic Name of System: Complete r/ Partial yes ( No_ [)emrir :\pp)ication Page I of 2 -Fees will be collected at intake. Additionalfees may apply after review and payment is required before permit is issued. !,srzr.q{rrrra ts t,,../-t ^r li".,,.[ o {^ n^]. [. . Applicant/Property Owner lnformation Pro sheet with each information and 5 Please ct re5. Lo33br - lo*Z - Property Owner: ive with proj info. (select only one) Owner E-mailAddress Name: Address Phone # Applicant: Authorized Agent/Representative (rf other than owner) Name: Address: Phone #:E-mail Address: Professional:ls this an Authorized for this project?NO YES Engineer Name: Address: Phone #: Arch itect Su rveyor Consu lta nt E-mail Address Contractor License # Professional: ls this an Authorized Agent/Representative for this project?NO YES Engineer Name: Address: Phone #: Consu ltant E-mailAddress Architect Surveyor Contractor License # Professional: ls this an Authorized Agent/Representative for this project?YESNO Engineer Name: Address: Phone #: Architect Surveyor Consu lta nt E-mailAddress: Contractor License # o o The a uthorized agent/representative is the pri ail requests and information about the a1 imary contact for all project-related questions and pplication to the authorized agent/representative correspondence. The County will mail le-m and will copy (cc) the owner noted below. The authorized agent/representative i s responsible for communicating the information to all parties involved with the application It is the responsibility I is not blocked or sen of the authorized agent/representative and owner to ensure their mailbox accepts County email (i.e., email tto nk l' 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 or her knowledge. Any material falsehood or any omission of a material fact madi by the owner/agent with respect to this application packet may result in making any issued permit null and void. rPrint Name Pcrmrt A pplicatioir Page 2 of 2 Signatu /rDate o^r".2/Z)/K N ote : For projects with m utt ipte -odiers, attac(/seia rate ,"*o*t*NT oF coMMUNrrY 621 Sheridan Street, Port Tovinseod, WA 98368 TeL:, 360.379.4450 | Fax 360.379.4457 Web: www.co.iefferson.wa.us /communitydevelopment E-mail dcd@co.iefferson.wa.us oBtLoPMENT Wa''"v - 11 I lt FEB 2 2 208SUPPLEMENTAL APPLICATION' RESIDENTIAL OR COMMERCIAL BLDG PERMIT Enter the square footage (sq/ft) that applies in each field For Department Use Only Receipt #:Date: Related lication #s:#: Site lnformation ownerName: M=5#fu=Assessor Tax Parcel #:Fou,^to.; Type of Building Relocated Demolition * ta-separate permit is required Select One: Single Family Residence /Modular Other list t/New Addition Proposed Building/Project # new bedrooms 3 existing # new bathrooms 2,5 existing I total bath 3.5 Z total bed 5 Heat Source Select all that apply: Electric t/ Heating Oil wood l/ Propane Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation (office Use) Residential / Commercial Main Floor gb'-t z5 v.+ Residential / Commercial Second Floor Additional Floors - heated / unheated Basement - unfinished Basement - finished space or habitable Detached Garage - heated / unheated Attached Garage - heated / unheated 75o Garage 2nd fl- unfinished storage Garage 2nd fl - finished space or habitable Carport - 2 walls or less Deck - uncovered 2-l L Covered porch 311 Other (shed, barn, pole bldg,etc.) Estimated Cost of Project(Required): S ZDC.DDO s ' 4Un 24v-{ 1 Supplcmental SI;R 1 market value of Replacement _Repair_ Number of floors t tList existi buildi By signing this application form, correct to the best of his or her with respect to this application I Signature dwelli un mobile hom othe the owner/agent attests that the information provided herein, and in any attachments, is true and knowledge. Any material falsehood or any omission of a material fact made by the owner/agent result in making any issued pe rmit null and void Print Name ", irl,l1 Building Permit Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning Zoning Other New Address t'LDale s270.00 s131.00 s131.00 S23.oo s4.so Total Fees Receiot # All Existing Buildings on Property Use AD\)Sinq\n- {'a^if^r rr-q?A-o-v\,cx Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein, that they are not licensed contractors and that they will assuming the responsibility of the General Contractor for the proposed project. Sign Name n 4/e: Date:Cash/Check/CC: Suprrlemartal SFR 2 UPFRONT REVTEW CHECKLISb rPCase #:d lnfo d Good to go d I k( Site Plan shows all property lines and matches Assessor's map I V{ Legal Access to property - RAP I 4 Relevant Parcel Tags Parcel Tags added I V( Relevant Case History Conditions I lf Zoning tq Critical Areas Streams Wetlands Buffers Setbacks Flood Certificate t t( Shoreline Designation aeology_ Slope Stabil I "{ Special Reports Special Reports Scanned I "( No Shootin gTone t Ly Stormwater lmpervious Surface %G.g Proposed New Land Disturbins lG ,OtlO Treatment method 1_4' Engineering I t{ Parking spaces (2) I L{ aunding Height 35' I kf Setbacks 1 {elatconditions I d' Declaration of Restrictive Covenant ,{ UCaNo Protest Agreement AFN# tfsite visit *t aaaitional lnformation Request pY Tidemark fields, activities and conditions Last Revised:9127 /2017 C:\Users\davidj\Desktop\UPFRONT REVIEW CHECKLlST.docx o^rr"r,@Reviewer: DU If tnvoice sent date: _ Landslide - Flood - SIPZ JPFRONT REVIEW CHECKLIST o Case lnfo Good to go date:- Parcel: Reviewer:lnvoice sent date: Last Revised:9/27 /2077 C:\Users\davidj\Desktop\UPFRONT REVIEW CHECKLlST.docx