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BLD2007-00113
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 PERMIT #: BLD07-00113 SITE ADDRESS: 801 GRIFFITH POINT RD Issue Date: 09/10/2007 NORDLAND, 98358 Final Date: 4/9/2009 APPLICANT: HOWARD F LISCHKE PHONE: 425-453-9554 % TERRI LOWDON PO BOX 50085 BELLEVUE WA 98015-0085 SUBDIVISION: Block: Lot: 20 PARCEL NUMBER: 021324023 Section: 32 Township: 30 N Range: 01 E PROJECT DESCRIPTION: NEW SFR ON EXISTING FOUNDATION - (REPLACING 2 BR MAN HOME) (revision 11/29/07 additional sq footage) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes not THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/9/2009 I:\F_BLD_Occupancy.rpt 10/29/19 • bU'ILDING PERMIT APPLICATION MLA07-00139 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00113 Received Date: 3/20/2007 SITE ADDRESS: 801 GRIFFITH POINT RD NORDLAND, 98358 OWNER: HOWARD F LISCHKE PHONE: 425-453-9554 % TERRI LOWDON PO BOX 50085 BELLEVUE WA 980150085 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021324023 Section: 32 Township: 30 N Range: 01 E CONTRACTOR: PARADISE BAY DESIGN & CONST PHONE: (360)437-9344 BILL IRWIN PO BOX 545 CHIMACUM WA 98325 Contractor's License PARADBD943C1 Expires 1/17/2008 REPRESENTATIVE: TERRI LOWDON PHONE: 425-453-9554 PO BOX 50085 BELLEVUE WA 98015 PROJECT DESCRIPTIOP NEW SFR ON EXISTING FOUNDATION - (REPLACING 2 BR MAN HOME) -*' TYPE OF WORK RES SQUARE FOOTAGF. TYPE OF IMP NEW MAIN: VALUATION 345,000.00'105105g ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 1,608 HEAT TYPE: EEE OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER:1-',c-it (C4 2 CONST TYPE: GARAGE: 440 SHORELINE: CONST TYPE: DECK: 5361.3`1`1 SETBACK: + BANK HEIGHT: SEWAGE DISPOSAL: CON co�2re P` `lam WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date:3/cDo/O 7 Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,371.35 CJZ 03/19/07 89593 Plan Check $1,541.38 CJZ 03/19/07 89593 APPROVED State Building Code $4.50 CJZ 03/19/07 89593 Total: $3,917.23 SEP ID 2007 Jefferson County Planning & Building Department Jefferson County Building D ;ion Permit Nun0: BLD07-00113 Applicant: LISCHKE BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 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 Ex/mil Erosion Control Foundation Footing Footing Drains 3 he ,*R G04w4 SQ.�ca DEC PTLt Foundation Stem Wall 3/25/9 fr �f" pi( Underground Plumbing NiA Straps(hold downs) 12/t J/`) /!J Ext. Shear Wall Nailing Rough-in Plumbing 11-/ 08 7 Al Framing 0/1(leg 94 - n Blocking l , �-g ob` garGal OrY OICu 08 Airseal IL/,Wog Insulation:Walls 121gpi Insulation: Floors o�p Insulation: Ceiling /Zit /4 r V— int. Shear Wall Nailing I Z 4, e,1 / l //VT lt5" LI,oA ,t/AL-s G 1271 g Wallboard Nailing //2-4/11 OY CAPA6r D1C 1)901sawlgA, t-20 Or. Gas Line: Interior Gas Line: Exterior Propane Tank '""' "fU Heat/Chimney Clearance 4_i_cj L- Crywell/Alt Drainage l Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ¢gON c • O& JEFFERSON • COUNTY S A DEPARTMENT OF COMMUNITY DEVELOPMENT `4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment �`SHINO� Master Permit Application aNt MLA:- 0-1 �'�� XISTi �i /�'�/`1N/ S' ".. 7®L PeMo�4mo Project Description(include separate sheets as necessa IF• „. , il�tO v") fix► 5.7-/ c Foiff.)O#TIar3 Tax Parcel 62 13 21-02..,12 Property �1 L©c Number: Size: / (acres/square feet) Site Address and/or Directions to Property: r Property Owner(s)of Record: L 15 Telephone: t•4 a r� J�J ' 55 Fax: email. Q t \ bwc�c mqc- Cont, Mailing Address: 0. j ox. S O c(6 s "El_L v 1 Applicant/A ent(if different from owner): 1 FW1.,\ Telephone: C4cZ. )L1-S, ASS'- Fax: email: ec r- \O f�(V)ao 9), , Mailing Address: T. 0 ox . 0O�SS ] E��F- F U c 9 �dl S vc_..064, Jhat kind of Permit?(Check each box that applies uilding ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Single Family Garage Attached Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑ Binding Site Plan** ❑Home Business ❑Cottagelndustry ❑Long Plat** ❑Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: �,� D IG TION OF AGENT I hereby designate Y\ - e c1 r\) o act as my age mmattttg,Ds relating to this application for permit(s).- OWNER SIGNATURE W A�� k...2.1 SC YN� _ �J.c^ oZt7 Date: 3 1�';'" 0 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 it's 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 a plication that he or she wants prior notes ife, ,� .�� Signature. ���1�1 k � �� 3 ov- of\ Date: 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-tra ferable responsibility for adhering to and complying with the ESA. The A licant has reAd this disclaimer and signs and dates it below. Signature: �- 4r ate: ,k4-o-co17 C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc o• • • ' BUILDER STATEMENT ' .I r _t The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contracto`fsaiidthat they will be assuming the respoonsiVity qf t e General Contractor for the proposed project. , YK- Signature: T' R4.1 • Lo >A1a ` M Date: 3... I LI—,2a7 y9 7LW/ L_ GENERAL CONTRACTOR OR IDIANUFACTURED f1OME INSTALLER: PHONE: FAX: (714V—AQI5 P?4 (3`6).4379314 ( ) MAILING ADDRESS: l s#r- EMAIL: ;:L'YOpt,1ENr -jf CONTRACTOR'S LICENSE WAINS NUMBER: I NUMBER Q ARCHITECT/ENGINEER: Mei pl(( " c-C.,,� PHONE (t16,r°i+)4 3 1Zgg FAX:(y25) L a. C7 4E1 g MAILING ADDRESS: 2223 tc1Z N Q f ( �,t gel C V i4e.., EMAIL 'M i�..'�/ H 'c c i A j'(.,,Lk t G ow) Project Type: ,Frame Type: Bathrooms: Shore ne: Type of Sewage Disposal: New "Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 3 Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Hei ht: / Individual System '❑ Repair ❑ Masonry 0 SEP Permit#741-//7 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: / ,_ Setback: ) pC Private well ❑ Two Party Type of Heat: Proposed: —ca-- i 0 Public ) Total: —1 2' 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 Proposed 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: ❑Underground Tank RAbove ground Tank Size of Propane Tank: ,, C:) (Heat Stove %Cook Stove 0 Woodstove 0 Fireplace Insert J2SHot Water Tank 0 Pellet Stove 0 Other ?'DE L= Is this appliance being installed in a Manufactured/Mobile Home? Yes / 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 For Office Use Only Amount Revision OL31✓ Main Floor Heated `L10 113.mao EH Bld App Review: • Floor Heated 3zi d, 1:091e\ Consistency Review: t 5 3 C• I Other Heated Loci- D� — 1, ,k 'c3 3( 1, Base fee: j,V1 , �, 3'i f 3-� L, b 0l 3 3 Mezzanine ,9 Additional Section: Heated Basement 11,,ov 14, taraoct. Plan Check fee: iS 3 ? i 90 Unheated Basement /(0' f 0y State Surcharge fee: Other Unheated ' ,' Pot Water Review fee: N p Garage/Carport SUBTOTAL Decks s , ( ,� 94-1/Rd AppiudUl fed: L �''� `'`t fa ���� Shoc i Pimp. �3 5-1 Other v Ezvolc�,V� 3 99 I,SA• �a. TOTAL: $. t A. a3 5\ Receipt Number: 81593 15hao 1 44. ash/Check Number: '4�51 ESTIMATED COST(REQUIR n) Date: 3/ la/d 7 Fair market value of al.I and materials fo tion to finish l `t c- —s1 Initials: C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc CONDITIONS for Building Permit# :BLD07-00113 1.) The application was reviewed by the Jefferson County Department of Community Development staff on APril 27, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Conservancy SHoreline Designation, Special Aquifer Recharge Protection Area, Intermediate and Stable Shoreline Slope Stability and Coastal Seawater Intrusion Protection Zones (SIPZ). 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 4.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 5.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 6.) 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. 7.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 8.) VOLUNTARY MEASURES OF COSTAL &AT RISK SIPZ: 4111 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. 9.) 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. 10.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 11.) The applicant is proposing to create or add 1200 square feet of impervious surface and 1200 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 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.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 14.) The revised site plan as submitted on September 7, 2007 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 September 7, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for a sinigle family residence on existing foundation 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. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) Not more than 2 unlicensed vehicshall be stored on any lot unless totally s ed from view of neighboring dwellings and rights-of-way. Such screening shall m II 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 autormobile 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 requriements 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. 18.) Minimum setback from the top of the shoreline bank to the existing foundation shall be 39 ft. Minimum setbcak from the footings of the deck to the top of the shoreline bank shall be 14.5 ft. Minimum setbcak from edge of Griffith Point Rd right-of-way shall be 20 ft. Minimum side yard setback shall be 5 ft. 19.) 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. 20.) 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. 21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 22.) The building height is not to exceed 35 feet. 23.) The existing foundation is a legal nonconforming structure with regard to shoreline setback requirements pursuant to letter dated May 25, 1994 from Robert Hinton, Chairman of the Board of County Commisioners. 24.) A septic permit (SEP74-00117) was finaled on July 17, 1974 for a system of 240 gpd. A septic permit (SEP07-00260) was issued on August 3, 2007 for a system of 240 gpd 25.) Griffith Point Rd is a local access road (C592009). The road approach is existing and an address of 801 Griffith Point has been assigned to the parcel. 26.) A minimum of two (2) on-site parking spaces are required for the single family residence. 27.) EXISTING MANUFACTURED HOME/MOBILE TO BE REMOVED PRIOR TO FINAL INSPECTION. 28.) PRIOR TO OCCUPANCY& BUILDING FINAL--REMOVAL OF EXISTING MOBILE HOME AND FINAL APPROVAL OF SEPTIC SEP07-260 IS REQUIRED. 29.) PRIOR TO FINAL BUILDING INSPECTION MUST SUBMIT RECORDED NOTICE TO TITLE REGARDING THE SQUARE FOOTAGE OF HOME AND LIMITED CAPACITY OF DRAINFIELD. NTT RECORDING # 527096 30.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT RESERVE AREA AND DISPOSAL COMPONENTS. 31.) 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