Loading...
HomeMy WebLinkAboutBLD2009-00257 • 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 #: BLD09-00257 SITE ADDRESS: 1265 GRIFFITH POINT RD Issue Date: 09/22/2009 NORDLAND, 98358 Final Date: 1/18/2012 APPLICANT: JAMES SURGENT PHONE: 360-396-9595 DEVON A SURGENT 1265 GRIFFITH POINT RD NORDLAND WA 98358-9502 SUBDIVISION: Block: Lot: TX56 PARCEL NUMBER: 021321032 Section: 32 Township: 30 N Range: 01 E PROJECT DESCRIPTION: NSFR W/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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON1/18/2012 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building DilPon Permit Numb. BLD09-00257 Applicant: SURGENT 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 1 d, f-;4ct Erosion Control Foundation Footing 0, r ,, Footing Drains Foundation Stem Wall Ij 6-15.-0 q 4/ Underground Plumbing Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 0,214 G "7 r Rough-in Plumbing U Framing S_2-? C ,- Blocking Airseal 1T. Insulation: Walls i -1X-12„ Insulation: Floors 't _11S-\z I% , Insulation: Ceiling te-1 L- int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior al I 0 ill, Gas Line: Exterior ' 1 v �✓ LwVY Propane Tank l.-t _,t Heat/Chimney Clearance l' Drywell/Alt Drainage Address Posted FINAL INSPECTION I - I'X- IZ. FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 'BUILDING PERMIT APPLICA•N MLLA0900265 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00257 Received Date: 8/5/2009 SITE ADDRESS: 1265 GRIFFITH POINT RD NORDLAND, 98358 OWNER: JAMES SURGENT PHONE:360`396-9595 DEVON A SURGENT 1414 241ST ST SE BOTHELL WA 98021-9742 SUBDIVISION: Block: Lot: TX56 PARCEL NUMBER: 021321032 Section: 32 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI' NSFR W/A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,813 VALUATION 269,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 840 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 2 Total: 1 Total: -2 RoutingDate: // 06) Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,940.15 LYK 08/05/09 110688 APPRVE[,�,� Plan Check $1,261.10 LYK 08/05/09 110688 State Building Code $4.50 LYK 08/05/09 110688 Potable Water Application $62.00 LYK 08/05/09 110688 SEP 2009 Total: $3,267.75 Jefferson County Planning &Building Departmen+ f • • CONDITIONS for Building Permit# :BLD09-00257 1.) A minimum of a 10' setback is required between all water lines and all septic system components. 2.) 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. 3.) MANDATORY MEASURES OF HIGH RISK SIPZ: 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. 4.) MANDATORY MEASURES FOR HIGH RISK 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 requirements: a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106 for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a groundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 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.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 8.) The project shall adhere to the Besnagement Practices (BMPs) to control st ater, erosion and sediment during construction. BMPs shall address permanent measu es to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) A Engineered Stormwater Plan prepared by Streamline Environmental dated August 5, 2009 has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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. 12.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 13.) The road approach permit(RAP09-00037) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Griffith Point Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of bank shall be 30 feet, or for every foot of bank height, the setback shall be the same as measured from the top of bank, not exceeding 100 feet. 44 Olv cod JEFFERSON COUNTYok . `� DEPARTMENT OF COMMUNITY DEVELOPMENT — A. o "' 621360/379-4450 Sheridan Street• • Port360/379-4451w Townsend •WashingtonAUG 98368 1 5 �p� www.co.jefferson.wa.us/commdevelopment _ 2009 "tiI G Master Permit Application _ MLA: I -a(p� Project Description(include separate siic7s.arswC.essary): 1•F pa GO/ ' ( I a) A c P --) i Tax Parcel Number:Q 4.('3 L l C' ')L /t •7 t 3 L I C'.� 1 Property Size: ',k-] '3 t,,`- 5 c- (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: .:It m 0• 1 Or;„, "D'.:.i^cje.vck Telephone: t;tt A -al °Ih•' , ! Fax: A 4 i' - 4-2-0.- I 00 email: , _ kr�e y,1-t 0vt1.S}t .0.,rJ" Mailing Address: 12 2-t 154 ' C.-T k1 c., kc,clvh.e— c3 t,.' Pr `ISA; 7, J Applicant/Agent(if different from owner): Telephone: Fax: — email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Uleuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) 0-Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ 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 ❑Long Plat* ❑Sign - ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration'"' d -Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions'"` ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'"` ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* ❑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 ❑Tree Vegetation Request **Requires a Pre-Application Conference Please�) entify 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 fa. 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 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 agree t• •rovide access and 't of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and a re• ired later ins.:..,jpns. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a,.plica in that he or-.- wants prior notice. n Signature: . _ Date: r/e" 7 The action or a•.•r ns • -,•lisant will und-•=ke as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered sp-lies 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 A. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you • in compliance it he Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera.0 ponsibility for ering to and complying with the ESA. The Applicant has read this disclaims and ns and dates it below. Sianature: - n.ro• / f 7 O c • • BUILDER STATEMENT The signer of this statement d h eby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a su ing the res ibility of the General Contractor for the proposed project. Signature: Date: )/ 5 GENERAL CO CTOR OR UFACTURED HOME INSTALLER: PHONE:: - FAX: (143 eVeA_ (2)6)`6° " (15°I(' ( S)+10- I Ora(e �1)�C7 MAILING ADDRESS: 1 1IA.! GT I�l`L 'R,PA4HQ,nd EMAIL: J...sclf`C1e-kt0 Vit\t•1 ,Cxva-. CONTRACTOR'S LICENSE (114o cj Z WAINS NUMBER: "'" 1 _ NUMBER ARCHITECT/ENGINEER: 11 h(L�.►'�Z �,►+�v' f-1J�11u . ( � �#;�PHONE ('}j(e)6�./"�13 FAX:(WOt54-+ q/Ati MAILING ADDRESS: 7(Qlj ► i, mcz ctiLt. (�Gt h_ tea14` EMAIL ba,r -Au\°1."n-kF Zaa4 •Ci'Yr Project Type: Frame Type: Bathrooms: � � Shore me: Type of ge Disposal: 4 .. New WoodCYntryw� G . Existing: _ ❑ Sewer ❑ Addition $.. Steel Proposed: 2 Bank ❑ Community System . ❑ Alteration/Remodel 0 Concrete Total: 2- ` Height: ,'I ndividual System ❑ Repair + Masonry )a(- -0. - SEP Permit# t')1- 27'7 ❑ Demolition ❑ Other: Bedrooms: Water Supply: • Existing: _ Setback: ❑ Private well 0 Two Party Type of Heat Proposed: i.--Public • o,cAirA�ttA , Total: Name of System:-�) c1 1)4 If this is a Commercial Project you must answer the following: / (4-04-a.,j (AOM14y) Number of Parking Spaces: Current 0 Proposed: ri Number of ADA Parking paces: L Number of occupants(includes owners,tenants,employees,etc) Current f Proposed 2.- IBC Occupancy: IBC Type of construction: Will you have Food'Service? / 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: I 2-0 1 Heat Stove YQook Stove 1 Woodstove I Fireplace Insert I Hot Water Ta k i Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / Ioo'' 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. �,�q ..c -r s z ✓ .e,;�, r'1F-°F Fry' e `:s 't i p i t'{` a ��'r=,r a+�x t''F 14 h}5 Current Proposed F ..' . e Square Footage — f� ,_ .���. _. �?� ,... �.. . _.. , , P< ,�,_ �,, Main Floor Heated s- - EH Bld App Review: 2"0 Floor Heated "fie Consistency Review: _ o`-I,- Other Heated 2, Base fee: nor IS- Mezzanine r Mezzanine 42 on: _ onp —i- Heated Basement ti Plan Check fee: I (4?1 �O f` .�Unheated Basement ;r, : State Surcharge fee: w.. Other Unheated Pot Water Review fee: I _Garage/Carport SUBTOTAL ' Decks ' 911/Rd Approach fee: YN z ,...1 Other TOTAL: Receipt Number: I 1o(40� q 'Cash/Check Number: 913Z ESTIMATED COST(REQUIRED) Date: .Fair market value of a/ nematerials-foundation to finish (9N( ct 606) Initials: _______. .. . . . .....„._............... ..."..\' -.1-'''°.4(181, • I o 1 \I \ / \J y • ..........3„.....\---- 11 • 1 ‘..'-'--- '''''..--..-- ..' ''' ......-..--.I.\ .I. • irl111111"." 1 \ ___,__----- • l 1 / 1 At, ' 1 - _ _ 1 ...„,.....r. A.. 41 1\ ..44 : \ \ % 0, t ..., \\ " .., , , t -, 1 \\, \ \,\ Ili \ \ ak ' 0 .\ p M r 1©® ,\ 1 \\ • !� 1 11 III 11 l. d \, 1 1 \, _ ---- — 0\ \ \IN) .1. 11 \ _ _ . 11 0 - .k-'''' v..11", . 4;04. ... _____v27• -•-:'------ to - "" - . II li 3 i . , ..... 4 il-\-- ii z 4,,,,1 ... I� gvIli i \ . F •' •;, • f ._._ Y iI �A , I I il i ® $ -zo .1. 1 � . � — - - • OC I q ; s " L m Y I 1 �� I 2 E 4 I .1 i _- t2 • , z O x (II - - --r � . 1?32. , 1, -7 ;71 ri._._........-.-.-._ l_...4._._.._._._ .....e. 4 _. CD ® -Q 1: 1 AIN �V `ti I ® • r�lYYlillll�� III ® II, �7Iw I5. 1 I_ 11 ! $° € ��l� � $$ • I� 1 AA AR w ow .1l hoc ♦dI O y� � I I I i I I O q 1 g. ' '' AN, — -- --- ;ei• ---'1 �' �. r - O 1 t T I 10 . A i [� t i4 2$ i �' I I $ ® v AIL ' lc I4) _ § A—A 3g- - 0---w a $ $ I Mgo I 9` 11. iqi� r* nab a-ia r i 0 13„ # 1 1S J ADO' E.)O )f �~= , z- 8f :i i oom g 'II I IK` -• , m z SURGENT RESIDENCE 6,� D° "o' IIIf ii $ fit Ili; 3 PPA a MARROWSTONE ISLAND, WA & >i PR fig ? Cnm • ii 4 CV02I lNI0d H11441110 - / 4 11 E:; : / q . \iji _-- ill — 8E0'4TA!"E y •\• 000'29'h0`01.TX -•� i i ,„ ZO'ROAD OEIOACK Q ,� I fi):7,,ii i PA b & „ I �1'0• / I • gi I I R 4;?.. 14/ i 1 4 i e 0-q 1 Pit i A a , 1...0. ..01, \\ .4/ . ,•••-- I I i L a, ' .11 Org 1 1 1 3 , ij 1 ASILI/7 \ , ---\\ 1 1 it! MR111 11 1 1 l' I! ..4A* // ./,/ 1 il I 1 .7 4. S i i I \ 1 1 1 1 \ x & '" li I' Nfiv , 1 II 11 11 1 I I ell if , ,_---- -,- I�` ' I I 1 I is ,...,\:, r iiO ,; I ' , ,/ 1 / 1 QC ;sg � I OR ball s � > ,; N iliP / - 1°'WELL 4RAau 2g l_ I � 4,1 il i 01.111tia - 00-L l . L Rie-I ,,�V�§'1 I -21'4-- --- --- --- 11 / ii -• _c, 1 \ 1111141211 j .0 1$ 4 ni II w , � _ 1 I 1 _it eI ` / ! z \ 1 I ._,) \ I PI / 1 \\ cfc • d ARE �r. o��, i 11 4 li -1-,, / il.40Fk _ '^ ii 4,43z 5 1g I I IR iQ / 27* // ' \ro i I A NgZ ; I % (-9 I ... 1011 Pli ______Lj1 I .11 T 4:4 X W11 qr rn �^ `_ '90 LB A�Z0.9Yi9N "` ` A'L'90 > 9N w "344;1 P $q ---- g ._.,. .......,..... 8.4 p8b $ -- - 7--- \ 111 1 1 i. 0 --\\t__\_-----_______el ,—___.... CD E ----.___ _ \"13 —� Z i \ CO >1 � K it ACi 1 4 . a it 1 1111 i 1 u 11/ 9 C ' 4 F. s iimo 03 ;:lli V E g . , Lo , , , L , I.! d