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HomeMy WebLinkAboutBLD2009-00258 • S. 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 #: BLD09-00258 SITE ADDRESS: 1265 GRIFFITH POINT RD Issue Date: 09/22/2009 NORDLAND, 98358 Final Date: 9/14/2011 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: SATELLITE BEDROOM THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON9/14/2011 I:\F_BLD_Occupancy.rpt 10/29/19 110BUILDING PERMIT APPLIC/S�N MRA08 00 eview Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00258 Received Date: 8/5/2009 SITE ADDRESS: 1265 GRIFFITH POINT RD NORDLAND, 98358 OWNER: JAMES SURGENT PHONE+ 396 9595 DEVON A SURGENT 1414 241ST ST SE BOTHELL WA 98021-9742 SUBDIVISION: Block: Lot: TX56-1 PARCEL NUMBER: 021321032 Section: 32 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI SATELLITE BEDROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 389 VALUATION 45,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 91 SHORELINEGARA CONST TYPE DECKLE 106 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: ( Type Amount Paid Sv: Date: Receipt: Approved/Date Permit $593.25 LYK 08/05/09 110689 APPROVED Plan Check $385.61 LYK 08/05/09 110689 State Building Code $4.50 LYK 08/05/09 110689 5 Total: $983.36 ::-' g 2UQg Jefferson Coady pfausirc & Building Department' Jefferson County Building Di*on Permit Numb, BLD09-00258 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 T Erosion Control Foundation Footing %_Jam- UY( Footing Drains (` Foundation Stem Wall Underground Plumbing i I Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing Framing � Blocking Airseal 43110 Insulation: Walls Insulation: FloorsPeD 2�3�1 tj Insulation: Ceiling 2 ;f to Int. Shear Wall Nailing Wallboard Nailing 2..-24.-(v ( ! Gas Line: Interior ��� Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION cc(1.3I It FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • 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 Eulogy 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 Besanagement Practices (I3MPs) to control stouter, 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. 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. • 0 ,�4, °N co\ JEFFERSON COUNTY ' �' DEPARTMENT OF COMMUNITY DEVELOPMENT '- ` 1 621 Sheridan Street• Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-445 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 09- � Pro Description(include arate sheets as necessary): e_( L tq Tax Parcel Number: C _I -2)2-.1 •r,2../ U�,I 3 L,I '?) 1 Property Size: LH, 5�c 5� (acres/square feet) Site Address and/or Directions to Property: 12_.L,c G tck -�N t sr \`� ci �,u 0- 61 s-g-x AUG — 5 2009 Property Owner(s)of Record: 5 i w. c. oc .‘ Suus-c 4,t Telephone: ,), c r r .��) , C� L'I Ca Fax: `-��.j- c`yLj I G 0 to email:)—S Lk i'cE'.i t ft'vit sift ,e i r.\_ Mailing Address: !j "2) -2-0 1.3-}-t C-1- 1� C Re j--1ONl-1A(k 0,2'lq r1 CCt;`j'- 1 Applicant/Agent(if different from owner): Telephone: Fax: email: — Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation (Z1Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) -.Single Family ❑Garage Attached/Detached 0 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 ❑ Road Approach 0 Short Plat'"" ❑ Home Business 0 Cottage Industry 0 Binding Site Plan'"' epeste ❑Long Plat" ❑Sign - 0 Planned Rural Residential Development(PRRD)Amendments*'' ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** g-Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development-- ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 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 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 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 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 re.uired later inspe•-i•fis. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl' •do that he or s : ants prior notice. Signature: .��. `�- Date: �S/t!i 5_ The action or actions • •plicant will und- -ke as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered spec'= 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 e 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 complia ce ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferg6 esponsibili f adhering to and complying with the ESA. The Applicant has read this disclaim and ns and dates it below. r Signature: i ---� _ Date: j•"/<' / G 5' 0 • BUILDER STATEMENT The signer of t i statement does eby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a u ing the responi .ity of the General Contractor for the proposed project. r—. / Signature: bate: O GENERAL CO CTOR OR MANuACTURED HOME INSTALLER: PHONE: Fax: (lct,) `1)1t, - c).;tK (LJ2 I00(J MAILING ADDRESS: 12�)2O 1'3Lie- CT )�� i`'t�1,„6c ,w (1ca)t3 z- EMAIL: ' Sur yvk"C0 VW,0,COIyh CONTRACTOR'S LICENSE 1 WAINS- NUMBER: NUMBER ARCHITECT/ENGINEER: 6C.l,ny10.1_ G il 1(� ��,1 1 f,e{1. PHONE (41,,) 147 C' 1) FAX:( a).j t1--1 C�_i ci MAILING ADDRESS: 7k ( c, nci6 •,m, L;�`,� � i� EMAIL 1 Project Type: Frame Type: Bathrdoms: ` I Q) Shoreline: Type of Sewage Disposal: Tk New VA Wood Existing: 0 0 Sewer ❑ Addition &Steel Proposed: ---r— Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _I_ I WIndividual System ❑ Repair 0 Masonry 1n r_2 U SEP Permit# b 1 - 2.5' ( Supply: Bedrooms: Water o Demolition ❑ Other. y: L, pp Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: tat: I ` Ia-Public Name of System: _ ��t't�` l� lt' .�i�. MnT If this is a Commercial Projectyouu must answer the following: (--}- .� .C,.Q tr. ?ND p�'f-kc..�� " J Number of Parking Spaces: Current: D Proposed: 19 Number of ADA Parking Spaces: 0 Number of occupants(indudes owners,tenants,employees,etc) Current (i Proposed IBC Occupancy: IBC Type of construction: Will you have Food`Service? Yes / N) .. If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank 1 Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other 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 properly lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. ,i,:,:,..--4,--,,,g . 7-.-', --..,:,-.1,,,Ap,r-kv;-L,,,a,: -.1--,v. ,, ,r,,Tiys--f,.Y.--.: **.;,-ii,e74ve. 9. Square Footage Current ProposedOffice .-t , 3 .. r , 1..'.-, ,tL _ "s , Main Floor Heated ' : EH BId App Review: - � SiQ 2nd Floor Heated • Consistency Review: ()I c Other Heated rl <;:c4 Base fee: � - F n5n Ixtecf�l'" g Mezzanine Plan Check fee Heated Basement >5 J Unheated Basement `T , State Surcharge fee: -5 Other Unheat ._ '1 `t �# Pot Water Review fee: (.� (DOTSi DE ' ( A. Garage/Carport ¢ SUBTOTAL G 6D.D.0 Decks •^'{ ` 911/Rd Approach fee: H ¢ 3 Otherthwangia TOTAL $ Q Ea r Receipt Number: ( t 0(0g9 [ 1G-i Q Cash/Check Number:. 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