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Home My WebLink AboutBLD2009-00355 • • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD09-00355 SITE ADDRESS: 530 RENIER RD Issue Date: 02/9/2010 NORDLAND, 98358 Final Date: 6/14/2012 APPLICANT: MICHELE B NISSMAN PHONE: (360) 385-4448 530 REINIER RD NORDLAND WA 98358-9621 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 6-7+ PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E PROJECT DESCRIPTION: INTERIOR REMODEL & ADDITION TO EXIST SINGLE-FAMILY RESIDENCE 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(--",now THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/14/2012 \\tidemark\data\forms\F_BLD_Occupa n cy.rpt 6/28/2012 MLA09-00349 ililUILDING PERMIT APPLICADN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00355 Received Date: 10/14/2009 SITE ADDRESS: 530 RENIER RD NORDLAND, 98358 OWNER: MICHELE B NISSMAN PHONE: (3 644 3 85-4448 530 REINIER RD NORDLAND WA 983589621 OLSON & HAMBLETON'S SUBDIVISION: Block: Lot: 6-7+ PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: WEBER CONSTRUCTION PHONE: (360)385-5204 RAY WEBER 4554 LOPEZ AVE PORT TOWNSEND WA 98368 Contractor's License WEBERC*0330D Expires 11/29/2010 REPRESENTATIVE: ANDREW REECE PHONE: (360) 385-4305 2310 THOMAS ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP INTERIOR REMODEL & ADDITION TO EXIST SFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 643 VALUATION 180,000.00 ADD'L: 41 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 340 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: /' I Exist: 2 Prop: 0 Prop: _ 1_ _ Total: 7 f I oral 3 Routing Date: 1n -- Type Amount Paid Bv: Date: Receipt: AFmRc5f/Er)Permit $1,441.75 LYK 10/14/09 111097 Plan Check $937.14 LYK 10/14/09 111097 FEB ' 1ijjp State Building Code $4.50 LYK 10/14/09 111097 Potable Water Application $62.00 LYK 10/14/09 111097 Jefferson County Planning Total: $2,445.39 & Building Department Jefferson County Building Dillon Permit Num. BLD09-00355 Applicant: NISSMAN 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 �(9.25-1,1 Erosion Control A silt fence shall be installed along the outer edge of the construction aroa. SEE CONDITION 15. Foundation Footing (0-1s-- le (�"Footing Drains � Foundation Stem Wall IQ/ Under Floor Framingbo jSGCk-41iO4,- ;"tut/f<'IIK Straps(hold downs) / Ext. Shear Wall Nailing A) ../C) Rough-in Plumbing Framing . , (_ `°/l- Blocking 1� (2 ` ( - `r/ Airseal It , (1 . 1 (co Insulation:Walls JI lL{l_I ( Insulation: Floors Insulation: Ceiling 113 t Int. Shear Wall Nailing ` , Wallboard Nailing �-/1'� r I Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 6_ry (L Address Posted / /Gl` ( . �(�tatJW- pa., 7 6 . 1/ rIV FINAL INSPECTION -(9/, ( R-(2) ate J FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1/ i CONDITIONS for Building Permit# :BLD09-00355 1.) It is recommended that the owner/contractor verify that the existing water line and sewer line which cross meet the requirement per DEO Sewage Works Design:"Sewer line crossing water lines shall be laid below the water line to provide separation of at least 18 inches between the invert of the water line and the crown of the sewer. 2.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 3.) The project shall comply with the Coastal Geologic Assessment and Recommendations report prepared by Coastal Geologic Services (dated April 8, 2009). A copy of the complete report is filed in MLA09-00349 at the Jefferson County Department of Community Development. 4.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT ,6 1.--' DATED APRIL 8, 2009 STATING THAT THE STRUCTURE AND/OR FACILITIES HAVE (tyBEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE ,iy'GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED 'L GEOLOGIST/ENGINEER. 5.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 6.) Construction shall be in substantial compliance with the site plan submitted on November 30, 2009 as it exists now or is hereafter amended by Jefferson County and/or the Washington Department of Ecology. 7.) No fill or other material may be placed in the waters or intertidal areas of Jefferson County. 8.) 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. 9.) A Construction Stormwater Pollution Prevention Plan 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.) Should any underground utilities or subsurface stormwater systems be discovered during construction of the new addition, the project proponent shall discontinue work and contact Jefferson County Department of Community Development to determine if modifications to the approved site plan (stamped February 1, 2010) are needed. If a revised plan is needed, work shall be discontinued until a revised site plan is submitted that complies with Jefferson County Code requirements and is approved by this Department. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Not more than 2 unlicensed vehiclall be stored on any lot unless totally scd from view of neighboring dwellings d rights-of-way. Such screening shall mee Il 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. 13.) The limits of clearing shall be marked in the field prior to beginning any ground-disturbing activities. 14.) Construction access is limited to existing access. Vegetation removal to create new construction access is not allowed under this permit. 15.) PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES FOR THE HOUSE REMODEL, THE HOUSE ADDITION, THE DECK CONSTRUCTION, OR THE REMOVAL OF THE HARDSCAPING, A SILT FENCE SHALL BE INSTALLED ALONG THE OUTER EDGE OF THE CONSTRUCTION AREA AT THE SOUTH AND WEST SIDES OF THE PROPERTY. JEFFERSON COUNTY STAFF SHALL REVIEW THE LOCATION AND INSTALLATION OF THE SILT FENCE PRIOR TO BEGINNING ANY EARTH WORK OR CONSTRUCTION. JEFFERSON COUNTY DEVELOPMENT REVIEW DIVISION STAFF SHALL BE CONTACTED BY THE PROJECT PROPONENT AT LEAST THREE (3) DAYS PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES (360-379-4450). 16.) All exposed and unworked soils shall be stabilized by using effective BMPs that protect the soil from the erosive forces of raindrop impact, flowing water, and wind erosion. 17.) All pollutants, including demolition debris, that occur onsite shall be handled and disposed of in a manner that does not cause contamination of stormwater. 18.) Maintenance and repair of heavy equipment may result in discharge or spillage of pollutants (such as oil, hydraulic fluids, solvents)to the ground. Spill prevention measures, such as drip pans, shall be used to reduce the potential for pollutants to reach Admiralty Inlet. In the event of a spill, contaminated surfaces shall be cleaned immediately. 19.) All temporary and permanent erosion and sediment control BMPs shall be maintained and repaired as needed to assure proper functioning. All temporary erosion and sediment control BMPs shall be removed within 30 days after site stabilization is no longer needed. 20.) To meet the SWPPP and the intent of the geotechnical report prepared by Coastal Geologic Services, Inc (dated April 8, 2009), native plant species shall be used to re-vegetate the area of hardscape removal. 21.) All infiltration systems shall be at least 10 feet from any structure, property line, and shall be at least 50 feet from the top of the shoreline bluff. 22.) The setback from the Renier Road and access is 20 feet, the setback from the sides of the property is 5 feet, and the setback along the shoreline is 55 feet. ! S 4.-0-1--isew cOr� JEFFERSON COUNTY • ' 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 BINS Master Permit Application MLA: O"1-3 Project Description(include separate sheets as necessary): N Q.I or IC G r)DE-L -( Ik TA D t n coral -b k(S---- Tax Parcel Number: t i t Oc k 4 Property Size: 4 Coi 5e4/square feet) Site rAddress and/or Directions to Property: 61 Property Owner(s)of Record: l< / z - .C.. 1�t$E Telephone: ?'7 ',Cell '1y Fax: email: Mailing Address: � 1�1G 1(�l�j, 1 1 - Applicant/Agent(if different from owner): Telephone: W - :z - •5, Fax. email: C -C6[.. .h'E"T Mailing Address: What kind of Permit?(Check each box that applies 0 Lot or Road Segregation [QBuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) [3-Single Family 0 Garage Attached/Detached ❑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 0 Boundary Line Adjustment ❑ Address ❑ Road Approach 0 Short Plat** ❑ Home Business ❑Cottage Industry El Binding Site Plan** , ❑ Propane El Long Plat** El Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** ' ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** El 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* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑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 �� 1 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE `� �lI•'/ { �� ;v�,. ._.__. 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 re lates S. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the awl* tiort, the r h is prior notice. '\ F Signature: 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 lake"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 a in co ''n - .ith the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable re on bilityfo`a i' to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: .9 l,, ,..�;. Date: ,r • BUILDER STATEMENT The signer of this statement does hereby certrfy that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 52 ' [- FAX: ^-- � u(ESS14I r� TH (3641 3A5*• ( ) MAILING 4 C J 2 Y P � I�11,,Lh MAIL: CONTRACTORS LICENSE q$ 45 WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: Ak` >G_'� PHONE ( )'$ 9 ..+3 :( ) MAILING ADDRESS: 4,to�G Rvi oLtiL✓ s?AlpieefmAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New L Nood Existing: Y-- ❑ Sewer Dr/Addition ❑ Steel Proposed: ige[ Bank ❑ Community System iVAlteration/Remodel ❑ Concrete Total: j1J_ Height: p' idividual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 2- Setback: [Private well ❑ Two Party Ty•• of eat: Proposed: -c - ❑ Public Total: 1 ., -- Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: --e-- 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: I Underground Tank i 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 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 foL,Ofticq,Us0-044 , AIitot,iii • Oevisicr Main Floor Heated M , 4 �EH BId App Review: I J 22 Floor Heated (14 q Consistency Review: Other Heated YI�„� •�, n L n i Mezzanine (�j Jam,/ 14�_r fl I �5 . LD ` Heated Basement - Plan Check fee: 6 .87' 14 Unheated Basement State Surcharge fee: 4 SD Other Unheated • Pot Water Review fee: ICO Garage/Carport. SUBTOTAL Decks 12 5. 1�40 Q 4 7 77� 911/Rd Approach fee: �-b (� Other ;'"�J 1 TOTAL: •$$L ,31 1 Receipt Number: l l l Oqi Cash/Check Number: 11 "7 Co ESTIM• R -_ - ' - •UIRED) Date: •ir market value of all labor a .materials foundation to finish Cr( o Initials: 1.1 I4• •-. . _..-.. r4 4 f. , t . . ________ ___,,,,e, _ , . *,Lc,,, " z4,ou . 4&Ia'. Ain I ' ,� 1 t r „ ,, Il ,I i --:�, ,.tar' . �, b• r17;t4-t k-rt- , _ 6�� . i —� . ' �` '7` 1111111111111.111111011411 • LI:Z-I' . .f f _› i, i . , ,. i l' 0. • I 1 ;Li • • <m l4. i i7. . g ._- . -, 1 4. 1 ll ..kl\D, . i • fill ��1_ �, fll} � .. ' ..:Z2_.w.._.- I••- ;� ....,,�..'. •`ice' 1 K '. r- ,a' , - ii . ? ......... ri ,-, , .4 I - , il � . . i , 'I . . .� z a t: • .• • 1 ie z ,P4rft' • 11-4--11 -II -II -1112, \.\\ , . .... ,. -r� 1 it .• i / ' I 'I, i , t. ‘: .14;,- *A \I fri -AN, , _. . i , , A \,,,,, I ., . ., 1, ,_ lr. ..—t. „ ,, „,,, , , N . ,,, , ...,_ Alb. , , . ‘ _.......i tiii,r ` I �.' 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