HomeMy WebLinkAboutBLD2011-00056 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 #: BLD11-00056
SITE ADDRESS: 133 RENIER RD Issue Date: 05/16/2011
NORDLAND, 98358 Final Date: 5/15/2012
APPLICANT: DENNIS JUSTIS PHONE: 360-385-7364
702 E MARROWSTONE RD
NORDLAND WA 98358-9565
SUBDIVISION: KLEMP SHORT PLAT Block: Lot: 1+
PARCEL NUMBER: 977700110 Section: 9 Township: 29 N Range: 01 E
PROJECT DESCRIPTION: NEW HEATED ART STUDIO W/ BATHROOM
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON5/15/2012
I:\F_BLD_Occupancy.rpt 10/29/19
Jef'erson County Building DiIion Permit Num. BLD11-00056
Applicant: JUSTIS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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
Erosion Control
Foundation Footing
Footing Drains -2(-ct
Foundation Stem Wall
Underground Plumbing 6,
-2 ki fieg-T :Z /l
tdeFF-r-afni-9-
Ext. Shear Wall Nailing I t ;1 '
IT-��' �v N A-t� �7 �� 1M/5e- 141efe1S
Rough-in Plumbing t rj f
L /3
Framing I i g
Airseal (/
Insulation:Walls S- 7 �L L /k/3 G l t2P- ( fit
Insulation: Floors CJ •�� � Z" I/f /a 5 i 9- 6-2! —i
Insulation: Ceiling S- /,7 J2 r eki O.or 1Uvi 1;
Wallboard Nailing 1I-ZI-q
Gras-L�ue Interior A
Gas-
Lin Fxterir r
1-featiGh1nRey-€fea ranee
Drywell/Alt Drainage -�� /Z 7 1-et
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
itILDING PERMIT APPLICATIN MLA 48
Reviewew T Typype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00056 Received Date: 3/15/2011
SITE ADDRESS: 133 RENIER RD
NORDLAND, 98358
OWNER: DENNIS JUSTIS PHONE: 360-385-7364
702 E MARROWSTONE RD
NORDLAND WA 983589565
KLEMP SHORT PLAT
SUBDIVISION: Block: Lot: 1+
PARCEL NUMBER: 977700110 Section: 9 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI' NEW HEATED ART STUDIO W/ BATHROOM
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 840
VALUATION 75,681.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 448 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop_____1 _
Total: 0 ,—'Total: 1 ----�
___
Routing Date: ~--
----_____ __
Type Amount-Paid__Bv —.Dat • Receipt: Approved/Date
Permit $825.75 LYK 03/15/11 123296 APPROVEr
Plan Check $536.74 LYK 03/15/11 123296
State Building Code $4.50 LYK 03/15/11 123296 MAY 16 ZWWJ
Total: $1,366.99 Jefferson County Plannint
& Building Department
• •
CONDITIONS for Building Permit# :BLD11-00056
1.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be
permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the
wetland or its buffer is allowed.
2.) A permanent physical separation along the upland boundary of the wetland buffer area
shall be installed and permanently maintained. Such separation can include installing
logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC
Administrator.
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.
4.) 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
oN co •
JEFFERSON COUNTY II
' \,� DEPARTMENT OF COMMUNITY DEVELOPMENT
"' 'N 621 Sheridan Street• Port Townsend •Washington 98368
44b,
360/379-4450 ••360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: ( ( - f8
Project Description(include separate sheets as necessary):
GONSTUGT A STUDIQ BUILDING AJ'ID INSTAL-L.. _A.55oc!/1TEQ (IT/LIT/E5 .
Tax Parcel Number: 1777 7 (70 I i p. Property Size:
5 acre 2,17 g43 .(acres/square feet)
Site Address and/or Directions to Property:
13 3 j N/ R /RO,tp
Property Owner(s)of Record: DENNIS fG . ./US ri 5
Telephone: 3c o 38b 7 344 Fax: " email: ciengpi,5115Ao%p_rl.cowl
Mailing Address: -7O 2Z E E. Marro w5-1-oh 6 ROB/Norw/o,,d Wli. 9ci35S
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
ltuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family 1Z Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]**
0 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 0 Road Approach 0 Short Plat**
❑ Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane 0 Long Plat**
❑Sign . -- 0 Planned Rural Residential Development(PRRD)/Amendments**❑Allowed"Yes Use Consistency Analysis 0 Plat Vacation/Alteration**
0 Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
jJ'Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
0 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 ❑Jefferson County Shoreline Ma�Q�1s, 'gg,aril" 1 rrie
*May require a Pre—Application Conference ❑Tree Vegetation Request :l "
-- **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if kno :
MAR 152011
DESIGNATION OF AGENT .
I hereby designate_ to act_as myagent in matters relatingto i rp i
OWNER SIGNATURE �►v„l ,4,�`Q"_ ' _.. Date: 2-5 2-0/By signing this application form,the owner/ ent 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 ehood 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 attorneys fees and
expenses which may in any way accrue, gai Jefferson County as a result of or in consequence of thegranting.of this permit.
t further agree to pr. i.e access and right of a .ry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any re,uire• later inspections. Sta s access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli .{t,•n hat he or she w ints-prt . notice.
Signature: � -►� ' ' Date:
? ' t- 2 5/ zofi _
The action or actions Applicant will un erta as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered SpeCieS and Could lead to otential"take'of an endangered species as those terms are defined in the federal law known as the
"Endangered Sp-, 'es Act"or"ESA,`Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this.
permit has be z 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)eve if yo` are in com• - ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tran e:b e responsibil r adhering to and complying with theESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: . am r . _. '- _
Date: 7-ek" 2 Sy 2r0 !/
• •
BUILDER STATEMENT
The signer oft is tatement does hereb rtify
they
ey are the
Owners ee p f the pa cellje referenced herein,that they are not licensed contractors and that
they will be a um ng the responsibilit the �� 2�j f 2-0 1 I
Date:
Signature:
PHONE: FAX:
GENERAL CONTRACTOR OR MANU ACTURED HOME INSTALLER: ( ) ( )
1� EMAI
L:
MAILING ADDRESS: EM IL:
CONTRACTOR'S LICENSE NU PU BE MBER
NS
( ) FAX:( )
.. NUMBER:
ARCHITECT/ENGINEER:. EMAIL
MAILING ADDRESS: Shoreline: Type of Sewage Disposal:
Frame Type: Bathrooms: ❑ Sewer
Project Type: lit Wood Existing: O
New 0 Steel Proposed: . I • Bank it ❑ Community System
❑ Addition Total: f Height: A b'Individual System
O Alteration/Remodel ❑ Concrete _ • SEP Permit#
O Repair ❑ Masonry Bedrooms: SEP Perri #
O Demolition ❑ other: Existing: O Setback: g Private well 0 Two Party
Proposed: O 0 Public
Type of Heat Total: C6 N/A Name of.System: ///1
G ELEGTR/•
If this is a Commercial Project you must answer the following
Proposed:: Number of ADA Parking Spaces:
Number of Parking Spates: Current: p Proposed
Number.of occupants(includes. owners,tenants, Proposed
employees,etc) Current Will you have Food. srvice? Yes No
IBC Occupancy =
IBC Type of construction: •
If this is a Pro and Tank and/or A Hance Installation rmit mark all items Size of Propane Tank:
that a I
1 Underground Tank i Above ground Tank
1.Fireplace Insert' 1 Hot Water Tan 1 Pellet.Stove 1 Other
1-Heat Stove 1 Cook Stove 1 Woodstove p .�-_- --
Is this a liance bein installed in a Manufactured/Mobile Home? Yes / No
When a plying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,alproperty
p
lines,tanklocation and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area. „x ,.. x ,x • l' ` spa t.,A Aff� ,� ", ,u
. _ �y .,,fin «.,• �` `�a U �'� t +` 4 "'� -� c} �. rt:.r.
c �� t C r r:. 4, if, ilk 1 ppl r�tlr{v: t'�ZKs ..a�_..,,., . C_
Current Proposed : 7E r� l _ > z5 �. ....
S�uare Foots�er � '_ �x��= ;�4.EH Bid App Review: �/
Main Floor Heated , , Y � oaf 0 4 (3
," , Consistency Review:
2` Floor Heated c %� r
V.Q y 4:, ,i c Base fee: 5U�.J 3
Other Heated •
fin, 'z' v Additional. •Section:
Mezzanine , 4 k
rye; ',, i -1�` •o, Plan Check fee: 727.
Heated Basement 0 t �w `
t � � ." State Surcharge fee:
Unheated Basement U 1,- tax.
. i' 141. ; Pot Water Review fee:
' Other Unheated (� ��� �'� `f i �.�
s , f SUBTOTAL
Garage/Carport s �`� ,6V'r p50 •
t k ,<
IMP 11117kikilfrn* 911/Rd Approach fee: _lc
Decks Fin o 'I ,. F IL()pi
,_,. . _
Other g�m ;
I "s , TOTAL:
f ,9
,,.. , :
" Receipt Number r.
l a_1�
s
Cash/Check Number:.
_ . . Date:
ESTIMATED COST(REQUIRED) �5—
•Fair market qua of all labor and materials foundation to finish Initials: r "�`
sit � D�a
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