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HomeMy WebLinkAboutBLD2011-00065 • ! 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 #: BLD11-00065 SITE ADDRESS: 62 BEVERIDGE LN Issue Date: 05/16/2011 NORDLAND, 98358 Final Date: 3/20/2012 APPLICANT: THOMAS C ROSE PHONE: 360-379-5471 SUSAN M ROSE PO BOX 233 NORDLAND WA 983580233 SUBDIVISION: NORDLAND Block: 4 Lot: TX 1+ PARCEL NUMBER: 976200401 Section: 33 Township: 30 N Range: 01 E PROJECT DESCRIPTION: CONVERT EXISTING PERMITTED GARAGE TO ADU(UNPERMITTED) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N 1 SPRINKLER SYSTEM yes no , THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON3/20/2012 I:\F_BLD_Occupancy.rpt 10/29/19 MLA11-00055 SJILDING PERMIT APPLICAION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00065 Received Date: 3/22/2011 SITE ADDRESS: BEVERIDGE LN NORDLAND, 98358 OWNER: THOMAS C ROSE PHONE: 360-379-5471 SUSAN M ROSE PO BOX 233 NORDLAND WA 983580233 NORDLAND SUBDIVISION: Block: 4 Lot: TX 1+ PARCEL NUMBER: 976200401 Section: 33 Township: 30 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOt CONVERT EXISTING PERMITTED GARAGE TO ADU(UNPERMITTED) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADU MAIN: 384 VALUATION 27,123.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: Type AmourifPaid Bv: Date: Receipt: Approved/Date APPHOVED Permit $421.55 LYK 03/22/11 123315 Plan Check $274.01 LYK 03/22/11 123315 State Building Code $4.50 LYK 03/22/11 123315 MAY I(A 2tJH Potable Water Application $62.00 LYK 03/22/11 123315 Jefferson County Planning Total: $762.06 & Building Department Jefferson County Building Diion Permit Num. BLD11-00065 Applicant: ROSE 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 Wallboard Nailing 3._ 2() Mechanical Systems 3 , fans Smoke&CO2 94-2?_i Z r v , Address Posted FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00065 1.) 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. 2.) 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. 3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4.) 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. 5.) Maximum lot coverage is not to exceed 60%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 6.) The building height is not to exceed 35 feet. 7.) Building Setback from Beveridge Lane is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 8.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. • is , • l 2,..{ 1 0A (9 "1/EC(12 et f"' .... re I `p iii N 0 J 1369Roow% r CO `fI' ....S1 40? ?c' . 5��� (I, LW Cam- 0 1C.D1 PI REfER o O ./7\\ 1 . i a .o t 2t city .) O 6w3 i JEFFERSON COUNTY DCD BUILDING PLAN REVIEW P _ `�' C•� ro 3 APPROVED AS SUBMITTED ' c'`a ,`.a do �- , APPROVED AS NOTED 0 REJECTED • Date 44)-(k Reviewer “2 jj Ili 2oGy iRa R314 3 Syttp Alarfru.s h To be located in each sleeping room.amp(outside V Ln the vicinity of the bedrooms. rntereonnef tedCt 110 volt with batter bacleup. on each story et and habitable attic. • 1 I 0 ... 20021R ,R315 ac0,1 MovLoxid 4larvu Approved carbon vu.onoxide alarms.shall be 3°9.2 separation required. installed outslde each separate sleeping The garage shall be separated front the residence and Ls attic area by not area and be installed per vu ant facturer Less than 1/2-inch (12.7 n,.vt) gypsuvu board applied to the garage side. I Garages beneath habitable rooms be separated front all habitable instructions. ro0Pus above by not Less than 5/8-inch (1.5j wi.vu) Type x gypsuw'. ,.> board or equivalent. where the separation is a floor-ceiling assevtbly,the ' i structure supporting the separation shall also be protected by not Less than 1/2-14,ch (12.7 Punt) gypsuvu.board or equivalent. /71s\ V 7.1 FILE COPY a: V . 1 i E..._.� t N �ySON C, ,�w oa JEFFERSON�,OUNTY • ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Cs Master Permit Application MLA: I i Protect Description(include separate sheets as necessa : C_ m a i'- 4.1.t- 46Life._ (P6rry �2 to A-'bu (,_w.rru, .i- Tax Parcel Number: ? Property� 1Ze: i Oh G R IE (acres/square feet) Site Address and/or Directions to Property: 7 t Iro FL.orCrLeR f2p " N0'R-OL kit NQ g43St Property Owner(s)of Record: 'C^K m WA,+o! S ('• t 5 vs vrr. 04 • R o r 6 Telephone: 3(i G— 71'? —$1 1 1 Fax: • email: roc e e c (N w%, ?us •NeT Mailing Address: V. 6 . "0 e X Z-3 3 P4 o P-0'- 0 1 *3 S 8 J 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 uilding 0 Critical Areas Stewardship Plan ❑ Demolition Perruit 0 Variance(Minor, Major or Reasonable Economic Use) J Single Family /- =Ll 0 Garage Attached/Detached 0 Conditional Use[C(a), C d ,o ** , Trm ❑ Manufactured Home .0 Modular - 0 Discretionary"D"or Unn e C ' ❑ Commercial* � � ��� � slfiration'� ❑ Change of Use0 Special Use(Essential blic'Fecilities)** 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(FRRQ)/Artiendments** . ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** C. i I j j L ii ❑Stormwater Management 0 Shoreline Master ProgranfiemPtion/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** O 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 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 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. Staff' acts and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she s p noje. i.__ --Signature: Date: 3 - 4 5-- t i 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-transferable responsibility fo ern n omplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. ----Signature: _ Date: —1 S 11 r•\PP.,,,;te,nrrr\###FORMS###\DRD FORMS 1 Current DRD Forms\Master Permit Annlication 5-29-08.doc • • BUILDER STATEMENT The signer of this statement does hereby certify 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: 3 "z-`I- I 1 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER •• ARCHITECT/ENGINEER: . PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ,Wood i Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Total: Height: ❑ Individual System ❑.Alteration/Remodel •0 Concrete a Repair ❑ Masonry SEP Permit# ' ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party T of Heat: Proposed: ❑ Public Total: I 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: I Underground Tank I Above ground Tank Size of Propane Tank: i Heat Stove I Cook Stove I Woodstove i Fireplace Insert 1 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 .ce ;'' ,t� ?, ..,. .. � �4, e ,. �`.=, ,,n Main Floor Heated H BId App Review: 2 —. 2nd Floor Heated ` § 2 Consistency Review: h 'Other Heated k �4- Base fee: Mezzanine - ""�' Additional Section: `s Plan Check fee: �/�iI� Heated Basement � I T, QI Unheated Basement `° State Surcharge fee: -4 .ham •C• ' '7' Pot Water Review fee: Other Unheated y I CO »yv SUBTOTAL Garage/Carport 1-0^�/ , :, I?f..,O( .. C Decks 911/Rd Approach fee: i 5 Other `9� TOTAL $ I aq l 0 ...„:„.,: :r, :_- 7 , Receipt Number: l 233 f3Al4Pi v hCash/Check Number: i } , 19fi� � , ESr1NG TED COST(REQUIRED) Date: . atr market value of all labor and-materlals foundation to finish �'�"Z—( _,._ Initials: G:\Pem i Center\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc C YI11111111111.7 t3(.13 a 0 0-1 lio ?m o0 om ar- rn a a F L A G L E R R D rn COrn �cn OZ i. 00C., ru "<' z o r1131't OD c00 ;12: Z �y y CT) m m m°� 3MN -I M �� -- _ti o Z- mac,- 2Ma r- N I -< aN -10- Cr-0� r A • �pO O2� Z •. ni z, Z ,,,, "'r20 mg z I i 02 )�Z �0N m Q /, I 2 1I o - - o�� =' 0 0 »� no n ocn -0 ""C -Ci2rn 0 rn w�Ei mI. nor- 0o =0 O pOo� �� Oda' Z p C00-< An �- W �m� mot 2iy 0 O ZrjZp 0 r 2 nrn �oN a2 -r \ c2ncAjnANi 002 -c �C O r 0 -I m � N� A OA 0 -r1 AO `n a, II II n �m o20 ri 2Q oma �n 0 - O mx0000 r} o zp� O N m0 Q I I mo�D I n m rn ��a Om 0 v 2� 436 I Z. cm„n 2 n rrl 3 )INVB 1110 HOIH ,01 O- cn rr- 0n 'Imao Z--r nO N co _ 3d07S O 301 °� �o i v 0 ns Sm �Z 2 D O n0 / m An 0 rn 0 v) 2 c)2 "1 2 I o 3do�s �o dal / rn 32 o• 4 co Cm o I-, \ � 0 oN nn a o� CD 2. o0O0 C � Z n�r`-i 2. 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