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BLD2011-00179
• • .`'')N r't, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment 5'v N����` E-mail:dcd(auico.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD11-00179 APPLICANT: ALVA E AYRES JR PHONE: 845-359-3781 DEBRA A AYRES PO BOX 71 NORDLAND WA 983580071 SITE ADDRESS: 780 SCHWARTZ RD Issue Date: 01/9/2012 NORDLAND, 98358 Final Date: 11/28/2016 SUBDIVISION: Block: Lot: PARCEL NUMBER: 021282003 Section: 28 Township: 30 N Range: 1E PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & U/G 1000 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/28/2016 Acting Building Official, Patty Charnas \\tidemark\data\forms\F_B LD_Occupancy.rpt 11/28/2016 Jefferson County Building Dion Permit Nun-�ocTr: BLD11-00179 Applicant: AYRES JR .= .GILDING 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 q).2-, Erosion Control Foundation Footing Footing Drains Foundation Stem Wall /0_ , / Underground Plumbing / 2 Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing Rough-in Plumbing 2-L -( 7 F 6 Framing _4s- Blocking Airseal3 .5 0, Insulation:Walls Insulation: Floors Jl3 Insulation: Ceiling ! fil/ int. Shear Wall Nailing Wallboard Nailing Gas Line: Interior " (� Fp Gas Line: Exterior Propane Tank C h Heat/Chimney Clearance Drywell/Alt Drainage Address Posted I i FINAL INSPECTION 11 I I it; FINAL INSPECTION MUST BE APPR OVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR •ILDING PERMIT APPLICATI J ML view Type: 52 Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11 00179 Received Date: 7/12/2011 SITE ADDRESS: 780 SCHWARTZ RD NORDLAND, 98358 OWNER: ALVA E AYRES JR PHONE: 845-359-3781 DEBRA A AYRES PO BOX 71 NORDLAND WA 983580071 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 021282003 Section: 28 Township: 30 N Range: 01 E CONTRACTOR: SCHWEIZER CONSTRUCTION CO PHONE (360)385-7119 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License SCHWECI001 BG Expires 2/4/2012 REPRESENTATIVE: KURT SCHWEIZER PHONE: 360-301-4058 6727 CAPE GEORGE RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr NSFR W/ATT GARAGE & U/G 1000 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 430,000.00 MAIN: 2,503 CODE EDITION: 2009 ADD'L: 366 HEAT TYPE: RAD OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 832 SHORELINE: CONST TYPE: DECK: 360 SETBACK BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,841.75 LYK 07/12/11 123694 APPROVE Plan Check $1,847.14 LYK 07/12/11 123694 State Building Code $4.50 LYK 07/12/11 123694 JAN 1 2012 Potable Water Application $62.00 LYK 07/12/11 123694 1 Total: $4,755.39 Jefferson County Planning &Building Department • • CONDITIONS for Building Permit# :BLD11-00179 1.) VOLUNTARY MEASURES OF COASTAL &AT 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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 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.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 5.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (top of shoreline bluff). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 6.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 7.) Prior to and during approved consltion activities, the perimeter of the landslillazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 8.) All construction activities shall not encroach upon the Landslide Hazard buffer. This includes the storage or preparation of materials. 9.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 10.) 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. 11.) 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. 12.) An Engineered Stormwater Plan has been prepard by Envirotech Engineering datd June 9, 2011 and 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. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) Building Setback from Schwartz Road right of way is no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is 75 feet. i . 04c s JEFFERSON CORTY W� DEPARTMENT OF COMMUNITY DEVELOPMENT "C 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax l p www.co.jefferson.wa.us/commdevelopment tING Master Permit Application MLA: _ S I - 1 C32_ Project Description(include separate sheets as necessary): 1 • Tax Parcel Number: 0.D. ' Q o 3 Property ize: ( , de square feet) Site Address and/or Directions to Property: 7 'o SC N-VJ A RTz, at. &R R 0 i-A N 0 WA. Property Owner(s)of Record: 13U0 4- DE 13 R A Ryn ES Telephone: 9`73 " t� -• (of ci g Fax: email: i)AAy RES j ®VERt2ato. ivEl Mailing Address: 717 QT. 9 W kt V,fi k K ivy Ja'it 0 Applicant/Agent(if different from owner): ` i v R r .5 G lick)El Za/Z Telephone: 3C.0 3O1 Li©ch Fax: 3(4O 3'c--i 119 email: llURT•.,5 0CA31-E-Sf f).c-ayh Mailing Address: G7 -1 c iiPE (�c d R&,E' R D• PO RT ' rO W MS e•N f) Wpat kind of Permit?(Check each box that applies ❑Lot or Road Segregation I,Ruilding ❑ Critical Areas Stewardship Plan I�,Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Single Family ❑ Garage Attached I Detached ❑Conditional Use[C(a), C'd r ( x\ 7 ❑ Manufactured Home ❑ Modular • ❑Discretionary"D"or Unna I it i V I`��- [) 1 ❑ Commercial* 0 Special Use(Essential PJbli ak,ilitiea)'* 0 Change of Use 0 Boundary Line AdjustmeiL ❑ Address ❑ Road Approach ❑Short Plat** -1 ❑ Home Business ❑ Cottage Industry 0 Binding Site Plan** - , K Propane ❑Long Plat** - • Sign - 0 Planned Rural Residential DeAfop rit(ni DIAmcndmtnts*' ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management 0 Shoreline Master Program Ex8Rbtg5MyraTd4.1 Jl tARARIT ❑ 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 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 Wu R'r „cc H t..1 eta,E rk to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE J.L'... — i ,-,AI-; Date: 1 (, i t i By signing this application form,the owner/ant dttests 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 access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap lication that thhh or she s . r notice. / 1 Signature: �LIF�t/ ' Date: 7(/�0! t 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-tran I responsibility for ad ng t nd complying with the ESA. The Applicant has read this disclaimer nd igns and dates it below. .......,.1.7 Signature: Date: Co If 5.` 06/38/2011 14:05 36038570 ��\t" • PAi3E" -0q V.. vv „ BUiID)R STAT ENT The signer or this statement doe*nerohy nerdy that they meths O*ners(lithe panel retererced hatath r that they are eat 1$1705eti controciora toad that they vell be assuming the responsibility of the Genial Cr ire ester fortha proposed project L ORgL beNTRACTOR OR WMiFM:1URRD i-toma INSTALLER PtiONE: FAX: ctiLAle-1-2,. ' , r N'TP.Ue.,-rI0 Is cal - It\.1 ( ) `-)1 MAlutkgl Ac Ess: (e 7 ki c_t i Co z-, t2�j e- f,,r),, BAIL: f, V al. .6 .P„r�'� CONTRACTOR'S LICEteSE WAINS NucaseR: ,,.C. }..4,)F r�T D A x. 5 i„ Futile ARCHSTEcrl wrterR; Ft_ f a 4 J kplzo,p,rG't~r 3 n i4, PHONE{ )7,at -4111 FAX;( ) `MAIM*Atoms's:i',6,aox lo$t�r t•t�N(akr-/i tAJ q (rr ' Et" L u P ouch l'r r o � o i�d�a4T' r�r3c � �n� e!-� Project L . Frame Type: ttroottes: 3hol ie: Typo of&Saga Disposal: X Nete lit Wood Existing; 0 Sewer R Addition a Proposed: , Bank 0 Community System n Alleeration/R�I t Cottvne -ae Total: Indblicluai System r; Repair Cl Masonry — SEP PfmnOt* . 0 Dama4itian G Other: Beadrooms: Water Supply: Existing: Setback; a Private wall D Two Potty T od Heat: Prcrxlsc)Total: Name of System' gthilL1114 CoiluneT41 Profect You try emi r t 5 fultoodnp: Nu ber of Pahang Spaces: Ctulsnt Proposed: Number"of t°L Parking Spaces'„ Number of occupeete(includes owners,tenants,toMployees,etc) Cement Proposed IBC Occupancy: lee Type of oonttrucocon; We you hove Food Service? Yen t Nq If this is a Propane TsmIcarriter AoplIit up Insigligon mrmk ma* lMa i* tin aaotr- IUndet9round Tenk 1 Above ground Tank Stje of Propene Tonic,. LOGO C 19k. ,'odic Stove XODaic Stove l Wox ielove I Fireplace twatt I ttot Water Tank 1 Pellet Stove I Other 1$Our 5Do nn,-Ceded in a Manulacbpd I MOSS thani Yee /d) Whwx applying fora permit to Install e pn en a sank yvu must also submit a site per shear*llg all 0/the buildings,all property line tank location end she,distances from the propene tarok to all property N►NA belldlltQs atld septic system component*, it)eluding the neea.'ve ales. .. ,STY— .. - '^'i.-- — .._ -..s:r..�.•:e,.:4i:,-4�,,,, S. F•a r. re Current ' •,.• .. s...`af$ .f... .., - Main ••r Heated ,)•. '• EH Bid App Review- cNQQ • 'Floor Heated fo� - Corglietency Review: LS D 3.Otter Heated •= :' Base fee: rMozzonine , �.. '. `rk• � n•-Q— I e t Cleated Basement _ � Plan check tee- o -- -- ::::L-L-— - • -•p Y1 Ur rheeted Ba+eernent y ` State Surcharge Pee. I' ' 4 - other Unhealed Pot Water Review fete: � r ; 1 f Garag arport g SUJ9T TAL 4 --- t 1 _ j J 7eCi(5 - `. 911/RdAppmeolifeet nrr,- n� 'oMENT °thaf I TOTAL: _-�7 6 o 7 9 ..---` Receipt Number: pq �.17TT" T l w t�lrrWCheak Ntantrer. � — L. _. _;�,._ I g £titT1MATED C05r(RtQUIRUD) \ Dills: *Farr Branca:vote*of Mi labor and dadan4fg to finish l---12— GAP - #}t#t:01t VORMSVAditer Plonk Appkodoa 5.29-09,doc • I _,, .111111f(1 i 1141 .f.(tt ,.tiu 11 ,,,,› .. , - „ " _,_,„; ., . 22.0.74 Noi°2845"E su-rwA4z-rz Izcz7.64;' ' 31- 0 16.9, ,,,,_, ,..... , ,-?>, --\-----,-,-•r-/—\ \-•--: ''''" I .i. k Z. 1 lf\ U, . )._,L, ,,/,..-••.,.) I II .. ) 1 k I , 4, _.L \ 1 Z11,-`1 . ; ; 1011 ; I , I ; , . • -\ i ,Tils '.k?,1,k0 1 14'1 . - 1 . 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