HomeMy WebLinkAboutBLD2011-00180 • •
w`k r, DEPARTMENT OF COMMUNITY DEVELOPMENT
;, 621 Sheridan Street,Port Townsend,WA 98368
Tel:360.379.4450 Fax:360.379.4451
Web:www.co.jefferson.wa.us/communitydevelopment
yy f f 1 N C> ` E-mail:dcd@co.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
PERMIT#: BLD11-00180
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: NEW ADU
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_BLD_Occupancy.rpt 11/28/2016
Jefferson County Building Cesion Permit Nur : BLD11-00180 II
Applicant: AYRES JR
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
-)�1??
Erosion Control
Foundation Footing (9) fl)
Footing Drains I " ,3fir .
Foundation Stem Wall 7/8/ji3
Underground Plumbing
Under Floor Framing
Straps(hold downs)
Ext. Shear Wall Nailing RI 10 )3
Rough-in Plumbing
Framing
H??
Blocking
Airseal
Insulation:Walls L>f,
Insulation: Floors 1I1 cdI L
Insulation: Ceiling 't'
Int. Shear Wall Nailing
Wallboard Nailing 24—/ ty 4
_
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Duct Test Cert
Blower Airtight Test
Smoke&CO2
Drywell/Alt Drainage
Address Posted (I
I E 11 6 (
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
M LA11-00152
SILDING PERMIT APPLICAT v Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD11-00180 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 NEW ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 1,170
VALUATION 155,250.00 ADD'L: 72 HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Ro inq Date:
c�
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,307.35 LYK 07/12/11 123695 \PpRcvpr
Plan Check $849.78 LYK 07/12/11 123695
State Building Code $4.50 LYK 07/12/11 123695 JAB! q 20
Total: $2,161.63
Jefferson County Plannin
&Building Department
• •
CONDITIONS for Building Permit# :BLD11-00180
1.) See BLD11-00179 for conditions that apply to this case and property.
'r pN • 411/
co A--JEFFERSON COUNTY bu
, 'kirci DEPARTMENT C DEVELOPMENT
(iI1
` 621 Sheridan StreetOF PortOMMUNITY Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
p www.co.jefferson.wa.us/commdevelopment
bTIN
Master Permit Application MLA: 1 \ I,--- -
Project Description(include separate sheets as necessary):
Tax Parcel Number: O 1 $),O O 3 Property Size: G 404 square feet)
Site Address and/or Directions to Property:
7 O .5c 4 WA RTZ, R Q, uo RD I-A N 0, V-PA.
Property Owner(s)of Record: Tj U 0 . - t)E f3 R F) Ay R E 5
Telephone:_ 9'73 " 7 )3 ` fo 19 . Fax: email: Dtl Al/RES t®UR IZOL). NEI
Mailing Address: 7 (-7 RT, 41 w RI pi c,i( i N y IO' I O
Applicant/Agent(if different from owner): /< V R T Sc.Ht/U E l ZE k
Telephone: 3(.0 301 L-t O S'k Fax: 3 4,0 3$"'"i 119 email: 1 URTS a C-$l 3GE'Sf EE 0•c-01 \
Mailing Address: G7 k1 G RP6 6E 3 RCAF' R D, PORT TO W n1 S eAJ II)
lat kind of Permit?(Check each box that applies 0 Lot or Road Segregation
uilding 0 Critical Areas Stewardship Plan
LJ,Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
NSingie Family ❑ Garage Attached/Detached 0 Conditional Use[C(
�
❑ Manufactured Home 0 Modular ❑Discretionary"D"cr;U�r •�• _..-: fid'ytlokt-�
O Commercial* 0 Special Use(Esse-i I is acilities)**
O Change of Use 0 Boundary Line Adji __ Illt
❑ Address 0 Road Approach 0 Short Plat T JUL 1 2 2011
0 Home Business ❑Cottage Industry ❑Binding Site Plan"°'`IKPropane ❑Long Plat** Li
❑ Sign _ 0 Planned Rural Residentia ev p(m endments**
0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration DEP OF COMqMUNN3Y DEVaOPMENT
❑ Stormwater Management 0 Shoreline Master Piuyrdrrrixernptru/ eunrc Revtstrsns—
O Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management Substantial Development**
❑ Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
O 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:
1
DESIGNATION OF AGENT
I hereby designate k v R'T S G H w e't L.E l to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 4 1 ( I / Date: 1 ,i is 1 1 1
By signing this application form,the owner/e ntests 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 aps ation that or she s ' r notice. / /
Signature: —/7 Date: c//lam
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 responsibility for ad ng t nd complying with the ESA. The Applicant has read this disclaimer nd igns and dates it below.
Signature: Date: - ie (t
I .0a./30/2011 15:48 380379445AL DOD JEFF CO PAGE 05/05
06/30/2011 14;05 3603857111, WU PAGE 03
11'k. ....---.Weer, Cc 1.i i
i , BUILDER STA7 ENT
The signer Ott*atalemerrt does hereby°et*last they ate the Os sere of the penal referenced herein,till they are not teased oorertiotors arse that
they will be easurning the reaPorilblIty of the General Contractor fcrthe premed pm ,
Signature: _ Date:
GENERAL CONTRACTOR OR MA/auFACTURED HOE INSTALLS P140/1E: FAX;
£GHwa-1-1--5 -, CON T�VC,rid f (, :A.25- flVt ( ) ‹Jir14'
MAILWU ADDRESS; C 7 a,7 Grr1 fsa G,Erg G 5- R rs, EmAIL: gu tzT S 44 C.49 r 1� - Pam: ,c.cmi
coprreeoTOR's LICENSE WAINS
NUMBER: . M LA.,,3 E L T U 4 Z -5 C. N1 R
ARCHITECT/ENGINEER F�ro- R vG}L PQ,o b+Jc..ri b J4 PfiorrE(364)1.,a.t-411:1 FAX:( )
MAILING ADDRESS: P.dr 66 /QgGi.R at:ti u� /+ Ca��D EMAIL rM f
y *vt�i�No uneY"1a ru �v q�t
Project'Type: frame Type: Bathrooms: Shore Type of Sewage Disposal:
)( New K Wood Existing: O Sewer
O Addition c Sttssl Proposed: Bank I:Community System
D Alteration/Remodel o Commie Teel: '_‘ _ . 1-17,0ht, X Individual System
r Repel!' 0 Masonry 4 9EP Permit# _. .
o Demolition C Ott Bedrooms: Water Supply:
Existing: SettbSCk. ❑ Private well 0 Two fatty
TyRe of Hest: Proposed: % ,'Public
KR t n EU r Total: a, g` •c"" Name of System: PI4 D
If th_j! Lylaat Ynu mint arrw.or the fnt
Number of Parking Spaces: Curran Proposed: _ Number of ADA Parking Spaces:
Number of ocoupenta(includes owners,tenants,employees.etc) Currant_ Proposed
IBC Qccuppncy: - IBC Type of con*truclton; WtII you have Food Service? Yes I N(i
#this in a Propel!,Tank rendl'er,ikpoJInce Installation eeranit.m**en Pawns bilri dbat cooly:
t Underground Tank 1 Above ground Tank Sine of Propane Tank: NOTO N I mo k.. (-I M 1}°IQ
)(Heat Stove )(Cook Stove 1 Woodrum' I Fireplace Insert I Hot Water Tank 1 Pellet Stove t Other_ "CN
IS this alonllen celekso Installed Ina Ms iJscturad l lattobilo Nome? Yes / No
Whoa applying foorra it to install a propane tank you must also submit a sits plan .i.,,, ,I `..�, tier`-4i .. _ A. .
Mat, + tenses Own file propane tank to al/property*ma, 1 _ • _ ' - 4, ,-,_: k
.including the rre area 1
Sire Footage [Currant P •••
Main Floor Heated ,:EH Bld App Review: I I v Lgi
iklb - -
2"Moor Heated - Consistency Review: - _
JEFFERSON C`),UNTY
Other Heated s ---- .: Base Its IEW OF CQo'DEVFI.OPMENT . , 1
Metzertare ...• ` - (Additional Section — l Y.
Heated Basement . .`:; Plan Check fee: I_i A
1 unhealed easement . .. — „:'- = _ • Stela-Surcherge fee; I` ; 0
•
Other Unheg tear "— - - ; Pot Water Review fee: i
G
SUBTOTAL
o-
(O
becks - - - lifilrto Apprneoh fee: -
Other sy TOTAL $�atI4:)
1 t -
_ Receipt Number: 1
- -.. CaeWCtsack Number;
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