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HomeMy WebLinkAboutBLD2011-00197 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#: BLD11-00197 SITE ADDRESS: 2230 BEE MILL RD Issue Date: 09/7/2011 BRINNON, 98320 Final Date: 10/22/2013 APPLICANT: WALTER L DICKERMAN PHONE: 503-519-3871 BARBARA J PRIEST JTWROS 16754 S HOLCOMB BLVD OREGON CITY OR 97045-7204 SUBDIVISION: Block: Lot: TX 12 PARCEL NUMBER: 601074014 Section: 7 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & A/G 250 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 yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/22/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/25/2013 • Jefferson County Building Division Permit Nu; ;ber: BLD11-00197 Applicant: DICKERMAN 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 `f 11 . I.Z. Erosion Control Foundation Footing 4 1 t 1 )z Footing Drains � Foundation Stem Wall /�3v-1 Z Wit? Underground Plumbing L �6 ,/ Under Floor Framing Straps(hold downs) l `14, Ext. Shear Wall Nailing `t_`i ftk4411-4- Idi Rough-in Plumbing / �� Z �� ! Shower Pan Framing il30//.5. �TZt. �w / ' - Y t -"',w^i y Airseal Insulation:Walls Insulation: Floors a U-13 -V-4 - It1 SiAcb )z7//3 Insulation: Ceiling Int. Shear Wall Nailing ).. Wallboard Nailing Gas Line: Interior 9 *1°11 „3/ Gas Line: Exterior BlL3 i3 l7 "�� Propane Tank ' L'C�_f h Heat/Chimney Clearance 13 Blower Airtight Test Smoke&CO2 Drywell/Alt Drainage 3% //3 /-' Address Posted f �T� lD ')-21)) Water Meter Inspection l�N FINAL INSPECTION (011-I; f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ILDING PERMIT APPLICATIMit Review MLA11-00163 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00197 Received Date: 7/25/2011 SITE ADDRESS: 2230 BEE MILL RD BRINNON, 98320 OWNER: WALTER L DICKERMAN PHONE: 503-519-3871 BARBARA J PRIEST JTWROS 16754 S HOLCOMB BLVD OREGON CITY OR 970457204 SUBDIVISION: Block: Lot: TX 12 PARCEL NUMBER: 601074014 Section: 7 Township: 26 N Range: 01 W CONTRACTOR: NIEMAN CONSTRUCTION CO PHONE: (360)434-0717 P. O. BOX 846 QUILCENE WA 98376-0846 Contractor's License NIEMACC018MZ Expires 8/15/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE &A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,150 VALUATION 464,000.00 ADD'L: 438 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: 1,496 HEAT TYPE: PRO OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 777 SHORELINE: CONST TYPE: DECK: 1,026 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 -�> Routing Date: t � Type Amount Paid By: Date: Receipt: r e /Da e Permit $3,037.35 LYK 07/25/11 127939 AI2R1V Plan Check $1,974.54 LYK 07/25/11 127939 State Building Code $4.50 LYK 07/25/11 127939 S �' r� Potable Water Application $62.00 LYK 07/25/11 127939 Jefferson County Planning Total: $5,078.39 &Building Department • CONDITIONS for Building Permit# :BLD11-00197 1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In-Stream Flow Rule for that region. The parcel is located within the_Devils Lake sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 2.) 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. 3.) A Geotechnical Report prepared by H.G. Schlicker&Associates dated November 17, 2009 was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. 4.) 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. 5.) 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. 6.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 7.) 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. 8.) A Stormwater Plan has been suated and approved by the Department of CSrnunity 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) 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. 13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Building setbacks from Bee Mill Road right of way are no less than 20 feet. Side setbacks are no less than 5 feet. Shoreline setback is no less than 32 feet. 16.) The applicant shall comply with the recommendations outlined in the Geotechnical Report prepared by H.G. Schlicker&Associates dated November 17, 2009. 17.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area (break or top of east slope). All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 18.) Prior to and during approved construction activities, the perimeter of the landslide hazard 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." 19.) All construction activities shall not encroach upon the landslide/geohazard buffer. This includes the storage or preparation of materials. 20.) 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. • iiiS °14co& JEFFERSOCUNTY 1, DEPARTMENT OF COMMUNITY DEVELOPMENT ~' '` —M 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax if`S$ING. o www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: .' ` 1 w ? Project Description (include separate sheets as necessary): . c am;T a/ fT ,Ga Erf., Tax Parcel 6,0/07410/¢ /Z Property (Size: l' a AGNumber (acres/square feet) Site Address and/or Directions to Property: ZZ30 5 c. /'Y)t11, -Rrin_r- i _ Property Owner(s)of Record: Li/ 0/ or•n -#-- /S1.4—A-t,er4 � Telephone: 503 5/c7 —3 y71 Fax: I \ " l ;L- c 1�l J A,.o _;f- .i Mailing Address: j,75� 5. j- j/c{l&/Q ,Five/ . ( -e(y 1 ('A ,(.d.;� �o_ 9 7o 9S Applicant/Agent(if different from owner): ,, i Telephone: Fax: `r email: Mailing Address: J a Ll -/J What kind of Permit? (Check each box that applies i JEFFERSON COUNTY Building 0 Variance(Minor, IGfifj?optoC( e,{ ppP##E is Use) , Demolition Permit 0 Conditional Use[C(a),C(d), or C]"" Single Family 0 Garage Attached Detached 0 Discretionary"D"or Unnamed Use Classification fa Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** OPropane ❑Planned Rural Residential Development(PRRD)/Amendments** 0 Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** yrStormwater Management 0 Shoreline Management Substantial Development*" 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre-Application Conference **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 it's 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. Staffs access 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 wants prior notice. j J Signature:1,,,-.,,, 'T��-:,�-,, ---____ Zk..-ba ,t A l t-c.c Date: < /r?-¢/1/ 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 erable responsibilit r adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: - Z c \.,D,.,,__ `'� .-aa,.,----______ Date: 7/2 //// C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc w • 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: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:NE:/,2/4 FAX: • Inc (am( ) iLiY`c J' (3a `-r)) - 0 l i-1 ( 1o) 7tl5 -'-1?a'7 MAILING ADDRESS: ' EMAIL: l� or r�� �g c�< ,,_,(�:.. _Luc_- n , „c�,�tnict� im.,�.„ems r, CONTRACTOR'S LICENSE WAINS NUMBER: /Lm/4.-(1 CO /OS pr NUMBER iJ/Qt ARCHITECT/ENGINEER: e; y drit-41 PHONE (4().S)3 74 -v y3 FAX:( ) MAILING ADDRESS: Z SZ C I Z I S"t. 5yrcc�l Me) evarc_-rt q y ,,?EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New /Wood Existing: ❑ Sewer ❑ Addition D Steel Proposed: 2— Bank ❑ Community System D Alteration/Remodel 0 Concrete Total: Height: fief Individual System ❑ Repair 0 Masonry fir) SEP Permit# 10— 0 ,3.-9- 0 Demolition 0 Other: Bedrooms: �t � ZeRShipp_Sy: Existin � �tType of Heat: Proposed: ❑ bllce 1I Two Party �l rA 4 r" Total. Name of Syst4 is fliI IIIf this isa Commercial Project you must answer the following: 56 I •I JJ Number of Parking Spaces: Current: Proposed: Iiunnbr of AM Parking SpAopc ' Number of occupants(includes owners,tenants,employees,etc) Current p i&UWOUNTY • IBC Occupancy: IBC Type of construction: Will " "a If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: • , I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove, I Woodstove 1 Fireplace Insert'(1 Hot Water Tank` I Pellet Stove 1 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 For Office UseQinly -' . Amount Revision _ Main Floor Heated �� .A EH Bid App Review. •Floor Heated „ -(_' • L�� 4l )` Consistency Review Other Heated �1 "� Base fee: c _ Mezzanine _ Additional-Sectio y ,- Heated Basement i��� Plan Check fee: c-. Unheated Basement I�1�� �' _ _ State Surcharge fee: �� Other Unheated Pot Water Review fee: � Garage/Carport SUBTOTAL 1--)—1 ,..-;-11)-1 L,;()I I. 3SI fit IT Decks ;� { , 911/Rd Approach fee: Other . K l C. 1 P _ i.e e--- iL- ;`Itt/. TOTAL $- _ 0((f i(f Receipt Number: / �C 40 Cash/Check Number -, _� ESTIMATED COST(REQUIRED) Date: )( l I •Fair market value of all labor and materials foundation to finish I"•76 Initials: 42 `;),cc,() -- —__ _. G:\PemritCcnter\###FORMS###\DRD FORMS\Current DRD Forms\Mks„,Prrrr t Annl„;,,,,n c.70_nR,7.,,- ,--1 CO �W66..r O i Y C w ¢ "rtdQ U `�ZUUUO dOF ! ! 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