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HomeMy WebLinkAboutBLD2011-00312 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 #: BLD11-00312 SITE ADDRESS: 5962 FLAGLER RD Issue Date: 02/21/2012 NORDLAND, 98358 Final Date: 3/11/2013 APPLICANT: JOHN BURKE PHONE: 360-379-2966 STEPHANIE H BURKE PO BOX 11215 BAINBRIDGE ISLAND WA 981105215 SUBDIVISION: Block: Lot: TX 6 PARCEL NUMBER: 921043011 Section: 4 Township: 29 N Range: 01 E PROJECT DESCRIPTION: NEW HTD 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/11/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013 Jefferson County Building Deion Permit Num, BLD11-00312 Applicant: BURKE 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 G S. /1C-CC,41,,,4 I Setbacks (2. ��J// inimum setbacks from SR 116 right-of-way shall be 30 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITION 3 Foundation Footing S _(7 /, Underground Plumbing 5—-! ?'(2„. i (� Straps(hold downs) Ext. Shear Wall Nailing / i.7 (-7 C6) Rough-in Plumbing w ��`� A- ' I; q., NC'T en L— t-e i r ©ri 1 f-t6-i Z 45 Framing �o Z2-i L- `- > C-e� 1 �� A✓"moos g-2g Airseal 2- Insulation:Walls Insulation: Floors itdtrW/fte-j Insulation: Ceiling Int. Shear Wall Nailing Wallboard Nailing Drywell/Alt Drainage SEE CONDITIONS I &2 Address Posted FINAL INSPECTION It pli� /a,J �tr (e/{4., FINAL INSPECTION /UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR Review PERMIT APPLICA�. N R 00237 Review MType: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00312 Received Date: 11/15/2011 SITE ADDRESS: 5962 FLAGLER RD NORDLAND, 98358 OWNER: JOHN BURKE PHONE: 360-379-2966 STEPHANIE H BURKE PO BOX 11215 BAINBRIDGE ISLAND WA 981105215 SUBDIVISION: Block: Lot: TX 6 PARCEL NUMBER: 921043011 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW HTD ART STUDIO W/ BATHROOM TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 180 VALUATION 12,750.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 36 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 1 Total: 0 Total: 1 Routing Date: 1- r) 1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $377.25 LYK 11/15/11 128329 Plan Check $245.21 LYK 11/15/11 128329 APPROVED State Building Code $4.50 LYK 11/15/11 128329 Total: $626.96 FE3 ( 2012 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD11-00312 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 3.) CONSTRUCTION ENTRANCESSLL BE STABILIZED WHEREVER TRAFOWILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 4.) Additional requirements WILL apply if the sewage transport line route changes or a pump is required 5.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 6.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES - Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is upgradient (above) or on the same contour MUST be setback a minimum of 10' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Any stormwater component: dry well, infiltration trench/pond, foundation drains, or any other source of water that is downgradient or lower MUST be setback a minimum of 30' from any septic system dispersal area (drainfield) and 5' from any septic tanks. Surface drainage, roof run-off, splash blocks, etc. must be directed away from ALL septic components. 7.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 9.) 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. 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vehiciPshall be stored on any lot unless totally sled 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. 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.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 16.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 17.) Minimum setbacks from SR 116 right-of-way shall be 30 feet. Minimum side and rear yard setbacks shall be 5 feet. . ON . • IIIUzi 0c JEFFERSON COUNTY ,� DEPARTMENT OF COMMUNITY DEVELOPMENT ` `.4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 4tI�<gS, NG0� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I I " . / Project Description (include separate sheets as necessary): L T�, k1 ) 14 ,i--- Sr>.,( no W eyikf 2tam Tax Parcel Number: 921043011 jRropertySi�e� �a e � _[ `t39 �gcres/square feet) W r_... Sitecress and/or Directions to Property: ! l • Flaqler Road, WA 983358 Property Owner(s)of Record: Stephanie Burke Telephone: 3 6 0-3 7 9-2 9 6 6 Fax: email: j-_/) Mailing Address: 2 P.O. Box 191 , Nordland, Washingto SON COUNTY Applicant/Agent(if different from owner): Hernr M. Souza L _ pT nr rnrno..:.iTypFvri OPtIEWT Telephone: 3 6 0-3 7 9-13 2 7 Fax: email: henry@designsbysouza.com Mailing Address: What kind of Permit?(Check each box that applies IffBuilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) Single Family ItiOarage Attached ica ❑ Conditional Use[C(a),C(d),or C]•* LI Manufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use ❑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 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: ,____-_;__r _ DESIGNATION OF AGENT I hereby designate He ry M. Souza to act as my agent in matters relating to this applica ion for permit(s). OWNER SIGNATURE_____S_ZtAki4.12_,... Date: ID le 7._ an i 1 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 attomey'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 applicatio at he or sh wants prior notice.Signature: Date: 1 0 ZC i L V j 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 el:a res.onsibili //ffonor adhering to and complying with the ESA. The Applicant has read this disclaimer and s' n and dates it below. wl Signature: , d2, Date: IO I Z Do / I G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 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 assumin responsib•ity of the General Contractor for the proposed project. kSignature: Date: "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: C New X Wood Existing: =0 ❑ Sewer ❑ Addition ❑ Steel Proposed: _ I Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _ I Height: X Individual System ❑ Repair ❑ Masonry SEP Permit# SEP10-00089 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ S Setback: ❑ Private well 0 Two Party T f H at:u. Proposed: 2C Public yr le Ct G. Total: _ ( Name of System: PUD 1 If this is a Commercial Project you must answer the following: r' 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: 1 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 I 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 ar,�o c; - ,12 n ... I;% ,. f, a+ Amo` ti 4 �us r sf�in"'p": _,.. Main Floor Heated s i 'ili EH Bid App Review: r3 180 2n0 Floor Heated "2. 4 Consistency Review: ^ 3Other Heated A.` Base fee: 371:aI5 Mezzanine Additional Section: Heated Basement "'"•{ ;~ Plan Check fee: Unheated Basement r4'. "' State Surcharge fee: A. 0 Other Unheated ; ` i' Pot Water Review fee: Garage/Carport r ;. l a ;t 3 SUBTOTAL Decks 41,00-r i 911/Rd Approach fee: 36 r _ Other ;y *4i 9 I a 9Co ,,, ,,R TOTAL: $ u` NIA 1 C� r� 1 w '�r,,..0 Receipt Number: x'' '` Cash/Check Number. , I Qv ESTIMATED COST(REQUIRED) Date: f .Fair market value of all labor and materials foundation to finish 4 1 " I . �l 12, 750 . 00 Initials: ' G:\Permitcenter\###FORms###\DRD FORMS\Master Permit Application 5-29-0B.doc L.__._._. . ' , v • .. . C--) -1 71 -----, -CT3 urn -10 I- 0 (:) -, - 13 cD - 4'-3".' ,2-, ' ,.' 3'- 10" -' -; '' 2 ,3'- 11".' ,.' c....) / ----- =` --- . ,1- -- . 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