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BLD2012-00059
1111 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#: BLD12-00059 SITE ADDRESS: 201 BEACH DR Issue Date: 03/26/2012 NORDLAND, 98358 Final Date: 10/18/2012 APPLICANT: LARRY M CHARRIER PHONE: 360-531-0183 CHARLOTTE D CHARRIER 201 BEACH DR NORDLAND WA 983589603 SUBDIVISION: FULLER'S ACRES 1ST ADD Block: Lot: 9 PARCEL NUMBER: 952500009 Section: 8 Township: 29 N Range: 01 E PROJECT DESCRIPTION: NSFR 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 �rro THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/18/2012 \\tidemark\data\forms\F_BLD_Occu pancy.rpt 10/18/2012 Jefferson County Building Milton Permit Num• BLD12-00059 Applicant: CHARRIER 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 /413I t 2 Erosion Control Foundation Footing1 � _> . s A 1)a 1-6 K U l J+ J► a-© le-- `/3//Z. Footing Drains S / -I l77 7� Foundation Stem Wall Ci l Z / /1/ -khrdergrounZt-Ptumtnng-. J Under Floor Framing 61\--z_ )„. Straps(hold downs) y/, ` 12— l PTO Ext. Shear Wall Nailing Rough-in Plumbing S— -/e l L I7717 Framing - _A /L j�D Airseal _ /� "%Z 1/-7' ).3 Insulation:Walls :7 2_ 1L 4 _, Insulation: Floors / / 2— /577 Insulation: Ceiling / Z -41+7-Shear-Waif Nailing L� Wallboard Nailing r��- // 5 3/, f � l Gas Line: Interior 5124 Gas Line: Exterior N6 1 Propane Tank l G 11 o " Z / 173' Heat/Chimney Clearance /G, //' Duct Test Cert Blower Airtight Test Smoke&CO2 JG,r/ / Z Drywell/Alt Drainage /`Cy Address Posted //c, /6 ,p_ /(773 fill Miscellaneous //`�V, f 19-1- EXISTING CABIN/SFR TO BECOME SAT. BEDROOM. lVERRRIFY BY INSPECTION. FINAL INSPECTION Jci -/ /L FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR IIR Review PERMIT APPLICAfON R 00037 Review MType: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00059 Received Date: 2/23/2012 SITE ADDRESS: 201 BEACH DR NORDLAND, 98358 OWNER: LARRY M CHARRIER PHONE: 360-531-0183 CHARLOTTE D CHARRIER 201 BEACH DR NORDLAND WA 983589603 FULLER'S ACRES 1ST ADD SUBDIVISION: Block: Lot: 9 PARCEL NUMBER: 952500009 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: CAMPBELL CONSTRUCTION LLC PHONE: 385-1655 120 CURTISS ST PORT HADLOCK WA 98339 Contractor's License CAMPBCL960JN Expires 4/15/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,008 VALUATION 100,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 120 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 Amount Paid By: Date: Receipt: Approved/Date Permit $993.75 LYK 02/23/12 131487 APPROVED Plan Check $645.94 LYK 02/23/12 131487 State Building Code $4.50 LYK 02/23/12 131487 MARS 2012 Potable Water Application $64.00 LYK 02/23/12 131487 Jefferson County Planninc Total: $1,708.19 & Building Department I • CONDITIONS for Building Permit# :BLD12-00059 1.) Prior to final approval the existing cabin/residence must be converted to a satalite bedroom. Building inspector to verrify. Owner must call for inspection. ONLY ONE RESIDENCE ALLOWED ON THE CURRENT SEPTIC SYSTEM. 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.) 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. 4.) 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. 5.) 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. 6.) 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. 7.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 8.) 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. • • 9.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Building setback from Beach Drive is no less than 20 feet. Side and rear yard setbacks are no less than 5 feet. �,s N 0 Q JEFFERSOf�TCOUNTY '4, ' 1,4 DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ' '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �qs, p'� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: IQ' -7 Project Description(include separate sheets as necessary): Tax Parcel Number: G`,;7, -5Cc;_(,c, E 95.).-t om, -VCR Property .. p Y Size: / ace c ( ��;�13 )(acres/square feet) Site Address and/or Directions to Property: p 9-0 1 aC k i kf� — i s�iC4 ,::\1�- 'ISiccvit�( bins R)di'�,` ‘c- en k �tc)11)v,: e Property Owner(s)of Record: 4 (L '1,1v t►rl'I e r C.j -I o.--k. el-,,,"v 1 Qc Telephone:• S� 0I -3 Fax: email: Mailing Address: Lech ,riJ �.Jfi C�8352 Applicant/Agent(if A's" -'nt from .+caner). 1 Telephone: _ - _ Fax: email: Mailing Address: W t kind of Permit?(Check each box that applies 0 Lot or Road Segregation Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Majoror-Reasoaable-Eeennermtie{Js 01 Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C( of r.= ❑ Manufactured Home .0 Modular - ❑ Discretionary"D"or llnna OdEtl ` t�ss'if ' r ' �1 ❑ Commercial* 0 Special Use(Essential PU lic Facilities)** ❑ Change of Use 0 Boundary Line AdjustFnertt ❑ Address 0 Road Approach 0 Short Plat** I ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** __/) ❑ Propane 0 Long Plat** L i `i ❑Sign -. 0 Planned Rural Residential Developtrsaitt_(PRRD)/Amentlment ** • ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ,-nT n. (,•, •:i 'TY Fr'VI 111P".'ENT ❑ Stormwater Management 0 Shoreline Master Program—Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑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 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: 1‘-'02t- f - D SIGNATION OF AGENT I hereby designate L-' Wl L ll 1 (.ors'-h41 l v\ �C to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE F 7y.,�.--C--j1 4l�,-.-,--Z Date: .2 . -/—7,2_ By signing this application.fefrn,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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ar pl'c�tion that e-or sh`e wants prior notice. Signature: r C.�'/ -. Date: _2.2 l ` / The action or act oI'ns 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-transfer I responsibili or a firing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: cat _.--,',-z.Yt- -,--Z. Date: _2/-/.� _ • • 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: FAX: (. w\ bell e01_4-brO Lk-i o n I L—C OW) 3S�-f&SS ( 0) 37R. o Ds MAILING AD ESS: I W (74.t,-4-1S rj-{-, 1:24-, pad10Lk 114 EMAIL: CONTRACTORS LICENSE WAINS NUMBER: C A rt P B CI-- q W 0 ,,J N NUMBER (e02 —_ •— ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr, ject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: V New Wood Existing: 6 ❑ Sewer 0 Addition 0 Steel Proposed: I Bank ❑c,ommunity System ❑ Alteration/Remodel ❑ Concrete Total: \ Height: Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 73 Setback: n _Private well ❑ Two Party Type of Heat: Proposed: i— Public .- (5tQ L Total: i _ Name of System:finGt✓�Cw' nt15t ki0i0OlaSge- If this is a Commercial Protect 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 1 Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank 1 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 For Office Use-Only.` Amount Revision Main Floor Heated 1 0OrzTJ EH Bld App Review: rap� 2nd Floor Heated Consistency Review: 222— Other Heated Base fee: 01a(3 73 Mezzanine Additional Section: __ ___ Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: 0i , Garage/Carport SUBTOTAL Decks C,(2\/L4-'gd (•;,h4-3pi 122 911/Rd Approach fee: CXISTi ►J Other TOTAL: $ d Idol Receipt Number: 3 i ql Cash/Check Number: 11 `( ^ ESTIMATED COST(REQUIRED) Date: } - •Fair market value of all labor and materi Islfoundation to finis �, ' - ,"— �' f 001 0U U I.— Initials: (' .1.11111MEINIONIMMITX • K z a / c X • o�-j.�^ 3 �' pK I # , r - - ' -� I • �•_ I, (r• � /�f yr 3,�fr L �rr� ^j K. Z� r! !, 57-17 I i I C/ . �G f .�j� I f- �l X � � S. O X 1 'im ! l k r-X� t : :,° 1 > OI Rt�3GL^�' 1 ! Kt' T- 1. <N -k -.'cl i - \ 0.3 c; ' )) I j a xr f y1 S { I, i" S� • _ ° ,. -_-- 0 . 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