HomeMy WebLinkAboutBLD2012-00060 1
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 #: BLD12-00060
SITE ADDRESS: 220 CEDARVIEW DR Issue Date: 03/26/2012
PORT TOWNSEND, 98368 Final Date: 3/25/2013
APPLICANT: ELLEN NIEMITALO PHONE: 303-818-1904
ROBERTA NIEMITALO
4205 GISE ST
PORT TOWNSEND WA 98368-1526
SUBDIVISION: KALA POINT#9 Block: Lot: 184
PARCEL NUMBER: 965000324 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NSFR W/ATT GARAGE & U/G 500 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 3/25/2013
\\tidemark\data\forms\F_BLD_Occu pancy.rpt 3/27/2013
Jefferson County Building Dijon Permit Nu,: BLD12-00060
Applicant: NIEMITALO
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
Erosion Control
Foundation Footing
Footing Drains
Foundation Stem Wall . //�//Z
Underground Plumbing /
Under Floor Framing -
Straps(hold downs) h
Ext. Shear Wall Nailing /2 i 1
Rough-in Plumbing //0,,3 l h_ % in )-/1- /77)
Framing
Airseal
Insulation: Walls /2 9f--'
Insulation: Floors 1 L/ / 3
Insulation: Ceiling . j2-/ / 3 Q y
Int. Shear Wall Nailing /0_l q_ / 2_ " FT73
Wallboard Nailing /O /f. j —
Gas Line: Interior 10,�, I- 11)
Gas Line: Exterior (/40
Propane Tank _ (2
Heat/Chimney Clearance /O.3 /•Zrcti,
Duct Test Cert
-5/1/ /3 t
Blower Airtight Test �/
?t2/ / 3
Smoke&CO2 .; 2_) //
Drywell/Alt Drainage ( ( 7`
Address Posted 3 /2///3
( /
FINAL INSPECTION
2/ /3 /—
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
ItILDING PERMIT APPLICATN MLA12-00038
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00060 Received Date: 2/23/2012
SITE ADDRESS: 22,0 CEDARVIEW DR
PORT TOWNSEND, 98368
OWNER: ELLEN NIEMITALO PHONE: 303-818-1904
ROBERT A NIEMITALO
4093 NIBLICK DR
LONGMONT CO 80503-8317 KALA POINT#9
SUBDIVISION: Block: Lot: 184
PARCEL NUMBER: 965000324 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: STAPF CONSTRUCTION PHONE: (360)385-3199
211 S JACOB MILLER RD
PORT TOWNSEND WA 98368
Contractor's License STAPFCI91CK Expires 2/12/2013
REPRESENTATIVE: RICH STAPF JR PHONE: (360) 301-6184
211 SOUTH JACOB MILLER RD (360) 385-6722
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI NSFR W/ATT GARAGE & U/G 500 GAL PROP TANK
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,107
VALUATION 243,877.00 ADD'L: HEAT TYPE: RAD
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 654 SETBACK:
DECK: 344 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 37500
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 r,. Total: 2
Routing Date: ____
3-I Q-
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,800.15 LYK 02/23/12 131488
Plan Check $1,170.10 LYK 02/23/12 131488 \IDpRcVEf
State Building Code $4.50 LYK 02/23/12 131488
Potable Water Application $64.00 LYK 02/23/12 131488 MAR F '2
ZS�
Total: $3,038.75 Jefferson County Planning
& Building Department
• •
CONDI11ONS for Building Permit# :BLD12-00060
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.) 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.
3.) 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.
4.) A Stormwater Plan has been 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.
5.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
6.) 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.
7.) This parcel is within a no shooting area per JCC 8.50.
8.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
9.) Maximum lot coverage is not to el, 25%. Lot coverage is defined as amouf
impervious surface which includes roof tops, driveways, concrete, etc.
10.) The building height is not to exceed 35 feet.
11.) Building setback from Cedarview Drive is no less than 20 feet. Side and rear yard
setbacks are no less than 5 feet.
Ig 71,
--SOrt C06, JEFFERSAOUNTY
W •. • '\-\ *4 DEPARTMENT OF COMMUNITY DEVELOPMENT
`' '� 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
\N,......4,swiNcloqZ� www.co.jefferson.wa.us/commdevelopment
Master Permit Application
MLA: ` -VJ
Project Description (include separate sheets as necessary):
K'c.,) 51n /e_ --Pc / lcr res 1,40,--tc� Cvn,S-I-v t,c---k0,-1
Tax Parcel Number: J 9�3 aQU-,?a q Property Size:0,y79S 3? acres- (acres/square feet)
Site Address and/or Directions to Property: r aoj S .7/ 5.3-ff
Lo� MI Ce 4,- V(e(J �^Ive_ ir-T(v0vt��n at <Kc,IG Po 1•-24)
Property Owner(s) of Record: C//e,,7 " Ro &-..f- /f j ern r ja Telephone: 3o 3 - �f l�-/70J- Fax: email: Cyr 4i c /�e v p Ca.kCa J%1/1�T/
Mailing Address: / j�-- his S 2-e&/ . /o ax �clik7 eN j ()A- 7FJ Sj 6 ' v
Applicant/Agent(if different from owner): / STAPF t o JSTR.it CTIO,V I Kr_. — Ktc...44 STAPF
Telephone:( }3 -3t`{9 op._ 3ot -6iB' Fax:
-Mailing Address: Z I I 5• �Co$ (AU-kg- in email: STAPFCow St r
(�o P-i TzVit3SEiJO ..J4 , cl83lo 8 (_'AecrSPErb.evP.
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
XBuilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
nSingle Family it Garage Attache. /Detached ❑ Conditional Use[C(a), C(d),or C]**
Manufactured Home .0 Modular - ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essen is u lie,F f -
❑ Change of Use 0 Boundary Line Adjul tm t1 *U 17 �1
X Address 0 Road Approach_ 0 Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**( ! / i
ISI Propane 0 Long Plat** I l.' ' -, n C-r-1, ,
❑Sign .. 0 Planned Rural Resi e nfiial Developmenr(PRRD)/Amend�rtents**
❑Allowed"Yes" Use Consistency Analysis ❑ Plat Vacation/Alter tknitiI .__J
KStormwaterpManagement * ❑Shoreline Master P ogranl Exer f O? ' evisidns**
❑Site Plan Approval Advance Determination (SPAAD) 0 Shoreline Manage ent 9is tl, J ' t
❑Temporary Use 0 Shoreline Manage arian' ` I" V- M
❑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:
•
DESIGNATION OF AGENT
I hereby designate I Jr. to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date: 02//6i2pi2�
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 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 and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any require ater i pectio Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatioff rshe :PA- . '..- otice.
7_Signature: a i ,
Date: OYACVL 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 'ill nit 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 a - in co, plian h the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferabl=res.• sibil f d ing to and complying with the ESA. The Applicant has read this discla" er nd signs and dates it below.
Signature: / Date: Z 2Y ANt
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•
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:20( —6,(6,I FAX:
STAPF CeAsTt?u( -7 1 1,2 (3(;0 ) 385- 3(Ii ( )
MAILING ADDRESS: Z(l SOU i t; C..4)1 A4ILi,4� rDnam' EMAIL: 1TAPFe"o5TtA)L eo CAP"..-E.SQ �. Com
CONTRACTOR'S LICENSE WAINS
NUMBER: STA PF C z g I'I C K NUMBER
ARCHITECT/ENGINEER: �010F ST 4A / 14,A, 26I . PHONE ( p ) 38S__wt._ FAX:( )
MAILING ADDRESS: W EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
K New K Wood Existing: G Sewer
C Addition E. Steel Proposed: Z- Bank ❑ Community System
C Alteration/Remodel ❑ Concrete Total: Z- _ Height: Y Individual System
C Repair ❑ Masonry — SEP Permit# (a,-.3 _
E Demolition U Other: Bedrooms: Water Supply:
Existing: Setback: C Private well ❑ Two Party
Type of Heat: Proposed: 2- ❑ Public
Il YDRO I — Total: 2- Name of System: KALA
RAp1 A.sr Porrrr
If this is a Commercial Project 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:
5(Underground Tank i Above ground Tank Size of Propane Tank: S00 &a I
Heat Stove `K Cook Stove 1 Woodstove ,''Fireplace Insert I Hot Water Tank I 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 Z( 7 r I•• . EH Bld App Review: ��
2 (oS3
2`d Floor Heated I Consistency Review:
----_Other Heated.___.....___,.._._._� _____ __.-.__.__.... ..
. _ a
J
Mezzanine Additional Section:
Heated Basement
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: O
Garage/Carport • LIO SUBTOTAL
Decks Z6y , t SL(LICE 9�/Rd Approach fee:
Other
C OUEzi o Flour Sb a(05 TOTAL: $330,1 -is
PoRcv4 Receipt Number: \ 3 I LWsS
g`t3s��,n Cash/Check Number: , 3--10'
ESTIMATED COST(REQUIRED) Date ^�
•Fair market value of all labor and materials foundation to finish (3' -4
$ 3/ 770 Initials:
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