HomeMy WebLinkAboutBLD2012-00082 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#: BLD12-00082
SITE ADDRESS: 530 A RENIER RD Issue Date: 05/16/2012
NORDLAND, 98358 Final Date: 2/14/2013
APPLICANT: MICHELE B NISSMAN PHONE: 360-531-1378
530 REINIER RD
NORDLAND WA 983589621
SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: 6-7+
PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E
PROJECT DESCRIPTION: ADDITION TO EXISTING GARAGE UNHTD GARAGE & HTD EXERCISE
ROOM
W/ BATHROOM & CONVERT 827SF TO 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 yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/14/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 3/20/2013
Jefferson County Building Dion Permit Nun.: BLD12-00082
Applicant: NISSMAN
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 _/2_ /6
Footing Drains —1.Z7 L i/
3
Foundation Stem Wall �-- 3/. 7 Z 11/&/L-J
Underground Plumbing ? ,(3 . c - J >
Under Floor Framing 4 7
/2
Straps(hold downs) ��.� 4 r (jj P LXc l )-/ K C.)4/ad(
Ext. Shear Wall Nailing fir_
Rough-in Plumbing --� L 2 �n
g I/V7 /L 6 . f1'1
Framin `�- L6 -(?_ l ) (;(nec,� �i �r ou .7/2 5- z.
Airseal
Insulation:Walls ,( pr73 Z
Insulation: Floors /~
Insulation:Ceiling 7- )-6'
Int. Shear Wall Nailing . `� -l� pft
)
Wallboard Nailing 741
� \ fe..7
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Blower Airtight Test
Smoke&CO2 � 4f, 2 pi:,
Drywell/Alt Drainage ' /L JZ
Address Posted
FINAL INSPECTION 2..\--(4 -
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
fOIJILDING PERMIT APPLICA1N MLA12-00051
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00082 Received Date: 3/13/2012
SITE ADDRESS: 530 A RENIER RD
NORDLAND, 98358
OWNER: MICHELE B NISSMAN PHONE: (360) 385-4448
530 REINIER RD
NORDLAND WA 983589621
OLSON & HAMBLETON'S
SUBDIVISION: Block: Lot: 6-7+
PARCEL NUMBER: 977700024 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE
REPRESENTATIVE: TOM MITCHELL PHONE: 206-935-3151
PO BOX 3952
SEATTLE WA 98124
PROJECT DESCRIPTIOr ADDITION TO EXISTING GARAGE UNHTD GARAGE & HTD EXERCISE
ROOM W/ BARTROOM & CONVERT 827SF TO ADU
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 827
VALUATION 74,365.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 420 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 1
Prop: 1 Prop: 1
Total: 1 Total: 2
Routing Date:
��I 3 -1Z
Type Amount Paid By: Date: Receipt: / \^PF cY �E r
Permit $818.75 LYK 03/13/12 131545 �-+ v
Plan Check $532.19 LYK 03/13/12 131545 MA', C
L.:ss
State Building Code $4.50 LYK 03/13/12 131545
Potable Water Application $64.00 LYK 03/13/12 131545 Jefferson County Planning-
Total: $1,419.44 &Building Department
•
CONDITIONS for Building Permit# :BLD12-00082
1.) TO COMPLY WITH THE DISPERSION TRENCH REQUIREMENTS SPECIFIED IN THE
2005 ECOLOGY STORMWATER MANAGEMENT MANUAL FOR WESTERN
WASHINGTON, THE APPLICANT SHALL ADHERE TO THE FOLLOWING:
A. A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH SHALL BE
MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE,
STRUCTURE, STREAM, WETLAND, OR IMPERVIOUS SURFACE. SENSITIVE AREA
BUFFERS MAY COUNT TOWARDS FLOWPATH LENGTHS.
B. FOR ROOF AREAS LARGER THAN 700 SQUARE FEET, A DISPERSION TRENCH
WITH NOTCHED GRADE BOARD, AS SHOWN IN FIGURE 3.6 (SEE ATTACHED), MAY
BE USED. THE TOTAL LENGTH OF THIS DESIGN SHALL NOT EXCEED 50 FEET
AND MUST PROVIDE AT LEAST 10 FEET OF TRENCH PER 700 SQUARE FEET OF
ROOF AREA.
C. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY
EDGE OF THE TRENCH AND ANY STRUCTURE ON THE PROPERTY.
D. NO EROSION OR FLOODING OF DOWN GRADIENT PROPERTIES MAY RESULT.
2.) 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.
3.) 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.
4.) MANDATORY MEASURES FOR AN AT RISK SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirements:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
5.) A vegetative buffer of 35 feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
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.) 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
9.) 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.
10.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) 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.
14.) 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.
15.) The setback from Riener Road is 20 feet, the side setback from adjacent parcels is 5 feet,
and the shoreline setback along the east side of the property is 55 feet.
16.) The applicant shall connect into the potable water lines on Marrowstone Island.
: gON c0
6. JEFFERSOI.OUNTY 41)
DEPARTMENT OF COMMUNITY DEVELOPMENT
�' - ` '4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
kIs, pp� www.co.jefferson.wa.us/commdevelopment
StIN
Master Permit Application MLA: 19 ---3
Project Description(include separate sheets as necessary):
il
6Al2AL E AoD riok/ .4' b6k1 V5'2T -r 2 ra t)
Tax Parcel Number: oj"j 7 • —ioo O2.4 Property Size:e t75O Q 1---1- (acres/square feet)
Site Address and/or Directions to Property:
tgo Cz E 1 NIECZ. lap, Kld2o L" N 0 3 o3c-)o
Property Owner(s)of Record: 6R'2-e CL.ENOeki 10 40 KA 1<1-te L t= N t' NAA1-4
Telephone: /670•�j1• I??75 Fax: email: C.L.GNt�*i.Jii..�(�A `+('
Mailing Address: V60 (ZE I N rL•D/1.1nia1LN'D Gjcn) e �(•d1pl i L.(ra_NA
Applicant/Agent(if different from owner): 'TO k.A M tT 1-11~LL
Telephone: ?(p 073r,r 1.€2( Fax:42406o °)37 Ozy'7I email:—rOl.4.L.I A tT44ELL
Mailing Address: f20,_12,42X 'J°J 2'Z. E'Arr. OJ,O 12 4 LOf.ACA-bT, t
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
00 Building 0 Critical Areas Stewardship Plan
Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
Single Family [Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** _ I
❑ Manufactured Home .0 Modular - 0 Discretionary"D" _„Ce;Ctatsificeti6ni
❑ Commercial* 0 Special Use(Esse tial Public qmiljlkIS) 93.33f
❑ Change of Use 0 Boundary Line Adj stmeri
❑ Address 0 Road Approach 0 Short Plat** l 1' I
❑ Home Business 0 Cottage Industry 0 Binding Site Plan 1 Fll 11, I';
0 Propane ❑ Long Plat** i,
❑Sign ❑ Planned Rural Residl�ntIil Development(PRRD)/Amleh(d'inants**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteratidn —_ L-� a:, ,",'
❑Stormwater Management 0 Shoreline Master Prograe4er0( /P�Pt Re9iSib s** '1
❑Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Syut sfantia evelo meat**` -
❑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 ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Ptease-identify arty-otheNocat;state-orfederat-permitb required-for•this p►oposat—ifirnown:
�i� / t� DESIGNATION OF AGENT
I hereby designate I )L4 t...4 I"rcc'4EtL 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 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 application th he or sh wants prior notice.
Signature: �.� LuL Date: _31 (o41�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-transferable r onsibilit for adhering to and complying with the ESA. The Applicant has read this disclaimers and signs and dates it below.
Signature: �� ' �i 1_p� Date: v 3/c,4:/a��'1---
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
A , .•.
• 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:
-1.0 hEc,. .TES ( ) ( )
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:
❑ New !`( Wood Existing: I E Sewer
Addition ❑ Steel Proposed: 1 — Bank ❑ Community System
Alteration/Remodel ❑ Concrete Total: Hei ht: ; X Individual System
0 Repair 0 Masonry SEP Permit# _
C Demolition 11 Other:_ Bedrooms: Water Supply:
Existing: I Setback: 0 Private well 0 Two Party
Ty of Heat: Proposed: G' r j<Public
-('t,le. Total: l �sC;40 Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Curren . Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tena employees, etc) Current Proposed
• IBC Occupancy: IBC Type of constrb.ion: Will you have Food Service? Yes / No
If this is a Propane Tank and/or App' ce Installatio .ermit,mark all items below that apply:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
I Heat Stove I Cook Stove I Woodstove 1 FI lace Insert I Hot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured , obile 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 EH Bld App Review:
2n°Floor Heated Consistency Review: Ian
i t er eated LL.- Base tee: g'g 7S
Mezzanine Additional Section:
;
Heated Basement i Plan Check fee: 5 I -
Unheated Basement State Surcharge fee: i--- SO
I
Other Unheated Pot Water Review fee: i 0 3 --
GarageQ D /�y ,(`4' 4 1 ((vVe9 SUBTOTAL (-5Io`i'Decks ll ll 911/Rd Approach fee: !/
Other TOTAL: $ `i-
17�2 `f Sao
Receipt Number: 13 L3-5
7y 7 Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: 2
'Fair market value of all labor and materials foundation to finish 3-i1 3 A2_
-Pi
QOD Initials: ---
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
n
r
m
z
a
m
z
z •
z
K
D
z
0
10'-0• 26'-0• y
6'-0• 6'-0• 6'-0• 2'8•, 6'-0•
60 SO0
• �111
trl 477 .
X
m
W
PcO .41
111
V y M
N Q CARPET VINYL y'
28 ST OR �i
G ,.. 1/2'0WB 2X6 WALL R-2I INSULATION r 4 `
CO rn a ��
ii K ..p. I t.;
Q10'-0• 4'-0• 10'-0• I2'-0•
aOF NEW SLAB
1 1 REMOVE(E)WALL AS SHOW
r N
;x;
L 7-6• (-6•
a
A z^�,xil c D
0
'� 0` m ^7)
la A
Z (E)OWB THIS WALL NEW SHATNIMIO ON TOP '0y1B THIS WALL
zl toreo L ®l'
s
b l � `° 101
r
6 No Ti O° K o
.3 Ws... ,-4 D
m J
a,m
g H2 N D ---4 0 cn a 'Fri,__, HOgiU 1 I a
N
= * Z v
7 � � W
at)
a
W �/, < o I
Q • m Z i 1 y
(Q g
!-7 ^C` _�._. NEW 30
I -I -IN L
1 n/
U
� REMOVE SCO (E) (E)
7
iT n
UuU
O 24.-0
-< C7 O
O
n C-
2
O
SRV _ Inrt
. - — -- - - - • - _,..„1„„.......__ -
' IENIEROAD
oo'
0
r
m I
z
Q (--) , I
m
Z
z �
-
�n --I O Z Li[ i I
CD m7m
z-0 / t
m -
U) i u, c__7 �\
OC7 U, A ' 1`/ >
> z xi
sli<
z Z/ I kil r \ `l �'
I; c i
,' 1 1 i ,- ,
I
I
r-1' k\ 2 ,. ,
14 C''1'
(�1 I . 1
14
2I D d4, 1 .
VI
•
zI II
mI a Ii
G .
I _� %
lD�m
Q ZC -1
_Is _oZ7� ,
II _ [" _7,. l
N
O 'O Z0 ,
b --� /
D
/
I
I T�1
O j // / a-
v( I / !/ -
xi
O / // �/
O I
Z L o J// 0
1
73
- f1
m A
4
-0 MEh
yP C� / /'� O m
no 2 / p
� ri 0 • a , / /
D , Z r- O c
N m z y= D i O / ��o
O X �0Zm ZC D Z
m p r -a r m DO I 1 -I^ 0
0 A D z D o x _,. r- 1>m C
o
O zxi
'NNNs'\
a
z ( F.
70 m w D rn ;\ 5 �o
I •
o cn � K co O j
v �-< 5 ` i + /�Z = m 0 i '
O Zr 7m m zi Z LO oO rnz 23/LO/6o j _ O r o t
K Dm XN n SZ - w z> �rn/� z
O N -1 II -U Z G7 1 Q 0 V/ OC \
3 c0E N DZ Om o No W D� m
o r--I: O m Z c,,C m z w z n
uix sn m yI- O0 = DK �G55 m
m c�n2 = "-' D D • D z1- D �IT 0 i.
D Z �7 n--I-I n Dz 0
3 Q w �• X X ,p � OZ O cow
,N-. N r 77 m Wcri D
w (p x......._.__..p_.-_._.pm --1-1 -1 To` OF BANK
co co cn
i
BSI i
�r z zi- IJ I��I o % m
II m C ., o
N o UJ rn y O
cM _ �� O e M TTOM OF SLOP
E -_ ON W
co
--7 �mD ; lfi ° "
D MfN TM fA�OfZ R� r ilk-
H
1