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HomeMy WebLinkAboutBLD2012-00087 • • 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 #: BLD12-00087 SITE ADDRESS: 270 JANSEN RD Issue Date: 08/9/2012 NORDLAND, 98358 Final Date: 1/16/2013 APPLICANT: KAREN KIEST PHONE: 206-281-8106 3229 24TH AVE W SEATTLE WA 981992807 SUBDIVISION: OLSON & HAMBLETON'S Block: Lot: PARCEL NUMBER: 977700004 Section: 4 Township: 29 N Range: 01 E PROJECT DESCRIPTION: New Single Family Residence 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 1/16/2013 r• \\tidemark\data\forms\F_BLD_Occupan cy.rpt 1/16/2013 MLA12-00024 OUILDING PERMIT APPLICA N Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00087 Received Date: 3/19/2012 SITE ADDRESS: 270 JANSEN RD NORDLAND, 98358 OWNER: KAREN KIEST PHONE: 206-281-8106 3229 24TH AVE W SEATTLE WA 981992807 OLSON & HAMBLETON'S SUBDIVISION: Block: Lot: PARCEL NUMBER: 977700004 Section: 4 Township: 29 N Range: 01 E CONTRACTOR: METHOD CONTRACTING LLC PHONE: 206-789-5553 31803 SE 48TH ST FALL CITY WA 98024 Contractor's License METHOCL910MS Expires 8/24/2013 REPRESENTATIVE: METHOD HOMES PHONE: 206-660-3822 AARON EVANSON 2921 EASTLAKE AVE E PROJECT DESCRIPTIOr NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 936 VALUATION 175,000.00 ADD'L: 335 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 504 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 2 Total: 1 Total: 2 _.._...> Routing Date ; `— - 3-1.Q—cL Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,413.75 LYK 03/19/12 131552 APPROVE-7Plan Check $918.94 LYK 03/19/12 131552 g State Building Code $4.50 LYK 03/19/12 131552 AUG 2012 Potable Water Application $64.00 LYK 03/19/12 131552 Jefferson County Planninr Total: $2,401.19 & Building Department Jefferson County Building Division Permit Num. BLD12-00087 Applicant: KIEST 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 ./ Z 1°/ .�_c�p/ cr Erosion Control Foundation Footing Footing Drains Foundation Stem Wall p Straps(hold downs) Heat/Chimney Clearance Wood/Pellet Stove Blower Airtight Test Smoke&CO2 ; -. Address Posted -if, a fvb r/6 iViefJ&k (543).6 z FINAL INSPECTION I —\\( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD12-00087 1.) The applicant shall implement the approved CASP. The conditions in the CASP permit also apply to this permit. 2.) A mitigation as-built shall be submitted to DCD for review and approval within 60 days of plant installation and prior to building final. A BUILDING FINAL CERTIFICATE OF OCCUPANCY SHALL NOT BE ISSUED UNTIL DCD HAS APPROVED THE AS-BUILT. 3.) On-Site sewage regulations required 240gpd min. per residence. An ADU is not allowed w/o a septic system expansion. 4.) 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. 5.) 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. 6.) 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. 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.) 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. 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 vehiclahall be stored on any lot unless totally Aped 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.) Building setback from Jansen Road is no less than 20 feet. Side and rear setbacks are no less than 5 feet. Shoreline setback is no less than 50 feet from the top of the bank. 13.) The building height is not to exceed 35 feet. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tirIemark\data\fnrmc\F RI fl Pprmit Rlrin rnt R/9/9(117 f (c, ON cowJEFFERSOPDUNTY NIA \� DEPARTMENT OF COMMUNITY DEVELOPMENT "' 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax p� www.co.jefferson.wa.us/commdevelopment -trINCI Master Permit Application MLA: ID ,c-3 L}. Project Description(include separate sheets as necessary): 49 t-rUChoh O(1'tew prC• 4417vIck 51 n�(e R s io reld C -eii6.6. Tax Parcel Number: q--4-4-1- 000o 4- Property Size: /2," / q(4-- t7 (acres/square feet) Site Address and/or Directions to Property: I 20 Jytie4l Pc -4 / N& ((a I W/i. q 8' 1 Property Owner(s)of Record: ('K it fr/G S•t 2 Telephone: 0b-2oi' et 0(, (-f) yot vvk iO(a' 323• ,032- email: (.<(c/CU 76)1Ck-14,con, Mailing Address: 3221 2,1- 4V9MM1/1� IA/eSf" serf-Hie- 'Ark q�/qq Applicant/Agent(if different from owner): >� "DV 11 /el YISnit /'l //c f i-friryie.,5 Telephone: 1.-C , • 6.60.387,^2- Fax: email: Clq ron0 Intli.aitrOYMCiJ ` Mailing Address:/Th1 d tOreLe5 2- -1 ' I1a kr: 4, EAsh . 6-tfre W4 qs•l tJZ What kind of Permit? (Check each box that applies wilding !$'Critical Areas Stewardship Plan Demolition Permit 0 Variance(M'i oI;=Nfa or-R abte=Economic Use) gSingle-Family 0 Garage Attached/Detached 0 Conditional'UseJct )C1d),dr y •; i T , O Manufactured Home .8( Modular 0 Discretionary"D"or Ur aned-Use- iassification O Commercial* 0 Special Use(Essential Public Facilities):* ❑ Change of Use 0 Boundary Line Adjustment i O Address 0 Road Approach 0 Short Plat** '' ❑Home Business 0 Cottage Industry 0 Binding;Sit�,Plan** 1 I ❑ Propane 0 Long plat** ! i O Sign 0 Planned Rural Reslidektt lVa lPfpment(PRRb)/Amendments** O Allowed"Yes"Use Consistency Analysis 0 Plat Vaeatic�lt`/ itgta lli`',' °"""f1T ++ WStormwater Management ? .t Shoreline Master Program Exemption/Permit Revisions ** O Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Substantial Development** 0 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: DEIGNATION4. • � OF AGENT I hereby designate�YoY1 'lc '" h44'-H "Z�.o act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE sf Date: l�'�(t Kit (?! O/Z By signing this application four,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 pr No de-access right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and an required tat spect ns. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap lication that or she nts prior notice. ^� W,,•�ry,/' / Signature: - Date: " k' I1 !2-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"o " SA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issue ill of v late 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 iompli ce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran ferable re slhi' r adhering to and complying with the ESA. The Applicant has read this d/ii laiimer a d signs and dates it below. Signature: Date: I yy��C.t f'�- / 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED Ho E INSTALLER: PHONE: FAX: 44IZ.0A) Zv471/fd Ai ) /4-/-4a 41(7 4-5i / ) (LOC) 771 -55'53 (206)7rY-SSSq MAILING ADDRESS: 2°(L I EA:-/I',o14'. AK,.E• flt.1 w4'1c OZ. EMAIL: 44izae, e shod 407n4•5. N`C CONTRACTOR'S LICENSE WAINS NUMBER: Mel-I./bat- ?id ///fig NUMBER r ARCHITECT/ENGINEER: GjvA U.h. �Nfdlr; Lv iiv.I.A.1'S PHONE (z )f r7-390o FAX:(z.6e)ofs?.3crof MAILING ADDRESS: i SW 34 At,e XX�� Sic 323 /e,AA i,gf0/ EMAIL 1)PEN 41vrn L ToN&T't/A G ,Project Type: Frame Type: Bathrooms;/ Shoreline: Type of Sewage Disposal: A New Wood Existing: ,_I Sewer 1:7 Addition �.:� Steel Proposed: Bank U Community System Li Alteration/Remodel Li Concrete Total: a Height: 3X Individual Syste 17 Repair 0 Masonry SEP Permit# ` -IC t�: Demolition 0 Other: Bedrooms: Water Supply: Existing: .4 ' Setback: Ei Private well `i Two Party Type of Heat: Proposed: _J_ IX Public EG�4-rr c_i Total: I Name of System: la2vintiatr w9716 Tysfwtit 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove XWoodstove• i Fireplace Insert i 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 Use Only _ Amount Revision '. Main Floor Heated EH Bld App Review: �� 9'3 ‘ o9i4 2"Floor Heated Consistency Review: Other Heated B.se fee: Mezzanine ' 1 r- • :,A ' teal-Seetio . U � W S ttP 12-.1 Heated Basement fIPI Check fee: I Unheated Basementr , e Surcharge fee: I.c -- 21, co I Other Unheated �} Pot Water Review fee: prior )n - T 10 Garage/Carport SUBTOTAL Decks a73Z . 1 911 r c fee: / s 504 13-t9u ws 512._ Other ! TOTAL: $ . 25(4, . 19 Receipt Number: 13I H5? Cash/Check Number: 2D8(n(o ESTIMATED-COST(REQUIRED) Date: •Fair market value of all labor and matenals foundation to finish j l el—t 7_ 7 Initials: -- !_f G:\PcrmitCcntcr\###FORA\1S###\DRD FORMS\Master Permit Application 5-29-08.doc II III 1 . 13 xi 0 (ID 1 _. z m / / / 449/ / 4'44" 4'-11" // 5 0" / SD SETBACK \ — \ \ -- D CI) _--EGRESS_ -- _ \ \ m F © r- G arI z2 O 0 b0 0 1 N 0 rn0 \ il q x442 -I N 0 O O \ O I1 � \ J of ° \ 0. _._(--!):5 13„0 (---\ o - a 0, N --. 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