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Home My WebLink AboutBLD2012-00119 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#: BLD12-00119 SITE ADDRESS: 40 GARDEN CLUB RD Issue Date: 07/11/2012 NORDLAND, 98358 Final Date: 9/12/2013 APPLICANT: LINDA M PATTERSON PHONE: 360-385-4608 CARLTON T PATTERSON 40 GARDEN CLUB RD NORDLAND WA 98358-9610 SUBDIVISION: Block: Lot: T 52+ PARCEL NUMBER: 921081018 Section: 8 Township: 29 N Range: 01 E PROJECT DESCRIPTION: STAIRS TO THE BEACH 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 9/12/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 Jefferson County Building Divon Permit Numb BLD12-00119 Applicant: PATTERSON 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 7- _l Foundation Footing 7_23-La Fj Framing • t i . 1 _. FINAL INSPECTION // '. / __ , FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR eviewItUILDING PERMIT APPLICAI! DN R 00083 Review MType: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00119 Received Date: 4/16/2012 SITE ADDRESS: 40 GARDEN CLUB RD NORDLAND, 98358 OWNER: LINDA M PATTERSON PHONE: 360-385-4608 CARLTON T PATTERSON 40 GARDEN CLUB RD NORDLAND WA 98358-9610 SUBDIVISION: Block: Lot: T 52+ PARCEL NUMBER: 921081018 Section: 8 Township: 29 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: JEFF HOLT PHONE: 425-487-3895 24005 CRYSTAL LAKE RD WOODINVILLE WA 98077 PROJECT DESCRIPTIOr STAIRS TO THE BEACH TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 6,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: _ Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $125.25 LYK 04/16/12 131644 /►APPROVED Plan Check $81.41 LYK 04/16/12 131644 State Building Code $4.50 LYK 04/16/12 131644 Total: $211.16 jUL t' 2012 Jefferson County Planning & Building Department • CONDITIONS for Building Permit# :BLD12-00119 1.) The applicant shall comply with all conditions of the Critical Area Stewardship Plan (CASP) CSP10-00004, recorded with the Jefferson County Auditor's office on April 16, 2012 under AFN 566662. 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.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 4.) 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. 5.) 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. 6.) Prior to commencing development activity, proponent is responsible for informing the Washington Department of Fish and Wildlife (WDFW) in order for WDFW to determine whether this action is subject to the Washington State Hydraulic Code (Chapter 220-10 WAC). Hydraulic Project Approval (HPA) is required for all hydraulic projects, which are defined as construction or performance of other work that will use, divert, obstruct, or change the natural flow or bed of any of the salt or fresh waters of the state. 7.) In addition to Jefferson County permit conditions, the project proponent shall comply with all conditions set forth by the Washington Department of Fish and Wildlife through Hydraulic Project Approval. 8.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. \\tiriemark\rlata\fnrmc\F RI r1 Parmit Rlrin rnt 7/11/7(117 4111 , oN c � JEFFERScWOUNTY III j DEPARTMENT OF COMMUNITY DEVELOPMENT ''4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �� p'N www.co.jefferson.wa.us/commdevelopment HIN Master Permit Application MLA: I -� P oject Description (i clude separate sheets as necessary): � ril,O,V1 Tax Parcel Number: ct 2. IOC 1 O I? Property Size: 2. + ACe a_ (acres/square feet) Site Address and/or Directions to Property: : 4o G/a R PLC Xi c-I'-b - No Rc)l 44c), 1A1c,_9g L, .5� Property Owner(s) of Record: .- rsuc)ce, S.. (A R IT6� P t-L` ell-5oiV Telephone: 36 • 3 7s6' 4-i6O' Fax: email:SC.Ow 1--)ANii FATLmU Mailing Address: L10 6ARL7L�i ) c I wb - 1N Olt-c�Atoc) )lam- HOO • cz;)-7) Applicant/Agent(if different from owner): de.FF ND/t Telephone: -1 " LiTsr2'•3 16 Fax: '-"' 1 email: TAJe COI;Ic 5 •c-orri Mailing Address:_4C'O. G& 5 TZ 1 C•k RC). l_s_._.&,U 1 ke- ,l� q 77 �7 h t kind of Permit?(Check each box that applies 0 Lot or Road Segregation wilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), ❑ Manufactured Home .0 Modular - ❑ Discretionary"D"or Un d =g: • fr oV I ❑ Commercial* 0 Special Use(Essential kbi ��•. -• O Change of Use ❑ Boundary Line Adjustm ri't, ❑ Address ❑ Road Approach_ 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ! ),! I APf- 1 ' '''') ' ❑ Propane 0 Long Plat** ❑ Sign 0 Planned Rurai Residen ia`I D- - ....-: .:. :..-a. , ents * 0 Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteratio ** JEFFERSON COUNTY O Stormwater Management 0 Shoreline Master Prog m Ei26'rYi dtt</f tll`tiiTbRCatfitifiBMi;Nt ❑ 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 ❑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 F �O 1 rG� to act as my agent in matters relating to this application for permit(s). WNER SIGNATURE( / i? 77 i ; 4 ��+ �C«rj C 7-�vA�B%'7--• 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 app. 4tion that hee orrshe wants otic �—�- / `Signature: -('E�e.C 751 7 ,,,, -L Date: rc' 1! � 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-trans responsibility for adher tom corn lying with the ESA. The Applicant has read this disc) imer and signs and dates it below. OSjgnature: (.c Cam.- .el.[.Or") f. / /" e'.f-rQG^'�^ -- Date: 4--l�C� /c c.•\Prrm;rCenrer\###FOR\f ###\ilRn FAIR\fC\Cnrrenr IIRn F.,....e\A4.,c...D.....;• a--1:.- :,..,con no 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 sibility of the General Contractor for the proposed project. / •-Signature: Date: ' `(, ' ) 2 • ,...GENERAL CONT CTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 5Arm ( ) ( ) MAILING ADDRESS: 2400 C Z,)/ 5 T4 1 L r TO EMAIL.: y1 J'u e DO G 19 /n5 k) .GoM CONTRACTORS LICENSE IJ I JJ '' WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: .K Ilk t< 130 I >kL PHONE (3k) 385.6I yO FAX:( ) MAILING ADDRESS: y Go( MASON ST � 9 8 246 EMAILA RC H 1 TL c. e)SU+h FQL ST, AM T Project Type: Frame Type: +Bathrooms: Shoreline: Type of Sewage Disposal: r<New "Wood Existing: • : Sewer U Addition U Steel Proposed: Bank ` Community System C Alteration/Remodel . ❑ Concrete Total: Height: 0 C Individual System Repair E Masonry — SEP Permit# _ ,` emolitionBedrooms: Supply: Other: Water Existing: Setback: i _ Private well ❑ Two Party ' Ty of Heat:161 Proposed: (4 ❑ Public Total: Name of System: --ifti-ris-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 ' 4f-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: Heat Stove i Cook Stove I Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other _ fe- is 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: ----- 2nd Floor Heated Consistency Review: --n Other Heated Base fee: Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 50 Other Unheated Pot Water Review fee: __ ___ Garage/Carport SUBTOTAL 433 Decks 911/Rd Approach fee: _ __. Other TOTAL: $2-33 I(p Receipt Number: 1 31 `[ `f Cash/Check Number: (o7D( STIMATED COST(REQUIRED) Date: • it market value of all labor and r} erials foundation to finish L _s____ ___ ` J doQ Initials: c.\no...,,:.r o.,.o�\ttttttr;nn n,fctttttt\FIR n rnn n rc\r,,.......non n,-,......\n f,,...e.ne.....:. e....r.,....:,.-c oo no A