HomeMy WebLinkAboutBLD2012-00261 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 #: BLD12-00261
SITE ADDRESS: 8417 FLAGLER RD Issue Date: 11/6/2012
NORDLAND, 98358 Final Date: 4/18/2013
APPLICANT: ELAINE P SEIKE PHONE: 206-779-5958
LINDA M SEIKE/CAROL RAMEY
6128 147TH AVE SE
BELLEVUE WA 98006-4342
SUBDIVISION: GLENNAN SUBURBAN ACRE Block: 4 Lot: 8
PARCEL NUMBER: 953700413 Section: 29 Township: 30 N Range: 01 E
PROJECT DESCRIPTION: NSFR W/ ATT GARAGE (replacing an exisitng SFR to be demolished) in
conjunction
with a shoreline exemption permit (SDP12-00044)
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 n
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/18/2013
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•UILDING PERMIT APPLICA Review
N 00186
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD12-00261 Received Date: 8/22/2012
SITE ADDRESS: 8417 FLAGLER RD
NORDLAND, 98358
OWNER: ELAINE P SEIKE PHONE: 206-779-5958
LINDA M SEIKE/CAROL RAMEY
6128 147TH AVE SE
BELLEVUE WA 98006-4342 GLENNAN SUBURBAN ACRE
SUBDIVISION: Block: 4 Lot: 8
PARCEL NUMBER: 953700413 Section: 29 Township: 30 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: HERMAN SETIJONO PHONE: 206-779-5958
6128 147TH AVE SE
BELLEVUE WA 98006
PROJECT DESCRIPTIOI\ NSFR W/ATT GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,204
VALUATION 264,652.00 ADD'L: 484 HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: 576 HEAT TYPE:
OCCUPANCY: R-3
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: 528 SETBACK:
DECK: 543 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 3
Total: 2 — Total: 3 ___.___ _ _.j
Routing Date: __--
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,917.75 LYK 08/22/12 135134 APPROVEr Plan Check $1,246.54 LYK 08/22/12 135134
State Building Code $4.50 LYK 08/22/12 135134 �
Potable Water Application $64.00 LYK 08/22/12 135134 NOV b .1id
Total: $3,232.79 ,'c(f8mon Conty Plana n-;
& Building Departninnt
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0 0 Jefferson County County Building Division Permit Number: BLD12-00261
Applicant: SEIKE
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 It-tie-1 p Minimum setback from Flagler Road(SR 116)right-of-way shall be 30
U'tP feet. Minimum north and south property line setbacks shall be 5 feet.
Minimum setback from shoreline top of bank shall be 50 feet.
Erosion Control , V1�4„2 ,PO SEE CONDITIONS 2& 3
Foundation Footing i1 _l4-CZ6()-4
Footing Drains 1 L,10 t Z
Foundation Stem Wall
Underground Plumbing
Under Floor Framing
Straps(hold downs) 1=�j_i 3 %�
Ext. Shear Wall Nailing
J�
I-L7- 3
2--
Rough-in Plumbing 2- 7-I
1 ) k
Framing 7_t 27 k-`(->
.43Inaino
Airseal 2--) — ; �0-:'
Insulation:Walls ,
-12-C1/3 j-
Insulation: Floors 4.)-°/l-' t�L Insulation: Ceiling '.-i
Int.Shear Wall Nailing �b /3
9 Wallboard Nailing ( 0//3�
9.,1,..--
Clathae;--14tefier--, ,
Sias-L-i error
Pam'
Heat/Chimney Clearance 4112)
R\
Mechanical Systems `
fluct TeST Left
Blower Airtight Test ...1. 12,
,�
Smoke&CO2 -/h FC23
Drywell/Alt Drainage )_ A 13 I✓. SEE CONDITION 1 FOR DRYWELLS
Address Posted k"- 4.
.R .
• •
FINAL INSPECTION lj,
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •
CONDITIONS for Building Permit# :BLD12-00261
1.) 2012 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BEAT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
2.) A SILT FENCE SHALL BE INSTALLED LANDWARD OF THE SHORELINE TOP OF
BANK PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR
SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT ENTER KILISUT
HARBOR.
THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE
MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND
SURFACE.
THE SILT FENCE SHALL BE BURIED IN ATRENCH TO A MINIMUM DEPTH OF 5
INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED
AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT
FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING
CAN NOT OCCUR.
ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY.
SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT
REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A
SECOND SILT FENCE SHALL BE INSTALLED.
3.) CONSTRUCTION ENTRANCES •LL BE STABILIZED WHEREVER TRAFFONILL
BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE.
QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN
ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER
MANUAL).
ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY
SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING
SHALL BE REMOVED OR STABILIZED ON STIE.
ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON
THE ROADWAY SHALL BE REMOVED IMMEDIATELY.
UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION
ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE
PERMANENTLY STABILIZED.
4.) Must record the "Bedroom Restrictive Covenant" prior to final, to satisfy health
requirements.
5.) 10' minimum separation required between the water line and any onsite sewage system
components including sewage transport lines.
6.) 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.
7.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
8.) A vegetative buffer of 30-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.
9.) 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.
10.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
11.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
12.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
13.) 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.
• •
14.) 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.
15.) 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.
16.) A Stormwater Site 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.
17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
18.) 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.
19.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
20.) 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.
21.) 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.
22.) Minimum setback from Flagler Road (SR 116) right-of-way shall be 30 feet. Minimum
north and south property line setbacks shall be 5 feet. Minimum setback from shoreline
top of bank shall be 50 feet.
23.) The building height is not to exceed 35 feet.
24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
25.) 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.
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G JEFFERSON C NTY N 't-Ic
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DEPARTMENT OF COMMUNITY DEVELOPMENT
ti v ` 4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
p$ www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: \g--1 KO
Project Description(include separate sheets as necessary):
N s FK (.01 Al-r- h-e21-ole,
Tax Parcel Number: 9 5 3 7 CDLi I Property Size: - / 7 acree/square feet)
Site Address and/or Directions to Property: &q 17 Eta*/_1 2D, fv'>R.buctr a/ t.\,;A- q c'3 5—
Property Owner(s)of Record: 'tAl iE- G-I K% L,,,DA SFIKF / CA Rot. RAAM-/, lk'r.141, ` :il - Si:-Ti jiNfj0
Telephone: 206 .77q -SAS 6 Fax: 206 2-q - 4 766 email: NC2N/4,15"A)I'/rf34C rAJ T
Mailing Address: C 12 CS' i Ct 7 7'1 A ,_ P ELt i U c , l i t3 C' o 4
Applicant/Agent(if different from owner): N F"P+N As\i l g 7 Jc=pd,Telephone: 24 -S S 6' Fax: 706 .' 'T G Q'q Z- email: NFRitiAti3eit1/ f C•Nrr
Mailing Address: C1 2 L7 19 7 ' - vrNv1L -7Ej Oe tL1z V r/, IAA et``'(`'-0.--(
What kind of Permit?(Check each box that applies
121/Building ❑ Critical Areas Stewardship Plan
IivYDemolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or Cl**
❑ Manufactured Home ❑ Modular 0 Discretionary"D"or Ur` eqs��- v E
[i
❑ Commercial* 0 Special Use(Essential cF�r •'
❑ Change of Use 0 Boundary Line AdjustmI t
❑ Address 0 Road Approach ❑ Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan** I , I AUG 2 2 2012
❑Propane ❑ Long Plat** II
❑Sign 0 Planned Rural Resider I velopment(PRRD)/Amen is**
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** JEFFERSON COUNTY
❑ Stormwater Management 0 Shoreline Master Program Erzaltiwinfotrglgl *
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Managemen St,l,s aribal t evelopment x-
❑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:
[la
//_ DESIGNATION OF AGENT
I hereby designate � .1 ` c t j c$T to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE 4 '- Date: is /li i 2_ q4/(Z
By signing this application form,the owner/agent attests that e 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 applica9on that he or she wants prior notice.
Signature: �7Y1'1/1'1/At/Zi-64 f Z.-e" 'Y-43 Date: T-01/d- et?r
b_Z--
Applicant will undertake as aas rthe issuance of this permit maynegatively impact upon one or more threatened or
The action or actions pp 9 Y P P
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 ble responsibility f�r ad/hhering to and complying with the ESA. The Applicant has read this disclaimer and_ signs and dat s it below.
Signature: 'L1t� t c � in -Y Date: --�f"r t7 t a- C7ZI/l 4
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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: ,�l?'}14't2.-/2.-(4 to - nm\,;;' Date: 4.7J'f(-Z G"`/,'/t Z-
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Fib ID I► r) ( ) ( ) _
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:
V New VWood Existing: % ❑ Sewer
❑ Addition ❑ Steel Proposed: ;rz Bank ❑ Community System
❑ Alteration/Remodel 0. Concrete Total: Z ' a Height: vs/Individual S stem
❑ Repair ❑ Masonry SEP Permit#'-ZS�
,;,/Demolition ❑ Other: Bedrooms: Water Supply:
rz
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ' 'Public
FLI GTt?t C- Total: 2 Name of System:Pt./lilt 1
.t f‘i- AGthCHr:i--?
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:
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove I Cook Stove i Woodstove i 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 EH Bld App Review:
12 D4 I2.5119(A. u(p
2n°Floor Heated / 63 Consistency Review:3662 2� —
Other Heated l Base fee:
15
Mezzanine itio aFsecfl rp 51' -
-
Heated Basement S 1 IO(Plan Check fee: t (_ _
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: 03
Garage/Carport SUBTOTAL
5 Y ) utsl LI C)WT'
Decks 5/+3 ly ` I. 911/Rd Approach fee:
Other `t 0( i S n _
TOTAL: $40E(7,7R
Receipt Number: 35``)(�_ -
Z(o�((e51 -..7 Cash/Check Number: f _ L� �i
ESTIMATED COST(REQUIRED) Date: l
•Fair market value of all labor and materials foundation to finish
A 2 fjrCu Initials:
•
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SEIKE CABIN REVISIONS:
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SEIKE CABIN
..3 NOV 12,2007
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['s..) 1,-) Nordland,WA 98358
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