HomeMy WebLinkAboutBLD2012-00122 litUILDING PERMIT APPLICAIV MLA12-00085
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD12-00122 Received Date: 4/18/2012
SITE ADDRESS:
NORDLAND, 98358
OWNER: JULIE M GEIST TRUSTEE PHONE:
JULIE GEIST REV TRUST
PO BOX 247
NORDLAND WA 983580247
SUBDIVISION: Block: Lot: T 76+
PARCEL NUMBER: 921042011 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW ADU W/ATT GARAGE & UNHTD, UNFINISHED BASEMENT
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 1,236
VALUATION ADD'L: HEAT TYPE: EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE: PRO
OCCUPANCY: R-3 UNHEATED: 1,236 #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 1,836
CONST TYPE: DECK: 260 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 05783
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop:
Total: 1 al: 1
Routing Date:
Type Amount Paid Receipt: Approved/Date
Permit $1,508.95 LYK 04/18/12 131652 APPROVED
Plan Check $980.82 LYK 04/18/12 131652
State Building Code $4.50 LYK 04/18/12 131652 JUN 1S 2012
Potable Water Application $64.00 LYK 04/18/12 131652 jefferson County Planning
Total: $2,558.27 &Building Department
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#: BLD12-00122
APPLICANT: JULIE M GEIST TRUSTEE PHONE: 360-301-6029
JULIE GEIST REV TRUST
PO BOX 370
PORT HADLOCK WA 98339
SITE ADDRESS: 43 PADDOCK RD Issue Date: 06/18/2012
NORDLAND, 98358 Final Date: 6/2/2014
SUBDIVISION: Block: Lot: T 76+
PARCEL NUMBER: 921042011 Section: 4 Township: 29 N Range: 01 E
PROJECT DESCRIPTION: NEW ADU W/ATT GARAGE & UNHTD, UNFINISHED BASEMENT
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
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/2/2014
\\tidemark\data\forms\F_BLD_Occupancy.rpt 6/2/2014
��"SON 40tk• JEFFERSOOUNTY
a ' ea 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
IIII
BIND
Master Permit Application MLA: 13 -35
Projct Description(include separate sheets as necessary):
(,ci ac e to A DU
Tax Parcel Number: q a t 04 2 0 11 Property Size: �7 r)45-C e 5 (acres/square feet)
Site Address and/or Directions to Property:
231 VV1,e a Gte IPA Nov c� t�t�f L DJ A R S3�s
Property Owner(s)of Record: dull e :H
Telephone: 3&O 31 3893 Fax: 3(oD 3 q ItoS0 email:jrr►getSt r'►ml✓1OL5prI11
Mailing Address: .t?O, &IX 3i Toll i'!-CcUoek, 0A 98331 "1
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
•
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
M'Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family MI Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular - ❑ Discretionary"D"or Ur lamed Use
Cla•sci
❑ Commercial* ❑Special Use(Essential P b�'c )- U o�n-
I
-
— '❑ Change of Use ❑Boundary Line Adjust er t I =
Ig Address ❑Road Approach ❑Short Plat** I
❑ Home Business ❑Cottage Industry ❑Binding Site Plan** i I ,
N.Propane El Long Plat** APR 1
❑ Sign - ❑Planned Rural Reside t I :velopment(PRRD)/Amen0e s**
❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteratio
❑Stormwater Management ❑Shoreline Master Prog am Exempt'• ,".-fm[t(Rfityysions**
❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manageme Sub t419§1y M MENT
❑Temporary Use ❑Shoreline Managemen 'anance
❑Wireless Telecommunication* ❑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 ❑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 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 applica' that a or s A wants-pr'or notice. / I
Nignature: -t - Date: ``"f—f 7— !
The action or acti s 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-transferabl espo sibility f hertng`to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: `�'/ Date: 1 1-z_
• •
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 responsibilit,o the'Ge eral Contractor for the proposed project.
Date: `t —
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
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:
2(New fir Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: i.. Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: t _ Height: X Individual System
❑ Repair ❑ Masonry SEP Permit# SE"P 11- O_
o Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: g Public
E l BtTe C l 545 Total: 1 Name of System: '
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 FoodService? Yes / No '
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
I Underground Tank ,(Above ground Tank Size of Propane Tank: 'd$*0
'Meat Stove I Cook Stove I Woodstove I Fireplace Insert XHot Water Tank I Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes ID
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 4,a 615(0.T411 EH Bid App Review: r-n
2"°Floor Heated _ £ Consistency Review: 024Qa
Other Heated Base fee: 150S. 95
Mezzanine Additional Section:
Heated Basement Plan Check fee: 0180 $2
Unheated Basement State Surcharge fee: 4 5°
Other Unheated Pot Water Review fee O�
Garage/Carport ir6V.R. 5025152
Decks 911/ aaa
I� ' ;3503 3b:
Other A 1 32- 3v 1.2 2<`I TOTAL: $3t-101 .c)-1
J Receipt Number: '31 2
Cash/Check Number:
/ 111-3511-P 1 9 b-1
( ESTIMATED COST(REQUIRED) Date: 1�
•Fair m_rket value of all labor , als foundation to finish `� t _ la
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Jefferson County Building Di sion Permit Numc r: BLD12-00122
Applicant: GEIST TRUSTEE
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 0 "/_/L cia ,J, ,,,„,„„,,,64
Erosion Control 161/Zb z q J C
Foundation Footing r-/-:/2_ G&f
GA(LA/A, r-T-6 -rug, To(,6z'J.t�'x, A r 576*-+.
Footing Drains 16-1(0-k), 24',7_,_
�Foundation Stem Wall r 3/,tz_- "0/
a-Ae..z ,-T60, .9t. id-4(-i Z
Underground Plumbing r✓" _i 2_, /C
Under Floor Framing 6-,Z^(3 `,GI
Straps(hold downs) C?)--t
Ext.Shear Wall Nailing 3 ii i 3
Rough-in Plumbing 6-)._.
ct
.. Pg
Shower Pan C/L4/13 ` C
Framing G".2-Z_B F4. 644,,e,...L., ,s-----2-z1ba
Blocking
-.)i--( 7 F(
Airseal
S9-2-0 r-b
Insulation:Walls
,-.090.-Y fp (C
Insulation:Floors /
5/50/11/
Insulation:Ceiling /
.� 30 /7
Int.Shear Wall Nailing f2� C`f
Wallboard Nailing &i2.1 I t3 9
Gas Line: Interior r-_)-2'' 1.
Gas Line:Exterior f
6/7/IW
Propane Tank 5117/
Heat/Chimney Clearance .f4/)4 p,L'
Duct Test Cert
Blower Airtight Test g//, !� gt..../
Smoke&CO2 /3
p/ 04-
Drywell/Alt Drainage 5" THREE(3)DREYWELLS 3 _.phi
Address Posted
522 --13 02
FINAL INSPECTION 5/5o,// le),
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
i
CONDITIONS for Building Permit# :BLD12-00122
1.) This one bedroom ADU counts as 240gpd of septic system capacity.
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.) 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.
5.) 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.
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.) A Stormwater Site Plan has been itted and approved by the Department 10
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.
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 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.
11.) A minimum of two(2) on-site parking spaces shall be provided for the single family
residence.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
13.) The building height is not to exceed 35 feet.
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.) Commercial and industrial developments located in all zoning districts hall screen from
areas frequented by the general public, all materials stored outside buildings or structures
which are not for display or immediate sale. Areas frequented by the general public shall
be defined as public streets and rights-of-way, and other areas normally used by the
general public located adjacent to the subject property.
16.) Paddock Rd setback is 20 ft, rear and side setbacks should be no less than 5 ft.
17.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS.
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.