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HomeMy WebLinkAboutBLD2012-00387 T N R 00 I JILDING PERMIT APPLICA ew Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00387 Received Date: 12/3/2012 SITE ADDRESS: 295 NICKELBUSH LN QUILCENE, 98376 OWNER: JANICE M MISNER PHONE: 425-736-3369 RILEY M PARKER PO BOX 638 QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801314003 Section: 31 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR W/ATT GARAGE &A/G 500 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,109 VALUATION 400,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 265 CONST TYPE: 5N SHORELINE: GARAGE: 702 CONST TYPE: SETBACK: DECK: 578 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 • a: 2 Routing P-te: Type Am ate: Receipt: Approved/Date Permit $2,673.75 LYK 12/03/12 139793 APPROVED Plan Check $1,737.94 LYK 12/03/12 139793 �w State Building Code $4.50 LYK 12/03/12 139793 JAN SO 2013 Potable Water Application $64.00 LYK 12/03/12 139793 Total: $4,480.19 Jefferson County DCD \\4irinm•nr4\rle4e\fnrme\F RI rl Ann RIr7 rn4 I1/4/9rH9 Ili 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#: BLD12-00387 JANICE M MISNER PHONE: 425-736-3369 APPLICANT: RILEY M PARKER PO BOX 638 QUILCENE WA 98376 SITE ADDRESS: 295 NICKELBUSH LN Issue Date: 01/30 •13 QUILCENE, 98376 Final Date: 27/2014 SUBDIVISION: Block: ot: PARCEL NUMBER: 801314003 Section: 31 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE&A/G 500 GAL PROP TANK 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 5/27/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 5/28/2014 ,r,�i`- ''1, JF.FFERSO OUNTY a III / ` i DEPARTMENTIPCOMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax &1 ©' www.co.jefferson.wa.us/commdevelopment TN Master Permit Application MLA: ( 2-20) Project Description(include separate sheets as pekes -ry): 1�� oo ■ �1....�►. _ ` Ll J _�0.1 ,.... - - Tax Parcel Number: 8o I -. Ti 4 -QO 3 Property Size: ' 40 At t (acres/square feet) Site Address and/or Directions to Property: 2--'D 5 N I CK,eLu ,A (—INNS C U L C,, =.,.t ', \WA.. ?)83-7/0 Property Owner(s)of Record: 2 t LE,y Piz A, r -.J A.i 4 t C_sTt J E.R. Telephone:+45--72,6 ■ 3`a 1O Fax: email: Mailing Address: . 0 . '3„j, (03P (tt, Q:r� , VA. 4,83-74, iNv..*M J. C.aM Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies *Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) "*Single Family ttached Detached ❑Conditional Use[C(a),C(d) or C)** ❑ Manufactured Home ❑ Modular - ❑Discretionary°D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary •���� i« 0 v El 1 ❑ Address ❑ Road Approach ❑Short Plat E C I ❑Home Business ❑Cottage Industry ❑Binding S'e PI: 6a'Propane ❑Long Plat t*!Li ❑Sign ❑Planned R rahR+sidential Developiq tt(P i. endments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vaca on/Alteratidt`r"� _ lUU TILL iii Stormwater Management ❑Shoreline star Program Exemption/Pe v slops** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline l�Aana ment ❑Temporary Use ❑Shoreline anagementVailiikegouNTY ❑Wireless Telecommunication* ❑Comprehensly - h 1L 9Hnk!E£i a ; ,,-. . endment ❑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 Y y g 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 ap�/'� • 'on hat - •r s e . s pryer notice. l Signature: //r. Ai,., i�.- Date: t i/ i S j 20 i G._ The action or action ' •plicant 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 complian•:=with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tran ,-rab= r; •.n '.ili #'r adhering to and co plying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ./ c Q Date: II/1 8/ 7-01 G:\Peu•utGenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc rr BUILDER STATEMENT The signer of this statement does hereby certify t they are the Owners of the parcel referenced herein,t at they are not licensed contractors and that they will be assumin! the sponsibility of the General Contractor for the proposed project. Signature: ! 1 /z. ,/-2' cZ. -is A—1\--.- Date: 11/16 I Gv I Z GENERAL CO RACTOR 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: New X Wood Existing: El Sewer ❑ Addition ❑ Steel Proposed: "2 Bank D Community System ❑ Alteration/Remodel ❑ Concrete Total: Z. Hei ht: ik Individual Syst `� ❑ Repair 0 Masonry Tylt SEP Permit# t .-" 1 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: l Private well 0 Two Party T •e of eat: Proposed: _�._ 3 Public f. ma"... Total: _-3 iVik Name of System: i A. If this is a Commercial Prolect 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 •! f this is a Pro•-ne Tank and/or •li:nce Insta lation •. It llir-ILrA„LIlat -v. ..• • I Underground Tank - •.ve.ground Tan's r •E ILA r MEN 'Heat Stove 5ook Stove I-Woodstove Fireplace Insert ' F41. Tr: er a ' -- - - .1- I Other Is this a••lianc- bein• installed In a Manufactured/M•bile f•: • Yes / No When applying for a permit to install a propane tank you mu t also;submit;a site pla kiho =1 of the buildings,all property lines, tank location and size,distances from the propane tan it3 all properly lines,buildin..I -eptic system components, includin• the reserve area. fr} s tij '-. tie'*...F*"WP: ,5?3.171 J `d 't-,g1 T` °. �.. S•uare Foota•e Current Pro••sed =i)r`•�. 4 '•s i-�®t r t- .Z.Cc :r #"` " .tn t�...a:.r�> ��R d,�,u�f:a.,Y�nHHkh9l35`i,_; E .'a a: Q „ 75,,, 3..� "�Fkt., i .� A. I: i. -s Main Floor Heated NIXq,� EH Bid App Review: i LP 2 Floor Heated t-� �:,ep W M Consistency Review C M ■ Other Heated CX � Base fee: M lib (br) V Mezzanine �.f { Additional Section: Heated Basement / ;'" Plan Check fee: _ i 737. q`�' Unheated Basement .€ State Surcharge fee: -' M' Other Unheated ........ ,o ' Pot Water Review fee: Garage/Carport ` ' t.. SUBTOTAL Decks / f u-- .,„` 911/Rd Approach fee: Other COve,124o-Poat..a-ie=s S 7 8 'MA- . TOTAL: $43 1`j 1• Y ' :; Receipt Number: -n ' tt a Cash/Check Number: a) ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish i Z "3-12_ 40 0, 0610,0610, Initials: ____:iD • G:\PemutC,enter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc G:\# :EMPLATES 2012 X3\T5 MISNER-.PARKER\MISNER PARKER ARCH D(TLS 7)iayout Sunday,November. 18,2012 10:49:16 AM ARCH.D (24"2c16") zoa= 66' fnzA / 2T / 3' / 6' 2' 7 9' X m 9' 2 6 / 4.-4. 2.6., 4• ,, 2:_6., 4.4„ .�.: 3' 1•B.. ■ �f i i 8 a > a, '4'1 2'-B 2'-B 4' • � 7 I1I1i�� O t- I 4 /. n'_%N _�� N ` -0 4060 i )< 4, > a, u m y�,H (( r ( a# N `C z �I 1__ I h3 r ' a 6 11 MIIIIIIM "8 'l- i I'L 3 T-6.4 Z 7,6" I-}} T:_6:, L.. t"' ''' r, 1 17.1-1 n p s :I 'm F;§ n11!' E"li I. . t UZ z .i n R7 o• 30'uy ;i n s; A i Z r+f r ` I� A _..... - .... - 2' ' h _s _o. ' ii . i m it> 8 — N ° _ - I m'ti , : .-,• x z ii K N S • y s ;N X { 1 1 i ;�L ;,,,Y ,I $S TF O u w 1 y a�vll�. 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',..s- 0 rn c5 7c u6-1 CI 41,1, Uf = — __ z 5> r o m na < it QUIPP'4" 211 r9 cl* cn •• rn .p.- z w 0 w Eii:11 77 o < - . 1..... ..:2) co -‹ F - to 1 1-• 0 o rr) c.r1 ,, Z -P• • ' cA) m co ......---__ CONDITIONS for Building Permit# :BLD12-00387 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL 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. 3.) Unless otherwise specifically approved in the septic system permit, SEP12-134, a 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 4.) The project is located within 1- A 17 and thus is subject to compliance wi€ ie WA State De...Ps-4.01 ECORM 1n 8trearn flvwRule for that region. The parcel is located within • Donovan Creek sub-basin in a designated Reserve ManagbmentAres;.as uch, conservation standards per state regulations require the following: 1. A permit-exempt well serving an individual user shall not exceed a maximum of 500 gallons per day(gpd) or an annual average more than 350 gpd, for all permit-exempt uses ,, uthbrized under RCW 90.44.050. (WAC 173-517-120(1)(b)) 2. 4Awell serving a group domestic system shall not exceed a maximum use o00 gallons per day(gpd)or an annual average more than 350 gpd, for each residence, and shall not exceed a total use of 5,000 gpd for the group. The design and construction of ,, group domestic systems must be consistent with applicable state department of health requirements and applicable Jefferson County or Clallam County requirements. (WAC 17317-120(1)(c)) 3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT TH WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at fittp://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 5.) A Notice to Title has been recorded that acknowledges chloride levels above the maximum contaminant level. On going treatment of the water is required to maintain potable water quality. Notice recorded under AFN#572784 6.) The proposed development is greater than 500 feet from the mapped wetlands. Therefore, a wetland delineation was not required for review of this project. The applicant also has a Conservation Plan as developed in consultation with the Jefferson County Conservation District title"Happy Tails Ranch Conservation Plan"dated October 2009. 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.) 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. 12.) 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. Jefferson County uil i Permit �� er: BLD12-00387 .�,. ty d niv�sion 2 00387 Applicant: MISNER BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Code To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 i 3.-ji: 2 Minimum setback from Nicklebrush Lane right-of-way and any private _ • -_ -•• _ - . s shall bo 20 foot. Minimum setback from the west property boundary shall be 250 feet. Minimum north property line setback shalla be 100 feet. Minimum south property boundary(excluding easement rights-of-ways)shall be 5 feet. Erosion Control 3-11-07 P,pt SEE CONDITION 2 Foundation Footing 27 -It-L; - Footing Drains 'f../yr 1 Foundation Stem Wall .3/244/ 13 'bC Underground Plumbing yl 1 l i s Under Floor Framing if 30113 Straps(hold downs) L/ /1 3 SD C Ext.Shear Wall Nailing 6)/3/,3 9_,..,, Rough-in Plumbing g-/3-13 i)," Shower Pan 11--/f3.l3 Framing 15_13,13 pt., Blocking Airseal '-'13- 13 Insulation:Walls 5-2.1 ' 9 Insulation:Floors %V/3 3-D C Insulation:Ceiling 8•-2t Int.Shear Wall Nailing 6,-33-1 Wallboard Nailing 412-f//3 1 Gas Line: Interior &-'-).3, 13 9-.- Gas Line: Exterior Propane an cT-23- 0 Q/ Heat/Chimney Clearance 1.. 2 3_ 16 JP C Mechanical Systems 1i is/ 7 Duct Test Cert it qi-5 Blower Airtight Test Ili y 13 E Smoke&CO2 12M/i3 Drywell/Alt Drainage /1//i`/3 1--3)G SEE CONDITION 1 FOR SPLASHBLOCKS Address Posted q/13/13 J V C 'Water Meter Inspection FINAL INSPECTION /214.03 ' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR